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EDITOR EVENT SPEAK

Mega Anniversary Issue

magazine Volume - VII Issue - I May-June 2016

Editor

Anniversary is The Celebration of Trust, Service And Relations Thank You for taking the time to hold Medgate Today Magazine for 7 years. Today seems like a good day to express my appreciation to our readers and advertisers at large for the warm welcome and resounding support of all the changes we are implementing. Let me take the opportunity to THANK to all 25 Legends, who have been featured in this issue but we also adhere that there are many great legends in our country and they are doing excellent works we all witness PAN India. Medgate today salutes that hero’s too.

The Global Home Healthcare Market is expected to reach USD 355.3 billion by 2020 The Global Home Healthcare Market is expected to reach USD 355.3 billion by 2020, growing at an estimated CAGR of 7.8% from 2014 to 2020, according to a new study by Grand View Research, Inc. Home healthcare products are generally applied to a broad range of equipment and services designed for exclusive use for home or other nonmedical establishments by non-professional caregivers, family members, or the patients themselves. Increasing adoption of telehealth and other emerging healthcare technologies are expected to drive market growth over the forecast period. Home healthcare is rapidly getting adopted as a cost effective alternative to healthcare establishment based therapy and therefore, growing geriatric population base and prevalence of chronic conditions requiring long term care is also expected to have a positive impact on growth. Presence of untapped potential in emerging markets such as India, Brazil and China and increasing health awareness are expected to serve this market as future growth opportunities. Have an insightful reading. Your suggestions are most welcome! E-mail: editor@medgatetoday.com Website: w w w . m e d g a t e t o d a y . c o m

www.m e d e g a t e t o d a y. c o m May-June 2016

Feature Editor Editorial Advisor

National Head Dy. Manager

Sales & Marketing

Dr. ma Kamal Dr. Pradeep Bhardawaj, Razi Ahsan GP Capt. (Dr.) Sanjeev Sood Dr. Sharad Lakhotia Afzal Kamal Deepti Tripathi

Advertisement Manager

Jai Prakash Upadhyay

Asst. Manager Corporate Communication

Sunita Dhami

Sales and Marketing

Graphic Designer Subscription & Circulation

Amjad Kamal, SY Ahmed Khan, Ranjit Shirsath Jagruti Diddi Zyaul Haque Ansari All right reserved by all everts are made to ensure that the information published is correct 'Medgate today’ holds no responsibility any unlikely errors that might occur. Circulation Office:

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Contents

Cover Story 30 To

30 Dr.Pratap C Reddy

32 Prof (Dr) M Wali

40 Dr. Ashok Seth

44 Dr Pradeep Chowbey

56 Dr. Tarlochan Singh KLER

48 Prof (Dr) Ashok Garg

60 Bhuendra Kumar Rana

72 Bomi Bhote

38 Dr Ramakanta Panda

Dr. KK Aggarwal

58 Rajendra Pratap Gupta

70 Dr. Vanita Arora

36 Anjan Bose

62 Dr Alok Roy

74 Dr. Kh Palin

50 Dr. Minnie Bodhanwala

64 Dr Naveen Nishchal

76 Rupak Barua

Living Legends in Healthcare of India

78 Dr Ahmad Abdul Hai

52 Dr. H. Sudarshan Ballal

54 Dr. Gridhar Gyani

66 Dr. Harish Pillai

68 Dr. Abhijeet M Dashetwar

79 Prof. Dr. A. Zameer Pasha

80 Dr Suresh K Pandey

Medgate Today Announces Winners of the 6th MT India Healthcare Awards 2016 ��8-11 VOH Conference on Healthcare Infrastructure & Management �� 12 ICMR, Ministry of Health & Family Welfare �� 14 “Tomotherapy” New Hope for Cancer Patients �� 16 Why we need an AIDS Vaccine? �� 16 EOLIS air manager, 1st intelligent air filtration system to be launched in India �� 18 PHD Chamber of Commerce and Industry & Public Health Foundation of India �� 20 One year on, health partners review Nepal quake response �� 22 Antimicrobial resistance (AMR), is a reality today. Every year, AMR is responsible for the deaths of nearly 60,000 babies in India. � 24 Unique Challenges of Fostering Innovation in a Healthcare Organization �� 26 Keep Kids Safe This Summer-Precautions & Tips �� 28 With Diabetes Increasing to Epidemic Proportions, 360 degree care is crucial to management & reducing fatalities �� 82 JK Ansell welcome’s FDA proposal for ban on powdered medical gloves �� 84 All You Want to Know About Surrogacy �� 86 YELLOW PAGES �� 92 4

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NEWS Update

Medgate Today Announces

Winners of the 6th MT India Healthcare Awards 2016 Mumbai, March 16, 2016: Medgate Today, the world’s foremost and India’s leading healthcare and medical magazine organized the “6th MT India Health Care Awards 2016”, heldat Medical Fair India 2016 at Bombay Convention & Exhibition Centre, Mumbai Maharashtra. These awards aim to recognize and honour the leaders in healthcare. Doctors, healthcare professionals, hospitals and health corporations, from all over India,nominated themselves for the awards. Around 3026 nominations were received. The selection criteria was athree months screening process, basedon the profile assessment of the nominees, comprehensive online research, customer reviews andpatient satisfaction. Last but not the least, the recommendation from the eminent panel of jury was the deciding factor for the winning ticket. Mr. Kyungsoo Kim,Consulate General of Federal Republic of Korea, was the chief guest on the occasion. “I extend my sincere regards to Medgate Today

Dr. S. Suthanthira Devi

Best Doctor in Gynecology (For Serving in Rural Areas & PHC)

www.m e d e g a t e t o d a y. c o m May-June 2016

for organizing the highly acclaimed 6th MT India Healthcare Awards 2016 for glorifying the front runners in healthcare. These professionals, through high standard of their work, diligence and perseverance, have promoted better understanding of the Indian healthcare and the world”, said Mr. Kyungsoo Kimon the event. “As pathfinders in healthcare, these medical and healthcare experts have the vision, knowledge, resources and the experience to make this country great. They are truly, our greatest asset today and tomorrow, and their support and leadership has made India a better

Dr. Babar Chaudhri

Best Cardiac Surgeon of the Year

Dr. A.S. Soin

Best Doctor in Liver Transplant

nation. These awards intend to inspire others towards big achievements”, said Mr. Afzal Kamal, Founder & Editor of Medgate Today. Mr. Horst Giesen,Global Portfolio Director, Healthcare and Medical Technologies, Messe Düsseldorf GmbH and Mr. Thomas Schllit, Managing Director, Messe Düsseldorf India Pvt. Ltd., Dr. M. Wali,Sr. Consultant Medical: President of India, Mr. Anjan Bose, Secretary General, Nathealth, and Dr. Jitendar Sharma ,Director NHRC & Advisor to Chief Minister Andhra Pradesh were also present at the occasion along with other dignitaries.

Dr. Rajiva Kumar

Best Doctor in Child and Neonatal Care

Dr. Mukesh Bavishi

Best Doctor in Gynecology and Gynec Oncology

NEWS Update

Dr. Akanksha Shah

Dr. Akshat Pandey

Dr. Ashit ` Syngle

Dr. Santwana Vernekar Best Doctor in Quality Management

Healthcare Personality of the Year (Marketing and Branding)

Siddharth Sanghwan

Manish Mendiratta and Rajiv Misra

Dr. Pervez Ali Ahmed

Dr. K.G Alexander

Catheter Reprocessing System (Vikram Goel)

Best Young Cosmetic Dermatologist of the Year

Best Doctor in Rheumatology

Young Healthcare Entrepreneur of the Year

Healthcare Personality of the Year(Hospital Administration

Best Doctor in Physiotherapy

Healthcare Personalities of the Year (Referral Marketing)

Best Innovative Medical Product of the Year

Dr. Rajneesh Kapoor

Best Doctor in Interventional Cardiology

Sameer Bhati

Healthcare Entrepreneur of the Year

Dr. Swetapadma Dash

Healthcare Personality of the Year(Quality Management)

w w w.medegatetoday.com May-June 2016

NEWS Update

Medanta The Medicity

Pushpawati Singhania Research Institute

Fortis Hospital Jaipur

Apollo Hospitals Bhubhaneshwar

Best Multispecialty Hospital of the Year

Best Multispecialty Hospital In Rajasthan

Pushpawati Singhania Research Institute Best Hospital in Gastroenterology

Hindustan Medical Devices Make in India Initiative Company of the Year

Dr. Shameem Ahmed Best Doctor in Neurosurgery

www.m e d e g a t e t o d a y. c o m May-June 2016

Best Hospital in Hospitality Management

Best Technology Initiatives Hospital

Prof Veer Singh Mehta

Cygnus Medicare Pvt Ltd. Best Corporate Hospital Chain of India 2016

Dr. Raghoji Kidney Hospital

Best Single Specialty Hospital of the Year (Kidney Related Diseases)

Dr. Habeeb Ghatala

Lifetime Achievement Award (Neurosurgery)

Lifetime Achievement of the Year (Healthcare Management)

Ribbel International Ltd

Sai Sumeet Appliances

Disposable Product Manufacturer of the Year

Best Modular OT Design and Consultants

NEWS Update

32Awards Were Given Under Different Categories. NAME

The winners are: AWARD CATEGORIES

Dr. S.Suthanthira Devi Best Doctor in Gynecology (For Serving in Rural Areas & PHC) Dr. Babar Chaudhri Best Cardiac Surgeon of the Year Dr. A.S. Soin Best Doctor in Liver Transplant Dr. Rajiva Kumar Best Doctor in Child and Neonatal Care Dr. Mukesh Bavishi Best Doctor in Gynecology and Gynec Oncology Dr. Akanksha Shah Best Young Cosmetic Dermatologist of the Year Dr. Akshat Pandey Best Doctor in Physiotherapy Dr. Rajneesh Kapoor Best Doctor in Interventional Cardiology Dr. Ashit Syngle Best Doctor in Rheumatology Dr. Santwana Vernekar Best Doctor in Quality Management Sameer Bhati Healthcare Personality of the Year (Marketing and Branding) Siddharth Sanghwan Young Healthcare Entrepreneur of the Year Manish Mendiratta and Rajiv Misra Healthcare Personalities of the Year (Referral Marketing) Dr. Pervez Ali Ahmed Healthcare Entrepreneur of the Year Dr. K.G Alexander Healthcare Personality of the Year(Hospital Administration Catheter Reprocessing System (VikramGoel) Best Innovative Medical Product of the Year Dr. Swetapadma Dash Healthcare Personality of the Year(Quality Management) Medanta The Medicity Best Multispecialty Hospital of the Year Pushpawati Singhania Research Institute Best Hospital in Hospitality Management Cygnus Medicare Pvt Ltd. Best Corporate Hospital Chain of India 2016 Fortis Hospital Jaipur Best Multispecialty Hospital In Rajasthan Apollo Hospitals Bhubhaneshwar Best Technology Initiatives Hospital Best Single Specialty Hospital of the Year (Kidney Related Diseases) Dr. Raghoji Kidney Hospital Pushpawati Singhania Research Institute Best Hospital in Gastroenterology Prof Veer Singh Mehta Lifetime Achievement Award(Neurosurgery) Dr. Habeeb Ghatala Lifetime Achievement of the Year (Healthcare Management) Hindustan Medical Devices Make in India Initiative Company of the Year Ribbel International Ltd Disposable Product Manufacturer of the Year Sai Sumeet Appliances Best Modular OT Design and Consultants Sun Narula Group(SNG) Most Emerging Brand of the Year Spencer India Technologies Ltd. Best Medical Equipment Company of the Year Dawailelo Best Healthcare Startup company of the year Dr. Shameem Ahmed Best Doctor in Neurosurgery

Sun Narula Group (SNG) Most Emerging Brand of the Year

Spencer India Technologies Ltd. Best Medical Equipment Company of the Year

Dawailelo

Best Healthcare Startup company of the year

w w w.medegatetoday.com May-June 2016

NEWS Update

VOH

Conference on Healthcare Infrastructure & Management

The second VOH conference followed the main theme: Sharing & Learning. This conference on Hospital infrastructure and Management showcased the very experienced speakers and revolutionary topics. After the inauguration, session was initiated with Dr Naveen Nischal’s spell bound presentation on serial healthcare entrepreneurship to develop the Chain of hospitals. Dr Naveen Nischal as Chairman of Voice of Healthcare also made a small presentation on VOH. In a absolutely logical extension, Mr Arun Mathur, GMProjects Narayana Hrudalaya, and shared the strategy of affordable healthcare infrastructure. It was an absolute surprise to learn that Mr Mathur as a healthcare architect designed many hospitals of international standard. Dr Shaktimaya, an authority on Healthcare Analytics, emphasized over the need for application of healthcare analytics. This would enhance the success ration of hospitals decision making and would bring transparency, vision and accountability in industry. The next speaker was Mr Mohammed Ameel, Consultant, Healthcare Technologies (Medical Devices) NHSRC, Ministry of Health & Family Welfare, GOI . In a very powerful presentation on “Advancement in the field of Healthcare Technology he dwelled upon Technology’s role in shaping future of public health. Mr Satyanarayna, senior consultant, Hosconnn healthcare consultancy, dared to decipher the futuristic healthcare. This topic was probably first time elaborated in healthcare. Day2 started with VOH presentation by founding members of VOH, Mr Afzal Kamal and Mr Manish Rastogi. They shared the history, vision , mission and reasons for existence of voice of healthcare. Mr Hemant Bhardwaj, MD & Cofounder of PM Healthcare Pvt Ltd has very simple presentation to convey powerful impact of Internet in healthcare. In his presentation “Internet Driving innovation & efficiency in the delivery of healthcare services, he stressed upon his organization’s approach on ecommerce of healthcare. Another senior consultant from Hosconnn Healthcare Consultancy Mr Rajeev Kanamadi, a organizational behavior expert , cautioned that employees behavior should be keenly analyzed and incase of any deviations ,must be corrected immediately .He said if there is no internal strength , don’t expect to win the market battle as a shattered army with low morale can’t hit the target. At the end of the 2 day conference , VOH organizing team also shared the plan of upcoming one-day series of VOH conferences across India. 12

www.m e d e g a t e t o d a y. c o m May-June 2016

8-9 April 2016 Banglore

NEWS Update

ICMR, Ministry of Health & Family Welfare, Govt. of India, Govt. of Madhya Pradesh and Sun Pharma announce public-private-partnership for Malaria Free India

This is India’s Unique & First-of-its-kind Public-Private-Partnership in Preventive Health & Disease Elimination Partnership to demonstrate malaria elimination in over 1,200 villages of Mandla district by FY21  Malaria Free India demonstration project to be launched in the Mandla district of Madhya Pradesh before December 2016  Sun Pharma to establish a not-for-profit Foundation for implementing Malaria Free India demonstration project  Malaria Free India Public-Private-Partnership initiative to dovetail into Swachh Bharat Abhiyaan goals

ndian Council of Medical Research (ICMR), Ministry of Health & Family Welfare (MOHFW), Govt. of India, Govt. of Madhya Pradesh and Sun Pharma (Reuters: SUN.BO, Bloomberg: SUNP IN, NSE: SUNPHARMA, BSE: 524715, Sun Pharmaceutical Industries Ltd and includes its subsidiaries or associate companies), today, announced India’s first public-private-partnership agreement for Malaria Free India and other innovation in preventive health. This was announced by Dr Soumya Swaminathan, Director General – ICMR, Principal Secretary Health Mrs. Gauri Singh Govt of Madhya Pradesh and Dilip Shanghvi, Managing Director, Sun Pharma as a unique effort to draw public – private sector collaboration in promoting preventive health measures. The publicprivate-partnership stakeholders will jointly undertake malaria control & elimination programme by setting-up Management & Technical Committees to provide oversight for disease surveillance & elimination. Under the aegis of this unique public-private-partnership, ICMR, MOHFW, Govt. of India, Govt of Madhya Pradesh and Sun Pharma will establish a malaria elimination demonstration project titled Malaria Free India, to support the national framework for elimination of malaria in India. The demonstration project will be launched in one of the most malaria endemic districts of Madhya Pradesh and implemented in a phased manner, beginning with Mandla district of Madhya Pradesh. The public-private-partnership stakeholders will execute the malaria elimination programme over a span of 3 to 5 years covering over 1,200 villages in Mandla district. According to the Hon’ble Union Minister of Health & Family Welfare, Sh J P Nadda adds, "The first of its kind publicprivate-agreement between ICMR & Sun Pharma reiterates India's commitment to eliminate malaria. Implementing Malaria elimination demonstration project in a high transmission district of Mandla in Madhya Pradesh using proven case management and vector control strategies will be done in collaboration and through the support of Govt of Madhya Pradesh. ICMR and Sun Pharma will aim to reduce the morbidity and mortality caused by malaria in this demonstration project as well as prevention of re-introduction of malaria. The lessons learned would be used for elimination of malaria from the country by the national program. I believe that this partnership has a potential to create sustainable impact by reducing malaria morbidity and improving people's health. This will enable us to alleviate poverty within the target geographies through cost

www.m e d e g a t e t o d a y. c o m May-June 2016

effective interventions and improvement of overall development and quality of life.” The Minister Health & Family Welfare; Ayush; Bhopal Gas Rehabilitation; Medical Education and Legislative Affairs, Govt of Madhya Pradesh, Dr Narottam Mishra adds, "We are very happy to collaborate with Sun Pharma and ICMR in their efforts at elimination of Malaria from the State. There are over 5,000 villages in Madhya Pradesh, with API over 1 and it is our endeavour to move the State and especially the malaria endemic districts towards API below 1. This requires not just strong efforts at community level but also ensuring and maintaining the supply chain for malaria drugs and diagnostics, right up to the villages. I hope that this collaboration, which is starting from district Mandla, will expand to other districts and enable us to achieve the ambitious goals we have set for ourselves." According to the Director General Indian Council of Medical Research, Dr. Soumya Swaminathan, “I am pleased that ICMR is partnering with Sun Pharma in a malaria elimination demonstration project – a high priority for us. Malaria is not uniformly distributed in India and 6 states are responsible for > 60 % malaria in the country. These are Odisha, Chhattisgarh, Madhya Pradesh, Jharkhand, Maharashtra and Northeastern states. 91 districts in India, having 5% of country’s total population, 31 % of tribal population are high Burden districts contributing nearly half of malaria cases and deaths. Studies done by ICMR have shown that a holistic strategy can reduce malaria burden significantly within a few years, in a defined area. The proposed public-private partnership for malaria elimination will use the same available and tested strategies of case management (diagnosing and treating all symptomatic and asymptomatic cases through mass screening), intense surveillance and vector control by using indoor residual sprays and long-lasting insecticide impregnated bednets. Community participation and IEC will be key components. This project aims to demonstrate that it is feasible to eliminate malaria from a high endemic district, and will hopefully become a pathfinder for the rest of the country. It is also a unique model of collaboration between the central and state governments, a private pharma company and ICMR, and could pave the way for more private investment in public health."

NEWS Update

"Tomotherapy" New Hope for Cancer Patients Medanta – The Medicity, in collaboration with the Association of Radiation Oncologists of India (AROI) hosted the Best of ASTRO India conference. The conference is considered to be the gold standard in the professional education and research in the field of radiation oncology internationally. The conference was attended by the leading Radiation Oncologists1 from around the world and offered a platform to empower them with latest developments in the field for the benefit of the general public. Dr. Naresh Trehan, Chairman and Managing Director, Medanta - The Medicity inaugurated the conference and in his address spoke about the role of radiation oncology in cancer treatment. Dr. Trehan said, “It is our endeavor to provide the finest medical care in India, and we therefore strive to propagate the advances in medical care, research and training among the medical fraternity. Treatment of cancer is being made more effective by doctors with superspecialties and advances in equipment, ‘Best of ASTRO’ serves as a platform for knowledge sharing in Radiation

Oncology leading to delivery of the best treatment for cancer and also empowering of the patient in defeating cancer.” Talking about the conference Dr. Tejinder Kataria, Chairperson, Medanta Division of Radiation Oncology and Organizing Secretary of Best of ASTRO India added that “The conference was a great success this year. It provided a great opportunity for those who could not attend ASTRO 2015 to review all the important presentations covering the major sites and take back the frontiers of science to their clinics.”

Why we need an AIDS Vaccine? 2.1 mn people are living with HIV, in India, and more are contracting it everyday May 18, 2016: is HIV Vaccine Awareness Day which commemorates U.S. President Bill Clinton’s 1997 declaration that, “only a truly effective, preventive HIV vaccine can limit and eventually eliminate the threat of AIDS.” In India, 2016 also marks 30 years of work in research and development of an AIDS vaccine since the first case of HIV was documented. HIV Vaccine Awareness Day is commemorated on May 18 each year to educate the world on the need for an AIDS vaccine, and recognise and celebrate the many scientists, health professionals and community members across the world who are working together to discover an HIV vaccine and make AIDS history. Despite remarkable advances in treatment and prevention since then, HIV/AIDS is still neither contained nor manageable. “Recent studies make it clear that we will not be able to accelerate the end of the HIV/AIDS epidemic without a cure for HIV or new tools to treat and prevent virus transmission. Further investment and innovation in HIV prevention will be

required to realize our shared vision of a world without AIDS”, said Dr Rajat Goyal, Country Director – India, International AIDS Vaccine Initiative (IAVI). As per a recent report by Nations AIDS Control Organisation (NACO), India is still estimated to have 2.1 million people living with HIV (PLHIV), out of which, 6.54% are children below the age of 15, while a massive 40.5% of total HIV infections are among females. However, a recent modeling study, partnered by IAVI, indicates that even with substantially increased use of existing treatment and prevention options there will be hundreds of thousands of new HIV infections per year, in low- and middle-income countries like India, for decades to come. Therefore, added to the comprehensive HIV/AIDS response, an effective and wellimplemented vaccine could prevent a majority of new HIV infections, driving down the number of people who need lifelong treatment, and ultimately the total costs of global HIV/ AIDS programs.

Southend fertility & IVF Treatment Centre celebrates Mother’s

On the occasion of Mother’s Day, several couples that were childless and have now conceived their own babies using advanced Assisted Reproduction Techniques (ART) came to celebrate Mother’s Day under one roof with Southend IVF. Expressing the joy on the occasion, Dr. Sonia Malik, Programme Director of Southend fertility & IVF said “Southend IVF Treatment Centre has become synonymous with providing inexpressible pleasure and is now boon to many childless couples. has helped thousands of childless couples conceive their own child using advanced Assisted Reproductive Techniques (ART)”. 16

www.m e d e g a t e t o d a y. c o m May-June 2016

Day

Further she added, “Since IVF treatment has helped motherhood gain a new definition. celebrate Mother’s Day the organization a grand celebration at The Ballroom, Sheraton New Delhi Hotel, for the parent who have experienced the bliss to come and have a gala time”. Southend’s driving philosophy is to offer most appropriate therapy to as many couples as possible, who are able to experience the joy of parenthood due to some problems by celebrating special occasion to make Mother’s pride . Southend Fertility & IVF Centre makes sure it honors young mothers and their little ones to make them feel special.

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NEWS Update

EOLIS air manager, 1st intelligent air filtration system

treatment, is about to launch EOLIS, the first intelligent air to be launched in India NatéoSanté, a French company specialising in air quality

filtration system especially conceived for the Indian market. Manufactured in France, EOLIS is intended to be made in India later this year, at EOLANE industrial plant in Bangalore. EOLIS will be on sale in India from May 2016 and distributed thought our Indian Partners. EOLIS air manager has been conceived from the initial idea to provide an air filtration system combining high performances and simplicity of use. Tailored for professionals in home appliances, hospitality and heath/medical sectors, EOLIS will incorporate a filter system composed of a medical grade filter HEPA H13 or ULPA U15 and a high density active carbon filter able to treat an area of either 60 or 120 m² (two versions will be proposed). Nateosanté air filtration systems are equipped with the most efficient filters on the market. In order to ensure 99.9% purification, our units are silent, reliable, easy to use, adapted to your needs and energy efficient. Natéosanté is very successful in Asia, with several trusted references (Renault, PSA, Mutualité Française, Miele …). The Indian market is extremely promising as declared by Mr. Stéphane Monnier, International Business Development

Haryana CM Lays Foundation Stone of Mata Amritanandamayi’s 2,000-bed Hospital in Faridabad • State-of-the-art facility, with dozens of super-speciality departments and centres of excellence • With 2,000 beds, to become the largest hospital in Delhi-NCR

Haryana Chief Minister Sri. Manohar Lal today laid the foundation stone for the Mata Amritanandamayi Math’s new 2,000-bed Amrita Institute of Medical Sciences & Research Centre (Amrita Hospital) in Greater Faridabad, in the presence of Swami Amritaswarupananda Puri, Vice Chairman of the Mata Amritanandamayi Math. The Union Minister of State for Social Justice & Empowerment, Sri. Krishnan Pal Gurjar and a host of other dignitaries also graced the occasion, which marked the beginning of construction of the state-of-the-art healthcare facility spread across nearly 100 acres in Sector 88, Greater Faridabad.

www.m e d e g a t e t o d a y. c o m May-June 2016

Manager: “India is a strategic market for our company and we want to provide Indian professionals with the best equipment to treat air pollution. Some of the cities in India like New Delhi are facing huge challenges due to very heavy levels of concentration of fine and ultrafine particles in the air, and NateoSante wants to work with Indian professionals with products like EOLIS that have a proven track record for improving quality of air and quality of life.” Swami Amritaswarupananda welcomed the dignitaries and read a statement from Mata Amritanandamayi (Amma), the worldrenowned humanitarian and spiritual leader who is the hospital’s founder: “May this new hospital become an abode of service to humankind and a place of solace for the sick. We should never forget that we require two types of health -- external and internal. While external (bodily) health is no doubt important, internal health, which involves cultivating a sharing and caring attitude and compassion for the less fortunate, is no less crucial.” Haryana Chief Minister Sri. Manohar Lal said: “India has a long tradition of saints working for social reforms and helping the poor. Mata Amritanandamayi is a shining example of this. She is an embodiment of love and compassion who has tirelessly worked for the welfare of entire humanity. She considers service to the poor as the greatest form of worship. Her Math is doing yeoman service around the world in the areas of education and health. I congratulate the citizens of Faridabad and all of Haryana for her decision to construct a 2,000-bed super-specialty hospital and medical college in Faridabad. It will benefit not only this industrial city, but also surrounding regions like Palwal and several districts of UP.”

NEWS Update

PHD Chamber of Commerce and Industry & Public Health Foundation of India (PHFI) sign a 5 year Memorandum of Understanding (MoU) to augment a strategic partnership for skill building in Healthcare in India With a major focus on promoting ‘Skill India campaign’, the MoU aims to develop and facilitate worksite wellness programs and training workshops for Healthcare professionals on chronic diseases across India, especially prevention of Non Communicable Diseases. With an aim to augment the Government of India’s ‘Skill India’ flagship project and to create a robust and vibrant ecosystem for quality skill development in the healthcare sector, PHD Chamber of Commerce and Industry (PHDCCI) and Public Health Foundation of India (PHFI) signed a 5 year memorandum of understanding for launching a joint program to organize capacity building initiatives in skilling healthcare professionals especially in the areas of chronic diseases and prevention of Non Communicable Diseases (NCDs). The MoU signed by Dr. Mahesh Gupta, President, PHD Chamber and Professor K. Srinath Reddy, President, PHFI, will undertake a country-wide initiatives to conduct training workshops for industry, government (Central/ State) and MNCs on important public health issues, with a special focus on Non Communicable Diseases. In his address Dr. Mahesh Gupta, President, PHD Chamber lauded the timing of the MoU and said “The Indian healthcare sector today is growing at a brisk pace and this MoU comes at a time when the Skill India Movement is looking at bringing about convergence. Along with PHFI, a key partner that has already developed capacity building and academic programmes, PHD Chamber renews its commitment to address the shortage in human resources in health through this MoU, hence being instrumental in advocating to corporates sustainable approaches in Indian healthcare sector.” Pointing out the major constraints faced by Healthcare professionals, Dr Mahesh Gupta emphasized that this sector in India is suffering with overworked professionals as there is a severe shortage of staff. The skill development workshops can be used across India to scale up and get this workforce to be competent in the healthcare space. 20

www.m e d e g a t e t o d a y. c o m May-June 2016

Stressing on the need to upgrade skills in the Healthcare sector, Prof. K Srinath Reddy, President, Public Health Foundation of India (PHFI) emphasized “The healthcare sector is expected to drive the growth of the economy as well as play a significant role in employment. In spite of notable progress and many positive developments, deficiencies in human resources both in terms of skills and numbers continue to pose a challenge for healthcare sector, affecting “Universal Health Coverage for All”. This MoU is a landmark initiative and will provide training on best practices in healthcare to a large spectrum of professionals in order to improve their employability and work towards a healthier India.”

NEWS One year on, Update

health partners review Nepal quake response,

call for scaling up emergency preparedness Nepal marks one year of the killer earthquake on 25 April, the health sector partners today reviewed lessons learnt from the event and recommended strengthening and expanding emergency preparedness and response capacities beyond the national capital, and testing them periodically, to prepare better for future emergencies. “We must learn from the Nepal earthquake, just as we did from the Indian Ocean tsunami. Applying lessons learnt from such events can help strengthen our efforts for preventing emergencies from becoming disasters,” Dr Poonam Khetrapal Singh, Regional Director for WHO SouthEast Asia, said. Dr Khetrapal Singh was addressing a two–day ‘Lessons Learnt Conference: Health Sector Response to Nepal Earthquake 2015, organised by the Ministry of Health, Nepal, and WHO, here on 20-21 April. Priority lessons identified in the meeting would be consolidated into a road map for further action. The health sector response to the Nepal earthquake was rapid, well-coordinated among the health partners, and tailored to the needs of the affected population. “While acknowledging what

was done right, we must also identify areas where we could have done better and explain the reasons behind these,” the Regional Director said. Among the key lessons learnt highlighted at the conference were the need for extending emergency preparedness and response measures beyond the national capital, to the districts. As over 80% of health facilities in the affected districts were either damaged or destroyed in the earthquake last year, the injured had to be rushed to hospitals in Kathmandu, which remained functional as they had been retrofitted, their staff trained in mass casualty management and they had emergency plans in place that were immediately activated. “The preparations that were done in Kathmandu hospitals helped saved many lives. Similar preparations need to be put in place at all other levels too, so that in the event of an emergency, everyone throughout the health system is prepared and knows what to do. As health facilities are being reconstructed, there is an opportunity to build better, and put more risk reduction measures in place” Dr Khetrapal Singh said.

Jaypee Hospital launches ‘Seniors Connect Health Card’

 J aypee Hospital organized a Free Health Camp for Seniors Citizens T ests such as Body Fat Composition Analysis, BP and Sugar were done free of Cost T he card has lots of benefits and discount offers

Jaypee Hospital, a Multi Super Speciality Hospital in Sector 128 Noida, launched a ‘Seniors Connect Health Card’ and organized a free health camp for the senior citizl;ens. The programme aimed at spreading awareness regarding the heart and lifestyle diseases among senior citizens. The two hour long session was organized in presence of more than hundred people to spread awareness about the dreadful impact of changing lifestyle on our health and lives.

We believe thereâ&#x20AC;&#x2122;s much more to healthcare than just technology. As one of India's most technologically advanced healthcare destinations, we firmly believe that treatment is all about taking time out to listen to patients carefully, understanding their problems holistically and recommending the best way forward. Which is why our promise is simple : We'll Treat You Well. A 670-bed JCI and NABH Accredited quaternary care facility set in a 40-acre waterfront campus, Aster Medcity has one Multispeciality Hospital and nine separate Centres of Excellence in Cardiac Sciences, Neurosciences, Orthopaedics & Rheumatology, Nephrology & Urology, Oncology, Women's Health, Child & Adolescent Health, Gastroenterology & Integrated Liver Care and Multi-Organ Transplant.

Aster DM Healthcare Ltd., Cheranelloor, Kochi, Kerala, India. Tel: +91 484 6699999 | astermedcity.com

INTERVIEW Antimicrobial resistance (AMR), is a reality today. Every year,

AMR is responsible for the deaths of nearly 60,000 babies in India. Thousands of tons of antibiotics are produced every year, in India and China, and there are numerous factories that do not use proper waste management and treatment systems. They dump untreated waste water and antibiotics into water streams, lakes and rivers in nearby areas around their factories and plants. They have either no dedicated waste treatment systems or don’t want to invest in these as these are cost-intensive. Some of the manufacturers have it but don’t want to use it as it involves additional resources. CEO (Business Unit Director) The result is that sometimes a single at DSM Sinochem Pharmaceuticals water source gets a huge load of harmful effluents from multiple manufacturing What is antibiotic resistance? plants posing a grave danger to the Antibiotics are crucial to the health of environment and disturbing the entire people everywhere. They are used in the eco-system of the habitat. medical world for treating various diseases and also for surgeries. Antimicrobial To what extent is antibiotic resistance a resistance (AMR), also called Antibiotic global threat today and for our future? Resistance is resistance of a microorganism New resistance mechanisms emerge and to an antimicrobial drug that was originally spread globally threatening our ability effective for treatment of infections caused to treat common infectious diseases, by it. Resistant microorganisms (including resulting in death and disability of bacteria, fungi, viruses and parasites) are individuals who until recently could able to withstand attack by antimicrobial continue a normal course of life. Without drugs, such as antibacterial drugs (e.g. effective anti-infective treatment, many antibiotics), antifungals, antivirals, and standard medical treatments will fail anti-malarials, so that standard treatments or turn into very high risk procedures. become ineffective and infections persist, Every year, AMR is responsible for nearly increasing the risk of spread to others. in 50,000 deaths in the US and EU alone[i]. In India, annually nearly 60,000 babies die short: from sepsis caused by bacteria resistant  Antimicrobial resistance kills to antibiotics. In 2012, there were about A ntimicrobial resistance hampers the 450,000 new cases of multidrug-resistant control of infectious diseases tuberculosis (MDR-TB) worldwide. A ntimicrobial resistance increases the If not addressed – by 2050, Antibiotic costs of health care Resistance will be the leading cause of How far is the industry responsible for health-related deaths, even surpassing cancer, with more than 10 million lives this phenomenon? A very important aspect that is missing lost every year. from this debate is the manufacturing How can we tackle the issue? of antibiotics itself and the responsible Today, most raw materials sourced management of the entire supply chain. and intermediated for antibiotics are Producing antibiotics creates loads of manufactured in China and India (80waste in the form of water, air and solids. If 90%). Therefore these countries carry a these waste streams are not managed and huge responsibility to contribute to the disposed responsibly, the pollutants they solution. While there are outstanding contain end up in our environment. These examples of compliant manufacturers create an increasingly growing breeding in both India and China, unfortunately, ground for bacteria to develop resistance. there are many production plants which

Vineet Singhal

www.m e d e g a t e t o d a y. c o m May-June 2016

have serious compliance and quality problems. As mentioned earlier, noncompliant industries dump untreated and hazardous residues and waste from their plants directly into water streams, rivers and local water bodies, posing a huge risk to local populations. As a country, we can tackle this issue by the following ways: High quality and responsible production processes need to be followed. Manufacturers can introduce new production techniques and strict quality controls along the production and supply chain. It is essential to treat wastewater from the antibiotic industry in dedicated Waste Water Treatment Plants (WWTPs) before it leaves the production site to municipal plants. Central and state water pollution boards must enforce the guidelines under Good Manufacturing Practices. (GMP) Manufacturers should refrain from or at least limit discharges and emissions of active pharmaceutical ingredients into the rivers, local lakes and drainage systems. Emissions should not cross the prescribed limit and non-compliant manufacturers should face strict action from authorities.

How can the public and other stakeholders such as doctors, health workers, pharmacists and policymakers help on this issue? In addition, the public can help tackle resistance by: H and washing, and avoiding close contact with sick people to prevent transmission of bacterial infections and viral infections such as influenza or rotavirus, and using condoms to prevent the transmission of sexuallytransmitted infections. G etting vaccinated, and keeping vaccinations up to date. U sing antimicrobial drugs only when they are prescribed by a certified health professional. C ompleting the full treatment course (which in the case of antiviral drugs may require life-long treatment), even if they feel better.

EXPERT VIEWS

Unique Challenges of Fostering Innovation Unique Challenges of Fostering Innovation ininaaHealthcare Organization Healthcare Organization Failing within the healthcare industry has dire Failing within the healthcare industry has dire consequences. Not failing in any industry, has direr consequences. Not failing in any industry, has direr consequences.While making a mistake in healthcare can consequences.While making a mistake in healthcare can endend in the loss ofof a life, willlead leadusustoto in the loss a life,not notmaking making mistakes mistakes will a place where an entire industry is scared to innovate. a place where an entire industry is scared to innovate. This, in my opinion, is isthe challenge This, in my opinion, themost mostdaunting daunting challenge confronting usus within confronting withinour ourindustry. industry. is this dilemma thatencourages encourages employees employees in It isItthis dilemma that inhealthcare healthcare to err side nottrying, trying,of of believing believing everything to err on on thethe side ofofnot everything taught, andblindly blindlyrespecting respecting those those who theythey areare taught, and whoare aremore more experienced. experienced. In the words of Charles Kettering, “An inventor is simply

In the words of Charles Kettering, “An inventor is simply a person who doesn’t take his education too seriously. a person who doesn’t take his education too seriously. You see, from the time a person is six years old until Youhesee, from the time a person is to sixtake years oldor until graduates from college he has three four he graduates from college he has to take three or examinations a year. If he flunks once, he is out. Butfour an examinations a year.always If he flunks heand is out. an inventor is almost failing.once, He tries failsBut maybe inventor is almost always failing. He tries and fails a thousand times. It he succeeds once then he’s in. maybe These two things are diametrically opposite. often the a thousand times. It he succeeds once We then he’ssay in. that These biggest job we have is to teach a newly hired employee how two things are diametrically opposite. We often say that the to failjob intelligently. Wetohave to atrain himhired to experiment over biggest we have is teach newly employee how and over and to keep on trying and failing until he learns to fail intelligently. We have to train him to experiment over what will work.” and over and to keep on trying and failing until he learns Forwill over a hundred years, healthcare (especially in India) what work.” has been an extremely hierarchical industry, with little For over a hundred years, healthcare (especially in India) innovation.

has been an extremely hierarchical industry, with little Fast forward to 2016. There is a startup based in innovation. Gurgaon that…

Fast forward There 1000 is a startup based inwell has a to 1002016. employees, prescribers, and Gurgaonover that… 35,000 patients. hashas a 100 employees, 1000 prescribers, and well 1 community work-table, and has zero over 35,000 patients. individual offices. not publishwork-table, an organization hasdoes 1 community and chart. has zero individual offices. does publish ALL key business metrics, and shares it with employees. does not ALL publish an organization chart.

does publish ALL key business metrics, and shares with eALL www.m d e g aemployees. t e t o d a y. c o m May-June 2016 26 it

This is my company, I founded it in 2013.

As Picasso puts it, “Every act of creation is first of all an act

As Picasso puts it, “Every act of creation is first of all an act of destruction.” In 2013, when I set out to create CORE as a of destruction.” In 2013, when I set out to create CORE as a 23-year-old, I had a formidable task ahead me – creating 23-year-old, I had a formidable task ahead of me of – creating a start-up in a space that has traditionally been theofforte of a start-up in a space that has traditionally been the forte those much older, and much wiser, than me. those much older, and much wiser, than me. ForFor thethe lastlast fourfour years, I have beenbeen painstakingly building years, I have painstakingly building thethe foundation – not onlyonly of a company, but also an of an foundation – not of a company, butofalso entire new industry within healthcare, and more entire new industry within healthcare, and importantly, more importantly, of of a revolution in work-culture in India. This is taken lot ofa lot of a revolution in work-culture in India. This is ataken creation, and a lot of destruction (of older ideas, as well as creation, and a lot of destruction (of older ideas, as well as my own ideas).

my own ideas).

The modus operandi of CORE is to bring the most advanced The modus operandi of CORE is to bring the most advanced testing diagnostic techniques and expertise to India, and be diagnostic techniques and expertise thetesting destination for all high-end diagnostic testing. to ButIndia, that’sand be theone destination for all high-endWe diagnostic testing. But that’s only half of CORE’s aspiration. view our charter only one half of CORE’s aspiration. We view our charter much more broadly: to re-shape the diagnostic industry – in much more re-shape the diagnostic industry – in a manner that itbroadly: becomestothe central pillar of healthcare delivery. a manner that it becomes the central pillar of healthcare In delivery. my view, there is ONLY one rate limiting factor in ensuring that the foundation CORE’s vision is in In my view, there is ONLYbeneath one rate limiting factor strong and everlasting: talent. It all comes down to hiring ensuring that the foundation beneath CORE’s vision is A-grade people, and then creating a culture where A-grade strong and everlasting: talent. It all comes down to hiring people can thrive.

A-grade people, and then creating a culture where A-grade people can thrive.

Building such a culture is only possible if the leader finds a way to sustainably answer the following Building such a culture is only possible if the leader questions:

finds way sustainably answer the of following 1. Howado we to break the hierarchical nature healthcare? questions: 2. How do we create a culture of lateral collaboration?

1. How break the hierarchical nature of healthcare? 3. How do do we we foster transparency, dialogue and trust? 2. How do we create a culture lateral collaboration? At CORE, we have built processes and of structures that confront these head-on. First, let medialogue start withand the trust? 3. How doissues we foster transparency, workspace design. All walls in our building are made of

At CORE, we have built processes and structures that confront these issues head-on. First, let me start with the workspace design. All walls in our building are made of

EXPERT VIEWS

glass. And there are no individual offices. Instead, there are labs, conference rooms, brainstorming areas, training areas, and one large community table at which everyone sits – CEO included. As simple as it sounds, workplace design has tremendous impact on work-culture. In our case, it reinforces our commitment to transparency – a la glass walls, everyone knows what everyone else is up to. The

dialogue and trust. True Dialogue in any relationship is extremely important. This requires that both parties listen with a GENUINE CURIOUSITY about the other person’s view point. Aunique example is our approach to interviewing. We don’t interview candidates. We ask them to interview us. The way they respond to this exercise tells us two things – are they curious, and are they engaging. Their questions

concept doesn’t stop at mere symbolism. It carries forth in our approach to discussions – with full transparency of facts, and full transparency of intent. Also, the community work desk, while symbolic, helps reinforce a flat hierarchy. Anyone can reach out to anyone, for any conversation – irrespective of the title and the role in the company.

tell us a whole lot more about their way of thinking, than their answers to our questions ever will. How well can they engage us…that is the cardinal question in our minds. I have interviewed nearly 500 people over the past four years, to hire just over a 100.

Next, let me focus on lateral collaboration. Much like in evolutionary biology where nature’s innovation, Life, is an outcome of diversity, we believe the diversity of viewpoints, and their meaningful integration, is a key enabler for innovation. In a typical brainstorming session at CORE, conflict is not just managed but rather actively encouraged. Diversity of viewpoint is a requirement in our job-interview process. Nurturing and respecting diversity in every aspect of our business has made us the most progressive company in our industry. While my approach to innovation was influenced by Silicon Valley thinking – having worked for Google, and having gotten VC funding from a Bay Area based firm – the seeds of this approach were sown in the very first lecture on my very first day in college as a Sociology student. Our professor, wrote on the blackboard, “Respect Differences.” It was simple, yet profound. Abstract, yet practical. The thought stuck with me, and shaped my development over the years that followed. Building the culture of innovation through integration of diversity was my first real-life application of the theory. The sum-total of these learnings on innovation: If you are going to innovate, you have to fail. Just make sure you fail fast. Discard the failed ideas, keep the learnings. This is what I tell my teams on a daily basis. Finally, building a high-performance culture requires

Finally, trust. Each time a new employee joins CORE, I personally take them through the following definition of trust:

Trust =

(Reliability + Credibility + Intimacy) Self Interest

Trust requires reliability, credibility and intimacy. Reliability means you deliver what you promise, consistently. Credibility means you know what you are talking about. Intimacy means you are sincere in your commitment to the relationship, and are perceived that way. It also means making yourself vulnerable. Self-interest is obvious (and is not a bad thing… as long as the numerator, i.e. Reliability, Credibility, Intimacy is high). My approach to leadership is unconventional, but it has paid off very tangibly. We have the lowest attrition in the industry, less than 5% in a business segment that struggles with 25% and higher. We have more than doubled every year in our revenue. And the final metric of success: Our customer base. Our customers are not loyal. They are raving fans. - Zoya Brar Founder & MD, CORE Diagnostics w w w.medegatetoday.com May-June 2016

DOCTOR SPEAK

Keep Kids Safe

This Summer-Precautions & Tips

Dr. Rajiva Kumar

Child Specialist (Muzaffarpur)

“When the season changes to summer children are most likely to get affected with common summer illnesses like sore throat, cold, fever etc. However, if you take right precautions, you can prevent the common summer illnesses in children. Read on to know more about the common summer illnesses in children and how to prevent them.” If your child is feeling fatigued most of the time in summer, do not panic because it can be due to the summer season. It can also be because your child is suddenly free from the tight routine of going to school and coping with the studies and home works and so he is feeling lazy and fatigued too. However, there are certain common infections that occur in summer and you should be familiar with them and the causes and symptoms too.

ummer is a very harsh season with scorching sun rays often causing skin problems and health issues such as diarrhea and dehydration. Irrespective of factors such as age and gender, the season tends to have impact on all. While adults can take care of themselves, parents have to be extra careful when dealing with children Summer means schools being over Tips for Preventing Summer children stay at home or spend time as they want. This needs lot of attention Illnesses in Children and attentiveness which is no always • Avoid giving cut fruits and food possible for working parents. However, items from roadside vendors to your if you are aware of the common children. Also avoid cooking spicy illnesses in summer season you can take and fried food items for children. the preventive measures and make your Stick to fresh fruits, green vegetables kids enjoy the vacation at the fullest. and fresh fruit juices.

www.m e d e g a t e t o d a y. c o m May-June 2016

• Encourage your children to increase intake of water. Make sure that the water is properly purified and free from germs and viruses. • Take lot of fluid when traveling or when going outdoors for a long time with kids. • Provide food rich in fiber to your kids. Pay attention to their diet and right nutrition. • Give lemon juice, coconut water and other natural fluids to your children as they help in hydrating from within. They have lots of nutrition that your child’s body needs at this time. • Make your child wear light weighted and loose fitting clothes preferably made of natural fibers. • Exercise with your kids early in the morning or late evening to avoid over exhaustion. Since you are aware of the common illnesses during summer season, you should take necessary precautions to keep your child healthy and safe. Make sure you take care of sun safety, water safety and avoid insect bites during summer season. Pay attention to intake of water and nutritious diet in summer. Increase intake of fresh fruits and insist on making your children take minimum two baths daily to stay cool and infection free.

International

COVER STORY

Dr. Prathap Chandra Reddy Chairman, Apollo Hospitals Group

When Speaks Industry Listen A True Leader of Healthcare Industry Prathap C Reddy, the visionary Founder Chairman of Apollo Hospitals, is widely credited as being the architect of modern Indian healthcare. His vision of bringing worldclass healthcare within the economic and geographic reach of millions of patients was the genesis of Apollo Hospitals. The first Apollo opened its doors in 1983, and heralded the private healthcare revolution in the nation. Apollo Hospitals introduced international quality healthcare to India, at a cost which was a tenth of comparable costs in the Western world. This was Apollo's first act of social responsibility and the Group has stayed true to Dr. Reddy's vision in its journey of over three decades. The business model designed by him was inherently scalable, replicable, sustainable and it fostered the emergence of the healthcare sector in India, as we know it today. Dr. Reddy's vision, acumen and ideal of uncompromised quality motivated numerous individuals in India and across the world to set forth, emulate the model and taking high quality medical care closer to their patients.

Professional Achievements Under the leadership of Dr. Prathap C Reddy, the Apollo Hospitals Group has touched over 45 million lives, and has emerged as Asia's foremost and trusted integrated healthcare provider. A true visionary, Dr. Reddy has been instrumental in pioneering several game-changing innovations in Indian healthcare like clinical excellence, inclusive insurance, telemedicine, preventive health checks, among several others. As a champion of the powerful premise that 'Life is Priceless', Dr. Reddy has been a tireless crusader against the menace of Non Communicable Diseases, a dark cloud of ill-health looming over India. Dr. Reddy envisioned the ambitious Billion Hearts Beating campaign to start a nationwide awakening to heart health. He has consistently been playing a pivotal role in the development of healthcare as a sector, by helming several forums like the NATHEALTH, the Healthcare Federation of India. For his immense contribution to the health and healthcare of India, the nation has honoured Dr. Prathap C Reddy with the Padma Vibhushan, India's second highest civilian award. 30

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COVER STORY

Championing Innovation Always the visionary, Dr. Reddy has harnessed technology and insurance to reach healthcare to the masses. The pioneering success of telemedicine and innovative insurance in Aragonda, the world's first V-SAT enabled village in remote Seemandhra validates the concept of 'Healthcare for All'. Recognising that telemedicine can help meet the increasing demand for universal access to high quality medicine, irrespective of geography, Dr. Reddy led his team to set up 150 telemedicine centres across 17 countries. Dr. Reddy was at the helm of the revolutionary Reach Hospitals initiative from Apollo – taking world-class healthcare to semi-urban and rural India. This blueprint is carrying good health to the very heart of India and in 2012, Apollo Reach Hospitals was conferred the G20 Award for Inclusive Business Innovation and it was the only healthcare organization in the world to receive the award. A tireless advocate for creating access through insurance, Dr. Reddy firmly believes that mandatory health insurance is critical for the nation and has been actively campaigning for its implementation across the country. The innovative insurance project, at a cost of Rs.1 a day that he introduced in his native village decades ago, paved the way for many community insurance products prevalent in the country today.

A Dedicated Philanthropist

Awards  1991 – Conferred the Padma Bhushan by the Government of India

1 992 – Invited by the Government of India to be member of the Working Group on Health Financing and Management

1 993 – The Mother St. Teresa's 'Citizen of the Year' award

1 997 – Business India - Top 50 personalities who made a difference to India since Independence

1 998 – Sir NilrattanSircar Memorial Oration (JIMA)

award for single-handedly making super speciality care available to a vast section of society

2 000 – Conferred the Fellowship Ad Hominem by the Royal College of Surgeons of Edinburgh

2 001 – Ernst & Young 'Entrepreneur of the Year' award 2 002 – Lifetime Achievement Award by the Hospimedica International

2 004 – Franchise Award for Excellence in Business Development

2 005 – The 'Asia – Pacific Bio leadership Award' by the Marshall School of Business Appointed as a Member of the Indo–US CEO's Forum by the Prime Minister of India

In an on-going effort to raise awareness about the value of health and wellness amongst India' s diverse population, and in enabling healthcare equity across the various socio-economic groups in the country, Apollo Hospitals runs awareness campaigns, facilitates surgeries and treatments, and conducts health camps in both urban and rural areas on a regular basis. Dr. Prathap C Reddy gives the Group's its ideological guidance across its wide range of socially conscious initiative. He has helped shape and breathe life to some of Apollo's most far-reaching programmes like the Billion Hearts Beating (BHB) initiative; launched in April 2010, aimed at informing, educating & triggering a positive action towards heart disease with the simple 5 Solution – get active; eat healthy; quit smoking; beat stress and get a regular health check. Dr. Reddy has also helmed some of Apollo's other key CSR initiatives like Society to Aid the Hearing Impaired(SAHI), Saving a Child's Heart initiative (SACHi) and CURE. These initiatives have played a invaluable role in reaching out to under privileged children, and other needy sections of society.

2 006 – 'Modern Medicare Excellence Award 2006', by

"Healer: Dr. Prathap C Reddy and the Transformation of India,"

Asian Business Leaders Lifetime Achievement award.

Dr. Reddy's incredible journey is captured through a biography entitled "Healer: Dr. Prathap C Reddy and the Transformation of India," authored by PranayGupte, veteran international journalist, biographer and historian. It was published by Penguin, the world's largest publisher.

the ICICI Group, for his outstanding achievements in the healthcare industry – Appointed Chairman of the CII National Healthcare Committee

2 007

2 009 – The Government of India honours Apollo Hospitals with a Commemorative Postage Stamp

2 010 – Govt. of India conferred the Padma Vibhushan, the second highest civilian award in India

2 010 – Lifetime Achievement Award from Rotary International and Frost & Sullivan

2 011 – Lifetime Achievement award from the FICCI Lifetime Contribution Award from AIMA

2 012 – Apollo Hospitals was the winner of G20 Challenge on Inclusive Business Innovation for the Apollo Reach Hospitals initiative

2 013 – NDTV Indian Lifetime Achievement Award 2 013 – CNBC TV18 Lifetime Achievement Award for India Business Leaders Awards

2 013 – Asian Business Leaders Forum Lifetime (ABLF) Achievement Award

 2015 – All India Management Institute confers the Lifetime Achievement Award

w w w.medegatetoday.com May-June 2016

COVER STORY

The Unique Physician

Who Served

Three Presidents

of the Country

W Padmashri Awardee Prof (Dr) M Wali MD FACC (USA), MBA

Consultant - Physician to The President of India Former Physician to The President of India

A strong proponent of the art of healing with spirituality, it wouldn’t be farfetched to bestow him with a title of being a medical humanitarian par excellence on the footsteps of Dr. B.C. Roy. It is a part of his daily routine to visit Nizamuddin Dargah, mosque of one of the world's most famous Sufi saints, in New Delhi without fail. He is a god fearing man who religiously observes namaaz, five times in a day. 32

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hen spirituality met science, it made an inspiring saga of a man whose dedication towards mankind motivated him to do something unique. Dr. Mohsin Wali is the leading clinician in northern India and is formally trained in Geriatrics, a branch of internal medicine, concerned with the clinical, preventive, remedial and social aspects of illness in elderly adults. Dr. Wali an exclusively prevailed Indian to have been trained for water treatment for dialysis in Germany during 1988, has revolutionized the technique of dialysis. An influential pillar of the sector, he is an MD Medicine and Fellow of American College of Cardiology and had undergone research and training at Mayo clinic (USA). A Padma Shri Awardee, the doctor is an illustrious cardio-diabetes and life style specialist, senior Physician and consultant of Dr. Ram Manohar Lohia Hospital and Post Graduate Institute of Medical Education and Research New Delhi presently posted at Rashtrapati Bhawan, As Physician to Honorable President of India. Dr (Prof) Wali aims at seeing happy and healthy India of tomorrow, now consultant at Rashtrapati Bhawan. Professionally, proud to be called as Physician-internist who is ready to look after every challenging case, wholistically, Dr M Wali is a Philanthropist. Born in 1953 at Bijnor, Uttar Pradesh, his businessman father, Mr. M.S. Wali was a strict disciplinarian. Instilling the culture of working 24×7, he expected young Mohsin to be second to none in everything. “I remember scoring 100 marks in Mathematics for my half yearly examinations of Xth std. and receiving 99 marks in the annual examinations. I was scolded for losing that one mark as my father always wanted to see my progress and not decline. This ultimately became my motto in life: to be the best in everything I do!” says the self-effacing medical consultant, who always sees how much work is left to be completed, hence, never at rest. Personifying the saying learners guide future in the times of change, Dr. Wali’s college life was full of numerous incidents when he astonished his professors with his passion for the subject. “I never believed in wasting my time. When my friends went to watch movies, I would be making notes. In those four hours, on each weekend my game plan was to read 20 extra pages of the book. Even during a strike at my college, I was the only student who would attend classes

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and was no doubt laughed at. My daily routine was to study till four a.m. in the morning, after evening classes and ward rounds and just waking up 10 minutes prior to the class for the next morning”, adds 61-year-old Dr. Wali. Besides this, he was always interested in commingling his theoretical knowledge with practical experience. He gained an edge over the others due to his keenness by first watching and later assisting surgeries, merely when he was in the third year of his undergraduate degree. A feat not many can boast of! This was Due to his keen interest in surgery. That was the time as an when, exception he was housed as the only undergraduate in the Post Graduate hostel. At the end of MBBS he got the chancellors medal for the best medical graduate and for a rare distinction of having honours in ten out of ten subjects, and hence had the last laugh.

doctor to be given this sort of privilege”. After all, the post of the President’s physician is a personal appointment, armed with huge responsibility of catering to the health of the first citizen of India in the most well-equipped and efficient zeroerror manner. “Right from making available round-the-clock services to the President, ensuring that I am available to the President within minutes in case of emergency, I travel with them constantly and yes, my work has no holidays,” quips the doctor with a smiling face. When asked about our President Pranab Mukherjee’s health secret, Dr. Wali unearths that “Mr. Mukherjee a very learned and disciplined person who is always active and absorbed an early riser, keen walker, is also an ardent follower of punctuality and regularity which helps him keep fit. He is also a source of motivation for others”.

Having struggled even from childhood, when he was supposed to go to his father’s shop after coming back from school to assist him in day to day work and then come back in night to have a bath and then dinner at family he had to complete his classwork and homework as those days in primary classes students were canned, he was mindful of hard work. When his tired father will ask him to switch off lights, he will study under bed guilt with a battery operated make-shift light and topped from class 2nd onwards.

Often lovably touted as the man with a midas healing touch, this Geriatric veteran can diagnose a patient simply by feeling their pulse and having a look at most of his patients with carefully taken history and examination. He says “investigations are to complement the diagnosis, not to make it”. He can produce the result of a haemogram test in just flat two minutes, a record breaking fleet that proves his mettle. “Detecting any other results takes nothing more than 10 minutes,” says Dr. Wali who hates making his patients wait for treatment. A doctor who believes in treating with speed and top-notch accuracy, he delivers test result at home, along with doorstep supply of medicines in Rashtrapati Bhavan even after office hours.

Mastering the art of creating history, Dr. Wali is the first doctor of India who has the honour of being the doctor of three Presidents of the country. Apart from being the Personal Physician to India’s two past Presidents, President Dr. Shankar Dayal Sharma and President R. Venkataraman, he ensures the current President of the country, Dr. Pranab Mukherjee, remains healthy and hearty to steer India on a growth path. In addition, he has been appointed in past to serve the families of former President Dr. Zakir Hussain and Fakhruddin Ali Ahmad till date. “You are always at an advantage while working with the first citizens of the country. I always learn something new whenever I met each one of them. What you learn in 10 hours from a book, you will learn it just in 10 minutes through the company of a wise person”, states the gold medal winner for India from Cambridge and American Institute of Biography having also awarded Presidential seal of honour from A.B.I.(USA). For the 10,000-odd members of Rashtrapati Bhavan, he is unarguable the best. His general routine involves sitting at The President’s Estate Clinic, a mini multi-specialty centre that is situated right outside the oasis of Rahstrapati Bhavan, where he is offering his services to needy and poor people also as always in the past. Going back, It was in 1990 that President Venkataraman appointed a 30-year old non-army man, Dr. Mohsin Wali, after he discarded one Brigadier and one consultants services and chose to appoint this young Physician on merit as his personal doctor. “It was a record-breaking moment in the history of medical fraternity in India as I was the youngest

Altering the medical realm, he became the face which brought the concept of water treatment in dialysis to the Indian operating centers. He has been the catalyst for change by introducing Geriatric medicine in India through the faculty of Geriatric medicine, Ann Arbor, University of Michigan, USA. Inspiring reverence in the industry, this physician of national repute has been awarded the prestigious fellowship of American College of Cardiology (USA) for his work in preventive cardiology. The doctor has received another fellowship in Geriatrics through Ministry of Health and Family Welfare by World Health Organization. Besides the above accolades, Dr. Wali has proved his critics wrong by being successful in being accoladed SAARC award for outstanding clinical contribution in low cost cardiac care for poor and less prevelleged through International academy of clinical and applied thrombo- homeostasis. Recently he has been inducted a fellow at Royal College of Physicians and surgeons, Glassgow. A good samaritan at heart and in practice, Dr. Wali's extraordinary accomplishments have felicitated him with the Rajiv Gandhi global Excellence Award for Medicine (2010 and 2014) Lifetime Achievement Award by Indian Economic Institute and many more like Indian Red Cross presidential Medal and most coveted Best Alumnus of GSVM Medical College, an award from his Alimony and Peers, a token of love from his teachers

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conferred on him by the hands of President of India (2013). This is not all! He has a sizable member of gold and silver medals, book citations, chapters in text books and national and international journals of repute. Based on this holistic approach, The Government of India selected him a Member of Governing body of central council of research in Unani medicine and he completed his research at Jamia Hamdard for successful herbal preparations for angiogenesis for coronary artery disease and herbs in diabetes. Both products are being used with great success in large number of patients across the world. Dr. Wali has always looked up to his mother, Mrs. Alia, who epitomized patience. In the backdrop of being childless for the formative eight years of her married life, she believed that when armed with patience, she can win any battle seamlessly. No wonder, her son was never detained from his path in fear of hardships, beyond imagination. A strong proponent of the art of healing with spirituality, it wouldn’t be far-fetched to bestow him with a title of being a medical humanitarian par excellence on the footsteps of Dr. B.C. Roy. It is a part of his daily routine to visit Nizamuddin Dargah, mosque of one of the world's most famous Sufi saints, in New Delhi without fail. He is a god fearing man who religiously observes Namaaz, five times in a day. Dr. Wali is of an opinion that medical science follows the terrain of spiritualism. “If a person is pure, happy, content, has right intentions and good character, the chances of cure are 1,000 times more than the person who is otherwise”, enlightens the benevolent doctor who also runs a charitable unit in the evening, through his blessed daughter in law doing great work for the preventation of hypertension and stroke.

Basically Vegetarian though A roghan josh and shami kabab lover, Dr. Wali advocates healthy lifestyle that encourages people to eat everything healthy but in moderate quantity. A badminton and squash enthusiast who loves to shed extra calories by swimming and hitting gym, he walks the talks of being fit and simultaneously convinces others with his example. With a strong commitment towards altruism, he advises the young brains of the industry to operate their perfect destiny with the scalpel of hard work and honesty and looking for the best in others. “To be among the gamechanging fraternity, invest in time with 30-40 years of benevolent initiatives and people will remember you as an achiever at the end of race. Have faith in god and keep introspecting yourself before you commit as the answers will always emerge from within you”, states the self-auditor, while sipping his third green tea cup of the day. Zooming on his personal side, Dr. Wali is a committed family man who always manages to strike beautiful chords of balance between his professional commitments and personal promises. A staunch believer in the phrase that ‘a family’s sacrifice makes a man’, he humbly owes most of his successes to his wife Naaz who bridges the gap between him and his family. An ace fashion designer and a hafiza who memorized the whose Quran by heart at the tender age of 16, my wife resonates the colours of India with her fashion brand, ‘Naaz’, where she designs vintage Indian and contemporary fusion clothes for men and women alike. The power-packed couple is blessed with four children; namely, Ammar Khan (married to Nabeela Khan who is a doctor), Sana Khan (English TV anchor), Aamir Khan (Lawyer with green tribunal) and Asif Khan (A budding lawyer). His selfindependent children have chartered their own destiny by successfully foraying into the field of Planning and Steering, TV journalism, Law and Gaming, respectively. Dr. Wali serves his parents thus invokes their blessing every day and thus says that he is fortunate to have his parents alive and so long healthy, next to him always. Thus Padma Shri Awardee, Dr M Wali is a name that resonates in one’s mind when one thinks of an ideal man with a humble attitude and tremendous experience and accolades in the field of medicine with philanthropic attitude and live-to-serve. A doctor with empathy, Dr. Wali is prioritizing humanity at large, thus putting him in the legendary league of those doctors who are God-sent angels for their patients, by always remaining down to earth and open to correction and learning. He lives in an ego-free environment. “Have faith in God, do your best and the world will belong to you, is his philosophy of sailing through this world with fast changing value system. To the future generation his two suggestions are hard work and honest career. There are no short-cuts to success. Hard work never goes waste.

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Leaders don’t create followers, They create more leaders Tell us something about your family background? How do you recount your childhood days? I was born and brought up in Kolkata, the then Calcutta. I had a stable, one school boyhood. grew up in a joint family with fondness for all things very typically Bengali. From Rabindra Sangeet to football, from sandesh to Durgapuja! During the entire school life, I was being groomed to become a doctor!

You have a degree in Electronics and Electrical Communications-and now you are a recognized name in the Healthcare sector. What made you decide to join the medical and healthcare domain? It may sound strange after so many years but during my school days, I had neither any fondness for engineering nor any aspiration to become an engineer. It all happened by chance. Being persuaded by my engineering-aspirational classmates, I gave my IIT joint entrance exam and scored a rank good enough to get admitted to the prestigious B.Tech course in “Electronics & Electrical Communication” at IIT, Kharagpur. I went to the lovely IIT campus, still aspiring to be a doctor and never came back! As simple as that! And the destiny of my life changed direction just like that!...Perhaps the desire to be a doctor was always dormant within me so I took a Bio-Medical Instrumentation topic as my 5th and final year project. As luck would have it, I joined Philips in the Medical Systems Division and that’s how my journey in Healthcare started. Quite a journey it has been! Very exciting, challenging and fulfilling across a few continents and countries and over nearly four decades!

able to serve people in one of the maximum-need-areas that is, health. these were some of the reasons I love Healthcare. I have also been fortunate to work with great colleagues in the industry/sector. as Chairman of CII’s Medical Equipment Division, subsequently as Founder Chairman of FICCI’s Medical Equipment Forum and thereafter as the first “non-healthcare provider” Chairman of FICCI’s overall “Health Services Committee”. I am grateful to both these eminent organisations and the many industry colleagues with whom I had the opportunity to work with lots of learning and fulfillment indeed! After all these years and working in several countries from Singapore to Holland to US, I had understood the importance of playing a statesman’s role in this critical Healthcare Sector. The importance of building a collaborative institution which provides a common and credible platform for trying to improve the quality and access in Healthcare. So when our Founding President and Apollo Hospitals Chairman Dr. Prathap C Reddy and a few other eminent leaders asked me a few years back to take a shot at building an inclusive and multi-segment Healthcare Institution with the full support and involvement of many Healthcare leaders, I felt this was the right path for me now. Since then it has been a very challenging yet fulfilling journey.

What has been the turning point in your life? Who or what has/have been your inspiration? I think the turning point was when I chose to remain at IIT and become an Electronics engineer instead of becoming a doctor. Though I did have admission in one of the most eminent Medical colleges of the country.

How does the Secretary General of Healthcare Federation of India (NATHEALTH) describe his typical work day at the office? Life has changed over the years. After being a technologist in Healthcare for many years, involved in senior roles including CEO’s in some of the leading global companies, I had developed deep passion for Healthcare for more reasons than one. the opportunity to be perennially involved in cutting edge technology, the scope for learning so much across various segments in Healthcare, the possibility of being

Mr. Anjan Bose Secretary General, Healthcare Federation of India (NATHEALTH)

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There is no one-size-fits-all day in NATHEALTH! Every day is different from the other. some days, I am hosting delegations from abroad, another day engaged in meetings in the Ministry. And there are weeks when I am living to have a success of our Annual Event NATEV or the Regional Roundtables. lot of communications with various stakeholders. Lot of intellectually stimulating thought leadership deliberations. It’s like a new adventure every day to do something good for Healthcare and health of the Nation!

What are the initiatives taken by NATHEALTH for 2016? We have just released two unique papers after going through months of hard work of a lot of industry colleagues. The unique self-regulatory “Code of Ethics”in collaboration with IMA. and our “Make in India” concept note, developed in partnership with Deloitte, which we want to take to the Government as a document which can be the basis of truly collaborative Public-Private initiatives in Healthcare. We also prepared “Aarogya Bharat2025”, a truly visionary roadmap for Indian Healthcare, created with the support of our Knowledge Partners Bain & Co.. and last but not least, in collaboration with our esteemed partners NASSCOM, and with the support of Boston Consulting Group, We are trying to create the most optimally symbiotic models for effectively using IT in Healthcare,through our “Digital Health”initiative.. We are also focusing on designing an innovative CSR-supported model for enhancement of “Healthcare Skilling”. Lastbut not the least, we are engaged in various advocacy work including working with the Government on a number of Regulatory, Tariff-related and other critical matters. NATHEALTH’S uniqueness of being Indian Healthcare’s first really inclusive and multi-segmented institution gives it an advantage of collating diverse viewpoints and thoughts into one channel. Encouraging innovation and supporting activities to enable the much-needed Healthcare funding are two other areas that we are looking at.

How do you describe the healthcare scenario of India? Highly challenging in terms of the diversity and magnitude of the issues, lot of progress in the last three decades, great work by both the Government and the Private Sector, yet still it just seems like a few buckets of water from the ocean. Lot more opportunities exist. In areas like Public Health, Home Care, Accessibility and Affordability. As the eminent English poet said.. I feel. "we have miles to go before we sleep, we have miles to go before we sleep.” The key success factor will be to collaborate. Collaboration between the Central/State Governments and Private Sector. Between Domestic Companies and MNC’s which have been in India for decades. Teamwork will be the name of the game...to close on the daunting gaps between demand and supply!

What is your take on medical tourism in India? How best can it be exploited? Vast potential, unfulfilled opportunity. Infrastructure and safety, hygiene factors need to be taken care of even more

actively in order not to lose out to countries like Thailand. ..look, where else do you find the combination of Taj Mahal and the world’s best doctors serving you at such globally attractive prices.

Is telemedicine the future of Healthcare in India? Time will tell. Tele-medicine has not really delivered the expectations for multiple reasons. and now with more advanced technology including mobile telephony, Cloud-based storage and computing, sky is the limit to enable accessibility with optimum technology. Integrated Healthcare, combining the benefits of primary, secondary and tertiary care, should probably replace partitioned and highly segmented healthcare strata. This would have possibilities to improve efficiency and effectiveness of the overall health system.

What/Which has been your most prominent achievement/accomplishment so far? I think it’s up to others to speak about that. if at all, I have always believed in bringing people together on common platforms to work on good causes. The power of many aligned to a common objective is immensely positive. And I think in every assignment that I have been involved with, I have tried to put in my sincerest efforts to take care of the stakeholders I have had the privilege of serving. Healthcare is a great sector to contribute. I always tell myself that in Healthcare sector, at the end of the value chain, we do not have an inanimate object or product like a car or a computer or a television. We have a human being in agony and distress, surrounded by anxious and worried friends and relatives. Therefore we cannot and should not treat Healthcare as just another sector. CARE is the mantra that we should always carry with us in whatever we do in Healthcare.

To whom do you attribute your success? Great support from family and friends and blessings from the Almighty.

How do you unwind yourself? Cricket, tennis, music, movies, reading, prayers, travel, enjoy nature. And this thing about work-life balance, I have my own view. When work becomes your life and you enjoy it so much, what’s the need for any “work-life balance”!

What legacy do you want to leave behind? Sorry I may disappoint you with the simplicity of what I am going to say. I want to leave behind a very simple legacy. ”Be good, do good”! If my work has helped or inspired anyone on the way, I wish he or she will use the learnings for being good and doing some good work. My favourite quotes: “Leaders don’t create followers, they create more leaders”(Tom Peters); “We make a living by what we get, we make a life by what we give”(Sir Winston Churchill) and “We must become the change we want to see (Mahatma Gandhi). Jai Hind! w w w.medegatetoday.com May-June 2016

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Indiaâ&#x20AC;&#x2122;s no. 1 cardiovascular thoracic surgeon Recognized amongst his peers as the first in the country to introduce the concept of 'Total Arterial Revascularization', as well as being one of the pioneers of "off-pump" bypass surgery Dr Ramakanta Panda

V i ce C h a i rma n & C a rd i o Va sc u l a r Th ora c i c su rge o n

A si an H e ar t In sti tu te (M u m b a i )

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Your professional experience: Tell us about your background as a doctor: education and experience? Why did you choose this career? Why did you choose this specialty? Your struggle if any? I grew up in one of the remotest part of the country in a village in Orissa without any electricity or road. I had to walk 14 kilometres ( 7 kilometres to & fro ) daily to attend the school for 6 years from my 6th to 11th standard. I did my MBBS from SCB Medical college , Cuttack and subsequently did post graduation in Cardiovascular & Thoracic Surgery from All INDIA Institute of Medical Sciences. After that I went to Cleveland Clinic , the Best cardiac surgery Center in USA ,where I did fellowship and then worked close to 2 years as Associate staff surgeon. Following this I worked one year at Harefield hospital , UK ,the largest heart transplant Center in the world at that time . From my childhood I wanted to become a doctor because of the need and respect for doctors I had seen in villages. Also my maternal uncle was an ENT surgeon whom I looked upon as a role model. In my high school , the first heart transplant in the world was a very big exciting news. This news ignited a dream in me to become a heart surgeon. Once I got into medical college, I seriously thought of pursuing heart surgery because at that time heart surgery was considered very complex, high risk procedure performed in a handful of centres in the country. Along with Neurosurgery , it was considered the ultimate in medical care.

What is the ideal system that Philanthropist work in India, mostly in which area it is benefiting to humanity, is there any- your overall comments? The most important areas are education and healthcare. By focusing on education we can give quality of life to a child and make him a productive member of the society. In healthcare it should be more in improving sanitation, health education and disease prevention rather than only disease treatment. At a personal level , I am commuted to contributing to education and support education of needy students through a trust.

In the next two years, what are the two trends that will define the future of the healthcare industry? First, the use of information technology is drastically going to change the way we as doctors treat patients and the way patient's approach hospital or doctors whether it is for consultation or diagnosis or investigation or treatment. Second, the focus will change from disease management to health management, focusing more on keeping people healthy rather than only treating when people fall sick.

As an iconic personality, what do you think healthcare sector/ Doctors should be doing to bring trust and transparency in the profession? We ( doctors and healthcare sectors ) must internalise that we are dealing with the life of someone else. That someone else ( the patient ) has every right to know every aspect of treatment including all options of treatment ( whether medical treatment or surgical intervention ) , pros and cons of each modality of treatment. The doctors and healthcare sector must focus on quality of care , patients and relative satisfaction. They should strictly discourage giving financial incentive to get patients.

What is idea behind establishing such a premier hospital like Asian Heart Institute in Mumbai as your are from Odisha? When I came back in 1993, there were very few world class hospitals in the country. Having worked at the best cardiac hospital in the world ( Cleveland Clinic) I had seen the gap and wanted to set up a cardiac hospital which can be a bench mark not only for design but also patient care in the country. Since I practiced in Mumbai, it was natural to set up the hospital here. Also Mumbai is the best city in the country for anyone with a dream and gives opportunity to pursue the dream. I don't think I would have been able to set up and make Asian Heart Institute the best heart hospital in India anywhere else. Having said that, I have not forgotten about Orissa and I am in the process of setting up a hospital in Orissa.

To whom do attribute your success? My maternal Grandfather and my parents who instilled value systems ,hard work, value of education and wanted me to succeed in life. My high school head master who taught discipline & value of knowledge. My mentor Dr Loop , one of the pioneering heart surgeon who always believed one should be the best in what one does and to always look for improvement.

Your golden lines to Young Doctors & Hospitals? My advice to YOUNG DOCTORS -- take up a field / speciality that you will love to do rather than getting influenced by peer or parents. Work hard , acquire knowledge in patient care, focus on patient care & try to be the best in what you do. Hospitals - focus on quality , patient care & try to see that every patient goes out happy. Your patients are your best ambassadors & advertisers. Do not resort to unethical practice of money sharing for referring cases or unnecessary treatment to earn money. w w w.medegatetoday.com May-June 2016

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A Lot Needs to Be Done and I am Concerned That It Always Seem to Be Too

Little Too Late

Tell us something about your family background? How do you recount your childhood days? I was born in Bihar and brought up in Bengal, my father was a senior physician in Durgapur Steel Plant hospital and I was brought up in the Steel Township with a very structured middle class upbringing; I was a very good all rounder at school, very good at swimming and tennis but also at debates and elocution. I used to watch many patients right from the Steel Plant workers upto the General Manager being thankful and indebted to my father for saving their lives and it used to awe and fascinate me. I guess there was always some ‘doctor’ in me even then. When I was five years old, I took my sister’s doll telling her that she is sick and with a syringe and needle punctured it all over giving water injection like I was treating her with antibiotics to make the doll better. The whole doll was punctured and destroyed and my sister cried.

Dr. Ashok Seth

Chairman, Fortis Escorts Heart Institute, New Delhi 40

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We pioneered many angioplasty and bypass surgery techniques for this country and trained numerous Cardiologists & Cardiac Surgeons to perform them. We are happy to see that our efforts have led to development of Cardiac Sciences and these procedures being performed in most part of the country even in small cities

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Another day, I decided to perform an abdominal operation on grace my father continues to do well till today at the age of my close friend and neighbour’s son for abdominal pain. In 92-years. It was the ‘most difficult exam of life’ that I have those days there were only two professional avenues which ever taken. were considered by parents who actually masterminded their children’s future, engineer or doctor? I naturally chose to As the Chairman, what is your vision for become a doctor. Fortis Escorts? Back in the 80’s, with your expertise and rich Fortis Escorts Heart Institute was created as the largest free standing Heart Institute in the private sector in this country qualifications, you could have had a lucrative in 1988 and since then has set the gold standards with the highest level of expertise, procedural skills and technology career in medicine in UK, what made you in the country. We pioneered many angioplasty and bypass decide to come back to India? surgery techniques for this country and trained numerous Yes, I was doing extremely well in England. After receiving Cardiologists & Cardiac Surgeons to perform them. We are my postgraduate degree and training in Cardiology in UK, I happy to see that our efforts have led to development of was a Cardiologist at the prestigious Birmingham University Cardiac Sciences and these procedures being performed in Teaching Hospital – the Queen Elizabeth University and was most part of the country even in small cities. well liked and respected by my peers and the Professors and As we go from present into the future, it is clear that science HOD. The career was nicely set and I had no thoughts of and technological advances are making all advanced surgical returning to India. But to everyone’s surprise I and my wife procedures minimally invasive. At Fortis Escorts Heart decided to return to India after 10-years not because of the Institute the Cardiologist and Surgeons are working together love for homeland but for my parents. I am the only son, my to create newer minimally invasive techniques. We are the parents were aging and mother was not keeping good health, first in the country to replace valves non-operatively in they did not feel comfortable in moving and spending their the Cath Lab and are considered centre of excellence. We life in the loneliness of a new country UK, so we took the have advanced to the life saving procedures not commonly most important decision of our lifetime, to return to India to done in India like Ventricular Assist Device, Transplants, serve our parents first and of course thereby India. I must say complex endovascular repairs techniques which require the that God above has been kind and now nearly 27-years later cardiologist and surgeon working together closely in hybrid it feels great to be recognized and respected internationally Cath Lab cum theaters. We are also working at making high as an Indian Cardiologist from India than from UK or technological care affordable to the common man through anywhere else in the world and also to be recognized by your numerous frugal innovative options like e-ICU. own country with Padma Shri and Padma Bhushan A great reward by God for the small sacrifice made by me and my Secondly, the clear differentiator is providing quality care and therefore measuring outcomes so that the patient family made. benefits. We are the first in the country to be a part of an In your experience, which has been your International Consortium for Health Outcomes Measurement (ICHOM) to institute audit of medical processes and most challenging surgery? measure daily outcomes of all our angioplasty and cardiac The most challenging surgery undoubtedly was doing the surgery procedures. These are audited, reproducible and can ‘angioplasty of my father’. In 2007, at the age of 84 my be scrutinized by anyone including patients and are on our father had chest pain, so I decided to do an angiogram, which website. We are able to therefore benchmark ourselves to showed very complicated and calcified severe blockages. I the best of the centres in the West and also improve where was shocked at the severity and complexity, but at his age needed and now put our audited results even on our website angioplasty was the only option and the blockages required in a transparent manner for all to scrutinize. drilling by Rotablator first and then multiple stents needed be implanted with accuracy and precision. In 5-minutes, I had Such transparent patient oriented initiatives which to reconcile that it was only me who could do this complex improve patient care and outcomes at an affordable cost procedure with maximal safety and therefore I made the will be one of the major differentiators by the public as clear decision to do it. It was a dangerous procedure but I well as the payers like Health Insurance companies and blanked myself out completely to the consequences of ifs Government in deciding which centres can deliver quality & buts and failure and complications. I could not even care to our patients. reveal the dangers and severity of what could happen to Thirdly, we are leading from the front on seminal academic my family, my sisters and mother. The procedure took two and research initiatives which are getting accepted worldwide. hours and was successful and at the end I was so emotionally I had the unique distinction of being invited to present our drained by the realization that the procedure was over and experience and perspective to the US FDA Panel during their successful that I missed out a vital precaution which led to a deliberations on 15 March, 2016 to approve the bioresorbable minor complication which I was able to salvage. By God’s stent, first ever for any Indian. Our pivotal trial on stents w w w.medegatetoday.com May-June 2016

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called the ‘Tuxedo Study’ also took the centre stage last year at the biggest international meeting of the world and was also published in the prestigious New England Journal of Medicine. I have been regularly teaching the world including USA by doing live demonstration and real time satellite transmission of complex angioplasty cases using bioresorbable stents. The world is now listening and learning from us.

How do you describe the healthcare scenario of India? A lot needs to be done and I am concerned that it always seem to be too ‘little too late’. While efforts are being made at multiple levels by all agencies and stakeholders they are sporadic and uncoordinated. But most important aspect is to put a secondary healthcare structure into place in this country. 80% of the procedures done in either tertiary hospital (Govt. or Private) can be done at a secondary facility closer to the patient through various models. Our secondary and District General hospitals provide basic and primitive care. If they could be improved in their services, appropriate triaging would happen taking the load of our tertiary national institutes and yet our population would receive majority of the routine but advanced treatment at its doorstep at affordable cost. There are many solutions but most importantly there need to be greater public private partnership with trust, transparency, vision and conviction.

Apparently, you have pioneered various angioplasty techniques for India and Asia Pacific regions. Which has been your greatest invention so far? Yes, it has been a long very fruitful journey of pioneering numerous techniques over last 27-years for India and Asia Pacific region which have benefitted a lot of people and I have trained numerous cardiologists in India and neighbouring countries to perform these techniques, my most recent contribution has been in the development and use of the Absorbable or “Dissolvable Stent”, which is one of the most fascinating advances in angioplasty ‘truly revolutionary’. I have been associated with the development of the device, with seminal trials and use of the device for the last 8-years. I was the first to use it in Asia Pacific in 2010 and to put it into clinical use. My experience and techniques have contributed to the safe and effective use of this device across the world and have gained a new respect for India. We have been invited to demonstrate the technique of using the Absorbable stents through live cases at numerous international meetings. The US FDA Panel where I was one of the three international experts presenting my experience and perspective has also unanimously recommended it for approval. This dissolving stent which treats the blockage but disappear from the artery after 3-4 years is going to change the way we treat our patients with coronary artery disease. It is a transformation change and a giant leap ahead in time.

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Some people revere you as a God, how do you feel about that? When people say and respect me as God, I feel embarrassed but more importantly I feel small and humbled; for I know and that they don’t realize that my skills, expertise, results and successes are not mine but only happen because of God’s will & blessings. We understand so little about this human body such as we can do the same procedure every day and do it well and still one day it fails and a patient may die in our hands. It is God who makes the patient well and heals him. We are a small part of what HE governs. After having done one of the highest numbers of angiograms and angioplasties in the world, I am more and more humbled and aware of how we have to be aware of God’s blessings on us and on our patients and pray to him before every procedure to bestow our patients, with their healthy life and well being.

What legacy do you want to leave behind? I perhaps do not want to leave behind a physical legacy that is very materialistic. But I want to leave behind an ‘inspirational and aspirational legacy’ for every young budding Cardiologist who will form the future of this country and for that matter every doctor. I want each one to understand that my life and success to them should represent – “professional dedication and focus, technical expertise, highest standards of ethics and passionate patient care with the will of God”. When I am no more, they should always say that he was not just a ‘good doctor but he was a good man’. I hope and pray that I can leave such a legacy of my life and work.

Dr. Ashok Seth

Chairman, Fortis Escorts Heart Institute, New Delhi

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Dr. Pradeep Chowbey specializes in Minimal Access surgeries,

Metabolic & Bariatric Surgery he Belongs to the cadre of pioneer laparoscopic surgeons in India. he performed First Laparoscopic cholecystectomy in NORTH india

Tell us about your family background, school and native place? My child life was spent idolizing my father, who in those days was the only surgeon in the Central Province (now called Madhya Pradesh). As a child, I was brought up in a small town in Jabalpur, Madhya Pradesh. I studied at a municipality school that functioned by spreading out taat patti on the floor. Having books was not possible. I always wanted to follow my father’s suit as I saw him being respected and loved by everyone. I used to spend many hours in my father’s dispensary, helping him make mixtures in small pouches, which is how medicines used to be dispensed in those days. I pursued my medicine from Jabalpur Medical college and was on my way to fulfilling my dream of following my father’s footsteps.

Tell us about your professional journey? After completing my medical education, I moved to Delhi to find a job. My first job was at Holy Family Hospital as a registrar in 1977. Having worked at this hospital, I gathered phenomenal exposure and learnings that I even cherish today. From 1977 to 1984, I worked at Ram Manohar Lohia Hospital,

Delhi as a surgical registrar. . In 1984, I joined Sir Gangaram Hospital as a consultant surgeon and my areas of interest were hepatobiliary, pancreatic and breast surgery. However, all through my surgical career, I felt a void within myself for my inability to alleviate post operative sufferings from large surgical incisions. I always felt that there was tremendous amount of pain and suffering that the patient had to endure despite the cost he was paying for the surgery.

What is minimal access surgery & why you chose this as your professional career? Few years later in 1989, I got an opportunity to attend a presentation at the American College of Surgeons in New Orleans where they had presented 4 cases of endoscopic gall bladder surgery. This was the turning point in my career. It almost instantly changed the path of my career, exploring something new, less morbid and challenging. Initially, it was thought to be a surgery only for the rich patients but I always believed that it was a surgery for the masses in India. With a quick recovery, patients were able to resume their work within a matter of few days. The post operative care required was also dramatically less as compared to open surgeries which was almost close to a month. This I believed cut down the suffering for the family as well. Bringing

Dr Pradeep Chowbey pioneered the SPIDER technique for bariatric and other laparoscopic surgeries in Asia Pacific region in 2012. This technique is used to perform a virtually scar less minimally invasive surgery. Unlike conventional rigid laparoscopic surgery, the SPIDER flexible laparoscopic platform allows multiple instruments to be used through one incision

Dr Pradeep Chowbey Padamashri Awarded by President of India Chairman – Max Institute of Minimal Access, Metabolic & Bariatric Surgery Honorary Surgeon to The President of India Honorary Surgeon to Armed Forces Medical Services (AFMS) Surgeon to His Holiness Dalai Lama

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this procedure to the country not only changed my life but countless others. Shifting my technique of operating from large incisions to kind cuts of laparoscopic surgery has been the toughest decision that too at the early phase of my career but it proved to be worthwhile in the long run. Like any new idea faces resistance, my idea of minimal access surgery was also called impractical by many in the medical fraternity. The surgeons had a stereotypical mindset that if a surgeon does not put his hands inside the abdomen, the procedure would not be successful. However, I believe I reversed the ideology by reducing the bigger cuts to mere punctures with excellent patient outcomes. In 1996, I along with my team set up the first Minimal Access Surgery Department at Sir Ganga Ram Hospital with a singular aim of propagating minimally invasive surgery in India which at that time was thought to be a futile venture

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but today it has emerged as the most promising treatment option for patients who had to undergo open surgeries and face the sufferings because of the long recovery period. The minimal invasive surgery required the use of laparoscopic technique which needed huge financial investments, long training hours with a long learning curve that changed the surgeon’s view from three dimensional to two dimensional while operating. Nevertheless, I kept my faith in the technique and the successful procedures with happy patients going home early without signs of pain kept me going and my toiling was over. I knew there was no stopping now. I have been blessed to operate on many eminent personalities and have been the surgeon of choice for four serving President’s of India in a row. Operating on The Dalai Lama was one of the most fulfilling experiences for me. We achieved the highest possible success rate with excellent clinical outcomes. Operating on the then President of India, KR Narayanan was also an experience that I hold very close to my heart. He was in his early 80’s when I operated on him and as a gesture after recovery he invited team members and greeted them personally at Rashtrapati Bhavan, from the lift operator to the top consultants. It was an evening that I will cherish forever.

Obesity is one of the biggest challenges nowadays. In your opinion is bariatric surgery one of the options and is it safe? I recognized the increasing prevalence of obesity in India way back in 1999 and today India is the third most obese country in the world. Every ten kilograms of extra weight reduces life by three years. An obese person with a 50 kg of extra weight has already shortened his life by nearly 15 years. Commonly associated diseases like diabetes, heart problem, joint pains and risk of developing cancer may even shorten the life span of the person. Until not very long ago, the simultaneous prevalence of obesity along with diabetes boded doom, it increased the risk of

developing various other serious diseases and drastically shortened the life span of the person. Not to overlook, the quality of life of such patients was miserable. Obesity (Bariatric) surgery has emerged as a promising treatment for those who are suffering from Morbid obesity. There are clearly defined guidelines that classify obesity according to Body Mass Index. This surgery is a life saving procedure and must not be confused with other cosmetic surgeries for fat reduction. Weight loss surgery not only provides a long term sustained weight loss solution, it also significantly improves obesity related health illnesses like Type 2 Diabetes, Hypertension, joint pains, risk of heart diseases, sleeping disorders and infertility problems. The procedure is safe in dedicated centers with multidisciplinary team and setup.

What are the latest trends in metabolic and bariatric surgery? The traditional approach to treat Type 2 diabetes has been through oral medications and insulin therapy. Even though the medication approach has advanced over the years, very few patients attain normal blood sugar levels which makes them susceptible to a lot of severe effects that arise due to diabetes. In the light of the escalating global diabetes crisis, the need of the hour is to identify surgical interventions that provide a long term metabolic outcome. The concept of ‘metabolic surgery’ is fast gaining ground. 82- 92 % operated (metabolic surgery) patients show resolution of diabetes after the surgery which is an overwhelming outcome. The medical fraternity has acknowledged laparoscopic surgery for obesity and diabetes (bariatric and metabolic surgery) as one of the most promising and breakthrough developments in the last decade which has delivered exceptional patient outcomes. With the help of keyholes (laparoscopic technique), bariatric/ metabolic surgery can be performed with minimal invasion and requires 2 to 3 days of hospitalization. The patient can move around on the

same day of the surgery and the recovery is very fast. Patients lose about 6 to 8 kilograms on an average per month. In the given scenario of increasing morbidity and mortality due to Type 2 diabetes mellitus, bariatric intervention is emerging as a promising cure. It provides exceptional sustained weight loss and remission of type 2 diabetes in addition to related co morbidities and quality of life improvements.

Passion for Art Dr. Chowbey has always been attracted towards the enticing realm of art and painting. During his years at the Jabalpur Medical College, he would pick up a pencil and sketch pictures. Slowly he got busier in the long hospital schedules, the sketches started diminishing but the interest in art remained deep inside. In 1977, he started his own collection of paintings, the first one being a watercolor paperwork. This was just the beginning of a long association with art and painting.

Revitalization of art In 1982, his marriage to Susmita, an artist, opened up various avenues into the realms of paintings and knowledge about artists of the era. His collection of artworks by young and established artists grew considerably. His collection of art has work of Masters such as M.F. Husain, S.H. Raza, Ram Kumar, A Ramachandran, Satish Gujral, Gopi Gajwani, Himmat Shah, Meera Mukherjee. He also has a great collection from the next generation of artists such as Manish Pushkale, Sidharth, Kishor Shinde, Neeraj Goswami, Niladri Paul and S Harshavardhan. Though constrain of time limits the number of occasions Dr. Pradeep Chowbey spares for his Passion for Art. But whatever time he can make out, it is like entering into a whole new sphere of his life, where medicine metamorphoses into art soothing his senses and revitalizing him to keep on achieving new milestones in the field of Bariatric (Obesity) Surgery, Minimal Access Surgery w w w.medegatetoday.com May-June 2016

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A Man Wearing Stethoscope i.e. Dr. KK Aggarwal

Tell us about yourself? Where do you hail from? What has been your journey from primary school to medical education?

Dr. KK Aggarwal

President Heart Care Foundation of India & Honorary Secretary General Indian Medical Association

India is the diabetic and heart disease capital of the country. Given the rising incidence of the diseases, it is imperative that preventive health awareness is raised. It is for this reason, I have designed a formula of eighty 46

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I was born on September 5, 1958 at the Kasturba Hospital Darya Ganj Delhi on the occasion of Janmashtmi. I was the seventh born in a family of 9 brothers and sisters. My father (who we just lost at the age of 96) and my mother (now 92) raised 9 siblings in Hauz Qazi, in a one-bed room set. We lived a life of simplicity and each one of us had a driving passion to make something out of ourselves someday. I used to walk 3 kilometers to go to school every morning. I never got any pocket money. My brother and I used to study on top of the clothes cupboard since there was no other place with our other siblings running around. We shifted to SDA in 1971. I completed my schooling from ASVJ Higher Secondary School Darya Gang and pre medical from Desh Bandhu College. Then I went ahead to pursue my MBBS and MD Medicine from Mahatma Gandhi Institute of Medical Sciences (MGIMS) Sevagram Wardha. It was MGIMS that changed my life, and made me the man I am today. I was the topper of Nagpur University throughout my education and till today the professors remember me as one of the most brilliant minds MGIMS has ever produced. The first that I ever sat in a car, travelled in a second AC train, dined at a five star restaurant or touched a plane was only after I finished my MD Medicine in 1983.

Being one of the finest life style cardiologist of India, Please tell us about your journey? In 1983 I moved back to Delhi after completing my MBBS and MD Medicine from MGIMS. I started working under the guidance of my mentor and father of New Age Guru â&#x20AC;&#x201C; Dr Deepak Chopra, Dr. K L Chopra at Moolchand Hospital. Recognizing my commitment to work and capability, I was promoted to a position many take 5 years to get to in just 5 months. Dr. Chopra encouraged me to go to the University of Alabama at Birmingham in USA for a training program on the Colour Doppler Machine. Post completion, I successfully brought the technology to India for the first time ever in 1986. I went ahead to complete various course modules linked to meditation and Vedic lifestyle at the Chopra Center in San Diageo and also became Indiaâ&#x20AC;&#x2122;s first few certified lifestyle instructors.

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Together with Dr. KL Chopra I stared the Heart Care Foundation of India a not for profit trust which has been creating heart care awareness since its inception in 1986. In the past 27 years, it has helped raise mass health awareness in the country through its flagship projects – the Perfect Health Mela, CPR 10 training campaign, Sameer Malik Heart Care Foudation Fund and Perfect Health Parade. Recognizing the work done and awareness raised by the NGO, the Government of India released two National Commemorative Stamps and one Cancellation Stamp at three of the NGO’s events. My wife and I also started the IJCP Group of Medical Communications in 1989; a medical communications house helps keep doctors updated about the latest developments in medicine. Today we publish over 30 medical journals every month and have an e-newspaper that goes out to over 2 lakh doctors everyday. Over the span of my career, I have been actively associated with the Medical Association; have served as the President of IMA New Delhi Branch and Delhi Medical Association and am currently the Honorary Secretary General of Indian Medical Association.

Please tell us about the state of Cardiology in India. How many risk factors are involved in it? India is the diabetic and heart disease capital of the country. Given the rising incidence of the diseases, it is imperative that preventive health awareness is raised. It is for this reason, I have designed a formula of eighty; a series of easy to remember health tips, which if followed can help prevent the onset of the disease till one is 80.

My formula of 80: Keep your lower blood pressure, LDL ‘bad’ cholesterol, fasting sugar, resting heart rate and abdominal girth all below 80. Keep your kidney and lung functions both more than 80%. Walk 80 minutes a day, brisk walk 80 minutes a week with a minimum speed of 80 steps per minute Eat less and not more than 80 gm or 80 ml of caloric food each meal and observe cereal fast 80 days a year Do 80 cycles of parasympathetic breathing (pranayama) a day with a speed of 4 per minute and spend 80 min with yourself every day (relaxing, meditating, helping others etc.) Do not consume alcohol and those who do not want to stop, limit alcohol intake to no more than 80 ml per day or 80 gm per week (50% in women) limiting each time to no more than 80 ml of alcohol in less than 80 min. 10 gm of alcohol is present in 30 ml or 1 oz of 80 proof liquor. I also have devised a Hands Only CPR 10 Mantra to help educate the masses on how a simple and easy to learn formula can help save many lives. Over 24 lac people die every year due to sudden cardiac arrests, 50% of the deaths are reversible if Hands only CPR is given immediately for

a minimum duration of 10 minutes. Our NGO HCFI has trained over 1.5 lakh people in this technique in less than two years, seen several success stories and also trained each and every Delhi Police PCR Van staff.

Hands Only CPR 10 Formula Marne ke dus minute ke andar (earlier the better), kam se kam agle dus minute tak (longer the better) 10×10=100 per minute ki speed se apni chhati peetne ke bajaye mare hue insaan ki chhati peeto.

You are recipient of various awards and accolades. How do you feel after receiving these awards and does this add more responsibility? I am the recipient of four national awards: Padma Shri, Vishwa Hindi Samman, National Science Communication Award and Dr B C Roy National Award. In addition to this, I am also a Limca Book of Record Holder for the maximum number of people trained in the technique of Hands Only CPR10 and a Gold Medalist from Nagpur University. Every award makes me more humble and reminds me of my responsibility towards the community. My Padma Shri encouraged me to start the Sameer Malik Heart Care Foundation Fund as a project of our NGO wherein we provide financial and technical assistance to one patient everyday who is in need of a heart surgery but is unable to afford it. Each life saved due to the work that we are doing as a collective field, helps push us to do more and more for the community at large. The help line number is 9958771177

Tell us about your current position or associated with different organizations like MCI, IMA etc.?  Honorary Secretary General IMA  Immediate Past Senior National Vice President IMA  Honorary Professor of Bioethics SRM Medical College Hospital & Research Centre  Sr. Consultant Medicine & Cardiology, Dean Board of Medical Education, Moolchand  President Heart Care Foundation of India  Chairman Legal Cell Indian Academy of Echocardiography  Editor in Chief IJCP Group of Publications & eMedinewS  Member Ethics Committee Medical Council of India (2013-14)  Chairman Ethical Committee Delhi Medical Council (2009-15)  Elected Member Delhi Medical Council (2004-2009)  Chairman IMSA Delhi Chapter (March 10- March 13)  Director IMA AKN Sinha Institute (08-09)  Finance Secretary IMA (07-08)  Chairman IMAAMS (06-07)  President Delhi Medical Association (05-06) w w w.medegatetoday.com May-June 2016

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The New Frontier in

Ophthalmic Care

Could you tell us something about yourself, Cataract is one of the most family background and about early education? common disease of ophthalmology Myself was an extraordinary student right from the school I had the ambition of becoming doctor right from in India with a large backlog. As our days. the school days and my parents provided every facility more than 30% population is still below and motivation to become doctor. I did my MBBS from PGIMS, Rohtak in 1984 and subsequent post graduation poverty line and have no knowledge MS, ophthalmology. From initial days I had great interest in becoming eye and access to new technology,at the surgeon. In 1989 I went to England and Belgium to do my very first it is mandatory to educate PhD in Ophthalmology. I did FRCS from England. After I back to India I started practice in Ophthalmology,first in and provide better living standard to came Jindal Hospital, Hisar: a premier charitable institute in North After that I opened my own eye institute named Garg these people so that we can cut down India. Eye Institute and Research Centre in 1993 with complete eye the cataract rate formation with proper check up and surgical facilities for people of Haryana. So far I have performed more than 80000 eye operations of every initial medical care" type and have conducted more than 50 free eye camps in

Prof. (Dr. Ashok Garg) (Chairman & Medical Director) Garg Eye Institute & Research Centre

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various parts of Haryana for the benefit of poor and needy. I have strong academic interest in ophthalmology besides clinical practice. I wrote first book in opthalmology way back in 1986 for the benefit of ophthalmologists. Till date I have written and edited more than 100 ophthalmology books and 3 video atlases on various diseases of eye. All my books are international and available worldwide. Out of these my 14 international books have been converted to spanish, portugese and chinese editions. My International books have given a new direction and honor to Indian ophthalmology at global level. I have created Guinness world record and 2 Limca world records for writing maximum no of books in a year and largest video atlas of ophthalmic surgeries in the world. For my unique achievements in ophthalmology I have received more than 15 international awards and gold medals and more than 20 national awards and honors. I have been appointed life fellow,honorary visiting professor and scientist to various international ophthalmic societies and institutes. I have attended more than 80 international ophthalmic conferences and more than 100 national and regional conferences. I have acted as Chairman/judge to various international conferences which is a matter of great honor for me as well as India.

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Despite of busy schedule how do you able to manage your professional & personal life both?

How do you feel when you represent to India in different countries?

I have a very busy schedule of clinical practice,participation in various social activities and attending various international and national conferences. My wife is senior gynaecologist in service with government of Haryana. She is very understanding and co-operative for me and maintains a harmonious balance between personal and professional life. My two children, son Abhishek Garg and daughter Anshul Garg both pursuing medical career are also very understanding and co-operative. I appreciate and fully credit my wife and children for their cooperative and understanding attitude. Kudos to them!

When I visit various leading international ophthalmic institutes and international conferences,it gives me immense pride and joy when my countryâ&#x20AC;&#x2122;s name is mentioned along with my extraordinary achievements. I feel great when I think that my mission is complete to take Indian ophthalmology name to greater height and a global level. My salute to India!

You have created two World Records in international ophthalmic books Publication, so how was the journey & experience to reach? The motivation for writing the books came from this nostalgia that at the time our study in MBBS in 1980s we were studying from books of foreign origin. At that time no Indian books were available for study. I thought every time during my study period why Indian author books are not available for study. This thought gave me inspiration to write books. In 1986 I published first book in ophthalmology which was quite a hit. This success gave me stimulation to write more books,so in this long journey of last 30 years I have written and edited more than 100 international ophthalmology books and 3 video atlases. It gives me a great sense of satisfaction and pleasure that in the entire world my books are widely read and command great respect. This 30 year voyage was very challenging and tough but it gave me great experience and joy that my books have reversed the trend of studying foreign books. All the leading international ophthalmologists and ophthalmic institutes appreciate my efforts in book publications.

Cataract is most common disease in India among women & men, what is your take on it? How can we prevent it? Cataract is one of the most common disease of ophthalmology in India with a large backlog. As our more than 30% population is still below poverty line and have no knowledge and access to new technology,at the very first it is mandatory to educate and provide better living standard to these people so that we can cut down the cataract rate formation with proper initial medical care, For this along with the government,private and corporate sector have to play a bigger role in providing better ophthalmic care services.

What is your suggestion & message to upcoming Ophthalmologist to be successful in their life? My message and advice to upcoming ophthalmologists is to work hard with dedication as there is no substitute to hard work as Rome was not built in a day. Success always comes to the hard working ones.

What are the current updates in Indian ophthalmology? What do you think about expansion of Indian Ophthalmology? Iâ&#x20AC;&#x2122;m glad to inform everybody that Indian ophthalmologists and eye institutes are best at an international level and is comparable to premiere international ophthalmic institutes. The international opthalmologists have great respect for Indian eye surgeons and high ranked Indian eye institutes. Since India is a very huge country with big population,there is need of opening more high tech eye institutes in various parts of the country to meet the need of people. w w w.medegatetoday.com May-June 2016

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The Dynamic Lady Dr.

Minnie

Tell us something about you & your achievements since your primary education?

Dr. Minnie Bodhanwala CEO, WADIA HOSPITALS (Mumbai)

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Post primary education I have always been inclined towards the cause of healthcare, looking back its been 30 years but every single day I still work with same passion I had started initially. I am really happy of my achievements and I am thankful to everyone who have recognized the same and look forward to achieve a lot more then what I have today. After completion of my Bachelors degree in Dentistry, I pursued my career in the field of Healthcare management as the same appealed me to serve the society on a wider scale, I had played a key role in establishing a strong foundation for community projects in dental health for Impact India foundation by UNDP, UNICEF and WHO for their “Hospital-on-Wheels” to handle functionalities as a Coordinator Surgeon to set up the 1st Dental Unit on the Train and arranging these camps at Mandsaur (Madhya Pradesh), Udaipur (Rajasthan), Gauriganj (Uttar Pradesh) catering to thousands of underprivileged people in the region. When I was the CEO for Baroda Heart Institute and Research Centre, Gujarat; a super specialty Cardiac Hospital. I Achieved NABH accreditation for the Hospital in 8 months. I have played an instrumental role in bringing a positive transformation at Wadia Hospitals. For my work in the field of Healthcare I have been awarded with more then 45 prestigious National and Internationals awards and have achieved more then 40 accolades for my current organization in a short span of 3.5 years.

What is your contribution towards nation to prevent Women & Children diseases in India? Since 2012 I have been associated with the largest Paediatric Hospital in the country the Bai Jerbai Wadia Hospital for Children and the exclusive women’s Hospital the Nowrosjee Wadia Maternity hospital as the Chief Executive Officer, both of them being Charity organizations cater to the underprivileged section of the society. When I joined I accepted this job as a challenge as both the Hospitals demanded a lot of improvement and I was able to bring about the same in a short span of time. Together both hospitals now see more then 3,00,000 women and children annually and provide quality, safe and affordable healthcare at par with top corporate hospitals to the underprivileged women and children of India. Today Wadia Hospitals proudly hosts the largest NICU in the country with 110 beds, the Pediatric hospital caters to more than 28 sub specialties like cardiology, neurology, nephrology etc. thus providing comprehensive treatment to children under one roof.

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To support the health needs of the community by catering to women and children with rare health conditions that are often ignored by other healthcare players for various reasons, Wadia Hospitals is a dedicated nodal center for Clubfoot treatment in Maharashtra, a dedicated clinic for Cancer, Malnutrition, HIV, TB, Epilepsy, and Occupational therapy etc. Recently the Hospital has also started with a Human milk bank and a clinic for children suffering with Multiple Disabilities and Vision Impairment, which is one of a kind initiative in this region. The IVF clinic started in Maternity hospital is a first initiative in a Public Trust hospital and is a boon for the patients who cannot afford expensive treatment at private set ups. Despite of the many challenges. quality care and safety of patients and employees have not been compromised .

What do you think about Primary healthcare services in India & what is your take on it?

What is your vision & Mission & where do you see yourself in next five years? My vision and Mission is to serve the Nation and see a healthy India and see principals of quality care implemented universally in healthcare.

What is your hobby & what do u do in your leisure time? I am fond of traveling and experiencing different cultures; I like listening to old music in my leisure time if I get any.

How was your journey & experience to be a CEO? Itâ&#x20AC;&#x2122;s been a great challenge with a number of hurdles and a much greater satisfaction in my career with impacting the lives of so many people from all walks of life. End of the day when you see a patient leave with a smile from your Hospital that is your biggest achievement as an employee or CEO of any healthcare organization.

I really appreciate the efforts of the Government of India and various State Governments along with other non-profits and private partners on the efforts that have been taken so far in establishing Primary Healthcare services in India, Our country being so vast there are many challenges unique to it. With ever increasing population, increasing chronic diseases, advancements in technology it becomes difficult to sustain the efforts done for providing quality primary healthcare. Need of the hour is to get across standardization in all the Primary health centers and establishing clear pathways for achievement of our goals. A national accreditation process adopted for all primary healthcare services will help us ensure consistency in quality of treatment. Also promoting public private partnerships in primary healthcare will be of great support to make it more sustainable and benefit a larger population. You have done NABH Assessor so how it helps you to achieve your career goals. Along with NABH assessor course I have also done a post graduation course in Quality management and accreditation and a fellowship from the International Society for quality in Healthcare, these courses help us get a holistic view of the Healthcare in our country and beyond. Being a Principal NABH assessor is a great achievement in my career path, doing regular assessments at various hospitals helps me understand healthcare better and gives me an insight into various challenges and gaps in hospitals and healthcare in our country. I have always been inclined towards patient safety and quality of care that hospitals provide and I am thankful that NABH has made this possible by benchmarking the standards for the same. Helping so many healthcare organizations in our country to achieve accreditation is great achievement in my career path. w w w.medegatetoday.com May-June 2016

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A Charismatic Personality &

Renowned Nephrologist I was a well-established consultant nephrologist, Director of Transplantation and Faculty of St Louis University USA, when I decided to move to Manipal Hospital Bangalore, where I had to start from scratch. Tell us about yourself including your family background, school and college days?

Dr. H. Sudarshan Ballal

Chairman, Manipal Hospitals

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I was born to a landowner business family of Mrs Prapulla and Mr Sanjeeva Hegde in the coastal temple town of Udupi, Karnataka which is very close to modern Mecca of Education ie. Manipal. We were 5 brothers and I studied in St Cecilys Convent, Udupi and then St Aloysius at Mangalore. I was a brilliant student and stood first throughout my school days. I was also an active hockey and table tennis player in school. Since all my brothers were into the medical field, I had my eyes set on the same field from a very early stage of my life. Thereby in pursuit of my goals I finished my MBBS in medicine and MDS in Kasturba Medical College, Manipal. Secured Gold medals in all the final exams of MBBS and many other subjects and was awarded the Best Outgoing Student or Blue Ribbon by The Illustrious founder of Modern Manipal Dr T M A Pai. In order to get further training, I moved to USA. By then, i was also one of the few people to be in the Board Certified in Medicine Nephrology and Critical Care. After coming back to India, I helped set up Nephrology department at Manipal Hospital Bangalore and was a part of its growth as one of the best Hospitals in the region. I was also awarded Fellowship (FRCP) by the Royal College Of Physicians of London. It

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was a truly amazing journey to start as a student at Manipal, Tell us about your journey & circumstances to join as a consultant, later on become the Medical Director and then become the Chairman of Manipal Hospitals. I am also be a chairman of Manipal Hospital? It has been a great and challenging journey for me. I was Chairman of Stempeutics a Manipal Stem Cell Company. a well-established consultant nephrologist, Director of As you are one of the renowned Transplantation and Faculty of St Louis University USA, when I decided to move to Manipal Hospital Bangalore, Nephrologists in India so highlight some where I had to start from scratch. I must wholeheartedly latest advancement in Nephrology? thank my wife Hema Ballal but for whom I would not have The Kidneys being very vital organs, their failure causes the will or courage to embark on this journey. multiple internal disturbances that seriously affect ones health. In the early phases of kidney disease numerous By God what a journey it was both for the department and interventions with medicines like ACEI and ARB to hospital: starting from no faculty ,two dialysis machines ,50 slow progression, ESA’s for treatment of Anemia and dialysis per month to a 30 doctor faculty, a hundred dialysis Calcimimetic agents for hyperparathyroidism in the recent machines over 5000 dialysis a month and a busy DNB past have made life easier for patients with kidney diseases. training program with over 50 nephrologists having come out our institute practicing in various parts of the country . Hemodialysis: A dialysis machine removes waste products Starting of as a consultant in a single hospital with a hundred from patient’s blood through an artificial filter called the occupied beds in one city, to be the Chairman of a group of dialyser on a periodic basis. Many innovations like the high 16 hospitals with 6000 beds across the Globe and one of the flux dialyser, hemodiafiltration and CRRT for the critically largest Health Care Providers in the Country .We were also ill have made dialysis a much better and safer form of renal fortunate to be the leaders in health care and education at replacement Wearable kidneys and bio artificial kidneys are Manipal Hospitals be it the first Lithotripsy, MRI ,Robotic in the offing too. surgery Cadaver transplant ,Post graduate training program Peritoneal dialysis (PD): Unlike hemodialysis, PD uses in Nephrology or any of the other cutting edge technology the peritoneal membrane in the abdomen as the filter and in health care . This truly has been a phenomenal exciting can be done by the patients themselves at home. Many and lovely journey for me. innovations in the PD fluids and automation in the form of I must acknowledge the immense support I received from cyclres have made life a lot easier for these patients the promoters of the group Dr Pai and his family with whom I have been associated for close to four decades since the Transplants: Kidney transplantation or renal time I was a student. I am also extremely grateful to my transplantation is the organ transplant of a kidney into a family: my late parents Mr Belanje Sanjeeva Hegde and patient with end-stage renal disease. Kidney transplantation Mrs Prapulla Hegde who brought us up with extraordinary is typically classified as deceased-donor (formerly known love and strong value systems, My wife Hema my children as cadaveric) or living-donor transplantation. Anoopa , Diya , Devesh. I also thank my brothers and Depending on the source of the donor organ, this is their spouses especially my eldest brother the current Pro the best treatment available for patients with kidney Chancellor of Manipal University Dr. H.S.Ballal and his failure. Many innovations in the surgical techniques and wife Indira Ballal who have been like my parents. immunosuppressive therapy have made it possible for this to be a safer treatment with good long term outlook. These What legacy do you want to leave behind? days ABO incompatible transplants, transplant of sensitized I would like our organization to be known as the most recipients and steroid free immunosupression is also possible. respected and ethical organization in health care known for Govt. of India has started dialysis Centre across India for its compassion for the patients. We take good care of patients free dialysis treatment, what is your take on this? and their family and to be considered the best and most Unfortunately a vast majority of patients with kidney diseases friendly work place by the employees including the doctors die a slow painful death as most of them either cannot afford and also be known as the hub of excellence in health care or do not have access to the treatment .This is more so in and education rather than being known as the biggest largest the rural areas as most of the kidney specialists and dialysis or most profitable Hospital. facilities are in the cities and suburban areas .Hence it is a welcome move by the Government to set up dialysis units What is your hobby & what do you like to do across the country. The major challenges are the huge in your leisure time? shortages of trained Doctors and paramedical personnel and Watching movies over the weekend with the family, the cost involved. Also maintaining the quality is another yearly holidays abroad with the family, listening to Hindi major challenge .However it is a good start and hopefully we music and catch up at least nine holes of Golf with friends will slowly and steadily overcome the challenges. whenever possible. w w w.medegatetoday.com May-June 2016

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A Man of Quality Management

Establishing Indian Institute of Quality Management and training more than 10,000 professionals on quality management has been one of the satisfying achievements in my life, till I got opportunity to formulate NABH.

Dr. Gridhar Gyani Director Genral, AHPI New Delhi Tell us something about your family background? How do you recount your childhood days? My parents were originally from Sindh (now in Pakistan) who migrated to India after partition. We were 4-brothers and 2-sisters. My father was in business of jewelry but he encouraged us to pursue education and chose profession of our choice. We were brought up in a middle class family environment with strong ethical base. I have one daughter, who is Associate Professor at Lamar University in USA and son is Senior Executive with Microsoft in India.

What has been the turning point in your life? Who or what has/ have been your inspiration? My selection as Secretary General of Quality Council of India in December 2003, proved to be big turning point in my career. My meeting with Dr APJ Abdul Kalam at Rashtrapati Bhawan in 54

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February 2007 proved to be major shift in my approach to Quality. He gave me the mission: ‘Quality for National Well Being’. I followed up with developing accreditation schemes for school education, environment impact assessment, food safety and even for government services, all happening first time in our country. The opportunity to develop accreditation scheme for hospitals (NABH), of course proved to be major milestone in my career.

How does the Director General of Association of Healthcare Providers describe his typical work day at the office? To be frank, I thought my work at AHPI would be relaxing. After fast pace career at QCI/NABH, I wanted to take up light work and thought that AHPI will provide me with that environment. It is proving me too contrary. The work profile is very dynamic. The creation of state chapters has increased the coordination work as every state has its own typical problems.

You have a bachelors and master’s degree in Electrical Engineering, but you pursued a doctorate in Quality Management. What is your vision for What was the reason for opting Association of Healthcare to a different field of study? Providers? After 10+2, I decided to go for engineering just because my brother in law was an Engineer. I passed my engineering from Dayalbagh (Agra), an institute known for value system. I even got opportunity to teach at the same college for good 4-years, before joining Defence R&D Organization at PUNE. I pursued my ME during this tenure. On promotion I was posted at DRDO unit engaged in airworthiness assessment at HAL NASIK. Assessing quality of design of military airplanes for 10-years was complex, challenging yet exciting. I developed keen interest in the subject of quality. This got further boost when I joined standardization, testing and quality certification directorate (ministry of electronics and telecommunication). I was sent for advanced training in quality to UK after which I was chosen as founder director of Indian Institute of Quality Management at Jaipur. This made complete switch over from engineering to quality.

Our motto is: Educating & Advocating for Well Being of Common Man. AHPI is working hard to facilitate in building capacity in Indian health systems. We advocate with government and regulating agencies to address the issues which are pain points for our members in delivering of safe and affordable health services. We have developed few innovative training programs to help member hospitals to add value.

How do you describe the healthcare scenario of India? The healthcare has never been the priority area for our governments. Thanks to private sector, we have 5% of GDP (1% by government and 4% by private sector) being put in the health systems. Over 70% of OPD and 60% of IPD services are being delivered by private sector. Present NDA government came out with proposed National Health Assurance Mission, aimed

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at covering majority of population with healthcare. Let us hope that it happens in its present term. Contrary to the notion that majority of Indian population was incurring out of pocket, the World Bank report says that 50% of Indian population was covered under some or other schemes like RSYB, State Government Health Insurance Schemes, Central Government Health Schemes and private insurance schemes. With little more innovative effort, we can cover entire population in reducing out of pocket expenditure. Accessibility however remains a major issue more so for secondary and tertiary care in rural, tier-II and tier-III cities. We need to incentivize private sector to open up the hospitals in these areas. This will prove to be much cheaper for government as compared to setting up of their own hospitals. Other major and urgent issue is to reform medical education. Unless we produce more specialists, any number of openings of new hospitals will not solve the problem.

What is your take on medical tourism in India? How best can it be exploited? There used to be view that when we do not have enough capacity for our own population, where is the need to promote medical tourism. This has now changed. Medical tourism is basically to provide specialist/tertiary care at high profile hospitals and which can spare few beds for such patients. The bonus being that we get bit of FE and also name for the country. We have indeed some of the world class hospitals and I do not see why we should not aim to be the leading player in ASIA. I am given to understand that one hospital alone in Bangkok caters to patients equal to total number coming to India. Only recently government has begun exercise to promote medical tourism and hopefully it will show results in next couple of years.

than 10,000 professionals on quality management has been one of the satisfying achievements in my life, till I got opportunity to formulate NABH. This in a way surpassed my earlier accomplishments as NABH provided for the first time in our country the framework for quality governance of hospitals. This has indeed made industry, doctors and now even patients You pioneered the formulation and operation of NABH, the first aware about the importance of patient of its kind in India. What was the safety in our country. There is conscious effort to monitor sentinel events and idea behind its conception? some of the key clinical indicators Beginning year 2001, Healthcare which has resulted in improving patient Industry were facing demand to safety track record. As a bonus it has have accreditation, which can help provided big boost to medical tourism. them in attracting overseas patients. Industry tried to manage with ISO To whom do you attribute your 9000 certification as we did not have success? accreditation in healthcare. Indian By nature or by my own doing, I had Healthcare Forum did have few very hectic work schedule throughout informal discussions with me during my career. I had comparatively limited 2004-05 to explore possibility whether time for my family life. It is here that Quality Council of India could set up my wife, who chose to remain house healthcare accreditation board. This wife all through, came to my rescue got boost when a question was raised and took total care of household and in Parliament in the year 2005 from children education. I therefore will Ministry of Tourism; whether there give her the credit to allow me to were any criteria in choosing hospital venture deep in to the career and by by overseas patients. The question which I could attempt few out of box was refereed to me in the capacity of initiatives. I have also been fortunate Secretary General, Quality Council of India. I took up this as challenge to have bunch of professional as there were handfuls of clinicians colleagues, who supported me all who had orientation in quality and through by which I could achieve some who were ready to spare time. With of the memorable milestones.

where technology & design converge to create seamless patient care environment, better outcomes & quality of care at lower cost. Technology in such a case is going to play key role in all future hospitals. Telemedicine is integral part of smart hospital and therefore will become mainstay in delivery of healthcare.

the support of small team of 6-7 doctors we could develop standard and released in February 2006. Although I had some exposure to quality issues in healthcare during my training at UK and subsequent assignment of training pathologists as assessors for NABL during 2000-2003, I must say that I was lucky to get right mix of people, who worked tirelessly as a team for 8-months to come out with standard conforming to global norms.

What legacy do you want to leave behind?

I truly believe in; Work is Worship. I tried to do few things, which had impact on my profession, society and to an extent on country at large. God has been kind to me and I got my due share of recognition from my colleagues, my superiors, my students and with all those whom I have worked. I find it so motivating when professionals from quality discipline and of late What/Which has been your healthcare discipline attribute share most prominent achievement/ Is telemedicine the future of of their success to me. I suppose there accomplishment so far? Healthcare in India? cannot be greater reward and I want to Future hospitals will be Smart, Green Establishing Indian Institute of Quality remain grateful to them and humbled by and Lean. Smart hospitals are those Management and training more their expression. w w w.medegatetoday.com May-June 2016

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Dr. KLER

is recognized for his outstanding work in the field of cardiology How do you recount your childhood days while growing up in Amargarh, a village in Punjab? My village where I was born & had my initial schooling is Amargarh, a tiny small, sleeping village with population of around 500 at that time, even now it is arond 1000 This is located around 3-4 kms from a town called Khamano. Khamano is situated around 45 kms from Chandigarh on Chandigarh Ludhiana highway. This was part of Ludhiana district, state of Punjab,but now my village has been shifted to district Fatehgarh Sahib, a new district created couple of years back. Well the life at village was primitive & simple There was no electricity, no roads, no school in the village. We had only a kucha house., Where we used to live with my grand ma, my ma & 5 other siblings. There were no separate bed rooms, there was just a hall,part of that we used to sleep, part of that was for cattle with no separation between the two areas. My father used to visit us once in 2-3 months. He was patwari in Patiala district & also staunch member of communist party ( left ) of India. Our school started when I turned 6 years, when suddenly one day village chowkidar came with a drum to announce that Punjab Govt. has sent a teacher to start a primary school in the village. It was a kind of shock to me realizing we now have to go to school. My grand ma, named Harnam Kaur took me forcibly to dharamshala of our village where they had planned to teach village children. But when I saw a young beautiful lady of about 25 years, I thought after all coming to school was not a bad idea. This is how I started my Schooling. Once started, I never missed my school. Actually holidays used to bother me as we had to do lot of home chores. Apart from school time, I was supposed to work on our land ( we are Jat Sikh agriculture family ), graze cattle, bring fodder on my head, cut it, feed buffaloes & milk them. When I was 5, my father married second wife, though my mom was alive & my step mother also came to stay with us. There used to be lot of fights between both of them & in those fights my father used to beat my mom in front of all of us, sometimes even stepmom used to get her dose of beating. As usual,my step mom was very unkind to me & my siblings. So life was pretty hell at home. From the beginning

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I was good in studies & always topped my class till I went to medical college. I think bcoz. of bad & unkind circumstances at home & me being good at studies ( with grace of God ) I loved my school & never wanted to miss. Even if I was not well at times, I will insist on going to school in spite of my grand ma's refusal. I was in merit list in my 8th class & then in my 10th class & got scholarships In fact my record of marks in my 10 th class, ( used to be called Matric )at village Kakrala Kalan has not been broken till date in 45 years. Well there is lots & lots to tell about my childhood but !!!

Why and when did you decide to become a doctor and pursue a career in medicine? I had planned to be an engineer as one of my distant uncle, Mr Iqbal Singh, nephew of my grand mom at Ludhiana was an engineer.& he was perhaps the only educated person in my entire relations & was kind of ideal for me. When I was in 10th, a new school master named Mr Bakhshish Singh came to our school. After taking our class for one week, he asked me to come to his office. I got scared & thought I will be reprimanded for something. When I went to his office he

Dr. Tarlochan Singh KLER

EXECUTIVE DIRECTOR CARDIAC SCIENCES Fortis Escorts Heart Institute & Research Centre, New Delhi, India

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asked me what I wanted to do in life, I said I wanted to become an engineer, he promptly said no, you should become a doctor & assured me that I was intelligent enough to do medicine. I immediately agreed & told him that I will pursue medicine. This is how I chose to become doctor.

As the HOD of Cardiology and Director of Electrophysiology, how do you describe your typical work day at FEHIRC?

heart failure, practically refused by all major cardiac centers in north India. This was very unique case & I did this case with new innovation of my own. This is first case in the world to be done successfully the way I have done it. For my good luck & happiness he is now doing very well. This we have sent for publication to Journal of clinical electrophysiology, a very respected journal in this field.

To whom do you attribute your life’s I joined Escorts heart institute in 1989, after coming back accomplishments and success? from U K,when it was just few months old & have spent my whole life in this institution. Typical day is enter the premises at 8, 9 am & then work continuously till 10, 11 pm. I do my cardiac procedures 3 days a week & 3 days I do my OPD. Apart from clinical work time is spent in administration, teaching of postgraduate doctors, research & community work. I have done lots of free heart camps in Punjab, Haryana, UP, J& K Himachal, Delhi.

What was the decision behind enrolling yourself in the Senior Fellowship programme in Electrophysiology and Pacing at Milwaukee, USA in 1993, in spite of having extensive qualifications? When I joined Escorts, there was a electrophysiologist Dr Mehta who was given the task of developing Electrophysiology deptt. But he left for US in 1992. After his exit Dr Naresh Trehan,our director that time gave responsibility to me to develop EP deptt. that is why I went to Milwaukee to do fellowship in cardiac electrophysiology at university of Wisconsin.

Back in the 80’s, with your expertise and rich qualifications, you could have had a lucrative career in medicine in London, what made you decide to come back to India? Well, I did not want to come to India at all, had cleared all my exams to go to US. I had to come to India because my wife Dr Neelam put her foot down not to move to US. I had married her against the wishes of my dad with lot of fighting, so I did not want to desert her & had to submit to her. Dr Neelam Kler is very eminent neonatologist, known nationally & internationally for her pioneering work in neonatal health & also has been conferred with Padma Bhushan in 2014. Presently she is chief & chairperson of deptt. of neonatology at Sir Ganga Ram Hospital, New Delhi. In fact we are the first & the only doctor couple in India to be both conferred with Padma Bhushan in the field of medicine.

In your experience, which has been your most challenging yet successful surgery? There have been scores of difficult patients whom I have handled & successfully treated. About 6 months back I implanted a CRT-D device on a patient who had already 2 open heart surgeries in the past & came to me with terminal

Well there have been lots of people who are responsible for my success, most important being those lakhs of patients & their relatives who have deposited their faith on me since last 40 years when I became a qualified doctor. Their blessings did lots good to me. But If I have to name few people who are heroes of my success, they are.  Mr Nirmal Singh Kler, my dad, who realised the value of education that time & initiated me to study.  Dr Neelam Kler, my wife, who endlessly supported me, tolerated long absences & my nonsense ways, looked after my children, my house, my parents, her parents & lots of our relations almost single handedly & mind you she was herself very busy in her profession as well.  Dr Naresh Trehan, my previous Director & now a good friend,who provided an excellent platform & work environment for all of us at Escorts to do our best. I never expected such a work culture in India,perhaps one of main reasons I wanted to settle in US  Ms Alka Saxena, my secretary for last 22 years who has stood like a rock all these years with me. I am yet to see any body more sincere in my life than Alka. She is not only my secretary she is part of my family, my guide, friend, sometimes even behaves like my mother. I don't know what to say more about her. Just request God to always bless her & her family.

How do you spend your leisure time? How do you unwind yourself?

I usually don't have spare time. But if I have I like to do agriculture, I have a Farm in Delhi where I grow vegetables, fruits, wheat & few other things. I like to travel, spend time with my friends. With God's grace I have 5-6 very good friends, certainly better human beings than me. I love them, share everything with them & I don't have any secrets which they don't know.

What legacy do you want to leave behind? The legacy I want to leave is to create a world class hospital which would be known as most scientific & most ethical medical facility in India, where all sections of society irrespective of their financial status can get equal quality of care, a dream difficult to achieve, don't have money or political clout to do this. Perhaps need to take some lessons from doctors like Naresh Trehan & Devi Prasad Shetty w w w.medegatetoday.com May-June 2016

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Adoption of IT Will Make Healthcare Accountable

Digitial Health is The Future of Healthcare. and within seven years into the job, I became the Chief Operating Officer of a leading MNC chain. My rise in the corporate world was stupendous and so, I never got a chance to look back. I am lucky enough to have had such a diverse experience of working across the world, across sectors, across all levels in hierarchy, and across the continuum of care ( market research, pharmacy chains, pharmaceutical companies, cosmetic companies, FMCG company, disease management companies, hospital chains, IT companies, nutra-ceutical companies, insurance company, media houses, political parties, NGOs, global charities, Multilateral bodies, industry associations, and in policy making. It has been an awesome experience and an incredible journey I have also delivered talks all over the world and written extensively on healthcare and public policies

Rajendra Pratap Gupta Policy Maker

Central Council of Health & Family Welfare, Government of India,

Tell us about yourself-including your family background, your educational qualification etc.? I come from a lower middle class family of academicians from a small town, Varanasi. My parents worked as teachers in Universities. I hold a double bachelors degree in science and social sciences and a masters in Innovation and Leading Change from U.K. Currently, I am pursuing doctorate in healthcare. My interests are in innovation, economy and healthcare.

Tell us about your native land, your school days (Primary, Secondary education)? I hail from Varanasi where I spent close to three decades. I was a good scholar but not a good student (I was good in studies, but not an obedient student). During my initial years, I wanted to become an IAS and started preparing for it. but with time and situation, the goal changed.

Tell us about your journey since inception? I am in healthcare by default and not by design. I was good in studies and wanted to be an IAS as I saw IAS as a means of serving the society. But during my final year of graduation, my mother was diagnosed with T4 stage breast cancer. To take care of her cancer treatment, I had to leave studies and take a job. I started at the entry level field job of collecting data from chemists, stockists and interviewing doctors, 58

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Tell us about your roll in Public policy making?  I realized early on that, the best way to make a large scale impact/change was through reforms in public policy, and so, in 2007, I quit my full time roles and starting writing on polices.  In 2009, I was asked by a leading statesman to write the election manifesto for BJP.  The government of Chhattisgarh incorporated my healthcare reforms recommendations in 2010  In 2011, Dr. Syeda Hameed (Member, Planning Commission) sought my inputs on healthcare reforms (Restructuring ICDS and NRHM) & for the 12th Five year plan.  Played a role in drafting the ‘Delhi call to action 2011’,  Invited by United Nations, and gave a talk at the UN General Assembly hall in 2011  Invited by the WHO and ITU to share my views  Served the World Economic Forum on the ‘Global agenda council for digital health’  In 2014, I drafted the election manifesto for BJP.  Invited by the Governments of United States, Finland and Japan on various occasion for my expertise  Serve on the Technical Resource Group (TRG) of the Ministry of Health and Family Welfare, Govt. of India  Serve as a Co-Chair, M2M Working group of the TEC, Ministry of Communications and IT, Government of India  Serve on the Healthcare Informatics Committee and Committee for Smart Infrastructure at the Bureau of Indian Standards, Government of India  Chair the Government – industry dialogue since 2012, and we have been really impactful in what we are doing

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 Chaired the committee for making recommendations for You are travelling across the world as a speaker Governance and Structure, Mission and Vision of the & in different capacity. You have seen healthcare ‘India Health Information Network’ being set up by the industry very closely. Should India learn Government of India.  Contributed to the National Health Policy to be released healthcare from others? shortly, and was a special invitee to the Central Council of We must not import failures of the west! No country in the Health and Family Welfare, Government of India. world has an answer to the healthcare problems. Every one is groping in the dark - be it the US, U.K. or France. We must Please shed some light upon m-Health & learn from failures of others, the success stories, and come healthcare IT? out with our own indigenous model of healthcare. As our A decade ago, people dismissed mHealth as a gimmick and challenges are unique and so, our solutions should also be today, Information Technology is becoming an integral part innovative and unique. of healthcare. It’s role is moving - from the periphery to the Your views & suggestions for doctors & core. Now, an mHealth app is being prescribed as a drug and reimbursed by insurance companies in the United States. In healthcare service providers? the next 5 years, the entire healthcare will have to converge Healthcare providers must re-think their business model. The to mHealth. IT will shift the centre of gravity of healthcare; current models of care will not lead us anywhere. Healthcare from the doctor - to the patient. Adoption of IT will make providers could look at the HMO (Healthcare management healthcare transparent, accountable and outcome driven. organization ) model from an outcomes perspective, and the The Government is in the process of setting up the ‘National healthcare providers must be paid for performance and not Digital Health Authority’ and backed by institutional for procedures. All healthcare providers must invest in R&D mechanism, digital health will see large scale deployment and disclose treatment and success rates. For doctors : firstly, they must be more receptive to change and adoption, across the continuum of care in India ‘d-health’, as I call it ( d for digital health), is the future of and adopt to the emerging trends and needs of the population. Also, they should look at using technology for healthcare healthcare. delivery in their day to day practice. Tell us about healthcare reforms in India & Secondly, doctors should accept exit exams being proposed healthcare economics? by the Government. If the doctors are practicing and have Healthcare in India is in the process of continuous evolution updated their knowledge (which is a prerequisite for treating since the pre-independence period. We have come a long way patients), then why shy of taking the exit exams as proposed in terms of increasing the life expectancy, eradication of polio by the Government? Doctors and their representative and other diseases and rural health (NRHM). But our ever- organizations must work for population and patient health. increasing population and low healthcare expenditure has taken its toll on healthcare reforms. In my book, ‘Healthcare Reforms in India – Making up for the Lost decades’, I have dwelled in detail on the reforms we need. It calls for a radical change. I am hopeful that the new health policy, under the leadership of this government, can affect that change, though I must mention that the country’s financial situation is bad and I see that lasting for another 2 years at least. Until we have more money in the Government coffers, the healthcare sector cannot get more!.

How you want to see India healthcare in 2020.  I would much rather say, by 2025, I hope to see that;  “Digital health for All” will become a reality  We use ‘asset light models’ and expand the services to the entire population under ‘Health for all’  Halt and reverse the tide of chronic diseases  Eliminate more communicable diseases  Reduce IMR and MMR by more than 50 %  Be the world leader in medical and heath innovation  Focus on children’s health, which will make our children more healthier w w w.medegatetoday.com May-June 2016

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Patients Should Go to an Accredited Healthcare

Facility for Treatment as Their "Preferred Choice"

Bhupendra Kumar Rana Director

National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Tell us something about your family background? How do you recount your childhood days?

laid on the floor at the designated area for that particular class. It was fascinating and I still remember those days. Master Shahab would pull your ear, beat you on your hand with a cane from the nearby tree and if punishment was to be severe then he would ask ‘murga ban jao’. At the end of the day, it was all learnings. Whole day will be spent in the school with study, play and having mid-day meal some time and not always. I kept moving from one Tehsil to another in Moradabad district as my father was in a transferable job with the State government. After schooling till class fifth at different places, we finally settled in Amroha and my education till intermediate was from that place. From there, went to Banaras for graduation, to Pantnagar for post-graduation and again to Banaras for doctoral degree. Married to Seema with two children, daughter Divya and son Utkarsh.

First of all, patients are the biggest beneficiary as they get proper treatment as per laid down guidelines and competent staff, Secondly, hospital staff is benefited as they get a sense of responsibility and ownership of the various processes they are in involved in. Staff get an opportunity of professional development. Thirdly, hospitals itself are benefited as they follow documented policies and procedures. It also help them in avoiding litigation and in case it happen they can defend based on the documents/records generated as and when patient was receiving care. Lastly, payers like government and insurance agencies are benefited as hospitals follow a transparent system in their operations and can get access to relevant documents/ records.

There were certain occasions those affected my life in a big way and therefore, it is difficult to narrow down to any one of them and will not be justified as well. My parents have been my inspiration. They did what they could do for my best.

is a matter of pride and representing our own country is a matter of great pride. How many people gets an opportunity to represent their countries? Barely few, so if you are one of those ‘few’, how one would feel can be best left to people’s imagination.

How do you feel when you represent India on behalf of I was borne in a village Makhdoompur What has been the turning point of district Amroha in Uttar Pradesh in in your life? Who or what has/have NABH on international level? a Zamindar family. Though, I have not been your inspiration? See, representing our own organisation seen those days of my great grandfather’s zamindari. When I came to this world, scenario was totally different. Gone were the days of Zamindari as Land Ceiling Act was implemented. My grandfather inherited some of the land and had good agricultural practice. My father went up to completing a post graduate degree and my mother is a homemaker having done her high school. I am the eldest among four siblings. My initial education was from my native village. I was lucky that we had a school and a primary health center in our village. Students from my own village as well as from surrounding villages used to come to attend school. I still very much remember going to school with a bag, takti (wooden slate to write), kalam (pen made of wood) and dawaat (inkpot having ink constituted by mixing ink tablets or powder with water). Sitting on the mat on the floor was the norm. Interestingly, students those would reach early would bring the mat for his class from the Headmaster’s room and 60

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What are NABH accreditation standards for Hospitals & what are the benefits? Accreditation Standards are based on a framework of Quality and Safety. The accreditation standards primarily takes care of each and every aspect of patient management and clinical care in a hospital. These standards revolves around patient assessment, continuity of care, patient’s rights, medication management, infection control & prevention practices, human resources, facility management, role of management and information management. Benefits of accreditation are enormous.

To whom do you attribute your life’s accomplishments and success? To be frank, dedication & hard work, support of family, relatives and friends and people’s criticism for wrong reasons & their negativity towards my success can be attributed for my life’s accomplishments and success. Interestingly, the last one about people’s negativity has actually been a great source of inspiration for me as well to do better and prove them wrong. People around with such mindset have always helped me to step up to the next level. Of course, God has been very kind to me.

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MEDICA: Bringing Advanced & Affordable Healthcare to Eastern India Medica Hospitals, one of the major healthcare chains in eastern India today, has built and managed numerous healthcare facilities across Eastern India over the past few years. The healthcare chain launched its operations with Medica North Bengal Clinic (MNBC) in Siliguri in 2008, and soon followed up with its flagship Hospital â&#x20AC;&#x201C; Medica Superspecialty Hospital (MSH) â&#x20AC;&#x201C; in Kolkata.

Dr. Alok Roy Chairman, remains the driving force behind Medica Group of Hospitals.

The Man Behind Medica 62

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Tell us about yourself - your family and academic background? I was born in 1958 in Allahabad in a middle-class family, the youngest among 20-odd cousins, 5 of whom were my siblings. My father was a civil servant and my mother a schoolteacher. Growing up in a fairly large joint family taught me to adapt to all kinds of situations and people. And, I believe, it also made me fiercely competitive. After completing my school education, I did my MBBS from SCB Medical College, Cuttack, post-graduation from AIIMS, and further training in Nuclear Medicine from BARC, under University of Mumbai. Though academically inclined, I was never an ‘all work and no play’ kind of a person. I participated in various sports, cultural fests and even contested for the post of the college union president. Even now, I am a keen sportsman with special fondness for horse riding and golf.

How did you decide to go into the medical field? I always wanted to be a doctor. My mother says, as a child I loved playing games where I would role-play a doctor. Getting into a Medical College was a-dream-come-true. After my post-graduation, I did a short stint as a trainee at St Bartholomew’s Hospital in the UK. I had job offers from London and Nigeria, but it had always been my desire to serve the people of my country. I began my career as a medical administrator in 1987 in Kolkata’s BM Birla Heart Centre.

Tell us about your goals and achievements? Medical administration has always been my forte. In my career span, I have helped set up a number of hospitals – Fortis (Noida), BM Birla Heart Institute (Kolkata), Manipal Heart Foundation (Bangalore), Rabindranath Tagore International Institute of Cardiac Sciences (Kolkata) and Narayana Hrudayalaya (Bangalore). The Integrated Telemedicine and Tele-health Project (ITTP) and the Yeshasvini Health Insurance Scheme (which has been made part of study at Harvard) are some of the ventures that I conceived and gave shape to. My greatest achievement, however, has been the venture that is closest to my heart – Medica. I h ad a dreamof building my own hospital and was lucky to have the support of a few like-minded colleagues, who shared my vision and passion. We went through an initial stage of intense struggle when we were trying to get investors who would believe in our vision. But my confidence never waveredand slowly we managed to garner enough support and funds and the dream started taking shape. The first project that Medica Synergie bagged was to prepare a health plan for the state of Meghalaya. Soon, the Projects and Consultancy division was also launched and thereafter

the retail pharmacy chain. Medica Superspecialty Hospital, Kolkata serves as the hub for the chain of hospitalswe have in Ranchi and Jamshedpur (Jharkhand), Siliguri and Rangapani (North Bengal), Kalinganagar (Odisha) and Tinsukia (Assam). Our head office based in Kolkata, provides integrated solutions on the entire spectrum of healthcare delivery, which includes hospital architectural planning and building, managing hospitals, public health, quality accreditation and retail pharmacy. Medica Synergie, today, is a key player and a reference source in healthcare management and consultancy.

Medica is today one of the largest healthcare providers in eastern India.

Last year we forayedinto the international marketswith a tie-up with MH Samorita Hospital and Medical College in Bangladesh,as a strategic Management Partner, in an attempt to bring superior quality tertiary care services.

How have you addressed your Corporate Social Responsibility? In the past six years, Medica has developed a number of CSR projects. Of them, KARMA (Kolkata Accident Response and Medical Assistance) is closest to my heart. The project, a collaborative venture with Kolkata Police and Eastern India Healthcare Foundation, aims to address the needs of road accident victims. 18 ambulances are placed in different locations in the city to transport trauma victims to the nearest hospital free of cost. Close to 10,000 people have been transported to medical facilities by KARMA in the past 4 years.

What do you think are the challenges in health systems in India? Around 70 per cent of our country’s population resides in rural areas with very little or no access to even primary healthcare. Public healthcare systems have improved over the last few decades with the Government spending more on Public Health but we still have a long way to go in terms of high quality affordable healthcare. Tertiary care is expensive and people are forced to make high out-ofpocket payment to avail quality private healthcare services. On the other hand, the penetration and coverage of insurance is very low. Measures should be taken by public and private players to increase awareness regarding health insurance. Last but not the least the importance of investment in primary healthcare services should also be highlighted. Financing in primary healthcare will improve the population’s health as well as reduce the burden on the hospitals. Hence, there is an urgent need to improve quality and access to primary care. w w w.medegatetoday.com May-June 2016

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The Promising

Leader of Tier 2/3 Cities

Working Selflessly for broken Healthcare System in Rural & Smaller cities

If you analyse the distribution of healthcare facilities in India, then you will see that maximum facilities are for people living in Metro cities which represent 7% of population of India and whereas 25% of population living in Tier-2 cities is devoid of all these facilities.

Dr. Naveen Nishchal

C o - F o u n d e r - C y g n u s H os p i t a l s ( A c h a i n o f 1 2 H os p i t a l s ) Alumnus of INSEAD-FRANCE 64

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Success mantra for your Organization Business Model Innovation (BMI) is the key to success for any organization and in BMI you have to innovate the existing business in the given market. Three BMIs have been the game changer for Cygnus and that is how we are differentiated from other players in the market. First BMI, Land, building and Infrastructure have been the costliest part of healthcare ventures, especially in Metro cities and District headquarters of India. The Innovation in the model was to take these buildings on long lease rather than investing upfront so that capital cost can be kept low. (Asset light). Second BMI, If you analyse the distribution of healthcare facilities in India, then you will see that maximum facilities are for people living in Metro cities which represent 7% of population of India and whereas 25% of population living in Tier-2 cities is devoid of all these facilities. Innovation here was to provide tertiary care facilities in Tier 2 towns of India so that life in Golden hour period can be saved. Third BMI, Quality part is missing in Tier 2 cities with complete ignorance about NABH and basic quality standards. We at Cygnus believe in quality and therefore are committed to provide quality services at all our hospitals.

What are the challenges of working in Tier 2 and Tier 3 cities in India? Tier 2 and Tier 3 cities of India are faced with the challenge of meeting the unmet healthcare needs of downtrodden sections of society. There are a lot of challenges but top Four to me are as follows Doctors & Skilled Force- Itâ&#x20AC;&#x2122;s very difficult to attract the quality doctors and even if talent is attracted, it is difficult to retain them. Getting skilled manpower is not only the challenge of healthcare sector but India at large is fighting against this National problem in other sectors as well. Our people are educated but not skilled. Infrastructure- we are good at copying the infrastructure from different countries but we have failed in addressing the actual infrastructure requirement of our country so there is a huge mismatch between what we want and what we are creating. We donâ&#x20AC;&#x2122;t have right kind of Infrastructure at Tier 2 cities level and to align them with NABH we spend a lot of money on upliftment of the infrastructure. Govt. attitude towards Private player is not cordial and similarly environment is not conducive. Bureaucratic delays and bureaucratic hurdles coupled with red tapism contribute to in-conducive environment. Unnecessary delays in approval are affecting the services in a big way. Maximum government and minimum governance is the root cause of problem and that is why there are both time overruns and cost overruns. With no time bound clearance system; projects drag on for years together thereby leading to the flight off capital from India. We need to cut down the layers of decision-making. And single window clearance system needs to be implemented in letter and spirit. People living in Tier-2 and Tier-3 cities are not aware and

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so not prepared for any unannounced health problem, which Germany has a very simple and user-friendly insurance plan prevents them to spend money on healthcare needs. Low with universal coverage. Healthcare is financed through a payroll tax based on income and is equally borne by penetration of insurance is worsening the problem further. and the employee. In japan, costs are controlled by As you have visited many countries and gave your employer a government-imposed national fee schedule. Each physician talk in conferences at International platform, How is paid the same fee for a given procedure. Canada achieves other fast growing economies are handling health substantial administrative cost savings, since providers and insurers do not need to market themselves or employ vast problems better than India? staffs to process paperwork. Physicians bill the provinces I have visited many countries all across the Globe and studied directly and avoid the expense of verifying coverage, seeking their healthcare systems as well. Western countries have approval to provide services, completing paperwork for overcome the burden of communicable diseases and now multiple private insurers, or coping with double-billing and they are fighting against non-communicable ones including uninsured patients. Germany is the first nation to mandate that life style diseases and cancers. While, we at India are fighting health care expenditures must not rise faster than wages. Focus against communicable diseases and simultaneously, we are on skilled manpower, R&D, Evidence based practice and plagued by lifestyle disease and cancers in the country. technology-centered approach are few differentiating factors. If you compare the budget of US, UK and India, the GDP of Five words explain you. US and UK is many times of India’s GDP and where India is Tough as well as kind. spending 4% approx. of its GDP on healthcare US and UK are spending 18% and 17% respectively. What is your message to young entrepreneurs of India spends about $40 per person annually on health care; the healthcare? United States spends $8,500. The entire GDP of India is $1.6  Never hesitate to experiment an idea, you never know when trillion; U.S. health care spending alone is $2.6 trillion approx. you hit the jackpot. Strategically, we are far behind in terms of adopting and  Collaboration is the key to Success & Growth. implementing PPP model in true letter and spirit. Specially, getting payment through Govt. channel is a huge challenge in  Think Big and Think Globally. PPP model.

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The Visionary Man of Healthcare

Dr. Harish Pillai Chief Executive Officer & Cluster Head - Aster DM Healthcare, Kerala

I am a good example of a global Indian. I was born in Calcutta and spent the initial years of my life there, until the 1971 Indo-Pak war. We then relocated to Dubai, UAE and I did my entire schooling at the Indian High School, Dubai. My parents hail from Thiruvananthapuram, the capital of Kerala.

Introduction I completed my medical schooling from Kasturba Medical College, Mangalore in 1993. After my house surgency at the Government Medical College, Thiruvananthapuram, I did a short residency program in Psychiatry at St. Johns Medical College, Bangalore. I went on to do my Masters in Healthcare Management (MHM) at the Apollo Institute of Hospital Administration, Hyderabad. After completing the course in 1998, I did my management internship at the Apollo Hospitals, Hyderabad. I had two formal jobs at the same time in 1999 one as a lecturer at the Apollo Institute of Hospital Administration and second as the Executive Assistant to MD of Apollo Hospitals, Hyderabad. After a year, I was transferred to the main Apollo Hospital in Jubilee Hills as the Assistant Manager Diagnostic Services. Within a span of 4 months, I was promoted as the Manager - Operations and appointed as the Hospital Administrator at Apollo Amar Hospital, a 100-bed facility at Basheerbagh. By 2001 I was the Senior Manager – Operations; and was deputed to commission a new acute care hospital in Dubai. In 2003, I became the General Manager – Operations; and in 2006, the Hospital Director of Belhoul Speciality Hospital, Dubai. In between, from 2005 - 2007, I pursued my second MBA in International Healthcare and Hospital Management from the Frankfurt School of Finance and Management, Frankfurt, Germany. In March 2006, I was appointed the CEO of As-Salam International Hospital, Cairo - Egypt’s largest tertiary care hospital. In 2013, Aster DM Healthcare appointed me as the CEO of Aster Medcity, with a mandate to commission this one-of-its-kind green-field medical township project in Kochi, Kerala. I became the Cluster CEO of Aster DM Healthcare Kerala in 2015; and am responsible for commissioning the upcoming green-field projects of the group & management oversight of all existing units.

doctor with exceptional leadership skills, Dr. Harish Pillai joined the Aster DM Healthcare Group as the CEO of Aster Medcity in the year 2013. His ability to strategise and manage large-scale healthcare organisations helped Aster Medcity consolidate its place among the top hospitals in the country in a matter of just one year. Set in a 40-acre waterfront campus, Aster Medcity Kochi is a USD 300 million green field medical township project. Rated one of the most advanced healthcare destinations in India, the

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Phase I of the project, which comprises one Multispeciality Hospital and eight separate Centres of Excellence, is complete. Aster Medcity is the first quaternary care hospital in Kerala to win the JCI Accreditation and also the first in India to receive a host of accreditations and awards within one year of opening its doors to the world. This includes the NABH Accreditation, Green OT (Operation Theatre) Certification by Bureau Veritas, ISO 9001:2008 Certification, ISO 22000 Certification and the first-ever NABH Award for Excellence in Nursing. In just 2 years, Dr. Harish Pillai was promoted as the Cluster Head of Aster DM Hospitals in Kerala, which includes the 670-bed Aster Medcity Kochi; Aster MIMS Calicut, India’s first NABH accredited 600-bed tertiary care hospital; Aster MIMS Kottakkal, a 200-bed NABH accredited secondary care hospital and DM WIMS, Wayanad, a 575-bed NABH Accredited hospital and medical college. As the Cluster Head, Dr. Harish Pillai is responsible for all expansion plans of Aster DM Hospitals in Kerala. Phase II of Aster Medcity will see the addition of 500 patient beds, an assisted care block, service apartments and a rehabilitation center. Phase II of MIMS Calicut will see the addition of 300 patient beds and more facilities. The upcoming projects of the group include a 200-bed MIMS Multispeciality Hospital in Kannur, and also an extensive network of feeder primary care centers across Kerala and a 500 bed tertiary care hospital in South Kerala coming up in 2 phases. An expert in hospital administration, quality and brand management, business strategy, product launches and joint ventures, Dr. Harish Pillai has played a significant role in the development of the healthcare industry in India and the Middle East & North Africa (MENA), by setting new benchmarks in quality and patient care. Prior to joining Aster DM Healthcare, Dr. Harish Pillai was the CEO of Egypt’s biggest private tertiary care hospital - As Salam International Hospital, Cairo, for over 7 years. During his tenure as the CEO, he was the functional head of the 1300 plus staff team and helped the organisation attain consistent annual growth of over 16% even during the Egyptian Revolution in the year 2011. Under his leadership, the As Salam International Hospital became the largest tertiary care hospital to win the JCI Accreditation in 2010. Dr. Harish Pillai was instrumental in implementing several high value healthcare initiatives in Cairo including planning

and commissioning of the largest Egyptian healthcare holding company- Alameda Healthcare, a USD 35 million, 150-bed green field hospital project at Kattameya Heights; a USD 10 million, 50-bed green field hospital project at Maadi; a chain of hospital daycare centers named Elixir (starting with the first GI Center in Mohandesein); a chain of satellite labs - Life & Body and a College for Nursing & Paramedical Sciences. Dr. Harish Pillai, who did his medical schooling at the Kasturba Medical College, Mangalore, started his career in hospital administration with the Apollo Hospital group after completing his Masters in Hospital Administration from the Apollo Institute of Hospital Administration, Hyderabad, where he was awarded the Dr. Pratap C. Reddy Award for Overall Excellence. He then went on to complete his Masters in Business Administration-International Hospital and Healthcare Management from the Frankfurt School of Finance & Management and Nations Health Career School of Management, Germany, where he was awarded the Best Student for his distinguished academic record. He then joined the Belhoul Speciality Hospital, Dubai, as General Manager - Operations, and was soon promoted as the Hospital Director. One of the most influential leaders in the Indian healthcare industry, Dr. Harish Pillai is a Member of the Joint Commission International (JCI) Standards Advisory Panel; Governing Council Member of Healthcare Federation of India (NATHEALTH); National Co- Chair for Medical Value Travel Committee in Federation of Indian Chambers of Commerce and Industry (FICCI); the Convener of the Healthcare Panel of Confederation of Indian Industries CII Kerala State Council; Elected secretary of the Kerala Medical Value Travel Society (KMVTS); General Secretary for Association of Healthcare Providers (AHPI) - Kerala Chapter; visiting faculty at Tata Institute of Social Sciences (TISS) Mumbai and Administrative Staff College of India (ASCI) Hyderabad; a Columnist for BIZ Health India Magazine on ‘Future of Healthcare’. Dr. Harish Pillai features on Healthcare Executive Magazine’s list of top 25 healthcare influencers in India (January 2015 edition) and top 10 most influential project heads in the country by Healthcare Radius Magazine (October 2015 edition). He also won the Best CEO of the Year Award (2015) at the first CMO National Awards for Excellence.

I forecast a huge leap with large-scale consolidation of three or four major pan-India healthcare chains and around 10 large regional chains of hospitals. India is all set to become the world leader in medical value travel within 5 years and the current human resources crunch in the supply chain will be compensated through new legislation, skill development initiatives and leveraging of technology. Innovations in healthcare that is being practiced in India will soon be replicated around the world and we will become a global case study for frugal innovation and sustainable cost effective value propositions in qualitative health care outcomes. w w w.medegatetoday.com May-June 2016

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Public Hospitals -

Solace to Health of Masses

Dr. Abhijeet M Dashetwar MBBS, MS (Mumbai), MCh, FIACS

Associate Professor at Gandhi Medical College and Hospital, Secunderabad Consultant CT Surgeon, Century Super specialty Hospital, Road No. 12, Banjara Hills, Hyderabad.

Tell us about yourself (your early Schooling, Family background etc.): I was born and raised in a small town Degloor in Nanded District of Maharashtra. My parents lived in a joint family raising seven of us. My father owned a department store which was sold to pay for our higher education. My father always encouraged us to get into technical streams away from family business. After completing my primary school in Degloor, I went to Aurangabad for high school and then completed my college from Latur, the educational Hub of Maharashtra. I excelled with 98.6% that helped me get admission into MBBS in Seth G S Medical College & KEM Hospital, Mumbai, one of the most premier medical colleges of India. I went on to do my postgraduate studies (MS) in General Surgery at Lokmanya Tilak Memorial Medical College & Hospital, Sion, Mumbai a dreamland for any young surgeon with its highest reported diversity of cases. Post my masters education, I got married and moved to Puttaparthy, Anantapur District, Andhra Pradesh. I applied and got selected at the Sri Satya Sai Institute of higher Medical Sciences (SSSIHMS) in the cardiac Surgery department. I developed a strong interest in cardiac surgery there and in 2003, I decided to do my superspecialisation (MCh) in Cardiothoracic Surgery at the Gandhi Medical College & Hospital, Hyderabad and since then I continued to be here and currently serve in the capacity of an Associate Professor 68

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Shed some light upon CT surgery, you started in Gandhi Medical College & Hospital & Challenges? The CT Surgery department at Gandhi Hospital is reputed for its first open heart surgery Centre of Andhra Pradesh. In spite of a glorious past, the department got obsolete in late 1990’s for reasons like limited man power, inadequate and nonfunctioning medical equipment, obsolete operation theatres and insufficient facilities in post operative wards. In 2003 when I joined my MCh, the department was hardly doing a couple of heart surgeries a year and, the only surgery performed on heart Lung machine was the simplest Atrial septal closure surgery to demonstrate to all the students. I was always bothered as a student to understand the disorder of the department and what could be done to improve it. I completed my MCh in 2006 and had to choose between joining one of the corporate hospitals which offered a hefty pay with more work life balance or join Gandhi hospital as a faculty to do very limited but earn a monthly salary like many others. I always believe in doing things different and. I decided to join Gandhi hospital in October 2006 to give it a try for a year to see if I can bring in some change in this department. One of my many challenges is being a nonlocal with no local language ability and lack of connections with the politicians or health management officials to seek support. None of my attempts at the level of hospital to bring in change were promptly encouraged and hence decided . to meet the then Hon’able health Minister (HM) of Andhra Pradesh, Shri K Rosaiah, now Hon’able Governor of TN. This brave attempt of mine was not just discouraged but I was even threatened of bad consequences to approach the Health Minister directly. For me, time was ticking as I gave myself a year to give my best and try all possibilities. It was in December’ 06, after few failed attempts, with help from one of the MLA’s, I managed to get his appointment. Although I was very clear with my intention, I was nervous to meet him and the result. While I was waiting long to be called in, I started to think if I was wasting my time with these battles instead of joining a corporate hospital and doing surgeries. Finally, when I was called into his office, I introduced myself and explained the purpose of my visit for which he seemed a little surprised. I presented him few slides with the grand vision for the CT department at Gandhi hospital with few additional resources from the Government. It did not take him a minute after my presentation to call Shri P K Agrawal, IAS, then Principal Secretary to act on my request at the earliest. Shri P K Agrawal was benevolent enough not to bother me approaching the Health Minister directly bypassing all senior officers as in the government language “ through proper channel”.. He immediately went ahead to order the first new Heart Lung Machine for the department. This moment reassured me to believe “where there is a will, there is a way”. As a team we started to perform multiple cardiac surgeries covering range of cardiac, thoracic and vascular surgeries in the past ten years. My go get attitude kept my public sector journey interesting and continues to keep me on my toes. There was an interesting turn of events in April’ 07 when

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Aarogya sri Health Insurance scheme was launched. The general understanding amongst all the doctors working in the public sector hospitals was that this scheme was to benefit corporate hospitals only and public sector hospitals had nothing much to do However, I saw this very differently and realized that there is a huge potential to reach out to the poor and provide necessary services to them through this scheme. I discussed this idea with my management and started to plan medical reach out camps around different towns. The first inaugural mega health camp under the Aarogya sri insurance scheme was in Mehaboobnagar that reached huge masses and was very successful. I managed to get a good pool of medical experts mobilized on behalf of Gandhi hospital for the camp which was well appreciated by our higher officials. It was very encouraging for me and the team to receive personal appreciation from Shri P K Agrawal and Shri Babu Ahmed, IAS, CEO, Aarogya sri Trust for our sincere efforts and hard work at the camp. I take a lot of pride to say that Gandhi hospital is the first public sector hospital to sign a Memorandum Of Understanding (MOU) under the Aarogya sri scheme and we were also the pilot hospital to initiate surgeries under the scheme in public sector hospitals. The journey has been very satisfying as we went on to perform few hundred surgeries in the following year reaching out to many poor patients including elderly, women and children. The journey got more challenging with the realization of inadequate Operation Theatres ((OT)) and Intensive Care Unit (ICU) beds. With the funds generated under Aarogya sri scheme, I went ahead to persuade the hospital authorities to spend that money to upgrade the department that I was determined to do it. This took many months of follow up, and several hundred liters of petrol running from one office to the other and countless hours of waiting inorder to get required approvals.. Fortunately all the officers got convinced of the larger goal of reaching out to more poor and needy people with this up gradation project. Finally, we received all the approvals to upgrade the existing single OT with 4 ICU beds into a new OT and ICU complex with state of the art three OTs and 15 Bed ICU in year 2008 inaugurated by then Hon’able Chief Minister Shri Y S R Reddy. Until today, it remains one of the biggest CT departments in the State performing entire range of cardiothoracic and vascular surgeries. I would also note here that we did the first heart transplant in the department which is a noteworthy milestone for the CT surgery department.

Tell us about your contribution towards healthcare specially in the state of Andhra ? I believe my go getter attitude always push me beyond limits. Since my MBBS days in Seth G S Medical College, Mumbai, I always believe in “NON SIBI SED OMNIBUS”, which means “NOT FOR SELF BUT FOR OTHERS”. When I know what I am doing is for the benefit of others, I am not scared on consequences. I moved ahead with a right intention and a pure heart and today, the CT Department at Gandhi Hospital stands as an example to the entire state on its service to the poor and needy and not the least the doctors and other staff by performing more surgeries under the AS scheme. I was myself quite actively involved in the implementation of this scheme.

In 2009, I was given charge as chief Co ordinator of Aarogya sri scheme. During my three years tenure, I reviewed and brought in new management policies for the implementation of this scheme in the hospital. I had a team with whom new administrative structure was institutionalized, procurement policies redefined and supply chain management structures established. The hospital revenues during these three years were one of the highest in the state. This administrative set up became another ideal set up for all the other public hospitals to follow.

To whom do you attribute the success of Dr. Abhijeet M Dashetwar? My parents were a great source of strength for me throughout my childhood and my graduate studies. Most importantly, I thank my wife for her faith in me and allowing my ambitions as I wanted with patience. She being doctor herself put side her profession and passion and continues to support and encourage taking the responsibility of my two young kids who keep my gogetter attitude alive. I am indebted to my teachers and professors, especially my department heads who allowed me to do all that I wanted and for their invaluable advice, insights and guidance through out my education. It would be incomplete not to thank God for all the strength and courage. Few officers who helped me achieve this milestone and need special mention without whom I would have left public service by now are:  Shri P K Agrawal, IAS  Shri J Satyanarayana, IAS  Shri Dr Vijaykumar, IAS  Shri R Chandravadan, IAS  Shri Babu Ahmed, IAS  Dr I V Rao, Retd DME, Govt Of AP  Dr Balaraju, Retd Superitendent, GH

What would be your operation strategy for the future for better healthcare? Even though, I am now a part of a corporate hospital, I believe that for a country like India, the real solace to health of masses lies in Public hospitals. They cannot be and should never be replaced with complete private healthcare. What is more appropriate for the indian public health is the marriage between operational strengths of private sector and weakness of public sector. Its very important to structure models around Public Private Partnership (PPP) to strengthen delivery of healthcare services in Public sector hospitals rather than selling them to private hospitals through Public insurance schemes like Arogya sri schemes. Review capital expenditure in public sector hospitals to do an extensive analysis of strengths and weaknessess before evolving any strategies. There is severe management failure in Public hospitals. A complete administrative reform is required to better these hospitals. There is REAL EMERGENCY in these hospitals. There are enough corporate hospitals to attract the medical professionals, infact already lot is lost, if we do not take corrective measure, it is not far that the Public Hospitals would be devoid of any good professionals. w w w.medegatetoday.com May-June 2016

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Fighting the Odds

for the success in the field of Cardiac Electrophysiology & Arrhythmias Dr. Vanita Arora Associate Director & Head, Max Healthcare Superspeciality Hospital, Saket, New Delhi, India

Tell us about your medical background? Also, about your family background?

I admired the patience and analytical skill that is required in a good cardiac electrophysiologist. It is an exciting time to be an electrophysiologist. It is truly a comprehensive field, combining surgery, imaging, and internal medicine into one area. 70

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I discovered my interest in cardiac electrophysiology. I learned that a simple heartbeat can reveal so much about a patient’s heart condition. I admired the patience and analytical skill that is required in a good cardiac electrophysiologist. It is an exciting time to be an electrophysiologist. It is truly a comprehensive field, combining surgery, imaging, and internal medicine into one area. I am blessed to be surrounded by all Doctors in my family, except our adorable mother who is a homemaker. I did my schooling from Sacred Heart Convent, Amritsar, Punjab, where I was elected Miss Sacred Heart in 1983 because of my overall performance in studies, sports, dramatics, dance, art & crafts. I left home for MBBS to stay in hostel at Dayanand Medical College, Ludhiana in 1985 at the age of seventeen and after that there has been no looking back.... I did MD (Internal Medicine) from DMC, Ludhiana in an era when females only opted for Gynae or Eye or Skin. Not many Male peers had high hopes on my capabilities but I surprised them with my hard work and intellect. However, I was discriminated from male colleagues just because I was a hard working “Female” doctor with brains. I left Ludhiana in Dec 1993. Real Struggle began after that. I got married to a doctor in 1994 and unfortunately lost him to a tragic car accident in the same year. The actual Life started after.

Tell us about your journey since Medical Education to Max ? I came to Delhi in begining1994 and joined Escorts Heart Institute and Research Centre, where I studied further to attain Doctrate in Cardiology (Diplomate National Boards) and then went to Germany and USA for Fellowship in Cardiac Electrophysiology.

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I became the first Lady Electrophysiologist of the country and am practicing with passion the Heart Failure and Heat Beat problems of the patients from last 20years. I joined Max in 2009 as Head of Department of Cardiac Electrophysiology. Now I am the Director of the Department. However, the â&#x20AC;&#x153;Biasâ&#x20AC;? against me as a head strong female surviving in a man"s world of cardiology still persists.

Tell us about your new innovations or technology in Electrophysiology & Interventional cardiology used by Dr. Vanita Arora? I believe the most challenging aspect is developing awareness amongst physicians and patients about problems of heart beat and their treatment being available with good success rate. I love what I do and I am constantly motivated to learn new developments on technology and research which benefit the patients. I believe these future technologies will help us to take our success rate close to 100% and to reduce procedure time to do more in less time. I laid the inception of treating challenging complex arrhythmias (misbehaving heart beats) in the country by starting the 3D Mapping programme at first in Escorts and then in Max Hospital. There are very few operators of 3D mapping still in our country. Some challenging Arrhythmias are the major cause of Stroke (clot in brain) in patients and treating these arrhythmias using 3D mapping can prevent stroke in these patients. The advanced treatment of Heart Failure

patients in term of Device Therapy to improve heart function and prevent Sudden Cardiac Death being done at Max successfully. Hundreds of patients are getting benefited from it.

My vision is to see healthcare being delivered to every patient who needs it. And I should be a part of it. How you are seeing Healthcare Industry in India & its growth?

What are the ways in which the The overall Indian healthcare market heart is stressed? What practices today is worth US$ 100 billion and is expected to grow to US$ 280 billion by do you suggest to de-stress? There are several reasons for the heart to be stressed and the major ones being our lifestyle and eating habits. Work and life related stress leads to an unhealthy lifestyle and makes the mind, body and heart to go into jeopardy. The way to keep the heart de-stressed is by leading a healthy life. Daily exercise with balanced diet, along with a good sound sleep to get the body and heart going ahead strong and happy is the Mantra to healthy heart..

Tell us about your success & to whom do you attribute your success? Is anything left that Dr.Vanita Arora what to achieve or what is your dream ?

2020, a compound annual growth rate (CAGR) of 22.9 per cent. Healthcare delivery, which includes hospitals, nursing homes and diagnostics centers, and pharmaceuticals, constitutes 65 per cent of the overall market. However, healthcare in India needs focused attention from the government. Like a Cactus - looks pretty healthy but with a lot of thorns!!! Policies are very arbitrary and dependant on thinking of individuals who are not focusing on future development of technology for better care of patients who need it.

What advice would you give to others in Electrophysiology who are currently at the start of their I thank to God Almighty both for giving career? me troubles and giving me strength to fight back. That made me independent and tough, what I am today. I attribute my success to my sheer hard work and 'never give up' attitude in this man dominated world. I have made the mountain from the stones thrown at me and that has made me scale towards the goal. I refuse to be deterred by these stones, instead choose to rise above them. My family and friends have been my backbone in this climb and have never let me down.

I believe the field of Electrophysiology is rapidly growing and that technology will push us to new frontiers. My advice is to keep an open mind and constantly keep up with the literature. As I have always told my fellows, it is not about you trying to prove your skills by moving catheters or leads, itâ&#x20AC;&#x2122;s about the patient underneath the drapes. There is nothing wrong with asking for help on a procedure. It is all about doing the right thing for the patient.

I love what I do and I am constantly motivated to learn new developments on technology and research which benefit the patients. I believe these future technologies will help us to take our success rate close to 100% and to reduce procedure time to do more in less time. w w w.medegatetoday.com May-June 2016

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healthcare

can be transformed by technology.

From a four-bedded nursing home in the mid-fifties, we have blossomed into a 750-bedded flourishing multi-speciality medical centre including a 130-bedded unit at Wanowarie. We now have 24 peripheral diagnostic / imaging centres across Maharashtra and over 3000 working staff members. Being a single unit set-up in the city of Pune

Bomi Bhote

(CEO, RUBY HALL CLINIC) pune Hailing from Pune itself, I completed my degree in Mechanical Engineering and Management and have been in the service industry for close to three decades, including a fifteen-year stint at TELCO and an eight year stint as a Vice President of an associate company of General Electric â&#x20AC;&#x201C; USA. While most hospitals appointed doctors at the management level, it was Late Dr. K B Grantâ&#x20AC;&#x2122;s exemplary vision to use management skills to transform Ruby Hall Clinic into one of the most sought-after institutes in the medical fraternity. In fact, at that time I was one of the few professional CEOs to have joined a hospital to serve on a professional basis.

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When you’re in a high-pressure environment such as this, you need a family who will support you, a family who will separate your success at work from your worth as a person. And they have been my backbone throughout this journey. It is only with the support of my family that I have successfully managed to make this brand thrive across India. My daughter is currently settled in the USA and my son works in the automotive sector.

digital imaging. Taking our technological prowess up a notch, we brought in the Einstein Vision 2.0 for greater accuracy in 3D laparoscopic robotic surgery. With this we further extended our expertise by providing an even higher level of detail and texture with 3D. We are confident that the uncompromising results of this new technology will be beneficial to both doctors and patients in the long run.

What motivated you to come into healthcare profession from an Engineer?

Tell us about your success story?

I strongly believe that the best way to predict an organization’s future is to create it yourself. From a four-bedded nursing home in the mid-fifties, we have blossomed into a 750-bedded flourishing multi-speciality medical centre including a 130-bedded unit at Wanowarie. We now have 24 peripheral diagnostic / imaging centres across Maharashtra and over 3000 working staff members. Being a single unit set-up in the city of Pune, we are amongst the most sought-after hospitals not just in the state, but the country, which in itself is a mean feat. In any manufacturing or service industry, you always get Over the years, the organisation has won numerous national another opportunity. If sales have plunged low in a particular and international accolades, placing us on the global map. quarter, the organisation can re-group and strategise to increase Imbibing the ‘Tata’ way of working at Ruby Hall Clinic, I have sales in the next. We have no second chances in the healthcare always tried my best to make all employees feel connected sector - a life lost is a chance gone forever. In the manufacturing to the hospital. I follow a 3D style of management – Decide, or service industry, you talk about number of units produced. Delegate and Disappear. Fostering a spirit of entrepreneurship, While at a hospital, you would talk about the number of lives each medical department head is responsible for the day-tosaved. There is no room for error. Sales may go up and down, day functioning and development of their own divisions and but compassionate care touches lives and stays forever. is awarded incentives as per their performance. I have tried my best to place Ruby Hall Clinic on the path to holistic How does your hospital beat the challenges development. Be it educating nurses and doctors with acclaimed to providing best healthcare services at academic programs to teaching all ranks of the staff the use of affordable price? technology and prize-winning flexible HR policies. After all, It is important to know how technology affects a patient’s you don’t build a hospital, you build people. And then people relationship with his or her providers to ensure that relationship build the organisation. is strong. I believe healthcare can be transformed by technology. What is your future planning? Leveraging technology to enhance the comfort of doctors and fortifying patient care is of utmost importance. I have always Over the last few years, we as an organisation have gained encouraged the application of it across this sector. For instance, a deeper understanding of what it will take to thrive going the RHC mobile app improves patient and physician interaction forward. While our strategic plan is based on what we have while simplifying treatment; and the cloud-based EMR solution learned and points us toward the future, it is shaped by a addresses the growing need of immediate access to healthcare vision that has driven us for more than half a century – that information ensuring the hospital saves patient and consultant technological advancement coupled with compassionate time. When patients trust their doctors, they get better faster. As patient care should be provided to one and all. an organisation, we always strive to keep the prices affordable But to be specific, we plan to open an 80-bedded hospital in without affecting the quality of service provided in any way. Hinjewadi and a 250-bedded centre specializing in cancer Strengthening our commitment to provide the highest standards research at Amanora Park Town. Furthermore, our flagship in patient care along with world class equipment, we launched a hospital will be restructured from four buildings to two sky-high new 128 slide CT scanner which undertakes a whole body scan towers of 20 storeys’ each. Overall, we will grow to become a in less than 5 seconds. A first in India, this machine produces 1250-bedded facility. We strongly believe our hospital is more HD images enabling doctors to see the smallest and thinnest than bricks and mortar - it is a part of the community, delivering vessels in your body, thus setting a new standard in expert care far beyond traditional hospital walls. Management is at the intersection of things, people and money. In other words, your technical skills will help you handle a future management role, but you’ll need to develop key soft skills to deal with the people and a big-picture organisational perspective. And this was a challenge I was ready to undertake at this institute. I believe my previous experience helped me break out of the minute details that I was used to working with and helped me see things from a higher perspective.

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A noted surgeon for his expertise in Plastic surgery is giving his selfless services in North-East India Our Mission Myanmar has enhanced the goodwill between the two nations-India and Myanmar through healthcare services. India needs Myanmar for connecting with ASEAN nations. We have conducted free surgical camps at General Hospital, Monywa (Cleft Lip and Palate, Cataract, Key Hole Surgery) in collaboration with Indian Consul General and Government of Myanmar. Shija has also Trained two Myanmar surgeons, six nurses for Key Hole Surgery and Critical Care and the training was supported and endorsed by AMASI, India Tell us about your family background, schooling, native place and your journey so far?

Dr. Kh Palin Chairman cum Managing Director Shija Hospitals and Research Institute, Langol, Imphal, Manipur

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My father was a politician once elected as a Member of Territorial Council (CPI) with thumping majority from a village called Heirok, around 28 Km from Imphal, when Manipur was still a union territory of India. He was a follower of Late Hijam Irabot who stood firmly for the empowerment of farmers. My father died of vehicular accident on the last day of submission of application form (23/06/73) for my MBBS course at Regional Institute of Medical Sciences (RIMS), Manipur. He could not see me becoming a doctor. But he gave me my spiritual life. My mother (Shija) was a simple housewife in whose name the hospital was started as Shija Clinic at Paona Bazar, Imphal in 1985. We learned honesty and simplicity from her. She died recently at the age of 88 years. During my childhood, I experienced all the love and affection from my family members and neighbors which, I feel later on, helped me in developing my “Instant Optimism”. My instant optimism has been helping me to sustain and grow in turbulent environment. I had the opportunity of freedom of thoughts in the non restrictive home and society. I played in water, river, hill and trees. I was born and brought up in Imphal, the capital of Manipur and studied in the local schools and colleges including my MBBS. I did my MS (Gen Surgery) and MCh (Plastic Surgery) from PGI, Chandigarh. I resigned from RIMS as Assistant Professor of Plastic Surgery in 1996 and devoted myself to Shija Clinic. Shija Clinic was a humble beginning with consultation chamber and minor operation facility attached to someone’s pharmacy at

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Paona Bazar, Imphal. We shifted to another rented building at How you and your hospital Shija is serving the RIMS Road with 9 beds and a major operation theatre. It was neighboring states and country like Myanmar? growing to 35 beds with adjacent rented buildings. The name “Globalisation starts from kitchen”. We have already established was changed to Shija Hospitals and Research Institute Pvt Ltd our brand by conducting free or subsidized surgical services (SHRI) in 2000. in the neighboring states like Assam, Nagaland, Mizoram and “I had all the inconveniences required for success”. neighboring country – Myanmar. The growth of the hospital has given us lots of inconveniences Our Mission Myanmar has enhanced the goodwill between the which in return given us opportunities to expand in a suitable two nations- India and Myanmar through healthcare services. place. We shifted to the current eco friendly location at Langol, India needs Myanmar for connecting with ASEAN nations. Imphal West with hospital architect in our own land in 2002. We have conducted free surgical camps at General Hospital, We still have inconveniences and thus rooms for growth. We Monywa (Cleft Lip and Palate, Cataract, Key Hole Surgery) in are now working for medical tourism because Manipur has collaboration with Indian Consul General and Government of huge opportunities for the same. We are now 760 of us directly Myanmar. Shija has also Trained two Myanmar surgeons, six working towards a same goal. nurses for Key Hole Surgery and Critical Care and the training Our human resources, Guinness World Record, NABH Blood was supported and endorsed by AMASI, India. Bank with NAT, NABL Lab, Location, Biomedical Waste We are adding our infrastructures for cardiac sciences, kidney Management, Nursing and Paramedical institute, DNB courses, Social Activities etc. are few strengths of Shija which will help and cornea transplantation, joint replacement, infertility treatment and enhancement of already existing facilities during us to move faster forward . the current year. Indo- Myanmar surface and air connectivity As you are based in North East India at the edge is being established which will boost the medical tourism of the country what challenges are you facing in in the region. Shija is now licensed for Kidney and cornea terms of manpower, facilities to provide the best transplantation by the Government of Manipur.

healthcare services at affordable cost?

I am one person who tries to address the advantages rather than disadvantages. “The real power comes from the consciousness of the power within.” India’s Act East Policy to connect with South East Asia Nations, two medical colleges, many nursing and paramedical institutes, one of the leading states in sports and culture, Manipur bordering with Myanmar, Asian Highway 1 and 2 and BCIM-EC passing through Manipur, meeting point of two superpower nations- India and China, our Loktak Lake, hill, valley, International Airport, railhead coming up, weather, English speaking, hospitality nature of the region etc. are our few strengths. We may be at the edge of India, but we will be at the centre as Asia’s one of the commercial hubs. Unfortunately the image of the North Eastern states is projected unfavorably to the rest of the world specially the financial investors, the domestic as well as foreign tourists, super specialists of few departments etc. We need to go extra miles to build the TRUST which is the foundation of growth and sustainability. Being ethical in our business is the key to success in long term. We have been able to solve gradually most of the problems we faced earlier.

What attracted you and why did you choose to surgery specialty Plastic Surgery profession? During my childhood days, I saw doctors as surgeons. Late Dr. Nanda Babu Roy, FRCS of Manipur was an idol for me during my formative period. I wanted to become a doctor. After my MS in General Surgery I had the opportunity to work in Plastic Surgery Unit. Plastic Surgery demand very highly innovative mind and I started enjoying the art and science of Plastic Surgery. I did MCh (Plastic Surgery) . Now Shija has DNB in Plastic Surgery.

What is your hobby and what do you like to do in your leisure time? Reading books specially management, metaphysics, spiritual and self promotional. I am highly spiritual but not religious. I try to find time for meditation which is the reduction of thought and then choosing the positive thoughts.

I enjoy listening to Eckhart Tolle, the author of The Power of Now. Our life is continuity of present moments. Nothing has happened in the past and nothing will happen in the future The healthcare cost at Singapore and Bangkok is almost six to which is nonexistent. Everything is happening at the present moment though we tend to give more importance to the future. ten times than metros of India. Shija is more affordable than the corporate hospitals of the metros of India. We work with government and other funding organizations to provide more affordable or free treatment of few ailments (Smile Train, New York, SSA, Blood Bank, Cataract, Insurances etc).

I am trying to convince myself with the relationship between our thoughts and external manifestation and our own bodies at the cellular levels as promulgated by Late Masru Emoto. I started believing that our aging is also related with the quality of thoughts we allow ourselves with our consent. w w w.medegatetoday.com May-June 2016

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Teamwork is the ability to work together towards a common vision. I could build up a team who concerted extremely well with my plans and efforts, so that we could make things really happen. Tell us something about your family background. How do you recount your childhood days? I was born and brought up in Kolkata. I grew up in a middle class family with strong moral values. My father was a freedom fighter and Professor of a Pali language at Chittagong college, in then East Bengal. After Indian Independence my family shifted to Kolkata. We were a very lively big family. My academics from school to higher studies were done in Kolkata. From my childhood I was good at sports. I got the best cadet recognition at NCC and participated in many activities and adventure sports. From my early years of life I had an inclination to take challenges. This trend influenced my career in future also. I was into many constructive activities and happened to play a leading role there too.

What has been the turning point in your life & who is your inspiration?

Rupak Barua Group CEO, AMRI Group of Hospitals, Kolkata

The main thrust is on providing quality healthcare at affordable cost. For effective cost control, re-engineering process is needed to update the whole system. Major efforts would be towards healthcare digitization, access to the Medical Record Network (MRN), implementation of new software tools, delivery of reports through online portal and accessing healthcare services through Mobile Apps. 76

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I believe my turning point in life was my stepping into healthcare sector â&#x20AC;&#x201C;when I took up challenging tasks one after another and met those challenges successfully. In fact I earned a name for my problem solving role and bringing about a new era in healthcare sector in Kolkata. My father has inspired me all through for his strong determination and active involvement in helping others. Even after retirement till his last he was associated with many welfare activities . To him life was meant for doing something meaningful and constructive. This philosophy inspired me in my career life when I was always ready to take up new challenges and win new frontiers.

Tell us about your journey in healthcare? In my healthcare career spanning for more than three decades I held several senior positions in major corporate hospitals of the city. There is no denying the fact that my growth has been from grass root level. I started my career as management trainee, then to heading a renowned chain of diagnostic centres. I had a profound passion for marketing and explored new spheres of activity. Before joining AMRI in 2014 as Group CEO, I was heading CMRI and later B M Birla Heart Research Institute, which are parts of CK Birla Group. My insatiable appetite for new challenges prompted me to take up the charge of a number of private hospitals which needed turn around.

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When I took the charge of AMRI after the incident, it was perhaps the most difficult challenge I accepted in my career in healthcare. My passion for turning around the organization at the time of its most crucial phase has been my forte. This time too I succeeded in re-establishing AMRI to a niche position.

What / which has been your most prominent achievement/ accomplishment so far? Among many of my recognitions and achievements I would mention a few here. I completed Management Development Programme at IIM (Ahmedabad) and IIM (Bangalore). I am at present Gen. Secretary of Association of Hospitals of Eastern India (AHEI) and Vice-Chairman of the CII – Healthcare Sub Committee (Eastern Region). I am also the President of Association of Healthcare Providers of India, West Bengal Chapter and an active member of The Bengal Chamber of Commerce & Industry (BCCI). I also consider my most significant achievement as redefining the role of AMRI as the fastest growing healthcare chain in eastern India after the massive set back. After I took charge as the Group CEO the closed unit at Dhakuria was re-opened and the confidence of patients, doctors and stake holders was re-built. With the huge support of the promoters of the Group, a new International standard Super Specialty Unit at Bhubaneswar was opened and all the units were upgraded with high end equipments (some firsts in eastern India), renowned doctors and talented human resource. According to AG Nielsen survey of December 2015 on private hospitals in Kolkata, AMRI ranked 2nd, which receded to 8th position in 2014 survey.

We have just received another motivating news. AdvaHosp along with its renowned international associates like The Boston Consulting Group, Harvard Business Review, Mayo Clinic, JCI and WHO announces the first rank for AMRI Hospitals among the private hospitals in 2016 in eastern India. The ranking is based on a thorough survey among patients, doctors and stake holders in healthcare sector. I believe my positive efforts to motivate the Group and to re- establish AMRI on the top of the healthcare map of eastern India has begun to pay dividends. This is no doubt my life’s one of the most significant accomplishments.

Whom do you attribute your success? Here I would again reiterate that my father who was a man of iron will and commitment, had always motivated me to take up a ‘dare and do’ attitude. This helped me being instrumental in bringing about new changes and improve the healthcare delivery system in Kolkata. My family members, like my wife and daughters were also beside me in all ups and downs. I would also mention that wherever I worked I could build up a team who concerted extremely well with my plans and efforts, so that we could make things really happen. I share my success with all of them.

How you are seeing Indian healthcare system & what is your opinion to improve Indian healthcare system? India’s economic growth and rapid urbanization is bringing with it an expected health transition in terms of India’s demographics, increasing ability to afford quality healthcare, changes in morbidity pattern with growing degenerative and lifestyle diseases, and increasing penetration of health insurance. Now the main thrust is on providing quality healthcare at affordable cost. For effective cost control, re-engineering process is needed to update the whole system. Major efforts would be towards healthcare digitization, access to the Medical Record Network (MRN), implementation of new software tools, delivery of reports through online portal and accessing healthcare services through Mobile Apps. The efforts are aimed towards setting up a complete paper-less infrastructure. For complete patient satisfaction the aim is to ensure error free system and patient safety in every aspect.

What is your hobby & what do you like to do in your leisure time? From my life’s early years to till now I love sports and games. I play tennis and go to gym and swimming. I read a lot of books whenever I find time. I love traveling. I traveled widely within the country and abroad. And one of my favorite pastime is cooking. Experimenting with new recipes and innovative too. I enjoy eating and treating others. w w w.medegatetoday.com May-June 2016

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An iconic personality of Bihar - Dr. Hai

Dr. Ahmad Abdul Hai

Managing Director & Chief Consultant, Hai Medicare & Research Institute Director General Surgery and Head of Academic Courses Paras HMRI Hospital, Bailey Road, Patna

Your professional experience: Tell us about your background as a doctor: education and experience? I was born in Patna and my father KhanSaheb Padam Bhushan Dr. Mohammad Abdul Hai was a nationally renowned physician of his time. Joining the medical profession came naturally, not only to me but also to my two brothers who today by God’s grace are doing extremely well in the United States of America. Most of my medical education and training was done at the Patna medical college and I would like to place on record that despite all the criticisms and deficiencies it was and is still a great institution with few parallels in the country. Based on this training I was able to clear part 1 of my FRCS (Edin.) within one week of stay in U. K. and subsequently cleared the final FRCS after one months stay there. I promptly returned back to Patna within a few days of passing the fellowship exam.

What is the ideal system that Philanthropist work in India, mostly in which area it is benefiting to humanity, is there any-your overall comments? India is in great need for philanthropic and voluntary services. It is because due to various socio-political and economic reasons the government is unable to fulfill a large number of the demands of its citizens. Although philanthropic support is needed in all sectors, the most prominent fields are health and education. 78

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This is all the more true for communities which due to various factors have lagged behind. Along with my colleagues in Bihar Red Cross Society, FLAME, Bihar Rabita Committee, Shoshit seva Sangh, Muslim Education Society, Cancer Awareness Society, Adwaita Mission, VoTV and other such bodies, we are doing our little bit in this regards but much more needs to be done and at a faster pace if our great country, India is to attain its true status in the world community. Our country needs many more sincere and devoted NGOs which can take the fruits of philanthropy to the grass root level.

In the next two years, what are the two trends that will define the future of the healthcare industry? In the next two years the two defining trends will be Greater penetration of health insurance scheme particularly in states like Bihar with adequate government subsidy for the BPL population. Greater budgetary spending by government on health care with more emphasis on health awareness and prevention. This will come along with more projects in the Public Private Partnership mode.

As an iconic personality, what do you think healthcare sector/ Doctors should be doing to bring trust and transparency in the profession? The fore most theme is to have a genuine love and care for the patient’s welfare. What is inside the heart comes out in our words and deeds, and this is usually discernable by all. Our medical record keeping should improve and communication with the patient and his/her attendants should be more meaningful. During the long years in the medical college students are taught a large number of subjects but also need to be tutored in human psychology and communication skills. I have been trying to get this included in the MBBS

curriculum and had also planned a chapter in my ASI Text Book of Surgery.

Patna has become a centre of points of Bihar in healthcare, what are the initiatives to be taken by Nitish Government to improve further? As mentioned before improvement in healthcare is not an isolated issue but is closely linked with education particularly female education. The government should make every effort to enhance the health budget and should focus more on sanitation, vaccination, proper drinking water and health education, rather than building isolated super specialty centers which grossly lack in base support. The chain of Primary Health Centre should be strengthened and only filtered cases should come to Patna. Bihar still lives in the villages and no health scheme can be successful unless rural masses are taken care of. To connect these primary centers to super specialty hospitals better transport and modern information technology will be most cost effective. We should have more quality medical colleges in our state and produce more doctors, nurses, and para medical staff. Today’s Medical Council of India (MCI) leaves much to be desired and needs a through revamp. I am a great admirer of Nitish jee am confident that he understands these issues better than most of us.

Your golden lines to Young Doctors & Hospitals? To the young doctors the message is to keep striving for excellence and remember that by and large there are no short cuts to success. For the hospitals-they need to remember that they are doing a pious duty and the hospitals in the private sectors should always remember that God’s blessings come in various modes and money although important for day to day life is not the only desired commodity.

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One of The Pioneer in Laproscopic & Laser Surgery in India Laparoscopy is a minimally invasive operation in which abdominal or pelvic surgery is performed through a small incision. It has several advantages over laparotomy, which requires larger incisions. Laparoscopy uses TV images to examine and diagnose the condition of a disease or to carry out surgery. Biosurgery products are used in various surgeries to minimize the intra and post-operative complications. Various synthetic and biologic products like anti-adhesive agents, hemostatic agents, surgical sealing agents, bone graft substitutes, and soft tissue management are utilized in surgeries for preventing excessive blood loss or providing adhesion or wound/tissue sealing, and repair of damaged or weakened tissues or bones of a body. Tell us about your family background? How do you recount your childhood days? Only child of a straightforward and sincere Customs Commissioner Mr.B.Abdul Gaffar and a dedicated and well read mother Mrs. Shanawaz Begum, was privileged to have positive values like integrity and discipline inculcated in me from an early age. Transfers and constant shifts also instilled me the importance of friendships and community! An altruistic family and a cherished, blessed upbringing!

Prof. Dr. A. Zameer Pasha M.S., FICS., FAIS., FIAMS., Dip. MAS., FIAGES., FALS.

Shanawaz Hospital, Thillainagar, Trichy (Tamil Nadu)

As you are pioneer in Laparoscopic surgery, Please tell us advantages of Minimal Access Surgery & Its wide application ? They say – Success begins at the end of your comfort zone! 25 years ago, it gave me a sense of achievement to travel to Germany to train in the art of Laparoscopy or minimal access surgery which was unheard of in our part of the world .All these years and more than 15000 laparoscopic procedures later, this journey has been made even more fulfilling by the joy and privilege of having trained more than 250 surgeons from India and SAARC countries, who are all now leaders in their own right! Minimal access surgery with its multifarious advantages including a tiny scar, minimal pain and quicker and effortless return to work has now become the sine qua non in every surgeon’s armamentarium today.

been many hurdles and challenges but with self introspection and support of friends, family and my patients, these challenges are nothing but distant memories!

What has been the turning point in your life? Who inspires you & your key to success? My birth! I have always been blessed by the grace of the Almighty with a charmed life, be it professional or personal! The ability to look at difficulties as stepping stones to triumph has always been my saving grace. I have always and forever dedicated my life to my small but treasured family – my wife Dr.Shakila, son Dr.Shakir and daughter-in-law Samira, daughter Dr.Rubina and son-in-law Zuhair and my little angels Sufyaan, Arfaan, Rayaan and Namir!

What is your hobby & what do you You have achieved many success like to do in your leisure time? in medical filed so how was I believe in living life to the fullest! In the time I get away from the call of journey & experience to reach? Success is a never ending and failure is never final! I have been fortunate to have had a memorable odyssey where I have been able to touch innumerable lives through my work and have made numerous priceless friendships with colleagues and good people from every sphere of life. Yes, there have

duty, I enjoy playing golf, listening to music, traveling but more importantly in working for the betterment of the community we live in! Society has placed us all on the highest pedestals and it is our bounden duty to pay it forward! Caring and sharing with humanity will ever be my motto! w w w.medegatetoday.com May-June 2016

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Dynamic Eye Surgeon with Passion for Teaching & Research to Eliminate Preventable Blindness from India

Dr. Suresh K Pandey

We did not even have an electricity connection and I would wake up early morning to study and then study till dusk. As a result of all the hard work, I did well in the Primary school and was given a government scholarship. This was a big boost for my confidence and I then went to the adjoining town of Rawatbhata (a town of atomic power fame) to study in the senior secondary school and passed examination with first rank in the entire district. I then moved to Rampura (Mandsaur, MP) for studying B.Sc. Part I and got first rank in Vikram University, Ujjain in 1985. I prepared for medical entrance exams by borrowing notes and books from school friends My hard work and perseverance help me to clear pre-medical test and to secure admission in the MBBS course in Netaji Subhash Chandra Medical College, Jabalpur, Madhya Pradesh in my first attempt. There was neither much guidance available nor did he have the resources/access to any kind of coaching. It was due to dedicated effort and self-discipline that was responsible for this success.

Director, SuVi Eye Institute & Lasik Laser Center Secretary, Indian Medical Association (IMA) Tell us about your professional journey since inception ? Kota, Rajasthan, India

I am a self-made man and I rose from very humble beginnings to receive the best possible Ophthalmic Surgical training in India and overseas, and I am happy I could come back to my own area and people and do good work among my own people. I want to encourage and inspire young doctors to come back to their roots and provide good services in areas, where they are needed and valued. Tell us about your self, your family background & early schooling? I was born in August, 1968 in a small village Mohna, Chittorgarh (a land of braver and sacrifice) (Rajasthan) in a family of modest means among four brothers and sisters. My father (Shri Kameshwar Prasad Pandey) was a school teacher, and my mother (Smt. Maya Pandey) was a housewife. I was fortunate to have a remarkable man as my grandfather (Dr. Kamta Prasad Pandey), who learned some ophthalmology skills from a British ophthalmologist with whom he had worked My childhood was a struggle for various reasons. We were a big family in a small house, and there were many family problems. 80

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I finished my medical studies (MBBS course) from Netaji Subhash Chandra Medical College, Jabalpur (MP) and it was during MBBS that I came into my own. I initially faced a lot of language problem as I had studied in Hindi medium, and here the medium was all English. But I overcame this barrier, and while I just passed the first Professional MBBS exam due to various problems, I managed to be in the top 20 students in the second Professional Exam, and managed to secure the 7th rank in the Sate Pre PG entrance exam. I took ophthalmology in the same medical college, but soon felt that I wanted to pursue Ophthalmology Residency from Indiaâ&#x20AC;&#x2122;s one of the top medical colleges. I appeared in the Post Graduate Institute of Medical Education & Research (PGIMER Chandigarh) PG entrance test and managed to secure Ophthalmology residency in PGIMER. After finishing my fellowship, I came back with my wife (Dr. Vidushi Sharma, MD, AIIMS, FCRSEdin also an ophthalmologist) to India. Initially, we had toyed with the idea of working in the prestigious L.V. Prasad Eye Institute, Hyderabad, and had been in constant touch with the top faculty at the Institute during our fellowship. However, when it was finally time to come back, I had an urge to come back to my own area, and do good quality work in my own practice. So, we landed in Kota (Education City), Rajasthan with big dreams and little funding. We set up the SuVi (Suresh & Vidushi) Eye Institute & Lasik Laser Center in a modest set-up, but had our hands full with work within a few months. Soon, we constructed our own hospital, acquired all the latest equipments in the field of Ophthalmic care, and also created space for other ophthalmic colleagues to join our hospital.

COVER STORY

You have achieved many awards & gold Medal in the field of cataract surgery, Please shed some light on latest advancement on cataract surgery done by you & your team? Dr. Vidushi & myself have also done other pioneering work in cataract surgery, related to performing phacoemulsification surgery & multifocal IOL implantation in patients with postural problems performed at SuVi Eye Institute & Lasik Laser Center, Kota, Rajasthan, India. We have popularized technique of Piggyback IOL (of multifocal & toric IOLs) technique to correct extremely high refractive errors and to provide the advantages of toric and multifocal IOLs to these patients (video link- https://www.youtube.com/watch?v=dOBNqOTou7s). The video describing this piggyback technique, made completely in-house in Kota, won the Best Cataract Surgery Video International Award during APACRS Annual Conference in Shanghai, China. My passion for cataract research, live surgery and sharing surgical pearls for managing complex cataract IOL cases resulted in prestigious "Achievement Award" during the American Academy of Ophthalmology and Best-Of-Show-Video Award during the AAO, ASCRS, ESCRS, APACRS international ophthalmology conferences. Some of the other innovations in the field of cataract surgery include cataract surgery in infants, cataract surgery without preoperative dilating eye drops, non-dominant hand cataract surgery, how to achieve clear cornea on day 1 after phacoemulsification surgery. Many ophthalmologists from India and overseas visited SuVi Eye Institute, Kota to learn and fine-tune cataract surgery skills. I have also opportunity to implant India’s first Tecnis multifocal toric IOL, and North India’s first Symfony Toric IOL.

Tell us about Lasik laser surgery and bladeless Lasik surgery? LASIK is the most popular elective procedure in the world for correction of refractive error. In today’s world of active lifestyles and increasing cosmetic desires, many people find wearing glasses and contact lenses a big hassle. Many common activities like playing sports, swimming, driving etc. become difficult and pursuing a career in armed forces, police, aviation industry, modeling etc. become extremely difficult if not impossible. LASIK (an acronym for the medical term laser assisted in-situ keratomileusis) offers the opportunity to get freedom from glasses and contacts, so that you can live an active and free life like never before. The Bladeless LASIK option utilizes a precise, high-energy femtosecond laser instead of a microkeratome blade to create the flap of corneal tissue. Since being invented in the 1990s, the femtosecond laser has been incredibly successful. This laser continues to provide LASIK patients and their eye doctors with a bladeless alternative to traditional laser eye surgery.

in the world, What is your message to patients or what is your take on this? Age related cataract remains the commonest cause of blindness. At present, surgery is the only way to manage cataract. Fortunately, cataract surgery (with intraocular lens implantation-IOL) is one of the most successful surgeries, and it is a tragedy that despite a simple surgery, there are still so many people blind due to cataracts specially in remote part of country. The reasons are manifold, including non-availability of free or highly subsidized medical services where they are most needed, and increasing cost of the now more popular phacoemulsification surgery with premium IOLs. Unfortunately, cataracts can also affect children, and this is a bigger challenge, as childhood cataract is more difficult to manage, and is often associated with other problems. Cataract has been addressed in a big way through various National Programs, including the National Program for Control of Blindness (NPCB) in India, and there is a strong established tradition of charity in organizing cataract surgery camps in various parts of the country. The need of the hour is to improve on the quality of surgery being performed in these eye camps, and to ensure that the all too common complication/ sequeleae of posterior capsule opacification which often occurs after cataract surgery is also addressed. While newly available cataract surgery techniques (for example femto-second laser assisted cataract surgery) and refinements are what constitute progress, we must realize that in a country like India (with huge cataract backlog), we need to strike a balance between new techniques and the economics of health care. I would also like to emphasize to the patients that they should not wait for particular (e.g. winter) season to get their cataract surgery done. Also, there is a myth that cataracts need to “ripe” before surgery. Cataract surgery is the only remedy to manage cataracts (as of today) and the patients should not wait for a prolonged time as then complications may ensue that hamper the visual results. Last but not the least there is good news about on-going latest research on use of Lanosterol eye drop to reverse lenticular opacity. If use of lanosterol is successful this can help our cataract cases without the need of surgery.

Cataract is the one of the major cause of blindness w w w.medegatetoday.com May-June 2016

DOCTOR SPEAK

With Diabetes Increasing to Epidemic Proportions, 360 degree care is crucial to management & reducing fatalities A chronic insulin disorder, diabetes today afflicts a major chunk of the global population. The World Health Organization (WHO) estimates that in 2012, an estimated 1.5 million deaths were directly caused by diabetes, with more than 80% of diabetes related deaths occurring in low- and middle-income countries where awareness and monitoring systems are abysmally poor. India is home to the world’s second largest population of diabetics after China with over 67 million Indians already recognized with having diabetes and an additional 77 million pre-diabetics. The number, already staggering, is further projected to rise to 109 million by 2035 and India will see the world’s biggest increase in diabetes during that time. If these figures do not scare you enough, it is probably due to paucity of integrated awareness regarding the complications & other health disorders linked with diabetes. Despite being a high risk nation, India lacks awareness and acceptance of diabetes as a major health risk. Unlike other lifestyle diseases such as cardiovascular disease, hypertension, obesity and even cancer, diabetes is not talked about or considered a ‘high risk’ disease by most people. Here, it is important to underline that the overall risk of dying among people with diabetes is at least double the risk of their peers without diabetes. Understanding diabetes As stated above, the reason why diabetes is not considered a serious health hazard by a large section of the populace is because most people believe that unlike cardiovascular disease or cancer, nobody dies of diabetesdirectly. What

Dr Sanjiv Agarwal Founder & MD, Diabetacare

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most people are not aware of is that diabetes creates such health complications that a lot of people die of complications due to diabetes. If you have diabetes, you may also have hyperglycemia, dyslipidemia andhypertension. Each of these conditions is linked to a number of serious complications, including heart disease, vision loss, kidney failure, nerve damage, and even amputation. Why 360 degree care? Rachna (52), was diagnosed with diabetes 6 years back. More aware than some of her peers, she did make sure she got her blood sugar and BP levels monitored occasionally and paid that occasional visit to the physician to have herself examined for any complications. However, her blood glucose levels suffered unexpected spikes resulting in irreversible complications. In the absence of continuous monitoring, spikes in blood sugar levels go unnoticed and untreated causing increased complications and deaths in India. When she noticed the challenges of diabetes care & its management, especially in India, she observed absence of awareness, acceptance (among affected populace), and lack of regular diabetes monitoring as the main issues. Diabetes is a disorder that requires religious monitoring and management. For people who are aware of the importance of regular monitoring and timely intervention the problem is of access to the right care at the right place. A lot of people with diabetes do not get their blood sugar and blood pressure levels monitored regularly, failing to gauge the seriousness of their condition; some take recourse to alternate treatments; yet others do not make adequate lifestyle modifications requiring control on diet and weight. Many people believe they aren’t at risk for diabetes because of the notion that it only affects the elderly or obese. In reality, women, young adults, and children are at greater risk than ever before due to changing diets and sedentary lifestyles. Pregnant women are at particular risk for gestational diabetes that also affects newborns, an increasing problem in India. Self monitoring is yet to become a norm. The concept of 360 degree care for diabetes includes a 24x7 system to monitor critical indicators, report them to physicians immediately and get an urgent feedback from them. Since diabetes management includes an entire gamut of lifestyle changing measures, a comprehensive management system shall also include daily diet and exercise measures that together keep the individual’s critical indicators in check. In most cases in India, patients are required to go to different places at different times to have their readings and blood taken. These readings have then to be taken to a physician. This creates multiple broken pathways that discourage many patients, create obstacles to seamless care and are cumbersome. Such diabetes service models of periodic patient visits to their health care providers do not lend to regular, disciplined self-management and care required for successful treatment of diabetes.

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JK Ansell welcome’s FDA proposal for ban on powdered medical gloves

K Ansell, leader in powder free medical gloves category in India has welcomed FDA proposal for ban on powdered medical gloves. Though the ban is proposed in US but it gives a strong message to healthcare professionals and policy maker globally. The powdered latex gloves frequently used by surgeons and health care providers may soon be on their way out should a recent proposed ban from the Food and Drug Administration be approved. In the proposed ban, the FDA identifies three types of surgical gloves that the ban would apply to including:  Powdered Surgeon’s Gloves,  Powdered Patient Examination Gloves  Absorbable Powder for Lubricating a Surgeon’s Glove. Jeff Shuren, M.D, the director of the FDA’s Center for Devices and Radiological Health, said “this ban is about protecting patients and health care professionals from a danger they might not even be aware of.” The FDA has identified that the underlying problem with these particular gloves stems from the powder used to line the gloves. Initially, the powder was added to the gloves to make it easier for physicians and health care providers to put on and take off the gloves. Yet, over time, this powder can generate an unintended effect, leaving patients at risk for injury. The FDA has stated it does not anticipate that a ban on the powdered latex gloves will significantly impact the medical

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field because many non-powdered glove options are currently available. The proposed rule is available for public comment until June 20, 2016 at www.regulations.gov. Given the injuries generated by this powder, it appears that this ban is a step in the right direction to protect patients and physicians alike. The Ansell spokesman said his company has conducted extensive research on latex allergies since 1992. Its research, he said, has shown that aerosolized glove powder spreads not only latex antigens but also opportunistic and pathogenic microorganisms. Ansell offers many comfortable powder-free glove styles with advanced technology and coatings, allowing the user to easily don the glove while enhancing patient and health care provider safety. JK Ansell is a 50:50 joint venture between two conglomerates - Ansell Australia & Raymond India. Organization is focused on delivering protection solutions, i.e. surgical and examination gloves to healthcare professionals at hospitals and clinics through four core brands – GAMMEX®, ENCORE®, MEDIGRIP® & MICRO-TOUCH®. Excluding the later one, first three are focused on surgical segment with emphasis on innovations, ergonomics & enabling surgeons with excellent dexterity. With an objective to protect the hands that care, JK Ansell has continuously strived for leading the best hand barrier protection practices.

DOCTOR SPEAK

All You Want to Know About Surrogacy Infertility is not just about the inability to conceive, but also the associated trauma the individual or the couples go through. Women who are childless have to face many social taboos besides being the target of harassment by their families in a country like India, where culturally infertility is looked down upon. The science of human reproduction has progressed at a pace which is unimaginable! The health sector in India has kept abreast of all these advances and is able to offer the best of health services which are available anywhere in the world! We have been hearing a lot about surrogacy. Surrogacy is the latest addition to the treatments available for our infertile couples today. Surrogacy is the term used where a woman bears a child for another woman. The usual indications for this are that the woman cannot bear the child because the uterus is absent or malformed or when a medical condition exists making pregnancy a threat to her and/or her baby's health. So, even though a woman has reached an age of 40 years and is minus a uterus, she can still have her own biological baby made from her own egg and husband’s sperm fertilized in the laboratory, and implanted in a surrogate. A surrogate is a young woman who carries another couple’s baby, within her uterus, delivers the baby, and hands it over to them. In other words couples who benefit maximum from it are: Women who are born with an absent uterus. W omen who have lost their uterus due to surgery where the uterus could not be saved.  Women who have repeated miscarriages. W omen who are medically not allowed to get pregnant. e.g. women who have a severe cardiac problem or severe kidney disease.  Women with repeated IVF failures. Surrogacy is termed altruistic when a dear friend or relative is willing to carry the pregnancy on behalf of the concerned woman, without any commercial benefits. While where an unrelated woman is willing to carry the patient’s baby and hand over the baby after the delivery for a fee is a commercial surrogacy. Besides earning money, they have a feeling of satisfaction that they have been able to assist another of their fraternity, to become a mother. This very combination of low socio economic status with a value added noble gesture” has made surrogacy very popular in India. In some countries surrogacy is legal, whilst in some it is banned both for legal and ethical reasons. India has emerged as the main surrogacy destination since it legalized commercial surrogacy in 2002. As IVF centers with excellent medical expertise matching International Standards are available in India, with the entire treatment at a lower cost, surrogacy became popular with the international clientele.

www.m e d e g a t e t o d a y. c o m May-June 2016

There are two main types of surrogacy: Traditional surrogacy: In traditional surrogacy, the surrogate is impregnated naturally or artificially, but the resulting child is genetically related to the surrogate. This is currently not legally recognized. Gestational surrogacy: In gestational surrogacy, the pregnancy results from the transfer of an embryo created by In Vitro Fertilization (IVF), in a manner so the resulting child is genetically unrelated to the surrogate. Gestational surrogates are also referred to as gestational carriers. Advantages of Surrogacy: For couples who are aspiring to have their own child, surrogacy is a great option as they will have a baby which will be biologically theirs Disadvantages of Surrogacy:  Surrogacy is a long and tedious process and there are a lot of processes involved The couple has to ensure that all the legal procedures are in place before committing themselves to surrogacy or else they may face legal issues later But whether surrogacy is ethical or unethical is an issue which

Dr. Duru Shah

Scientific Director, Gynaecworld

EXPERT VIEWS

is debatable. With the lure of money, many illegal and unethical practices came into play, mainly because this medical treatment with so many ramifications does not have any monitoring agency to overlook assisted reproduction, just as it occurs in other countries. As and when there was a regulation brought in. Those who adhered to legal and ethical practices followed such notifications from the regulatory authorities and as occurs in every sphere of life, some illegal and unethical practices continued by the others. The Draft ART Bill which has been in existence since 2008 for Assisted Reproduction has not yet been passed in the Parliament, and as the years have gone by, it has been constantly updated till 2014. Appointing a proper monitoring agency to make sure that legal and ethical practices are followed and putting law in place is important but there should be a proper plan in place. Authorities should give an opportunity to all to voice their opinion. Adoption is no longer the only option. The infertile couple has the right to choose, to have their own biological child instead of adopting one which also requires a long wait and legal formalities. Today thanks to celebrities who openly talk about it. There is a great awareness about surrogacy and hence many couples who cannot otherwise bear children are increasingly turning to surrogacy as a possibility to fulfill their parenthood dream.

w w w.medegatetoday.com May-June 2016

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