JOURNAL OF PUSHPANJALI HEALTHCARE

November 2012

The Secret of Success

What does it take to succeed? The answer is a whole lot of failure and knowing how to fail. Or as Thomas Edison, prolific American inventor is credited with saying: I have not failed. I've just found 10,000 ways that won't work. And what happens if you're one of those people who has never failed? Never had to face disappointment and pick yourself up again? The ability to bounce back from failure is the key point, which means that to succeed you must be able to fail and recover from failure. That also means you must be willing to take risks, listen to others, and admit where you could improve. As individuals in an organization there will be times when work does not go as planned a deployment that does not go as expected or a technology component does not work as it should. So what to do? You could Focus on what the next step should be a setback is not the end of the game, in fact even a significant setback is not the end of the game (though you might be tempted to believe so and admit defeat). Instead take a step back and try to look at it objectively and analyze the steps that led to this. After the analysis, learn the lesson and move on why did things not work out as you expected? What can you learn from the experience? What have other people done differently that might work for you? As a team member encourage experimentation and discussion Science itself has progressed on the principle of trial and error. Treatment of grave diseases did not happen overnight and in fact the medical field is always on a search-and-discover mode which is why people are living longer today! So why should our organization be any different? While failure per se may not be encouraged, a culture of experimentation where trial and error is seen as positive, most certainly is.

And if failure results along the way, as it inevitably will, take Henry Fords advice: Failure is simply the opportunity to begin again, this time more intelligently.

Dr Vijay Agarwal Executive Director

Editorial Board
Editors

PUSHPANJALI HEALTHCARE
Registered Office: A-14, Pushpanjali, Vikas Marg Extn, Delhi - 110092 Phone : +91.11. 43075600 E-mail: info@pch.co.in Web: www.pch.co.in

Dr Vinay Aggarwal Dr Vijay Agarwal Dr Gaurav Aggarwal Mr Gaurav Pandey Dr Anu Gupta
Advisors

Dr Madhumita Puri

Camps
Date Location Attending doctors

1 June

Noida

Dr A K Chhatrawal

15th-16th June

Vatsalya Gram Aashram, Vrindawan

Dr Dhirendra Singhania, Dr A K Mittal, Dr Neeraj Jain, Dr Kanika Gupta, Dr Swasti, Dr Gopal Sharma, Dr Saumya Ahuja, Dr Shakti C Sharma, Dr Naresh Kumar, Dr Manoj Kumar

Camp at Vrindawan

1 July

IMA, Ghaziabad

Dr Dhirendra Singhania, Dr Gopal Sharma

9 August

Ordinance Factory, Noida

Dr Vipin Mishra, Dr Amit Chhabra

Diabetes Camp

23 August

Rastogi Samaj, Sakarpur, Delhi

Dr Dhirendra Singhania, Dr Manoj Kumar

6-7 September

Indus tower, Noida

Dr Vipin Mishra, Dr Amit Chhabra

Camp at Maharaja Agrasain Bhawan

16 September Shipra Rivera, Indirapuram Dr Kiran Seth, Dr Awadh Kishore

29 September

Pushpanjali Crosslay Hospital

Dr Dhirendra Singhania, Dr Gaurav Minocha

30 September

Dilshad Garden RWA

Dr Deepak Kumar, Dr Manoj Kumar

Camp on 29th September

13 October

Jhandawalan Temple, Ved Vidyalaya, Mandoli

Dr A K Chhatrawal, Dr Shakti C Sharma

14 October

Agarsen Bhawan, Rajender nagar

Dr Dhirendra Singhania, Dr A K Chhatrawal, Dr Amit Chhabra, Dr Shakti C Sharma

Camp at Dilshad Garden

21 October

Neel Padam Kunj, Vaishali

Dr Deepak Kumar, Dr Manoj Kumar

21 to 23 October

Vaishali Cultural Association, Vaishali

Dr A K Chhatrawal, Mr Binoy Merger

Camp at Vaishali

Inaugurations
27 September 2012 : Kidney Transplant and Dialysis Unit Ghaziabads (Delhi NCR) first Kidney Transplant unit and 27 beds Dialysis Unit was inaugurated at Pushpanjali Crosslay Hospital by Sh Santosh Yadav, IAS, Vice Chairman, Ghaziabad Development Authority. Her Excellency Ms Fatima Badjie, Hon Minister of Health and Social Welfare, Govt of the Gambia, West Africa was the special guest on this occasion. His Excellency DM Badjie, Ambassador to India, Govt of the Gambia, West Africa was the Guest of Honor. Dr Vinay Aggarwal, Chairman and Managing Director, Pushpanjali Crosslay Hospital addressing the press conference informed that starting of Kidney-Dialysis and Transplant Unit would provide kidney transplant facilities for the first time in Ghaziabad. The 27-bed Dialysis Centre was also inaugurated at 7th Floor of Pushpanjali Crosslay Hospital. Dr (Prof) N P Singh, Director of Medicine & Allied Sciences and Sr Consultant in Nephrology department, Dr Neeru P Aggarwal, Sr Consultant in Nephrology department, Dr LK Jha, Sr Consultant in Nephrology department, Dr Sanjeev Behura, Kidney Transplant Surgeon at Pushpanjali Crosslay Hospital were present on this occasion. Dr (Prof) N P Singh informed the media that the 27-bed Dialysis Unit at Department of Nephrology has state-ofthe-art Dialysis Unit which could cater to around 50 patients per day. He also said that the department provided supportive care to critically ill patients who might be in need of a special dialysis called CRRT - Continuous Renal Replacement Therapy. In addition, procedures like Plasmapheresis and Hemofiltrations were also performed along with specialized diagnostic procedures like kidney biopsy, cyst aspiration and angioplasty. 23 October 2012 : PIPS Laboratory PIPS Lab was inaugurated by Dr MM Aggarwal, father of CMD Dr Vinay Aggarwal. Adjacent to the main lab at first floor, this lab will serve PIPS students for conducting their practicals. Dr Narender Saini on this occasion said that this would be an added advantage for PIPS students to have their own lab. PIPS Laboratory Inauguration Sh Santosh Yadav inaugrating Kidney Transplant and Kidney Dialysis Unit

Ms Fatima Badjie and DM Badjie with Dr Vinay Aggarwal

Conferences And Campaigns

9 June 2012 : CME - Oncology In the CME on Palliation in GI cancer, Dr V Mittal and Dr Neeraj Jain shared that with the advancement of endoscopic technology, advanced malignancies could be palliated effectively. Thus, dysphasia, gastric outlet obstruction, biliary obstruction and colonic obstruction could be managed by endoscopic placement of stents. The gathering was also informed that these procedures were routinely conducted at PCH. 14 - 16 July 2012 : Training Life Support systems The Department of Emergency and Trauma conducted the American Heart Associations accredited basic life support and advanced cardiac life support courses under the leadership of Dr Sandeep Jain. These courses are for doctors, nurses and paramedics to train and prepare them for any medical emergencies. The department also regularly conducts trauma care courses for health care professional, to train them in appropriate treatment of accident victims. This is only level-1 trauma centre, which is fully equipped to tackle any kind of medical and surgical emergencies in the area. 25 July 2012 : CME - Chronic Hepatitis In the CME on Chronic Hepatitis / Cirrhosis, Dr V Mittal and Dr Neeraj Jain shared that Hepatitis B and C are major contributors to chronic health problems. Diagnosed cases of Hepatitis B and C are tips of icebergs since numerous patients remained undiagnosed. Modern medical knowledge can diagnose and treat patients effectively. They pointed out that the key lies in evaluating abnormal liver enzymes. 11 August 2012 : Public Awareness Campaign Pushpanjali IVF & Infertility Institute and Pushpanjali Crosslay Hospital hosted a Public Awareness Campaign in Pushpanjali Crosslay Hospital by organizing a quiz on Infertility & Lucky Draw prizes. Oncology CME in progress The event aimed at highlighting the problem of infertility which is on the rise. The key messages pointed out the effects of increasing stress, advanced age at marriage, changing social value and environmental pollutions etc. It also highlighted the roles of both female and male partner in infertility. Dr Poonam Goyal, Head of Pushpanjali IVF & Infertility briefed the participants about this problem. Dr Sowjanya Agarwal highlighted the factors related to the female partners and the treatment available. Dr Bhavana Mittal addressed the male partner related problems and advanced treatment options like IUI/IVF/ICSI.

Medicine CME in progress

Diabetes Talk in progress

IVF Public Awarness Campaign in progress

20 September 2012 : Induction program - Certificate Course in Home Based Health Care The 2012 Induction program conference on CHBCP: Certificate Course in Home Based Care, for its fourth batch was organized to share the requirement of Home based Care for chronic patients, under the chairmanship of Dr Ruby Bansal. Prof Bimla Kapoor, Dr Gulab Jha, Ms Reeta Devi and Ms Hema Pant from IGNOU graced the occasion. Dr Vijay Agarwal, Dr Vinay Aggarwal and Dr TS Jain were also present. The conference was also attended by Ms Geeta Bhatt (NGO representive Khushi), Mr Pramod (NGO representive Sewa Bharti), functional Heads of all departments, various consultants of the hospital, students of the course and media personnel from Dainik Jagran, Amar Ujjala, Hindustan Times and the Pioneer. At the Opening ceremony, Dr Vijay Agarwal spoke of requirement of Home based Care for chronic patients, giving examples of home health services. Certificate Courses in home based care are conducted at Pushpanjali Crosslay Hospital which is of a duration of 6 months with the flexibility to finish the course within two years. Certificates and study material for the course are provided by IGNOU University. The objective of the course is to prepare a workforce in the country with skills required to look after elderly and those suffering from chronic progressive illness, or after discharge from tertiary care and to improve the quality of life for the patient and family members. The program consists of 14 credits, in which 4 credits are for theory; and 10 credits for skills related to healthcare. The medium of instruction are English and Hindi. The current batch of this course has a strength of 36 students. 17 October 2012 : CME - Cardiology In this CME on CVP (Central Venous Pressure) Dr Narain Harisinghani discussed that central venous pressure is measured by intensivist to guide the doctor about intravenous fluid administration. Through this many medications which cannot be given by peripheral route are administered. It has a normal value of 8-14 cm of water in healthy subjects. A normal method of insertion using Certodyne was demonstrated and discussed in seminar and hands-on training was imparted to delegates. 17 October 2012 : CME - Sepsis Dr Amit Gupta spoke on Sepsis - Whats new where he emphasized the therapeutic strategies in the management of patients with severe sepsis including optimizing organ perfusion, control of source of infection and support of organ dysfunction. In the recent advances, he spoke of the potent anti inflammatory treatment approaches especially needed at the tissue level. He informed that drug Ulinastatin emerges as a rescue therapeutic option in Sepsis. It not only inhibits inflammatory markers but also promotes homeostasis and assists in immunomodulation to prevent SIRS progression to multiple organ dysfunctions. The Indian study shows a statistically significant reduction in 28 day all-cause mortality when compared to the control group. Results also revealed a statistically significant reduction in hospital stay and duration of mechanical ventilation. It also reduced new onset organ failure suggesting a trend towards efficacy. This drug will be especially useful in Indian scenario where ICU cost is a big burden on resources of family. 27 28 October 2012 : Live Workshop - Gynae Endoscopy The Department of Minimal Access Gynae Surgery (MAGS) in association with AOGD GOGS and DGF organized 'Evolving Trends in Gynae Endoscopy' 2012, Conference and Live Workshop, at Hotel Radisson Blu. There was a live telecast of surgeries from Pushpanjali Crosslay Hospital through high definition transmission simultaneously from two operating rooms. The operating faculty included Dr PG Paul (Cochin), Dr Prakash Trivedi (Mumbai), Dr Rajesh Modi (Akola) Dr Nutan Jain (Uttar Pradesh), Dr Vyomesh Shah (Gujarat), Dr Jyoti Mishra and Dr Sowjanya Agarwal (PCH). There were a total of 14 live surgeries, panel discussions and interactive sessions with the experts and delegates were updated with latest evolutions in Gynae endoscopy. The highlights of the events were Hysteroscopic morcellation, SILS, NDVH and 3D Laproscopy. The conference was attended by 225 delegates from north India. Dr Jyoti Mishra was the Organizing Chairperson and Dr Sowjanya Aggarwal the Organizing Secretary. Gynae Conference

Conference on CHBCP

Campaign at Easy day Store Mahagun Metro Mall

CME at Jim Corbet

Medicine CME

Gynae Conference

PGYP Events
29 April 2012: Brain attack On this day Dr Kapil Singhal shared the criticality of stroke. He shared that 1 in 6 people are at risk of stroke. Time lost is brain lost, so its important to recognize symptom. If there is any facial weakness, arm weakness or unclarity of speech, it is time to act fast. Test for the following. Face: Does one side of the face droop? Ask the person to smile. Arms: Is one arm week or numb? Ask the person to raise both arms. Does one arm drift downwards? Speech: Is the speech slurred. Ask the person to repeat a simple sentence. Is the sentence repeated correctly? If any of these symptoms develop suddenly, then person needs to see a doctor immediately. Patient has only 4.5 hrs for proper management Brain Attack 27 May 2012: Prevention of Diabetes Dr Vipin Mishra informed the participants that diabetes is a lifestyle disease and it can be prevented by changing their lifestyle. He asked participants to follow five important principles to enjoy a long and healthy life. 1. Take a healthy diet in average quantity 2. Go for 1 hour of brisk walk everyday 3. Perform yoga every day 4. Have a fixed day to day routine 5. Ensure 7 hours of good sleep at night 24 June 2012: ENT problems Discussion about common ENT problem, their early detection and usage of hearing aids was done. Routine ENT check up and audiological tests at discounted rates were conducted. 25 July 2012: Early Signs of Heart Disease Dr Dhirendra Singhania discussed the various Heart Diseases eg. heart attack (Coronary ArteryDisease).Valve Replacement (Rhuematic Heart Disease, Heart Failure (Cardiomyopathy), Problem of electrical supply (Disease which require pacemaker , ICD) etc. He informed that the early symptoms of heart problem were chest pain, shortness of breath, palpitation, fatigue, and syncope (transient loss of consciousness). The common screening tests to pick up disease in early stages are ECG, ECHO Doppler, TMT, and CT coronary angiography. 26 August 2012: Nutrition Ms Charu Dua, in her lecture, used the example of the joint family and the diets that need to be made specially for the vulnerable, such as the newborns, and the elderly. She give informative tips on how regular household food can be modified to prepare food that meets the dietary requirement of elderly. 30 September 2012: Cancer Dr Sandeep Agarwal spoke of the incidence and variations of cancer in elderly population and also stressed that despite popular sentiment cancer has become a highly curable disease if diagnosed in the early stage. Dr Agarwal informed that in order to stay healthy and safe, regular health check ups were essential. 28 October 2012: Prostate and Urinary Problems Dr Nitin Abrol discussed issues related to the prostate and shared that men of 50 years and above have an increased risk of developing enlargement of prostate gland. This could manifest as increased frequency of urine, hesitancy and poor flow. If this should occur then a Urologist should be immediately consulted. In the consultation, the doctor would prescribe tests such as ultrasound KUB, serum PSA and uroflowmetry. Thereafter, depending on the investigation reports, medical treatment or endoscopic operations (TURP or HOLEP) may be recommended. Elderly women also have urinary difficulty as manifested by urgency and unable to hold urine. This happens due to hormonal imbalance. Medical Therapy is available to treat and improve the quality of life. Prostate and Urinary Problems

Prevention of Diabetes

Nutrition in elderly

Early Signs of Heart Disease

Cancer in Elderly

Celebrations
27 August 2012 : Celebration - Onam On the occasion of Onam, the Tiruvathira Dance and Kerala Dance were performed by PCH nursing staff. The story of Onam was narrated by Sister Mony Rajama (Nursing manager) and 26 special varieties of food were served. 7 September 2012 : Celebration - PIPS Annual Function PIPS organized its 3rd Annual Function at PCH Conference Hall. On this occasion Dr DR Rai, Secretary General, IMA was the Guest of Honor and Dr KP Wasnik, Director of NIOS and Mr V Satish, Academic Officer; NIOS were especially present on this occasion. To welcome the new Batch, PIPS organized a Cultural Program performed by the students of the first and second years. 2 October 2012 : Mini Marathon - Run for Peace and Pride PCH participated in Mini Marathon - "Run for Peace and Pride" organized by the Indirapuram Group of Institutions. 10 October 2012 : World Mental Health Day PIPS Annual Function Pushpanjali Crosslay Hospital organized a press conference on the occasion of World Mental Health Day. This year the theme of World Mental Health Day was Depression: A Global Crisis. Dr Anandi Lal, Head of the Department of Psychiatry and Allied Psychological Services at Pushpanjali Crosslay Hospital said that the department was committed to bring in the latest and most comprehensive treatments for patients with Depression. Besides working with patients and their families, the department also organizes programs to generate awareness in community, and sensitize doctors, media and various social agencies. Addressing press persons Dr Amitabh Saha, Sr Psychiatrist informed that an innovative technique for depression which is known as Magnetic Therapy was being launched by the department. He further added that the Magnetic therapy is the common term for repetitive trancranial magnetic stimulation, which was developed after decades of research. 29 October 2012 : World Stroke Day The World Stroke Day was celebrated by Department of Neurology. On this occasion, a Stroke Week was organized during which free consultation was given to patients of stroke. Free counseling was also provided to the family and caregivers of stroke patients. Around 200 patients were seen throughout the week, patients were evaluated about the presence of risk factors, and detailed counseling and education was given to patient and family members about risk factors and prevention of stroke from occurring again. On this occasion, Dr Vinay Agarwal, CMD informed the media that stroke was the leading cause of disability in India and timely intervention could improve outcome in patients. He emphasized that therapy for stroke due to clotting is available in the hospital which includes thrombolysis therapy, which can be given within 4.5 hours of onset of symptoms. Dr Vijay Agarwal, Executive Director, said that Pushpanjali Crosslay Hospital was the only hospital of the area which provides comprehensive care to stroke patients including neurology services, neurovascular intervention, neurosurgery and stroke physiotherapy and rehabilitation. He emphasized that proper management can bring a meaningful change to patients life. Others who spoke on the occasion were: Dr Priya Gupta and Dr Kapil Singhal, Consultant Neurologists at the Department of Neurology World Mental Health Day

Onam

Run for Peace and Pride

World Stroke Day

Dr Gaurav Aggarwal's Birthday Celebration

Dr T.S Jain's Birthday Celebration

Diwali Celebration

In the News

Visits
2 March 2012 19 April 2012

H.E. Mrs Irina A Orolbaeva, Ambassador, Kyrgyz Embassy in India visited PCH 27 September 2012

H.E. Mr Waven Winslow William, High Commissioner of Seychelles visited PCH 23 April 2012

Ms Fatima Badjie, Hon Minister of Health and Social Welfare and DM Badjie, Ambassador to India, Govt of the Gambia, West Africa visited PCH

Dr. R. Pai, HOD community Medicine from MAMC visited PCH

Employees of the Month

Pushpanjali Crosslay Hospital
July 2012 July 2012 September 2012

Pushpanjali Medical Centre

June 2012 July 2012

Dr Dheeraj Bhaskaran Nair

Clinical Associate

Mr Kanhaiya
Emergency Paramedic

Ms Savitha A.M.
Staff Nurse

Ms Neethu CN
Staff Nurse (Ward)

Ms Neema Mathew
Staff Nurse (ICU)

August 2012

September 2012

September 2012

August 2012

September 2012

Mr Lalit Mohan Kandpal

Lab Technician

Mr Anurag Sharma
Sr. Cath Lab Technician

Mr Gaurav Ojha
Executive-Operations

Ms Neetu Rani
Discharge Section (Typist)

Ms Mini A S
Staff Nurse (Ward)

June 2012 Team-Transfusion Medicine

October 2012 Diabetic, Nutrition & F&B Team