stroke

a stroke . anyone can be affected .
formation of plaque in carotid artery disloges to result in stroke . the patient can be maimed for life , with loss of speech and inability to move limbs .
a devastating episodes usually resoves if thin small plaques rupture and emboli shower distally into the brain .
ct scan and mri scan can delineate the injury to the underlying brain . at times repeat scans can be required to assess the injury .
stroke can present as haemorrhagic or emboli
emboli shower can further diseminate to clear the injury .  the good part of stroke is brain is supplied by 2 branches on either side of neck and in the brain too circle of willis is there to steal blood from its brother branch .

clots in lung

very common occurance in prolonged flight patients complaining of breathlessness sudden onset . reduced fluid intake and stasis of blood in legs prone to develop blood clots in calf veins which migrate to the heart thence to lungs . if the clot is massive and causing a big filling defect in central pulmonary artery , the case should be operated immediately . if the clots are peripheral then it. other  is managed medically . othe r causes of clot formation is patient on contraceptive pills .

left atrial clot

few patients present with left atrial clot. the size of same can vary from miniscule to large as a tennis ball . it can be fixed to left atrial appendage or mobile .usual patients with left atrial clot can present as stroke resulting in Cerebro vascular episode.on evaluation by doing a echo cardiography usually the clot is noticed . the ecg rythm of such candidates can be in fibrillation.
the eddy currant in flow of blood in the left atrial chamber will result in a clot formation .
operation is recommended for removal of such clot , at a same time correcting additional deformities  in mitral valve.

Post cardiac surgery life

Life presents suprises at every turn and a significant turn was having a cardiac arrest . Many patients return to their previous life style and face the same challenges head on that they faced before having a heart attack . Almighty has given a second chance to them to make a difference .

Experiencing happiness is the ultimate goal . Can witness of such a feeling . Exercise causes causes happinness to flow. So studies have revealed atleast a half an hour of exercises doing releases dopamine the feel good factor .

Indulging in an activity to do something for which you are not paid causes a surge in happiness within you .the joy of giving has been documented to achieve happiness . All have tuned happiness by giving. Giving doesnot include only money , but giving a compement , a smile

Mindful ness has been associated with happiness .

Keeping gratitude diary helps . All people who have helped you and indirectly helpful. We should be thankful for a new life and purpose . Find your goal .

Leave a lasting impression on those people who donot have access to facilities you enjoy .
subtle changes to Diet what we put in our body and what we take out forms a very circle of our existance. 

tumours in heart

as the tumours are forming in other parts of body similarly they occur in heart . the incidence is less . the most common tumors of heart is MYXOMA .
It can be presented in a patient as a polyp , at times it is large as the complete left artial cavity . at times it moves in and out of the left ventricle . easily detected on echocardiography.
choice of treatment is urgent surgery and removal of the mass from its base stalk . usually the base is at fossa ovalis , artificial ASD is created and further closed using a pericardial patch .