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Diabetes

Considering that nowadays, diabetes has become a side-effect of an unhealthy, stress-induced lifestyle with lack of physical activities, there has been a surge of lifestyle diseases like diabetes, obesity, etc.

One needs to understand that any negative lifestyle routine will cause multiple problems. The good news is that at APIC, you will find doctors who are experienced and specialise diabetic treatments.

The common symptoms of diabetes that a patient and caregivers should look out for are:

Frequent urination often at night, excessive thirst
Unintended weight loss, excessive hunger
Extremely dry skin
Tingling/numb sensation in hands or feet
Fatigue
Blurry vision

The patient should call the doctor for enquiry into the type of diabetes that they may have- Type 1, Type 2, Prediabetes or Gestational diabetes. It is advised that the patient must get their blood sugar check to rule out any other possible cause of any of the above-mentioned symptoms

Hypertension

Hypertension occurs when the blood pressure is extremely high and if untreated, can lead to heart diseases and stroke. It is a very common problem and the symptoms the patient must look out for are:

The patient should call the doctor when any other possible cause for the symptoms has been ruled out. Certain preventive measures like food without excessive sault, exercise and preventive medication (prescribed) can be used to manage high blood pressure.

Fevers

At APIC, you will find the best medicinal options for mosquito borne diseases like malaria and dengue

1. Malaria

Common symptoms of malaria are:

2. Dengue

Common symptoms of dengue are:

Both these diseases require medical diagnosis. It is therefore advised that the patient must get their initial medical diagnosis before approaching the hospital to rule out any other possible cause.

Anaemia

Anaemia treatment depends upon the cause of the same. Anaemia can be aplastic, iron deficiency, sickle cell, thalassemia and vitamin deficiency. The common symptoms of anaemia are:

Note that mild anaemia shows no symptoms, only when it worsens do the symptoms become prominent. Anaemia can be prevented if the patient follows balanced diet and takes their nutrient supplements as prescribed. However, if the symptoms continue, it is then advised that the patient should see a doctor.

Bronchial Asthma and Chronic Obstructive Pulmonary Disease (COPD)

For chronic asthma, the patient is given inhaled corticosteroids, leukotriene modifiers, combination inhalers and theophylline. All these medications have to be taken on a daily basis to prevent the likelihood of frequent asthma attacks. Common symptoms of asthma include shortness of breath, chest tightness or pain, wheezing, trouble sleeping due to coughing or wheezing or shortness of breath along with respiratory virus worsening asthma attacks.

For COPD, the common symptoms to look out for are:

Frequent coughing or wheezing (dry)
Excessive phlegm
Shortness of breath
Trouble in taking a deep breath
Inability to exercise
Frequent respiratory infections

Both Asthma and COPD have similar symptoms, hence, the patient must see the doctor to enquire the actual cause of coughing and correct medication.

Tuberculosis

TB requires immediate medical care and the patient should see the doctor when the following symptoms occur:

Coughing for over three weeks
Coughing up blood or mucus
Pain when coughing or breathing or chest pain
Severe unintentional weight loss
Chills, night sweats, fatigue
Swollen lymph nodes

Thyroid

Thyroid is caused due to lack of iodine in your body and thus, as a preventive measure, ensure that you eat food rich in iodine like eggs, dairy, iodized salt as well as meat and poultry. Thyroid is of multiple kinds and if the following symptoms are common in the patient, initial blood test should be done before seeing the doctor:

Highly sensitive to cold or heat
Dry skin
Weight gain or weight loss
Fatigue and tiredness
Frequent irregularities or heavy menstrual periods
Vision problems or hoarse voice

Depending upon the occurrence of the symptoms, the doctor will ascertain whether it is hyperthyroidism or hypothyroidism.

Edema

Edema can be caused by multiple medical issues including heart failure, thyroid, liver damage, kidney damage/disease, deep vein thrombosis (DVT), sever lack of protein, etc. Such issues can cause swelling when excess fluid gets trapped in the tissues, especially that of the skin, leading to inflammation of a particular area. Edema requires immediate medical attention and the patient must quickly see the doctor in case of the following symptoms:

Snake Bites

Snake bites are lethal because if origin of the snake venom is not determined, the patient may suffer longer or eventually succumb to the effects of the snake venom. Therefore it is essential to keep the patient in a calm state of mind and immediate immobilization of the affected limb or area must be ensured.. After ensuring consciousness of the patient, immediate priority medical attention is required to increase the survival chance of the patient.

Poisoning

Common symptoms of poisoning are:

Nausea, vomiting
Drooling or foaming at the mouth
Trouble breathing
Dilated or constricted pupils
Fainting or confusion
Shaking or seizures
Diarrhoea
Rash or redness around the mouth

Just like snake bites, in case of potential poisoning as well, the patient must be administered first aid and emergency medical care. Ensure the patient’s consciousness and also determine the possible source of poisoning. Such identification can assist the doctor in administering the correct antidote to prevent the patient from pain, coma or death.

General Front Desk Procedure and Guidelines Followed

Admission Process

⦿ Patient must report to the Reception of the Hospital and provide primary information of the health issue and/or medical advice needed
⦿ The Front Office Executive will then refer the Patient to the concerned Department/Doctor for detailed check-up
⦿ Upon detailed check-up, unless required, the Patient will be directed to go the Dispensary or the recommended Pharmacy to purchase the prescribed medicine
⦿ If the Patient is admitted, an Initial Assessment by the Chief Medical Officer or Senior Doctor with substantial experience is to be conducted
⦿ An Attendant to the Patient will be provided to the Patient while the Admission Request Form is being duly filed
⦿ Before the final authorization of admission, the Patient shall be informed of the estimated bill, average stay period, documents required, modes of payments, all kinds of tests and procedures the patient will be subjected to and whether they are necessary in nature, their risks and statistics of success/failures, etc. Further queries of the Patient relevant to the medical issue in question must be answered

Discharge Process

⦿ Upon recommendation by a Specialist that the Patient is fit for discharge, the primary Attendant of the Patient must assist in filling out the Discharge form and other necessary paperwork. It must be ensured that the Patient fills in complete and correct information to prevent fraud, misrepresentation or negligence by the Hospital.
⦿ The final medical bill will be provided and upon query, the Patient is at the liberty to request an itemized bill that will contain the break-up of the entire medical bill for ease of understanding of all expenses incurred.
⦿ All items of the Patient must be returned, including the medical tools like thermometer, urinal bedpan, etc. as an additional hygiene policy followed at the Hospital.
⦿ Upon discharge, collect the prescribed medicines from the Dispensary or the recommended Pharmacy. It must be noted that the Hospital is not liable for incorrect, spurious drugs, etc. if the Patient avails the medicines third party entities and without doing due diligence to ensure that there is no discrepancy that can be reasonably expected.
⦿ In case the Patient needs a medical ambulance, it is advised that it be prior informed to the Attendant within a window of 24 hours at least for assured ambulance service.

Guidelines for Visitors

⦿ Maintain silence in the hallways and emergency units.
⦿ Keep children away from medical appliances and emergency units. Children below 12 years not allowed.
⦿ If you have fever, cold, cough, nasal drainage, diarrhoea or any other contagious disease, please do not visit.
⦿ Keep visits short and brief.
⦿ Visitors must ensure cleanliness and personal hygiene by way of masks, hand wash and sanitizers.
⦿ Visitors must keep their visitors pass on them whenever issued. Misplacing the same shall invite nominal fine as charge of Rs 100/-
⦿ Visitors are prohibited from accompanying the patient during tests.
⦿ The entire hospital is a ‘No Smoking Zone’. If found, a charge of Rs. 500/- shall be charged for violating the rule.
⦿ In case of fire, use Fire staircase.
⦿ No pets or animals allowed.

Guidelines for Visiting Intensive Care Units (ICUs)

Apart from the general Visitors’ guidelines, the following must be strictly adhered to-

⦿ No children allowed in the ICUs. Prior consent of the CMO and Attendant must be needed in writing and duly submitted at the Reception for verification.
⦿ The visits at the ICU must be limited to 30 minutes in a day in total. Prior permission of the CMO is required for extension.
⦿ No electronics allowed in the ICU except mobile phones that must be kept silent. If a visitor is carrying any other item, please submit the same at the Reception before entering and collect before leaving.
⦿ Not more than 2 people are allowed to visit someone at the ICU in one time.
⦿ The visitors must be accompanied by 2 Attendants. In case of unavailability, one attendant apart from the Primary Attendant must be present at all times with the visitors.

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