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By:

Quaid Najmi

4 January 2025 at 3:26:24 pm

Surgery saves boy who gulped tiny LED bulb

Mumbai : In a bizarre development, a small boy from Kolhapur swallowed a tiny LED light bulb a few months ago that got stuck deep in his...

Surgery saves boy who gulped tiny LED bulb

Mumbai : In a bizarre development, a small boy from Kolhapur swallowed a tiny LED light bulb a few months ago that got stuck deep in his lung causing huge trauma and emotional stress for his family, officials said.   When the unusual case was referred to the Jaslok Hospital & Research Centre (JHRC), a team of medicos successfully extricated the foreign object lodged in the three-and-half-year-old boy’s chest.   Recounting the remarkable feat, a JHRC official said the child, Aarav Patil was reported to be suffering from severe breathing difficulties and incessant coughing for almost three months.   Doctors treating him at his home town initially mistook it for pneumonia and subjected him to multiple courses of antibiotics and other medicines, but there was improvement in the boy’s condition.   Subsequently, he was taken for advanced tests, examinations and a CT Scan which revealed the shocker – a metallic object was sitting inside the boy’s left bronchus, partially blocking the airway.   More tests identified the offending object – it was a LED bulb from a toy car – a development so rare that even seasoned doctors described it as a ‘one in a million case’.   Though doctors in Kolhapur attempted to retrieve the foreign body through flexible bronchoscopy - a minimally invasive procedure - the attempts proved to be unsuccessful.   As Aarav’s condition appeared to deteriorate, his desperate family rushed him to JHRC and he was referred to a team of specialist doctors.   After studying his case and examining Aarav, the medical team comprising thoracic surgeon Dr. Vimesh Rajput, ENT surgeon Dr. Divya Prabhat and Dr. Anurag Jain discovered that the bulb had not only blocked the bronchus but had also embedded itself in the surrounding tissues of the lung tissue, making its removal extremely challenging.   A rigid bronchoscopy conducted further confirmed the severity of the obstruction. Left with no other option, the doctors decided to opt for a mini thoracotomy — a delicate surgery involving a 4-centimeter incision in the chest.   “This was one of the rarest cases we’ve encountered. The bulb was lodged in such a way that conventional methods could not retrieve it. Through careful planning and teamwork, we managed to safely remove the object by a mini thoracotomy and restored Aarav’s lung function,” explained Dr. Rajput.   Emphasising how such cases are ignored, Dr. Prabhat pointed out that chronic cough or breathing issues are often dismissed as common pneumonia or even asthma.   “However, such persistent symptoms must always be investigated thoroughly, especially through early detection and imaging which can make all the difference to the patient,” she averred.   JHRC CMO Dr. Milind Khadke said, “The foreign body aspiration in kids is far more common that parents may realise but quick intervention is critical to prevent long-term medical complications.”

The Valley That Killed an Empire

Our series on asymmetric warfare revisits pivotal moments in modern history when underdogs rewrote the rules of war and forced superpowers to reckon with new realities.


PART - 1


A remote valley in Vietnam became the graveyard of French colonial ambition and a textbook case of asymmetric warfare for insurgents across the world.

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When the guns fell silent in a remote valley in north-western Vietnam on May 7, 1954, it was more than the conclusion of a battle; it marked the death knell of the French colonial empire in Indochina and the dawn of a new form of modern combat. What happened at Dien Bien Phu, where the French suffered a humiliating defeat at the hands of Vietnamese insurgents, was one of the earliest and clearest examples of asymmetric warfare reshaping the global order in modern times.


Much like Ukraine’s Operation Spider’s Web against Russia, a masterstroke in using small, remote-controlled first-person view (FPV) drones to gut a superior adversary’s air power, General Vo Nguyen Giap’s siege of Dien Bien Phu exposed the soft underbelly of conventional military doctrine.


It would become an iconic instance when a technically inferior but ideologically fervent force, fighting on its own terrain and bending the rules of classical warfare, bested a better-equipped but strategically complacent colonial army. The echoes of that conflict still resound in battlefields from Afghanistan to Gaza.


Fortress Folly

The complacent French believed they were applying lessons from Korea. Inspired by US General Matthew Ridgway’s success against Chinese forces at Chipyong-ni in 1951, French commanders sought to lure the Viet Minh into a conventional battle, believing superior firepower would guarantee victory. Thus was born the idea of a ‘hedgehog’ defence, which involves an air-supplied base in a remote area surrounded by fortified positions.


Dien Bien Phu, an old Japanese airstrip nestled in a steep valley, near the Laotian border, was chosen for its supposed isolation. Beginning in November 1953, French troops parachuted in to establish a fortified base with artillery, bunkers and airfields. The idea was to block Viet Minh incursions into Laos and to force Giap to commit to a frontal, conventional assault. The French, who viewed the Viet Minh as little more than jungle-bound guerillas.


It was to prove a fatal miscalculation. As historian Fredrik Logevall, in his Pulitzer Prize-winning masterwork ‘Embers of War’ (2012) demonstrates, the French were undone not only by physical terrain but by imperial hubris as well. They assumed that the Viet Minh, veterans of jungle skirmishes and guerrilla raids, lacked the capacity for large-scale operations. Giap shattered that illusion as over the next few months, 50,000 Viet Minh troops, supported by hundreds of thousands of porters dragged artillery pieces up jungle-covered hills and dug an intricate network of trenches around the French positions. Once in position, Giap’s guns pounded the airstrip into rubble, isolating the garrison from reinforcements and resupply. It was a logistical feat of Napoleonic ambition, except performed by peasants in sandals.


Giap’s genius lay not in matching the French gun for gun, but in understanding their limitations. Giap’s men dug trenches right up to the wire, making every inch of French territory vulnerable to sudden attacks. By using the terrain as both shield and weapon, the Viet Minh turned French advantages into liabilities. One could say that Giapweaponised the logistics.


Like Ukraine’s drones flying deep into Russian territory, Viet Minh gunners didn’t need to match French range or rate of fire. They only needed to make the sky dangerous and the ground untenable. In that sense, Dien Bien Phu was an early lesson in how to degrade a stronger power’s will to fight without matching its arsenal.


France’s garrison of 13,000 elite troops including Foreign Legionnaires, Moroccan infantry and Thai auxiliaries was demoralised from the outset. The isolation of the valley, combined with relentless shelling and the gradual realisation that reinforcements weren’t coming, sapped morale.


By early May, with all airfields destroyed and their wounded piling up, General Christian de Castries was forced to surrender. The French suffered over 10,000 casualties. The Viet Minh had lost more men (perhaps 20,000) but had won the war.


It was perhaps the most ‘elegant’ demonstration of asymmetrical warfare. Giap did not need to destroy every French soldier. He needed only to demonstrate that France could not win. And once that idea took hold on the battlefield and in the minds of politicians in Paris, the rest followed.


Global Aftershocks

Dien Bien Phu shattered French confidence in empire. Within months, France sued for peace in Geneva. Vietnam was partitioned, and the seeds of future American involvement were sown. But the reverberations extended well beyond Southeast Asia.


The Viet Minh’s triumph was proof that colonialism was not destiny. In 1956, Algeria’s FLN launched its own insurgency, consciously borrowing Giap’s tactics of hit-and-run raids, psychological warfare and political indoctrination. In 1960, Cuban revolutionaries cited Dien Bien Phu as evidence that a smaller force could outmanoeuvre a superior one, so long as it had legitimacy and terrain on its side.


America’s disastrous misadventure in Vietnam was, in part, rooted in a misreading of Dien Bien Phu. American planners took the French defeat as a lesson in logistics. They missed the strategic message, that overwhelming firepower cannot substitute for political credibility. From Hamas’s tunnel networks under Gaza to Ukraine’s use of AI-assisted targeting software, the principles of Dien Bien Phu are alive and well today even though their mediums may have changed.


(Tomorrow, we revisit the brutal Soviet-Afghan War [1979–89] when mujahideen fighters turned terrain, religion and Stinger missiles into tools that bled a superpower.)

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