A Daring Lung Surgery at CMC Ludhiana

Latest device used for the first time

Photo: A happy Mr Birbal Singh with Dr Harinder Singh Bedi

Punjab is now among the very few cities in India where the latest technology is being used to cure lung disease patients surgically without complications.  This was in the form of a new generation bronchial stapler used by Dr Harinder Singh Bedi – Head of Cardio Vascular Endovascular & Thoracic Surgery in the prestigious Christian Medical College & Hospital in Ludhiana.  Dr Bedi explained that in lung surgery for cancer and TB – the air channel (bronchus) to the diseased part of the lung is cut and then repaired. There is a major risk of the sutures giving sway as the suture area is always wet from lung secretions. This complication - called a broncho-pleural fistula - is a dreaded and sometimes fatal complication all over the world. To reduce this risk a new device called a bronchial stapler has been developed by the Ethicon Company of USA in conjunction with Cardio Thoracic surgeons. This has a double row of titanium clips which on deploying securely close the bronchus with an extremely low risk that a leak will occur.
This was used recently by Dr Bedi in Mr Birbal Singh r/o Basti Jodhewal , Ludhiana    . He suffered from a life threatening bleeding from the left upper lobe of the lung. He was referred to Dr Bedi by Dr Mary John – the Head of Medicine at CMC & H.  Mr Birbal was in a critical state and Dr Bedi realized that he would be at high risk of a fistula by conventional surgery. So the new device was used for the first time in Punjab. Dr Bedi has trained in Cardiac and Thoracic Surgery with Dr Mark X Shanahan – the former Chairman of Cardio Thoracic Surgery at St Vincents hospital in Sydney. There he had done many complicated cases. In fact Dr Bedi has been invited to give lectures on lung surgery by the Association of Cardio Thoracic Surgeons. But according to Dr Bedi – Mr Birbal presented a special challenge as he had lost blood and was very weak. The stapler was successfully used and Mr Birbal made a remarkable recovery.
The other members of the Heart – Lung Team are Dr A Joseph, Dr S Garg, Dr Paul, Dr Melchi, Dr D Benia, Dr William, Dr Savan, Dr Pearl., Mr William and Mr Jairus and Yoga Acharya Mr Nirmal Singh. Dr Bedi explained that in lung surgery major cardio-vascular repair can be required at any time – so it is important that the team be a fully trained Cardio- Vascular & Thoracic one.  Dr Bedi is a board certified surgeon qualified and authorized to perform cardiac vascular endovascular and thoracic surgery.
Dr Abraham G Thomas – Director of CMC & H – said that the CMC was committed to bringing the latest technology to the people of Punjab. He complimented Dr Bedi and his team for this pioneering surgery. Dr Thomas told that under the leadership of Dr Bedi CMC & H is regularly performing minimally invasive lung surgeries and is one of the  few centres in India doing this routinely . Shalu Arora and Rector Kathuria

Press Conference by IDPD on Nuclear Famine

A Billion People at Risk: IDPD warned 
Indian Doctors for Peace and Development (IDPD) has since long being campaigning for complete elimination of nuclear weapons as these could annihilate not only the man kind but whole the flora and fauna on earth. Even a limited use of these weapons could put crores of peoples at risk. The International Physicians for the Prevention of Nuclear War (IPPNW) has carried out a study in this regard which is being released internationally now said Dr.L.S.Chawla while addressing the press conference today at IMA House Ludhiana. He said that latest study by the IPPNW has warned that even a limited nuclear exchange could endanger the lives of 100 crorers people in the world.
Dr Arun Mitra – General Secretary IDPD said that Dr. Ira Helfand, the author of Nuclear Famine: A Billion People at Risk—Global Impacts of Limited Nuclear War on Agriculture, Food Supplies, and Human Nutrition, said the new evidence that even the relatively small nuclear arsenals of countries such as India and Pakistan could cause long lasting, global damage to the Earth’s ecosystems “requires a fundamental change in our thinking about nuclear weapons.”
Working with data produced by scientists who have studied the climate effects of a hypothetical nuclear war between India and Pakistan, Dr. Helfand and a team of experts in agriculture and nutrition determined that plunging temperatures and reduced precipitation in critical farming regions, caused by soot and smoke lofted into the atmosphere by multiple nuclear explosions, would interfere with crop production and affect food availability and prices worldwide.
Dr Bharti Uppal- Finance Secretary IDPD gave a presentation.
Among the specific findings:Corn production in the US would decline by an average of 10% for an entire decade, with themost severe decline (20%) in year 5. Soybean production would decline by about7%, with the most severe loss, more than 20%, in year 5.

There would be a significant decline in middle season rice production in China. During the first 4 years, rice production would decline by an average of 21%; over the next 6 years the decline would average 10%.

Increases in food prices would make food inaccessible to hundreds of millions of the world’s poorest. Even if agricultural markets continued to function normally, 215 million people would be added to the rolls of the malnourished over the course of a decade.

Significant agricultural short falls over an extended period would almost certainly lead to panic and hoarding on an international scale, further reducing accessible food.

The 925 million people in the world who are already chronically malnourished (with a baseline consumption of 1,750 calories or less per day), would be put at risk by a 10% decline in their food consumption.

While the IPPNW report calls for further research into the effects on additional crops in additional agricultural regions, Dr. Helfand said this preliminary study “raises a giant red flag” about the danger of nuclear weapons and the urgency of their elimination.

“The death of one billion people over a decade would be a disaster unprecedented in human history,” he said. “It would not cause the extinction of the human race, but it would bring an end to modern civilization as we know it.

“The danger identified in this report requires a fundamental change in our thinking about nuclear weapons. We must now recognize that it is not just the arsenals of the nuclear super powers that threaten all humanity.  Even the smaller arsenals of emerging nuclear powers like India and Pakistan pose a global threat.”

Noting, however, that even one US Trident submarine has the ability to destroy 100 cities and create a global famine, Dr. Helfand said “Even the most ambitious current proposals for nuclear arms reductions would leave the US and Russia with many times the nuclear fire power needed to create a global disaster on the scale described in this study.”

Dr D P Singh Arora – President IMA Ludhiana while paying homage to victims of Chernobyl Nuclear disaster in Ukraine on 26th April 1986 where 93000 people lost their lives demanded that this accident followed by the Fukhushima Nuclear disaster should be eye opener. Learning lesson from these Government of India should put moratorium  on the nuclear power plants. The electricity produce by these plants is neither safe nor economical. There is no foolproof method to manage the nuclear waste. Moreover the nuclear power plants pose a potential threat for the production of nuclear weapons.

Dr N S Bawa – Vice President IDPD said that the doctors have to realize their duty to save the world from catastrophe. Dr Deepak Prashar was also present on the occasion.  

Dr Arun Mitra
General Secretary – IDPD
Phone: 94170 00360