THERAPEUTIC EFFECTS OF PRANIC HEALING IN NEUROSURGERY DR.B.CHENDILNATHAN, MCh, DNB, FRCS,(ENG), FRCS(NEUROSURGERY) SENIOR CONSULTANT NEUROSURGEON, APOLLO HOSPITAL, CHENNAI, CHAIRMAN, XCELLENT CARE HOSPITAL, CHENNAI MS.HEPSI BAI KIRAN, PRANIC HEALER, MRS.UMA, PRANIC HEALER, CHENNAI MATERIALS AND METHODS Single instituional Prospective study Duration over last 6months Inclusion: ALL BRAIN AND SPINE SURGERIES Exclusion: none Control: 3 patients operated by same surgeon elsewhere did not receive pranic healing Various parameters analysed for outcome DEMOGRAPHY Total no. of patients-30 Male-16; female 14 Age range: 25 to 75, Mean age is 47 Total no. of Brain surgeries: 16 Total no. of spine surgeries: 14 METHODS All patients were subjected to pranic healing as per protocol for major pranic healing in Advanced pranic healing Book. All patients had pre-op scanning documented All patients were given pre-op healing Most of the patients had intra-op healing All patients were given post op healing All patients were scanned every post operative day Outcome measures documented from patient, surgeon, assistant surgeon and case sheets and verified on prospective basis. OUTCOME PARAMETERS STUDIED Duration of surgery (planned vs. actual) Perceived difficulty of the surgery (planned vs.actual in a scale of 0 to 5) Blood loss (expected vs. actual) by measuring the volume in suction apparatus, gauze count and as estimated by anesthetist) Recovery out of anesthesia Icu stay Pain score (pre-op, post-op, at discharge) scale of 1-10 GLASCOW COMA SCORE- TO ASSESS THE CONSCIOUS LEVEL (Pre-op, post-op, at discharge)—scale of 3-15 (higher the better) ACTIVITY OF DAILY LIVING OUTCOME PARAMETERS STUDIED Neurological outcome-improved, stable, worsened Date of suture removal Duration of antibiotics Duration of hospital stay Any complications like, fever, wound infection, DVT, chest infection, etc. Pranic healing-scanning and documentation of aura, chakkral size and level of energery daily DURATION OF SURGERY Planned Duration of Surgery 1:30 2:00 3:00 3:30 4:00 5:00 8:00 Total Actual Duration of Surgery (Hrs) 1:00 1:30 2:00 2:30 3:00 3:30 2 2 3 2 5 1 1 1 2 2 2 1 4 5 5 2 4 Only one surgery Exceeded the planned time One surgery took the usual plannned time 4 Grand 4:00 5:00 6:00 Total 2 5 9 1 4 3 1 7 1 1 2 4 1 1 30 DURATION OF SURGERY Surgery Time Saved Time Exceeded 0 hrs 30 mins 1 hr 1:30 hrs 2 hrs 4 Hrs Total No. of Surgeries 1 1 8 13 3 3 1 30 DURATION OF SURGERY Total Planned Surgery Time - 110:30 Hrs Actual Surgery time -79:30Hrs Total Time Saved- 31 Hrs PERCEIVED DIFFICULTY OF SURGERY Perceived Difficulty of the Surgery (0-5);( Easy - Difficult) 0 1 2 3 Total No. of Surgeries 2 25 2 1 30 PERCEIVED DIFFICULTY OF SURGERY Cases with Difficulty Level 2 Expected Difficulty was 5 for Mrs. Mariam Baid Mohammed.But the actual difficulty was only 2 In the other case Pranic healing was applied only once before surgery PERCEIVED DIFFICULTY OF SURGERY Case with Difficulty level 3 Pranic healing was applied only once before surgery Basic Chakra was only 1" in diameter before healing While all the other chakras were 4" in diameter post healing, Basic was only 3" BLOOD LOSS ACTUAL VS EXPECTED Expected Blood Loss (ml) 50 75 100 150 200 250 300 500 750 1000 2000 Total Actual Blood Loss (ml) 20 1 1 50 1 3 2 1 75 100 150 200 250 300 500 750 1 1 1 2 1 1 1 5 1 1 1 1 2 7 1 2 3 8 3 2 1 3 1 1 Total 1 1 5 3 4 1 2 6 2 4 1 30 Actual Blood loss was reduced to 50% of the expected blood loss in all the cases except one BLOOD LOSS ACTUAL VS EXPECTED Total expected Blood Loss was 13.325 lts Actual Blood Loss was 5.765 lts Blood Saved 7.56 lts RECOVERY OUT OF ANESTHESIA Recovery out of Anesthesia Few Minutes < 10 Minutes >1 Hr -Needed Ventilation Total Spine Surgery 10 4 14 Brain Surgery 11 3 2 16 11 out of 16 patients recovered out of anesthesia within few minutes of post brain Surgery ICU STAY ICU stay Spine Surgery Brain Surgery < 24 hrs 9 7 24 hrs 5 7 48 hrs 1 >2 Days 1 Grand Total 14 16 Only 2 patients were kept in ICU for more than 2days post Brain Surgery PAIN SCORE – BRAIN SURGERY Post OP Pain Score Pre OP Pain Score 0 2 4 0 2 5 2 2 2 1 3 4 1 1 5 1 1 10 Total 4 8 10 Total 9 1 1 2 3 1 16 PAIN SCORE – SPINE SURGERY Pre OP Pain Score 0 2 4 5 6 8 Total 0 2 1 3 Post OP Pain Score 1 2 4 2 1 1 3 1 1 1 1 1 8 2 Total 3 3 5 1 1 1 14 Usually the Pain Score after Spine Surgery is very high(upto 8) Here we can see that patients have actually been releived of pain after surgery The maximum pain score is only 4 Post OP GLASGOW SCALE BRAIN SURGERY GLASGOW SCALE PRE OP (BRAIN SURGERY) GLASGOW SCALE AT THE TIME OF DISCHARGE 14 0 14 15 Total 15 1 3 3 12 13 Total 1 3 12 16 A paralyzed patient (Arumugam) greatly improved after surgery Almost all the patients regained their neurological health after Brain Surgery ACTIVITY OF DAILY LIVING ACTIVITY OF DAILY LIVING Pre OP ADL SCORE (BRAIN SURGERY) 0 1 6 24 Grand Total 0 13 1 14 ADL SCORE AT THE TIME OF DISCHARGE 6 15 Grand Total 13 1 1 1 1 1 1 1 16 For 13 patients ADL was not affected post Brain Surgery Only one patient(Samuthira Vel) was affected but he chose discharge against medical advice One patient (Arumugam) improved greatly. He was paralyzed pre op. NEUROLOGICAL OUTCOME Neurological Outcome GOOD Loss of Vision in Right Eye Slurring in Speech Difficulty in Breathing Inability to sit up on His own Very Good Total No. of Surgeries 26 1 1 2 30 Neurological outcome was good in more than 98% of the surgeries NEUROLOGICAL DEFICIT Neurological Deficit No Deficit No New Deficit Yes (L) EHL & L Foot dorsiflexion Weakness - Pre op & Post op 1 Day had Speech Deficit Not able to pass urine Post Surgery D1 -> Power 3/5 Pre -op 1/5 Grand Total No. of Surgeries 20 4 2 1 1 1 1 30 Only 6 patients had any kind of Deficit post surgery Only 2 of that was new 3 were minor and transient resolved within 24 hours One deficit which was severe PRE-OP, pt. could not walk for 1 year started walking within a week after surgery- described as a miracle by the patient herself. DATE OF SUTURE REMOVAL Date of Suture Removal No sutures Self Absorbing Sutures 7 days 8 days 10 days Patients 3 5 10 2 10 Grand Total Comments-normal wound healing takes place in 14 days in brain and spine We can notice more than 50% of them healed within 7 days All had stitches out by 10th day None went for wound complications IMPRESSION: PRANIC HEALING HELPS THE WOUND HEALING FASTER AND BETTER 30 LENGTH OF HOSPITAL STAY Length of Hospital Stay 5 Days 6 days 7 days 8 days 9 days 10 days 11 days 12 days 13 days 15 days 17 days Total Spine Surgery Brain Surgery Patients Patients 1 3 3 3 4 1 1 1 3 2 1 2 2 2 1 14 16 NORMAL Expected Length of Hospital Stay is 14 to 21 days Here none stayed beyond 17 days 75% got discharged with in 10 days. CASE EXAMPLE CONCLUSIONS GMCKS PRANIC HEALING MAKES THE SURGERY EASY FOR THE SURGEON AS WELL AS THE PATIENT IT REDUCES THE PAIN IT REDUCES BLOOD LOSS IT REDUCES ICU STAY AND HOSPITAL STAY WOUND HEALING FASTER AND BETTER BETTER NEUROLOGICAL OUTCOME AND BETTER ACTIVITIES OF DAILY LIVING REDUCES THE OVERAL HEALTH CARE COST FOR THE PATIENT AND COUNTRY ©Copyright - World Pranic Healing Foundation. It is mandatory for all those who display the slides for non-private purpose or in public places and/or commercial establishments and/or non-commercial establishments, to take prior written approval from World Pranic Healing Foundation. World Pranic Healing Foundation can be contacted at [email protected]. World Pranic Healing Digitally signed by World Pranic Healing Date: 2015.08.20 14:17:53 +05'30'
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