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Electroconvulsive therapy (ECT) is a procedure that involves passing a carefully controlled small electric current through the brain to trigger a brief seizure. It causes changes in brain chemistry and aims to relieve severe psychiatric conditions.
ECT is usually performed when other treatments are unsuccessful. It is usually used to treat:
Treatment-resistant depression, which is a severe depression that does not improve with medications or other types of treatments.
Severe depression, especially when accompanied by psychosis (detachment from reality), a refusal to eat, or a desire to commit suicide.
Severe mania that can occur as parts of bipolar disorder, such as a state of intense euphoria, hyperactivity, agitation, impaired decision-making, and psychosis.
Agitation and aggression in individuals with dementia.
Catatonia, which is associated with schizophrenia, certain other psychiatric disorders, or medical illness.
Your doctor may also recommend ECT if you cannot tolerate medications or all other forms of therapy have not worked.
When computing the final cost of the Electroconvulsive Therapy (ECT) in Delhi, it's crucial to consider the multiple elements that factor into the total fee. The cost isn't exclusively limited to the procedure's price but involves the count of sessions needed, the fee for the anesthesiologist, costs for pre-surgery tests, charges for the facility, and the pricing for extra medicines to be used.
Getting a pricing quote from a preferred clinic is an ideal first step towards quantifying the cost, as they can give a more precise breakdown aligned to your personalized necessities and situations. While the Electroconvulsive Therapy (ECT) might inflict substantial financial strain, it's important to evaluate the cost against the prospective advantages. Fast alleviation of severe symptoms, shortened hospital stays, and less use of health services owing to failed treatment trials, all contribute towards the overall cost-efficiency of this medical procedure.
At the beginning of an ECT, you will receive general anesthesia and a muscle relaxant to help prevent injury and minimize the seizure. Your doctor will place a blood pressure cuff around one of your ankles to stop the muscle relaxant medications from entering foot and entering the muscles there. This is done to enable your doctor to monitor seizure activity by watching for any movement on that foot. You may also be given oxygen through an oxygen mask and a mouth guard to help protect your tongue and teeth from injury. Then, your doctor will place electrode pads on your head. The electrode pads are connected to the ECT machine.
Once you are asleep, your muscles are relaxed, and the necessary equipment is in place, your doctor will press a button on the ECT machine to pass a small amount of electric current through the electrodes to your brain, which produces a seizure that lasts less than 60 seconds. Due to the anesthetic and muscle relaxant, you will not be aware of the seizure. The visible effects of the seizure will usually be limited to the movement of your foot if a blood pressure cuff is placed around your ankle.
Your doctor may use a test called an electroencephalogram (EEG) to record the electrical activity in your brain. The beginning of a seizure is signaled by sudden, increased activity on the EEG and a leveling off shows that the seizure is over.
ECT can be performed on an outpatient basis, meaning you can leave the hospital on the same day. However, the length of your stay in Delhi while undergoing a Electroconvulsive Therapy (ECT) is largely determined by your personal health state and the number of treatment sessions proposed by your healthcare provider. Treatment typically involves two to three sessions per week, accumulating to six to twelve sessions in total.
Commonly, you would be required to reside in the Delhi throughout the course of the treatment. The total duration not only factors in the treatment sessions but also the requisite rest time post-treatment, typically a couple of hours for the anesthesia effects to dissipate after each session. Moreover, you might need to consider post-treatment consultations for tracking progress and if required, revisions to the treatment plan. Because of these factors, you might want to plan on staying in the Delhi for several weeks. Yet, it's highly advised to confer about the specific timeframe and aftercare process with your healthcare professional to ensure a comprehensive understanding and effective treatment path.
Most people can return to their normal daily activities just a few hours after ECT. However, some people may be asked to avoid making important decisions, going back to work, or driving for one to two weeks following the last ECT treatment in a series. The recovery time until you can resume your activities generally depends on when confusion and memory loss after the procedure are resolved, so make sure to talk to your doctor about your specific recovery timeline.
Here are a few aftercare instructions you need to consider:
Your doctor may give you antidepressants to help decrease or prevent symptoms of depression. They may also give you medicine to help with headaches that you may experience after each treatment. Always make sure to take the medicine as directed.
There is a high chance that you will fall after ECT treatments. Ask someone to help you stand up or walk and keep an eye on you during your recovery period.
Research has shown that ECT is a highly effective therapy for several mental health conditions. Around 80% of patients with uncomplicated but severe depression experience substantial improvement after their treatments.
ECT is a highly misunderstood procedure because, in the past, the side effects can be severe. However, while ECT does have some side effects and risks, it is much safer today. The risks and side effects include confusion, memory loss, adverse reaction to anesthesia, increased blood pressure and heart rate, headache, nausea, and muscle ache.
Below are some of the alternatives to ECT:
Transcranial Magnetic Stimulation (TMS) involves using rapidly alternating magnetic fields to stimulate specific areas in the brain. It is often used to treat depression.
Vagus Nerve Stimulation (VNS) was initially developed to treat seizure disorders, but it can also be used to treat depression. In this procedure, an electric pulse generator is implanted under your skin to stimulate the vagus nerve in the neck.
Prior to the Electroconvulsive Therapy (ECT), your medical professional will provide you with comprehensive instructions relating to preparations, such as dietary guidelines and adjustments to your medication. A detailed psychiatric and medical examination will also be performed, encompassing various tests such as blood work, an ECG, and potentially a full physical evaluation, to confirm your physical health and suitability for the procedure. Furthermore, having a trustworthy support network is key to accompany you to the medical facility, offer emotional comfort, and assist in managing your aftercare.
Post the Electroconvulsive Therapy (ECT), your condition will be closely observed in a recuperation area. You might feel befuddled, lose your sense of direction, or struggle with memory loss immediately, however, these reactions are short-term and usually disappear within an hour. Once your condition stabilizes, you can safely return home under the guardianship of another person as your cognitive and motor abilities might be momentarily affected.
Before ECT, you may have a certain mental health condition and experience severe symptoms that are thought to be life-threatening or they do not improve after other treatment options. After the treatment, you may notice an improvement in your symptoms, which may take around six weeks.
Generally, the Electroconvulsive Therapy (ECT) is considered safe, but as with all medical procedures, it has potential hazards. Typical side effects are headaches, muscular discomfort, queasiness, and upchucking, which usually diminish swiftly with rest and medication. More severe hazards include possible health complications like cardiac issues, predominantly in individuals with existing heart diseases. Moreover, some patients may exhibit temporary disorientation right after the procedure, but this usually resolves within an hour. They might also have difficulties recollecting events that happened shortly before the treatment or in the weeks or months leading up to the treatment.
Risks associated with the procedure are usually reduced through a comprehensive pre-procedure assessment, encompassing a detailed medical history, physical examination, and diagnostic testing.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Delhi is officially known as the National Capital Territory of Delhi (NCT). It is home to the capital of India, New Delhi. With a population of over 18 million, it is the second most populous city in the country. The city is brimming with vibrant modern life but also still steeped in history. People come to the city for its cultural richness and gastronomic scene.
Recently, Delhi has emerged as a medical tourists’ favorite destination. It’s the perfect place for those who seek low cost high-quality, world-class healthcare. India continues to expand its medical tourism sector with Delhi as one of the top hubs for medical facilities. Among the leading hospitals in Delhi are Max Super Specialty Hospital, Apollo Hospital Indraprastha, and BLK Super Specialty Hospital. Breast Augmentation and heart surgery procedures are two of the most popular procedures in the city. Patients come to Delhi for the following reason:
Delhi is overflowing with enchanting history and colorful modern life. The city is made of layers of history, temples, monuments, markets, and UNESCO World Heritage Sites. Many tourists come to witness its charm and discover its hidden treasures. Go to Old Delhi and visit the Red Fort where a load of people fell in love with its beautiful structure influenced by Islamic, Persian, Hindu, and Timurid traditions. Learn Islamic history in one of the largest mosque in India, Jama Masjid. Shop in Chandni Chowk Market, the largest shopping hub in Delhi. Pay your respect in Raj Ghat, a memorial dedicated to Mahatma Gandhi.
There is also New Delhi, India’s capital, where you can stroll around India Gate, a war memorial that was inspired by the Arc de Triomphe. Humayun’s Tomb, the tomb of the Mughal Emperor Humayun, is also worth a visit for anyone who loves history. Don’t forget to go to the Gandhi Museum (Gandhi Smirti) to learn more about the leader of Indian independence’s life. Tourists can also visit an enthralling historical site known as Purana Qila. In your spare time, you can shop in Janpath Market and Sarojini Market.
South Delhi has many sites to enjoy such as the unique Lotus Temple, the soaring tower of victory Qutab Minar, and the thriving nightlife of Hauz Khas Village. This district also has a famous shopping paradise including Dilli Haat, Shahpur Jat, GK 1 N-block market, and Dastkar Nature Bazaar.
Delhi has a high variation of temperature between summer and winter. Summer in Delhi can get really hot with an average temperature of around 32°C. The season starts in April to June and the temperature can reach as high as 46°C. It is advisable to avoid this season if you’re planning to do a lot of outdoor activities. The monsoon starts in late June to mid-September. The temperature usually falls to an average of 29°C, but it’s rainy and humid.
The temperature plummets during winter, ranging between 6°C to 7°C. This season starts in November and lasts until March. October to March is the best time to visit Delhi because the weather is neither too hot or too cold.
Indira Gandhi International Airport, located 16 km from New Delhi city center, is the busiest airport in India. This airport serves domestic and international flights that connect the city with almost every country across the globe. Terminal 1 is used by budget airlines such as IndiGo and SpiceJet, while Terminal 3 is mainly used for international operations and several domestic flights.
The city center can be reached by bus, airport taxi, and metro. The bus is the most affordable option although it can be very crowded. Taxi is a good way to travel but always use licensed taxis such as WTi Cabs, Meru, and Mega Cabs. App-based taxis like Ola and Uber is another choice of travel. The fastest way to travel to Delhi’s city center is by The Delhi Metro. The travel time is less than 25 minutes and should cost around 10 INR to 60 INR.
There are several transportation modes to get around Delhi. The Delhi Metro is the best option to travel around because it offers comfort and fast travel. Taxis are widely available in the city. The easiest way to call a taxi is by the Ola app. It’s usually cheaper to use Ola than a local taxi stands.
For shortstops, opt for auto rickshaws. They’re affordable and easy to find. Make sure to negotiate the fare before getting in because most drivers will refuse using the meter. The drivers are also known to overcharge foreign visitors. Driving around Delhi is not recommended since the traffic can be time-consuming and there is a lot of bad driving. You can always hire a local driver if you want to get around by car.
Citizens of Nepal and Bhutan can enter India without a visa. Citizens of Japan and South Korea can apply for a visa on arrival. Citizens of 150 countries can apply for e-Visa which is valid for 60 days. There are medical and medical attendant e-visas for tourists who come for healthcare. Other nationalities are required to apply and obtain a visa before entering the country.
All visitors must hold a passport valid for at least 180 days after their entry to India and should have at least two blank pages.