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Re: hell in africa

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Hi Meena,

My prayers and wishes are with you and Anil.....but i wish

i could do something more than that.

Neeti'86

> Hi Mudit,

> I am going thru hell in africa, anil is in aga khan hospital ICCU

at the moment, folowing an accident in Rwanda, had to come in

airambulance to Nairobi. Head injury with maxilla fracture, base of

skull fracture, bleeding CSF thru ear and nose. any one u know

inNairobi

>

> Meena

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Hi Meena,

My prayers and wishes are with you and Anil.....but i wish

i could do something more than that.

Neeti'86

> Hi Mudit,

> I am going thru hell in africa, anil is in aga khan hospital ICCU

at the moment, folowing an accident in Rwanda, had to come in

airambulance to Nairobi. Head injury with maxilla fracture, base of

skull fracture, bleeding CSF thru ear and nose. any one u know

inNairobi

>

> Meena

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Hi Meena,

My prayers and wishes are with you and Anil.....but i wish

i could do something more than that.

Neeti'86

> Hi Mudit,

> I am going thru hell in africa, anil is in aga khan hospital ICCU

at the moment, folowing an accident in Rwanda, had to come in

airambulance to Nairobi. Head injury with maxilla fracture, base of

skull fracture, bleeding CSF thru ear and nose. any one u know

inNairobi

>

> Meena

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Dear Meena,

Here is a rough guideline for the treatment of CSF Rhinorrhoea /

Ottorrhoea. (Courtesy my wife the ENT surgeon)

If the CSF flow is position dependant, positioning of the patient is

of prime importance.

Drugs like Mannitol form the first line of treatment to reduce ICT.

A CT Scan will locate the site of the leak and the bony spicule

causing the leak. A small leak heals by itself. Sometimes, just

excision of the spicule will help. In case of a large tear, a graft

will be required. In Mumbai, Dr. Kirtane is one of the top experts in

this type of surgery (endoscopic).

Watching out for meningeal signs is very important. A broad spectrum

antibiotic cover is to be started ASAP.

Kishore Shah 1974

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Dear Meena,

Here is a rough guideline for the treatment of CSF Rhinorrhoea /

Ottorrhoea. (Courtesy my wife the ENT surgeon)

If the CSF flow is position dependant, positioning of the patient is

of prime importance.

Drugs like Mannitol form the first line of treatment to reduce ICT.

A CT Scan will locate the site of the leak and the bony spicule

causing the leak. A small leak heals by itself. Sometimes, just

excision of the spicule will help. In case of a large tear, a graft

will be required. In Mumbai, Dr. Kirtane is one of the top experts in

this type of surgery (endoscopic).

Watching out for meningeal signs is very important. A broad spectrum

antibiotic cover is to be started ASAP.

Kishore Shah 1974

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Sorry about hearing about the episode that Anil has gone through.

It is really an unfortunate thing to have happened.

I wish him a speedy recovery and pray for his well being.

Dont worry trust in god.

I am handicapped as I cannot help you in any way from out here and also I dont

have any contact in Nairobi.

God is great. He will do the best for you.

Best regards

Raju shah

1978

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Dear Meena,

Extremely saddened by the news of the accident. Be strong & brave. Wishing

you all the best...

Ravin '82

PS: Neeti, that was good, the search on the internet, I would never have

thought about it!

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