The 10 most trusted hospitals in pune 2018

Beneﬁtting the ‘Indigent’
Strata of Society with
Aﬀordable and Superior
Healthcare Services
Dr. Aditi Karad
Executive Director
Most Trusted
HOSPITALS
in PUNE 2018
T HE
10
www.insightscare.com
August 2018

From the
Editor
ublic and private healthcare are the two most vital pillars of
Pour healthcare eco-system. While the private healthcare has
its deep root in the urban area, it's the public healthcare
setup that holds the responsibility for the well-being of our urban
and semi-urban masses. The quality of private and public
healthcare is not a secret anymore. And the tyranny is mostpoor
reside in the rural parts of India for whom Government run
hospitals are the only source of hope.
Various successive governments have successfully implemented
many healthcare schemes that have beneﬁtted the masses include
eradication of polio and more. But there is huge disparity between
public and private healthcare which needs to lessen. There are
many areas where Government needs an urgent action. The top one
includes the healthcare spending.
The public sector spends approx. 1.4% of the GDP for healthcare
while the contribution of private sector is about 3.3%. Marginal
coverage for health insurance, huge scarcity of hospital beds and
doctors, and lack of advanced medical infrastructure in rural areas
are some vital aspects that Government must look into. Healthcare
providers should also focus on capturing hospital data and ensure
proper documentation for tracking of relevant performance metrics
in terms of process, outcome, and safety.
Private sector can assist in improving this gloomy picture. Over the
last three decades, private sector has been making growing
contribution and supporting already heavily burdened public health
institutions at every level and today it provides 58 percent of the
hospitals and 81 percent of the doctors in India and has the
potential to turn this grim situation of public healthcare into a much
satisfying one. If the Government collaborates with private players
then they can assist in expanding the bed density from 0.9 per
thousand today to 2.0 per thousand by 2025 and can lead to
augment the strength of hospital beds by 1.8 million.
The National Health Policy has also pledged to increase public
spending to 2.5% of GDP by 2025 which is an appreciated move.
Implementers of this policy must look at the problems and the
solutions holistically with private sector as strategic partners.
To achieve the ultimate objective of qualitative healthcare at all
levels, the government would need the support of private sector at
primary to tertiary care levels. The support comes in the form of
large investment, new technology, innovations and quality services.
It is the responsibility of private players as well to work in tandem
with the Government and do whatever they can in order to make
‘Swasth Bharat’.
Bridging the
Gap is Need
of theHour
Ashwini Deshmukh

sales@insightscare.com
August, 2018
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Expert’s Viewpoint
Fertility Preservation: Science that is
Making Parenthood Possible in Later Years
Industry Insights
Healthcare Reforms in India
Insider’s Opinion
What Should Needs to be done to Make
Quality Healthcare Accessible to all?
Fine-Angle
Functional and AestheticRhinoplasty
Expert Talk
Eﬀectiveness of RoboticSurgery
16
30
40
2
46
16 30
40 2
46
CONTENTS
Cover
Story
08
VishwaRaj Hospital:
Strata of Society with Aﬀordable
and Superior Healthcare Services

Mutant KRAS Gene: A Potential
Target to Suppress Associated
Cancers
Editor’s TakeCustomized Care
Optimizing Healthcare with
Precision Medicine and Personalized
Patient Experience
24 36
Pawana Hospital:
Providing World ClassPatient
Care for a Healthy Life Time
20
28
4
34
AIMS Hospital
&Research Center:
Serving the People with
Utmost Devotion &Humility
Oyster & Pearl
Hospitals:
A Pioneer in Modern
Multi-Specialty Healthcare
Industry
PBMA's H V Desai Eye
Hospital
Delivering Excellence in
Quality with Care and Concern

Leading Edge
Healthcare
Providers
nvestment opportunities in the Indian healthcare sector have increased significantly and the sector is expected to
be one of the most lucrative investment targets for private equity (PE) and venture capital (VC) companies.
IAccording to reports, Indian healthcare sector is projected to be a $280 billion industry by 2020 with a CAGR of
16%. This estimated growth will bring many benefits to all the stakeholders of the industry along with patients and
students who aspire to continue their career in medical vertical. This growth will augment the healthcare workforce to
7.4 million in near future. Medical tourism is also expected to rise in coming times due to the better patient outcomes,
greater patient engagement at much affordable cost than many developed countries.
The biggest carriers of this growth are the hospitals that provide cutting-edge healthcare services. To highlight some
of the best known hospitals, we have come up with an issue of “The 10 Most Trusted Hospitals in Pune 2018”.
These healthcare solution providers have built a strong repute in the market with their state-of-the-art infrastructure,
adept surgeons and affordable medical facilities. These providers have crafted a niche in patient's hearts by only
taking care of them but also by reflecting the true colors of humanity and work ethics in the time of need.
On the cover we have highlighted, VishwaRaj Hospital, which is a 300-bedded multispecialty and tertiary care
hospital that is known for its qualitative medical services at affordable rates.
AIMS Hospital & Research Center is a committed hospital, which provides top class healthcare services using latest
medical technology at an affordable price.
PBMA’s HV Desai Eye Hospital is the biggest tertiary eye care center in western India which offers all subspecialty
services in ophthalmology.
Oyster & Pearl Hospitals is a leading group of hospitals in Pune that has pioneered in modern healthcare in number of
ways, specializing in IVF and mother & childcare.
Pawana Hospital is a multispecialty hospital that provides round the clock facilities to serve its patients with the
highest quality care, in a cost-effective way.
7Orange Hospital, Ace Hospital Pune, Mahaveer Super Speciality Eye Hospital and Laser Centre, Poona Hospitaland
Research Centre, and Surya Hospital are the other prominent healthcare providers in Pune region.
We have also included intriguing piece of articles written exclusively by various eminent persons of medical industry
as well by our in-house editors.
So, do flip the pages and enjoy reading!!
The
Most
Trusted
HOSPITALS
in Pune 2018
10

Strata of Society with Aﬀordable
and Superior Healthcare Services

Dr.AditiKarad
Executive Director
Cover Story

good hospital cures the
patient and builds a network
Aof satisfied clients but a great
hospital builds a long lasting
relationship with the amalgamation of
patients care with compassion. One
such respected healthcare provider who
stands tall on the robust pillars of
ethics, trust, quality, teamwork and
innovation is VishwaRaj Hospital. It
is a 300-bedded multispecialty and
tertiary care hospital which is gaining
prominence due to its commitment
towards working for the indigent strata
of society with the channel of
affordable healthcare. This hospital is
situated at the strategic location on
Pune-Solapur highway that makes it
easily accessible to all.
With the noble mission of crafting a
global ecosystem where physicians,
patients and community come together
with a single goal of proving excellent
and affordable healthcare services to
the masses under a single roof
VishwaRaj hospital got established. It
is a well-equipped hospital with
advanced technology and devices that
make it one of the sought-after medical
tourism destinations among patients. It
has a 65 Bedded ICU & 10 centralized
operation theatres; with 1.5 Tesla GE
MRI, 32 Slice Siemens CT Scan & FD
10 Philips Cath labs, Dialysis center,
Cancer unit, Blood Storage, and free
Cleft leap procedure. Recently, they
have started operating open heart
bypass surgery as well. Equipped with
such leading medical technologies,
comfortable stay options, a wide-
spread network of ambulances and
more makes its one of the best
hospitals in the Pune region. Its
excellence has been recently celebrated
when the hospital was awarded as
number one among the category of best
emerging Hospital in Maharashtra by
Devendra Fadnavis, CM, Maharashtra.
The Trailblazer behindVishwaRaj
Hospital
Dr. Aditi Karad is the true reflection
of a soul that believes in greater
humanitarian values. With the intent of
delivering qualitative yet affordable
medical facilities to the masses, she
dreamt to enter into the medical field.
Her sheer dedication and commitment
towards this noble goal led towards the
inception of VishwaRaj Hospital.
Today, Aditi is successfully running
this super specialty hospital in the
capacity of its Executive Director.
She believes, in India, there is a huge
gap between people’s demand for
quality healthcare & accessible
availability of such facilities. And if a
healthcare solution is not affordable to
all then it is not a solution at all. This
belief inspires Aditi to work towards
affordable healthcare facilities.
“I am a strong believer of values &
ethics thus keeping them at the
forefront my aim is to give best of
technology, expertise, facilities to
patients without losing personal touch,
dignity & compassion that they
deserve,” asserts Aditi. “VishwaRaj is
a vital step towards realizing this
dream”.
Aditi is an MBBS and completed her
MA is Hospital management fromthe
University of Leeds. Her meticulous
attention to each process, proficiency
in hospital management and adept
leadership qualities are seen as the
main reasons behind ‘VishwaRaj
Hospitals’ soaring success. By
successfully running this large multi-
specialty hospital at a young age, she
has become a true epitome of women
empowerment.
Aditi’s Source of Strength
Even after coming from a very modest
background from the remote district of
Maharashtra, she never let her dream
to die. It was her father’s dream to see
his daughter treating the patients who
otherwise find it difficult to cross the
hospitals door due to economic
conditions.
Aditi’ also had a fascination with coat
& stethoscope since childhood that
eventually led her to earn a hard fought
MBBS seat in one of the prominent
medical colleges in Pune. She is a
humble personality who never hesitates
to give a special credit to her family
members who always stood behind her
and did everything possible to
transform her dreams into a reality. Her
husband Rahul Karad, and father-in-
law Dr. Vishwanath Karad are her main
pillars of strength that always
encourage her to dream big and better
for the benefit of people coming from
all strata of the society.
Aditi passion to serve the destitute
persons of the society with the medium
of affordable healthcare is truly an
inspiration for many.
Eminent Healthcare Services offered
by VishwaRaj
The hospital is known for their patient
centric approach that creates the best
possible combination of medical,
surgical, rehabilitative and supportive
treatments for the betterment of its
patients. Their services are qualitative
yet economical which even offer free
treatment to the needy in cases of
emergency. It provides superior clinical
care, and cardiology services with least
rates in Pune.
This hospital has a center of scientific
and educational research, which would
meet the challenges of the present and
the future technical advancements of
the fast changing world.
We believe qualitative
healthcare is anecessity
not luxury

We believe
and live each
day not only to
cure sickness
but to prevent
it andpromote
good health
and happiness

VishwaRaj hospital provides different
types of surgery and procedures for
various specialized treatments. It has
many departments which offer
numerous medical services. It caters
services in the domain of:
Anaesthesia, Ayurveda, Cardiology and
Catha Lab, Chest Medicine, Clinical
Nutrition and Dietetics, Clinical
Psychologist, Critical Care / ICU,
Dental, Dermatology and
Cosmetology, Diabetology, Dietics,
Electrophysiology, Emergency
Medicine, Endodontist, ENT,
Gastroenterology, General Surgery,
Haematology, Infectious Diseases,
Interventional Pain, Interventional
Radiology, IVF, Joint Replacement,
Laparoscopic Surgery, Maxillo Facial
Surgery, Medical Oncology, Medicine,
Microbiology, Neonatology, Neuro
Surgery, Neurology, Obstetrics and
Gynaecology, Oculo Plastic Surgeon,
Ophthalmology, Ortho Dentist,
Orthopaedics, Paediatric Surgery,
Pathology, Paediatric, Pedodontists,
Periodontology and Implantology,
Physicians, Physiotherapy and
Rehabilitation, Plastic and
Reconstructive Surgery,
Prosthodontist, Psychiatry, Radiology,
Rheumatology, Spine Surgery, Surgical
Oncology, Urology, Urosurgery,
Vascular surgery and more.
The hospital is well connected by road
and railways and is at a few minutes’
drive from Hadapsar, Pune. VRH
makes sure that the needs of an
advanced medical facility in the area
are met, and also ensures that people
do not have to compromise on
healthcare standards or face the
inconvenience and the risk of
travelling too far. Some of their
additional services like the outdoor
yoga and physio center, nature walks,
and music therapy services are truly
unique.
Every Department Offers aWorld-
class Treatment
VishwaRaj hospital has a robust team
of adept medical professionals that
include some of the best names of the
healthcare domain. Diverse talent of
various specialized doctors are the real
strength of VishwaRaj hospital which
they feel proud of. Their on-roll
speciality and super-speciality doctors
are very well known in Pune and
Maharashtra. This has led the hospital
to achieve an exponential growth curve
in the number of both IPD and OPD
patients since its inauguration.
Their Cardiology department has four
top cardiologists who are associated
with VishwaRaj Hospital on a full time
basis, to provide the best cardiac
treatment at all times. They feel proud
for being considered among one of the
two hospitals in Pune, where
Electrophysiology study has been done
successfully.
Their Haemodialysis unit has
successfully collaborated with
Nephroplus (India’s largest network of
dialysis centers) and intend to establish
the largest 30 bedded dialysis center
unit, to cater the ever increasing need
for the same.
VishwawRaj’s Orthopedics department
is considered among one of the best in
Pune where hip and knee replacement
surgeries are executed with utmost
care. This department is now well
prepared to nurture budding orthopedic
surgeons from all across the globe with
its cutting-edge training module and
renowned mentors.
Extending the Arms for the ‘Needy’
Aditi believes qualitative healthcare is
a fundamental right not a privilege.
Therefore, she always encourages her
staff to work more for the indigent
section of the society. The hospital has
conducted over 100 free medical
check-up camps, where services like
consultation across departments,
routine tests (like blood sugar, X-ray,
ECG, Hemoglobin level, and so on )
and dental checkups for children’s
have been provided at absolutely free
of cost. They have an on-going
initiative such as free cleft lip surgeries
for children’s and 50% off on
maternity charges if a girl child is born.
Their camps not just provide
consultation but educate people about
the benefits of various treatments as
well.
To expand the accessibility of
affordable healthcare, VishwaRaj
hospital has partnered with many
primary healthcare centers in the
vicinity to provide concessional
medical services. They offer best
qualitative treatments at 40-50% of the
actual rates. Initiative for Women
Health
Aditi is committed towards the noble
initiative of ‘Beti Bachao’.Therefore;
she has introduced various initiatives
which directly benefit the mother and
newly born.
Sonography for pregnant ladies is
provided at a concessional rate of 50%.
Nutritious food and transport is
provided absolutely free of cost to
make these women as comfortable as
possible. Vaccination for new born is
also provided at concessional rates.
If a woman delivers a baby girl, then
hospital gives a concessional of 50%
on the maternity bill. Such types of
initiatives are a landmark in itself,
which promotes a healthier sex ratio in
the country.
They also offer advanced integrated
treatment for cancer care and offer a
10% concession on cancer treatment
and chemotherapy.
Till date, they have provided
treatments and surgeries worth more
than 43 lakhs for the weaker section of
the society. The hospital has invested
almost 81 lakhs in the indigent patient
fund till date and has treated many
patients under this scheme, with

discounts worth more than 1.5crore.
The hospital provides many more services that too at very
concessional rates to promote quality healthcare to all,
Radiology, Cardiology, Pharmacy, and Physiotherapy to name a
few.
Parent organization- A Prominent EducationalGroup
The hospital is a part of MAEER’S MIT Group of Institutions
which was established in 1983 under the visionary leadership of
a trailblazing leader Vishwanath Karad. MIT Group of
Institutions provide the latest state-of-art infrastructural
facilities by way of smart class-rooms, libraries, laboratories,
equipment, machinery, computers, software, Internet centers
and of course, the best faculty.
With more than 10 campuses in the state of Maharashtra
covering an area of almost 1000 acres, the MIT Group of
institutions provides education in the fields of Engineering,
Insurance, Distance Education, Telecom Management,
Medicine, Pharmacy, Marine Engineering, Lighting, Design,
Food & Technology, Masters in Business Administration, Retail
Management, School of Government and also School
Education. It has a student’s roll call of over 50,000 students
who pursue various courses all over their 65+ institutes at any
given point of time and that make it University itself in its own
sense. Their Maharashtra Institute of Technology (MIT) is one
of the first private engineering colleges in Maharashtra that still
enjoys a repute of an excellent institute all across the nation. “I
am confident that the students of MAEER family with wide
exposure to academic and professional fields will leave a mark
of their services, wherever they go, by exhibiting their sound
professional knowledge, unimpeachable character, sense of
discipline and commitment” asserts Dr. Vishwanath Karad,
Founder, Executive President and Managing Trustee,MAEER’s
MIT Pune. Dr. Vishwanath is an eminent educationist and
philanthropist who always believe in altruism and always ready
to give back to the society in terms of various social welfare
services.
Rahul V.Karad, Vice President, MAEER’s MIT Pune is a
prominent educationist. He is a graduate in engineering and a
post-graduate in Management from Cardiff U.K; he is an
alumnus of the Harvard Business School, U.S.A.
Rahul is advancing the inherited vision and mission of his
visionary academician father Prof. Dr. Vishwanath Karad with a
fearless passion and patriotism. His true nationalistic
consciousness keeps finding expressions through numerous
activities that he initiates and infuses a renewed sense of pride
and patriotism amongst the young budding minds of India.
Our services
are qualitative
yet economical

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The
Most
Trusted
HOSPITALS
in Pune 2018
10
Hospital Name Management Brief
7Orange Hospital
7orangehospitals.com
Dr. Nikhil Hiremath
Medical Director
7 Orange Hospital is a unique patient-centric endeavour to
enrich the quality of life by providing preventive and
pragmatic healthcare cost-effectively.
Ace Hospital Pune
acehospitals.in
Dr. Suresh Balkrishna
Patankar
President
Ace Hospital is the multispeciality, tertiary care
hospital in the western part of Pune city.
AIMS Hospital &
Research Center
aimspune.com
Dr. MS Hiremath
Chairman
AIMS Hospital & Research Center is a committed hospital,
which provides top class healthcare services using latest
medical technology at an affordable price.
H V Desaihospital
hvdeh.org
Col. M. Deshpande
Chief Medical
Director & Trustee
PBMA’s HV Desai Eye Hospital is the biggest tertiary eye
care center in western India which offers all subspecialty
services in ophthalmology.
Mahaveer Super
Speciality Eye Hospital
and Laser Centre
mahaveereyehospital.com
Dr. Vimal K Parmar
Chairman
Mahaveer Super Speciality Eye Hospital and Laser Centre
is one of the best eye hospital in Pune that specializes in the
diagnosis of retinal eye disease and serves treatments on
cataract, glaucoma, cornea, ophthalmology, and refractive
eye surgery.
Oyster & Pearl
Group of Hospitals
onphospital.com
Dr. Amita Phadnis
CMD
Oyster & Pearl is a leading group of hospitals in Pune that
has pioneered in modern healthcare in number of ways,
specializing in IVF and mother & childcare.
Pawana Hospital
pawanahospital.com
Dr. Satyajit Wadhokar
Managing Director
Pawana Hospital is a multispecialty hospital that provides
round the clock facilities to serve its patients with the
highest quality care, in a cost-effective way.
Poona HospitalAnd
Research Centre
poonahospital.org
Shri Devichand K.Jain
President
Poona Hospital And Research Centre is one of the
multispeciality hospital in Pune which provides the highest
standard of clinical expertise and nursing care by offering the
latest technology, and state-of-the-art hospital facilities.
Surya Hospital
suryahospital.net
Dr Jaisingh Shinde
Chairman & Managing
Director
Surya Hospitals known for dedicated Burns Critical Care
Unit of its kind along with Skin Bank Facility, also an
advanced and well equipped Diagnostic Centre with CT
Scan, Diabetic foot care, Digital Radiology, 2D Echo, Stress
Test, Color Doppler, Ultra Sonography and ECG facility.
VishwaRaj Hospital
vishwarajhospital.com
Dr. Aditi Karad
Executive Director
VishwaRaj Hospital is a 300-bedded multispecialty and
tertiary care hospital that is known for its qualitative
medical services at affordable rates.

Fertility
Preservation:
Science that is Making
Parenthood Possible
in Later Years
Fertility preservation or preserving ones’ fertility
potential for future use is a concept which is though
recent but gaining rapid popularity. This concept
was initially conceptualized for young cancer patients who
would after a lifesaving treatment have a long-life span.
And the treatment offered to them had the potential of
causing irrevocable damage to their gonads and gametes,
there by compromising future prospects of having their own
biological child, this was termed as “Medical Fertility
Preservation”. Medical fertility preservation allows such
patients to safeguard their fertility and reproductive abilities
by storing reproductive cells(gametes) or tissues at subzero
temperatures for future use as when desired. However, in
recent times the application of this technique has also
gained popularity with perfectly healthy women who are
seeking to delay child birth. These women can preserve
their oocytes(egg) of when they are young and use them in
the future when they are ready to start their families this is
known as “Social egg freezing”.
These two distinct entities of Medical Fertility preservation
and Social Fertility preservation come under the purview of
distinctively different ethical and practical concepts. And
since they both will have their own distinct risk and benefit
consideration, we need to discuss the two separately.
Medically Indicated Fertility Preservation
Medically Indicated fertility preservation is offered to
16| August 2018|

Dr. Ritu has more than eight years of vital experience in
the infertility treatment field and has won many
prestigious awards for her contribution towards
healthcare vertical. Dr. Shantabai Gulabchand Travelling
Fellowship Award, Dr. Pramila Bhatia-Young Scientist
Award are some of the notable wards that she has won in
recent times.
patients who suffer from some medical condition, most
commonly cancer or for some unavoidable circumstances
have to face life saving medical treatments which have the
potential of completely destroying their gonads (ovaries in
women and testes in men). For example Chemotherapy and
Radiotherapy while being lifesaving, are also toxic to the
reproductive cells (eggs and sperms). So the idea of fertility
preservation is to cryopreserve reproductive cells (or
tissues) away from the damage of the treatments or ailment.
With the dynamic advances in the treatment of cancer
increasing number of young patients are able to battle this
life threatening disease and are able to lead long lives with
relative normalness. And hence a lot of cancer specialist
now encourages these patients to preserve their fertility so
that they can have a chance at having their own biological
child whenever they are ready for it. Fertility preservation
before Chemotherapy or radiotherapy allows these patients
to realize an important human desire of procreation and
more importantly with their own genetics.
As any new technique which is introduced in the medical
branch initially medically indicated fertility preservation
was considered experimental, however now after so many
advances especially like vitrification (rapid freezing) and
after successfully freezing thawing and eventually
achieving pregnancies it is now a proven technique
endorsed by many medical practitioners. Though the
success rate of achieving pregnancy is not a 100 percent yet
single?
the benefits of preserving fertility is far beyond when
compared to lifelong sterility with no means of having a
biological child which can be a devastating consequence for
almost everyone.
There are different methods of fertility preservation that can
be offered to a person depending on the medical condition
or the type of treatment they are seeking along with the
patient’s personal circumstance. Some of the things that
need to be considered before drafting a line of management
for cryopreserving gametes or tissues are:
• How soon is the treatment going start?
• Does the patient have a committed relationship or is
• What is the line of management drafted for her
condition? Is it medical? or Is it surgical?
• What is the preference of the patient to preserve his/her
fertility?
Therefore it is crucial that there is a close collaboration and
communication between the patient, the treating physician,
the reproductive medicine specialist assisting in fertility
preservation and a clinical psychologist.
Following are the types of fertility preservation that can be
discussed
• Egg or sperm cryopreservation – if not married or in a
Dr. RituHinduja
MD,MRM (UK), DRM (Germany)
About the Author
Dr. Ritu Hinduja, MD, MRM (UK), DRM (Germany),
Fellowship in Reproductive Medicine(India, Spain, Israel),
and Certificate in Genetic Counselling, is renowned
medical practitioner who has proficiency in reproductive
medicine and infertility treatment.
| August 2018 | 17

• stable relationship/or patients preference
• Embryo Cryopreservation – if married or in a stable
relationship
• Ovarian Tissue cryopreservation
Whatever technique is decided the pros and cons should be
discussed in depth with the person seeking fertility
preservation.
Social Egg freezing
Fertility preservation via egg freezing was originally
offered to women suffering from cancer or medical reasons,
but over recent years the popularity of putting eggs on ice
for non-medical reasons, dubbed “social freezing”, has
grown rapidly.
Owing to various reasons such as wish to pursue a career,
achieving educational goals, attaining financial
independence, wanting the freedom of exploring a
relationship before starting a family or not finding the “Mr.
Right”, a woman may wish to delay motherhood. However,
time and aging can be cruel; the biological clock does not
wait for the woman to fulfill all her desires before she can
finally decide to take on the mammoth responsibility of
being a mother. Her egg number and quality keeps
declining as she ages and this decline is inevitable. Hence
freezing of egg or egg freezing has become a lucrative
option for these women, where they can buy time to
achieve in life all that they aspire to and can plan
motherhood exactly when they are ready for it without
compromising on their fertility potential.
Freezing of eggs has become increasingly popular amongst
professional women during key stages in their careers.
Companies such as Apple and Facebook offer female
employee’s egg freezing as one of the employee perks. This
has ignited a debate; whether egg-freezing represents the
ultimate type of family planning for today’s professional
woman.
The advent of egg freezing can be compared with that of
the birth control pill. It empowers women by giving them a
form of insurance against later-life infertility. Women today
can delay motherhood, until the time she is ready for it. It
allows a woman to have the same probability of achieving
pregnancy as she would have had when she cryopreserved
her eggs – thereby freezing her fertility in time!
Egg Freezing/Embryo freezing
The approach is based on Assisted Reproductive
Technology (ART) developed to assist couples battling
infertility. Eggs /oocytes are retrieved after a woman has
undergone ovarian stimulation to increase the number of
eggs available for collection. Once the eggs are collected,
instead of fertilizing them with sperms and they are
cryopreserved on the same day for egg freezing. The
number and quality of eggs collected and the overall
success rate for the procedure depends on the woman’s age,
the reason for the treatment and other factors. A woman
may need to undergo egg retrievals more than once to
collect sufficient number of eggs. For Embryo freezing on
the day of egg retrieval the eggs are fertilized with the
partner’s sperms and then cultured in the laboratory for 3 or
5 days the best created embryos which according to the
embryologist can survive the stress of freezing and thawing
are then cryopreserved.
If just eggs are cryopreserved then whenever a pregnancy is
desired, the frozen eggs are thawed and fertilized with
sperms via a process called Intra-Cytoplasmic Sperm
Injection (ICSI). Once the uterus has been appropriately
prepared, one or two of the best quality embryos are
transferred into the uterus for implantation.
Recent international researches have shown that, the use of
frozen eggs has the potential to give similar results as using
freshly collected eggs provided the egg has survived
thawing. Published data suggest that a single pregnancy
may be achieved on an average from about 10 -15 frozen
eggs.
The introduction of a new freezing technique known as
Vitrification has now made egg banking/ embryo banking a
much more realistic option. Vitrification or flash-freezing is
a technique which cools at a very fast rate, such that the
tissue is preserved in a glass-like state (hence ‘vitrified’)
without the formation of damaging ice crystals. Vitrification
is associated with better survival rates for eggs/embryos
than previously used slow-cooling technique.
Ovarian Tissue Freezing
Currently considered as an experimental procedure it
involves removal of the ovaries partially or in complete
surgically before the treatment is started. Removed tissue
that contains the immature eggs/ oocytes are divided into
strips and then frozen for future use through re-implantation
or in vitro maturation of eggs (process of culturing the eggs
in the lab and waiting for them to attain maturity).
Ovarian tissue freezing is not suitable for you there is a
high risk for ovarian metastases. However, it may be the
only fertility preservation option for pre-pubertal girls.
18| August 2018|

AIMS Hospital &Research
Center:
Serving the People with Utmost
Devotion &Humility
he healthcare segment in Pune is undergoing an
interesting metamorphosis with healthcare players
Tforaying into the city and major hospitals slated for
expansion. The major strength of this city is itshugely
expanding population base. With this, comes a challenge to
provide the best healthcare to the ever increasing population
of the city. Aundh Institute of Medical Sciences or AIMS
Pune is one of the newest additions to the healthcare
segments in Pune. This hospital is already shaping to be one
of the most committed hospitals that maintain clinical
excellence by focusing on top class healthcare services, and
uses the latest medical technology to do so.
Having a team of qualified doctors for treatment, assisted
with the well-trained Nursing & Para Medico staff working
round the clock for patient care, assists AIMS to deliver
state-of-the-art healthcare services to all its patients. It has a
prompt administrative staff to help patient to feel ease
during their admission to the Hospital. It gives an overall
home like feel, and this fact makes AIMS different thanits
competitor colleagues.
AIMS recognizes and believes that, “Every patient is
important, and hence deserves the very best care possible.
We will not be mechanical in our approach to work we do,
and will take personal care of our patients.”
The Outstanding Doctors and Leaders of AIMS
Dr. M. S. Hiremath, is a qualified MD, DM, MNAMS,
FISE, and is a leading Cardiologist of India. He strongly
believes in providing the best quality treatment and prompt
services to patients. He is a world reputed interventional
Cardiologist; Dr. Hiremath has performed over1, 00,000
angiographies, and more than 30,000 angioplasties
including coronary, peripheral, and carotid interventions.
He also specializes in Carotid Stenting, Aortoiliac
interventions, and peripheral angioplasties for leg attacks.
20 | August 2018 |

| August 2018 | 21
He has additionally proctored many
interventions in Malaysia, China,
Vietnam, and Bangladesh besides
participating in global trials. Dr.
Hiremath is also a prestigious faculty
at various international interventional
programs.
Another renowned Gynaec
Laparoscopic Surgeon and IVF
Specialist associated with AIMS is Dr.
Kishore Pandit, who is a faculty &
speaker at various national and
international societies of gynecological
endoscopy. He has been bestowed with
memberships of many prestigious
organizations such as Society of
Laparoendoscopic Surgeons (SLS,
USA), International Society of
Gynecological Endoscopy (ISGE),
International Society for Gynecologic
Endoscopy (IAGE), Pune Association
of Gynecologic Endoscopy Surgeon
(PAGES) and Indian Medical
Association (IMA).
Dr. Kishore is the Founder President of
PAGES, and General Secretary (2012 –
2013) of Pune Obstetrics &
Gynecological Society (POGS). At
present, he is the Executive Vice
President of POGS.
One of the Directors of the hospitals
Mr. Gokul Gaikwad is from the
Social Service background and leading
to AIMS, as continually improving its
capability to identify, develop &
provide services that are valued by its
patients and result in good clinical
outcome.
Mr. Gokul Gaikwad vision is- The
hospital always committed to quality,
as an integral part of its total
operations with the goal of achieving
clinical excellence, patient satisfaction,
and safety, apart from its unique
services.
The distinguished ex-honorable Mayor
of Pune (1999-2002), Mr. Datta
Gaikwad is also an integral part of the
core team of AIMS. The recipient of
‘The Best Corporator, PMC’ (awarded
by Rajiv Gandhi foundation),
Mr.Gaikwad, is a Chairman of
Chaturshrungi Devasthan Committee,
and is a crusader pursuing multi-
faceted development for the Aundh
region.
Mr. Rajeev Krishnani, is a real estate
wizard. His Water Conservation theory
& suggestions have been accepted by
the PCMC. He is an elected President
for the West Zone, of the Sports
Development Board of India, including
the states of Maharashtra, Madhya
Pradesh, Gujrat, Goa and Jharkhand.
Exceptional Services Benefitting the
Patients & Industry
AIMS, is working towards patient care
with a motivated team of Medicos,Para
Medico’s & Administrative staff. Ithas
been built by some of the most eminent
Doctors & Social Entrepreneurs of
Pune. In vicinity of seven km, no such
equipped and qualified facility is
available, accessible and affordable. It
has one of the best world class ICU
facilities in the area, a finest Cathlab
facility & cardiac department, and IVF
center. AIMS, is currently getting
equipped with the latest CABG
(Coronary artery bypass grafting),
CRRT(Continuous Renal Replacement
Therapies), AdvanceHAMILTON-
C2andVentilator-ICU.
AIMS is determined into supporting
government schemes like BPL, PMC,
PCMC & Own Social works to name a
few.
Growth & Testimonials that Speak
Bounds
Statistically, AIMS is growing
significantly year after year with a
remarkable progression. The hospital’s
recommendations and services
themselves speak about trust it has
built in the citizens. It has done the
highest number of successful Cardiac
treatments & Laparoscopic surgeries in
the area.
 A Senior Neuro Surgeon Dr.Sanjay
Vhora (HOD of Sasoon Hospital)
has operated a 52 years male
patient with “h/o Cervical Cord
Compression C4-C7 Stenosis.”
Surgery- Decompressive Cervical
Laminectomy C4-C5, C6-C7.
 Dr. Wagholikar Gajanan & Dr.
Agashe Prasad operated, a 35 years
old female patient diagnosed with
“Choledocal Cyst with lower CBD
stricture, CBD stone and ERCP
stenting done.”Surgery-
Cholecystectomy with excision of
Choledocal cyst, removal of CBD
stone and Hepatico-Jejunostomy.
Future Goals & Vision of AIMS
The hospital is striving towards
promote, restore, and maintain the
health of all the people that come to
AIMS. It works with a goal to achieve
a bed capacity of two hundred, making
Super Specialty Medical treatment
available to all its patients.
We believein
providing personal
care and quality
services that are
state-of-the-art
to our patientsat
an aflordable price
‘
‘

AbouttheAuthor
Dr. Virendra Ghaisas is India’s
leadingENT & Rhinoplasty
Surgeon, basedin Pune.Agraduate from
KIMS Karadin theyear1996, Dr.
Virendra completedhis MS (ENT) from
JNMC, Belgaumin theyear2001. He
thencompletedhis specialtraining on
Rhinoplastyfrom Marien Hospital,
Stuttgartandspecialisedin Facial Plastic
Surgery.
He has presented papers in National,
Zonal and regional conferences and has
won accolades for presenting paper
presentation. His contribution to mentor
undergraduates and post graduates
through an educational DVD helps
students to learn from him. Virendra is an
associate professor at MIMER Medical
College. Being a renowned ENT
Consultant and Rhinoplasty Surgeon,
his professional experience includes:
Guest Lecturer and Operating Faculty on
Rhinoplasty and Live Surgical Otological
workshops and camps at various AOI &
acrossthecountry.
Rhinoplasty-Functional and Aesthetic
22 | August 2018 |
Fine-Angle

n today’s world, we often come
across people who have made
Irevisions to their nose through a
surgery either due to a malformed nose
at birth, deformed by an injury or for a
more pleasing appearance. Rhinoplasty
more commonly known as “nose job”
is a surgery performed to sculpt the
shape of the nose which is referred as
“Aesthetic Rhinoplasty” as well as to
improve the breathing function of the
nose, invariably termed as “Functional
Rhinoplasty” which further helps to
nullify the associated problems. If
breathing is impaired due to the form
of the nose or an injury, it can often be
improved with Rhinoplasty. Although
the expressed goal of such a surgery is
to correct breathing issues, patients
usually experience positive cosmetic
benefits such as enhancing the shape of
the nose as a bonus. In this demanding
world and growing trends, Rhinoplasty
is not only done to improve the
functional aspect of the nose but also
for its aesthetic outcomes.
Rhinoplasties have evolved over
thousands of years. Many countries
have put their imprints on the Nasal
surgery procedures which are clearly
stated in the medical history. Today,
Rhinoplasty continues to advance at an
even more rapid pace and has become
safer and less invasive with the
growing techniques and expert doctors.
Before a Rhinoplasty is performed, a
patient’s nasal pyramid is thoroughly
examined with an endo-nasal
examination and its harmony with the
other features of the face. A simulation
of the desired result is done using
photos and computer techniques. A
preoperative check-up is carried out.
There are two types of techniques to
perform the surgery, “open and
closed”. In closed Rhinoplasty, all the
incisions are inside the nostrils and
thereby provide a very limited
exposure. Open Rhinoplasty gives
wide access to perform all the
necessary techniques under direct
vision. Although there is a small scarat
the column of the nose which fades
away in a few weeks, the outcomes of
open Rhinoplasty gain advantage over
the closed techniques. Most skilled
surgeons do not use any artificial
grafting materials. Tissues like
cartilage and fascia from various sites
like the nasal septum, ear cartilage, and
rib cartilage are used to reshape the
nose.
There are a few non-surgical
techniques like “fillers” an alternative
for the surgery to camouflage minor
defects although the outcome of such
procedures is temporary. For a long
lasting and permanent change
“Rhinoplasty” is the only solution. The
nasal anatomy and proportions of each
individual are quite varied and the final
look of any Rhinoplasty operation is
the result of the patient’s anatomy, as
well as of the surgeon’s skill.
Rhinoplasty is generally an outpatient
surgery which is done under general
anaesthesia. With evolving technology
and skilled surgeons in this field, the
outcome is expected to be nothing but
the best. Medical science cannot ensure
a 100% guarantee and keeping that in
mind, surgeons take utmost care to
deliver precise results. Few cases that
sometimes need corrections after
surgery can be revised after a waiting
period of about 12 months. About 10%
of patients require a second procedure;
however, the revisions required are
usually minor.
Awareness on Rhinoplasty is wider in
western countries compared to India.
According to surveys, awareness level
in countries like Europe, USA & Japan
is huge. Most parents in Korea gift
hospital coupons to their children at the
age of 17 to get a nose job done.
Children in Europe mostly get such
surgeries done at the age of 16 to
improve the shape of the nose,
aesthetically, not necessarily that they
suffer from functional complexities.
With the recent trends and vast
exposure, India is witnessing growing
awareness about Rhinoplasty in the
younger generation. While our country
is competing with the rest of the world
in a variety of areas, Indian education
plays a very important role in shaping
a child’s career. Therefore, most of the
aesthetic surgeries are planned after the
age of 18 years until it is inevitable to
adjourn. Although with changing times
and with the influence of Bollywood
industry, the younger generation opts
for aesthetic Rhinoplasty. Having said
this, our country is predominantly
grounded to our traditions and culture.
A surgery is more of a family’s
decision than an individual choice.
Therefore even today 70% surgeries in
India are done to improve the
functionality of the nose rather than for
aesthetic purpose.
While Rhinoplasty is one of the most
popular cosmetic surgeries in the
world, a 2017 Report by International
Society of Aesthetic Plastic Surgery
(ISAPS) states India amongst the top
10 countries to perform Rhinoplasty
surgeries, having male to female ratio
of 60:40. Countries with emerging
economies like India, have more
disposable income hence there is a
growth in the spent for aesthetic
surgeries seen mostly amongst the
younger generation.
In the future, Rhinoplasty is projected
to grow in India with improved
standards of healthcare technology
driving the growth of medical tourism
industry. Other factors such as rising
aging population worldwide,
availability of affordable world-class
medical facilities in emerging
economies, and high medical insurance
costs in developed regions are boosting
the demand for medical tourism
globally.
| August 2018 | 23
Fine-Angle

ith every blink of an eye, someone somewhere is making new developments and innovations.
One of the key factors driving these advancements is the realized need to improve the people’s
Wcomfort. Customer-centricity is setting newer trends in every industry today. In the healthcare
sector, patient-centric developments don’t just help in improving the patient’s comfort; it aims at bettering
their lives. Personalizing care is the perfect formula for incorporating customer-centricity into healthcare.
The trend has changed from treating the immediate problem of the patients to helping them in leading
healthier lives. Not all human bodies react similarly to a medicine or a treatment process. An optimizedcare
has to be identiﬁed to deliver the perfect treatment for a particular patient. Although this is a far-fetched
dream, the concept of personalized medicine has brought us a little closer to it.
Additionally, the approach of people in selecting their healthcare provider has become more sophisticated.As
consumers seek aﬀordable healthcare resorts and worthwhile experiences with their doctors, the healthcare
organizations have to work in the direction of satisfying these requirements. Providing health care is not a
one-time transaction; people need this service repeatedly, throughout their lives. It also involves varied and
24| August 2018 |

Optimizing
HEALTHCAREwith Precision Medicine and
Personalized Patient Experience
complex experiences, involving emotional andpersonal
subjects. Meticulous attention to the patients’
preferences and behavior is of importance. With this,
instant connection, instant solution, real-time feedback,
and personalization in the care industry have drifted far
from just being a luxury; they have become a necessity.
Precision Medicine
The medicines and treatment processes that have been
known to the human kind are based on the defined
“standards of care”. These standards are described based
on the responses of the general population, i.e. howmost
of the patients react to a particular treatment or medicine
when detected with certain specific symptoms. This
method is based on “trial and error”; if the given
treatment does not have any effect on the patient’s
condition, a new treatment is tried. Every human body
does not just react differently to different drugs; it reacts
differently to various doses of the same drug as well.
Precision medicine, also known as personalized or
genomic medicine, is the answer to ameliorate the
existing healthcare methodologies.
Personalization of medicine means tailoring a specific
medicine for a particular person depending on thefactors
like the person's gender, age, genetic structure, proteins,
environmental conditions, and so on. It has emerged as a
new frontier in the care industry based on population
health, genomics, and big data. Overcoming the
drawbacks of the currently used “trial and error” method,
it comes with the promise to not only improve extant
treatment methods but the lives of the patients as well.
Prevention and cure of chronic diseases will beenhanced
to a great extent with the introduction of precision
medicine.
Personalizing Healthcare
Enhancing Patient Engagement
The old ways to communicate with patients have
rendered unpopular in today’s digital world. Most ofthe
Customized Care
| August 2018 | 25

healthcare providers are focusing on personalizing the communication between the doctors and their
patients. It can be beneficial for both the parties. To create a relevant and targeted patient outreach, now
the healthcare industry has various tools for upgrading patient engagement. With the help of technologyit
has become possible to digitally maintain and manage patients’ records, their history, appointment
management, and much more, making the process very smooth. And with big data in the picture, it is
possible to collect and store immeasurable amount of information. It is also easy for the doctors or the
healthcare providers to access and process this digital information in real-time, subsequently helping in
better patient engagement.
Since patients are increasingly taking charge of their own decisions and selecting what they find best for
themselves, personalized communication will help to attract and retain more number of people. With
patients going digital, it is necessary for the healthcare providers to align to their needs. Delivering
relevant and accurate information on time to the patients has become significant the healthcare
professionals.
Elevating Patient Experience to Trigger Satisfaction
According to a prominent source, now-a-days, numerous patients tend to change their healthcare operators
if they are not satisfied with the service received. This focus on increasing the satisfaction is due to thefact
that most of the medical costs are shouldered by the patients today. This satisfaction is directly related to
the patient’s experience. Enriching this experience depends upon the healthcare provider’s expertise and
facilities. Organizations can trigger this by simple methods of patient personalization, like clear
communication, spending sufficient time with the patients during the appointments, patient engagement
after appointment, incorporating timely reminders for medicines in the patient’s routine, and so on.
There is a shift in healthcare philosophy from treating the detected illness to enhancing the health of the
patients. Toaddress this shift patient personalization provides a discourse to topics like preventive
healthcare screenings, lifestyle changes, and so on. It has become easier for the patients to select the right
healthcare provider as well as to place their trust in their doctors. Patient- Centered Care will enable the
healthcare providers to fulfill the wishes and the needs of the patients as well as improve the health of the
population, as a whole.
The digital revolution has brought with it many changes across various industries. The newly emerging
tech-savvy generation, today, demands better experiences and personalized content. Staying aligned with
this pattern; the healthcare industry is moving ahead to improve patient-centered care. Patient-centered
care can be categorized broadly into two: Personalized Medicine and Patient Personalization. While
patient personalization is focused on improving the whole experience of the patients in order to ensure
satisfaction, precision medicine will trigger better treatments and prevention of diseases in patients,
improving the quality of life. To stay in the race, patient personalization has become the need of the hour
for healthcare professionals across all sub-domains of the care industry.
Customized Care
26| August 2018|

Oyster &Pearl
Hospitals:
APioneer in Modern Multi-Specialty
Healthcare Industry
Healthcare has been a subject of immense
importance to the humanity since its inception.
Good health is the key factor to human happiness
and well-being. In today’s scenario, healthcare has become
even more crucial. By leveraging the technological
innovations, the healthcare sector is developing gradually
every day. In the recent times, India has led the path of
offering the most advanced and remarkable medical care.
Oyster & Pearl Hospitals, popularly known as ONP, is one
such leading brand who have pioneered modern healthcare
in number of ways.
Oyster & Pearl Hospital is a team of passionate individuals
that came together due to their shared quest for a healthy
community. With five hospitals across Pune, ONP is the
leader of medical care in Western Maharashtra. It
specializes in IVF and mother & childcare in Pune,
providing cutting-edge treatment to patients from across
India and the world with the comfort of experienced
doctors.
Having a sixty year old legacy, the skilled professionals at
ONP have seen it all: the most critical cases and the most
challenging medical problems. Aided by years of
experience, they provide the best treatment to their patients.
About the Ingenuous, Passionate Leader
The CMD of Oyster & Pearl Group of Hospitals, Dr.
Amita Phadnis, is a multifaceted personality, whose
driving principle in life is the pursuit of excellence. She has
achieved professional excellence in the fields of Pediatrics
& Neonatology and excelled as a healthcare entrepreneur.
She continuously updates her skills and knowledge to stay
Dr. AmitaPhadnis
CMD
28 | August 2018 |

abreast with new developments and
technology by reading journals and
visiting conferences and renowned
healthcare centers, keeping aside few
weeks of time for this purpose every
year. Amita is also a charismatic
speaker and has been successfully
conducting workshops on various
topics.
She started her practice in Pune in the
year 1992; she set up the first tertiary
level Neonatal ICU, called Neo Clinic.
In a few years, this clinic grew into a
full-fledged Children’s Hospital
offering comprehensive medical &
surgical services for children, including
a transport ambulance. After that, she
worked at Sumati Health – Health
Evaluation & Lifestyle Therapeutics as
well as in the diagnosis sector, before
joining Oyster & Pearl Hospital in
2008. Bringing with herself the vast
experience of twenty-two years in
clinical practice, she has established
‘The Pediatrics and Neonatology
Department’ in ONP. Under her
guidance, ONP has been expanding
continuously and there’s no looking
back.
Multi-Specialty Healthcare Services
From basic services like general
medicine and surgery, pathology, ENT,
and ophthalmology to complex
treatments like plastic and cosmetic
surgery, neurology, and oncology,
Oyster & Pearl Hospital provides
everything. It provides the facilities for
endoscopy and cardio-thoracic surgery,
neurosurgery, spine surgery, orthopedic
and joint replacement, oncosurgery and
radiology for cancer treatment, as well
as treatment for EMS trauma, child and
adult psychiatry. It also has
departments for urology, nephrology,
and gastroenterology. ONP specializes
in child-birth and infant care and
provides services in obstetrics,
gynecology, pediatrics, and
neonatology. Moving along with the
technology, it has adopted modern
medical techniques like, laparoscopic
surgery, as well. Other than these
services, ONP has various healthcare
units like ICU, neonatal ICU, coronary
care unit, modular operation theatres,
and cath labs.
Patient-Centricity at Oyster & Pearl
The journey of ONP started 60 years
ago and since then the hospital is based
on the most basic aspect of healthcare-
the bond between a patient and a
hospital, where the patient is central to
every thought and action. This is what
the name of the hospital as well as its
symbol reflects; a pearl inside an
oyster. With a team of highly qualified
doctors and skilled professionals,
supported ably by cutting-edge
technology, ONP has become a trusted
name across generation.
ONP’s Core Values
It is driven by four core values that all
the people at ONP believe in:
Experience, Expertise, Safety, and
Trust.
 Experience: Sixty years of legacy
in healthcare industry, gives them
an advantage of widespread
exposure.
 Expertise: Having experts and
pioneers in numerous healthcare
fields helps them to assist their
patients efficiently.
 Safety: Patient’s safety is of utmost
importance.
 Trust: Patients have placed their trust
in ONP’s services from last sixty
years.
Providing Benevolent Facilities for
the Underprivileged
Oyster & Pearl provides free checkup
to the underprivileged. They organize
“Shibir” and health camps jointly with
NGOs and civil society. They conduct
WOMB (Wellness of Mother and
Baby) sessions cost-free for the public
at large. There are provisions for child
deliveries at nominal rates as well as
specially designed MOM and WOMB
packages for ‘below poverty line’
mothers and lower socio-economic
strata of the society.
Future Plans
In the next few years, ONP plans to
specialize in all the medical treatment
facilities, including liver and kidney
transplant. They are working on
upgrading the existing neonatal care
units to the leading-edge
tertiary/quaternary neonatal care units,
which will be supported and managed
by highly qualified neonatologists.
Their aim is to develop state-of-the-art
infrastructure and expertise, in order to
serve the society in multiple
specialties, including organtransplants.
Touching
lives
,Changing
Futures
‘
‘
| August 2018 | 29

Healthcare
Reforms in India
ith a population of more
than 1.3 billion people,
WIndia is currently a home to
a fifth of the world’s population.
Although India’s population growth
rate has been showing a decreasing
trend since more than three decades,
population is still increasing by 1.2%
annually. The UN predicts that India
will be world’s most populous country
by 2024 and by 2030 India will
become the first political entity to
reach the 1.5 billion people mark!
India is world’s sixth largest economy
by GDP (nominal) and the third largest
by purchasing power parity, and yet it
spends only about 1.2% of its GDP on
health sector – among the lowest in the
world.
The constitution of India guarantees
free healthcare for all its citizens, and
yet private healthcare sector has been
the primary source of health care for
70% and 63% of households in urban
and rural areas of India respectively.
58% of India’s hospitals are run by
private sector and a whopping 81% of
doctors serve in private healthcare
sector. On the other hand public
healthcare sector has catered to only
18% of total outpatient care and 44%
of total inpatient care. Clearly the
Indian government has failed by far to
provide the people their right to free
quality health care. The fact that 57%
of households have cited poor quality
of care offered at government hospitals
as the major reason for preferring
private sector over public sector is a
major testimonial to the negligent
attitude of the government towards
healthcare reforms. Currently the
healthcare system of India cannot
completely mitigate the needs of
Indian population. Because the Indian
government spends only 1.2% of its
GDP on the health sector, out-of-
pocket payments make up 75% of the
total expenditure on health care. 40%
of the people that are hospitalized are
either pushed into lifelong debts or
below the poverty line! About 23% of
patients do not have sufficient money
to afford medical treatment where as
63% of the patients lack regular access
to necessary medications. In simpler
terms, this means that, the government
has not been able to provide for a
major proportion of our population an
access to health care services. These
facts and figures make us contemplate
about the healthcare policies and
reforms introduced by the government
and question whether their
implementation was in synergy with
the true spirit of their formulation.
30 | August 2018 |

Dr. Sudhir is currently serving as the Head of the
Dermatology, Venereology and Leprology, at
Government Medical College, Aurangabad. He is one of
the established names in the field of medicine in India.
Having completed his M.D. in dermatology and
cosmetology from the University of Mumbai, he has
distinguished skills in the fields of Clinical research,
Medical education and Technology. Prof. Sudhir has
invested his soul strength towards helping the needy and
enlightening the bright minds of tomorrow.
On the other hand Pankhil with the strong backing of his
PharmD education, from the esteemed Government
College of Pharmacy, Aurangabad, is achieving great
heights at his organization. He possesses exceptional
expertise in Clinical Research, Biostatistics and Clinical
Pharmacy Services.
In 2005, the government launched
National Rural Health Mission
(NRHM) with an aim to address the
longstanding issue of lack of
professionals in rural area. The goals of
NRHM were to provide effective
healthcare to rural people. For this a
compulsory rural service for young
doctors was instituted in the hopes that
they will remain in rural areas. In the
Twelfth National Plan, Indian
government decided to expand NRHM
to the entire country and called it
National Health Mission (NHM). In
2013, National Urban Health Mission
(NUHM) was approved as a sub-
mission of NHM. NUHM aims to have
one Urban Public Health Centre for
each population of 50,000 and aims to
fix current facilities and create new
ones. Improving sanitation and
drinking water and reduction of out-of-
pocket expenditure for treatment are
among other aims of NUHM.
In 2011, a report that was compiled by
High Level Expert Group (HLEG),
which was constituted by the Planning
Commission of India, gave an
elaborate financial plan and framework
for Universal Health Coverage (UHC).
The HLEG defines UHC as “ensuring
equitable access for all Indian citizens,
resident in any part of the country,
regardless of income, social status,
gender, caste or religion, to affordable,
accountable, appropriate health
services of assured quality (promotive,
preventive, curative, and
rehabilitative), as well as public health
services addressing the wider
determinants of health delivered to
Industry Insights
About Author
This article is written by Prof. Dr.SudhirV. Medhekar and
Mr. PankhilGandhi.
Prof. Dr. Sudhir V.Medhekar
Head of the Dermatology
Venereology and Leprology
Mr. Pankhil Gandhi
| August 2018 | 31

Industry Insights
individuals and populations, with the government being guarantor and enabler, although not necessarily
the only provider, of health and related services.” Following were some of the key recommendations of
the HLEG:
 Development of a national health package which would offer essential services as a part of citizen
entitlement
 No fee of any kind to be charged for healthcare services under UHC
 General taxation to be used as principal source of health financing
 District hospital networks to be strengthened as care delivery and training networks
 Effective contracting guidelines with checks and balances for care provision to the formal private
sector
However due to some slackening in India’s economic growth, UHC was shelved. It was only in 2018
that the course of UHC was reset when the government introduced ‘Aayushman Bharat’ project in the
national budget. This initiative has two components, the first of which has been named National Health
Protection Scheme (NHPS). The government has allocated a fund of INR 20 billion. The central
government will bear 60% of the costs of NHPS and the remaining 40% will be contributed by each
state. Under NHPS, the government plans to provide coverage up to about INR 5 lakhs per family per
year for secondary and tertiary care hospitalization. Second component consists of upgradation of
150000 subcentres into Health and Wellness Centres (HWCs) across the country. These HWCs will
offer free basic clinical and preventive services including simple diagnostic tests and provide essential
generic drugs to all.
Upon implementation of these aforementioned schemes it is obvious that the vacancies will be on the
rise. The WHO prescribes ideal doctor population ratio of 1:1000. India has a doctor population ratio of
0.62:1000, far less than the recommended figure. To overcome this dearth of physicians, the
government has an ambitious plan of one medical college in each district of India. Even though the
government is a long way from achieving this herculean task, the progress of government for the same
is commendable.
The profession of pharmacy has been an integral part of the healthcare systems of many countries since
decades, and yet it was not until recently that a curriculum for Clinical Pharmacists was initiated in
India. Till then India was essentially missing on an entire segment of clinical pharmacy services in its
healthcare system, considered to be crucial for the provision of quality healthcare. In 2008, a six years
integrated post-graduation course for the qualification PharmD (Doctor of Pharmacy) was instituted by
the Pharmacy Council of India. With initiation of PharmD course, Indian healthcare sector will now see
a rise in the number of clinical pharmacists. Being trained to provide services like comprehensive
patient counselling, detection and management of drug related problems and adverse events,
therapeutic drug monitoring and provision of cost effective therapy, these clinical pharmacists will add
a previously non-existent segment of clinical pharmacy services into the Indian healthcare segment.
In conclusion, it can be said that although the government has now initiated ambitious healthcare
reforms, it still needs to ensure their success by meticulous planning and robust implementation. The
government needs to do more to utilize other healthcare professionals like physicians from Ayurveda,
Homeopathy, Siddha and Unani backgrounds, Pharmacists and Nurses, but at the same time ensure that
the quality of healthcare services is not compromised. Surely HWC-led comprehensive primary health
care and NHPS will increase access to health services. For these schemes to succeed, the healthcare
workforce needs to be scaled up in both, number and quality. On other hand, regulatory systems also
need to be strengthened to improve quality and accountability by keeping stringent checks on the
healthcare sector. Although India has committed to UHC, it may take years to achieve it in true sense.
Nonetheless, provision of UHC is a revolutionary reform for Indian Healthcare System.
32 | August 2018 |

vi
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Pawana Hospital:
Providing World Class Patient Care
for a Healthy Life Time
stablished in 1997, Pawana Hospital is one of the
largest time-honored private multi-specialty
Ehospitals within the Maval Pune region. Since then,
Pawana Hospital has risen to a position of leadership, and
has emerged as the foremost integrated healthcare services
provider.
The mission of Pawana Hospital is to continuously strive
hard to serve the society, accomplishing highest quality
health care services, providing this in a cost-effective way.
Though in the rural area, the hospital NABH and ISO
9001:2015 accredited and these are the cornerstones of
Pawana’s legacy. The healthcare provider focuses on
patient safety, affordable healthcare, clinical excellence,
customer welfare, ethical practices, occupational health and
safety, workforce training, and compassionate care of
mankind. Pawana Hospitals is among the first few hospitals
in Maval Taluka to be influenced by the technology to
facilitate seamless healthcare delivery through, hospital
information systems, and outreach initiatives.
Forerunners in Providing Multispecialty Care Pawana
was instigated with a humble beginning of 10 bedded
hospitals, in February 1997, and today it has grown to
over 120 bedded multispecialty hospital. Since then,
Pawana is uninterruptedly serving needy patients with the
widening domain of services. After this initialmomentum,
PH introduced ICU services in December 2000 which were
inaugurated by Late MP Sunil Dutt, to provide lifesaving
facilities to critical patients in remote areas, at affordable
costs.
From its experience, the essential traits which has lead the
organization to achieve outstanding heights, are leadership
skills with the effective communication, accompanied by
the positive energy, followed by the ability to energize
others, and releasing their positive energy to take any hill.
As a responsible corporate citizen, Pawana Hospitals takes
the spirit of leadership well beyond business, and has
embraced the responsibility of keeping community
healthier.
Dr. SatyajitWadhokar
Managing Director
34 | August 2018 |

The Able and Experienced Hands
behind Pawana
When one talks about ordinary people
bringing about change, one cannot
afford to miss out on the guiding light
of Pawana Hospitals; its Managing
Director, Dr. Satyajit Wadhokar. He
is the one who single-handedly
renewed Maval Taluka in the map of
Pune along with the support of his wife
Dr. Varsha Wadhokar. Dr. Satyajit has
always been inspired by his father Dr.
Krishnakant Wadhokar, who works in
providing healthcare to the rural and
tribal communities of Maval Taluka.
He decided to follow his father’s
footsteps in very early days of his
childhood. After completing hishigher
secondary education from Wadia
College Pune, he completed his
graduation from University of Pune in
1986.
After the academics, he turned to get
the real hands-on experience in
medicine under the guidance and
motivation of elite surgeon Dr.
Shrinivas Gore (Nana). Dr. Satyajit, an
honored captain of the ship offers a
blend of the finest medical and surgical
skills delivered with compassion, and a
patient centric approach. Working on
the noble principle of “patient’s
interest first”, and with the support of
his better half Dr. Varsha Wadhokar,
Executive Director who is very much
focused on quality health care services,
she aimed to provide high-level quality
care. Chief Operating Officer of the
hospital, Mrs. Revati Mani has akeen
eye on the quality & safety concerns of
the Hospital.
Following parents footsteps elder son
Dr. Pratik is pursuing MD Medicine
and younger Dr. Pranav is pursuing
MS Surgery.
Distinctive Plethora of Services
Pawana Hospitals Offers
Pawana Hospital is also one of the first
centers to have critical lifesaving
modalities with modern medical
equipment in Cath lab, Medical ICU,
and cardiac ICU. It also perform supra
major surgeries like Cardiac bypass,
Neuro, Spine, and Joint Replacement
Surgery with ultra-modular operation
theatre setup. They provide round the
clock facilities like Emergency and
Trauma unit, ICU, CCU, NICU,
Modular Operation Theaters, LDR,
Physiotherapy, Dialysis, etc.
Apart from these core services, Pawana
has super specialty services in various
disciplines like Cardiology (Cath lab),
cardiothoracic surgery, Neurosurgery,
Neurology, Urology, Nephrology,
Gastroenterology, Plastic & Vascular
surgery, Oncosurgery, Oncology
Pediatric surgery, Spine & Joint
Replacement Surgery. Diagnostic
laboratory & Imaging Services, they
have 24hrs available MRI, CT scan,
pathology lab, microbiology lab, USG,
2D Echo with carotid Doppler, digital
X-Ray, etc.
Regarding health services Pawana
hospital focuses on preventive health
screening and initiative. Considering
the need of the time, PH would like to
become accessible by digital
appliances and utilize modern
technology, to control administrative
and operational work. Pawana Hospital
actively promotes awareness and
educational programs on preventive
care and training people on several
health-related problems.
It has employees volunteering CSR
initiatives and community
development. Pawana Hospital
organizes camps and awareness
programs like blood donation camps,
AIDS awareness programs, cancer
detection and gutkha awareness camp
for men, awareness of adolescence
group etc. Currently, the hospital is
providing free mobile clinic service to
Interior Rural Area of Maval villages
which are Urse, Chandkhed,
Bebedohol, Baur, Parandwadi, and
Ozarde, in collaboration with Finolex
Cables ltd. After catering needs ofrural
population, hospital also extends its
services & hospitality to foreign
patients from Middle East countries
like Yemen, Qatar etc.
Though serving in the rural area,
pioneer in critical health care services
and cardiac services in Maval Taluka.
Accolades of Pawana Hospitals
 Vikas Ratna Gold Award for
International Integration & Growth
Society
 Pardarshi Award byYeshwantrao
Chavan Pratishtan
 Appreciation award for
outstanding& dedicated services
rendered by Rotary Club
 Kartabgar Mahila Laxmibai
Gokhale Purskar by hand of former
President Pratibhatai Patil
Abiding by Its Precious Values At
Pawana Hospitals patients’
satisfaction always comes first.
Respect, Innovation, Team Work,
Excellence, and Integrity are some of
the prominent values that the hospital
strictly follows to provide state-of-the-
art patient care and healthcare services.
Pawana Hospitals adheres to the
highest standard of professionalism,
ethics, personnel responsibility, open
communication, honesty, and
trustworthy of its patients and team.
Present and Future of Pawana
Hospitals
Pawana hospitals’ five-year
development plan includes expansion
with the new floors for ICU and wards.
Pawana’s plans don’t just stop at
infrastructure; it goes beyond
providing medical care services.
Considering the rising emergencies and
road traffic accidents, a team has been
trained to handle emergency situations.
The hospital also focuses on organ
donation awareness.
We strive hardto
serve the society,
accomplishinghighest
quality health care
services, and providing
all this inacost-eflective
way
‘
‘
| August 2018 | 35

Mutant
KRAS Gene:
A Potential Targetto
Suppress Associated Cancers
RAS is a gene family that makes proteins which control cell growth and cell
death in a human body. KRAS, HRAS and NRAS are the members of RAS
gene family. This family produces more than 150 proteins. The RASgene
in its mutated (changed) form can be found in one-third of the cancers. This mutated
form of RAS gene produces defective proteins, which causes uncontrolled growth of
cells leading to cancer, as well as it makes cancer resistant to the existing therapies.
The most researched gene among the RAS family is KRAS. The mutated form of
KRAS gene is capable of transforming healthy cells into tumours. It is majorly
associated with aggressive cancers; KRAS mutations occur approximately in 30% of
all the cancers. The studies say that 95% of pancreatic cancers, 30% of lung cancers,
and about 45% of colon cancers have mutations in KRAS genes and do not have any
successful treatments currently. While some cancers originate from mutant KRAS,
few cancers even seek this gene continuously to survive. Cancer-causing mutated
KRAS genes were identified over three decades ago, and yet no therapy has been
very effective against them. A lot of research work is being continuously done in this
direction and some effective solutions have come to light.
A thorough study of KRAS structure, signalling and processing has helped infinding
several anti-cancer treatments. Various direct and indirect methods, targeting KRAS
mutations, are being explored. Inhibition of mutated KRAS genes that will block the
36 | August 2018 |

Editor’s Take
| August 2018 | 37

growth of cancer cells can be categorized as a direct
method. Alternately, synthetic lethality falls under indirect
methods to eliminate cancers associated with KRAS
mutation.
Mechanism of Cancer Formation
In the healthy cells, the information travels from the cell
boundary to cell nucleus due to the protein made by the
genes. The mutated cells produce defective proteins. The
signals sent by the proteins determine whether or not the
cell growth should take place further or the cell should stop
dividing and mature. KRAS acts as a switch that turns “on”
and “off”; when on, the cell division continues and when
off, the cell division stops. Consider a small molecule, x,
which is responsible to turn the switch “on”. In a healthy
cell, this x molecule is converted to another molecule, y,
which is responsible to turn the switch off. The x molecule
in KRAS functioning is GTP and the y molecule is GDP. If
the switch does not go to the “off” state the cells will
continue to divide uncontrollably, further leading to cancer.
Due to KRAS mutation, the switch is stuck at “on” state.
This is because the proteins cannot perform x to y
conversion. The stated process initiates the cancer
formation. Some of the cancers that seek this mutated gene
for survival further trigger the excessive uncontrolled
growth of cells. Therefore, even if successfully treated,
there are high chances of the tumour to be formed again.
Possible Treatment Methodologies
Direct Method Using Inhibitors: Researchers have looked
for a drug that can turn the stuck at “on” state switch off.
But the x molecule forms a very specific bond with the
protein. Breaking this bond is very difficult and no proper
solution for it has been reached. It was then found that a
mutant form of protein, called KRASG12C, can create
permanent bonds with the small molecules. These bonded
molecules can capture the cell in its inactive state, before it
is trapped at the “on” state. This will further stop the growth
of cancer cells and cause the shrinking of the tumour.
Certain inhibitors have been discovered for the KRASG12C
mutant. These inhibitors have been tested on mice, induced
with human cancer. One of them is ARS-853. Inhibitor,
GCS-100, has shown the capability of killing the cancer
cells addicted to KRAS mutants. A compound named ARS-
1620 has also been discovered which is very effective and
has to be taken orally. It was tested on a mouse and after
some period of regular doses, it resulted in significantly
reduced tumour growth. The stated compounds can be used
as potential drugs in treating aggressive cancers in the
future
.
Indirect Method Using Synthetic Lethality: It is found that
synthetic lethality can also be used for cancer treatment.
Two genes are said to be synthetically lethal if a
simultaneous mutation in both leads to the death of both
while a mutation in either one does not. Therefore, if the
cells associated with cancer are targeted for synthetic
lethality, only the cancer cells will die, sparing the normal
cells. Synthetic lethality is also possible between genes and
molecules. To identify synthetically lethal interaction in
particular cells, the screening process is used.
Varieties of screening methods are now available to study
these interactions. As the process of synthetic lethality
causes cellular death, this can be used in anti-cancer drugs.
Synthetic lethality is extensively being used in gene-
selective anti-cancer agents.
Different compounds leading to synthetic lethality of
mutant KRAS have been identified using RNAi screening
technology. It has been found that a compound named
“TBK1” is very effective with mutant KRAS. This
discovery is being considered for clinically treating mutant
KRAS associated and addicted cancers. Research and
discovery of other synthetically lethal pairs of mutant
KRAS can help to develop successful treatments for the
pancreatic and lung cancers.
Mutation in KRAS genes is majorly found in various
aggressive cancers, like pancreatic cancer, colon cancer,
and lung cancer. For a long time, no effective treatments
have been found against these cancers. Direct and indirect
methods are being studied and developed to fight them.
Inhibitors, used to block the abnormal cell growth due to
mutated KRAS genes, and synthetic lethality, used to
destroy the mutant KRAS, are the two technologies that
have shown great potential to help in creating anti-cancer
drugs. Study and implementation of these technologies and
discovering better inhibitors and compounds will further
lead in finding the effective cancer treatments and help to
save many lives.
Editor’s Take
38 | August 2018 |

For more information about these products and where to purchase
please visit cardinalhealth.com/products.
Follow us on Linked and also on twitter at@CardinalHealth.
And share your best practice for your loved ones by using #BringTheCaringHome.

Dr.Girija Wagh
MD
FICOG
40 | August 2018 |

What Should Needs to be
done to Make
Quality
Healthcare
Accessible to all ?
Dr.Girija Wagh is a
MDFICOG, Dip in
endoscopy, FICS. She
delivers her services
as a professor at
Bharati Vidyapeeth
University Medical
College, Pune. She isa
renowned consultant
as well at Girija
Hospital and Fertility
Center, Cloud nine
Hospitals.
About theAuthor
uality health care encompasses care which is
Qaccessible, eﬃcient and rational. The care has to be
able to deliver what is essential in the given setting to
help ameliorate disease and restore life and its essentials.
Most importantly it should not harm and nor try to achieve
which is impossible. The foremost challenge in India is the
excessive population. Access to quality medical education is
increasingly becoming challenging. Rural and urban divide is
phenomenal. Education, awareness and outreach is poor and
above all the government budget allocation for health is
meagre compared to the poor in the country. Poor have more
health care needs and unfortunately have limited access to
qualitative healthcare facilities. Insecurity and illiteracy are
important reasons for population explosion. Population
growth needs to be curbed. Freebie services should be
curtailed for more than two issues in a family and awareness
of preventive measures such as birth control should be
eﬀectively implemented.
Insider’s Opinion
| August 2018 | 41

Basic services such as birth control, medical termination of
pregnancy, delivery, neonatal care and paediatric health
should be easily and universally available. Regular
preventive measures such as immunisations, nutritional
guidance, physical activity (can be through education of
yoga), hygiene practices (personal, community and
environmental) should be made mandatory and easily
accessible and inculcated as essential practices. Regular
health assessment activities such as screening for cancers,
anaemia, mental disorders, metabolic diseases should be
accessible through simple tools and reinforced with
awareness about these to nurture a healthy society.
Healthcare facilities should have defined roles and
limitations well identified. Primary health facilities should
be run by paramedics and the care be limited to first aid and
attending to basic emergency needs. The medical officers
can run half a day out patient department at the public
health centres and sub-centres and run hospitals at the sub-
district level. These hospitals can be run on public private
partnership basis. Public health facilities should be
empowered with video conferencing and access to
immediate consultations available. Facilities for the
community transfer to and from health care service units
are made available. Emergency health care services should
be standardised, universally accessible and provisions for
investigations and immediate care be made. Mobile and
accessible efficient emergency services are the need of time
for the population dwelling in inaccessible terrains.
Personnel delivering traditional medicine therapies or
paramedics offering services to the community should be
trained and offered skill enhancement programs.
Private medical college hospitals should partner with the
government programs to provide services to the poor and in
return be granted funds and recognition to do so. This will
help in increasing clinical workload for better teaching
learning practices in medicine. Skill enhancement in
medicine can be achieved by increased clinical load and
this needs to reinforce through such activities. This can also
help in better research activities for health care quality
improvement. World class amenities and facilities for
education and research of medical students should be
insisted upon.
The government can consider graded charging systems
based on economical class of the beneficiary .Universal
standardised protocols for quality care are a necessity and
these should be regularly evolved , disseminated and
implemented .Much of the government programs are well
studied and drafted but seriously fail in appropriate
implementation . Accountability should be sought from
everyone concerned about simple mandates such as
fumigation of disinfectants, cleaning of trench, clean public
lavatories, garbage disposal, pollution control etc. The
national programs should not only be limited to the
government facilities but the information should be made
easily accessible to private practitioners as 85 % of the
medical care is provided in the private sector .
Doctors should be well paid to compensate for the rigours
they undergo to learn the subject. The skills of the doctor
should be appreciated and well compensated. Much of the
skilled doctors are moving to corporate sector due to better
working conditions and revenue generation. Medicos also
choose to leave the country for better research avenues and
facilities for children education and access to super
speciality education and services .This needs to be made
available on our country to avoid skilled community drain
.Paramedical services should be improvised through skills
training and larger accessibility.
The school curricula should be revised and much stress
upon basic health information and knowledge should be
imparted. Serious lack of awareness about nutrition and
physical activity has already put the country on the edge to
blow up into a metabolic diseases volcano and these can
have far reaching implications for the genetic programming
of the generations to come .We as a country have our own
special health needs and much of indigenous research be
supported to evolve our own unique practices to achieve
optimum and quality health.
The doctors and health care providers should be protected
and respected and attacks on the doctors and medical
personnel dealt with seriously. Such attacks are a result of
ignorance and refusal of acceptance of the eventualities, a
reflection of serious dearth of knowledge and understanding
of life limitations.
Budget spent on health needs to be quadrupled and
provisions be made for essentials universally .Finally the
onus also should be on the population at large. With the
digital medium everyone should be made accountable for
his or her health and take responsibility of nurturing health
within the individual, family and the society.
Insider’s Opinion
42 | August 2018 |

Helping allpeople
live healthy lives
w w w .bd.com

PBMA’s H VDesai
Eye Hospital
Delivering Excellence inQuality
with Care and Concern
PBMA’s H V Desai Eye Hospital is thebiggest
tertiary eye care center in western India. It offers all
subspecialty services in ophthalmology such as
cataract, retina, glaucoma, cornea, pediatric ophthalmology,
oculoplasty and ocular oncology, LASIK, low vision, and
rehabilitation services.
Apart from the excellent services that they provide, they
believe it is their moral duty to train more and more
ophthalmologists to make them better surgeons and
specialists. Larger benefit to the society is possible only
through this approach. They are a nationally and
internationally recognized training center for not only
cataract surgical skills but also all other subspecialties.
Moreover, for betterment of healthcare, the hospital
believes in and performs research that can directly or
indirectly improve eye health of lakhs of people in the
society.
About the Percipient Leader
Col. M. Deshpande is the Chief Medical Director of this
organization. He is a highly respected professor nationally
and an extremely popular teacher across generations of
ophthalmologists. He served as a professor and Head of
ophthalmology department of Armed Forces Medical
College, Pune till 1997. Col. Deshpande has received
Vishishtha Seva Medal (VSM) at the hands of President of
India for his exemplary service in Army.
He has also received many accolades in the form of
‘outstanding service’ award (2012) from Asia Pacific
Association for Ophthalmology (APAO) and a prestigious
post of ‘President, Vision 2020 India right to sight’ between
2013 and 2015. He was actively involved with advocacy
and policy making in close collaboration with Govt. of
India during this period.
Col. M. Deshpande
Chief Medical Director & Trustee
44 | August 2018 |

Dedicated Patient Service
High Volume High Quality
The hospital aims atproviding
complete care and assistance to the
patients. They provide a variety of
services benefitting the patients.
Patients can access services for all eye
conditions under one roof rather than
running from one specialist to other.
The hospital has fully developed
subspecialty departments with a team
of specialists in each department.Also,
patients have access to the best of
doctors as well as all modern
diagnostic equipment.
The multi-tier fees structure and a
dedicated charity wing allows patients
from all socio-economic classes (the
richest to the poorest) to avail their
services. There is simply no
discrimination as far as ability to pay is
concerned.
The hospital’s sought after training
programs churn out doctors who have
not only excellent skills but also a
humane attitude. Society at large
stands to benefit from these freshly
skilled doctors.
Assisting the ones in Need
The hospital aims at assisting the poor
and deprived. They have a dedicated
charity wing which provides free
surgeries to persons from lower
socioeconomic class. Nearly 65% of
their surgical services are free or
subsidized. They also provide free
transport, accommodation and food
facility to these poor patients who
would have otherwise gone blind.
The hospital is very sensitive to eye
health needs of children and provides
free/subsidized eye care services to
children from poor families. They
believe in excellent quality as well as
timeliness of the services.
Providing the ‘Human Touch’-(Care
& Concern)
HV Desai strives to provide a
personalized touch to their clinical
services. They take pride in this
approach and vouch not to turn any
patient for the lack of money.
Moreover, offering excellent quality
services to the patients is their prime
motto. One of the major qualities of the
hospital is the provision of affordable
services to one and all.
Facing Challenges Head-On
HV Desai believes in being
compassionate; they have a ‘never say
die’ attitude and a sense of a social
responsibility. The hospital has strong
faith in continuous quality
improvement which makes them thrive
on challenges. Excellent networking
abilities enable them to raise funds for
serving the unserved and move ahead
with full vigor. They believe in
learning from the challenges and look
at them as opportunities.
Noteworthy Accomplishments
Throughout its glorious journey, the
hospital has also achieved various
awards and accolades. Founder and
former president of PBMA’s H. V.
Desai Eye Hospital, Niranjan
Pranshankar Pandya was awarded
with ‘Padmashree’ at the hands of
President of India in 2013 for
outstanding contribution of HVDesai
Eye Hospital in prevention of
blindness and rehabilitation of the
blind.
Creating ophthalmologist for future
H V Desai Eye Hospital offers
Postgraduate Education in
Ophthalmology, Nodal hospital for
skill transfer to Government of India
and Research.
Future Plans
HV Desai Eye Hospital aims to expand
outreach of their services across
various regions in Maharashtra, so that
patients with serious eye diseases do
not have to travel to Pune for
treatment. They are implementing this
through the establishment of vision
centers and eye hospitals across
various places (Nandurbar, Jalgaon,
Solapur, Wai, and so on).
They also intend to become a sought
after training center internationally,and
provide consultancy services to other
eye hospitals, nationally and
internationally. The hospital is in the
process of achieving this objective
through close collaboration with
globally recognized NGOs/institutes
such as Seva Canada, Orbis USA,
CBM Germany, International Centre
for Eye Health London UK, and so on.
They are on the way to become an
internationally acclaimed research
institute by implementing many
clinical as well as public health
research projects.
This NGO institute has best mixture of
management & technical, social &
professional leadership. Nitin Desai,
Chairman has provided corporate
intelligence in managing operations &
policy. Col. M. Deshpande provided
professional & technical guideline of
High quality other supported with
resource mobilization and young team
has helped to develop & continue to
serve for years to come.
We provide high
quality Eye Carewith
careand concern to
all to reducethe
burden ofAvoidable
Blindness
‘
‘
| August 2018 | 45

obotic surgery or computer-assisted surgery is the
terms used to address technological developments
Rwhere robotic systems are used to aid surgical
procedures. Robotic surgery has been quite effective in
addressing the limitations of traditional laparoscopic
surgery; thereby completing complex and advanced surgical
procedures with increased precision in a minimally invasive
approach is creating euphoria among healthcare
professionals. Large number of advantages & increased
favorable outcomes linked with robotic surgery has proved
its effectiveness. The field of robotic surgery is constantly
growing and evolving. Surgeons believe that robotic
surgery is, indeed, the future of surgical healthcare. It is
predicted that the coming years shall observe an increased
adoption of robotic-assisted techniques thereby, driving the
growth of the robotic surgery market to greater heights.
Research analysts have estimated the global robotic surgery
market to grow at a CAGR of more than 11% by 2020,
during the forecast period, 2018-2020.
Robotic surgery enables surgeons to perform operations
which were traditionally not amenable to minimal access
techniques. This technology is a boon for patients with
conditions in an organ located in “cramped spaces”. Thus,
robotic surgery can be applicable to a wider range of
procedures & is presently used to perform a plethora of
surgical procedures. It is noted that numerous cases have
reported favorable results through robotic surgery.
Robotic surgery is an advanced form of laparoscopic
surgery where computer-controlled robots are used to assist
the surgeon in performing certain surgical procedures.
Using the robotic technology, surgeons can perform
complex surgical procedures through tiny incisions.
Surgical robots are computer-controlled devices which can
be programmed to aid in the positioning and manipulation
of the surgical instruments thus, enabling the surgeon with
increased accuracy, flexibility and control.
In computer-assisted surgery, the surgeon controls the
instruments either by a direct telemanipulator or through
computer control.
o A telemanipulator is a manipulator which permits
the surgeon to perform the normal movements
linked with surgery while these movements are
carried out by the robotic arms by utilizing
end-effectors and manipulators.
o In computer-controlled systems, a computer is
used by the surgeon to control the robotic arms and
its end-effectors.
Advantages
Advantages for surgeons using robotic surgery are:
o Better visualization.
o Increased dexterity.
o Improved precision.
Effectiveness of
Surgery
Robotic
Expert Talk
46 | August 2018 |

As compared to the traditional surgery, robotic surgery
offers several benefits to the patients, which include:
o Reduced operative time.
o Shortened hospital stay.
o Reduced complication rates.
o Enables surgeons to perform finer tasks, as
compared to the traditional laparoscopic and open
procedures.
o Decreased pain & discomfort.
o Quicker recovery time.
o Decreased chances of infection as the incisions are
small.
o Lesser bloodloss.
o Minimal scarring.
Limitations
Robotic surgical technology is yet to achieve its full
potential. This is due to a few limitations, which are as
follows:-
o Performance of robotic procedures requires
specialized training.
o Cost-effectiveness is a major issue, but the reduced
operative time and hospital stay contribute to the
cost-effectiveness of robotic surgery.
o Weight of the robotic equipment currently used.
Advancements in Robotic Surgery
Some of the most impressive advancements in robotic
surgery are as follows:-
o Mazor Robotics’ Renaissance Guidance System
Renaissance Guidance System by Mazor Robotics
is indicated in spinal procedures. A small robot is
placed just over the patient while the patient is
under anesthesia. Using a computer system &
computed tomography scans, the surgeon can view
the patient’s spine & the robot is used to align a
special type of drill, to exactly place pedicle
screws used in spinal surgery.
o Smart Tissue Autonomous Robot (STAR)
Smart Tissue Autonomous Robot illuminates its
surroundings (inside the body) using lights similar
to infrared. STAR is good in performing repetitive
procedures that require ample of precision.
o Virtual Incision Corp’s Miniature Robot
Virtual Incision’s robot features a small,
self-contained surgical device which can be
inserted into the patient's abdomen through a tiny
incision.
The aim of developing robotically-assisted surgery was to
overcome the limitations of the traditional
minimally-invasive surgical procedures and to boost the
capabilities of surgeons performing open surgery. This
advancement in surgical technology is likely to reshape the
way surgery is practiced. Robotic surgery does indeed have
a great future in the medical industry.
About theAuthor
Dr. Varsha Sharma-Kapila, MD
(Hom) is a Consultant Homoeopath,
practicing for more than two
decades. She is an Associate
Professor & Guide to post graduate
students at Dr. G D Pol Foundation,
YMT Homoeopathic Medical
College, Mumbai. She has got a vast
experience in treating several acute
& chronic ailments through
Homoeopathy.
| August 2018 | 47

da Vinci is powered by robotic technology that allows the surgeon’s hand movements to be
scaled, ﬁltered and translated into precise movements of the EndoWrist instruments
working inside the patient’s body.
The da Vinci
SurgicalSystem

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