Sunset Clinic – bringing healthcare solution after work hours!
If you are a working professional and finding it difficult to manage between your busy office schedule and the need to visit a doctor, either for yourself or your family, we bring you the solution. Wockhardt Hospitals launches Sunset Clinic designed exclusively for those who find it difficult to make it to the doctor’s appointment during working hours.
Keeping the working professionals in mind and the need to keep them healthy, Wockhardt Hospitals extends its timelines through the Sunset Clinic. The clinic will be open between 5pm to 8 pm and is located across the 4 Wockhardt Hospitals centres – Bannerghatta Road, Cunningham Road, Rajajinagar and Nagarbhavi.
Dedicated consultants across the specialties – cardiac care, bone & joint, brain & spine and minimal access surgery along with a few associate specialties ------ will be available for consultation at the Sunset Clinic across the 4 locations. The clinic will also be backed by a set of trained nurses and paramedics to assist the consultants.
Now whether you are a working professional or have difficulty meeting the doctor during the daytime, there is no reason to worry, we make things easier for you with Sunset Clinic. All you have to do is give us a call at 080- 6636666 and get your appointment or just send us a mail to enquiries@wockhardthospitals.net and we shall take care of the rest.
Below is the detailed Sunset Clinic Consultants directory for your reference. Now without intervening in your working hours, we will still ensure you a healthy and active living
Fortis Healthcare acquisition of Wockhardt Hospitals will add 1,902 beds to the second largest Hospital Chain of the country , taking its capacity to 5,180 across 38 hospitals, and expands its presence in western, southern and eastern India.
"This acquisition allows Fortis Healthcare to have a national presence ... it significantly strengthens and enlarges the critical infrastructure and our understanding of patients along the country," Malvinder Singh, the chairman of Fortis Healthcare, said at a press briefing.
Meanwhile earlier is the day Wockhardt Hospitals, India’s leading Super Speciality Hospitals Group, today announced the signing of an agreement to divest 8 hospitals including 4 super speciality hospitals, 3 satellite hospitals and 1 medical institute, in Mumbai, Bengaluru and Kolkata to Fortis for Rs. 909 crore. The agreement also includes 1 hospital still under construction in Kolkata and 1 in Peenya in Bangalore
The deal between Fortis and Wockhardt is seen as the biggest Healthcare acquisition in the country and is set to be completed in December, includes 8 operational hospitals in Mumbai, Bangalore and Kolkata, and two that are under construction, along with 2,700 total staff, Vishal Bali, chief executive of Wockhardt Hospitals said.
Wockhardt Hospitals in Bannerghatta, Bengalore and Mulund ,Mumbai has a JCI accreditation. For the past 3 years in a row, Wockhardt Hospitals have won accolades at the Asian Hospital Management Awards in the Patient Safety / Quality Medical Care Projects category. Wockhardt Hospitals has now become a treatment destination for patients from the US, UK and other European countries besides South Asia, South East Asia, Middle East and Africa.
According to "Josep Woodman" well known medical tourism expert who has recently written a book on Medical Tourism" called "patient beyond borders" JCI (Joint Commission International ) accredited public and private hospitals around the world has increased by nearly 1,000 percent. Up from a mere 27 hospitals and health care organizations with that accreditation in 2004 to 250 Healthcare Institutions in 2009 . As of now over 250 such entities in 36 countries have now been accredited by the JCI. This extremely high standard of “American accreditation” now instills a new level of confidence in US citizens seeking affordable health care alternatives abroad.
In an interview to travel talk radio, Woodman emphasized that Medical travel has come as a viable alternative for Americans amidst the spiralling healthcare cost.
Explaining how medical tourism has now evolved into a trend,Woodman claims that these are the same accreditation agencies that accredit the best hospitals in this country: Harvard, JohnsHopkins, Mayo Clinic, Duke Medical Center. This has now allowed other hospitals to participate, as long as they can show that they are up to exactly the same standards that are demanded over at an American hospital. So, that gives Americans a huge amount of comfort that these hospitals have got kind of a Good Housekeeping Seal of Approval for their hospitals as well, whether it’s in Kuala Lumpur, Malaysia, or Singapore, or Bangkok or India
If you are traveling abroad for medical reasons for the first time, here are certain pointers to overcome Deep Vein Thrombosis (DVT).
Precautions to avoid DVT
Take short walks down the aisle on the plane.
Exercise the muscles of your lower legs, which act as a pump for the blood in the veins.
Wear loose fitting clothes.
Drink enough water.Avoid alcohol & other caffeinated drinks.
Avoid sleeping pills
Wear graduated compression stockings if you have other risk factors for DVT
If you have a history of DVT you may need heparin injections.
Seek urgent medical advice if you develop swelling or pain in your calf/thigh or encounter breathing problems
You are more likely to have DVT if you have...
A blood clot in a vein before
A family history of blood clots in veins
You have an inherited condition that makes your blood more likely to clot ( thrombophilia)
You have blood diseases
You have cancer, or have had cancer treatment
You have circulation problems or heart failure
You had recent surgery or an injury, especially to your hips or knees
General Tips and Instructions for Medical Travelers
Verify your overseas travel fitness with your doctor based on your current medical condition.
When you decide to continue your treatment abroad, keep your local doctor informed to ensure you continue your follow up treatment without a hitch.
While selecting the international hospital that's right for your needs, you should consider the hospital's accreditation, awards and recognitions, infrastructure and equipment etc.
Study the credentials and experience of the doctor who will treat you thoroughly
Educate yourself on the procedure and compare your expectations with what's achievable by the surgery. Also be clear about follow-up care needed, time required for recovery, physical therapy etc.
You should understand that in most cases the final decisions on your treatment will be made only after the doctor meets you and examines you in person. It is possible that your doctor, upon examining you, may decide that you are not fit for surgery, or may recommend a course of treatment different from what you had planned.
You must ensure that you always carry the necessary documents with you, in person. It is recommended that you carry copies of these documents, while storing the originals in a safe place.
Records like X-Rays, MRI's, health histories, photographs, immunization records, prescriptions and any other health records relevant to the surgery. Remember to carry all these medical reports and any medicines in your carry-on luggage.
Passport and visa: You will need a passport for yourself and your travel companion (if any). Depending upon the country you are traveling from, you may or may not need a visa.
Credit cards, debit cards and travelers checks: Bring some local currency, travelers checks and one or two major credit cards and debit cards.
Carry your driver's license and make sure it will remain valid while you're traveling.
Nobody wanted to treat a 12 year old girl with a Congenital Cardiac defect of criss-crossed ventricles and arteries. Medication could do little if not much and a temporary fix of the valves would only buy time. The team at Wockhardt Hospitals wanted more for the girl and thus took on the challenge to give her back the normal life of a 12 year old. It took a whole year of tests and scans and 4 high risks surgeries to re-arrange the girl's heart. The girl has completely recovered and has gone back to her life of a normal 12 year old.
The Radio Maze Therapy:
Heart Specialists at Wockhardt Hospitals have found an extremely advantageous surgical procedure which will offer a permanent solution during Atrial Fibrillation - an abnormal fast beating of the heart caused by disturbed electrical discharges. The surgery uses the technique of Irrigated Radio Frequency Modified MAZE Procedure, which is performed to treat Atrial Fibrillation along with an Open heart surgery for valve replacement.
Wake Up to a New World:
A 78 year old patient walked into Wockhardt Hospitals with chest pain. An emergency angiogram indicated the urgent need for a bypass. The problem? He was a smoker and affected lungs meant that he could not tolerate general anesthesia. Plus there were other complications like diabetes and renal problems which eliminated the heart lung machines. In most other hospitals, this would have been the end of the story. But the Wockhardt Cardiac Team came up with a medical plan to perform a Minimally Invasive Coronary bypass without general anesthesia or a ventilator support, using the technique called high Epidural Analgesia. The operation lasted 45 minutes and was a success - and the patient was awake all through.
Brains Behind The Heart
A 22 year old was brought to Wockhardt Hospitals with a rare condition. He had a cancerous tumour in his heart - a condition that is normally found in the brain. In fact, it's so rare that there isn't even enough medical literature about it. But that didn't stop Wockhardt Hospitals Cardiac Team. In an epic surgery that lasted longer than 6 hours, the tumor was successfully removed and a large part of the heart was literally rebuilt.
The 900gm Miracle:
Most hospitals wouldn't operate on a baby, who was just four months old and weighed a mere 900 grams - just about the size of a palm. The baby's heart was one-inch-long and had a one - centimeter fungal mass in the right chamber, which had infected his blood.
An open heart surgery was his only chance of survival, but was risky, considering his loss of weight. Understandably it was a risk that most hospitals were unwilling to take. They wanted to wait till the baby gained more weight, which meant they needed more time - and time was something that was not available.
But the team at Wockhardt had belief - belief in their skills and a strong one that they would be able to save the baby's life. The six hour surgery was a success and the baby - the 900 gram miracle, was reborn.
Doctors are worried over the sharp rise in the number of patients with kidney complications, which they attribute to lifestyle diseases like diabetes, hypertension and obesity. The trend has triggered more patients landing up at nephrology departments units in several private hospitals.
Doctors perceive a paradigm shift in the cause of kidney diseases over the past few years. Earlier, only infectious diseases caused renal complications, but now, lifestyle diseases are more to be blamed for increasing Kidney Complications.
According to Arup Ratan Dutta, chief nephrologist at Wockhardt Hospital and Kidney Institute,Kolkata , several organs of the body get affected if high blood-sugar level persists for a few years. ?More than 30 per cent of the patients on dialysis are diabetic and the number is increasing fast.
Dr Arup Dutta Dutta attributes the rise in cases of kidney complications in the metro cities two principal reasons. First, the average longevity of a person has increased. Advances in medical science have lengthened the lifespan of patients suffering from hypertension and diabetes.They are living long enough to develop complications like chronic renal failure. he pointed out.
Wockhardt Hospitals ,Bangalore is a center of excellence in interventional Cardiology and Cardiac Surgeries in the country, it has to its name a history of path- breaking procedures, be it the first- ever Conscious Off Pump Coronary Artery Bypass Surgery and Awake Heart Surgery in India.
Wockhardt Hospital and Heart Institute,, Cunningham Road has been our first, single- specialty corporate Cardiac care Hospital. This center has performed more than 15,000 heart operations and 40,000 interventional cardiology procedures since its inception and has become a renowned tertiary level heart care center. The Institute is now a preferred destination for cardiac patients not only in India but also from all over the US, UK, Canada, Middle East and Africa. It is also a teaching center for clinicians from the sub- continent. Heart care Services
Adult Cardiology & Cardiac surgery
Interventional Cardiology procedures
Coronary Angiography, Angioplasty and Stenting
Angiography & Angioplasty of arteries of neck, leg, arm and kidney
EP Study Diagnostic and Ablation
Permanent pacemaker (Single & Double Chamber)
Heart failure device and AICD implantation
Valvuloplasty
ASD, VSD, PDA device closure
Endovascular aneurysm repair
Cardiothoracic and Vascular Surgery procedures
Off pump bypass surgeries (almost all the bypass surgeries are done off pump)
Valve surgeries
Valve repairs
Maize procedures for AF
ROSS restriction and valve sparing root replacement Awake heart surgeries (on or off pump cardiac surgeries under high thoracic epidural without sensational anesthesia) Surgery for heart failure
Left ventricle size restoration surgery
Left ventricle artist services
Pediatric Cardiology & Cardiac- surgery
Endovascular aneurysm repair
Pediatric cardiology
Balloon pulmonary valvotomy (BPV)
Balloon aortic valvuloplasty
Device closure of ASD, VSD, PDA Embolisation of MAPCA
Pediatric Cardiac Surgery
The entire gamut of cardiac diseases from newborn to adolescent, Dedicated operating rooms and post- operative ICUs with state-of-the-art equipment and experienced staff round the clock to provide continuous, excellent care.
Procedures performed Closed heart surgeries like BT shunt, PDA interception, BD Glenn Shunt Simple open heart surgeries, like ASD closure and VSD closure Complex open heart surgeries, like intra cardiac repairs, Arterial switch operation, double switch operation, Rastelli operation, etc Valve repairs, replacements, ROSS procedure ECMO facility.
For appointments and consultations email enquiries@wockhardthospitals.net
We are pleased to launch our specialty clinic at Koramangla. People living in and around Koramangala can now visit our Specialty Clinic and seek consultation with Wockhardt Hospital Doctors near your doorstep.You can seek appointments and consultations with the following doctors by sending an email to enquiries@wockhardthospitals.net
Consultation Timings 8am to 8pm
Cardiology S Venkatesh
Dermatology & Cosmetology S T Rajendra,Rasya Dixit
Dr Shivaji Basu Chief Urologist FRCS (Edin), FRCS (London), MS (Calcutta University)
Dr Shivaji Basu brings with him 30 years of world-class experience in Urology.Dr Basu has performed over 22,000 Uro surgeries and procedures to date, he is regarded as one of the most renowned urologist of the country .He has been associated with Whipps Cross Hospital, London, Lodge Moore Hospital, Sheffield and Charing Cross Hospital, London.
Dr. Arup Ratan Dutta Chief Nephrologist MBBS, MD, DM-Nephrology
Dr Arup Ratan Dutta has an experience of over 18 years and is the Chief Nephrologist at WHKI and is also an integral part of the team that conducts Renal Transplants at WHKI.
Dr Amlan Chakraborty Consultant Urologist Qualification MBBS, MS, FRCS
Dr Chakraborty is a young surgeon par excellence in the domain of Uro surgery. He is one of the few surgeons in the eastern region to have pioneered in Laparoscopic Urology
Dr Avishek Mukherjee Consultant Urologist Qualification MS - AIIMS, M Ch – PGI Chandigarh
Dr Avishek Mukherjee has pioneered Penile Surgery in the eastern part of the country and is regarded as one of the eminent experts in Male Infertility.
Dr R K Gopala Krishna Consultant Urologist MBBS, MS, DNB-Gen.Surg., FRCS-Edinburgh, FRCS-Glasgow, DNB-Urology
Dr Gopala Krishna is a specialist in Stone Mangement.After awarded DNB in General Surgery by National Board of Examination he moved to UK for his FRCS from Edinburgh and Glasgow.
Dr. Prasanna Kumar Mishra Consutant - Urologist MBBS, MS, M Ch (Urology)
Dr Mishra brings with him more than a decade of experience in Uro surgeries and Procedures. For Consultations and Appointments with our Doctors please email enquiries@wockhardthospitals.net
The Department of Urology at the Wockhardt Hospital and Kidney Institute is a national leader in urological treatments and research. The department of Urology is dedicated to providing state-of-the-art medical and surgical care in all aspects of adult and pediatric urology.
The department of Urology provides screening, staging and the most up-to-date treatment of all uro-genital tumors including kidney, ureter, bladder and prostate. The Department of Urology has a complete range of facilities to provide comprehensive services in the management of urological conditions.
Facilties and Procedures performed at Kolkata Hospital and Kidney Institute
TURP :Transuretheral Resection of the Prostate (TURP) is a surgical procedure to deal with patients with an enlarged, benign (non cancerous) prostate, called Benign Prostate Hyperplasia or BPH.
Bladder Tumor :A bladder tumor is an excess growth of cells that line the inside of the bladder. A tumor may be either cancerous or non cancerous.
Pediatric Urology - Pediatric Urology involves the diagnosis and treatment of all urological problems encountered in children.
Uroendoscopy A device consisting of a tube and optical system for observing the inside of a hollow organ or cavity. This observation may be done through a natural body opening or a small incision.
Urooncology :Treatment of patients with cancer disease in the urinary tract including major surgery on bladder and prostate.
Prostate Disease Specialty clinic- The Wockhardt Hospital and Kidney Institute has a specialty clinic for the diagnosis and treatment of prostate diseases.
Treatment of Incontinence :The loss of bladder control.
Treatment of Haematuria :Haematuria is the presence of red blood cells (RBCs) in the urine. The urine appears normal to the naked eye, but examination under a microscope shows a high number of RBCs. We effectively evaluate and treat all types of urinary incontinence and haematuria.
The department of Urology has nationally and internationally renowned urological surgeons and physicians, offering uniquely comprehensive range of innovative care for all urological disorders.
To schedule an appointment or consultation with our urology Specialist,please email to enquiries@wockhardthospitals.net
Computerworld recently wrote a now familiar story by now"Outsourcing legacy upgrades -- knees, hips, looks -- to India: " about how "Rising medical cost has been helping to foster medical tourism for lower cost.International visitors, particularly from the US are traveling to Indian to get their Knee and Hip Replacements done and are going back to US by spending almost 50% of what they they would have paid in US Hospitals.
Take the case of Terry,(name changed) a public school teacher in Texas, went to India in June for cosmetic surgery to remove excess skin after a major weight loss. The cost of this surgery in the U.S. was somewhere between $25,000 and $30,000 and not covered by her insurance carrier.
Instead, Terry contacted her travel agent who connected her with BridgeHealth International inc., in Greenwood Village, Co., one of number of firms that arrange overseas medical treatment. Costa Rica or Mexico was closer, but Terry, an experienced traveler, had never been to India and so the decision was made."
U.S insurers are beginning to test programs to pay for elective medical work overseas. The incentive for patients may include elimination of deductibles and travel for a spouse, as well as paying the cost of hotel and travel.
In these insurance programs, the operative words are "non-emergency" and "cost-effective," according to Dr. Virginia Cardin, a senior healthcare consultant with Frost & Sullivan. The latter involves measuring immediate outcomes and required follow-up care that would be done in the U.S.
India's medical tourism industry may benefit in a number of ways, some direct and some indirect, from U.S. IT offshore outsourcing.
For one, the expertise that offshore firms acquire in upgrading hospital systems can be applied to Indian environments. Increasing familiarity by U.S. residents with India may help as well.
It's also possible that IT outsourcing in India and elsewhere may make some companies comfortable with the idea of offering medical tourism as an employee option.
A 2008 US survey by audit firm Deloitte Touche Tohmatsu found that 40% of US respondents were willing to travel abroad for treatment if the quality was comparable and savings were 50% or more. India had nearly 450,000 medical visitors last year and average medical costs were at 20% of that in the US, the report showed.
“India has good medical infrastructure and is also culturally more amenable to having guests who can be treated,” says consultant P.R. Srinivas of Deloitte. “The waiting time for patients is also far less than in some developed countries.”
However most medical tourism hospitals in India would tell you, that Outsourcing to Indian Hospitals is much more than merely costs savings. Most International medical travelers who have come to India are often pleasantly surprised by the quality of care at Leading Corporate Indian Hospitals.
Although the cost factor might be a big factor initially on deciding on the destination,but the real clincher on why India is much sought after among medical tourism destination is "about the quality of care"which an International patient experiences when they are in their hospital beds.
Its important for everyone connected to the healthcare industry to understand that in the long term, its going to be the quality of care,including the nursing staff,the doctors ,the immediacy of care, post rehab, infection control and all the support staff that are involved in care giving process to an International patient which are responsible in making the stay of an international medical traveler a much better experience.
Dr. Kaushal Pandey Cardio-Thoracic & Vascular Surgeon M.S., M.Ch., FACA
Dr. Kaushal Pandey brings to Wockhardt Heart Care a vast experience of performing about eight thousand Cardio-Thoracic & Vascular Surgeries in India and abroad.
During his five years stay in Australia, Dr. Pandey was exposed to about 3500 cases, out of which he himself performed 800 operations.
Dr. Kaushik had a privilege of learning and practicing at renowned places in India, Australia and USA including the Royal Melbourne Hospital (the second largest cardio thoracic center in Australia), Boston Medical Center in Boston, USA and the Lahey Clinic, USA.
In his combined overseas experience he has been exposed to 4000 cases of which he has performed about 900 cases.
To Fix an Appointment email enquiries@wockhardthospitals.net
Dr. Sandeep T Honnekeri Cardiovascular & Thoracic Surgeon
MS. Mch., DNB.
Dr. Sandeep T Honnekeri Cardiovascular & Thoracic Surgeon. Dr. Sandeep Honnekeri is specialised in Beating Heart Coronary Bypass Surgery using Total Arterial Revascularisation. He has performed more than 2500 such surgeries and routinely used both internal mammary arteries ( LIMA+RIMA) often as a “Y” graft. He is also the only surgeon in the country to regularly use the GASTROEPIPLOIC ARTERY (taking it off the stomach wall and connecting it to the heart)
Consultant Timings:Tuesday, Thursday, Saturday 10.00 am - 5.00 pm
To Fix an Appointment email enquiries@wockhardthospitals.net
Dr. Ajay Chaugle Cardio Thoracic Surgeon Mch Cardiothoracic Surgery Visiting Fellow University of Barcelona,Spain
Dr Ajay Chaugle is specially trained for Endoscopic Cardiac Surgeries and Minimal Invasive Cardiac Surgery.His special interest is in Adult Cardiac Surgery and he was an important member of a team which developed Beating Heart Surgery in India.
Dr Chaugle is is doing 95% Beating Heart Surgery and specialised in doing endarterectomies, LV aneurysms repairs on beating heart. Has done left main aneurysm repair on beating heart. Has done awake heart surgeries also.
Consultant Timings:Monday to Saturday
To Fix an Appointment email enquiries@wockhardthospitals.net
Backing our hi-tech cardiac facilities at Mulund,Mumbai is an eminent and dynamic cardiac team, members of which are not only leaders in their field in India but have gained national and International recognition for their pioneering work in Cardiology and Cardiac Surgery.
Cardiologists associated with Wockhardt Heart Care Specialty have been educated and trained at some of the best teaching hospitals in the world like Mayo Clinic, Texas Heart Institute, Cleveland Clinic and Massachusetts General Hospital. Their collective experience makes this cardiac team amongst the most dynamic and innovative in the country.
Dr. Hasmukh Ravat - Interventional Cardiologist M.D. (Medicine), D.M. (Cardiology), Fellow in Interventional Cardiology, Australia Click here to View Profile
Dr Manjeet Junega-Interventional Cardiologist M.D. (General Medicine), D.M. (Cardiology), M.N.A.M.S Click here to view profile
Wockhardt Hospital & Kidney Institute - Kolkata, part of premier chain of Wockhardt Hospitals and an affiliate hospital of Harvard Medical International of USA is the first and the only dedicated super specialty Kidney Hospital in Eastern India, established in the year 1988.
Wockhardt Kidney Institute pioneered in Lithotripsy - the non-surgical non-invasive way of treating Kidney stones in India with the introduction of Lithotripter using ultrasonography and X-ray for localization of stones and electro-magnetic waves to crush them.
Wockhardt Kidney Institute has performed the maximum number of PCNLs (stones) extracted through a small hole at the back.
Wockhardt Kidney Institute performs the maximum number of kidney stone as well as kidney.
Surgeries per month with almost 100% success rate in Eastern India catering to over 50 million people.
It has performed the first successful Laparoscopic Donor Nephrectomy in Kidney Transplant surgery in Eastern India.
Wockhardt Kidney Institute introduced Penile Implant surgery in the Eastern India.
The Kidney Institute performs maximum number of dialysis per month in the city and has become synonym to Kidney care in the Eastern India.
To know the OPD schedules at Wockhardt Hospitals and Kidney Institute click here
For consultations and appointments email us at enquiries@wockhardthospitals.net
We welcome Dr Keyur Anil Buch MS Orth, MCh Orth (UK), FRCSEd (Trauma & Orth) Senior Consultant Orthopaedic & Trauma Surgeon, Superspecialist: Upper Limb Arthroscopy, Joint Replacement and Trauma
Dr Keyur Buch obtained MChOrth from Aberdeen University in the UK and then went on to be awarded the internationally acclaimed FRCS (Tr & Orth) qualifications from the UK after which he was appointed Consultant Orthopaedic Surgeon in the UK in the National Health Service.
During his long stay in the UK and USA, Dr Buch honed his skills in arthroscopy of shoulder, wrist, elbow and knee as well upper limb and small joint replacements including shoulder/elbow/knuckle and basal joint of the thumb replacements. His other clinical super specialties skills include key-hole surgery for dislocated shoulder, impingement and muscle pain around shoulder and knee; minimally invasive surgery for tennis elbow/golfer's elbow and scaphoid fractures and plaster-less treatment of distal radius fractures
Dr Buch completed a one year Upper Limb Clinical Fellowship at the University of Arkansas for Medical Sciences, Little Rock, USA, where one of the ex-Prime Ministers of India was a patient.
During his extensive clinical practice in the UK, USA, Mumbai and Ahmedabad, Dr Buch has successfully treated numerous high profile celebrities from business, sports (including Olympic athletes and immediate family members of high profile soccer players in the UK), a range of shoulder, knee, wrist, elbow and hand problems.
Dr Buch has also been actively involved in providing practical surgical training to post-MS Orth and post-FRCS surgeons in the fields of Orthopaedics and Trauma Surgery.
Dr Keyur Anil Buch will be available for consultations and appointments,please email us at enquiries@wockhardthospitals.net for scheduling appointments
If statistics are any indication on the state of health in India,there is a lot to worry...As per World Health Organization survey, India is at the bottom of the heap in terms of public health spending and ranks 171st out of 175 countries,which is less than even what some of the sub-Saharan African countries spent on their Healthcare.
The highest public health care spending per person is in the regions of Western Europe, North America and Japan. Luxembourg, Norway and Iceland. For a country that has the second largest population and is soon to overtake china , India spends 5.2% of its GDP on healthcare — compared to, say, 16% in the US and 13% in Sweden. Of this, only 0.9% is spent by the government while the private sector accounts for the remaining 4.3%.
The US,UK,and Switzerland spends the most as a percentage of their GDP. Health Care spending in the US is projected to grow to 19.5% of GDP in 2017.
In 1962, Defense spending in the US made up half of the federal budget, Social Security about 15% and Medicare had not yet been enacted. By 2007, Defense spending is only 20% of the budget while Social Security makes up 21% and Medicare 16% and rising.
According to Vishal Bali,CEO Wockhardt Hospitals, “Public health spending as a percentage of GDP is minuscule. Due to this, India is over-dependent on the private sector. Contrast us with China, which spends almost almost 6% of its GDP of health,’’ says Vishal Bali, CEO, Wockhardt Hospitals. While India ranks among the top 10 countries for communicable diseases, it is a world leader in chronic diseases like diabetes, hypertension and coronary artery disease.
Despite the wide gaps, higher spending on health care does not necessarily prolong lives. In 2000, theUnited States spent more on health care than any other country in the world: an average of $ 4,500 per person. Switzerland was second highest, at $3,300 or 71% of the US. Nevertheless, average US life expectancy ranks 27th in the world, at 77 years.
Wockhardt Hospitals offers various advanced surgical therapies for congenital heart diseases for pediatric patients of all ages from newborns to adolescents.The conditions that we treat more often in the various age groups includes
NEONATAL CONDITIONS
Trans position of the great arteries(emergency switch procedures). In this condition the anatomical positions of the pulmonary artery and aorta was switched so that the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle.
This causes oxygen poor blood to be circulated to the body instead of oxygen rich blood, a life threatening medical emergency requiring immediate treatment.Our surgeons have pioneered the innovative arterial switch procedure that reestablishes normal anatomy and function while seeking to avoid complications that are associated with other surgical approaches.
Hypoplastic left heart Syndrome (Norwood procedure of Hypoplastic left heart); This is a condition in which the left side of the heart is incompletely formed.We have extensive experiance with the Norwood Procedure and stage palliation for the HLHS .Our success rate ranks among the best in the country for this type of repair and we are currently involved with a major multi institutional study evaluating this and other innovative procedures for the treatement of HLHS.
INFANTSCONDITION
Tetralogy of Fallot:The most common cyanotic defect (the heart delivers less oxygen to the body than normal).This complex congenital condition consists of 4 developmental defects that require surgical correction early in childhood.
Ventricular Septal Defect:An opening in the wall that separates the two ventricles of the heart,causing mixing of oxygen-poor blood with oxygen-rich blood.
Atrial Septal Defect:An opening in the wall between the right and left atria that results in abnormal blood flow throught the heart.Left untreated,this condition can cause enlargement of the right side of the heart,arrhythmia s and , in some cases, pulmonary hypertension.
Coarctation of the aorta A constriction in the aorta that causes blood pressure to increase above the narrowed area while limiting blood flow to the body.
Atrioventricular Canals: large openings between the right and left sides of the heart.Usually,one large common valve replaces the normal mitral and tricuspid valves .Left untreated,this defect can cause poor growth malnourishment and enlargement of the heart and pulmonary hypertension.
CHILDREN
Fontan procedure: Single ventricle,a collective term that describes defects in which oxygen-rich blood and poor blood are mixed in a single ventricle. Our pediatric cardiac surgeons have the expertise in the fontan procedure that directs oxygen poor blood directly to the pulmonary artery and lungs.The single ventricle is reservd for collecting oxygen rich blood from the lungs and then pumping it to the aorta and rest of the body.
Repair of previous surgery; Our team of pediatric cardiac surgeons has vast experiance,speciallty in performing repair surgeries on children suffering from complex heart problem such as blue babies,in transposition of great arteries(by performing switches and double swicthes) and Ross procedure.
For appointments and enquiries,please email us at enquiries@wockhardthospitals.net
An US Pastor from Norwalk,Connecticut, shares his experience at our Mulund Facility at Mumbai,Wockhardt Hospitals.
I had hip resurfacing surgery at Wockhardt Hospital in Mumbai .My surgeon there was Dr. Malhan. What a great doctor. I am so happy with the treatment and the nurses and the hospital and the outcome of my surgery.
I am probably your greatest fan and advertisement. I get calls and emails and people asking me how it went all the time. Just this week, I did a radio interview, and also I did a "testimonial" this evening for some new company just starting up trying to send Americans overseas for Medical treatment.
It just hit me that I should probably become an agent for you guys, setting up some websites, and getting on the phone, helping patients who need your services, but don't know what to do, and who to trust. I am not a medical doctor, nor am I in that field. Rather, I am a very respected, satisfied customer. There is no greater advertisement in the world.
It is quite a scary thing for an American to send several thousand dollars to an overseas medical facility. When I had my surgery, the most frightful moment was when I sent the check to pay the bill in advance. It sure helped knowing the people I was dealing with here in the US.
The people that helped me were from Raleigh, Durham, North Carolina. IndUSHealth. They walked me through every step of the process. They helped me get the x-rays, the doctors here, and the doctor over there. They helped me with the "business" of traveling overseas: visa, passport, cell phone, airfare, etc. Etc. It really was quite daunting for someone who never had traveled much before. They held my hand and made me feel confident.
I would like to do the same thing for others.
Maybe you have a packet prepared for those considering being agents for you. Or maybe I should come to Mumbai and meet with someone there in your marketing department. Whatever would be best for you, that would be all right with me.
Please tell Dr. Malhan hello for me. Tell him I am the American Pastor that played the harmonica (mouth organ) all day long while on the 7th floor in rehabilitation. He will remember me.
May God bless you good people for being so good to me when I had a need.
The World Breast Feeding Week is observed this year from August1st to August,7th.The theme for the 18th Annual World Breast-feeding Week (WBW) celebration is “Breast-feeding: A Vital Emergency Response Are you ready?” This year’s theme emphasizes the need to consider breast-feeding as a life saving intervention before and during emergencies.
The World Alliance for Breastfeeding Action (WABA) was formed in 1991 to act on the Innocenti Declaration (1990) to protect, promote and support breastfeeding. As part of its action plan to facilitate and strengthen social mobilisation for breastfeeding.
This has become to be known as World Breastfeeding Week (WBW) celebrated every 1-7 August to commemorate the Innocenti Declaration. World Breastfeeding Week was first celebrated in 1992. Now it involves over 120 countries and is endorsed by UNICEF, WHO and FAO
World BreastFeeding Week 2009 Objectives
To draw attention to the vital role that breastfeeding plays in emergencies worldwide.
To stress the need for active protection and support of breastfeeding before and during emergencies.
To inform mothers, breastfeeding advocates, communities, health professionals, governments, aid agencies, donors, and the media on how they can actively support breastfeeding before and during an emergency.
To mobilize action and nurture networking and collaboration between those with breastfeeding skills and those involved in emergency response.
Babies, who are breastfed have a secure and safe food supply, they are not exposed to disease-causing bacteria and parasites that can contaminate water supplies, and they receive antibodies and other disease fighting factors that help prevent illness.
Children are the most vulnerable in emergencies – child mortality can soar from 2 to 70 times higher than average due to diarrhoea, respiratory illness and malnutrition.
Breastfeeding is a life saving intervention and protection is greatest for the youngest infants. Even in non-emergency settings, non-breastfed babies under 2 months of age are six times more likely to die.
According to recent analysis of Cancer cases conducted across the 4 metros at Delhi, Mumbai, Chennai and Bangalore between 1982-2005 (24 years) by the Indian Council of Medical Research (ICMR) shows that while cervical cancer cases dipped, in some cases by almost 50%, breast cancer cases during the same duration has doubled. And, the trends contained in ICMR's yet-to-be-released report `Time Trends in Cancer Incidence Rates (1982-2005)', were universal in all four cities.
In 1982, Bangalore reported 32.4 new cases of cervical cancer in women per 100,000 population every year. The number dipped to 27.2 in 1991, 17 in 2001 and 18.2 in 2005.
At Delhi since 1988,there were 25.9 new cases of cervical cancer per 100,000 population, which dipped to 19.1 in 1998 and then to 18.9 in 2005.
The same story was repeated at Mumbai which recorded 17.9 new cases of cervical cancer per 100,000 population in 1982,which dropped to 12.7 new cases in 2005.
Chennai recorded a fall of almost 50% in cases of cervical cancer in this period of 24 years.
It was earlier believed that cervical cancer was most common in India, with more than 1.3 lakh new cases reported each year and 74,000 women dying annually from the disease.
While Bangalore saw breast cancer cases more than double since 1982 - 15.8 in a population of one lakh in 1982 to 32.2 in 2005 - Chennai recorded 33.5 new cases of breast cancer in 2005 against 18.4 in 1982.
Delhi recorded 24.8 new cases of breast cancer a year per 100,000 women which rose to 32.2 in 2005. Mumbai recorded 20.8 new cases of breast cancer per 100,000 population in 1982 which increased by almost 10% in 2005.
However experts believed that breast cancer rate in India was much less than that in the West which records around 100 new cases per 100,000 population every year.
To get yourself a preventive breast cancer check,please email us at enquiries@wockhardthospitals.net
A new government data on shows that U.S. spending on mental illness is soaring at a faster pace than spending on any other health care category.
The cost of treating mental disorders rose sharply between 1996 and 2006, from $35 billion (in 2006 dollars) to almost $58 billion, according to the report from the Agency for Healthcare Research and Quality, part of the U.S. Department of Health and Human Services.
At the same time, the report showed, the number of Americans who sought treatment for depression, bipolar disorder and other mental health woes almost doubled, from 19 million to 36 million.
The new statistics come found that antidepressant use among U.S. residents almost doubled between a similar time frame, 1996 and 2005.
Spending on mental illness showed a faster rate of growth over the 10-year period analyzed than costs for heart disease, cancer, trauma-linked disorders, and asthma.
According to the report, spending on heart disease rose from $72 billion in 1996 to $78 billion in 2006; cancer care rose from $47 billion to $58 billion; asthma costs climbed from $36 billion to $51 billion, and expenditures for trauma-related care rose from $46 billion to $68 billion.
In terms of per-patient costs, cancer led the way at $5,178 in 2006 (up slightly from $5,067 in 1996), while costs for trauma care and asthma rose sharply -- from $1,220 to $1,953 and from $863 to $1,059, respectively.
On the other hand, average per-patient spending for heart conditions fell, from $4,333 to $3,964. And spending on mental disorders declined from $1,825 to $1,591.
The advent of new treatment modalities in medicine brings with it the opportunity to develop better clinical outcomes, while emphasizing a higher level of comfort and safety to our patients. You will, find in the pages of The Specialist, the acumen and expertise of our highly accomplished clinicalteams in Cardiology/Cardiac Surgery, Neurology/Neurosurgery, Orthopaedics, GI & Advanced Laparoscopic surgery besides Womens health.
‘The Specialist’ is a part of our Clinical Knowledge Series which we hope to share with with fellow doctors and medical fraternity on our latest clinical outcomes across various specialties.In this issue, we have some interesting case studies in all our core specialities mainly Heart care, Brain & Spine, Bone and joint and digestive care.
Rheumatoid arthritis is a well known systematic inflammatory disease wherein arthritis of synovial joints is a major component. This disease is common in females and affects during third, fourth and fifth decades of their life. Initially the disease starts with pain and joint stiffness in small joints of hand and later involves big joints like hip, knee, shoulder and elbow. In an advanced rheumatoid arthritis all the joints of the body are involved.
Treatment of rheumatoid arthritis is ideally to be done by rheumatologist. Start with NSAIDS and later go on to combination therapy of DMARDS (steroids, methotrexate, leflunomide, sulfasalazine chloroquine and oral gold salts).
An Orthopedics role comes only after joint pain/ swelling and deformity are not controlled by medical treatment.
Indication of joint replacement in rheumatoid arthritis.
1. Severe pain in joints 2. Inability to do daily activities 3. Progressing deformity 4. Joint stiffness
Advantages of joint replacement
1. Painless and stable joints 2. Good functional movements of joints 3. Improvement in quality of life 4. Better disease control after surgery
With advent of new implants, good operation theatres, laminar flow and surgical expertise, it is possible to perform joint replacements even in severely deformed joints which was thought impossible previously.
Knee Replacement on a patient with severe Rheumatoid Arthritis
A 58 year old female patient consulted us with severe knee pain for four years. She was a known case of rheumatoid arthritis on medical treatment,she was unable to stand or walk and had severe pain on bending the knee.
This lady was poorly nourished and anemic. Local examination of both knees revealed that she has wind-swipe deformity. Right knee was in 30 varus deformity and range of movement was 0-90. Left knee was in 40 valgus and further valgus till 70. Range of movement was 0-30. X-ray of right knee showed severe varus deformity with medical tibial condyle defect and lateral subluxation of tibia. Left knee - severe valgus deformity with central tibial bone defect and lateral patellar subluxation.
Patient was admitted and complete pre-operative work done. The team of Orthopaedic surgeons headed by Dr. Sanjay Pai, Rheumatologist .A total knee replacement was done in a staged manner. First the right knee with varus deformity was operated using a revision total knee replacement implants. After five days, the left knee with severe valgus deformity was operated. Post operative period was uneventful and without complications.
The patient was mobilized on the third day with walker and was discharged on the sixth day. On the 12th day, the patient was able to walk without support, able to climb stairs and do her daily activities.
With Good surgical expertise along with highly efficient support staff now available in India and , these patients can get back their normal daily life style which was thought impossible in the past.
Courtesy:Dr. Sanjay Pai, M.S. Dr. Srinivas J V, M.S. Dr. Vasudev N Prabhu, M.S. Department of Orthopaedic SurgeryWockhardt Hospitals, Bangalore
Movement is triggered through the pyramidal system, the basal ganglia and the cerebellum in the brain.These are discrete parts of the brain which perform specific but different functions, which are wired to each other for the performance of normal movement. The movement disorders are a diverse group of pathological dysfunctions in the nervous system, giving rise to any of these: an abnormal movement, a paucity of movement, an abnormality of muscle tone or a disturbance in posturalreflex.
The common movement disorders are Tremors, Chorea, Parkinson's disease, Dystonia and Writer's cramp.
The patient gives a detailed history of what has been occurring in terms of the symptoms. The investigation is followed by a neurological physical examination. Scales are used(basically written proformas) to assess the severity and type of movement disorder. Various movement sequences are recorded on video as a baseline before any treatment, to later compare the patient's performance in specific functions. This is followed by basic bloods tests, a CT/ MRI brain scan and EEG or EMG along with some specific tests that may be needed, depending on the diagnostic possibilities that the physician is thinking of.
The various treatments in Movement Disorders that are generally followed includes
1) Medications: Medications that either stimulate or inhibit the specific receptors for central nervous system chemicals (neurotransmitters) are the mainstay of treating such disorders
2) Botulinum toxin injection: This toxin is injected into muscles to partially paralyze them, and thereby control the abnormal movement.Several sites are injected in one sitting, and several such sessions may be required at 4 week intervals.
3) Stereotactic surgery: After detailed visualisation using CT/ MRI and mapping the brain, ablation (destruction) of certain parts of the brain nuclei and/ or its circuits will generally give relief from the abnormal movement.
4) Deep brain stimulation: The position of the basal ganglia nuclei are identified using CT/ MRI brain scans. Electrodes are placed onto specific brain nuclei and electrical signals are sent from a generator placed under the skin, in the chest. The patient has the option of controlling the current from the generator, for symptom relief.
The first task of the physician is to arrive at a diagnosis, or a highly probable diagnosis, using variouslines of investigation.The best line of treatment: Each patient would need to be tried on a specific combination of drugs which may vary from 1 to 3 months, to assess the best outcome with drug management.
Specific Medical Concerns on Movement Disorders
Following this minor adjustment in drug dosages may be required once every three months . Likely outcomes: It is usually expected that the abnormal movement decreases to a remarkable extent. If the problem had been one of rigidity and paucity of movement, then movements should be more easily performed. A small sub-set of patients are not likely to improve on medications, for which deep brain stimulation or Stereotactic surgery should be considered to give optimal relief.
Movement disorders are generally progressive degenerative disorders, which means that the pathological course cannot be greatly altered, though significant improvement in function can be provided. However, the goal of management is to provide optimal relief and restore normal functionality, with the least side effects and thereby significantly improve the quality of life for the patients.
source: The Department of Neurology at Wockhardt Hospitals
Dr. Chandran Gnanamuthu ,MD, DM, FIAN, FAAN DM PhD (Neuro Sciences) Dr. C. Udaya Shankar,Specialist in Movement Disorder Dr. Vijay Chockan,Consultant Neurologist Consultant Neurologist Consultant Neurophysiologist