In CEO'S words

Dear Friends,

The month that passed was indeed one full of celebrations! Besides the season's festivities, I am proud to inform you all that Ruby Hall Clinic has once again been recognised for its contribution in organ donation and transplantation - and this time it was presented at the Times Health Icon 2017 Awards. While the efforts of our team at the hospital comes into focus with this and highlight our ability to conduct multiple organ transplants simultaneously, it is also the brave and heart rendering decisions taken by our donor families that have immensely contributed to where we stand in cadaver transplants.

Our Nursing Graduates too have made us so proud of their stellar performances at the B.Sc and M.Sc Nursing examinations and I heartily congratulate each and every one of our students. Nursing indeed is one of the most noble professions and the nurse patient relationship is second to none. It is a vocation that needs a plethora of skills - intelligence, empathy, heart and devotion. To the future of healthcare, I am confident you will make the Ruby Hall name shine wherever you go.

While the Emergency Department at any hospital is always rife with activity, our Wanowarie counterpart has been even more so. A successful NABH audit has been conducted and goes a long way highlighting our prowess when minutes matter the most. Moreover, an emergency hotline number controlled at the hospital now connects the ambulances at all our hospitals across town. Our Hinjawadi counterpart too has been equally busy. Right from our very first cancer operation performed on the premises to large scale health awareness programmes, our team of experts have indeed gone all the way to spread health and happiness this past month.

This is a time of year when many people reflect on their blessings and I am grateful that Grant Medical Foundation has been blessed with supportive communities, committed volunteers, loyal donors, and talented, caring support and medical staff. I would like to extend a very warm and heartfelt thank you to everyone who played a part in helping us to provide safe, high quality care to our patients in 2017. Let us all look forward to an even better, brighter and healthier new year!

Times Health Icon 2017 Recognises Ruby Hall Clinic as the Best Centre for Organ Transplant

Ruby Hall Clinic was bestowed with the distinction of being the best hospital for its services in organ transplantation amongst hospitals pan India. Presented by the Times Health Icon 2017, this award comes shortly after the tremendous success of the hospital's Multi Organ Transplant Centre. The award recognises the hospital's effort towards spreading awareness about organ donation, better-than-expected performance on post-transplant survival rates and performing the maximum number of cadaveric transplants.

Over the years, the transplant program has established a reputation for accepting and transplanting challenging, complex patients. Since its first transplant in 1988, Ruby Hall Clinic has provided life-changing medical care to patients with end-stage diseases. To date, more than 1950 corneal, 350 bone marrow, over 1250 kidney, over 50 liver transplantations as well as close to 10 heart transplants have been undertaken. Committed to the cause of saving lives, it has time and again championed the importance of organ donation.

"At Ruby Hall Clinic, we are dedicated to providing the most comprehensive medical and surgical care found anywhere. We are committed to supporting patients and their families during the entire process, from the initial evaluation through the transplant surgery and after. This award recognises our longstanding commitment to providing patients with outstanding care while giving them the gift of life."

- Dr. Sanjay Pathare,
Director - Medical Services,
Ruby Hall Clinic.

"First and foremost I want to offer my thanks to every donor and every donor's family who has demonstrated such kindness and benevolence in the face of tragic and difficult circumstances. As a hospital, it is our responsibility to ensure that people's organ donation wishes are respected and to ensure that we make every donation count. There are multiple factors which have led to the success of this cause, be it an organ airlifted to another city, green corridors created in both donor and recipient cities and medical teams working at breakneck speed almost seamlessly, from harvesting the organ to carrying out the transplant. We are proud of our first class donation and transplantation systems. However, to make this on par with the world's best, we urge every citizen to consider organ donation, to register to become a donor, and to inform their loved one's of their decision."

- Dr. Purvez Grant,
Managing Trustee,
Ruby Hall Clinic.

Saving Lives, Gifting Lives even in Death

One afternoon, a couple from Satara were travelling to another town on their two-wheeler when they suddenly collided with a truck. While the wife who was riding pillion died on the spot, the 37-year-old husband suffered from a severe head injury. He was admitted to Ruby Hall Clinic where he underwent emergency treatment. While it initially seemed like his health was improving, his health started deteriorating soon and he was declared brain dead.

His father, a 61-year-old farmer took the tough decision of donating his kidney, heart and liver.

"When the farmer was informed about his son's condition, he consented for donation saying that he would not let his son's vital organs go to waste in cremation. Soon after getting the father's nod, our doctors retrieved heart, liver and a kidney of the donor. His heart was transplanted into a 55-year -old man from Pune suffering from cardiomyopathy, a disease of the heart muscle,"

- Mrs. Surekha Joshi,
Transplant Co-ordinator,
Ruby Hall Clinic.

Transplant surgeons Dr. Manoj Durairaj, Dr. Ashish Khanijo with cardiologists Dr. Jagdish Hiremath, Dr. C N Makhale and anaesthestist Dr. Bikash Sahu carried out the transplant.

"The recipient had a heart attack in August 2016 and underwent angioplasty. He is a known patient of diabetes and hypertension. He came to us three months ago with severe breathlessness. He also had to leave a good job in Pune due to his worsening condition. At present, he is working in a school in Daund. The ultrasound revealed that only 15% of his heart was functioning,"

- Dr. Manoj Durairaj,
Cardiac Surgeon,
Ruby Hall Clinic.

The liver was successfully transplanted into a 47-year-old man from Pune.

"The recipient was detected with hepatitis C infection 10 years ago. Later, the infection progressed to liver cirrhosis. His condition had worsened significantly over the last one year."

- Dr. Sheetal Mahajani-Dhadphade,
In-Charge, Liver Transplant Unit,
Ruby Hall Clinic.

While organ transplant from deceased donors is on the rise, there is still a great need for organs. According to the World Health Organization (WHO), only about 0.01 percent in India donate their organs after death, while in Western countries around 70-80 percent of people pledge their organs. Registering as a donor is a simple, small step anyone can take to save the life of a person or family in need. However, people often do not register due to lack of awareness, ill health or old age. The assessment process is very thorough for organ donors. It is essential to know that one donor can save upto eight lives.

Our TGINE Graduates make us proud!

This month saw the graduation ceremony of the fourteenth batch of the students of The Tehmi Grant Institute of Nursing Education. B.Sc and M.Sc students passed with flying colours while the newest first year students undertook their vow to service during the lighting of the lamp ceremony. Awards were distributed to the graduates and post graduates who excelled in their academics. This event took place in the presence of a number of guests:

  • Dr. Prachee Sathe, Founder-Director, Intensive Care Unit, Ruby Hall Clinic as Chief Guest.
  • Mr. Bomi Bhote, CEO, Ruby Hall Clinic.
  • Lt. Gen C. Cruze, Nursing Superintendent, Ruby Hall Clinic.
  • Prof. Shubhangi Dumbray, Principal, TGINE.
  • Dr. Sanjay Pathare, Medical Director, Ruby Hall Clinic.
  • Dr. Sudheer Rai, COO, Ruby Hall Clinic Hinjawadi.
  • Dr. Nita Munshi, Director - Department of Laboratory Medicine, Ruby Hall Clinic.

The TGINE campus was brimming with energy reflecting the sense of anticipation of those wearing the purple ceremonial regalia, waiting to receive the graduation certificates.

"As a nurse, you are on the frontline of administering and evaluating a patient's treatment. Nurses are the greatest advocates of a patient. Having spent the important years of your education at TGINE, I am confident that each and every one of you seated here today will continue to herald the values of this institute in the future."

- Chief Guest Dr. Prachee Sathe.

Health care has been identified as India's number one public priority - and nurses play a central role in delivering health care. Nurses advocate for health promotion, educate patients and the public on the prevention of illness and injury, provide care and assist in cure, participate in rehabilitation, and provide support. No other health care professional has such a broad and far-reaching role. Nurses help families learn to become healthy by helping them understand the range of emotional, physical, mental and cultural experiences they encounter during health and illness. And this is the very foundation that defines the students of TGINE.

"We look at the role of nurses on both the front lines of health care, as well as the backbone of patient treatment. We see nurses as innovators in health care – like pain detection in newborns. We see how their observational skills, advanced knowledge, interventions and compassionate care help patients manage their medical needs. At TGINE, each day, as I move about our premises, I am motivated by the energy and vitality. Our students, faculty, and administrators are rising to society's challenge to provide humane, pioneering care to anyone who needs it."

- Prof. Shubhangi Dumbray,
Principal,
TGINE.

Christmas in the Air for our cancer children

Christmas should be a magical time for young children but for those battling cancer, it is often a time full of hospital stays, painful treatments and sleepless nights. On December 23, Christmas came in early as the Kamalnayan Bajaj Cancer Centre organised a Christmas gala. From tiny tots to teenagers, close to a hundred children, along with their families forgot their troubles for the day and revelled in the festivities. A visit from Santa Claus, a magic show, party games, sand art, music and dance and lots of food formed the perfect environment for children and their families to have some fun and forget their struggles. In fact, the tattoo booth saw children painting on pictures of their superheroes and the photo booth too was swarming with kids stricking their best poses.

Families served by Ruby Hall Clinic gathered together, shared in festive cheer and gained encouragement and hope for the future of their loved ones as they met survivors and connected with others fighting similar battles.

"Caring for a child who has cancer can put a huge strain on families, making the emotional and financial demands of holiday time especially hard. Events like this ensure these brave children remember how to 'just be kids' and their families experience more joy and less worry for the holidays. As an organisation, however, our mission has always been to let these children and their families know that we are here for them, ready to provide nothing but the best in compassionate care and emotional support through their journey of cancer."

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

Research highlights that every year 250,000 children all over the world get diagnosed with cancer, out of which 90,000 of them are likely to die. In India, it is estimated that nearly 40-50,000 new childhood cancer cases occur each year. A large percentage of those diagnosed, come in fairly advanced stages of cancer. Lack of access to care, stigma of cancer and financial constraints have been the main reasons for only average outcomes over last several decades.

The benefits of social events such as this, address critical areas faced by children and their families that are often missed—such as the emotional, social, and physical issues brought on by treatment. However, the Kamalnayan Bajaj Cancer Centre at Ruby Hall Clinic is dedicated to giving every child, facing childhood cancer, a fighting chance at a healthy, happy future by providing the highest quality resources designed for children and families, coordinating local assistance to families in need and even leading national advocacy campaigns for greater awareness. Expanding their breadth of services, the hospital has very recently laid the foundation stone of the second cancer building in the premises.

Saving the life of an eleven-year old with a rare spinal tumour

Back pain is a well-known source of discomfort in adults, but it is also being diagnosed more frequently in children and adolescents. Most parents do not expect otherwise healthy children to complain of back pain—a problem people generally associate as an ailment of the middle-aged or later years. However, the truth is that back pain is very common in children and adolescents, but must not be taken lightly. Take the example of 11 year old Vijeta Jadhav, who often complained of back and leg pain. The Satara resident was suffering from the ailment for a year, which she had neglected.

It was sometime later that she started losing sensation in her lower limbs, so much so that it was difficult to even walk. The treatment she was undergoing in Satara did not seem to be working and the swelling in her back got worse. This is when her family shifted her to Ruby Hall Clinic, Pune, where she was detected with a rare condition known as an aneurysmal bone cyst. Abbreviated as ABC, this is an abnormality where blood-filled, fibrous cysts expand the bone and cause pain, swelling and fractures. 

With an occurrence of only 0.32 per 1,00,000 individuals ABCs are extremely rare, comprise of only 1.4% of spinal tumours and occur mostly in children and adolescents. Only few treatment options exist for these tumours, surgery being one of them. When developed in the spine, the tumour can swamp the vertebrae as was Vijeta's case.

"She was disabled with pain and weakness in her back and legs. An MRI revealed the tumour with severe thecal sac compression. This case demanded immense patience." "Complete surgical excision posed risk of heavy bleeding intra-operatively. We considered a whole body scan to rule out similar lesions elsewhere in her body and fortunately, did not find any. The six-hour surgery that followed, focused on preserving her normal neurological tissue. Not every back pain turns into such a case, but it helps at least to avoid further neuro deficits, if diagnosed early. Many of these tumours can be managed by minimal intervention."

- Dr. Bhushan Khedkar,
Consultant Spine Surgeon,
Ruby Hall Clinic.

"Her leg pain is completely gone and she is able to walk around and sleep comfortably on her back. We could make out the difference as some parts of her body were numb previously. She is fine now and we are very thankful to the doctors and nurses of Ruby Hall who supported us unconditionally. On the other hand, Vijeta has been so brave through this ordeal."

- Laxman Jadhav

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The Emergency Hotline : One Number, Three Hospitals Across the city

Picture this, someone in the city suffers from a medical emergency at work. His colleagues dial the emergency hotline number at the hospital and call for an ambulance. Miles away, at the hospital call centre headquarters, the operator transmits the message across the city and the emergency team is informed. An ambulance closest to the patient reaches him within a few minutes. Sounds like a movie? Well, it is not. It is the new emergency call centre set up at the hospital!

So, what exactly is it? Simply put, all hospitals in the Ruby Hall Clinic Family are now tied to a single call centre number. Regardless of location as well as the medical emergency, this call centre alerts the closest hospital and deputes an ambulance and medical personnel to tend to the patient. Moreover, this seamless communication happens within the time-span of only a few minutes. The ambulance reaches the victim and in the interim, the hospital is ready to provide the timely action necessary.

Certain situations in life require immediate medical care and a delay of fraction of a second can drastically change somebody's life. The ambulance service and paramedics are very important to society as they save hundreds of lives daily by responding to emergency calls. One of the important roles of the ambulance crew is to stabilise and treat patients quickly to prevent any mishap before the patient reaches the hospital. They provide immediate and effective life-saving care in a safe and clinical working environment with maximum mobility.

"As humans, we believe that rushing to the hospital in the closest vehicle possible is going to save the life of our loved ones in a medical emergency. It is understood by very few for what an ambulance is capable of doing. Transporting a patient? Absolutely! But that is just the beginning. An ambulance is not only transportation, it is a pre-hospital setup run by a team of qualified professionals who are capable of taking necessary decisions to ensure the best outcomes for patients. What is also important is the timely intervention and coordination, and with our call centre service, people do not need to worry about the area they are in and can call a single emergency number. Our network of ambulances will ensure help gets to the patient at the earliest."

- Dr. Sujay Patil,
Head - Emergency Medical Services,
Ruby Hall Clinic Wanowarie.

The Casualty Department undergoes NABH Audit

When someone experiences a serious injury or requires emergency surgery, the first thing you do is call an ambulance. But getting to the hospital is not all that is essential to ensure the patients survival and recovery. What is needed is constant care during evacuation, exceptional medical expertise, and comprehensive trauma care resources - all available immediately and round the clock.

At Ruby Hall Clinic the casualty department is staffed by skilled medical and nursing staff with specific training in emergency care 24-hours a day, 365 days a year. This department recently underwent an audit by the NABH. The National Accreditation Board for Hospitals & Healthcare Providers (NABH) Standards is today the highest benchmark standard for hospital quality in India.

"At Ruby Hall Clinic Wanowarie, we have always maintained the highest standards of care in each and every department. The clinical team in the Emergency Department, led by specialists in emergency medicine and nursing, seeks to provide patients with the best clinical care as quickly as possible, as well as allay the distress and anxiety which is often associated with accidents and emergencies. The NABH audit this month is sure to result in a positive outcome underlining our safety standards and clinical credentials."

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

The start of many, Ruby Hall Clinic Hinjawadi conducts it's first cancer surgery

The unexpected can occur at any time and it is best to always be prepared. However, what happens when one goes to a hospital for a regular treatment and learns that they have cancer? Such was the case of a 34-year-old woman who was undergoing infertility treatment. During the course of what was a routine check-up, it was discovered that she had a nodule in the thyroid gland of her left lobe. She underwent further investigations and was diagnosed as a case of Papillary Carcinoma of the thyroid gland.

Papillary thyroid cancer, which is the most common type of thyroid cancer, makes up about 80% of all cases of thyroid cancer. It is one of the fastest growing cancer types with over 20,000 new cases a year. Globally, it is the 8th most common cancer among women overall and the most common cancer in women younger than 25. Although a person can get papillary thyroid cancer at any age, most patients will get it before the age of 40. Although risk factors for papillary thyroid cancer include radiation exposure and a family history of thyroid cancer, it is important to note that the majority of patients have no risk factors at all.

Her course of treatment lead her to Ruby Hall Clinic Hinjawadi where she met with Consultant Surgical Oncologist Dr. Gajanan Kanitkar.

"Fortunately, papillary thyroid cancer is also the thyroid cancer with the best prognosis and most patients can be cured if treated appropriately and early enough. A sonography of the neck revealed that she had metastatic nodes on right and left side in the neck and after a consultation, she underwent a total thyroidectomy with bilateral neck dissection." In this type of cancer, involved lymph nodes may increase the chance of the cancer coming back, but they do not change the prognosis. As such, the patient is doing well post-surgery and this case becomes the first cancer surgery conducted by the hospital.

"What is so great about the oncosurgery being the first we have conducted at the hospital is that it heralds the start of many more. Our team of experts, state-of-the-art infrastructure and compassionate support staff form a strong foundation to ensure surgeries such as these have successful outcomes. We look forward to this new journey we have set foot on and are confident that this is the beginning of a new era of healing for the vicinity."

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

Happy Streets comes calling

For residents of Balewadi, Sunday - 10th December 2017 turned out to be a fun-filled event. With over five hundred participants, the area turned into Happy Street where citizens enjoyed an exciting mix of activities promoting health and happiness. This event was in association with The Times of India, Maharashtra Times in conjunction with The Pune Police, Pune Traffic Police, Pune Municipal Corporation and Ruby Hall Clinic Hinjawadi.

A drawing competition was organised for children with the theme 'Healthy Lifestyle' along with an organ donation drive. For the entire duration of the event, Balewadi High Street turned into a vehicle-free zone and was blocked for 3-4 hours in the morning turning it into a free space where anyone could walk, jog, cycle or just stroll around with a loved one, rediscover the simple pleasures of playing any game.

"This is an excellent initiative to bring people together on a relaxing Sunday. As a socially aware hospital, we considered it both our duty and responsibility to participate in this unique campaign where we could engage with both children and adults. Our organ donative drive and drawing competition were definitely a success!"

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

Get Real: Let Us Talk About Women's Health

Ruby Hall Clinic Hinjawadi is dedicated to educating women to make informed decisions about health, women's well-being and personal safety for themselves and their families. Keeping this in mind, the hospital organised a health talk on women's wellness at Capgemini where close to fifty women employees were educated by Dr. Deepshikha Dwivedi, Consultant - Obstetrics and Gynaecology.

Dr. Dwivedi spoke about PCOS (Poly Cystic Ovarian Syndrome), breast and cervical cancer, lifestyle changes for corporate employees, etc in a session that freely encouraged employees to get their health related queries answered such as gynaecological issues, breast related queries and even menopause. She said, "Blame it on changing lifestyle or lesser body resistance; women's growing health issues are catching everyone's eyes. So while timely regular check-ups could help one detect diseases fast, to avoid them completely, a change in lifestyle is recommended. Activities like breast feeding should be promoted, regular exercise to keep weight under control, eat fruits that produce antioxidants - basically have a healthy lifestyle to avoid any health problem are important for complete health and wellness."