Eating outside and ordering delicious food online from the most favored outlets is increasingly becoming a part of our daily busy life due to various reasons. Spicy food varieties prepared at street outlets have always attracted the food lovers due to its mouthwatering taste along with pocket friendly price. You eat and relish its taste and feel more temptation to eat even more. But do you know that by doing so unknowingly you are buying death for you and your kids?

हमारी रोज़मर्राह की गतिशील जीवनशैली में किसी न किसी कारणवश हम ज़्यादा और ज़्यादा बाज़ारसे मंगाये हुए भोजन पर निर्भर होते जा रहे है। घर पर खाना पका ने की बजाय ऑर्डर कर के खाना मंगवाने का ट्रेंड बढ़ता जाता है। सुगन्धित मसाले डाले हुए अति स्वादिष्ट स्ट्रीट फ़ूड के विविध व्यंजन जेब के लिए भी हलके होने की वजहसे समाज के हरेक वर्गमे ज़्यादा स्वीकृति पाने लगे है। हरेक डीश एक बार चखने के बाद बार बार खाने की इच्छा को रोक पाना मुश्किल होता है।

આજકાલની ફાસ્ટ લાઈફ માં કોઈ ને કોઈ કારણસર આપણે બહારના ભોજન ઉપર વધારે ને વધારે આધાર રાખતા થયા છીએ. ઘરે રસોઈ બનાવવા કરતાં ઓર્ડર કરીને ઘરે મંગાવી લેવાનો ટ્રેન્ડ વધતો જાય છે. મસાલેદાર અને મ્હોં માં પાણી લાવી દે તેવું ટેસ્ટી સ્ટ્રીટ ફૂડ ખીસાને પોસાય તેવા ભાવમાં મળતું હોવાથી દરેક વર્ગમાં તેની બોલબાલા પણ ખૂબ વધી છે. દરેક વાનગી એક વાર ચાખ્યા પછી વારંવાર ખાવાની ઈચ્છા થાય તેટલી સ્વાદિષ્ટ હોય છે.

एक ६८ सालकी महिला रात्रि के समय अस्पतालमे लाई जाती है। शाम के समय से वह कमज़ोरी महसूस कर रही थी। एकबार बाथरूम में जाते वख्त उन्हें बेचैनी का अनुभव था। कोई खास गंभीर फरियाद या लक्षण नहीं है परन्तु उनके कुटुम्बीजन डॉक्टर की राय जानना चाहते है। उन्हें आठ साल से डायबिटीस की बिमारी है। आपातकालीन रूम में की गई प्राथमिक जांच में खास कुछ गंभीर नहीं पाया गया किन्तु उनका दिल के दौरे का ब्लड टेस्ट (Troponin) पॉजिटिव निकला। उन्हें दिल का दौरा पड़ा था। तत्काल प्रमाणित सारवार प्रदान करने के बाद उनकी स्थिति स्थिर हुई।

લગભગ 68 વર્ષના એક મહિલાને રાત્રે હોસ્પિટલમાં લાવવામાં આવે છે. તેઓને સાંજથી નબળાઈની ફરિયાદ છે. એક વખત બાથરૂમ જતી વખતે તેઓએ બેચેની પણ અનુભવી હતી. વાસ્તવમાં તેમને કોઈ ખાસ લક્ષણો નથી પરંતુ તેમાં કુટુંબીજનો ડૉક્ટર પાસે તાપસ કરાવવા ઈચ્છે છે તેથી તેઓ હોસ્પિટલ આવ્યા છે. તેમને આઠ વર્ષ થી ડાયાબિટીસ છે. ઇમર્જન્સી રૂમમાં પ્રાથમિક તપાસમાં કશુંજ વાંધાજનક જણાતું નથી. તેમના કાર્ડીઓગ્રામમાં પણ સામાન્ય પ્રકારના બદલાવ છે. પરંતુ તેમનો હ્રદયરોગના હુમલાનો બ્લડ ટેસ્ટ (Troponins) પોઝિટિવ છે એટલેકે તેમને હાર્ટ અટેક આવ્યો છે.

Mrs. M a 68 years old lady was brought to the hospital with complains of weakness since evening. She also felt uneasiness after visiting toilet. On arrival she had no significant symptoms but her family members were worried and wanted her examined by a doctor. She is suffering from diabetes since last eight years. Her clinical evaluation at emergency room was not significant but her ECG revealed minor changes suggestive of some event of heart.

A 29 years old woman was shifted from other city in semiconscious condition. She was having jaundice due to hepatitis A virus infection. To begin with she had loss of appetite and weakness followed by nausea and vomiting with yellow discoloration of eyes and yellow coloured urine. Her blood tests of liver were abnormal and suggested hepatitis A with high counts of liver enzymes. After two days of hospitalization, her condition deteriorated.

पिछले महीने उन्नतीस साल की एक महिला अर्ध बेहोशी की हालत में दूसरे शहरसे शिफ्ट हो कर मेरी देखभालमे आई सी यु में दाखिल हुई थी। उन्हें हिपेटाइटिस ‘ए’ नामक पीलिया हुआ था। लेकिन उनका पीलिया अब जानलेवा स्थितिमे था। शुरूमे उन्हें खाने से अरुचि एवं शक्ति का आभाव लगरहा था। आगे चलकर उन्हें उबक आना और उल्टियां होना शुरू हो गया। उनकी आँखे एवं पिशाबका रंग पीला होने लगा। अस्पतालमे दाखिल होते वख्त साँस लेने में धिक्कत भी हो रही थी।

ગયા મહિને ઓગણત્રીસ વર્ષની એક યુવાન મહિલા અર્ધ બેહોશીની હાલતમા બીજા શહેરથી શિફ્ટ થઇ ઉચ્ચ કક્ષાની આઈ સી યુ સારવાર માટે મારી દેખરેખમાં દાખલ થઇ હતી. તેમને હિપેટાઈટીસ ‘એ’ નામનો કમળો થયો હતો જે જીવલેણ તબ્બકામાં પ્રવેશી ચુક્યો હતો. શરૂઆતમાં તેમને ખોરાક પ્રત્યે અરુચિ તેમજ નબળાઈ ના ચિન્હો હતા. આગળ જતાં ઉબકા અને ઉલ્ટી થવા લાગ્યા તેમજ પેશાબ અને આંખનો રંગ પીળો થવા લાગ્યો. હોસ્પિટલમાં દાખલ થતી વખતે તેને શ્વાસ લેવામાં થોડી તકલીફ પડતી હતી.

શનિવારની સાંજે હું મારા હિંચકા ઉપર ઝૂલતા ઝૂલતા ઠંડી હવાની મજા રહ્યો છું. વાસ્તવમાં હું કોરોના ઉપર એક મેડિકલ આર્ટિકલ વાંચી રહ્યો છું. ભવિષ્યમાં આ ઘાતક વાયરસ સાથે નજીકનો પરિચય થશે તે વાત થી બિલકુલ બેખબર. જી હા. આ ડિસેમ્બર 2019 છે. ચીન દેશના કોઈ વુહાન નામના પ્રાંતમાં એક નવું વાયરસ મળ્યું છે અને દુનિયા હજુ તેના ભયાનક રૂપથી અજાણ છે. અન્ય લોકો જયારે આ વાયરસથી અજાણ છે ત્યારે અમે નિષ્ણાતો આ વાયરસની ઘાતક અસરો સમજવા અને તેનો ઈલાજ કરવા ઉત્સુક છીએ.

It is a cool Saturday evening today and this is December 2019. Swinging in my cozy garden and enjoying cool breeze, I am reading an article on Corona virus absolutely unaware of the future close encounter with this deadly element. A new virus has emerged somewhere in China, the province known as Wuhan. These are the early days and world is yet to know the possible source of its origin. In these days when others are barely aware of Corona, specialists like us are curious to know possible deadly effects of this virus and how to counter or minimize them.

One early morning a 66 years old gentleman was brought to the emergency with complains of severe breathlessness. His breathing distress emerged suddenly and oxygen level fell to 70% at home. He had suffered from pneumothorax (air between the outer layers of lung) before a week and a tube in left side of his chest was there. His cardiogram taken on admission was abnormal. Heart specialist was called and he suggested angiography as his blood markers for heart attack were high.

I am pleased to share with you my patients reviews of my team during COVID 19 pandemic. I am extremely thankful to all my patients for putting their trust in me and allowing me to serve them. I can never forget their cooperation and generous behavior in those difficult moments of emotional stress they faced. I also extend my gratitude to their family members for their positive response and utmost cooperation even in one of the most adverse conditions of their lives they were dealing with.

A sixty years old gentleman was brought to me with complains of breathlessness and low oxygen levels of 85%. He was admitted at other hospital for the treatment of COVID 19. Two days before he was discharged from that hospital after five days of treatment. He had history of heart disease and had undergone a procedure for the same. He responded to initial treatment but after a day of stabilization his condition deteriorated and I shifted him to ICU.

A 72 years old lady was admitted under my care with complains of fever since 6 to 7 days and breathlessness worsening breathing since last two days. Initially she responded to supplemental oxygen. However one evening she had severe difficulty in breathing and worsened weakness. She was shifted to ICU. She remained marginally stable overnight but deteriorated in the morning. Her breathing was laborious and her oxygen level was falling rapidly.

A sixty years old obese gentleman was admitted with complains of fever and weakness since last five days. He had diabetes and chronic kidney disease since last six years. He was suspected having COVID 19. For further management in view of multiple comorbidities, he was shifted to Ahmedabad under my care. He was stable initially. His COVID RT PCR test was positive for SARS COV 2 virus with heavy viral load.

A 37 years old female was brought to me with complains of fever, weakness and breathlessness on exertion. After twelve years of married life she was conceived by the procedure of Invetro Fertilization. This was her first pregnancy and the family was overwhelmed with joy. The baby in her womb was normal. Just one week before the due date of delivery she was found COVID 19 positive. Initially she took treatment at home as the symptoms were mild but her condition worsened and they approached to me for expert opinion.

Mr M, 78 years was admitted under my care for the treatment of severe COVID 19. His oxygen level was very low on admission. If left unsupported, he would worsen dangerously. He needed high quantity of oxygen with special type of mask. His condition remained same for next two days. However on the evening of the third day I found him breathing rapidly. He complained that he spit blood in sputum so all forms of blood thinning medicines were stopped.

A fifteen years old boy was referred to me for evaluation of persistent fever. Two months before he had gone to his native town. Few days later he developed chickenpox but recovered soon. After few days he had new onset of fever spikes associated with left sided low back pain. He had no other abnormal medical history and was not on any long term medications. One day he complained severe pain in right shoulder.