Editorial Board

Editors

Advisors

The Secret of Success

What does it take to succeed? The answer is “a whole lot of failure” and knowing how to fail.

Or as Thomas Edison, prolific American inventor is credited with saying: “I have not failed. I've just found 10,000 ways that won't work.”

And what happens if you're one of those people who has never failed? Never had to face disappointment and pick yourself up again?

The ability to bounce back from failure is the key point, which means that to succeed you must be able to fail and recover from failure. That also means you must be willing to take risks, listen to others, and admit where you could improve.

As individuals in an organization there will be times when work does not go as planned – a deployment that does not go as expected or a technology component does not work as it should.

So what to do? You could ……

• Focus on what the next step should be – a setback is not the end of the game, in fact even a significant setback is not the end of the game (though you might be tempted to believe so and admit defeat). Instead take a step back and try to look at it objectively and analyze the steps that led to this.

• After the analysis, learn the lesson and move on – why did things not work out as you expected? What can you learn from the experience? What have other people done differently that might work for you?

• As a team member encourage experimentation and discussion – Science itself has progressed on the principle of trial and error. Treatment of grave diseases did not happen overnight and in fact the medical field is always on a search-and-discover mode – which is why people are living longer today! So why should our organization be any different? While failure per se may not be encouraged, a culture of experimentation where trial and error is seen as positive, most certainly is.

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

Dr Vijay Agarwal

Executive Director

Dr Vinay AggarwalDr Vijay AgarwalDr Gaurav AggarwalMr Gaurav PandeyDr Anu Gupta

Dr Madhumita Puri

PUSHPANJALI HEALTHCARE

Registered Office: A-14, Pushpanjali, Vikas Marg Extn, Delhi - 110092

Phone : +91.11. 43075600 E-mail: info@pch.co.in Web: www.pch.co.in

JOURNAL OF PUSHPANJALI HEALTHCARE November 2012

Camps

Date Location Attending doctors

1 June Noida Dr A K Chhatrawal

1 July IMA, Ghaziabad Dr Dhirendra Singhania, Dr Gopal Sharma

9 August Ordinance Factory, Noida Dr Vipin Mishra, Dr Amit Chhabra

23 August Rastogi Samaj, Sakarpur, Delhi Dr Dhirendra Singhania, Dr Manoj Kumar

6-7 September Indus tower, Noida Dr Vipin Mishra, Dr Amit Chhabra

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

29 September Pushpanjali Crosslay Hospital Dr Dhirendra Singhania, Dr Gaurav Minocha

30 September Dilshad Garden RWA Dr Deepak Kumar, Dr Manoj Kumar

13 October Jhandawalan Temple, Ved Vidyalaya, Mandoli

Dr A K Chhatrawal, Dr Shakti C Sharma

21 October Dr Deepak Kumar, Dr Manoj KumarNeel Padam Kunj, Vaishali

21 to 23 V

October Dr A K Chhatrawal, Mr Binoy Mergeraishali Cultural Association, Vaishali

14 Dr Amit Chhabra, Dr Shakti C Sharma

October Dr Dhirendra Singhania, Dr A K Chhatrawal,Agarsen Bhawan,

Rajender nagar

15th-16th June Dr Neeraj Jain, Dr Kanika Gupta, Dr Swasti, Dr Gopal Sharma, Dr Saumya Ahuja, Dr Shakti C Sharma, Dr Naresh Kumar, Dr Manoj Kumar

Vatsalya Gram Aashram, Vrindawan Dr Dhirendra Singhania, Dr A K Mittal,

2

Camp at Dilshad Garden

Camp on 29th September

Camp at Maharaja Agrasain Bhawan

Diabetes Camp

Camp at Vrindawan

Camp at Vaishali

3

Inaugurations

9 June 2012 : CME - Oncology

14 - 16 July 2012 : Training – Life Support systems

25 July 2012 : CME - Chronic Hepatitis

11 August 2012 : Public Awareness Campaign

In the CME on ‘Palliation in GI cancer’, Dr V Mittal and Dr Neeraj Jain shared that with the advancement of

endoscopic technology, advanced malignancies could be palliated effectively. Thus, dysphasia, gastric outlet

obstruction, biliary obstruction and colonic obstruction could be managed by endoscopic placement of stents.

The gathering was also informed that these procedures were routinely conducted at PCH.

The Department of Emergency and Trauma conducted the American Heart Association’s accredited basic life

support and advanced cardiac life support courses under the leadership of Dr Sandeep Jain. These courses are for

doctors, nurses and paramedics to train and prepare them for any medical emergencies. The department also

regularly conducts trauma care courses for health care professional, to train them in appropriate treatment of

accident victims. This is only level-1 trauma centre, which is fully equipped to tackle any kind of medical and

surgical emergencies in the area.

In the CME on Chronic Hepatitis / Cirrhosis, Dr V Mittal and Dr Neeraj Jain shared that Hepatitis B and C are

major contributors to chronic health problems. Diagnosed cases of Hepatitis B and C are tips of icebergs since

numerous patients remained undiagnosed. Modern medical knowledge can diagnose and treat patients

effectively. They pointed out that the key lies in evaluating abnormal liver enzymes.

Pushpanjali IVF & Infertility Institute and Pushpanjali Crosslay Hospital hosted a Public Awareness Campaign

in Pushpanjali Crosslay Hospital by organizing a quiz on Infertility & Lucky Draw prizes.

The event aimed at highlighting the problem of infertility which is on the rise. The key messages pointed

out the effects of increasing stress, advanced age at marriage, changing social value and environmental

pollutions etc. It also highlighted the roles of both female and male partner in infertility.

Dr Poonam Goyal, Head of Pushpanjali IVF & Infertility briefed the participants about this problem.

Dr Sowjanya Agarwal highlighted the factors related to the female partners and the treatment available.

Dr Bhavana Mittal addressed the male partner related problems and advanced treatment options like

IUI/IVF/ICSI.

Conferences And Campaigns

27 September 2012 : Kidney Transplant and Dialysis Unit

23 October 2012 : PIPS Laboratory

Ghaziabad’s (Delhi NCR) first Kidney Transplant unit and 27 beds Dialysis Unit was inaugurated at

Pushpanjali Crosslay Hospital by Sh Santosh Yadav, IAS, Vice Chairman, Ghaziabad Development Authority.

Her Excellency Ms Fatima Badjie, Hon Minister of Health and Social Welfare, Govt of the Gambia, West Africa

was the special guest on this occasion. His Excellency DM Badjie, Ambassador to India, Govt of the Gambia,

West Africa was the Guest of Honor.

Dr Vinay Aggarwal, Chairman and Managing Director, Pushpanjali Crosslay Hospital addressing the press

conference informed that starting of ‘Kidney-Dialysis and Transplant Unit’ would provide kidney transplant

facilities for the first time in Ghaziabad. The 27-bed Dialysis Centre was also inaugurated at 7th Floor of

Pushpanjali Crosslay Hospital. Dr (Prof) N P Singh, Director of Medicine & Allied Sciences and Sr Consultant

in Nephrology department, Dr Neeru P Aggarwal, Sr Consultant in Nephrology department, Dr LK Jha, Sr

Consultant in Nephrology department, Dr Sanjeev Behura, Kidney Transplant Surgeon at Pushpanjali Crosslay

Hospital were present on this occasion.

Dr (Prof) N P Singh informed the media that the 27-bed Dialysis Unit at Department of Nephrology has state-of-

the-art Dialysis Unit which could cater to around 50 patients per day. He also said that the department provided

supportive care to critically ill patients who might be in need of a special dialysis called CRRT - Continuous

Renal Replacement Therapy. In addition, procedures like Plasmapheresis and Hemofiltrations were also

performed along with specialized diagnostic procedures like kidney biopsy, cyst aspiration and angioplasty.

PIPS Lab was inaugurated by Dr MM Aggarwal, father of CMD Dr Vinay Aggarwal. Adjacent to the main lab at

first floor, this lab will serve PIPS students for conducting their practicals. Dr Narender Saini on this occasion

said that this would be an added advantage for PIPS students to have their own lab.PIPS Laboratory Inauguration

Diabetes Talk in progress

Oncology CME in progress

IVF Public Awarness Campaign in progress

Medicine CME in progress

Sh Santosh Yadav inaugrating Kidney Transplant and Kidney Dialysis Unit

Ms Fatima Badjie and DM Badjie with Dr Vinay Aggarwal

4

20 September 2012 : Induction program - Certificate Course in Home Based Health Care

17 October 2012 : CME - Cardiology

17 October 2012 : CME - Sepsis

27 – 28 October 2012 : Live Workshop - Gynae Endoscopy

The 2012 Induction program conference on CHBCP: Certificate Course in Home Based Care, for its

fourth batch was organized to share the requirement of Home based Care for chronic patients, under the

chairmanship of Dr Ruby Bansal. Prof Bimla Kapoor, Dr Gulab Jha, Ms Reeta Devi and Ms Hema Pant

from IGNOU graced the occasion. Dr Vijay Agarwal, Dr Vinay Aggarwal and Dr TS Jain were also

present. The conference was also attended by Ms Geeta Bhatt (NGO representive Khushi), Mr Pramod

(NGO representive Sewa Bharti), functional Heads of all departments, various consultants of the

hospital, students of the course and media personnel from Dainik Jagran, Amar Ujjala, Hindustan Times

and the Pioneer.

At the Opening ceremony, Dr Vijay Agarwal spoke of requirement of Home based Care for chronic

patients, giving examples of home health services.

Certificate Courses in home based care are conducted at Pushpanjali Crosslay Hospital which is of a

duration of 6 months with the flexibility to finish the course within two years. Certificates and study

material for the course are provided by IGNOU University. The objective of the course is to prepare a

workforce in the country with skills required to look after elderly and those suffering from chronic

progressive illness, or after discharge from tertiary care and to improve the quality of life for the patient

and family members. The program consists of 14 credits, in which 4 credits are for theory; and 10 credits

for skills related to healthcare. The medium of instruction are English and Hindi. The current batch of this

course has a strength of 36 students.

In this CME on CVP (Central Venous Pressure) Dr Narain Harisinghani discussed that central venous

pressure is measured by intensivist to guide the doctor about intravenous fluid administration. Through

this many medications which cannot be given by peripheral route are administered. It has a normal value

of 8-14 cm of water in healthy subjects. A normal method of insertion using Certodyne was demonstrated

and discussed in seminar and hands-on training was imparted to delegates.

Dr Amit Gupta spoke on ‘Sepsis - What’s new’ where he emphasized the therapeutic strategies in the

management of patients with severe sepsis including optimizing organ perfusion, control of source of

infection and support of organ dysfunction. In the recent advances, he spoke of the potent anti

inflammatory treatment approaches especially needed at the tissue level. He informed that drug

Ulinastatin emerges as a “rescue” therapeutic option in Sepsis. It not only inhibits inflammatory markers

but also promotes homeostasis and assists in immunomodulation to prevent SIRS progression to multiple

organ dysfunctions. The Indian study shows a statistically significant reduction in 28 day all-cause

mortality when compared to the control group. Results also revealed a statistically significant reduction

in hospital stay and duration of mechanical ventilation. It also reduced new onset organ failure suggesting

a trend towards efficacy. This drug will be especially useful in Indian scenario where ICU cost is a big

burden on resources of family.

The Department of Minimal Access Gynae Surgery (MAGS) in association with AOGD GOGS and DGF

organized 'Evolving Trends in Gynae Endoscopy' 2012, Conference and Live Workshop, at Hotel

Radisson Blu. There was a live telecast of surgeries from Pushpanjali Crosslay Hospital through high

definition transmission simultaneously from two operating rooms.

The operating faculty included Dr PG Paul (Cochin), Dr Prakash Trivedi (Mumbai), Dr Rajesh Modi

(Akola) Dr Nutan Jain (Uttar Pradesh), Dr Vyomesh Shah (Gujarat), Dr Jyoti Mishra and

Dr Sowjanya Agarwal (PCH). There were a total of 14 live surgeries, panel discussions and interactive

sessions with the experts and delegates were updated with latest evolutions in Gynae endoscopy. The

highlights of the events were Hysteroscopic morcellation, SILS, NDVH and 3D Laproscopy. The

conference was attended by 225 delegates from north India. Dr Jyoti Mishra was the Organizing

Chairperson and Dr Sowjanya Aggarwal the Organizing Secretary.

CME at Jim Corbet

Medicine CME

Gynae Conference

Gynae Conference

Conference on CHBCP

Campaign at Easy day Store Mahagun Metro Mall

5

PGYP Events

29 April 2012: ‘Brain attack’

27 May 2012: Prevention of Diabetes

24 June 2012: ENT problems

25 July 2012: Early Signs of Heart Disease

26 August 2012: Nutrition

30 September 2012: Cancer

28 October 2012: Prostate and Urinary Problems

On this day Dr Kapil Singhal shared the criticality of stroke. He shared that 1 in 6 people are at risk of stroke.

Time lost is brain lost, so its important to recognize symptom. If there is any facial weakness, arm weakness or

unclarity of speech, it is time to act fast. Test for the following. Face: Does one side of the face droop? Ask the

person to smile. Arms: Is one arm week or numb? Ask the person to raise both arms. Does one arm drift

downwards? Speech: Is the speech slurred. Ask the person to repeat a simple sentence. Is the sentence repeated

correctly? If any of these symptoms develop suddenly, then person needs to see a doctor immediately. Patient

has only 4.5 hrs for proper management

Dr Vipin Mishra informed the participants that diabetes is a lifestyle disease and it can be prevented by changing

their lifestyle. He asked participants to follow five important principles to enjoy a long and healthy life.

1. Take a healthy diet in average quantity

2. Go for 1 hour of brisk walk everyday

3. Perform yoga every day

4. Have a fixed day to day routine

5. Ensure 7 hours of good sleep at night

Discussion about common ENT problem, their early detection and usage of hearing aids was done. Routine

ENT check up and audiological tests at discounted rates were conducted.

Dr Dhirendra Singhania discussed the various Heart Diseases eg. heart attack (Coronary ArteryDisease).Valve

Replacement (Rhuematic Heart Disease, Heart Failure (Cardiomyopathy), Problem of electrical supply

(Disease which require pacemaker , ICD) etc.

He informed that the early symptoms of heart problem were chest pain, shortness of breath, palpitation, fatigue,

and syncope (transient loss of consciousness). The common screening tests to pick up disease in early stages are

ECG, ECHO Doppler, TMT, and CT coronary angiography.

Ms Charu Dua, in her lecture, used the example of the joint family and the diets that need to be made specially

for the vulnerable, such as the newborns, and the elderly. She give informative tips on how regular household

food can be modified to prepare food that meets the dietary requirement of elderly.

Dr Sandeep Agarwal spoke of the incidence and variations of cancer in elderly population and also stressed that

despite popular sentiment cancer has become a highly curable disease if diagnosed in the early stage.

Dr Agarwal informed that in order to stay healthy and safe, regular health check ups were essential.

Dr Nitin Abrol discussed issues related to the prostate and shared that men of 50 years and above have an

increased risk of developing enlargement of prostate gland. This could manifest as increased frequency of urine,

hesitancy and poor flow. If this should occur then a Urologist should be immediately consulted. In the

consultation, the doctor would prescribe tests such as ultrasound KUB, serum PSA and uroflowmetry.

Thereafter, depending on the investigation reports, medical treatment or endoscopic operations (TURP or

HOLEP) may be recommended. Elderly women also have urinary difficulty as manifested by urgency and

unable to hold urine. This happens due to hormonal imbalance. Medical Therapy is available to treat and

improve the quality of life.

Prevention of Diabetes

Early Signs of Heart Disease

Nutrition in elderly

Brain Attack

Cancer in Elderly

Prostate and Urinary Problems

6

27 August 2012 : Celebration - Onam

7 September 2012 : Celebration - PIPS Annual Function

2 October 2012 : Mini Marathon - Run for Peace and Pride

10 October 2012 : World Mental Health Day

29 October 2012 : World Stroke Day

On the occasion of Onam, the Tiruvathira Dance and Kerala Dance were performed by PCH nursing staff. The story of Onam was narrated by Sister Mony Rajama (Nursing manager) and 26 special varieties of food were served.

PIPS organized its 3rd Annual Function at PCH Conference Hall. On this occasion Dr DR Rai, Secretary General, IMA was the Guest of Honor and Dr KP Wasnik, Director of NIOS and Mr V Satish, Academic Officer; NIOS were especially present on this occasion.To welcome the new Batch, PIPS organized a Cultural Program performed by the students of the first and second years.

PCH participated in Mini Marathon - "Run for Peace and Pride" organized by the Indirapuram Group of Institutions.

Pushpanjali Crosslay Hospital organized a press conference on the occasion of World Mental Health Day. This year the theme of World Mental Health Day was “Depression: A Global Crisis”.

Dr Anandi Lal, Head of the Department of Psychiatry and Allied Psychological Services at Pushpanjali Crosslay Hospital said that the department was committed to bring in the latest and most comprehensive treatments for patients with Depression. Besides working with patients and their families, the department also organizes programs to generate awareness in community, and sensitize doctors, media and various social agencies. Addressing press persons Dr Amitabh Saha, Sr Psychiatrist informed that an innovative technique for depression which is known as “Magnetic Therapy” was being launched by the department. He further added that the Magnetic therapy is the common term for “repetitive trancranial magnetic stimulation”, which was developed after decades of research.

The World Stroke Day was celebrated by Department of Neurology. On this occasion, a Stroke Week was organized during which free consultation was given to patients of stroke. Free counseling was also provided to the family and caregivers of stroke patients. Around 200 patients were seen throughout the week, patients were evaluated about the presence of risk factors, and detailed counseling and education was given to patient and family members about risk factors and prevention of stroke from occurring again.

On this occasion, Dr Vinay Agarwal, CMD informed the media that stroke was the leading cause of disability in India and timely intervention could improve outcome in patients. He emphasized that therapy for stroke due to clotting is available in the hospital which includes thrombolysis therapy, which can be given within 4.5 hours of onset of symptoms.

Dr Vijay Agarwal, Executive Director, said that Pushpanjali Crosslay Hospital was the only hospital of the area which provides comprehensive care to stroke patients including neurology services, neurovascular intervention, neurosurgery and stroke physiotherapy and rehabilitation. He emphasized that proper management can bring a meaningful change to patient’s life.

Others who spoke on the occasion were: Dr Priya Gupta and Dr Kapil Singhal, Consultant Neurologists at the Department of Neurology

Celebrations

Dr Gaurav Aggarwal's Birthday Celebration Dr T.S Jain's Birthday Celebration Diwali Celebration

World Stroke Day

Onam

PIPS Annual Function

Run for Peace and Pride

World Mental Health Day

7

In the News

8

Employees of the Month

Visits

Dr Dheeraj Bhaskaran Nair

Clinical Associate

July 2012

Mr KanhaiyaEmergency Paramedic

July 2012

Mr Lalit Mohan KandpalLab Technician

August 2012

Mr Gaurav OjhaExecutive-Operations

September 2012

Mr Anurag Sharma

Sr. Cath Lab Technician

September 2012

Ms Savitha A.M.Staff Nurse

September 2012

Ms Neetu RaniDischarge Section (Typist)

August 2012

Ms Neethu CNStaff Nurse (Ward)

June 2012

June 2012 Team-Transfusion Medicine

October 2012 Diabetic, Nutrition & F&B Team

Pushpanjali Crosslay Hospital

Ms Mini A SStaff Nurse (Ward)

September 2012

Ms Neema MathewStaff Nurse (ICU)

July 2012

Pushpanjali Medical Centre

Social Welfare and DM Badjie, Ambassador to India, Govt of the Gambia, West Africa visited PCH

Ms Fatima Badjie, Hon Minister of Health and

27 September 2012

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

2 March 2012

23 April 2012

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

19 April 2012

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