What cardiologists are saying a big step further for congenital heart disease management in India, four patients performed transcatator Pulmonary valve replacement (TPVR) procedures on 3 July on 3 July without the need of open heart surgery. TPVR is a minimum invasive technique that replaces a damaged heart valve using a thin, flexible tube (catheter) inserted through a blood vessel, which surgically avoids the need to open the chest.

Patients, all of whom, performed surgery during childhood for Tetralji of Fallot (TOF), returned to a birth -related heart -related heart condition that affects normal blood flow through the heart, with complications from a leaked pulmonary valve after years. Such leakage is a known long -term result of initial repair. Traditionally, such cases will require another round of open-horses surgery, which comes with significant risks and extended recovery.

Instead, the cardiology team carried out the TPVR procedures using the harmony valve system, a new generation valve made of biological tissue and mounted on a metal frame. As a result of this treatment, four patients: a 37-year-old from Delhi, a 17-year-old from Noida, 14-year-old from Gurgaon, and 15-year-old from Noida, each was discharged within 48 hours of the procedure, a significant reduction in a normal 10–12-day hospital.

“Globally, about 40% of the patients who undergo childhood repair for the tetralogies of the fall will require a pulmonary valve replacement within three decades.” Dr. S. Radhakrishnan, Head and Professor, Pediatric Cardiology and Adult congenital heart disease, “In India, the vast majority of these recreation are still managed through traditional surgery. Transcatator Pulmonary valve replacement (TPVR) is a less invasive, rapidly a lowly, rapidly, which stops in India, which is a lowly invasive, a low -aggressor, which is the fact that the fact is there Most clinical protocols still prefer surgical options.

Dr. Sushil Azad, Deputy Head and Principal Consultant, Pediatric Cardiology said, “The TVPR process is particularly valuable for many open-horses processes or high surgical risks patients. In a country like India, where estimated 200,000 children are born with congenital heart disease every year and can work on time to complete the conjunctions and timely people can work for people to complete and over time. Durable remedies that currently encounter delays or repeated high -risk surgery.

Dr. Ankit Garg, a multidisciplinary team of 5 interventional and pediatric cardiologists including Ankit Garg, traditional cardiology; Dr. Savita Krishnamurthy Guinea, Assistant Professor, Pediatric Cardiology; And Dr. Sasikpur Dubbar Yadav, Assistant Professor, Pediatric Cardiology were involved in successful processes, each with about 60 to 90 minutes.

Amrita Hospital is currently the only center in India that is free to implant harmony valves without international supervision.

Amrita Hospitals is a major multi-specific healthcare institution committed to provide world class medical care with compassion and innovation. Under the visionary guidance of Sri Mata Amritanandamayati Devi (Amma) in 1998, Amrita Hospital works with the main darshan that healthcare should be accessible to all regardless of socio-economic background.

The alleged ties between astronomer CEO Andy Bayran and HR Head Christin Cabot were quickly turned into an internet fodder, scattered in a coldplay concert and in the headlines.

But something is quiet and more painful beyond the scam: emotional toll secret office takes romance to those involved.

In today’s workplaces, emotional proximity is easily formed. Long, shared projects, and mutual stress create a closeness that can silently blur the boundaries.

But once this connection crosses in a romantic or sexual relationship, the effect does not lose. It surfaces as a stable erosion of anxiety, tiredness, and emotional stability.

Living in two worlds

Office affairs often require privacy. But people rarely talk about how much that privacy can be mentally tired. You are constantly scanning who can notice, the second-unsancing contingent conversation, and walking on a line between vulnerability and damage control.

Mental Wellness and Relationship Expert at Artemis Hospital, Dr. Rachna Khanna Singh says that “when someone is in a hidden or emotionally complex relationship, it can feel like living a double life.”

The division between your professional role and your personal feelings can gradually go away from your feeling of control. Many people begin to experience poor concentration, mood, or old stress, and often do not connect those symptoms back to the relationship.

What makes it worse is silence around it. She says, “Trying to remove the emotional weight of the relationship while staying fast is mentally dried.” The result is that people start pulling away from allies, they used to enjoy work once, and even from themselves.

Why walking away is so difficult

Even when people know that the relationship is hurting them, leaving it may seem impossible. It is not just about attraction. Often emotional dependence, fear of loss, and deep, pain that it can still work.

Being around the person every day makes the troop difficult, and many ends get stuck in a loop that they know is not healthy.

Dr. According to Singh, the relationship may feel that “a place where they are looking, want, or alive, whether it is also hurting them.” This contradiction creates a type of emotional paralysis, where the logic fade and the idea of eliminating things becomes another source of concern.

When stress becomes physical

The emotional toll of these cases is not just in the brain, it starts showing in the body. People often report poor sleep, burnouts, changes in appetite, or even recurring disease, without feeling that they are long living of emotional stress.

Dr. Singh explains that “chronic stress triggers the release of cortisol, which can disrupt everything from mood to reproductive health.” These are not an abstract effect. They live with experience-head that will not go away, fatigue that never raises, a body that remains under stress for prolonged after the end of meetings.

Quiet collapse

Most of the workplaces are not equipped to handle the emotional decline of these relationships. Policies may be present for electric mobility or misconduct, but what is some address when a person is emotionally exposed under the weight of privacy and shame.

In these situations, people often try to work hard, keep quiet, silent, pretend to be wrong inside, they are struggling with confusion, self-doubt and exhaustion. It is a type of burnout that does not come from overwork, but from emotional surcharge.

Workplace cases are not just personal options. They have psychological consequences that are beyond the relationship. And when they can look like brief scams from outside, they often leave behind permanent emotional trails for those involved.

What starts with proximity or convenience often ends in deep emotional stress. Because when you are having privacy, guilt and performing at a time, it is not just your relationship that breaks down. This is you

-The by Artical Arima Singh