Patient Case Studies

The Inspiring Story of Guillain-Barré Syndrome’s (GBS) Patient In a remarkable tale of resilience and medical excellence, 25-year-old patient battled a rare and life-threatening condition, Guillain-Barré Syndrome (GBS), with the unwavering support of a dedicated medical team at Inamdar Multispeciality Hospital. His journey, marked by uncertainty, hope, and ultimate triumph, is a testament to the power of timely intervention, advanced medical care, and the human spirit. It all began on December 12, 2024, when patient was brought to the hospital with complaints of sudden weakness in both lower limbs, rendering him unable to get out of bed. Within days, his condition worsened as the weakness spread to his upper limbs, followed by difficulty in swallowing, heaviness in his tongue, and drooling of saliva. As his symptoms progressed, patient faced one of the most challenging moments of his life—complete paralysis of all four limbs and respiratory muscle weakness, which made breathing nearly impossible. Recognizing the severity of his condition, the medical team, led by Dr. Suhas Rajput (Physician), Dr. Suyog Doshi (Neurophysician), and Dr. Sunil Jawale (Nephrologist), immediately shifted patient to the Medical Intensive Care Unit (MICU). An MRI of the brain was conducted, and further tests, including a Nerve Conduction Study (NCV) and Cerebrospinal Fluid (CSF) examination, confirmed the diagnosis of Guillain-Barré Syndrome (GBS). GBS is a rare autoimmune neurological disorder where the body’s immune system mistakenly attacks the peripheral nervous system, leading to weakness, numbness, and, in severe cases, paralysis. For patient, the condition had progressed rapidly, leaving him completely dependent on life support. The medical team swiftly initiated Plasmapheresis, a specialized treatment that involves removing plasma containing harmful autoimmune antibodies and replacing it with fresh plasma. patient underwent five cycles of this therapy, with each session bringing gradual improvement in his limb strength. However, his journey was far from easy. Due to persistent neck muscle weakness and respiratory challenges, patient required prolonged mechanical ventilation and eventually a tracheostomy to aid his breathing. Throughout this critical phase, the MICU team, including intensivists, resident doctors, and nurses, provided round-the-clock care. Daily physiotherapy sessions were conducted to aid his recovery, and a slow weaning process was initiated to help him breathe independently. The team’s proactive approach and close monitoring played a pivotal role in Patient’s progress. Miraculously, Patient began to show signs of improvement. His limb strength gradually returned, and he was eventually able to breathe without ventilator support. After weeks of intensive care, Patient was shifted to the general ward and finally discharged on January 2, 2025, marking the end of a grueling yet victorious battle. Today, Patient stands as a beacon of hope for others facing similar challenges. His recovery was made possible by the expertise and dedication of the medical team at Inamdar Multispeciality Hospital., the unwavering support of his family, and his own indomitable spirit. Dr. Suhas Rajput, one of the key consultants involved in treatment, shared, “Patient’s case was both challenging and inspiring. His determination, combined with the collaborative efforts of our team, made this recovery possible. It’s a reminder of how advanced medical care and timely intervention can transform lives.” This Patient’s story is not just one of medical triumph but also a powerful reminder of the strength of the human spirit. His journey from paralysis to recovery is a testament to the miracles that can happen when science, compassion, and perseverance come together. Inamdar Multispeciality Hospital: Where Hope Meets Healing. Contact Information: Inamdar Hospital, Pune Call: 020-66812222 / 44

Inamdar Hospital – Pune, India | 10th July 2024 In the early hours of June 11th, 2024, a tiny fighter entered this world much earlier than expected. Baby born at just 30 weeks and 5 days, weighed a mere 1.48 kg, a delicate life hanging in the balance. Her premature birth, brought about by an emergency C-section, marked the beginning of a month-long journey in the Neonatal Intensive Care Unit (NICU) at Inamdar Hospital. As soon as Baby was born, she required immediate medical assistance to breathe. Her fragile lungs struggled, and she was placed on mechanical ventilation. A diagnosis of Respiratory Distress Syndrome (RDS) followed, but the doctors and nurses at Inamdar Hospital remained hopeful. One dose of surfactant was administered to help her underdeveloped lungs, and she was gradually weaned off the ventilator after 24 hours. With the expertise of the medical team, Baby transitioned to non-invasive support (NIV) and slowly began to show signs of improvement. Throughout her NICU stay, Baby’s condition remained stable, and she was spared from any complications or infections. With Kangaroo Mother Care, strict aseptic protocols, and the relentless love and care from her parents, she thrived. Each day brought new hope, as Baby’s weight gradually increased and her strength returned. Baby was screened for a range of prematurity-related conditions—Hydrocephalus, Retinopathy of Prematurity, Anemia, Patent Ductus Arteriosus (PDA), Osteopenia, and hearing defects. Fortunately, all tests came back normal, and there were no signs of any lasting health concerns. After 30 days in the NICU, on July 10th, 2024, Baby was discharged, weighing 2.12 kg. She had fought her way through a challenging beginning and was ready to go home, healthy and strong. Her discharge was a moment of immense relief and joy for her family, who had been by her side every step of the way, showing unwavering faith and strength. Today, at 7 months old, Baby continues to grow and thrive. She visits Inamdar Hospital regularly for her routine vaccinations and has become a symbol of resilience. Her journey serves as a reminder of the incredible power of modern medicine, the unwavering commitment of healthcare professionals, and the unbreakable bond between parents and their newborns. This success story is a testament to the expertise and dedication of Dr. Sandesh Runwal, along with his team of doctors and nurses at Inamdar Hospital, and the dedicated, loving parents of Baby. Together, they made the impossible possible. Thank you! Contact Information: Inamdar Hospital, Pune Call: 020-66812222 / 44

Inamdar Hospital, Pune – On the 17th of September 2024, a tiny fighter made her entrance into the world, weighing just 1.250 kg. Born at only 29 weeks and 2 days of gestation, Baby was a beacon of resilience, love, and hope from the moment she was born. Today, 4 months later, she is a healthy, thriving infant, thanks to the unwavering support of her dedicated medical team and the love and determination of her parents. Born through an emergency C-section due to complications with uterine fibroids, Baby’s early days were filled with uncertainty. She immediately required breathing assistance after delivery and was put on mechanical ventilation for the first day of life. Her fragile lungs were further challenged by severe Respiratory Distress Syndrome (RDS), and she suffered multiple episodes of apnea, requiring reintubation and ventilation support. With a host of complications including very low birth weight, sepsis, coagulopathy, neonatal hyperbilirubinemia, and anemia, Baby’s journey was a testament to the strength of her spirit and the expertise of the medical team at Inamdar Hospital. Her small body needed support, but her fighting will carried her through. Under the compassionate care of Dr. Sandesh Runwal and his team, every step of Baby treatment was handled with the utmost care and precision. Two doses of surfactant were administered to help her delicate lungs, and she was carefully monitored for common premature birth complications like Hydrocephalus, Retinopathy of Prematurity, Patent Ductus Arteriosus (PDA), and Osteopenia of Prematurity. Though she had a small PDA, the team ensured all her needs were met with love, nourishment, and the latest medical interventions. The medical team’s efforts were complemented by Kangaroo Mother Care, a natural and essential method for preterm babies that enhances bonding and promotes growth. Gradually, Baby grew stronger, gaining weight and moving beyond the critical stages of her premature birth. By the time she was discharged on the 26th of October 2024, she weighed a healthier 1.750 kg, a significant achievement for such a fragile infant. Her discharge marked not just a milestone in her medical journey but also the start of a bright future. Today, Baby is 4 months old, healthy, and flourishing. Her parents, filled with gratitude, continue to bring her in for routine follow-ups and vaccinations, a proud reminder of the medical miracles that happen every day in the world of neonatology. The incredible success of Baby journey is a true reflection of the collective effort of Dr. Sandesh Runwal, the dedicated team of doctors, nurses, and most importantly, the unwavering love and dedication of her parents. As Baby continues to grow and thrive, she is a living testament to the miracle of life, the power of modern medicine, and the love that surrounds her. Her story is a powerful reminder of the strength and resilience of both the tiniest fighters and the incredible medical teams who help them through their most challenging moments. Thank you to the team at Inamdar Hospital and to the Baby’s parents for trusting us with this precious life. Contact Information: Inamdar Hospital, Pune Call: 020-66812222 / 44

A male baby was delivered by emergency LSCS due to Placenta Previa, causing bleeding PV, to a first-time (Primi) mother at 30 weeks of gestation. The baby was very preterm with a low birth weight of 1.6 kg and required immediate medical attention. NICU Care and Challenges: Upon delivery, the baby was shifted to the NICU due to the following critical conditions: 1. Severe Respiratory Distress Syndrome (RDS): • Required intubation and mechanical ventilation. • Administered 2 doses of surfactant to aid lung function. 2. Shock: Required inotropes for cardiovascular support. 3. Anemia: Required PCV transfusion. 4. Apnea: Required prolonged NICU stay and continuous monitoring. 5. Urinary Tract Infection (UTI): Treated with prolonged antibiotics. 6. Additional Interventions: • ROP Screening: Conducted and results were normal, indicating no retinal issues. Outcome: After receiving comprehensive and intensive care at the IMH NICU, the baby made a remarkable recovery. The baby was discharged with a weight of 2.2 kg and showed no sequelae. The parents left the hospital with smiles on their faces, grateful for the exceptional care provided. Inamdar Hospital NICU Facilities: Our tertiary care NICU features a 6-bed unit equipped with both conventional and high-frequency ventilation. The unit is overseen by senior consultants and neonatologists, with full-time intensivist support provided by the Cloud Physician team. We adhere to the latest protocols, ensuring excellent outcomes and intact survival rates for premature babies.

Patient Details: Name: Mr. Dilip Ambegaonkar Age: 70 years Gender: Male Medical Record No.: 338104 Admit Date & Time: 15th May 2024 at 8:30 AM History of Present Illness: On the morning of 15th May 2024, Mr. Dilip Ambegaonkar experienced a sudden onset of uneasiness and sweating while on his routine morning walk. Recognizing the severity of his symptoms, he immediately contacted his son, who promptly brought him to the Emergency Room (ER) at the Institute of Medical Health (IMH) at approximately 8:30 AM. Initial Assessment and Diagnosis: Upon arrival, Mr. Ambegaonkar was quickly assessed by the clinical team. An Electrocardiogram (ECG) was performed, which indicated that he was suffering from a Myocardial Infarction (Heart Attack). Counseling and Immediate Action: The patient’s relatives were immediately informed about the critical nature of his condition. The importance and urgency of the situation were emphasized, and the appropriate treatment protocol for Acute Coronary Syndrome (ACS) was initiated. A loading dose of medication was administered as per the ACS protocol. Dr. Krishna Dhoot, the on-call cardiologist, was informed of the situation over the phone. Given the severity of the myocardial infarction, the relatives were counseled on the necessity of performing Primary Angioplasty in Myocardial Infarction (PAMI) without delay. Initially, the patient’s relatives were panic-stricken and struggled to make an immediate decision. However, further counseling reassured them of the importance and life-saving potential of the procedure. Procedure and Outcome: Mr. Ambegaonkar was promptly transferred to the Coronary Care Unit (CCU), and by 10:00 AM, the PAMI procedure was successfully completed. Following the procedure, he was returned to the CCU for recovery. Post-Procedure: The patient’s relatives expressed their gratitude to the ER team and the attending physician for the swift and efficient care provided, which was instrumental in ensuring a positive outcome for Mr. Ambegaonkar. Timely Intervention and Teamwork Lead to Successful Heart Attack Recovery: Mr. Dilip Ambegaonkar received timely and effective medical intervention for a myocardial infarction, resulting in a successful recovery. The coordination and prompt actions of the ER team, along with the guidance of Dr. Krishna Dhoot, were pivotal in managing this critical case. The family’s relief and gratitude towards our dedicated ER team were immense. We’re honored to have been able to provide life-saving care.

𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐁𝐚𝐜𝐤𝐠𝐫𝐨𝐮𝐧𝐝 ● Age: 34 years ● Health Status: Previously healthy ● Incident: Attempted robbery with gunshot wounds 𝐈𝐧𝐜𝐢𝐝𝐞𝐧𝐭 𝐎𝐯𝐞𝐫𝐯𝐢𝐞𝐰 On the night of November 8, 2023, at approximately 10 PM, the Patient was brought to Inamdar Multispeciality Hospital, Fatimanagar, by his father and brother. The patient had sustained three gunshot wounds during an attempted robbery: 1. Left Calf – Entry and exit wounds 2. Right Thigh – Entry and exit wounds 3. Left Side of Face – Entry wound destroying the mandible with an exit wound 𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐑𝐞𝐬𝐩𝐨𝐧𝐬𝐞 𝐚𝐧𝐝 𝐈𝐧𝐢𝐭𝐢𝐚𝐥 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 Upon arrival, the Patient was in critical condition, with clothes soaked in blood. The emergency team quickly performed an initial assessment, primary fluid resuscitation, and dressing of wounds to stabilize him. Immediate imaging included a face CT and a contrast CT of both lower limbs. 𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐈𝐧𝐭𝐞𝐫𝐯𝐞𝐧𝐭𝐢𝐨𝐧𝐬 The patient underwent emergency surgery the following day, November 9, 2023: 1. First Surgery: Performed by Dr. Mustafa Shakir ● Procedure – Exploration and debridement of wounds on the right thigh and left leg, hemostasis, muscle repair, and primary closure under general anesthesia. 2. Second Surgery: Performed by Dr. Mateen Sayyed ● Procedure – Open reduction and internal fixation (ORIF) of the left para symphysis, right para symphysis, and left the body of the mandible. Dentoalveolar wiring, intermediate fixation, and closure of the oral floor. An elective tracheostomy was also performed to secure the airway. 𝐏𝐨𝐬𝐭𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐂𝐚𝐫𝐞 𝐚𝐧𝐝 𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 Following the surgeries, the Patient was transferred to the Intensive Care Unit (ICU) for close monitoring and postoperative care. Key steps in his recovery included: ● Hemodynamic Monitoring – Despite experiencing hypotension during surgery, which required intravenous norepinephrine (norad) for support, the patient name’s blood pressure stabilized postoperatively. ● Metabolic Acidosis Correction – Patient arterial blood gas (ABG) analysis indicated metabolic acidosis, which was promptly corrected. ● Blood Transfusion – Patient. received two bags of packed cell volume (PCV) on November 9, 2023, to manage blood loss. The transfusion was uneventful. ● Sedation and Paralysis – The patient was kept sedated and paralyzed overnight to facilitate recovery. Norepinephrine was gradually tapered off. ● Weaning Off Ventilation – Once the Patient regained consciousness, he was transitioned to pressure support (PS) ventilation and successfully weaned off. He began maintaining oxygen saturation on room air (RA). 𝐏𝐫𝐨𝐠𝐫𝐞𝐬𝐬 𝐚𝐧𝐝 𝐃𝐢𝐬𝐜𝐡𝐚𝐫𝐠𝐞 ● Oral Intake – The patient tolerated oral liquids well, and his nutritional intake was managed accordingly. ● Hypokalemia Correction – Electrolyte imbalance was corrected, ensuring stable potassium levels. ● Drain and Tracheostomy Decannulation – The tracheostomy was removed on November 12, 2023, and the patient name began ambulating well. ● Suture Removal and Dressing Care – Sutures from the facial wounds were partially removed on November 16, 2023, under aseptic precautions (AAP), and the same was done for the left calf and right thigh wounds. Dressing changes were managed meticulously to prevent infection. By the time of discharge, the Patient was hemodynamically stable, conscious, oriented, and ambulating well. He exhibited no signs of fever, and his wounds were healing adequately with no soakage. patient name’s liquid diet was well-tolerated, and his overall condition was significantly improved. 𝐀 𝐍𝐞𝐰 𝐁𝐞𝐠𝐢𝐧𝐧𝐢𝐧𝐠 The patient was discharged with normal vital signs and no fresh complaints. His recovery journey was marked by resilience and the comprehensive care provided by the medical team at Inamdar Multispeciality Hospital. This case underscores the importance of timely emergency response, effective surgical interventions, and diligent postoperative care in trauma management.

𝐁𝐚𝐜𝐤𝐠𝐫𝐨𝐮𝐧𝐝 Mrs. Supriya Chaubal, a 53-year-old woman, had been suffering from persistent left hip pain for over six months. Seeking relief, she consulted Dr. Anil De Souza, who diagnosed her with left hip osteoarthritis. Given the severity of her condition, Dr. De Souza recommended a left total hip replacement (THR). However, the surgery posed significant challenges due to Mrs. Chaubal’s pre-existing medical conditions, namely congenital heart disease (CHD) with dextrocardia and hypertension (HTN). 𝐏𝐫𝐞𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 Dr. De Souza conducted a comprehensive preoperative assessment, acknowledging the complexities introduced by Mrs. Chaubal’s cardiac malformation and high blood pressure. To mitigate potential risks, a multidisciplinary team was assembled, including Dr. Barve, an experienced orthopedic surgeon, and Dr. Gujar, a cardiologist with expertise in managing complex cardiac conditions. 𝐓𝐡𝐞 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 On January 10, 2023, Mrs. Chaubal underwent left hip replacement surgery at the hands of Dr. Desousa and Dr. Barve. During the procedure, her blood pressure spiked due to her hypertension. The surgical team promptly administered the necessary antihypertensive medications to stabilize her condition. Despite these challenges, the surgery was completed. 𝐏𝐨𝐬𝐭𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐂𝐚𝐫𝐞 Following the surgery, Mrs. Chaubal was transferred to the Intensive Care Unit (ICU) for close monitoring. In the ICU, she required supplemental oxygen and a blood transfusion to address perioperative blood loss. Given her dextrocardia and ongoing hypertension, Dr. Gujar provided specialized cardiac care. He diagnosed Mrs. Chaubal with cardiac failure and initiated treatment with diuretics to manage her condition effectively. 𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐚𝐧𝐝 𝐑𝐞𝐡𝐚𝐛𝐢𝐥𝐢𝐭𝐚𝐭𝐢𝐨𝐧 With diligent medical attention and appropriate interventions, Mrs. Chaubal’s condition gradually stabilized. Her hemoglobin levels improved, and her need for oxygen support diminished. Intensive physiotherapy played a crucial role in her recovery, helping her regain strength and mobility. By January 13, 2023, Mrs. Chaubal had made significant progress: her blood pressure was stable, and she no longer required oxygen support. She was subsequently discharged in a stable condition, able to ambulate well and resume her daily activities. 𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐒𝐮𝐜𝐜𝐞𝐬𝐬 Mrs. Supriya Chaubal’s case underscores the importance of a multidisciplinary approach in managing complex surgical patients with pre-existing conditions. The successful outcome of her left hip replacement, despite the challenges posed by her cardiac malformation and hypertension, highlights the efficacy of coordinated care, meticulous planning, and postoperative management. This case also illustrates the critical role of physiotherapy in enhancing patient recovery and overall quality of life post-surgery.