THERAPEUTIC

EFFECTS OF

PRANIC HEALING

IN 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� 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 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 � 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)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� 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

Actual Duration

of Surgery (Hrs)

1:00 1:30 2:00 2:30 3:00 3:30 4:00 5:00 6:00

Grand

Total

1:30 2 2

2:00 2 3 5

3:00 2 5 1 1 93:00 2 5 1 1 9

3:30 1 1

4:00 2 2 4

5:00 2 1 3 1 7

8:00 1 1 2

Total 4 5 5 2 4 4 4 1 1 30

�Only one surgery Exceeded the planned time

�One surgery took the usual plannned time

DURATION OF SURGERY

Surgery Time

Saved

No. of

Surgeries

Time Exceeded 1

0 hrs 1

30 mins 8

1 hr 131 hr 13

1:30 hrs 3

2 hrs 3

4 Hrs 1

Total 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)No. of

Surgeries

0 20 2

1 25

2 2

3 1

Total 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 2Mohammed.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� 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)

Actual Blood Loss (ml)

20 50 75 100 150 200 250 300 500 750 Total

50 1 1

75 1 1

100 1 3 1 5

150 2 1 3

200 1 1 2 4200 1 1 2 4

250 1 1

300 1 1 2

500 5 1 6

750 1 1 2

1000 1 3 4

2000 1 1

Total 2 7 1 2 3 8 2 1 3 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 Spine

Surgery

Brain

Surgery

Few Minutes 10 11

< 10 Minutes 4 3

>1 Hr -Needed Ventilation 2

� 11 out of 16 patients recovered out of anesthesia

within few minutes of post brain Surgery

>1 Hr -Needed Ventilation 2

Total 14 16

ICU STAY

ICU stay

Spine Surgery Brain Surgery

< 24 hrs 9 7

24 hrs 5 7

48 hrs 1

� Only 2 patients were kept in ICU for more than

2days post Brain Surgery

>2 Days 1

Grand Total 14 16

PAIN SCORE – BRAIN SURGERY

Pre OP Pain ScorePost OP Pain Score

0 2 4 10 Total

0 2 5 2 9

2 2 1 3

4 1 1

5 1 1

10 1 1 2

Total 4 8 3 1 16

PAIN SCORE – SPINE SURGERY

Pre OP Pain ScorePost OP Pain Score

0 1 2 4 Total

0 2 1 3

2 2 1 3

4 1 3 1 5

5 1 1

6 1 1

� 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

5 1 1

6 1 1

8 1 1

Total 3 1 8 2 14

GLASGOW SCALE BRAIN SURGERY

GLASGOW SCALE PRE OP

(BRAIN SURGERY)

GLASGOW SCALE

AT THE TIME OF DISCHARGE

14 15 Total

0 1 1

14 3 3

15 12 12

� A paralyzed patient (Arumugam) greatly improved after surgery

� Almost all the patients regained their neurological health after

Brain Surgery

15 12 12

Total 3 13 16

ACTIVITY OF DAILY LIVING

ACTIVITY OF DAILY LIVING

Pre OP ADL SCORE

(BRAIN SURGERY)

ADL SCORE

AT THE TIME OF DISCHARGE

0 6 15 Grand Total

0 13 13

1 1 1

6 1 16 1 1

24 1 1

Grand Total 14 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 OutcomeNo. of

Surgeries

GOOD 26

Loss of Vision in Right Eye 1

Slurring in Speech

Difficulty in Breathing

Inability to sit up on His own

1

� Neurological outcome was good in more than 98% of the

surgeries

Difficulty in Breathing

Inability to sit up on His own

1

Very Good 2

Total 30

NEUROLOGICAL DEFICIT

Neurological DeficitNo. of

Surgeries

No Deficit 20

No New Deficit 4

Yes 2

(L) EHL & L Foot dorsiflexion Weakness

- Pre op & Post op 1

� 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.

- Pre op & Post op 1

1 Day had Speech Deficit 1

Not able to pass urine 1

Post Surgery D1 -> Power 3/5

Pre -op 1/5 1

Grand Total 30

DATE OF SUTURE REMOVAL

Date of Suture

RemovalPatients

No sutures 3

Self Absorbing Sutures 5

7 days 10

8 days 2

� 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

8 days 2

10 days 10

Grand Total 30

LENGTH OF HOSPITAL STAY

Length of Hospital StaySpine Surgery

Patients

Brain Surgery

Patients

5 Days 1 3

6 days 3 3

7 days 4 1

8 days 1

9 days 1

10 days 3 2

� NORMAL Expected Length of Hospital Stay is 14 to 21 days

� Here none stayed beyond 17 days

� 75% got discharged with in 10 days.

10 days 3 2

11 days 1

12 days 2

13 days 2

15 days 2

17 days 1

Total 14 16

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� 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

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