With our issue “The Most Proficient Surgeons to Watch 2019”, we present you with some of the masters in the field of surgery. These surgeons with their dedication and skills have become the epitomes of success and compassion in their respective fields.

1. Vol.3/ Issue-2
www.insightscare.com
March 2019
Pro cientThe Most
Surgeon s
Nutritious Insights
Nutrition Post Surgery− The
Most Necessary Fuel for a
Steady and Quick Recovery
to Watch 2019
Tech-trends
4 Innovations in Surgical
Technology that are
Improving Patient Care

4. Doctors: The
Uncelebrated Heroes
ursing surgery as a career is a daunting and strenuous
task. The dedication and passion students put into
Pbecoming a learned and well-practiced surgeon is
unmatched. With the practical training, it also requires a lot of
Editor’s Column
mental and emotional preparation. Doctors have to work round
the clock tirelessly, this can be challenging. The surgeons are
personally tested by the existential truths of human life in their
associations with patients.
Surgeons often get yelled at by the patients’ family and also have
to handle the emotional backlash of several patients, their
families, and friends. On numerous instances numerous doctors
have also suffered from physical assault owing to this issue.
They have to realize that ethical encounters are an intrinsic part
of performing surgery and of life itself. And that they have to
acquire to “live with” these times of trial that are a part and
parcel of their job. Doctors are constantly subjected to life and
death situation, accepting failures positively is a part of their job;
the most daunting task being breaking sad news to the family
and friends of the deceased. In a way this is confirmed both
socially and by their inner moral self. Looking people”s distress,
pain, and suffering often takes a toll on a person’s mind. But this
is not an option for surgeons and doctors as a whole, they have to
accept their personal and professional limitations, being
uncertain, being fallible, and being humble at all times.
Living with the ethical challenges of surgery seems to add to the
surgeons' confidence and vulnerability in their professional
identity. It is not everyone’s cup of tea. The efforts and
dedication that doctors and surgeons put into their work often
goes unnoticed. Acknowledging this issue and respecting the
struggles of these heroes is very important. We need to start
appreciating the effort and dedication that they put into their
work.
Sayali Rane,
Editor

5. sales@insightscare.com
March, 2019
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6. Healthcare Trends
The Burden of Obesity in IndiaCXO
Nutritious Insights
Nutrition Post Surgery−The Most
Necessary Fuel for a Steady
and Quick Recovery
22
Tech-trends
4 Innovations in Surgical
Technology that are
Improving Patient Care
36Articles
N T
E N
T S
08

7. Dr. C. S. Ramachandran
A Passionate Surgeon
Working For the Good
of Humanity
Dr. Deepak Govil
An Experienced Surgical
Gastroenterologist & a
GI Cancer Surgeon
Dr. Kawita Bapat
Marking her Excellence
in the Gynecological
domain
Dr. Nadeem Niyaz Jan
Opening New
Windows of Opportunity
Dr. C. S. Ramachandran
A Passionate Surgeon
Working For the Good
of Humanity
Dr. Raju Vaishya A
Personi cation of Hard-
work, Dedication, and
Success
14 18
32
40 44
30

8. Dedicating Their
Lives to Their
Patients
Medicine, by nature, is a giving profession. Many years of sweat, studies, training, and
skill goes into becoming a doctor, so that they can have the skills in order to serve
patients in the future. It requires sacrifice and dedication to a cause greater than
themselves and their family.
Mastering a surgical technique is no less than a work of art. It requires the much required
talent, skill development, and training. Student who aspire to become surgeons spend years at
a stretch to finally master it.
With our issue “The Most Proficient Surgeons to Watch 2019”, we present you with some of
the masters in the field of surgery. These surgeons with their dedication and skills have
become the epitomes of success and compassion in their respective fields.
Dr. Nadeem Niyaz Jan is a Consultant Surgeon and his main domain of interest is vascular
surgery. Dr. Palin Khundongbam is a General Surgeon and Plastic Surgery specialist. He is
an outstanding surgeon and a successful entrepreneur set to change the medical conditions for
the people of Myanmar. Dr. C. S. Ramachandran is a General and Laparoscopic Surgeon,
located in Delhi. He is associated with Sir Ganga Ram Hospital. Dr. Deepak Govil is a Surgical
Gastroenterologist, he has over 30 years of experience as a Surgeon, and he is currently
working with Indraprastha Apollo Hospitals, New Delhi. Dr. Raju Vaishya, Orthopaedic
Surgeon, he is a Professor and Senior Consultant in the Department of Orthopaedics & Joint
Replacement Surgery at Indraprastha Apollo Hospitals, New Delhi.
Dr Kawita Bapat, she is a Consultant Obstetrician and Gynaecologist. Currently, she is a
Consultant and Medical Director of ‘One’, Center for Gynecological Excellence and Bapat
hospital.
Apart from this we have also included an article from an industry expert and penned out a few
articles by our in-house editors.
So go through the pages to embark on a journey which will inspire you!

10. Obesin
iIn
tdia
y
TheBurden of
Dr NikhilAgnihotri
Director and Head
08 | March 2018|

11. Biography
ndia has come a long way and is now perceived as a
progressive economy fighting hard to secure its place
Dr Nikhil Agnihotri after completing his post-graduation in
General Surgery joined the prestigious Sir Ganga Ram Hospital New
Delhi for post-doctoral fellowship in Minimal Access Surgery.
Academically pro cient, he trains young laparoscopic surgeons
across the globe and is also a peer reviewer for many national and
international surgical journals.
Dr Nikhil Agnihotri is currently the Director and Head, Department
of Minimal Access, Metabolic and Bariatric Surgery at Max Super-
specialty Hospital, Shalimar Bagh and Max Multispecialty Hospital,
Pitampura New Delhi.
Iamongst the developed nations. On health grounds too
it has successfully eliminated many infectious diseases,
such as Polio, Leprosy, Yaws, etc. but is now staring at the
immense burden of chronic non-communicable diseases.
Non-communicable diseases such as cardiovascular
diseases, Cancers, Respiratory diseases, Diabetes have been
inherited from globalization of unhealthy lifestyles and
diets, unplanned rapid urbanization, sedentary lifestyles and
lack of physical sports and activity.
Overweight and Obesity contribute majorly to these
diseases. Obesity is defined as a chronic disease of excess
fat storage to the extent that it impairs health of the
individual. It brings along with itself a plethora of related
diseases such as type 2 Diabetes, Hypertension,
Dyslipidemias, Obstructive Sleep Apnea, Joint Pains,
Polycystic Ovarian Disease, Infertility, Depression and
Hernias. Obesity is also associated with development of
Cancers in long term.
According to recent estimates of National Family Health
Survey Overweight and Obesity almost doubled in a decade
(2005 to 2015) from 21% to 39.3%. India now stands third,
after USA and China amongst most obese nations. It is no
more a disease of only the affluent and affects individuals
across all socio-economic spectrums. Even the children and
Healthcare Trends
| March 2019| 09

12. adolescents are increasingly affected. Worldwide, 33% of
populations – a staggering 2.36 billion people are estimated
to be overweight or obese - PANDEMIC.
Body Mass Index is used to measure and quantify Obesity
in adults. It is a simple calculation of dividing weight in
centimeters by height in meters2
. Moreover we have a
typical pattern of fat distribution around the waist which
makes us prone to development of insulin resistance and
type 2 Diabetes at much lower BMIs.
After quantification, management of Obesity becomes
easier where mild to moderately Obese are managed by
encouraging lifestyle modifications, supervised diets and
regular physical exercise. Severely Obese i.e. BMI > 37.5
are advised a Bariatric Procedure. When two or more co
morbidities have already set in such as Diabetes,
Hypertension, OSA, PCOS etc. surgery is advised at a
lower BMI of > 32.5.
Bariatric procedures have undergone tremendous
innovations, the most significant being the performance of
these Laparoscopically compared to when these were first
started more than 50 years ago. Laparoscopy has its
inherent benefits of being safer, less painful, decreasing
hospital stay, providing early return to work and superior
cosmesis across all procedures but biggest benefit is reaped
by Obese patient when early ambulation is started just a few
hours after the surgery, preventing many serious
complications in these otherwise susceptible obese subjects.
Common Bariatric Procedures suitable to Asian dietare:
Lap Sleeve Gastrectomy
Laparoscopic Sleeve Gastrectomy removes a part of
stomach along the greater curvature, thus reducing the
size of the stomach substantially. It is the most
commonly performed procedure worldwide today.It is
mainly a restrictive procedure with hormonal alterations.
There is a decrease in levels of hormone Ghrelin which
produces hunger.
Lap Roux – En–Y Gastric Bypass
In this procedure a very small, micro pouch of stomach is
created to which small bowel loop is attached. Intestinal
rerouting is done to create a Roux-en-Y configuration
which prevents reflux of bile into the micro pouch and also
provides a very small degree of malabsorption.
10| March 2019|

13. Mini/ One Anastamosis Gastric Bypass
This is a loop modification of Roux–En–YGastric
Bypass where a loop of intestine is attached to
long, narrow pouch of stomach.
Choosing a procedure : If required, surgeon
chooses the procedure depending on age,presence
or absence of related diseases, duration of those
diseases, dosage of medications and investigative
findings and patient’s preference. Usual stay in
hospital is 2-3 days and oral liquid diet is initiated
a day after the procedure. Detailed diet chart with
instructions and follow up is advised.
One may expect to loose 4-6 kg weight every
month after the procedure and the pattern of
resolution of related diseases starts typically with
Diabetes (immediate post op, even before weight
loss), Obstructive Sleep Apnea ( 15 days to a
month), Hypertension ( 2 to 3 months) and
reduced pain in joints with significant weightloss.
Up to 80% of excess weight is lost in the next one
year.
Although Bariatric procedures are safe and
effective in treating individuals with Class II and III Obesity, a lot of focus, effortand commitment is required for its
prevention beginning with sensitization and education of families, educational establishments, increasing awareness
at the community level and in media, labeling and higher taxation of fat rich commercial foods. Those already
suffering however, should not be further victimized by social stigma predicated on Hippocratic nostrum that weight
can be reduced by ‘deciding’ to eat less and exercise more as it holds no scientific basis.
| March 2019| 11

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16. Dr.C.S.Ramachandran
A Passionate Surgeon Working For the Good of Humanity
Dr. C. S.Ramachandran
Generaland LaparoscopicSurgeon
14| March 2019|

17. atching a loved one especially onesmother
suffer, is always traumatic for a young child.
WDr. C. S. Ramachandran, a renowned
General and Laparoscopic Surgeon, suffered a similar
hardship, but it only made him more determinedtowards
becoming a surgeon. Speaking about his motivation for
stepping into this profession, he says, “I watched my
mother undergo conservative treatment for TB of the hip
bone. It was the early 1960s, when immobilization was
the standard treatment. This was a painful event for us
family members watching my mother in pain. I was
watching doctors come and go, this triggered a passion
for the profession.”
Following his passion and his zeal helped him to get
admission into Maulana Azad Medical College for
MBBS. After this he moved on to do his PostGraduation
in General Surgery, “I stood first in Delhi University in
the final MBBS exam and stood first in PGIMER
Chandigarh, got many medals in conference and
meetings,” he says. Along the way, he had the
opportunity to visit Europe and the United States. This
kept him abreast of all the latest techniques in surgery
and updated his surgical skills.
Dr. Ramachandran’s experience is blended with genuine
concern for his patients. All his staff members are
dedicated to the patients’ comfort and prompt attentionis
provided as well. He is an experienced General Surgeon
and is currently associated with Sir Ganga Ram
Hospital, Delhi. He has been a practicing General
Surgery for the past 43 years. He has also attained FICS
(Chicago, USA – 1985). This degree is awarded on the
basis of an interview conducted by high profile doctor in
Chicago. It is conducted by the International College of
Surgeons. FCCP (USA, New York – 1985), DNB
(General Surgery- National Board of Examination-
1984), and MS - General Surgery, are some of the other
advanced courses and specializations he has obtained.
He has received countless delightful feedbacksfrom
satisfied patients.
Providing Compassionate Care to All his Patients
“Every day, every patient, every surgery-big or small, is
a challenge,” the doctor believes. Developing atrusting
relationship with patients is a step-by-step process anda
challenge in itself; and this coupled with thorough
clinical knowledge and surgical exposure, is what helps
Be sincere,
be honest,
be thorough,
be inquisitive,
and don't stop
to learn more
“
“
Proficient Surgeons
to Watch 2019
The Most
| March 2019| 15

18. build the trust. With the upsurge of technology, the
pharmaceutical industry has undergone a sophisticated
change and India has one of the largest productions of
quality drugs. “People are more educated and aware.
They know their ailment, their doctor, & their treatment.
They cannot be fooled,” he says.
Every patient brings with him a story. These are
personnel epiphanies. “I cherish every one of them as
they have helped me grow as a person and as a
surgeon,” the doctor asserts. Two cases that stood out of
the rest and have been engraved in his memory, he says,
“First case had swallowed half a kilo of gold biscuitsin
a smuggling attempt, but developed intestinal
obstruction. I was able to remove all the gold and save
his life. The second case was a man with a hernia
hanging near his knee over 25 years carrying his entire
intestine. Over an eight hour operation I was able to
repair the entire hernia.”
Being Up-to-date with Technology
First Laparoscopic surgery and now robotic surgery, the
field of medicine has become highly skill-based. From an
open wound to bloodless surgery, the progress in the
field is truly remarkable. Dr. Ramachandran likes to keep
himself abreast with the latest technology. Speaking of
this quality, he asserts, “I read literature form around the
world and discuss minute details with colleagues in
foreign countries to keep myself abreast of latest
research.”
Advice to the New Generation Surgeons
India has made rapid progress and our doctors are as
competent as any other doctor from any part of the
world. The only difference is that Indian doctors are
more involved and patient friendly. Being a surgeon by
profession is no easy task, it takes immense load of hard
work and dedication coupled with passion to become a
successful surgeon. It is but natural that a balance needs
to be kept between the professional and personal life,but
it is pretty tedious to do so, if you have to work round
the clock. Speaking of about this the doctor says,
“Personal life does take a back seat if you are a
dedicated surgeon. But if you are passionate surgeon,
this is a small price to pay.”
Being sincere to your profession, being honest to your
patient, being thorough with your subject, and being
ready for a lifetime of learning, is all it takes to be a
successful surgeon. “So don’t stop to learn more,” he
says.
16| March 2019|

20. DR. DEEPAK GOVIL
An Experienced Surgical Gastroenterologist
& a GI Cancer Surgeon
Dr. Deepak Govil
Surgical Gastroenterologist & GI Cancer Surgeon
18| March 2019|

21. urgery overall is a very
interesting field. It’s my passion.
SWhether you do open surgery,
Laparoscopy or Robotic surgery, the
basic principles of surgery remain the
same and need to be followed strictly
to achieve good outcomes for
patients,” are the views of a renowned
Surgical Gastroenterologist, Dr.
Deepak Govil, who has over 30years
of experience as a Surgeon, he is
currently working with Indraprastha
Apollo Hospitals, New Delhi.
Dr. Deepak was fascinated since
childhood to see the prefix ‘Dr.’ before
his name. Speaking of his motivation
to become a doctor he says, “Also this
being one of the most respected
professions has always impressed me.
Coming from a simple family, my
parents wanted me to become a
Doctor.”
His parents never let the limited
resources stand in the way of providing
him the highest of education and made
lot of sacrifices for his education. “I
sincerely wanted to fulfill their dreams
and worked very hard to get into
medicine.” he says.
Dr. Deepak’s elder sister was admitted
to MBBS at the Lady Harding Medical
College, which along with his parent’s
motivation was the driving force and a
strong factor in his becoming a Doctor.
Reminiscing old memories he asserts,
“I can never forget the expression of
happiness and satisfaction on my
mother’s face when I got the selection
letter from AIIMS for MBBS entrance.”
Inspiring Journey of Dr.Deeepak
Govil
His journey as a medical student began
with getting admission into AIIMS.
Here he completed his MBBS, “It was
a great experience” he says. Working
alongside some of the greatest
surgeons of that time Dr. Deepak
thoroughly enjoyed his training at the
AIIMS. Speaking of his memories he
asserts, “I was always impressed by the
great Surgeons at the AIIMS, namely
Prof. Atam Prakash, Prof. I.K.
Dhawan, Prof. BML Kapur and Prof.
S. Nundy.”
He has a strong belief that surgery is
all about learning and nurturing skills
to remove the disease and ailments of a
person, and not mere prescription of
medication. He says the compliments
and blessing of the patients are his
most treasured ‘assets’.
Earning the prestige of being an expert
in GI surgery didn’t come easy, many
years of hard work went into
developing this skill, “I was fortunate
to work in the unit mainly
concentrating on GI Surgery during my
MS (Surgery). There I learnt the value
of discipline and hard work in Surgery.
There were 2-3 days continuously when
we were in the OT on 8th
floor at AIIMS
and used to watch Delhi from the
glasses of that floor and worked just on
and on.” here he was exposed to all
major surgical procedures.
Then he moved on to join Dr. Ram
Manohar Lohia Hospital, where he
learnt the importance of simple
surgical procedures. “I learnt from Dr.
KN Shriwastav that no procedure is a
minor procedure. One should not take
any procedure lightly and do every
procedure with same patience and
meticulous technique.” Within few
years Dr. Deepak decided to move
further.
Around this time he got married and
speaking of his wife, he asserts, “I am
very grateful to my wife, who sacrificed
her career for me to progress and fulfill
my ambitions. She looked after the kids
and family and kept me carefree from
this aspect.”
His Piece of Advice to Medical Students
“Hard work has no substitute- I think this applies to surgery
more than anything else. I can remember that during my PhD
thereweredays togetherwhen I did not come back home. My
children used to behave so differently when I was home. I
think itis the sacri ces of my family along with hard work and
passion for surgery which has made me come so far,” asserts
Dr.Deepak.
“For Students I willsay thattrytoidentify areas which interest
you most and then focus on the same areas and keep
improvising and auditing your work. Always keep thinking
ahead and keep pushing your boundaries while doing
surgery. Also important is to develop a good and dedicated
team and take them along for good patient care,” Dr.
Deepak concludes.
“
Proficient Surgeons
to Watch 2019
The Most
| March 2019| 19

22. Dr. Deeepak joined PhD in GI Surgery
at the Department of GI Surgery,
AIIMS under the guidance of Prof
Samiran Nundy after taking study
leave. He also worked for almost a
year without any honorarium or pay
during this course. “I owe everything I
have to my Alma mata. It is one of the
finest training I have ever had in the
Department he added.
After completing his PhD in GI
Surgery, he then joined GTB Hospital
as Assistant Professor in Surgery.
Fortunately, he got a break to become a
consultant GI Surgeon at the PSRI
Hospital of liver and digestive
diseases. Here he started the
Department of GI Surgery under the
guidance of the then Director Prof B.N.
Tandon.
Then he went on to work at the
Indraprastha Apollo Hospitals at New
Delhi in 2004. Dr. Deepak’s academic
interests led him to start DNB in GI
Surgery at this hospital in 2011. He
was able to do this with all support
from the Apollo Hospitalsmanagement
in spite of lot of obstacles at every
stage. “Since then, we have been
having a good teaching program and
have been able to develop our
Department as one of the best private
GI Surgical unit in the city and country
at large,” he says. The department has
been performing all major GI Surgical
procedures and advanced laparoscopic
procedures, apart from academics. In
2012 the hospital also acquired the
Robotic surgery instruments and his
team has performed many critical
Robotic GI Surgeries since then.
Experience as a Professor Teaching
has always been his passion, he says,
“I feel I have learnt a lot from my
students. As a doctor, you feel good
when your patient gets better and is
discharged to go home. Similarly, a
teacher is always happy when his
student passes and performs well.” He
shared one of the moments of pride
and joy that almost wet his eyes when
one of his students recently got a Gold
medal in the presentation competition
at a national level conference. He has
also been a visiting professor in the
Mayo clinic, USA.
The Awards and Publications
He has received the President’s
appreciation award from the IMA, and
additionally he has been felicitated at
various forums. He has also received
felicitations at the Apollo hospitalsfor
patient care. “But I sincerely feel that
my patients and their testimonials are
the best awards for me,” he continues.
He has written various papers which
have been published in recognized
national and international journals.
Apart from these Dr. Deepak has
various chapters in different books, to
his name. His main areas of interest for
publications and presentations have
been related to pancreatic surgery and
robotic GI surgery, especially
colorectal surgery. He has also treated
some rare and difficult cases
successfully, which have been
published
Social commitment
After seeing some young patients with
colorectal cancer who came very late
to him and also the rising incidence of
this disease in our country, he felt the
need and started a colorectal cancer
research foundation. Through which he
keeps holding free GI and colorectal
cancer awareness programs, camps and
public lectures. “This is a cancer which
can be almost prevented with good diet
and lifestyle and cured almost
completely if detected and treated in
time” he said.
20 | March 2019|

24. PostSurgeryThe Most Necessary Fuel for a Steady and
Quick Recovery
22 | March 2019|

25. urgery of any kind is a traumatic event for the body. The
stress and pain the body goes through needs to be
Saccounted for during therecovery period. Proper food and
nutrition during this period is a must. The rate at which the body
recuperatesdepends on theamount ofnutrientsitreceives.
Nutritious Insights
| March 2019| 23

26. Diet
The most important part to watch post your surgery. Strictly keep to the diet the
doctor has recommended. The functioning of the intestines becomes a bit
weak during this period. To keep a good and healthy bowel following a
physicianapproved dietis a must.
Fluid and fibrous food Intake
Make sure you keep yourself hydrated. Water, fruit juice, and coconut water
should be an integral part of your daily diet. Keeping yourself hydrated will
help with constipation. Fruits and vegetables, especially leafy vegetables, are
brous foods, which aid in a combatingconstipation.
01
02
03
Small Portions
Replace large portions with smaller, more frequent meals and snacks.
This will give you energy at all times and help your body to recuperate
faster.
24 | March 2019|

27. Sugar and Alcohol
Avoid the consumption of sugar in excess, cut off alcohol consumption
completely, and also avoid processed foods altogether. They can be harmful
forthehealth of thebody and can worsenitfurther.
Loss ofAppetite
In case your appetite is low, ask your doctor for nutritional supplements.
Holistic diets, with all the nutrients in a balanced form, are of utmost
importance.
Protein Intake
These help in boosting thehealing process, gives you more energy, and
strengthens your immune system.
04
05
06-SayaliRane
| March 2019| 25

30. Dr.KawitaBapat
ConsultantObstetrician
and Gynaecologist
journeybegins
witha bright
vision‘
Every‘g‘lorious
28 | March 2019|

31. College, Gwalior (M.P.). She went on to reach miles and
miles of success.
She has been a fellow of ICOG. She has also been the
Ex-President for FOGSI, Indore, and has been life
member of ISCCP and IOGS. At present, she holds the
post of Breast Committee Chairperson and ICOG
governing council member. Dr. Bapat has been an active
part of several government and NGO driven health
programmers and also co-founded a NGO – ‘Rajabai
Welfare Societies’. She has presented several of her
works in prestigious symposiums and meeting at many
national and international conferences and medical
gathering. This multi-talented personality is actively
engaged in teaching, research, and administrative
activities related to gynaecology. She strives to provide
quality healthcare to all the women of India and is
known for her compassion for innovation and bringing
new ideas in town.
About ‘One’
Incepted in 1990, ‘One’, the Center for Gynecological
Excellence, provides a full range of screening,diagnosis,
surgery, care, executive gynaec check-ups, and
preventive and treatment services specific to the
women’s health. Here, from interventionalgynecological
to health maintenance and education, women are offered
a broad spectrum of highly progressive treatments and
compassionate care under one roof. The center is well-
equipped with state-of-the-art equipment and guarantees
hygiene, related to feminine health.
At One, they believe in personalized,comprehensive
service tailored to the patient’s gynaecological,
reproductive, and pregnancy-related needs. Based in
Indore, the center has a team of specialists with an
What is Passion? Enthusiasmabout
something? A compelling desire? Weheara
lot of people define this word differently,
according to their own perception of it. But, one thing
that’s common between all of them is the light in their
eyes that comes when they talk of the thing they are
passionate about. The ones who can turn their passion
into their work are, probably, the happiest in their jobs. It
is said that they are also highly productive. As SteveJobs
once said, “The only way to do great work is to love what
you do.”
One such dynamic personality, who turned her passion
into her profession, is Dr. Kawita Bapat. She is a
Consultant Obstetrician and Gynaecologist. “I would
love to be a gynaecologist in the next 100 lives,” she
says. Currently, Dr. Bapat is a Consultant and Medical
Director of ‘One’, Center for Gynecological
Excellence and Bapat hospital. She has been working
for more than three decades for women’s healthcare in
India. She is a highly experienced surgeon specializing
in minimally invasive vaginal hysterectomy and
advanced Gynaecological procedures with a record of
more than 5000 hysterectomies in last 15 years. She is a
recognized speaker with impeccable reputation, well-
renowned in local as well as international circuits, with
patients from several countries visiting her for treatment.
The Success Safari
Coming from a family of doctors, Dr. Bapat was
fascinated by the day-in, day-out discussion of medical
matters by her aunt, father, and grandparents. This
started the fire in her; a fire to do something in the
medical profession. To pursue her dreams, Dr. Bapat
completed her primary medical education and baggedthe
degrees of MBBS and Master’s from Gajra Raja Medical
Dr.KawitaBapatMarking her Excellence in the Gynecological domain
| March 2019| 29

32. abundance of knowledge as well as
experience. One is dedicated to delivering
best-in-class care to the women of allages.
Major Milestones in her Journey
The most memorable achievement for Dr.
Bapat, she says, was of removing an eight kg
tumor. For her extra-ordinary dedication and
work, she has been honored with many
accolades. Some of the most significant
awards that she received from the Government
of India and other prestigious boards are
Naiduniya Nayika Award and the Captain of
Industry Award. She also made her place in
the World Book of Records. But, according to
Dr. Bapat, the most remarkable achievement
remains the recognition that she gets from her
own people. Her mantra for success is
‘Tirelessly working towards better, every day’.
Overcoming the Challenges
Speaking of the hurdles in the path, Dr. Bapat
asserted, “Major challenges were bringing
new technologies and making it aware, adapt,
and implicated to the city. Another challenge
is to do the things without financial support.”
To counter these, she has been continuously
upgrading herself and her hospital byreading,
learning, attending, and teaching. She realizes
that every branch in every industry sees more
and more developments every day. She has
ensured that she stays abreast of all the new
advancements. Alongside, Dr. Bapat has led
One zealously, helping it grow and branch in
different areas.
Although, being a surgeon is quite a tedious
job, she has brilliantly maintained a proper
balance between her personal andprofessional
life. “If you love your job, things will
automatically follow in line with the best
partner and best of the kids,” she says.
31| March 2019|

34. Dr. Nadeem Niyaz Jan
Opening New Windows of Opportunity
“I solemnly pledge myself to consecrate my life to service of humanity”
This is the first declaration
that a Doctor makes while
stepping into the medical
profession and is considered to bethe
brand ambassador of wellness and
health across the globe. Saving a life
is the biggest act of humanity and
hence this profession holds a
significant prominence in society.
With the change of century and
advent of the new-age, onething
which remains constant within
Doctors is their commitment to
challenge themselves every day.
We present you the motivational
journey of Dr. Nadeem Niyaz Jan
who has managed to grab the eye-
balls of the medical fraternitywithin
the fastest possible time span. The
popular saying “The beginning of
everything is small” perfectly
summarizes the initial journey of
Dr. Jan. His family has played a
significant role in shaping his life.
The decision to become a Doctor was
driven largely by values that were
instilled by his Grandfather - Prof.
Mohd Yousuf, alongside his parents.
While his Grandfather constantly
persuaded him showcasing the
lucrative side of the medical
profession, it was the pursuance and
determination efforts of his parents
who always wanted to see the prefix
of “Dr” before the name of theirson.
He also honors and appreciates the
invaluable contributions of his wife
Dr. Anisa Nisar Jan intransforming
his dreams into reality.
Dr. Jan graduated with honors from
ASCOMS Jammu in 2003 and
thereafter he procured his Master’s
degree in 2009 from the prestigious
National Board of Education. He
completed his fellowship in the field
of vascular surgery at Edinburgh
from the Royal College of Surgeons
and later was awarded the Fellowship
at the European board of Vascular
Surgery, France.
Unveiling a New Chapter
As a vascular surgeon, the ultimate
challenge doesn’t get completedafter
a complex surgery, as in India, this
branch of medicine is still gaining
momentum and there’s a long roadto
cover! While his expertise and
acumen in managing vascular issues
are unparalleled in the state of J&K,
Dr. Jan acknowledged that he needs
to devote a considerable amount of
time in educating the patients about
the disease and the recovery process
thereafter. Although he could have
worked in any of the higher centers
across the country, Dr. Jan didn’t
want to get contended with the
materialistic pleasures of the world
and instead decided to be on a
mission to offer something more to
the society.
Assessing the current medical
solutions, especially in the interiors,
Dr. Jan was determined to offer low-
cost vascular surgeries that would be
more inclusive for patients with
limited affordability and accessibility.
He was the pioneer to perform a
successful Laser surgery for
varicosity in J&K at Triveni Nursing
Home in 2010 with an all-inclusive
price of 70K. If compared with the
prices prevailing at metro cities at
Assurgeons,
wehaveto be
in theknow.
But, ashumanbeings,
sometimesit’s better
to stay in the dark
because,in the dark,
there may befear,
but there’s alsohope
32 | March 2019|

35. Dr. Nadeem Niyaz Jan
Consultant Surgeon
Proficient Surgeons
to Watch 2019
The Most
| March 2019| 33

36. that time, the cost of this process
would have been nothing less than
90K – 1.8L. Today he takes pride and
feels gratified as he offers the same
process at 55K – without
compromising and degrading the
standards of medical solutions that
has eventually assisted a large
number of patients to affordthe
treatment.
Doctor’s Take on Current Scenario
Dr. Jan is quite confident in saying
that the medical profession is
undoubtedly the most fulfilling
profession. He relates himself with
the idea of helping others regardless
of circumstances and necessities. He
strongly believes that as a surgeon,
he is able to create a positive impact
on the lives of his patients. Herecalls
the moments when his expectations
met reality that changed the courseof
his dreams in the initial years – assist
the needy, earn respect, decent life to
name a few.
As he stepped into the professional
world, he was quick to realize that
the “grass always looks greener on
the other side.” He realized thatthere
were huge gaps that stalled the
medical solutions to reach the
affected people in a seamless manner.
Better infrastructure and latest
facilities, doctor-patient ratio,
differences between the private and
Government players working
towards creating a conducive
environment are some of the burning
issues that are unanswered. Offering
a possible solution, Dr. Jan suggests
that medical insurance to be
facilitated and the network should be
expanded. The Government can
bring in changes in existing policies
and reforms that can allow private
players to extend their services and
assist them by sharing the financial
expenses which is a majorconstraint
at this point of time.
A Piece of Advice for theBeginners
Family virtues and his deep insight
into this noble profession have given
him loads of lesson and experience –
that he is always willing to share
with students aspiring to be theNext-
gen Doctors. Keeping the essence
alive, he asserts that “While moneyis
important, it shouldn’t become a
deterrent in providing care to
patients, we should not forget that
since time immemorial it’s been the
most sought-after profession.” Dr.
Jan describes this profession as a
platform wherein a professional has
the liberty to assist others, create
opportunities for themselves and
never step backward to accept
unknown challenges. With the
introduction of innovative techniques
in the healthcare industry, redefined
procedures, he suggests the budding
professionals be optimistic as the
medical fraternity is the most sought-
after profession that makes themself-
reliant.
Triumphing Over the Hardships
Enlightening the tenaciousjourney,
Dr. Jan opens up about the crucial
curves of his life that made huge
impact and dents to his life.
However, as the saying goes – “the
show must go on” Dr. Jan never
thought of looking back and
struggled against all odds to realize
the dream that his parents had seen.
He was forced to face one of the
hardest facts of life when he was
pursuing his masters in surgery. His
mother was terminally ill and passed
away and this he counts as the
biggest trauma of his life. His
financial imbalance also proved to be
a major hurdle as the stipend he
earned was very meager. However as
every dark night ends with a sunny
day, his wife stood like a rock and
supported him all through the hard
times –both emotionally and
financially. He remembers a saying
to justify his thoughts – “I think you
need to go through some stuffto
really appreciate life and understand
what it means to persevere,overcome
and have faith. I think those tough
times make you a strongerperson.”
Crossing the Horizons
He admires the constant support from
his wife and honors it as the greatest
blessing from the almighty.
Achieving new milestones, awards,
and recognition, Dr. Jan hasn’t
stopped and continues to give back
something or the other to the society.
He is associated with three NGO’sin
J&K and Punjab that are working to
spread awareness regarding various
vascular ailments and offering
treatments to the poor section of the
society. He also runs an organization
by the name of Varicose And More.
Carrying a positive outlook of the
future, Dr. Jan remains committed to
be a contributor to the society by
embracing the ethical values of the
noble profession.
34 | March 2019|

38. INNOVATIONSIN
SURGICAL
Technology
THATAREImproving
Patient
Care
Tech-trends
36 | March 2019|

39. urgery is a field rife with innovation. New techniques, new technology, plus
new ways of using existing techniques or technology, there’s always
Ssomething new brewing in regards to advancements in this sector.
Developments in optical imaging, robotics, artificial intelligence, IoT, virtual reality,
and other high-tech advances contribute to greater precision and less invasive
surgical techniques; the field is optimized to improve surgical outcomes by a
significant measure in the near future. Here are just a few of the top innovations in
surgerycurrently inusearound thecountry.
| March 2019| 37

40. • The Multi Angle Rear Viewing
Endoscopic tooL or MARVEL is an
endoscope with a miniscule 3-D
camera attached
• The camera is only four millimeters
in diameter and 15 millimeters in
length
• MARVEL is designed for minimally
invasive brain surgery
• The technology emulates other stereo
imaging endoscopes that are
presently used for minimally invasive
surgery in different parts of the body
• The tool has provided hope that will
enable surgeons to perform very
intricate and complex surgery in a
minimally invasive manner
• Smart glasses have been around since 2012,but their use inthe operating roomstillneeds refining
• These glasses use a“mixed reality method”
• Researchers hopethat Smart SurgicalGlasses will soonbecome afixed objectin orthopedic surgeryand other types ofsurgeries.
• Smart glasses are essentially small computers, which include a head-mounted screen and video camera, and can be connected to
the internet orother computers
• Remote observation during surgeriesby live video streaming, can bedone with thistool
• Thiswill provide important images tosurgeonsduring the procedures
• Live stream video is being used for training classrooms, and recording procedures
• Remote experts and trainees can record from their point of view, push diagrams, and charts to their eyes, and annotate that
material inreal time
A True MARVEL for BrainSurgery
Smart Surgical Glasses: Making Surgery Smarter
01
02
38 | March 2019|

41. • Since the invention of the da Vinci surgical robot 15 years ago, inventors have continued to develop surgical robots that can
perform increasingly precise movements
• In the second generation of these robots scientists suggest that there will be a huge influence of Artificial Intelligence
• These new robots are able to collect and analyze data
• Robotics and AI are removing the human constraints and physical limitations on surgery and placement ofinnovative
medicines
• With ultra-high resolution robotic assistance, we can now consider the optimal site to place stem cells in the eye, brain,
heart to drive regeneration
• AI eliminates the restrictions inherent in a human being driving a robotic arm
Surgical Robots with Artificial Intelligence: Integrating Robotics andAI
Remote robotics
03
04
• While telemedicine and robotics are
nothing new, remote surgery is taking
these concepts a few steps further
• Surgeons may soon be using robots to
assist with surgery from a remote
location
• This could help expand surgery
options for patients living in remote
areas
• The Mayo Clinic is working on a
clinical study to examine the
possibilities of robot-assisted
percutaneous coronary intervention
(PCI), a process dubbed
“telestenting”
-SayaliRane
| March 2019| 39

42. Dr.PalinKhundongbam
A Positive and Compassionate Leader Working for
a Better Tomorrow
Dr. Palin Khundongbam
Surgeon
40 | March 2019|

43. r.Palin Khundongbam, an
outstanding surgeon and a
Dsuccessful entrepreneur set to
change the medical conditions for the
people of Myanmar, believes,
“Happiness is the only way to happiness.
Unhappiness cannot solve our problems
except draining our energy and
enthusiasm. Unhappiness can be traced
to the thinking of painful past
experiences or the fear of the future. If
we are conscious of our consciousness,
we can remove these thoughts and be in
the state of no thought but stillness or
awareness at present. This is the time
when we can innovate and succeed.”This
positive spirit was very much fascinated
by the grand stories of a few doctors and
set out to pursue the profession. He
bagged the degree of MBBS from RIMS,
Manipur, and MS (General Surgery)
and MCh (Plastic Surgery) from PGI
Chandigarh.
Beginning of Shija
In the 1970s, Dr. Khundongbam saw that
many patients from Manipur went to
Dibrugarh and Alipore in Assam and
CMC in Vellore for healthcare treatment.
He realized people lacked trust in the
local healthcare facilities. To rectify this
situation, he started Shija Clinic,attached
to a pharmacy at Paona Bazar, Imphal, in
1985, with minor operation facility and a
side laboratory. Soon, Shija became a
leader in piles treatment in eastern India
by providing non-operative piles
treatment facilities. The company grew
and shifted to a rented, bigger, 9-bedded
hospital on RIMS Road in 1988 and later
“Resistance to change is the major challenge we face in
the journey of Shija,” says Dr. Khundongbam. “We resist
change for fear of uncertainty. We have been
conditioned to think the same way right from the
childhood period and developed a deep rooted belief
system. We have been successful in changing the culture
to some extent, but the war is not over until the war is
over.” Due to the efforts taken by him and the
organization as a whole, their relationship with the
patients and their relatives has improved. Having started
the journey with a strong passion, they at Shija continue
to put the organization into system without losing that
passion.
Through all the challenges in his way, Dr. Khundongbam
has stayed highly motivated and emerged out better and
better.Talking about this growth and what drives him, he
asserts, “Gradually, we have become more spiritual than
ever. We, now, realize that our thoughts are energies
and will be manifested externally. We are responsible for
our own thoughts and thus the destiny.” He continues,
“My relationship with the present moment is my
motivating factor. Itis the only space we have, nothing
else. Everything in life unfolded in the now.”
Dr. Khundongbam was a part of the surgery which set a
Guinness World Record in April 2004. A ten days baby
boy, weighing 3 kg, came in with a huge neck swelling
and had a neck tumor. The tumor weighed 1.2 kg and
they removed itsuccessfully. The baby tolerated the
major surgery well and recovered. The tumor was of
40% of the total body weight (TBW) and was the largest
neck tumor ever excised successfully in the world. In
2004, they received the certi cate for setting a new
Guinness World Record and itwas published in the book
in 2006.
SET TO BRING POSITIVE CHANGE
Proficient Surgeons
to Watch 2019
The Most
| March 2019| 41

44. Power comes from
the consciousness
of thepower within
expanded to 35-bedded multi-specialty hospital in three
different rented buildings across the road. To overcome
the structural and environmental problems, Shija
visualized its own land with proper hospital architectand
shifted to the current eco -friendly location, Langol, at
the outskirts of Imphal.
Today, Shija has become a 250-bedded NABH
(Pre-Entry) super-specialty hospital, having 25
departments with 880 dedicated care givers, post
graduate DNB Courses in 5 departments, nursing, and
paramedical institutes. It also has NABH Blood Bank
and NABL Laboratory. Shija Foundation, an NGO,
runs Shija Blood Bank, Smile Train Shija Cleft Project,
Shija Eye Care Foundation, Shija Oxygen Plant, Shija
Academy of Nursing and Shija Paramedical Research
Academy. Over 3500 cleft lip and palate patients have
been operated free of cost and given smiles on theirfaces
under Smile Train, USA in Manipur, neighboring states
and country of Myanmar. More than 12000 patients with
cataract blindness have undergone free surgeries.
Relentlessly Contributing to Enhance Care
Dr. Khundongbam performs around 100 cosmetic and
reconstructive surgeries every month. He is, probably,
one of the doctors performing highest number of Asian
eyelid surgeries in India and at the same time looks after
the organization for growth through innovative actions.
Till date, Dr. Khundongbam has successfully done 339
free operations for cataract, cleft lip and palate, and key-
hole surgeries in the much needed country, Myanmar,
under the Shija Mission Myanmar. Customer needs and
demands are the strong source of enthusiasm for him, to
upgrade the facilities. Trust deficit in thelocal empathy
and facilities has given him positive energy to bring
more modern humane technologies in the state. He
believes, “If there are thousand disadvantages, there will
be thousand advantages also. It all depends upon how
you look at the situations. I address the advantages we
have in Manipur, rather than disadvantages we
popularize.”
Take on Recent Developments in Healthcare
About the latest developments in this industry, Dr.
Khundongbam says, “The diseases which cannot be
treated are tolerated. More and more illnesses which
were once considered incurable are now curable with the
advancement of newer technologies and human skills. It
is also, now, realized that our differentthoughts release
differentchemicals in the body and our cells respond to
the chemicals. We are directly or indirectly participating
in the disease or healing processes of the body. We may
be able to halt the aging or reverse it one day.”
42 | March 2019|

46. dreamer is a soul that dares to see the future, to
realize the ambitions, and to hope. However, to
Ashape these dreams into a reality, it takes more than
just courage. As an American statesman andfour-star
general of the US once rightly said, “A dream does not
become a reality through magic. It takes sweat,
determination, and hard work.” One such passionate
personality, who with his continuous hard work and
dedication achieved everything he dreamed of and more, is
Dr. (Prof) Raju Vaishya. “I have experienced that the hard
work, a focused approach, commitment, and passion arethe
critical ingredients for success in life. Thomas Edison once
said ‘there is no substitute for hard work’, and it is
undoubtedly the stepping stone to success. Hard work does
not go waste, it gives a sense of satisfaction and makes one
disciplined in life,” he believes. He is a Professor and
Senior Consultant in the Department of Orthopaedics &
Joint Replacement Surgery at Indraprastha Apollo
Hospitals, New Delhi. Dr. Vaishya has bagged an endless
number of awards, in both academic and non-academic
areas, has more than 300 publications, in peer-reviewed and
indexed medical journals. He is also engaged in the
editorial board of several reputed medical journals and has
many more such achievements. He has also featured in the
Limca book of records four times, for his clinical
achievements.
He has completed his primary medical education (MBBS,
MS) from Gajra Raja Medical College, Gwalior (India), and
subsequent higher super specialty training and education
(MCh, FRCS) from the UK. He has had an outstanding
academic career throughout.
Dr. Vaishya has been working at Indraprastha Apollo since
1996, where he is involved in patient care, teaching, and
research. He is the team leader of his unit, comprising of
seven to eight younger surgeons. Their practice focuses on
the management of complex Orthopaedic cases like
crippling arthritis, sports injuries, problematic and
challenging fracture cases, and so on. Dr. Vaishya has been
running a training program for the younger Orthopaedic
surgeons for two decades and has trained hundreds of such
doctors from abroad and India.
The Journey to Success
According to Dr. Vaishya, his desire to obtain adequate
education and experience before jumping into the real
practical world was of immense benefit in his later
professional life. He completed the most coveted and
prestigious degree of MCh (Orth) from Liverpool
University, UK, at the age of 30 years only and became the
youngest to do so. Also, during his training at the Robert
Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, UK,
he was awarded the Professor’s gold medal for the best
research. Soon, after completing his higher surgical training
and education in England, Dr. Vaishya returned home, in
the quest to serve to his countrymen.
“It was quite challenging to start and practice what I
learned, in my home town Gwalior. Hence, I decided to
move to Indraprastha Apollo Hospitals, New Delhi, on the
suggestion of Shri Madhav Rao Scindia (our Member of
Parliament) and was appointed as a Senior Consultant
Orthopaedic Surgeon, at the age of 36 years only. From
here, there was no looking back. I worked tirelessly hard in
Delhi, but also did not disconnect with my roots in Gwalior,
where I have been still visiting regularly for the past 22
years,” he says. Due to his clinical innovation, research,
and publication work, Dr. Vaishya was awarded the title of
an adjunct Professor of Orthopaedics by Apollo Hospital
Educational Research Foundation (AHERF). Later on, the
Royal College of Surgeons of England honored him giving
the prestigious FRCS for his contributions toward medical
field.
44 | March 2019|

47. Proficient Surgeons
to Watch 2019
The Most
| March 2019| 45

48. Driving Motivation from Within
Talking about what motivates him to work tirelessly
towards better every day, Dr. Vaishya said, “I have a
passion for serving humanity, through my profession.
I feel that self-worth, self-esteem, and
self-satisfaction are the main intrinsic motivating
factors, which drive me to exceptional work
performance. Setting individual targets and goals
have also helped to enhance the performance. I
believe that developing our motivation depends on
recognizing our achievements and celebrating
successes in order to keep us heading towards our
goals.” He added, “However, sustaining the
motivation is not easy, and I found that one way of
doing it is by sharing our skills by coaching others to
achieve their potential.”
Other than that, all of Dr. Vaishya’s family has a
significant role to play in supporting him throughout
his professional journey. His better half, Pallavi,
encourages him to deliver the best in his work. His
father, Dr. P.D. Vaishya was a leading physician and
his mentor, who taught him the ethics and moral
values in dealing with the patients and their families.
Advice from the Wise
Achieving all that he has today, Dr. Vaishya is an
inspiration to many. He believes that leadership lies
in producing more leaders, not followers. Guiding the
young, upcoming doctors, he says, “Stay focused, go
after your dreams and keep moving toward your
goals. It may be a rough road that leads to the
heights of greatness. It is not enough to have a good
mind; the main thing is to use it well. Try to help
others; if you cannot do that, at least do not harm
them. Thomas Jefferson rightly said, “it is neither
wealth nor splendor, but tranquility and occupation
which gives happiness.” Empathy and commitment
towards your patients and colleagues are crucial
ingredients for being famous and successful. Last, but
not the least, Ethics and Morality are the two main
pillars for success and goodwill and must, therefore,
be strictly followed.”
“
“
46 | March 2019|