In CEO'S words

Dear Friends,

Two of our biggest ventures turned into reality this month - a virtual clinic was launched at Infosys Pune and a medical conference commemorating 25 years of our ICU saw the light of the day. Ruby Criticon 2017 saw experts from across the world come together to teach and understand new concepts in critical care. This 2-day event was a scientific feast of contemporary knowledge supporting critical care standards. I would also like to announce our participation in ESICM's 30th annual conference at Vienna where Dr. Prashant Sakhawalkar presented our research paper.

At Infosys Pune, we heralded a new chapter in healthcare — our Virtual Clinics. Over forty-thousand employees at the IT giant are all set to have access to some of our best specialists at the click of a button. We couldn't be happier to have collaborated with Infosys and look forward to many more such endeavours in the near future. After all, telemedicine is here to stay.

At our Cancer Centre, we recently conducted a CME - the Grand Round in Oncology where a large number of delegates participated. This was indeed a great opportunity for us to share our commitment to medical science education, research and excellence of clinical service with our alliances. But more importantly, this conference raised our standards of continued medical education once again.

Since the last couple of months, our very efficient team of doctors faced a rather precarious challenge in terms of a comatose pregnant patient. Not only did combined efforts result in her life being saved, but also a healthy and happy baby was born. Dr. R.S Wadia, Dr. Kapil Zirpe, Dr. Sunita Tandulwadkar, Dr. Pooja Lodha and Dr. Prashant Udawant were the backbone that led to the successful outcome of this case. In fact, Dr. Sunita Tandulwadkar was recently felicitated by Mr. Girish Bapat, Cabinet Minister - Maharashtra for this very case.

Our units at Wanowarie and Hinjawadi too stood out this month. Ruby Hall Clinic Wanowarie celebrated World Heart Week with a rare case in terms of pulmonary embolism by saving the life of a Dutch national. While Ruby Hall Clinic Hinjawadi saw a miracle in the form of an 18-month-old month baby surviving a fall from the fourth floor. It is these everyday happenings that define us as a medical institution, after all it's all about saving lives.

ICU's Silver Jubilee Celebrations Continue

Ruby Criticon 2017: A Resounding Success

Over 250 doctors, specialists, intensivists, and medical students gathered at the Kamalnayan Bajaj Cancer Centre at the two-day CME titled "Ruby Criticon 2017: Going Beyond the End of the Road." Organised as a part of the silver jubilee celebrations of our ICU, the academic seminar included presentations, case discussions as well as a number of workshops with international faculty from all over the world. Participants were also eligible for four MMC points.

Among the large number of internationally acclaimed faculty present were:

  • Dr. Jonathan Asprer, Germany
  • Dr. Amitabh Prakash, New Zealand
  • Dr. J.D. Sunavala, Jaslok Hospital
  • Dr. Om Shrivastava, Jaslok Hospital
  • Dr. Khushrav Bajan, Hinduja Hospital
  • Dr. Chitra Mehta, Medanta - The Medicity
  • Dr. Sandeep Dewan, Fortis
  • Dr. Prachee Sathe, Ruby Hall Clinic
  • Dr. J.S Hiremath, Ruby Hall Clinic
  • Dr. Mayur Patel, Ruby Hall Clinic
  • Dr. Suhas Hardas, Ruby Hall Clinic
  • Dr. Valentine Lobo, Ruby Hall Clinic

A number of workshops on Obstetric Critical Care, USG and Echo as well as Enteral Nutrition were also conducted for the benefit of the registrants. The CME also saw the team of Ruby Hall Clinic's intensivists present their internationally awarded paper on 'Novel Antibiotic Combinations for Hospital acquired Infections.'Instrumental in the setting up and growth of not just Ruby Hall Clinic's ICU but so many others in and around the city.

"Truly a celebration of critical care, it is not just the twenty-five years of our ICU but the dedication with which we treat our patients and in turn, the blessings we receive that have made this journey worthwhile. Carrying forward the legacy of our founder who was always a believer of sharing knowledge and imparting education, this conference is just one of the ways in which we are giving back all the love and respect we have received through the years."

- Dr Prachee Sathe,
Director ICU, Ruby Hall Clinic and Organising Chaiperson,
Ruby Criticon 2017.

Presenting our Paper at ESICM

The European Society of Intensive Care Medicine (ESICM) recently organised its 30th annual conference LIVES where Ruby Hall Clinic presented its research paper. Organised between September 23-27 in Vienna, ESICM 2017 was one of the leading events in its class, offering a unique, multidisciplinary approach to caring for the critically ill.

Titled 'Sepsis and Cytokines Removal' by Dr. Prachee Sathe, Dr. Tanima Baronia, Dr. Prashant Sakhawalkar, Dr. Sanmay Chowdhury and Dr. Durgesh, this research paper in the form of an e-poster was presented at one of the largest and most prestigious gatherings of intensive care personnel worldwide.

Dr. Prashant Sakhawalkar who attended the congress on behalf of Ruby Hall Clinic said "As an attendee to ESICM 2017 I had the opportunity to participate in carefully planned events to further my knowledge, learn about the latest research advances, and network with my peers. It was indeed a wonderful opportunity for me to represent the hospital at such a level. Judges Timothy Walschand and Beatriz Lobo received our presentation very well. It is platforms such as these that encourage doctors like myself to push ourselves even further to break the barriers of critical care and make a difference, not just in India, but at a global level. I personally would like to thank Dr. Prachee Sathe for her guidance and support throughout this endeavour."

Improving Employee Health at Infosys

Over 40K employees of the Infosys Pune Development Centres (DCs) are set to benefit from advanced diagnostics for day-to-day ailments as well as specialty opinions from medical experts through Ruby Hall Clinic's Virtual Clinics. By virtue of these units, employees in Pune can connect with doctors and specialists from work, home or even while travelling. Privacy is maintained with secure password access and diagnostic information is transferred remotely to the central hub through a centre on the premises with a practitioner handling telemedical equipment.

The Indian online healthcare sector has an addressable market estimated at $25 billion out of the $126 billion global healthcare industry and poised to cross the two hundred crore mark by 2020, the Indian telemedicine market is one of the fastest growing in the world. Ruby Hall Clinic's Virtual Clinics are in association with Tata Communications' Gloheal - the country's foremost name when it comes to telemedicine. Present at the launch were Mr. Rajneesh Malviya, VP and Pune DC Head, Infosys, Mr. Bomi Bhote, CEO, Ruby Hall Clinic, Mr. Prakash Iyer, Vice President - Healthcare, Tata Communications Ltd., Dr. Sudheer Rai, COO, Ruby Hall Clinic Hinjawadi and Dr. Prachee Sathe, Director ICU, Ruby Hall Clinic.

"As India's masses increase in awareness, connectivity too is increasing. As a result, people are demanding access to better, more accessible health care. Telemedicine, which offers remote diagnosis, monitoring and treatment of patients via videoconferencing or the internet has the potential to address this need. This is especially important in today's day and time where stress is prevalent and is the root cause of so many diseases. It also comes as a blessing in disguise for employees who do not have to take the day off work just to meet a specialist."

- Mr. Prakash Iyer,
Vice President - Healthcare ,
Tata Communications Ltd.

"Offering this new experience has indeed been a worthwhile journey that we are excited to share with our employees. Employees form the heart of any organisation and we are always working to provide our employees with the most innovative solutions to meet their health needs. Virtual Clinics come as a positive change for employee health and by being one of the early adopters, we'are confident the use of telemedicine is only set to grow in corporate culture across the country. Ruby Hall Clinic is renowned for its medical expertise and with this Virtual Clinic, our employees will be able to get access to quality care, anywhere and at any time. We believe this is the beginning of a phenomenal journey."

- Mr. Rajneesh Malviya,
VP and Pune DC Head,
Infosys.

Grand Round in Oncology makes it's presence felt

Annually, an estimated 30 lakh people in India suffer from cancer; of these 11 lakh are new cases and the disease claims 5 lakh lives each year. The cancers that claim most lives in India are also the most common, including oral, breast, cervical and lung cancers. Playing a key role in continuing education of the medical fraternity about the nuances of this deadly disease, the Kamalnayan Bajaj Cancer Centre at Ruby Hall Clinic organised the 'Grand Round in Oncology' on 17th September. Attendees received 2 MMC points for this particular seminar.

The scientific and educational symposium discussed various branches of oncology including breast cancer, gynaecological cancer to even gastrointestinal cancer. Inaugurated by Dr. Dilip Mhaisekar, Vice-Chancellor, Maharashtra University of Health Sciences, the conference was in the form of lectures, on-site demonstrations, panel discussions and clinical sessions.

A number of celebrated doctors were a part of the panel:

  • Dr. Sanjay Deshmukh, Surgical Oncologist
  • Dr. Minish Jain, Medical Oncologist
  • Dr. Bhooshan Zade, Radiation Oncologist
  • Dr. Shilajit Bhattacharya, Surgical Oncologist
  • Dr. B.S Duggal, Surgical Consultant - Gynaecology
  • Dr. S.M Karandikar, Medical Oncologist
  • Dr. Sanjay M.H, Radiation Oncologist
  • Dr. Avinash Nanivadekar, Radiologist
  • Dr. Vidya Chandra Gandhi, Surgical Gastroenterologist
  • Dr. Sandeep Karmarkar, Otorhinolaryngologist
  • Dr. Sumeet Basu, Radiation Oncologist

"The topics at this innovative teaching course spanned a range of specialties and allied professions in the field of cancer, enabling the whole team to come together to discuss issues of mutual interest on a global platform. As health professionals, we learn more and can more easily apply our learning to practice when real-life, challenging case presentations lead the way to understanding. We look forward to the course seeing a fruitful exchange of knowledge and ideas that will benefit patients in the near future."

- Dr. Ashok Bhanage,
Consultant Neurosurgeon, Chairman,
Kamalnayan Bajaj Cancer Centre, Ruby Hall Clinic.

Honour and Recognition

A Rare Feat that Saved a Life

For to-be-parents, a healthy bundle of joy and an uncomplicated birth is all they ask for, but in the case of Pragati Sadhwani, it was anything but smooth. In hypoglycemic coma for eighty five days, the team of doctors at Ruby Hall Clinic not only managed to save her but also helped her deliver a healthy baby girl. While the hospital waived off the medical bills, the happy family wrote to the Prime Minister of India and Chief Minister of Madhya Pradesh praising the effort of the hospital and the team headed by Dr. Sunita Tandulwadkar who was felicitated by Mr. Girish Bapat, Cabinet Minister of Maharashtra.

"The unique case involved many complications stabilised only through the continuous intervention of medications to prevent the mother's body from shutting down. It was extremely challenging and required intensive multidisciplinary work. However, all complications were eventually resolved with constant monitoring and the continuous support of medications to maintain pressure, oxygenation, as well as continuous nutrition and hormonal balance. What made a difference is team work and the expert support of neurologist Dr. R.S.Wadia, critical care intensivist Dr. Kapil Zirpe, gynaecologist Dr. Pooja Lodha and neonatologist Dr. Prashant Udawant among so many others. In the end, what's important is that both mother and child are safe and healthy and to be felicitated for this is indeed heartwarming."

- Dr. Sunita Tandulwadkar,
Head of the Department of Obstetrics and Gynaecology and Chief of IVF & Endoscopy Centre,
Ruby Hall Clinic.

Giving back to Society

Celebrating the diversity of India

Onam Celebrations come calling

Our nurses may be miles away from home but that didn't stop them from celebrating the fun-filled and harmonious festival of Onam. And they sure celebrated in a big way! Dressed in the Onam saree or mundu enriched by a golden border, the dangling jhimikki, jasmine flowers and colour coded brocade blouses, our nurses at the Tehmi Grant Institute of Nursing Education left no stone unturned in bringing forth the elation this festival brings with it.

The delectable smell of the traditional Onam Sadhya - a vegetarian feast with sixteen delicacies and served on a banana leaf - left everyone wanting more, and the beautiful rangoli, flower decorations and cultural programme only added to the festive atmosphere with over 1200 members of the Ruby Hall family participating to make the event a huge success.

Observed during the month of Chingam (September), the first month of the Malayalam solar calendar, Onam is celebrated over 10 days.

Interestingly, it is celebrated to welcome and honour a demon king. According to popular legend, the spirit of King Mahabali visits Kerala and the festival is a preparation to welcome him. Despite being a demon, Mahabali was known to be generous and kind, and his reign is regarded as the golden era in Kerala, which is why his 'return' is so widely celebrated.

"Festivals such as this one is synonymous with equality and oneness and taking part in the festivities helps nurture those values within the Ruby Hall Family."

- Prof. Shubhangi Dumbray,
Principal,
TGINE.

The Department of Neonatology for all round care

The Department of Neonatology comprises of a variety of experienced medical professionals skilled in neonatal care. Your newborn will receive individualised, specialty care from a dedicated team that will help a baby grow and thrive while he or she is in the hospital. Through both good and tough times, we're prepared for every situation. Be it a normal delivery, or even premature, high-risk, or otherwise critically ill newborns, every baby is special to us and deserves nothing but the best. Although childbirth can present unexpected complications, there is nothing our care teams aren't prepared to handle. The Department of Neonatology offers comprehensive neonatal diagnostic and treatment facilities for all newborns ranging from breastfeeding support, skin-to-skin contact, paediatric services, physiotherapy to even speech and language therapy.

Specially designed to mimic the nurturing environment of the mother's womb and reduce the stress of the NICU experience, the unit helps the immediate and long-term health goals of premature babies. Since they are sensitive to sound, light and colour; every detail of the new NICU is designed to take care of the same while improving their brain growth and development, as well as reducing the risk of infection, for the best outcomes. In fact it is well equipped with modern multi-functional beds with warmers and incubators, monitoring devices to control excessive light, noise and room temperature.

Frequent Flyers could be targets of Pulmonary Embolism - A Silent Killer

Forty nine year-old Dutch national Lars Meijer (name changed) is your typical multi-national executive. Along with an important company profile came the added task of co-ordination with multiple countries, often involving travel across the world. Little did Lars know that one such routine flight could almost cost him his life. Suddenly feeling breathless and uneasy whilst in Pune, he was rushed to Ruby Hall Clinic Wanowarie where he learnt that he had suffered from what is known as a pulmonary embolism.

"Lack of muscular activity, particularly in the legs, allows blood to pool in the lower extremities and promotes the formation of blood clots. It's critical for travellers on long-haul flights to stay active during all aspects of the flight, be it wiggling your feet and toes, getting up to walk around, anything that keeps the blood from pooling in your feet. Staying hydrated too is extremely important. As in the case of Meijer, who came to us extremely breathless, we immediately administered thrombolysis injections to dissolve the clots and put him on blood thinners for the next six months. This gives the body the chance to dissolve the clot that is present. More importantly, it prevents new ones from forming. With timely intervention, he's now steadily recovering."

- Dr. Abhay Somani,
Consultant and Interventional Cardiologist,
Ruby Hall Clinic, Wanowarie.

Celebrating 'Happy Heart Week'

We all know the obvious signs of a heart attack: chest pain, shortness of breath, a cold sweat. But what if you're going through one without the symptoms, when you're out shopping, or in the gym, or even at a friend's place? Heart disease and stroke, which come under lifestyle disorders of the modern era, kill 17.1 million people every year – that'is higher than victims of cancer, HIV, AIDS and malaria put together and India is known to be the heart disease capital of the world. Considering these staggering statistics and aiming to make a difference, Ruby Hall Clinic Wanowarie celebrated 'Happy Heart Week' from the 21st to the 28th September 2017.

In its endeavour to reduce the burden of cardiac diseases on World Heart Day which falls on the 29th of September every year, the hospital provided various discount offers ranging from an angiography at INR 4,999/- to the Happy Heart Package at INR 2,999/- as well as concessions for angioplasty.

"Timely intervention in the form of prevention or timely treatment is paramount to saving lives. When it comes to matters of the heart, you should settle for nothing but the highest quality, personalised care for you and your loved ones. We're revolutionising heart care with the most sophisticated diagnostic technology and aim to help you whether you're young or old, at high or low risk!"

- Dr. Manisha Karmarkar,
COO,
Ruby Hall Clinic Wanowarie.

18-month old baby falls off fourth floor, miraculously survives

Small babies are prone to injuries — falls being a part of their daily lives. As they learn to crawl, walk, climb and jump, they explore the physical environment around them. So what happens when a baby becomes a part of a freak accident? 18-month-old Nayra Garg was playing at home in Blue Ridge housing society, Hinjawadi, when she fell into the electrical duct of the apartment. As luck would have it, her legs got caught in the electrical wires just before landing on the ground floor, and she was left hanging upside down. Terrified, her family immediately rushed her to Ruby Hall Clinic where she was treated for four days before being discharged.

"Like all trauma patients, she underwent a systematic yet rapid evaluation in the emergency room with cardiac, pulmonary and neurologic evaluation. While externally, she suffered from minor injuries what we were most concerned about were internal wounds that could turn fatal. A CT scan revealed a rather worrisome head injury in the form of a skull fracture along with internal bleeding."

- Dr. Deepak Patil,
Neurosurgeon,
Ruby Hall Clinic Hinjawadi.

In infants, there are a number of results to a skull fracture. Sometimes the fracture can be something that heals on its own, and sometimes a skull fracture can cause undue bleeding in the brain, seizures, stroke, brain damage, intellectual disability, or even turn fatal. A skull fracture has a number of serious consequences and should be addressed seriously. Fractures to the neurocranium need to be treated quickly to ensure that the brain does not sustain permanent damage. Nayra was indeed fortunate to have survived such a traumatic fall.

"The bones of the skull can heal themselves over time if the break is not too severe. This case just goes on to highlight the need for a well-equipped ICU with a strong back-up of multidisciplinary intensivists and in Nayra's case, this included neurosurgeons and paediatricians. Timely care and positive outcomes have always been something we strive for at Ruby Hall Clinic Hinjawadi and our 24x7 functional ICU helps us achieve just that. Given the precarious situation, Nayra's parents too, were extremely happy with the outcome. As a medical institute, you don't know what's going to come through these doors, and often you're seeing people on the worst day of their life. What matters is that we're prepared to make it better."

- Dr. Sudheer Rai,
COO,
Ruby Hall Clinic Hinjawadi.