Jehangir Hospital

Jehangir Hospital 32, Sassoon Road.
Pune - 411001, Maharashtra, India

Jehangir Hospital

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Jehangir Hospital


Center For Neuropyschology

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Center For Neuropyschology

Why stroke awareness is important for you and your family?

Stroke kills a person every 6 seconds. Stroke at tacks a person - regardless of age or gender - every alternate second. 17 million people suf fer a stroke each year; 6 million of them do not survive. About 33 million people have suffered a stroke - most have residual disabilities. Behind these number are real lives.

What is stroke?

Stroke occurs when blood flow to the brain is interrupted by a blocked or burst blood vessel.

What are the risk factors for stroke?

Non-modifiable risk factors:

● Age ● Sex ● Ethnicity ● Prior incidence of stroke ● Heredity

Modifiable risk factors:

1. Medical Conditions

Hyper tension | Diabetes mellitus | Cardiac disease | Hyperlipidemia | Atrial fibrillation | Prior TIA or stroke | Carotid stenosis | Elevated homocysteine

2. Lifestyles

Tobacco consumption | Physical inactivity | Heavy alcohol consumption | Unhealthy food habits | Obesity

What are some stroke warning signs?

Sudden weakness or numbness of the face, arms, or legs, especially on one side of the body

  • Sudden confusion, trouble speaking or understanding
  • Sudden trouble seeing with one or both eyes
  • Sudden trouble walking, dizziness/ver tigo, loss of balance or coordination
  • Sudden but severe headaches with no known cause (common in hemorrhagic stroke)

How can we test the person having stroke?

FAST Test (Face-Arm-Speech test)

Three simple checks can help you discern whether someone has had a stroke or mini-stroke

  • F -Facial weakness: Can the person smile? Has their mouth or an eye drooped?
  • A -Arm weakness: Can the person raise both arms?
  • S -Speech problems: Can the person speak clearly and understand what you say?
  • T -Test: all three signs and call emergency services if they fail the test

How can we prevent stroke?

Primary stroke prevention:
Actions to be taken before stroke hits you
  • Healthy adults should per form at least moderate - to vigorous physical activity for 40 minutes per day, at least 3 to 4 days every week
  • Diet should contain fruits, vegetables, nuts, low-fat dairy products, and reduced saturated fat
  • Losing weight if you are obese helps control hyper tension, diabetes mellitus, and other stroke-causing factors
  • Quitting smoking considerably reduces the risk of get ti
Primary stroke prevention:
  • No smoking
  • BMI less than 25 kg/m2
  • 30 minutes or more of moderate activity every day
  • Modest alcohol consumption (men 5-30 g/d, women 5-15 g/d)
  • Healthy dieting a stroke
Avoid bread, butter, bakery products, junk food, and carbonated soft drinks.

Eat Mediterranean type of diet:

Secondary stroke prevention:
  • No smoking
  • BMI less than 25 kg/m2
  • 30 minutes or more of moderate activity every day
  • Modest alcohol consumption (men 5-30 g/d, women 5-15 g/d)
  • Healthy dieting a stroke
What to do if you see somebody having a stroke?
  • Immediately go to a specialized stroke-treating hospital. CALL 1066 IMMEDIATELY
  • Time is critical in case of acute stroke as treatment is time dependent. The earlier you reach the bet ter it will be for the patient
  • Clot-bursting injection are administered only in the first 4.5 hours. Even then, the chances of recovery reduces with every passing second time goes recovery reduces
Management of stroke:
  • Treatment of risk factors in large populations
  • Treatment of people with the highest risk
  • Management of acute stroke
  • Prevention and treatment of medical and neurological complications
  • Rehabilitation
Prevention of recurrent stroke:
  • Acute stroke treatment:
  • Acute stroke is a medical emergency
  • Timely treatment can improve the outcome of stroke and prevent disability
Potential to reverse neurological impairment with thromboly tic reperfusion:

IV rtPA (Alteplase) is the only FDA approved medical therapy for patients suf fering from acute stroke and it has to be given within 4.5 hours; earlier the bet ter

Aim: Open the occluded vessel, re-establish blood flow and limit injury/ improve outcome

Endovascular therapy in acute stroke: If the patient has large vessel blockage, then we can remove that clot by clot retriever devices. This treatment we can do in the first 6 hours from the stroke onset time

what we have done at jehangir hospital:

  • 24/7 coverage of trained neuro residents with enough exposure to and exper tise in thrombolysis (Acute stroke treatment)
  • In-Hospital yearly fellowship in stroke neurology
  • Weekly lectures on stroke for every doctor in the hospital
  • Regular meetings with physicians for stroke awareness
  • At tending stroke meetings and conferences to learn the latest developments and treatments.
  • Separate Neuro ICU
  • Separate Neuro ICU staf f trained in stroke treatment
  • Regular classes for nurses who work in emergency and Neuro ICU
  • Regular stroke awareness programs

Physiotherapy: Well-trained physiotherapists for rehabilitation and early mobilization of stroke patients

Then we have stroke code 2222

  • It sends an aler t to the entire stroke team including the neurologist, neuro resident, intensivists, and the entire staf f related to stroke ( sisters, CT technician, admission receptionist)
  • Almost all patients who are eligible for thrombolysis gets it
  • Today we are the leading stroke care hospital in the country with more than 500 patients thrombolysed with clot buster drug. This is among the highest in country
  • We have leading stroke exper ts, interventional neurologists and neuroradiologists with the exper t stroke team with 24x7 coverage
  • The work of our stroke team has been recognised worldwide now

Stroke prevention guidelines

  • 1. Know your blood pressure. Have it checked at least annually. If it is elevated, work with your doctor to control it
  • 2. Find out if you have atrial fibrillation (AF) – a type of irregular hear tbeat. If you have it, work with your doctor to manage it
  • 3. If you smoke, stop
  • 4. If you drink alcohol, do so in moderation
  • 5. Know your cholesterol number. If it is high, work with your doctor to control it
  • 6. If you are diabetic, follow your doctor's recommendations carefully to control your diabetes
  • 7. Include exercise in your daily routine
  • 8. Enjoy a low sodium (salt) and low fat diet
  • 9. If you have circulation problems, work with your doctor to improve your circulation
  • 10. If you experience any stroke symptoms, call 1066 immediately. Every minute matters!
  • Consultants List

    Dr. Girish Bapat





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    • “Thank you Jehangir Hospital. I can play with my children again.”

      - Shilpa Sarangi, May 2017

    • “During the last two and a half years, I’ve survived serious illnesses by getting admitted to Jehangir Hospital. In fact, my very life was saved by doctors and the dedicated nursing staff. After having four surgeries, I am indebted to the complete nursing team. Compassion and efficiency were exemplified by most of the nurses. Thank you Col. Nirmala and your stalwart nursing staff.”

      - M Thomas, Sep 2017

    • “I saw my child only after five days as I was recovering from my delivery. I was very scared but the doctors and nurses at Jehangir Hospital took very good care of my baby. They have been a constant support in the last two weeks.”

      - Ashwini Dhobale, Jan 2018

    • “I was in Jehangir Hospital from 29th Jan to 2nd Feb and my daughter Shai from 12th to 16th Feb. We were well attended to by all the staff and that includes the sisters, brothers and the floor staff. Call bells were immediately responded to at all times and every effort was made to keep us comfortable during our respective stays! Thank you Maya Mahale & Gina Ali Khan for ensuring no let up in the service.”

      - C A Heredia, Feb 2018

    • “With the Grace of Almighty, I have been blessed with a baby boy on the 9th of August. Thanks to Nina Mansukhani and the sweet staff at Jehangir Hospital for making this very special for me. Nina Ma\'am... your positive attitude gives us courage. Thanks again for all the advice and support.”

      - Sadaf Kachchwa, Aug 2018

    • “A big thank you to a super doctor Nina Mansukhani who helped me complete my family. Only due to your support and motivation I could deliver two twin angels normally. Thank you to your team, Dr Mehak, Dr Kalyani and all the support staff of Jehangir Hospital who helped me with the delivery of my MCDA twins normally.”

      - Priyanka Sharma, Aug 2018

    • “I went through the most fabulous experience of my life and it was made so comfortable because of Dr. Nina Mansukhani. Her vibrancy and assurance kept me going throughout the 9 months. Today, I delivered a baby boy and the last phase of my experience in labor ward will remain a sweet memory due to the gentleness, caring and encouraging attitude of Dr Nina and her team. They boosted my motivation level and led me through a wonderful labor experience. Everything was perfect. Last but not the least, I was absolutely impressed by the manner in which Dr. Pawan and Dr. Pragati expanded my knowledge about the reason behind each and every step that we took which was very inspiring.”

      - Vidhi Kapoor, Aug 2018