SUNDAY, MARCH 7, 2021 (PAGE 4) BOLLYWOOD-BUZZ “People tend to “Used to feel isolated in huge parts in ’90s” Pooja Bhatt, who returns to acting with Netflix’s “Bombay Begums”, says there are a lot more choices for actors today cast actors in compared to the 1990s when she did not have many people she could relate to. The actor-director-producer, who made her debut with 1989 film “Daddy” said it was always important for her to do films that she could live with. roles they''ve Daughter of veteran filmmaker Mahesh Bhatt, the actor delivered critically-acclaimed performances in movies such as “Dil Hai Ki Manta Nahin”, “Sadak”, “Phir Teri Kahani Yaad Aayee”, “Sir” and “Zakhm”, before venturing into the done before” production and direction with “Tammana”, “Sur”, “Paap” and “Holiday”. In 2020, she made a guest appearance in “Sadak 2”, the Bollywood star Parineeti Chopra says actors tend sequel of her 1991 movie, but “Bombay Begums” marks her full-fledged return to acting. to get cast based on their previous work when all “I’ve done a lot less work than my contemporaries at that they want is to do roles where they can "change time. I’ve done possibly about 23 films in my life, when oth- ers might’ve done 80 or 90. But I chose to kind of follow my things up" and surprise viewers. heart and do stuff that I could live with,” Bhatt told PTI in an interview. The 32-year-old actor said she was not the obvious “In the 1990s, I used to feel isolated and so lonely in huge choice for her upcoming thriller "The Girl on The Train", parts because there were not very many people I could relate which is why it felt liberating to play Mira Kapoor, a com- to,” she added. plex woman struggling with grief and alcoholism, in the The 49-year-old star said small screen and her life have thriller. been “kind of intertwined” as her debut film was launched on "It is rare to get roles that you might have not played TV in 1989 and in 2021, she is doing a show on a streaming before because people tend to cast you for the things that platform. they have seen on-screen. So when you''re writing a “I think it’s an intimate platform for storytelling but yes, script, you go ''Oh I want this character, so let''s go to that today there are a lot more choices. I think, which is why we actor because that person has done it in a film''," Chopra have diverse actors. But there’s also an equal amount of told in a an interview. banality that takes place. I know because just speaking pro- "The habit is to go that person who you''ve seen do that fanity, or disrobing is not being forward.” part before. But actors are in search for something they the character which was in an unfamiliar territory. “Bombay Begums”, directed by Alankrita Shrivastava, battle, but still allows herself to go off and have an affair with haven''t done before, what other actors are known for," "With her, no two scenes are the same. She has a new explores the dreams and desires of five women from different somebody. Fatima is so hard on herself constantly. We look Chopra said. problem in every scene, has a different relationship with strata of society as they fight for survival in Mumbai. at our bodies as the enemy, we are very harsh with our- "The Girl on the Train", written by Paula Hawkins, has every character in the film. Depending on who is standing Bhatt plays the role of Rani, the CEO of a private bank, selves.” already been adapted in Hollywood in 2016 with actor opposite me, I was a different person. That was so excit- who goes on her own journey of tackling the murky corporate According to Bhatt, women have this pressure to deliver Emily Blunt playing the lead role. ing because I felt like I was playing five girls in one. There world, while simultaneously pulling off duties of a wife and a on the work front and are also expected to be a great home- Chopra, who has featured in romantic dramas such as are layers of alcoholism, being mentally messed up," she mother. maker. Men, on the other hand, have the privilege of getting "Ishaqzaade", "Shuddh Desi said. Among its many characters, the show features a 12-year- up and walking out, and someone else picks up after them. Romance", "Hasee Toh Phasee" and Chopra, who has The film features an ensemble old girl who’s attaining puberty, and a 49-year-old woman on “We are our own worst critics. If you’re not going to be "Meri Pyaari Bindu", said she saw the of Aditi Rao Hydari, Kirti Kulhari the advent of menopause, which appealed to the actor. kind to yourself, nobody’s going to be crying for us. So, I “Women are made to believe that this means the end of role as a big opportunity in her career. featured in romantic and Avinash Tiwari. think empathy begins with yourself. Treat yourself right. their life, the end of desire and the end of sexuality. But to be "I was grateful that the makers had What made Chopra''s experi- Allow yourself to fail. And then the world will be a bit more dramas such as able to play a woman who in the throes of that and still has that confidence in me that I would be ence on the film unique was the accommodating,” she added. willingness of her co-stars to push her impulses and follows them through is something that is a The six-episode series, which also features Amruta able to do this part. I was not the obvi- "Ishaqzaade", "Shuddh rarity,” Bhatt said. ous casting for the role, that for me themselves and interpret charac- Subhash, Plabita Borthakur and Aadhya Anand, premieres Desi Romance", "Hasee Toh ters that are already familiar to The actor hoped to get varied parts like the one offered by on Netflix on March 8, International Women’s Day. was a big achievement." “Bombay Begums” In an industry which relies on con- viewers through the book and the Bhatt is of the opinion that patriarchy is not gender-spe- Phasee" and "Meri Pyaari “But I’m not in a hurry. People keep asking me whether cific as there are many women who display acute patriarchy. venient casting, the actor said roles Hollywood original. ‘Bombay Begums’ has opened a Pandora’s box. But I’m like, such as "The Girl on The Train" must "Sometimes people come with “I think that women fall into that trap more often than Bindu", said she saw the ‘You know what? This happened to me. But I’m quite content not. So it’s not something that only men thrust upon us. We be acknowledged. a lax attitude. Because they''ve if this is the only thing that happens to me.’ I’m quite satiat- somewhere take that and we kind of reinforce that. We do "Not everybody gets a mixed bag of role as a big opportunity in done the same thing a thousand ed with the way it has played out for me.” that by really not having each other’s backs in many ways. offers. Everybody tends to get some- times, they just give their shot Bhatt said her character of Rani, like many women in thing in the same world. We must be her career. and leave. But here were really powerful positions in India, is the queen of that world as the Making other women pay the price for what we could not be grateful for opportunities like these, hungry actors, who would be will- CEO of a private bank. She has to navigate the murky corpo- or what was some way thrust upon us,” the actor said. where you can change things up and surprise people," she ing to give multiple takes, not get rate world while balancing a complicated family life. For any actual change to take place, there is a need to let said. worried about getting physically exhausted. Everyone was The actor said the show looks at women from different go of the differences. The Ribhu Dasgupta film will be her first project where raw and genuine," she said. walks of life as they navigate expectations around them to be “I think living is a constant process of unlearning and in a the actor will essay a character dealing with grief and "The Girl on The Train" was released on Netflix on multi-dimensional, something best represented in Shahana world that is so polarised, where we are only projecting our- selves, it’s time we pause and ask the other about what they emotional complexities. Chopra said she worked hard on February 26. Goswami’s character of Fatima. “I mean Rani has got her own issue and she’s fighting this feel,” Bhatt said. BEAUTY TIPS HEALTHLINES Facial Paralysis Jaundice in Pregnancy Dr Amit Basnotra, Dr Richa Sharma nance of hydration, nutrition, correction of electrolyte disturbances, You are never fully dressed without a smile correction of coagulopathy, and control of blood glucose levels. Liver and biliary tract disorders can affect the pregnant woman Intensive care with ventilatory support may be necessary in some facial weakness. Weakness in Bell palsy fully evolves Dr Mandeep Kaur and her fetus and the most common presentation is Jaundice cases depending on the etiology and severity of the disease. It may be over 24-72 hours. Facial symptoms vary according It is customary to divide liver diseases into those specifically relat- necessary to expedite delivery even though the fetus may be prema- to the timing of presentation and degree of recovery. The human face is critical in social ed to pregnancy, those coincidental to pregnancy, and those that are ture.So all will be decided as per the clinical status of the mother and Other clinical signs are ocular irritation, narrowed chronic and antedate pregnancy. Pregnancy may normally induce the viability status of the baby with team approach as at end aim is to interactions, providing nonverbal palpebral fissure width, loss of facial symmetry at appreciable changes in some of the tests to assess liver function have a SAFE MOTHER AND SAFE BABY !! cues regarding a person's identity, rest, collapse of the external nasal valve, oral incom- What is Jaundice ? race, sexual dimorphism, emotion, petence, muscle hyperactivity, neck discomfort and Jaundice Or Icterus is the yellowish discolouration of the skin and facial fatigue, inability to whistle, blow cheeks, suck mucosa and it is caused by the rising levels of bilirubin and it can be and overall health. a straw or pronounce words, drooling of saliva from due to reasons related to liver and those which are non hepatic like in the affected side and difficulty in eating, drinking. pregnancy Whether we like it or not, judgments based on Lack of meaningful smile also occurs in severe cases. When Should You Seek Medical Care ? facial appearance play a powerful role in how we A thorough head and neck examination, includ- You should seek urgent medical attention and care when you notice treat others and how we ourselves are treated. ing otoscopy and detailed cranial nerve examina- yellowish discolouration of eyes/skin or have dark coloured urine and Psychologists have long known that attractive peo- tion, is performed. Imaging studies and MRI are abdominal swelling along with other sign symptoms like itching ple achieve better outcomes in practically all walks Incidence- Jaundice complicates about 1 in 2000 pregnancies What Could be the Reasons of Jaundice In Pregnancy ? Viral hepatitis is the most common cause and may account for up to 40% of cases. Other conditions include hemolytic jaundice, recurrent intrahepat- ic cholestasis of pregnancy (up to 25%), and gallstones (6%). Hyperemesis Acute fatty liver Conditions Which Can Present As Jaundice In Pregnancy - Hypertensive disease of pregnancy are responsible for less than 10% Below are few coditions which can lead to Jaundice In Pregnancy- of cases. 1) Viral hepatitis- Jaundice may also occur in association with treatment with drugs This does not appear to occur more frequently in pregnancy than such as chlorpromazine and, rarely, in severe cases of excessive vom- at other times, nor is it significantly different in its cause or manage- iting. ment as far as the mother is concerned. Management of the patient is How to Detect it ? not influenced by pregnancy and treatment similar to that in the non- From the clinical details with certain set of questionnaire can help pregnant should be given. to reach the timely diganosis Prematurity and stillbirths are more common if the disease occurs History with regard to recent travel abroad later in pregnancy. However, if jaundice occurs earlier, it appears to be Past and current medical or surgical illnesses less harmful. Neither hepatitis B nor hepatitis A virus causes congen- Side effects of certain drugs, substance abuse ital abnormalities, and so an infection during pregnancy is not an indi- Episode of blood product transfusion and any complications for cation for termination. Jaundice due to gallstones is rare in pregnan- the same cy but, if it does occur, removal of the stone(s) would be indicated. of life. We have all heard, "You never get a second Besides one need to rule out any family history of jaundice or liver Liver diseases peculiar to pregnancy- done to rule out any benign and malignant tumor disease chance to make a first impression." What is striking Hyperemesis gravidarum. involving the facial nerve. Complete blood count, We have to ask for the symptoms of pruritus, pain, nausea, vomit- is that the judgment during the first impression is Hypertensive disease of pregnancy. ESR, C-reactive protein, rheumatoid factor, antinu- ing, fever, and color and consistency of stools. made within 1/10th of one second. Thus, disrupted Its association with HELLP syndrome is well recognized clear antibody, antineutrophil cytoplasmic anti- Gestational age and estimation of fetal weight and fetal movement facial appearance or facial deformity, may lead to Treatment is by delivery of the fetus. body, antiphospholipid antibodies, ACE are indicat- and viability should be established. psychosocial distress. It is obvious, therefore, that Intrahepatic cholestasis of pregnancy. ed in recurrent cases, or suspected autoimmune Dermatological manifestations of liver disease can be in the form of- people with facial palsy or paralysis (FP) are imme- This presents with pruritus and jaundice. conditions. Electroneuronography is indicated Palmar erythema diately aware of their deformity and are extremely It usually resolves within 48 hours of delivery and up to 45% of cas- between 3 and 14 days of symptom onset in patients Spider nevi are present in 60% of normal pregnant women frightened that it will be permanent. es recur in subsequent pregnancies who present with delayed traumatic or idiopathic How to Assess the Severity Of Illness ? The parents of a child born with unilateral or facial palsy. There is a recognized fetal mortality associated with this condition, bilateral facial palsy seek help and need qualified Clinical assessment is need to categorise and plan the next step of Management management- especially in late pregnancy counselling and intervention quickly. Acquired iso- Fetal assessment in the form of frequent cardiotocographs (CTGs) lated facial palsy affects 25 to 120 per 100,000, and Given the breadth of therapeutic options, man- Degree of jaundice Hydration status and biophysical profiles is indicated, especially in late pregnancy. How- is idiopathic, which is called Bell palsy, in 70% of agement of FP can be daunting. It is useful to classi- ever, it is not clear that frequent antepartum testing can prevent the cases. However, because it can be mistaken for a fy patients with FP into 1 of 5 management domains, Level of consciousness Cardiovascular stability adverse outcomes in pregnancies complicated by intrahepatic stroke, these patients are evaluated on an emergent based on timing of presentation, and status of the cholestasis so the risk still contiues but definitely timley measures tak- basis. Moreover, whether it is idiopathic, viral, relat- facial nerve and facial musculature. Therapeutic Presence of flapping tremor Evidence of ecchymoses, ascites, hepatic tenderness, and uterine en can help save two lives ed to tumor, infection, trauma, or iatrogenic, this strategies may include pharmaceutical agents in the Acute fatty liver and acute hepatic failure - form of corticosteroids, antivirals, antibiotics, and so on likewise demands comprehensive and timely inter- Rarely, in late pregnancy, a patient will develop vomiting, upper corneal protective measures like daytime lubricating Management Of A Jaundice Pregnant Patient- vention. Having an outline of the approach to facial abdominal pain, and jaundice. This may quickly be followed by eye drops, Night time lubricating ointment, eyelid Jaundice when happens in pregnancy carries a lots of underlying palsy aids the clinician when they are confronted headaches, mental confusion, and death. The whole duration of the taping etc, physical therapy (PT) includes patient's risks not only to the prospecrive mother but also to the in utero baby with a scared and worried patient and family. disease may be merely a few days. education and eyelid stretching, chemodenervation who has to yet come in the world.It carries a lot of worries and queries How to diagnose The progress of the condition is so rapid that effective treatment agents, fillers, facial yoga and a myriad of surgical in mind of the patient, family and treating doctor too as sometimes the A thorough history may be invaluable in estab- may be almost impossible. Early delivery is indicated at the first appear- procedures. sequence of events may be unpredictable especially when detected late lishing the diagnosis thus the clinician may inquire ance of jaundice if the diagnosis is not in doubt. Patients with impaired facial expression due to so right approach on time is very important seeking help of Gastroen- as to the presence of otovestibular symptoms like Conclusion- facial paralysis experience impaired social interac- trologist besides the Obstetrician so that things not missed and appro- hearing loss, hyperacusis, vertigo, imbalance, otor- Jaundice in Pregnancy is a condition which may be just a mild man- tions. Numerous studies have shown that such priate treatment can be given. rhea, focal neurologic deficits (eg, diplopia, facial ifestation of altered physiology or may be a warning sign of an under- anesthesia), constitutional symptoms (fever, chills, patients suffer social consequences with regards to Patient may often need Hospitalization for investigation and mon- lying grevious disease so crux is not to ignore and seek urgent help and fatigue, malaise, sweats, weight loss), meningitic attractiveness, affect display, depression, social itoring during which they will be subjected to a battery of blood tests medical care.Right approach and guidance both by doctor and self headache, Lyme-specific symptoms like recent tick withdrawal and other traits. Fortunately, recon- ,viral screening and even ultrasound both for the patient and for the awareness by the patient and family members can help check impend- bite or exposure, erythema migrans rash, arthral- structive surgeries that restore the ability to express foetal well being as here two lives on stake due to one reason and it def- ing serious outcomes.Multidisciplinary approach keeping safety of gias, myalgias, low back pain, inflammatory symp- emotion can restore normalcy in these patients. initely shifts the normal course of pregnancy to high risk zone patient and the baby as priority should be the way. toms eg, orofacial swelling or parotitis, uveitis or (The author is assistant Professor Dept of Oral Pathology & Joint management with a physician or surgeon would be useful to (The authors are Senior Gastroentrologist and Senior IVF Consultant) known autoimmune conditions and slow onset of Microbiology Indira Gandhi Govt Dental College, Jammu) identify the etiology and carry out supportive therapy with mainte-