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Ex BMC chief Praveen Pardeshi on 14-day leave

A day after being unceremoniously transferred from the BMC chief's office, senior bureaucrat Praveen Pardeshi proceeded on a 14-day leave, instead of taking charge of the Urban Development Department at Mantralaya.

Sources said he applied for leave because his father is unwell and his wife is self-isolating herself, after having returned from London, where she works with an international organisation. Apart from the Urban Development Department, Pardeshi has also been asked to head the water resources department.

According to sources, the celebrated disaster management expert is also upset with the turn of events. He had been in the run for the Chief Secretary's post.

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Even the Coronavirus can't stop rampant Pangolin poaching

It seems that there is rampant poaching of pangolins taking place during the lockdown in the Konkan belt, and their scales are being illegally sold in the local black market. During the raids, the forest department recovered two kilograms of pangolin scales and six nails. The pangolin is one of the most trafficked wild animals across the world as there is a huge international demand for its scales.

Range Forest Officer (RFO), Vaibhav Borate, said, "Based on the tip-off received from our sources, our forest department team raided the house of Kalpesh Tukaram Balgude at Karanjali [Balgudewadi] village near Dapoli. During the search operation of the house, our team recovered one tortoise shell, one jungle hare, and 22 kg of pangolin scales and nails. We have taken the accused into custody and investigation is on."

As evidence related to wildlife trade have been found from the house of the accused, the forest department is exploring the possibility of him doing this regularly. The forest department team has registered an offence under various sections of the Wildlife Protection Act, 1972.

According to the Wildlife Crime Control Bureau (WCCB) website, "Major threats to pangolins in India are hunting and poaching for local consumptive use and international trade. Another reason for hunting pangolin is its meat. There is now greater evidence of its inclusion in illicit international trade, in particular its scales, from India through Myanmar to China and South-East Asian countries as the most likely, final destinations. Inadequate information on population and distribution further accentuates the threats arising from hunting and poaching."

The Indian Pangolin is found sporadically throughout the plains and lower slopes of hills from south of the Himalayas to Kanyakumari, except the north-eastern region. The Chinese Pangolin is found in India in Sikkim, Arunachal Pradesh, Meghalaya, Nagaland, Assam, Manipur, Tripura, Mizoram and the northern part of West Bengal.

Why Pangolins?

Pangolins are the most trafficked mammal in the world, for their scales [made of keratin], which are boiled off their bodies for use in traditional medicine. Their meat is a delicacy in Vietnam and China; and their blood, which is considered to be a healing tonic.

Pangolin could help find cure for COVID-19?

Soon after the outbreak of COVID-19 pandemic, there were many media reports that claimed that the endangered pangolin was linked to the initial outbreak of the disease in China. However, this hasn't been proven yet. Now, a research conducted by the Medical University of Vienna in Austria, has revealed that certain genes sense when a virus enters the body, and trigger an immune response in most mammals. They found that pangolins, which have been called the 'missing link' between bats and humans, lack two of those virus-sensing genes. This means that not only are the endangered animals carriers, but they also seem to be immune to it, via an unknown mechanism. This evolutionary advantage and its understanding may give way to possible treatment options for COVID-19.

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Touching a raw nerve to relieve the pain

An elderly lady walked into my consultation room with two girlfriends, chewing gum. Her Gucci shades were stationed over her salt-and-pepper hair and she wore a black dress. Her wrists and ankles were crowded with beaded trinkets.

"Hi!" she said, greeting me with a firm handshake and a brief introduction as I jotted her name. "And your age?"

"Twenty-six!" she blurted, followed by a big smile because it made me look up and stare at her intently.

"Okay, just reverse that," she reconciled before I could say anything. "Any diabetes, blood pressure?" I proceeded, smiling through the usual questions, still wondering in my head her fancy for playing the fool with me about her age.

"Any heart issues?"

"I keep falling in love, doctor!" she said bluntly, as two ladies accompanying her rolled their eyes, gesticulating for her to behave. I shook my head at them, hinting that they let her comfortably continue.

Some patients like to bring on a keen familiarity early on in their meetings with physicians or surgeons. Some may be suffering from a grim diagnosis and might want to appear like they are perfectly fine with it. Others might come with the idea that "since this is someone whose knife I'm going to go under, we might as well be friends first'" For some, it might simply be their personality or disposition. As surgeons, we refrain from judging atypical behaviour unless it helps with the diagnosis.
"What brings you to me?"

"I have this shooting pain in my right jaw. It's like an electric shock that sometimes goes into my cheek as well. I can't brush, eat, swallow or chew," she continued, wincing as she opened her mouth to remove the gum she was chewing with difficulty, wrapping it tidily in a tissue paper. Thinking it was tooth pain, she had visited the dentist but had eventually been told to see a neurosurgeon. The medication she had been prescribed was no longer helping and she had been living with the pain for close to two years. "Sometimes, I feel like jumping off the Bandra-Worli Sea Link."

I told her friends to ensure that she didn't take that route on her commute for now.

She was pretty well-informed and knew enough about her condition, trigeminal neuralgia. It occurs when a blood vessel in the brain presses on the trigeminal nerve that supplies sensation to the face. The pain can sometimes be so severe that it pushes patients towards contemplating suicide. Some women patients have told me that it's infinitely worse than the pain of labour without an epidural. Owing to the location of the pain, most patients visit a dentist first, and when a root canal doesn't help, they are referred to a neurologist.

"Having a drink at night makes the pain a little better," she confessed.

"In the good, old days, they used to inject alcohol directly into the nerve to numb it," I said. She thought I was joking but it's a fact.

The current options were to inject glycerol or ablate the root of the nerve with some radiofrequency current. The drawback —the pain would be replaced by semi-numbness since it's a destructive procedure. Or, we could use the Gamma Knife, where a single dose of focused radiation could do the trick. And finally, there was surgery—a little more invasive, but offering the best chance of cure and the least chance of recurrence. I explained that we'd make a small hole in the skull behind the ear and place a pad of Teflon between the vessel and the nerve so that direct contact between the two was eliminated.

After understanding her options, she opted for surgery. "You just want to go back to drinking without pain," I said in jest.

At surgery, under the magnificence of the microscope, we could see the offending vessel deeply grooving her nerve. When it was lifted gently after meticulously dissecting tiny strands connecting the two, I could see how pale and beat up the nerve looked. I teased the strands of the padding material Teflon and interposed them in the right place, transposing the vessel away to avoid any contact. As we were closing, I told my surgical assistant that this was one of the most gratifying neurosurgical procedures he would ever do. The charming lady woke up completely pain free, and over the next few days, we managed to get her off all painkillers.

Two days after discharge, she sent me this text message: "For the first time in several years, I could brush my teeth and eat breakfast, lunch, and dinner without any pain. What's still better is that I could have the single malt, pain-free!"

"You are now permitted to use the Sea Link," I replied.

The writer is practicing neurosurgeon at Wockhardt Hospitals and Honorary Assistant Professor of Neurosurgery at Grant Medical College and Sir JJ Group of Hospitals. You can reach him at mazdaturel@gmail.com

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Five Air India pilots test positive for COVID-19, had flown cargo flights to China

Five Air India pilots, who had undertaken cargo flights to China, have tested positive for coronavirus during the pre-flight COVID-19 test. Sources in the national carrier told ANI that all five pilots are currently asymptomatic and are based in Mumbai.

The pre-flight COVID-19 test is carried out 72 hours before the pilots are rostered for flight duties.

"All of them are asymptomatic and based in Mumbai. They had undertaken cargo flights to Guangzhou, China," sources said.

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This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever




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