top of page

By:

Rajendra Joshi

3 December 2024 at 9:20:26 am

Blocked roads take life

Kolhapur: Ten minutes. That is the gap the family of Nalini Ganesh Mainkar says may have separated life from death. On Tuesday, as preparations for Ganeshotsav gathered pace in Kolhapur, Mainkar, a resident of Wangibol in Shivaji Peth, suddenly fell critically ill after her blood pressure dropped. Her family immediately called an ambulance. The ambulance came. But it could not reach her home without delay. According to the family and the ambulance driver, roads were blocked at two or three...

Blocked roads take life

Kolhapur: Ten minutes. That is the gap the family of Nalini Ganesh Mainkar says may have separated life from death. On Tuesday, as preparations for Ganeshotsav gathered pace in Kolhapur, Mainkar, a resident of Wangibol in Shivaji Peth, suddenly fell critically ill after her blood pressure dropped. Her family immediately called an ambulance. The ambulance came. But it could not reach her home without delay. According to the family and the ambulance driver, roads were blocked at two or three locations by festival pandals, forcing the ambulance to negotiate alternative routes. By the time Mainkar was taken to hospital, doctors reportedly told the family that she had arrived about 10 minutes late. She died soon afterwards. For the Mainkar family, those 10 minutes are now an unbearable question: could she have survived if the ambulance had reached her on time? No medical conclusion establishing that link has been made public. But the incident has exposed a larger and recurring civic failure—the vulnerability of emergency services when public roads are allowed to become festival spaces. Mainkar lived barely a few minutes away from the Ambabai temple and had served there as a sevekari for several years. On Tuesday, her family watched helplessly as her condition deteriorated while the ambulance struggled to reach the house. The ambulance driver, the family said, acknowledged that the vehicle was delayed because of obstructions created by pandals at multiple points. No Implementation The Kolhapur Municipal Corporation has stipulated that a public festival pandal cannot occupy more than 25 per cent of the width of a road. The regulation is intended to ensure that traffic, pedestrians and emergency vehicles can continue to move. But on the ground, residents say, the distinction between a permitted pandal and a blocked road often disappears. In several parts of the old city, particularly the gaothan areas, festival structures have narrowed or closed roads. In other places, roads have been dug up for drainage and civic works. The result is a maze of bottlenecks at precisely the time when emergency vehicles need unobstructed access. The problem does not end with pandals. During festival processions, arrangements for dedicated passage of ambulances and fire engines are often inadequate. A traffic diversion that causes a commuter a few minutes of inconvenience can have an entirely different consequence for a patient suffering a cardiac emergency, major trauma or respiratory distress.

Lung health awareness should be prioritised

Dr. Abhijit Ahuja
Dec 17, 2024
3 min read
Ustad Zakir Hussain

Zakir Hussain Succumbs to Rare Lung Disease Idiopathic Pulmonary Fibrosis (IPF): A Wake-Up Call for Lung Health Awareness Renowned pulmonologist Dr. Abhijit Ahuja from Saifee Hospital underscores the importance of early diagnosis and public awareness.


Zakir Hussain’s untimely demise has highlighted the devastating impact of Idiopathic Pulmonary Fibrosis (IPF), a rare and chronic lung disease often overlooked due to its silent progression. This condition leads to irreversible thickening and scarring of the lung tissues (fibrosis), impairing the lungs’ ability to function. The exact cause of this life-threatening condition remains unknown, which is why it is termed “idiopathic.”


According to Dr. Abhijit Ahuja, a leading pulmonologist at Saifee Hospital, there is an urgent need for public education regarding IPF. “Many people are unaware of IPF, and its symptoms are often dismissed as minor or age-related. Tragically, most diagnoses occur at advanced stages when treatment options are limited. Early detection is crucial for improving patient outcomes and quality of life,” stated Dr. Ahuja.


Recognizing the Symptoms of IPF

IPF begins with subtle symptoms, making it challenging to diagnose early. Patients and healthcare providers must be vigilant about the following signs:

• Persistent shortness of breath (dyspnea), especially during physical activity

• Chronic dry cough that does not improve over time

• Unexplained fatigue and general weakness

• Sudden, unintended weight loss


“Many patients with IPF misinterpret their symptoms as signs of aging or other common respiratory problems. Unfortunately, this leads to delayed diagnosis,” Dr. Ahuja explained. Diagnosis involves a detailed review of the patient’s medical history, high-resolution CT scans, and lung function tests to confirm the presence of fibrosis.


Treatment and Management Options

While there is no cure for IPF, recent advancements in medicine offer hope by slowing the disease’s progression and managing symptoms effectively. Treatments used at institutions like Saifee Hospital include:

1. Antifibrotic Drugs: Medications like pirfenidone and nintedanib significantly reduce the progression of scarring in the lungs.

2. Oxygen Therapy: Providing supplemental oxygen helps manage breathlessness and improves patients’ energy levels.

3. Pulmonary Rehabilitation: Structured programs of breathing exercises and physical training enhance lung capacity, stamina, and quality of life.

4. Lung Transplantation: For severe cases, lung transplantation may be considered a life-saving option.


Dr. Ahuja emphasized, “The combination of antifibrotic drugs, oxygen therapy, and pulmonary rehabilitation can slow disease progression and improve patients’ lives. However, the success of these treatments hinges on early detection.”


Prognosis and Early Detection

IPF is a rapidly progressing disease with a poor prognosis. The average life expectancy following diagnosis is 3 to 5 years. However, early diagnosis and timely intervention can extend survival and significantly enhance quality of life.


Dr. Ahuja added, “Regular health check-ups and vigilance about respiratory health are vital. Early intervention is the only way to ensure a better prognosis for IPF patients.”


A Call for Greater Awareness

The tragic passing of Zakir Hussain has underscored the importance of raising awareness about rare diseases like IPF. Many people remain unaware of IPF’s early symptoms, leading to delayed diagnosis and limited treatment options.


Dr. Ahuja stated, “Awareness campaigns should emphasize that persistent shortness of breath and a chronic cough should never be ignored. Early referral to pulmonologists and tests like CT scans are crucial for identifying this disease at its initial stages.”


Saifee Hospital is actively involved in spreading awareness about lung diseases, offering cutting-edge diagnostic tools, and providing comprehensive care for patients with IPF and other respiratory conditions.


Supporting IPF Patients and Families

IPF is not just physically debilitating—it also takes a severe mental and emotional toll on patients. Family members and caregivers play an integral role in helping patients cope with the challenges of daily life.


Dr. Ahuja added, “While medical care is critical, psychological support for patients and their families is equally important. Addressing the emotional and mental strain can significantly improve the overall well-being of those living with IPF.”


Zakir Hussain’s Passing: A Lesson for All

Zakir Hussain’s untimely demise is a somber reminder of the need to prioritize lung health. It urges individuals to seek medical attention for unexplained breathlessness or persistent coughing and emphasizes the importance of early intervention in preventing severe outcomes.


Dr. Abhijit Ahuja of Saifee Hospital concluded, “Every individual experiencing symptoms like breathlessness or an unrelenting dry cough should consult a pulmonologist promptly. Early diagnosis can make all the difference.”


Let us honor Zakir Hussain’s legacy by spreading awareness about IPF and supporting those battling this rare and life-altering condition.


(The author is a leading pulmonologist at Saifee Hospital, Mumbai. Views personal.)

Comments

bottom of page