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Bengaluru hospital cures Pak baby with rare ailment Bengaluru hospital c

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A child from Pakistan has been cured of a rare disease, thanks to treatment provided by a hospital here.

Zeenia, all of two and a half years, had developed Hemophagocytic Lymphohistiocytosis (HLH), a condition in which the bone marrow produces abnormal cells that eat away normal marrow cells.

A life-threatening condition, it is characterised by high fever, low blood count and liver and spleen enlargement.

When her parents were about to give up on finding help, a fellow Pakistani, who had successfully undergone a bone marrow transplant in Bengaluru, referred them to doctors at Narayana Health (NH).

Zeenia’s parents, from Sahiwal in central Punjab in Pakistan, brought her to Bengaluru in August 2016. In October, she successfully underwent a transplant, and is now ready to fly back.

Medical history


Zeenia was like any other infant. When she was 11 months old, she developed high, persistent fever.

Under normal conditions, the fever subsides on administration of antibiotics and supportive care. But this was not the case with Zeenia.

After examination at Narayana Health, doctors found that her little brother Rayan’s Human leukocyte antigen (HLA) matched fully with hers.

HLA is a protein found in most cells in the human body and is used to match donors for bone marrow transplants.

The parents agreed to allow doctors to extract the bone marrow from infant Rayan.
At a press conference on Friday, doctors who had attended on Zeenia said the challenge was to extract the bone marrow from the eight-month-old infant.

Dr Sunil Bhat, senior consultant and head of Pediatric Haematology, Oncology and Bone Marrow Transplant, said: “An infant’s bones are very soft and supple. Extracting the stipulated dosage was also challenging.”


“However, by using small needles, we successfully extracted enough marrow to cure Zeenia,” Bhat said.

He said Rayan had not only saved his sister but also earned the distinction of being the youngest marrow donor in India.

Ziaulla, Zeenia’s father, said, “Back home, diseases like HLH are mired in misconceptions. There is a perception that it is not curable.

“In fact, we had given up hope. We are grateful to the entire team of doctors and medical staff for curing my daughter.”

Gift of warmth for Zeenia

Zeenia’s family is flying back to Pakistan with happy memories from Bengaluru. “We had no inconvenience here. People have been warm. We have not faced discrimination of any sort,” Zeenia’s father Ziaulla said on Friday.

He said he would start an online page and share Zeenia's story. "It will create awareness about the illness and possible treatments," he said.


http://www.deccanherald.com/content/587023/bengaluru-hospital-cures-pak-baby.html
 
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Pakistani infant becomes youngest bone marrow donor in India

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BENGALURU: Eight-month-old Rayan from Pakistan became the youngest donor of bone marrow in India after the infant saved life of his elder sister, two-year-old Zeenia who was suffering from a rare disease, Haemaphagocytic Lymphohistiocytosis (HLH).

Her bone marrow produced some abnormal cells which were eating away her normal marrow cells for which bone marrow transplant was the only cure. Two months after the successful bone marrow transfer in a city hospital, the two siblings are doing well and will be returning to Sahiwal with their relieved parents in a few days.

Everything was fine for Zeenia until she completed her first 11 months when she began suffering from high persistent fever which was not cured by antibiotics.

On detailed screening, she was diagnosed with the rare bone marrow ailment with high fever, low blood counts and liver and spleen enlargement, considered a life-threatening disorder. She was also diagnosed with partial albinism since birth.

Zeenia’s condition came as a rude shock to her parents as they were told that the disease was not curable. “Back home diseases like Haemaphagocytic Lymphohistiocytosis are mired with misconceptions. There is a perception that it is not curable.

“In fact we had given up all hope till we happened to hear about a similar case being treated at the Narayana Health City [NHC]. We are glad that we could make this trip to India and are grateful to the entire team of doctors who saved our daughter’s life,” said Ziaullah, her father.

After Zeenia, whose condition deteriorated due to the recurring infection coupled with the journey from Pakistan to India, was admitted to the hospital and was stabilised, her eight-month-old brother turned out to be a complete HLA match for her. However, Rayan was just an infant and what the haematologists at the NHC did was pretty challenging.

Dr Sunil Bhat, senior consultant and head of paediatric haematology, oncology and bone marrow transplant at the hospital, said, “The case was very challenging from the donor’s perspective as he was just eight months old. Typically their bones are very soft and supplying and extracting the stipulated dosage added to our challenge.

“It is risky to extract more than 15 to 20ml per kg of body weight in one go from an infant like Rayan. Hence, we had to do it in two steps with a time gap of six weeks between the two extractions.

“By using small marrow extraction needles, our able team of anaesthetists could successfully extract enough bone marrow that cured Zeenia. Rayan, who was put on iron supplements and adequate nutrition post-bone marrow extraction to face the loss of bone marrow, has not only saved his sister’s life but has also become the youngest marrow donor in our country,” added Dr Bhat.

Dr Sharat Damodar, senior consultant haematologist and clinical director at the NHC, said: “We are glad that we are being able to help a large number of patients from Pakistan as well as other countries by offering them quality treatment. Just over a decade ago, two-year-old Noor Fatima had come to our facility from Lahore and got cured of her congenital heart disorder. And now it is our little Zeenia.”

“We are planning to start an online page once we return to Pakistan and share our story there with the public at large so that the page becomes a platform to create awareness about this illness in Pakistan along with its possible treatment,” said Ziaullah.

@ashok321 @The Accountant @pakeye @Dungeness @Well.wisher @RPK @Mentee @lastofthepatriots @I'm Wrong @DESERT FIGHTER @Moonlight @Syed.Ali.Haider @PAKISTANFOREVER

Another patient case from pakistan who come to india for treatment


@barbarosa @LA se Karachi @member.exe @Maxpane @friendly_troll96 @Areesh @Peaceful Civilian @Zarvan @Windjammer @Zibago @Jf Thunder @Imran Khan @Max @Zaheer1971
 
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India has very good and cheap medical treatment facilities, its in our interest to promote medical tourism in India.
A very friendly and positive gesture.
:tup:
 
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I appreciate the medical development of India, India has a good history in this field. I think India is the most developed country in medical sciences in Asia.
 
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I appreciate the medical development of India, India has a good history in this field. I think India is the most developed country in medical sciences in Asia.

American and British are also coming to India for medical treatment as treatment in india is cheap compared to those countries.12% of doctors in UK are of Indian origin.

Doctors of Indian Origin in US
There are currently (as of 2005) 40,838 doctors of Indian origin in the United States of America and they account for 5% of all doctors in the USA and 20% of all International Medical Graduates employed in the US workforce. It is noteworthy that India provides the largest number of International Medical Graduates to the US in absolute numbers. With 59,523 physicians of Indian origin working in the English speaking Western world (the US, UK, Australia and Canada combined), India is by far the single largest source of emigre physicians in the world.

Many doctors are also returning back to their home country since Indian hospital also used to pay heavy package to Indian doctors especially experienced and super speciality doctors.

Pharma industry in India

Overall drug approvals given by the US Food and Drug Administration (USFDA) to Indian companies have nearly doubled to 201 in FY 2015-16 from 109 in FY 2014-15. The country accounts for around 30 per cent (by volume) and about 10 per cent (value) in the US$ 70-80 billion US generics market.The market is expected to grow to US$ 55 billion by 2020, thereby emerging as the sixth largest pharmaceutical market globally by absolute size.

Presently over 80 per cent of the antiretroviral drugs used globally to combat AIDS (Acquired Immuno Deficiency Syndrome) are supplied by Indian pharmaceutical firms.

So overall medical infrastructure in India is growing and i heard one of my colleague that India is the largest installation base for MRI/CT from GE healthcare in the world.

@Gibbs @User @T-Rex @tarrar @Doyalbaba @Musafir117 @AUz @CriticalThought @Devil Soul @naveedullahkhankhattak @SherDil007 @Angry Studios @anas_nurhafidz
 
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American and British are also coming to India for medical treatment as treatment in india is cheap compared to those countries.12% of doctors in UK are of Indian origin.

Doctors of Indian Origin in US
There are currently (as of 2005) 40,838 doctors of Indian origin in the United States of America and they account for 5% of all doctors in the USA and 20% of all International Medical Graduates employed in the US workforce. It is noteworthy that India provides the largest number of International Medical Graduates to the US in absolute numbers. With 59,523 physicians of Indian origin working in the English speaking Western world (the US, UK, Australia and Canada combined), India is by far the single largest source of emigre physicians in the world.

Many doctors are also returning back to their home country since Indian hospital also used to pay heavy package to Indian doctors especially experienced and super speciality doctors.

Pharma industry in India

Overall drug approvals given by the US Food and Drug Administration (USFDA) to Indian companies have nearly doubled to 201 in FY 2015-16 from 109 in FY 2014-15. The country accounts for around 30 per cent (by volume) and about 10 per cent (value) in the US$ 70-80 billion US generics market.The market is expected to grow to US$ 55 billion by 2020, thereby emerging as the sixth largest pharmaceutical market globally by absolute size.

Presently over 80 per cent of the antiretroviral drugs used globally to combat AIDS (Acquired Immuno Deficiency Syndrome) are supplied by Indian pharmaceutical firms.

So overall medical infrastructure in India is growing and i heard one of my colleague that India is the largest installation base for MRI/CT from GE healthcare in the world.

@Gibbs @User @T-Rex @tarrar @Doyalbaba @Musafir117 @AUz @CriticalThought @Devil Soul @naveedullahkhankhattak @SherDil007 @Angry Studios @anas_nurhafidz
We appreciate India once again and again, thank you Indian.
 
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