Breast Feeding: Boosts Immunity & Brain Development World Breastfeeding Week

Breastfeeding is a keystone for the survival of infants exclusively during the early life as breastfeeding provides important irreversible nutrition for the growth and development of infants. Breastfeeding works as a 1st immunization to child with protection from common childhood diseases likes diarrhea, pneumonia, neonatal jaundice, cholera and many more. Breastfeeding is also an essential part of the reproductive process with necessary meaning for mother’s health. Still the society is not enable for this natural act of feeding.

India is supposed to be a “breastfeeding nation” but the rates of breastfeeding in the country do not support this claim. According to national data sources , about 44% of infants that is 12 million out of 26 million gets breastfeeding within the hour of their birth while the majority of infants are given formula milk, either powdered or liquid , or animal milk.

Breastfeeding includes various essentials nutrients that are mandatory for the proper growth and development of infants. These nutrients include free water, proteins, essentials fatty acids, carbohydrates in the form of lactose and minerals, vitamins and trace elements.WOLD BREASTFEEDING WEEK

Breast milk also include immune related component that helps in the growth of the infant:
Secretory IgA– predominant immunoglobulin in breast milk
Bioactives Cytokines- These include transforming growth factor-b (TGF-b) 1 and 2 and interleukin-10 (IL-10)
Others- leukocytes , oligosaccharides, lysozyme, lactoferrin, adiponectin, interferon-g, epidermal growth factor(EGF) and insulin-like growth factor (IGF)-1

Breastfeeding has different stages of lactations-

Colostrum- Colostrum milk is secreted during the 1st week (1-7 days) after the birth of the baby. This milk is rich in high amount of protein, has less fat and has a large number of immunization factors for the newborn infant.

Transitional Milk- Transitional milk secretion is produces approximately from 8 to 20 days after the birth of the newborn. It is a process of transformation from colostrums milk to mature milk.

Mature Milk- Mature milk is highly rich in fats as it helps in the growth process of the newborn. Mature milk is produced from 20days after the birth of the infant. It produces important non-nutritional components along with immune factors to the newborn.

According to the WHO recommendations breastfeeding should be a continued part of child’s diet plan till 2 year of age and later it can continue depending on mother and child health.


It was initially started in 1992 and was celebrated by the World Alliance for Breastfeeding Action, and after that, breastfeeding week is being celebrated in more than 120 countries across the globe by UNICEF, WHO and by governments and associations of the countries.

World Health Organization (WHO) and the American Academy of Pediatrics (AAP) have underlined breastfeeding to a great length as it promotes the healthy living for both the mother and the infant.

To mark the importance of breastfeeding, an entire week is dedicated to spread awareness and educate people on the importance of breastfeeding. The World Breastfeeding Week is organized from August 1 to August 7 of every year all across the world.

The week aims to bring down the progressive and permanent changes in the social living and sooner and later healthy and disease free social living. Family, community leaders, trained health workers, lactation consultants, friends and partners, can generally support to help a continuous breast feeding.

Every year the week is followed by a specific theme and this year the theme is- ‘Sustaining Breastfeeding Together’.
The team of doctors at Metro Group of Hospitals lays special focus and counsel expecting mothers to promote breastfeeding.

World Sickle Cell Day

“To do things in a better way one has to be free from the disease and have a better life.”

Sickle (hasya in hindi), ¼ moon-shape

19th June is celebrated as World Sickle Cell Day all around the globe to spread the awareness about the Sickle Cell Disease which is a genetic, inheritable, and fatal disease causing red blood cell disorder which can lead to death also.

In Sickle cell disease the red blood cells are not properly shaped as they are required by the body. The red blood cells gets stuck into the small blood vessels and creates a blockage for the flow of blood in the body, because of which the reach of oxygen in the body is not proper which results in the Headache, Heart Disease, Severe Infections, Stroke, Damage of the Organ / Failure and many more.

It is an abnormality of haemoglobin (the oxygen carrying substance) structure in red blood cells (RBC’s). The RBC’s in patient are rigid as against malleable RBC’s in normal person. Hemoglobin is protein, which is present in the blood, gets affected due to Sickle Cell Disorder. This protein helps to supply oxygen throughout the body. The normal hemoglobin is called HEMOGLOBIN A (HbA) while the hemoglobin which is affected by sickle cell disorder is known as HEMOGLOBIN S (HbS).


 In India Sickle Cell diases is commonly found in tribal population of central India, Northern Kerala, Tamil Nadu and North-Eastern India.

People suffering from Sickle Cell Disorder are more prone to other diseases as well like getting infection, more chances of getting stroke or acute chest syndrome because the flow of the blood in the body is not proper as it supposed to be.

The disease starts at the age of 5-6 months. This abnormal Haemoglobin of Sickle Cell disease gets distorted in Oxygen deficiency. The symptoms depend upon the extent of Oxygen Deficiency. The distorted RBC take the shape of Sickle and are not able to flow in blood freely and get stick to each other and thus blocking the blood flow in the particular area.

Oxygen deficiency can be precipitated by dehydration, infection, exercise, high temperature and high altitude. Sickle cell disorder is not contagious like cold and flu. A person who is suffering from sickle cell disorder has inherited two sickle cell genes, one from each parent. People who are suffering from this disorder aren’t aware that they carry the genes as they don’t have any sign of diseases, but they can pass the sickle cell disorder gene to their children.

People especially teens who have this sickle cell disease have some degree of anemia as they get tired easily, look pale or have fast pulse rating. People suffering from the disorder of sickle cell have tough time in fighting with other diseases / infections.

If we look at the database of Sickle Cell Disease in India, fewer than 1 million cases are there in a year. It is possible for old age people to be ill enough to die from this disease. Taking proper balanced and healthy diet, drinking plenty of fluid to prevent dehydration, exercising regularly, avoid alcohol, avoid extreme temperature & high altitudes,

avoiding smoking and taking plenty of rest are the basic health steps which a person can follow to stay healthy if he/she is suffering from sickle cell disorder,  proper timely management of infections specially that of chest infection, apart from this medication is the basic cure for this disease prescribed by doctors in the early stages of the disease but when the severity increases Stem Cell Transplant is the only cure, but it’s a complex and risky procedure to be followed.

Gene Therapy is going to be one of the best treatment for the Sickle cell Anemia for which the research and study is still going on by our scientists.The patient should get properly evaluated by Clinical Psychologist.

Consult our expert, Dr. Om Kumari, Senior Consultant – Clinical Haematologist.Call: 99104 92867 or email:


Blood Donor – Give Blood , Give Now,Give Often

In the crisis or in emergency situation the response of natural human being is “What can I do? How can I help?”. Therefore the theme for this year campaign is WHAT YOU CAN DO? With the secondary message of Give Blood. Give Now. Give Often.
The campaign underlines the role every single person can play in helping others in emergency situations, by giving the valuable gift of blood. It also focuses on the fact that it is important to give blood regularly, so that the blood stock is sufficient before an emergency arises.
A Blood service is an important source and is a key component of an effective health system. However, in many countries, blood services face the challenge of making sufficient blood available, while also ensuring its quality and safety for the people who need it.


About 112.5 million blood donations are collected globally, half of these are in high-income countries. About 13 000 blood centers in 176 countries report collecting a total of 110 million donations. Collections at blood centers vary according to income group and data for the Blood Donors have gender profile which shows that globally 30% of blood donations are given by women, although this ranges widely. In 18 of the 118 reporting countries, less than 10% of donations are given by female donors. 57 countries collect 100% of their blood supply from voluntary, unpaid blood donors.
Blood can be used whole, or separated into its component parts, such as red blood cells, platelets, plasma, and other “substances” that can be used to treat a wide range of diseases. A single unit of blood can be used to save n number of lives.
Transfusions of blood and blood products helps save millions of lives every year, including during emergencies such as conflicts, natural disasters, and childbirth.
‘Blood donation by 1% of the population can meet a nation’s most basic requirements for blood.’

World Blood Donor Day has been celebrated annually since 2004 on june 14, with the aim of improving the safety and adequacy of national blood supplies by promoting a substantial increase in the number of safe, voluntary, unpaid donors who give blood regularly.

The host country for the global event of World Blood Donor Day 2017 is Viet Nam through its National Institute of Haematology and Blood Transfusion (NIHBT). The Global event will be held in Hanoi on 14 June 2017.

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World Health Day

World Health Day is celebrated worldwide on 7th of April. It is celebrated globally every year on the founding day of the World Health Organization. Initiated in 1950 this event has a particular theme each year to draw attention to an ongoing world health issue. Varieties of events and activities related to the theme are organized on the international and national level by the WHO.


Various government, non-government, NGOs including various health organizations celebrate World Health Day at many places worldwide by organizing programmes pertaining to the public health issues and awareness. Participant organizations show up their activities and supports via the media reports by means of news, press releases and etc. Health authorities from different countries take part in the commemoration with their pledges to support on the health issues worldwide.home_southeast_asia

A range of different activities are done in the conference of health workers to hearten people to maintain their health in the presence of media coverage. Essay writing, art exhibitions, debates on the related topics, competitions and award ceremony are being held to fulfill the aim of world health day.


World Health Day celebration aims at increasing the life expectancy by adding up good health to the lives of people and encouraging healthier lifestyle. Youths of the new era are also a focus of this event to prevent and make them healthy to make the world healthy and free from deadly diseases like AIDS.

Disease spreading vectors such as mosquitoes, sand flies, ticks, bugs, snails and etc. are also accentuated by the WHO to make the humankind free from a wide range of diseases caused by parasites and pathogens. It provides enhanced prevention and cure from the vector-borne diseases spread by both vectors and travelers from country to country. WHO supports various health authorities on global basis to make their own efforts for the public health problems to enhance better life without any disease.


Every year there is a particular theme selected for World Health Day. This helps putting focus on any particular disease. This year World Health Day Theme is “Depression”.

Depression causes mental anguish and impacts on people’s ability to carry out even the simplest everyday tasks, with sometimes devastating consequences for relationships with family and friends and the ability to earn a living. At worst, depression can lead to suicide, now the second leading cause of death among 15-29-year olds. Yet, depression can be prevented and treated. The options to tackle Depressions are Counseling & Medicine.

“Heart and Brain are closely related to each other and that is the reason the problems in brain directly have implications on heart. In this condition a Sympathetic Nervous System is activated in one’s body which increases the levels of Norepinephrine Hormone and this hormone is largely responsible for increase in the blood pressure. The chances of heart attacks increases with the increase in the duration a person remains in depression. Hearts beats become irregular in depression and it has also been observed that the chances of binding of platelets increase hence forming clots which is a major risk factor for heart attacks. Those patients who have no cardiac diseases but are suffering from depression may sooner or later become heart patients.

According to WHO currently 35 crore people are suffering from depression. According to the research of Professor Carls Hazladvin, Munich University, Germany, like obesity and high cholesterol is a risk factor for heart disease, depression also has the same weight-age as risk factor”, says Padma Vibhushan and Dr. B C Roy National Awardee Dr. Purshotam Lal, Chairman – Metro Group of Hospital and Director –  Interventional Cardiology

“According to WHO 4.5% Indians are suffering from depression. It is the leading cause of disability, even more than cardiovascular disorders. Suicide is a major risk. We can save lives. Let’s Talk”, says Dr. Avani Tiwai, Consultant – Psychiatry

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World Tuberculosis Day

Hate the disease but not the diseased! Let’s take a moment to address tuberculosis disease and the social stigma associated with it. World Tuberculosis Day is observed on March 24 every year and is supported by organizations such as the World Health Organization (WHO). It is an international event that aspires to increase public awareness of tuberculosis and the efforts made to check and treat this dangerous disease.

In the year 2015, around 10.4 million people fell ill with TB and there were 1.8 million TB deaths, making it the most infectious killer worldwide. TB is deeply rooted in populations where people’s human rights and dignity are compromised. While anyone can contract this disease, it majorly thrives among people living in poverty, marginalized communities and groups, and other vulnerable populations.Thus, it is very important to aware people of this epidemic disease to take better care and precautions.


What is tuberculosis?

Tuberculosis is an infectious disease caused by bacteria called Mycobacterium tuberculosis. The bacteria generally attack the lungs, but they can also harm other body parts.It is an air-borne disease which spreads when a person with TB of the lungs or throat talks, coughs, or sneezes. You are more likely to contract TB if you have a weak immune system.

What are the symptoms of tuberculosis?

Symptoms of TB in the lungs may include:

  • A bad cough lasting for 3 weeks or longer
  • Loss of weight
  • Loss of appetite
  • Coughing up mucus or blood
  • Weakness or fatigue
  • Fever
  • Night sweats

Is TB curable ?

If you have been exposed to a person with TB or experience these symptoms, you should talk to your doctor for tests. Skin tests, blood tests, x-rays, and other tests can tell if you have TB. If not treated correctly, TB can be deadly.

Majority of TB cases can be cured with the availability and administration of right medications. Medications which are mainly used for treatment are antibiotics and they’re required to be taken for a relatively long time. The standard length of time for a course of TB antibiotics is about 6 months.

Even if the TB symptoms have gone away, it is important for the course of treatment to be completed fully. Any bacteria that have survived the treatment could become resistant to the prescribed medications.

What are the ways to prevent tuberculosis?

A few common measures may help you to prevent the spread of active TB.

  • Avoid other people by not going to school or work, or sleeping in the same room as someone who is infected
  • Cover the mouth or wear a mask, and ventilate rooms to limit the spread of bacteria
  • TB vaccinations like BCG injections are given to children in order to vaccinate them against tuberculosis.

“Tuberculosis is taking a heavy toll on its victims, affecting them in the prime of their lives, intimidating their health security and that of their families. People with TB are discriminated. They may be isolated socially, mostly in small communities – even entire families may be avoided. Let’s join hands against TB and work together to distribute the real messages to each and every person. Let’s ensure no discrimination against these patients and work towards empowering them with knowledge.”, says Dr. Deepak Talwar – Senior Consultant & Chairman – Metro Center for Respiratory Diseases (MCRD), Metro Hospitals & Heart Institute, Noida

World Kidney Day – How to Prevent Kidney Failure

It’s a dirty job but kidneys do it! Let’s take out some time to appreciate and care for this amazing duo on it’s special day.

World Kidney Day is an international health campaign which is celebrated every year on the 2nd Thursday of March all across the world. This day was initiated by the joint committee of “International Society of Nephrology and International Federation of Kidney Foundations”.

It lays it’s focus on raising awareness regarding the health and importance of this major body organ and reducing the frequency and impact of kidney diseases and associated health problems worldwide.

As most of the kidney diseases are preventable and curable, taking some smart measures can keep your kidneys in good health.

Before you take some action, answer yourself of some questions like:

  • Am I at risk?
  • Do I suffer from high blood pressure?
  • Do I have diabetes?
  • Do I have a family history of kidney disease?
  • Am I obese or overweight?
  • Do I have smoking habit?
  • Am I more than 50 years of age?
  • Am I of African, Aboriginal, Hispanic or Asian origin?

If your answer is yes to any of these questions, you must consult with your health practitioner to get the accurate solution as some chronic kidney diseases don’t show any signs or symptoms until they advance.

As a matter of fact, a simple kidney problem can cause you to lose up to 90% of your kidney functions without revealing any signs or symptoms.

Most of the people do not experience any symptoms in early stages however, some of the symptoms like fatigue, early tiredness, swollen ankles and legs, low appetite, difficulty in concentration, blood in urine, foamy urine and etc can be felt if observed carefully. Some other symptoms of reduced kidney functions include:

  • Variation in the amount, appearance and frequency of passing urine during night
  • Pain in abdomen where kidneys are located
  • High blood pressure
  • Trouble in sleeping
  • Headache
  • Shortness of breath
  • Nausea or vomiting
  • Bad breath


  • Keep yourself fit and active as exercises help in reducing the risk of developing Chronic Kidney Disease.
  • Maintain and control the normal the blood sugar level as high blood sugar level lead to the diabetes and thus kidney damage.
  • Regularly monitor your blood pressure as high blood pressure can cause kidney damage.
  • Eat healthy and maintain normal weight as overweight and unhealthy eating habit lead to diabetes, heart diseases and many other problems further leading to Chronic Kidney Disease.
  • Maintain the normal fluid intake on daily basis (at least 3 to 4 litres a day) as it helps the kidneys to flush out toxins which may increase your risk of developing chronic kidney diseases.
  • Avoid smoking as it slows down the blood flow to the kidneys which disrupts their functioning as well as enhances the risk of kidney cancer by 50%.
  • Avoid the intake counter pills on regular basis as these are non-steroidal anti-inflammatory drugs (ibuprofen) may increase your risk of kidney damage and various diseases.
  • Get proper and regular check up of your kidney functions.

Keep up to date with the health of your kidneys. The early detection and treatment of kidney problems is very important to prevent your kidneys from damage, deterioration and complications.

“We should have proper fluid intake to maintain hydration and urine output from kidney and consult the specialist for any urologic symptom for early diagnosis and treatment of kidney disease”, says Dr. Ashutosh Singh, Senior Consultant – Urosciences

“Keep up to date with the health of your kidneys. The early detection and treatment of kidney problems is very important to prevent your kidneys from damage, deterioration and complications”, says Dr.Rajesh Bansal, Senior Consultant – Nephrology

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Spinal Tumor Treated Successfully – Spine Tumors Treatment

The 66 year old woman was referred to Dr. Amitabh Goel as a case of progressive worsening of all four Limbs. On investigations it was found that she was suffering from severe compression off the cervical spinal cord which is accountable for most of the body movements below the neck including both arms and both legs. Due to this compression she was powerless to mover arms or legs for the last 1 and half month and had been bedridden. She also did not have any control over her bladder and bowel function and use to soil her clothes from time to time.

On MRI test it was found that she is having a main spinal tumor in the uppermost parts of her dangerous area of the neck which is compressing the main nerve exiting from the brain and displacing the critical structures backwards. The family was counseled and explained in full fact the need for removal of this seriously located tumor. Since the main nerve had been displaced backwards it was of Paramount importance that no damage to the nerve happens during surgery has the nerve was already severely compromised. 2 days and she was put on medication and pre anaesthesia check up and full detail was carried out by the senior and anesthetist.

This preanesthesia checkup is of critical importance because it helps in risk assessment of the surgery and also provides an opportunity to the person who is going to administer anaesthesia to talk to the patient before landing on the operating table. This PAC as it is called is a matter of routine at Metro Hospital Noida, as it prevents any surprises springing up at the last moment just before surgery.

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Adequate arrangement of blood products was made and only then was the patient shifted for surgical removal this is spinal tumor. It was also clearly mention to the family that in case complete removal of the tumor was not possible Hindi first operation she would need another procedure after a few weeks as it is critically important that no damage is done to the spinal cord which is a structure which has to be handled with utmost care, has any damage to the apus cervical spinal cord would not only cause permanent weakness of all the four Limbs loss of urine and stool control but also would significantly compromise her respiratory effort or in other words she may not be able to breathe at all because the muscles of breathing also supplied by the same Main nerve.

Explaining this to the family is never easy nevertheless has to be done so that one is aware of the criticality of the operation and what could go wrong in case the nerve gets damaged. However the family was forthcoming specially because they could see that she was getting worse by the day and would eventually have all those complications which are weakness of all four Limbs and difficulty in breathing if surgery is not done.

Having the full confidence of the family and support of senior anesthetists the procedure was carried out from the back of the neck after creating space to reach the tumor. As expected the tumor was almost completely covered by the spinal cord and the tumor had to be removed in bits and pieces so that the small space available by the side of the spinal cord was utilised to full effect. During these tense moments of surgery the anesthetist captive very close watch on the vital parameters of the patient because any injury this would have caused sudden drop and blood pressure and heart rate even without losing any blood.

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As the tumor was progressively removed it was found that it was arising from the anterior most part of the spinal canal. Its attachment or origin was also taken care of so that the tumor does not come back later. She recovered very well from anaesthesia and was able to communicate with Dr. Amitabh Goel she was given something to eat by the same evening. This gritty lady was able to move her arms and legs more effectively from the very next day and was walking which support after 2 days. She is likely to continue to make Rapid progress and her slim power and should be soon on her own as independent as she once was. Complicated neurosurgery has always been a team work, which Metro hospital Noida has even having for a very long time.
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For More Information
Call at Dr. Amitabh Goel
Senior Consultant
Neurology And Neurosurgery
(Multispeciality Wing)
L – 94, Sector – 11, Noida – 201 301