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COGNITION : The process of thought, Eg: Human cognition is well set up to process unclear concepts
Spinach (Palak) The presence of calcium, vitamin K, folic acid, and iron in spinach makes it nutritious and thereby, good for health.
MAY 2011
VAATSALYA TIMES
MAY - JUNE 2011 Expert Interview - All you wanted to know about Health Insurance Dr. Talha Siddiqi
Page 2
Dr. Golivi Mohan - Medical Director, Vaatsalya Hospital, Narasannapetta, being awarded the International President’s letter of commendation by the international association of lions clubs.
Vaatsalya welcomes their new consultants
Dr. CS Patil
Consultant Physician & Intensivist Vaatsalya Hospital, Shimoga
Dr. Gopinath
Consultant Surgeon Vaatsalya Hospital, Shimoga
Daniel Reddy
Page 4
Multidisciplinary Critical Care The Need of the Hour Page 3
Dr. Ashwin Naik is an “Ashoka Fellow for 2010”!! Page 4
Mr. Shanmugam felicitated by Vaatsalya Mr. Shanmugam, Chief engineer, Vaatsalya was felicitated on the occasion of the formal inauguration of Vaatsalya’s Viziangaram unit on April 4th 2011. Mr. Shanmugam has over forty years of experience and has been part of many major projects in India and abroad.
Upgraded Vaatsalya Hospital Inaugurated in Vizianagaram
Medical Director & Consultant Diabetologist Vaatsalya Hospital, Hubli
Dr. Pruthvi B.C.
Vaatsalya is Not Just About Work
The upgraded Vaatsalya Hospital, Vizianagaram, a Mother and Child specialty hospital was formally inaugurated on Monday, March 4 by Dr. G Samamram, National IMA President. Dr. M Venkateswara Rao, Medical Director Vaatsalya Hospital, Vizianagaram, with founding team of Vaatsalya Dr.
Ashwin Naik (Co-founder & CEO), Dr. Veerendra Hiremath (Co-founder & COO), and Mr. Rocky Philip (Cofounder & VP Business Development) welcomed the gathering. Special delegates like Dr P Visweswara Rao, State President, Andhra Pradesh Nursing Home Association, Dr Bogi Eswara Rao, Senior
Dr. Vijay Mahantesh
Consultant Paediatric Surgeon Vaatsalya Hospital, Shimoga
Dr. Manu M.G.
Consultant Pediatrician Vaatsalya Hospital, Shimoga
Staff Correspondent Vizianagaram April 2010
Paediatrician, Rajasimha Children’s Hospital, Parvathipram, Dr P Damodhar Reddy, District Governor - Rotary Club Viziangaram, Dr K Radha Krishna, Director, R K Children & Perinatal Care Center, Visakhapatnam, Dr B S R Murty, Medical Director, Lions Cancer Hospital, Visakhapatnam, and hundreds of other guests attended the function. Vaatsalya has created intensive care units (ICU) to service surgical and pediatric patients. A children’s play area has been added to keep the children occupied while visiting the hospital. The new facilities and doctors were introduced to the people of Vizianagaram through this grand inauguration function. Vaatsalya’s promise to bring quality healthcare services to Andhra Pradesh is continuing and Vaatsalya thanks Dr. Venkateswara Rao, Medical Director, Vaatsalya hospital, Vizianagaram, for his continuing interest and commitment in making this hospital a success.
Dr. G Samamram, National IMA President Inaugurating Vaatsalya Hospital Vizianagaram
Dr T Renu Kumar
Consultant Paediatric Surgeon Vaatsalya Hospital , Vizianagaram
Dr. Pavan
Consultant Nephrologist Vaatsalya Hospital, Hassan
Photo : Mahesh, Vaatsalya Shimoga
Dialysis and Surgical Suite Inaugurated at Vaatsalya Hospital Shimoga
Clockwise - Dr. Shivamurthy Murugha Sharanaru Inaugurating Surgical Suite, Sri Sri Mallikarjuna Murugharajendra Mahaswamy Inaugurating Labour Theatre, Dr. H Sudarshan Ballal MD,FRCP Inaugurating Dialysis Unit For online version visit www.vaatsalya.com
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VAATSALYA TIMES
MAY - JUNE 2011
KNOW YOUR DOCTOR
? If not Practicing medicine we would have known you as ?
Your day always starts with
Whom do you consider as a role model in your profession or life ?
Architect
Pranayama
A book that made a lasting impression
Your favorite Movie Star or Cricketer ?
How do you de-stress ?
Dr. APJ Abdul Kalam
“Hospital” by Julie Salamon,
Mahendra Singh Dhoni
Playing Golf
Teacher
With a cup of Tea
My Teacher
“Veer Narendra” by Swami Purushottamanandaji and “Story of My Experiments with Truth”
Dr. Rajkumar
Praying and Playing with my Children
Never had second thoughts on it
With a cup of Tea
Dr G N Prabhakar
“The Last Lacture” by Randy Pausch
Kamal Hassen
Meditation
Industrialist
Prayer and calling up my daughter
My Professor of Medicine Dr. N Lalitha
“Mega Living” by Robin Sharma.
Kamal Hassen
By chanting OM Nama Sivaya
Civil Service
Prayer and a cup of cofee
My Father
“Prophet”’by Khalil Gibran
Amitabh Bhacchan has always been my favorite
Sleeping and going for a holiday
Metallurgy Engineer
My kid wakes me up and we together start with prayer
Dr Sudarshan Ballal
My Medical Textbooks
Ameer Khan
Social Worker
A Prayer
Dr Nalini Bhaskarananda Professor & Head Dept of Pediatrics, KMC Manipal
Sai Charitra
Amitabh Bhacchan
Yoga
Business Man
With a cup of Coffee
Good Sports Persons
“Jonathan Livingston Seagull” by Richard Bach
G R Viswanath
Meditation Browsing Playing Tennis
Politician
A Prayer
“The monk who sold his ferari” by Robin Sharma.
N.T.Ramarao
Meditation
Books written by Mr. Pattabhi on psychology related subject
No such particular only enjoy the moment or situation
Mainly by self realization and introspect
Dr. CS Patil
Medical Director & Consultant Diabetologist Vaatsalya Hospital, Hubli
Dr. Raveendra Madraki
Medical Director & Consultant Nephrologist Vaatsalya Hospital, Bijapur
Dr. H I Mali
Medical Director & Consultant Anaesthetist Vaatsalya Hospital, Gadag
Dr. B N Prabhavathi
Medical Director & Consultant Obstetrician and Gynaecologist Vaatsalya Hospital, Mandya
Dr. Bharathi Rajashekar Medical Director & Consultant Obstetrician and Gynaecologist Vaatsalya Hospital, Hassan
Dr. Manjunath Doshetty
Medical Director & Consultant Nephrologist Vaatsalya Hospital, Gulbarga
Dr. Dhananjay Sarji
Medical Director & Consultant Paediatrician Vaatsalya Hospital, Shimoga
Dr. R Sridhar
Medical Director & Consultant Physician Vaatsalya Hospital, Mysore
Dr. M Venkateswara Rao
Medical Director & Consultant Paediatrician Vaatsalya Hospital, Vizianagaram
Dr. Golivi Mohan
Medical Director & Consultant Surgeon Vaatsalya Hospital, Narasannapet
Dairy Farmer
Body fitness exercise
Jayaprakash Narayan MBBS, IAS Converted Genuine Politician. My teachers Mr.D. Narshimha Murthy (maths teacher) Mr. A.Suryanarayana (head Master)
By playing with my son
Continuing Nursing Education Programme Conducted at Vaatsalya Hospital, Hassan
I Photos : Asif Ahammed, Hassan
n the endeavour to strive for excellence in healthcare delivery, Vaatsalya focuses and emphazises on continuous
education and training programmes to its staff by regularly conducting continuous nursing education and other such similar activities focussed towards professional and personal growth of the individuals and are conducted by most eminent experts and qualified professionals in their own field. Dr. Haroon, Consultant Physician & Incharge of MICU of Vaatsalya Hospital, Hassan was quoted as saying
“ It was a really nice interactive session. Everyone got a lot to learn and share. I would like to thank all of them who have helped to make this programme a success. With all your extended cooperatation, I plan to conduct similar sessions so that Vaatsalya becomes the best quality health care provider in the country”. _______________ Special Correspondent Hassan
Expert Interview - All you wanted to know about Health Insurance We have recently renewed Group Health Insurance Policy with National Insurance Co to extend the healthcare services to all our employees and their dependents. Dr.Talha Siddiqi has been associated with health insurance industry, before being part of vaatsalya family. Here he will answer some of the commonly asked questions on employee health insurance. Mansi: First, Who are covered in this policy?
Talha: Presently, those employees who have completed six months in the organization or whoever is confirmed. Six members of a family are covered under this plan. The Employee, his/her spouse (Husband or Wife), Father and Mother who are aged 75 or below and first two kids aged 25 or below. Mansi: So, Which are the hospitals where one can take treatment? Talha: Vaatsalya’s Group health insurance policy is serviced by Mediassist TPA and For online version visit www.vaatsalya.com
by Mansi, Staff Currespondent, VT Bangalore
hence all the insured can avail services from the empanelled hospitals of Mediassist TPA which are almost most than 4000 + across india and ofcourse Vaatsalya’s chain of hospitals are also part of it. Mansi: What is the difference between cashless and reimbursement process? Talha: In Cashless, the patient does not pay the hospital bill except for the non medical expenses. In case of Reimbursement, Patient pays for the hospital expenses and later gets reimbursed by Mediassist upon verification of the documents. Mansi: Does policy cover the incurred expenses on Outpatient services? Talha: The policy covers only the Inpatient admission with at least 24 hours stay in hospital. Expenses related to outpatient services and admissions only for diagnostic purpose are not covered. Mansi: Tell me about the Sum Insured and room rent cap? Talha: Each employee is covered with a family floater of 1 lac sum Insured. The room rent is restricted to maximum of Rs.1000/- per day and ICU with Rs.2000/Mansi: If somebody is diabetic can he avail the health insurance benefits. Talha: Yes, the policy covers all the pre existing diseases and conditions except for
Sexually transmitted diseases, congenital defects, mental disorders and self injuries. Mansi: Whether Maternity and child birth expenses are covered?? Talha: Yes. Maternity benefits are covered with a maximum of Rs 25000/- in case of normal delivery & Rs 30000/- in case of Caesarian sections. Maternity benefits are extended only to first two children only. Mansi: What is the co-payment paid by the patient? Talha: Co-payment is not applicable to employee but if a dependant ie father, mother, spouse or children is admitted they have to pay 15% of the total bill as copayment. For instance, if the final inpatient bill is Rs.10000/- then the patient will have to pay Rs.1500/-. Mansi: What are the other features of the policy? Talha: Upon analyzing the previous year’s claims and suggestions from the insurance company, 1. The expenses for the treatments of Cataract, Piles & Fistula, Tonsillitis, Open Appendectomy, Septoplasty, and Closed reduction of bones, are payable only upto Rs 25000/2. Expenses on Open Hysterectomy are covered with the maximum of Rs.30,000
excluding service tax. 3. The maximum expense on each admission is restricted to a maximum of 60% of the balance sum insured. Mansi: Is the 60% restriction applicable on cardiac surgeries also. Talha: The 60% restriction is not applicable for the expenses on Cardiac Surgeries, Organ Transplants and Cancer related treatment. The expenses are covered up to the maximum of balance sum insured. Mansi: Is there anything you would like to share. Talha: I would like to request all the employees to kindly use the health insurance benefit diligently and verify the Inpatient bills before discharge with itemized bills. Get the preauthorization before hospitalization in case of planned admissions to avoid inconvenience. Mansi: Last question, whom to contact in case there are any problems /queries? Talha: In case of any queries/problema, you can contact local health insurance coordinators of the hospital. Or, you can call the toll free customer care of Mediassist. Also, can leave your query with vaatsalya Cares–9686676741 with your contact details, we will get back to you. -2-
VAATSALYA TIMES
MAY - JUNE 2011
Multidisciplinary Critical Care The Need of the Hour
I
t is recognised world over today that the specialists of various disciplines are overworked professionally which make them unable to meet the growing need of critical care. In modern medicine, despite the
availability of good antibiotics and antidotes, tropical diseases like falciparum malaria, leptospirosis, dengue, snake bites, Organo Phosphorous poisoning continue to have significant mortality because of lack of comprehensive and
“Counselling the family from time to time in patients who have unpredictable prognosis is a skill learnt by experience.”
organ specific support. It’s not only about nonavailability – many die because they cannot reach higher centres or many cannot afford the expensive critical care in urban cities. A critical care centre within the town
bridges this gap. A team dedicated for such kind of care is the need of hour where they can actually do the job of babysitting when the primary physician has to attend to many outpatients. This is where the critical care specialists called intensivists come into the fore. Today let it be surgery case of perforation with septicemic shock or physician’s case of Pneumonia with Acute respiratory distress syndrome (ARDS) – intensivists manage it smoothly. Similarly, let it be neonatologist case or obstetrician’s case of Pregancy induced Hypertension (PIH) with organ failure or neurologist’s case of subarachnoid hemorrhage – primary clinicians can rest peacefully. Intensivists are trained in all aspects right from ventilator, dialysis, managing blood pressure and doing the most difficult procedures under stressful circumstances. Intensivists just do not have to manage the patients, we also have to manage the family. Counselling the family from time to time in patients who have unpredictable prognosis is a skill learnt by experience. It’s a challenge to do that and at the same time being sensitive to family’s expectations and their financial situations. The advantages of having round the
clock critical care support are manifold 1. High Survival Rates 2. Drastic reduction in cost to patients, referral to expensive higher centres are avoided. 3. Low complication rates 4. Time saved for the primary clinician which has bearing on improving the outcome on noncritical cases. 6. Training of local paramedical staff Critical care is an emerging specialty by itself. We are glad that many primary clinicians across all disciplines are recognizing it and supporting it actively
Clock Wise - Dr Roopa Patil, Dr Santosh Kamshetty, Dr Manjunath Doshetty and Dr Sudarshan Lakhe - Department of Critical Care, Vaatsalya Hospital, Gulbarga
Chronic Kidney Disease Overview Dr Manjunath Doshetty Consultant Nephrologist & Medical Director, Vaatsalya Hospital, Gulbarga
C
hronic kidney disease (CKD) also called kidney failure is a condition in which the kidneys lose the ability to remove waste and excess water from the bloodstream. The most common causes of chronic kidney disease are diabetes and high blood pressure. In the early stages of CKD, there are no obvious symptoms. The disease can progress to complete kidney failure, also called end stage renal disease. The main goal of treatment is to prevent progression of CKD to complete kidney failure.The best way to do this is to diagnose and control the underlying cause. NORMAL KIDNEY FUNCTION The kidneys function to remove wastes and excess water from the blood. Not only this, kidney maintains normal blood pressure. Further, it produces hormones like Vitamin D and Erythropoietin which is necessary for Bone – Mineral Metabolism and Hemoglobin respectively. In short, kidney maintains the chemical balance in body and many vital body functions are dependent upon the proper functioning of the kidneys. For the filtering process to occur properly, the blood pressure and blood flow to the kidneys must be adequate. If the arteries leading to the kidney are diseased, the filtering process will be affected. The nephrons, including the glomeruli and the tubules, must be healthy, and the path from the nephron to the urethra must not be blocked. This figure No. 1 shows the structure of the nephron, which For online version visit www.vaatsalya.com
Figure -1
filters waste from the body’s blood supply. Each nephron is composed of a glomerulus and a tubule. The glomerulus filters wastes and excess fluids, while the tubules modify the waste to form urine. Urine is made by the kidneys. Female
Male
It passes from the kidneys into the bladder through two tubes called the ureters. Then it leaves the bladder through another tube, called the urethra. When the kidney filters are working properly, the result is aproper balance of fluids and chemicals in the body. If an imbalance occurs, many critical bodily functions can be affected, possibly producing symptoms associated with kidney disease
CHRONIC KIDNEY DISEASE RISK FACTORS • Diabetes mellitus • High blood pressure • Chronic glomerulonephritis (inflammation of the glomeruli), • Polycystic kidney disease (cysts in the kidneys) • A family history of kidney disease
Fasting Blood Sugar less than 110 and Post Prandial blood sugar less than 180
CHRONIC KIDNEY DISEASE SYMPTOMS Most people with chronic kidney disease do not have symptoms until the kidney function is severely impaired. The symptoms are mild and nonspecific which include Fatigue, Nausea, Generalised Weakness, Swelling of Feet, Increased frequency of urine at night, Mild loss of appetite In later stages, one develops difficulty in breathing, and severe loss of appetite
Avoid Drugs harmful to kidney – Drugs like NSAIDs (Pain Killers commonly used over the counter), Antibiotics like Amikacin, Gentamicin can be harmful to kidney. Also many medicine dosages have to be modified in Chronic Kidney Disease. Please consult Nephrologist before taking any medicines.
DIAGNOSIS Serum Creatinine. Based on this, there is a formula to calculate percentage functioning of your kidneys Urine tests — The presence of albumin or protein in the urine (called albuminuria or proteinuria) is a marker of kidney disease. Even small amounts of albumin in the urine, called microalbuminuria, may be an early sign of chronic kidney disease in some people, particularly those with diabetes and high blood pressure. CHRONIC KIDNEY DISEASE TREATMENT Tight control of Blood pressure – Target BP < 130/80
Salt restriction in diet – Intake less than 5 grams of salt per day No Smoking Good Proteinaceous diet Avoid being overweight – Regular exercise / walking / jogging / meditation is good for the body
WHERE TO GET MORE INFORMATION Nephrologists Hospitals:
available
in
our
Dr Ravindra Madrakki Vaatsalya Hospital, Bijapur. Ph : 08352 260943 Dr Manjunath Doshetty Vaatsalya Hospital, Gulbarga . Ph : 9632422711 Dr Venkatesh Muger Vaatsalya Hospital, Hubli. Ph : 0836 4254333 Dr Dayanand A S Vaatsalya Hospital, Shimoga . Ph : 08182 408100 Dr Pavan Vaatsalya Hospital, Hassan. Ph : 08172 265033
Tight control of Blood Sugar – -3-2-
VAATSALYA TIMES
MAY - JUNE 2011
Congratulations Vaatsalya Hospital Administrators and Admin Officers were recognized and awarded by the corporate team for their extra ordinary initiatives and contribution.
HMS implementation experts & Appreciation The new HMS software has been rolled out successfully and with a lot of hardwork from our billing and front office teams. In the next few days I am sure we all will be 100% transitioned to the new HMS and all the startup glitches will be ironed out by then. On behalf of all of you, I would like to to thank Sharief, Dr. Talha, and Dr. Deepali for their hard work and ongoing support to all our units. While things are not done yet, but getting 11 units live in 15
days itself is a herculean challenge, with training of staff, masters creation, coordinating with vendors and fixing bugs. Sharief has to be especially commended for a fantastic job done in ashort time and Dr.Talha for being the backbone of HMS implementation and not giving up! In addition, Sharief and Talha have also identified few people from our team who have shown exceptional initiative and openness to adopt the new software and also to train others
Sharief
Dr. Talha
Dr. Deepali
to ensure smooth implementation. These people are Hemlatha from Hubli, Susan from Mysore, and Pratap from Narasanapetta. We are very proud of their achievement and congratulate them on behalf of the entire company.
Vaatsalya is Not Just About Work Vaatsalya is not just about work... It has always believed in encouraging talents as well. Now, this magazine is here to showcase and promote unique, hidden talents of individuals/teams across Vaatsalya. Talents like Poetry,
Harish Rai
I V Ramana
Administrator Hassan
Administrator Vizianagaram
Felix
Vallabh
Administrator Mandya
Admin Officer Bijapur
UBQ
Process Champions
Ashoka is an international foundation started by Bill Drayton, an eminent public leader, in 1980. He named the foundation “Ashoka” because Ashoka was the first emperor in the world focused on social advancement over 2000 years ago. Though the organization is named after an Indian emperor, it is present all over the world recognizing and encouraging social entrepreneurs. These entrepreneurs most of whom are associated with non-profit foundations have found innovative solutions in the areas of health, education, or economic development. An entrepreneur is selected based on his/her idea; creativity in solving
Susan Vinay
Hubli
Mysore
Dr. Ashwin Naik receiving Dare Inspiring Entrepreneurs Award from Mr. Prashanth Hebbar (Senior Editor—Dare CyberMedia India Ltd)
Pratap
the problem at hand; commitment towards the idea; social impact of the idea; and the entrepreneur’s ability to lead by convincing others to trust him/her. Naturally it is difficult to find entrepreneurs who have all the qualities. So Vaatsalyans were very pleased when Dr. Ashwin Naik was selected recently as an Ashoka fellow. Since instituting the fellowshi p 30 years ago, about 2200 people have been recognized worldwide by the foundation. Some 287 fellows were selected from organizations operating in India and 47 of them were for their work in the health related areas primarily in mental and sexual health and HIV/AIDS. Another well-
The 1st committee meeting of NABH was held across Vaatsalya Hospitals in the month of April initiating the NABH accredition process.
For online version visit www.vaatsalya.com
our unsung heroes. Daniel Reddy Senior Manager Human Resource
known name in the Ashoka fellows list is Dr. Devi Shetty of Narayana Hrudayalaya, Bangalore who is changing the cost and quality of tertiary healthcare. What is interesting about Ashwin/ Vaatsalya’s selection is Vaatsalya is a for-profit private enterprise and works in the primary and secondary healthcare areas. Obviously this is a recognition the whole Vaatsalya family is proud off!! “Congrats Dr. Ashwin”!
Vaatsalya, features as a case study from Harvard Business Publishing. This case study is written by Prof Sourav Mukherjee and PD Jose of IIM, Bangalore, and will be used by business schools around the world to teach their MBA students, who are seeking examples of healthcare impact through business. The case outlines the history of Vaatsalya and what challenges lie ahead, in terms of replicating the model in other states, building teams, process,
JOB OPPORTUNITIES
Narasannapetta
NABH Meeting in Full Swing :
Personnel can identify talents lying dormant among Vaatsalyans and make it happen for all
Dr. Ashwin Naik is an “Ashoka Fellow for 2010”!!
Vaatsalya wins Dare Inspiring Entrepreneurs Award Hemalatha
Sketching & Painting, Singing & Dancing, and Sports etc., can be covered along with elaborate details and pictures of awards/certificates. We will now be able to present this to an audience of more than 10K!!! All the Administrators/HR
: 9008489022 : careers@vaatsalya.com “We like to hear from you” send your valuable suggestions & queries about Vaatsalya Times to times@vaatsalya.com or call 09686676741
structure and the challenges of operating in small towns of India. The MBA students will debate within themselves and present their views on the case as part of their training. “It is a significant milestone for us and I want to congratulate all employees, who keep putting in hard work day after day, in spite of all the challenges and constraints. Keep it up!” said Dr. Ashwin Naik, CEO
Be part of our Editorial Team
Volunteers are invited to contribute and help with the publications of the English, Kanada, Telugu, Tamil, and Marathi Editions of Vaatsalya Times. Only 2-3 hours of quality time required per month. Requesting interested Volunteers to send their details to times@vaatsalya.com, or call 9611118479.
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