GMCH doctors successfully treat sickle cell patient who can now walk comfortably

Source: The Hitavada      Date: 29 Dec 2018 11:50:39


Staff Reporter,

The woman patient underwent four surgeries in 2013
and was under regular observation of doctors

Five years ago she came to Government Medical College and Hospital (GMCH) on a stretcher as she was suffering from unbearable pain in hip and knee joints. A team of doctors at Orthopaedic Department of GMCH performed four joint replacements on her in 2013 and 2014. She went back home after recovery. Doctors, who were regularly monitoring her health, recently found and concluded that she was no more suffering any pain in her hip and knee joints.

Uniqueness of the case lies in her disease. She is a sickle cell patient, the disease that makes such patient anaemic whose bones get brittle day by day making it difficult for the doctors to successfully treat them.

Against that backdrop, replacements performed by GMCH doctors proved successful after a period of five years. Asmita Arvind Dongre (43), a resident of Lakhandur of Bhandara district, was diagnosed with sickle cell disease 20 years ago during her primigravida (first pregnancy). About six years ago she developed pain, especially in her hip and knee joints, making it difficult for her to even walk comfortably.

On the advice of a private doctor, Asmita Dongre visited Orthopaedic Department of GMCH and met Dr Sajal Mitra, HoD. He took courageous decision to go for all four joint replacements one by one.

Asmita Dongre told ‘The Hitavada’, “Within a span of two years, I underwent knee and hip transplants five years ago. I went back and tried to follow the advice of doctor. I must thank Dr Mitra and his team for providing me dignity of life.”

Dr Mitra said, “Joint replacements are performed by using cementing or uncemented material (metal). In 25% of joint replacements done through cementing, infection is noticed. The rate is only 4 per cent in joint replacement done through uncementing material. If any problem developed in knee or hip after replacements it is easy for doctors to repair it in cases of uncemented material. Considering that aspect we used uncemented material in Asmita Dongre’s case.”

Dr Saurabh Sah and Dr Snehal Shambharkar, who assisted Dr Mitra pointed out that, had the procedure performed in private it would have cost the patient about four times more than what she paid in GMCH. Asmita’s husband Arvind is an Accountant in Forest Department and her daughters--Shivani (studying in III MBBS in Russia) and Payal (2nd year Physiotherapy in Datta Meghe College).

Dr Dipty Jain, noted paediatrician who did extensive work in sicklecell, explained the peculiarties of disease and its relation with joint replacement procedure. She said, “Red Blood Cells (RBC) move through our body freely. But in Sicklecell RBCs take abnormal shape that get stuck into each other resisting the flow of blood. Against this backdrop, procedure performed by Dr Mitra and his team successfully carries a lot of weight.”

Dr Vinky Rughwani, Director of Sickle Cell and Thalassemia, also expressed happiness over the development in GMCH. He said that it had given a ray of hope to such patients who otherwise become pessimistic as far as joints are concerned.

Dr Abhimanyu Niswade, Dean of GMCH told ‘The Hitavada’, “Government hospital has all kind of ultramodern facilities. In the past it was said that Government hospitals were only for poor. Now, we are trying to attract patients from all strata. Dongre family is well-placed but still they chose to come to GMCH and get the procedure done is a big thing.”


The team

A team of doctors from Orthopaedic department of GMCH that performed joint replacements include - Head Dr Sajal Mitra, Dr Saurabh Sah, Dr Manish Kawade, Dr Anjali Sawargaonkar (Anaesthesiologist), Dr Snehal Shambharkar, Dr Darshana Kumre, Dr Swapnil Hajare, Dr Sangram Rajle, Dr Kapildev Banra, Dr Chandan Arora.