Happy mornings!

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The document narrates Shiv Prabhakar's daily routine of tending to his garden, which is a source of joy for him each morning. After discovering he has cancer, he learns about the option of receiving chemotherapy at home, allowing him to continue caring for his beloved plants. The experience emphasizes the positive impact of home healthcare services on recovery and well-being.

Healthcare

What is the view that you wake up to in the
morning? Is it the garden? Is it a sunrise
view? Or is it just the sight of the people you
love? Most of us wake up to the same view
every morning – a view that heralds the start
of our day and helps us greet the day with a
smile. A good start to the day, after all, is
about waking up in familiar surroundings.
Shiv Prabhakar wakes up to one such view
every morning – the view of his carefully
cultivated garden.

Shiv’s favourite morning activity is tending to the plants
and flowers in his garden. Every morning, as soon as he
woke up, he would spring out of bed and look at the
plants in his small backyard garden, shining with dew
drops in the faint morning sunlight. He would then rush
down and tend to his plants for an entire hour before
resuming other daily morning activities and having his
well-earned breakfast. This was his everyday routine
and without this he couldn’t start his day on a good
note.

One day, after completing his morning routine, Shiv
started experiencing a sharp weakness in his body. Being
the meticulous man that he was, he decided to get
himself checked immediately. After a thorough checkup,
the doctor told him gravely that there were signs of
cancerous cells in his body and to have any chance of a
normal, healthy life again, he needed to get himself
admitted for chemotherapy.

Shiv was crestfallen. He didn’t understand how,
in spite of not having an unhealthy lifestyle, he
had managed to get cancer. As he adjusted his
mind to the situation he thought about the next
few days when he would have to stay in the
hospital overnight..

Who would look after his garden? Years and
years of careful horticulture would all go to
waste. He did not trust anyone else to be able to
take care of the beautiful, exotic plants that
were now blossoming colourful flowers in his
backyard

He asked the doctor if there was any way that he could
get his chemotherapy sessions done at home. The doctor
heard his situation and then, after some thinking, told
him that if he could get professionally done
chemotherapy at home then he would not be in any
danger. One such option was the Chemotherapy at Home
service of HealthCare atHOME India. The doctor gave him
some details and Shiv wasted no time in finding out how
he could avail these services.

That day, Shiv went home feeling much better than how
he had felt after news of his cancer. He felt that he would
definitely survive the battle, especially if he stayed in the
happy surroundings of his home. When he awoke in the
morning, Shiv felt happy looking at his flowers and
knowing that they would stay just as beautiful now that
he was going to be home. Indeed, watering his plants and
smelling the fresh flowers set Shiv on a happier, speedier
road to recovery.

There are many like Shiv who have
benefited from home healthcare
services. To know more about the
services offered by HealthCare atHOME
India.
www.healthcareathomeindia.com

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Revision Total Hip Replacement (THR) is among the most demanding procedures in orthopedic surgery. Unlike primary THR, it involves addressing pre-existing complications such as implant failure, dislocation, bone loss, or infection, often in the presence of compromised soft tissues and bone quality. While primary THR offers high success rates and reproducible outcomes, revision THR requires greater surgical expertise, meticulous planning, and personalized execution to restore function and minimize complications. This presentation by Dr. Prabhat Pandey is designed as a comprehensive resource for orthopedic surgeons, residents, and joint reconstruction teams who seek to understand and master the essential principles, decision-making algorithms, and advanced techniques used in revision THR. Revision hip arthroplasty is associated with: Increased operative time and blood loss Higher complication rates: infection, dislocation, thromboembolism, nerve injury, and periprosthetic fracture The need to manage weakened bone stock and soft tissue envelope Difficulty in removing failed implants, including intramedullary components. Revision surgery is warranted in cases of: Prosthetic dislocation or instability Mechanical loosening of components Implant wear or breakage Periprosthetic fracture Deep infection Osteolysis or bone resorption Painful loosening without overt signs of mechanical failure Each case demands tailored intervention based on the severity and combination of these factors. 3. Principles of Successful Revision THR Safe removal of loose or failed components Preservation of host bone and soft tissue integrity Effective reconstruction of bone defects using bone grafts or metal augments Achieving stability of the revision components Restoration of biomechanics, particularly the anatomical center of rotation. Dislocation rates: 0.3–10% in primary THR Up to 28% in revision THR Influencing Factors: Surgical approach Abductor muscle function Component malpositioning Patient compliance Prosthesis longevity Underlying diagnosis (e.g., hip fracture, neuromuscular disorder Revision Total Hip Replacement is not merely a technical endeavor—it is a test of surgical judgment, experience, and adaptability. Successful outcomes hinge on: Thorough preoperative assessment Judicious use of classification systems like Paprosky Proficiency in implant removal Skillful reconstruction of defects Meticulous postoperative care This presentation distills the complex decision-making process into an organized, practical guide for any surgeon facing the challenge of revision THR. Understanding Surgical Approaches and Their Risks Dislocation Types and Management Preoperative Planning Essentials Surgical Options for Instability and Revision Operative Exposure and Implant Removal Techniques for Removing Cemented Implants Cementless Implant Removal Managing Bone Deficiency in the Acetabulum Paprosky Classification: Detailed Breakdown

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Happy mornings!

2. What is the view that you wake up to in the morning? Is it the garden? Is it a sunrise view? Or is it just the sight of the people you love? Most of us wake up to the same view every morning – a view that heralds the start of our day and helps us greet the day with a smile. A good start to the day, after all, is about waking up in familiar surroundings. Shiv Prabhakar wakes up to one such view every morning – the view of his carefully cultivated garden.

3. Shiv’s favourite morning activity is tending to the plants and flowers in his garden. Every morning, as soon as he woke up, he would spring out of bed and look at the plants in his small backyard garden, shining with dew drops in the faint morning sunlight. He would then rush down and tend to his plants for an entire hour before resuming other daily morning activities and having his well-earned breakfast. This was his everyday routine and without this he couldn’t start his day on a good note.

4. One day, after completing his morning routine, Shiv started experiencing a sharp weakness in his body. Being the meticulous man that he was, he decided to get himself checked immediately. After a thorough checkup, the doctor told him gravely that there were signs of cancerous cells in his body and to have any chance of a normal, healthy life again, he needed to get himself admitted for chemotherapy.

5. Shiv was crestfallen. He didn’t understand how, in spite of not having an unhealthy lifestyle, he had managed to get cancer. As he adjusted his mind to the situation he thought about the next few days when he would have to stay in the hospital overnight..

6. Who would look after his garden? Years and years of careful horticulture would all go to waste. He did not trust anyone else to be able to take care of the beautiful, exotic plants that were now blossoming colourful flowers in his backyard

7. He asked the doctor if there was any way that he could get his chemotherapy sessions done at home. The doctor heard his situation and then, after some thinking, told him that if he could get professionally done chemotherapy at home then he would not be in any danger. One such option was the Chemotherapy at Home service of HealthCare atHOME India. The doctor gave him some details and Shiv wasted no time in finding out how he could avail these services.

8. That day, Shiv went home feeling much better than how he had felt after news of his cancer. He felt that he would definitely survive the battle, especially if he stayed in the happy surroundings of his home. When he awoke in the morning, Shiv felt happy looking at his flowers and knowing that they would stay just as beautiful now that he was going to be home. Indeed, watering his plants and smelling the fresh flowers set Shiv on a happier, speedier road to recovery.

9. There are many like Shiv who have benefited from home healthcare services. To know more about the services offered by HealthCare atHOME India. www.healthcareathomeindia.com

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Happy mornings!

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Happy mornings!