Shalby Times
` 10
Issue No. 4 | Volume No. 8 | Published on 15 April 2015
The
Last Salute
Ex Armyman’s family
donates his kidneys
Shalby Times | Issue No. 4 | Volume No. 8 | 15 April 2015
Story Page 11
The Kidney Specialists who made the cadaveric kidney transplant possible
Contents
The Making of a Specialist
Dr Marothi Invited as Faculty in UK
Better Surgery for removing the Uterus
Injured Liver Repaired, Collegian’s Life Saved
Treating a Road Traffic Accident
Defying Cancer
TKR surgeries begin in Shalby, Jabalpur 2
2
4
5
6
7
8
We are Enjoying our Life
Shalby’s Home Care going places...
Englishman’s Second Total Hip Replacement
10
12
15
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Page 1
Shalby Times
The Making of a Specialist
Editorial
Editorial Board
Governer bestows ‘DM’ on Nephrologist Dr Jigar Shrimali
Left and Below: CEO Ravi
Bhandari was invited to speak
at the ‘Interactive Session on
Budget & I’ held on March
1, 2015 by FICCI. His views
on the Impact of Budget on
Healthcare Sectors were well
received. Mr Rajiv Vastupal,
Chairman, FICCI Gujarat
State Council thanked Mr
Bhandari, while Mr Jatin
Trivedi presented him a token
of appreciation.
Patrons
Dr Vikram Shah
Dr Darshini Vikram Shah
Editor
Dr R S Khambete
Dr Jigar Shrimali awaits his turn at the Gujarat University
Convocation where he received his Doctorate in Medicine and a
Gold Medal for outstanding performance from the Chancelor of the
University, the Governer of Gujarat.
To become a doctor, then to specialise and later to become a super
specialist in a branch is the dream
of many but fulfilled by few. Out of
hundreds of thousands applicants,
few enter medical colleges, fewer
specialise and every year one or
two super specialists qualify from
one university.
Dr Jigar Shrimali, the young Nephrologist of Shalby, is the new
entrant in the select world of super specialists. He joined Shalby a
few months ago after passing his
final exams leading to Doctorate of
Medicine [DM] in Nephrology.
The path towards this goal is
fraught with extreme hard work,
sleepless periods which extend
for days when on emergency duty,
constant studies despite a huge
clinical work load, managing the
guide’s scientific correspondence,
attending medical conferences,
networking with peers all around
the world, searching for good hospitals placement and so on.
One of the memories he shared
as a DM fellow is worth reading.
As a resident physician [the doctor
who lives in the hospital premises
and is on first call], Dr Shrimali
was the physician who coordinated a cadaveric kidney transplants
[kidneys transplanted from recently dead donors].
‘The arrival of a dead donor body
for removal of kidney, liver and
cornea for transplants is like a hurricane striking. As soon as I was
informed that a cadaver was on
the way to our hospital, I knew I
would not be able to sleep for the
next 36 hours. I had to put in motion the whole process for informing
the next suitable patient on the kidney transplant waiting list, the surgeons who would do the surgery,
book enough cross matched blood
from the blood bank, book operation theatres, inform the ICU staff
to expect a transplant patient and
of course, inform my boss. Then the
real work started...
Senior Joint Replacement Surgeon Dr Dhiraj Marothi has been invited as international visiting faculty by the University of Dundee, United Kingdom, for its
M.Ch. [Orth] teaching program by Prof R J Abboud BEng, MSc,
PhD, ILTM, SMIEEE, Hon FRCS (Eng). Prof Abboud holds many
teaching and clinical posts in the University of Dundee. Dr Marothi
completed his M.Ch. studies in Dundee in the year 2008 and later
took extensive training in the USA before joining Shalby Hospitals.
Currently he has done over 5,000 knee and hip surgeries and has
been a part of much innovation and research work.
2
After receiving his MCh in 2009
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
To share your experience
in Shalby Hospitals, please
email or call at
[email protected]
+91 9714021600 | +91 9904453322
Meet us on DIGITAL MEDIA
BLOG
shalbytimes.wordpress.com
FACEBOOK
Shalby Times
TWITTER
@shalbytimes
Shalby Times Team
Text, Graphics, Design, Layout
& Logistics
R S Khambete
Content Creation Support
Sanjay Trivedi
Statutory Information
Dr Marothi Invited as Faculty in UK
Dr Marothi
Published on behalf of
Friends of Shalby Foundation
Contributors
Dr Jigar Shrimali
Dr Dimple Mehta
Dr Sibasis Bisoi
Dr Avinashkumar Tank
Dr Pranav Shah
Dr Bhaumik Shah
Dr Vikram Shah
Dr Manoj Gumber
Dr Kajal Shah
Dr Himanshu Mathur
Dr Deepak Saini
Printed, Published and Edited
by Dr Rajendra S Khambete
on behalf of ‘Friends of Shalby
Foundation’ at Shalby Hospitals, Opp Karnavati Club, S G
Road, Ahmedabad-380015.
Printed at Print Vision Pvt. Ltd.
Print Vision House, Lane Opp.
Central Bank of India, Ambawadi, Ahmedabad-380006
Rajiv Bhattacharya, VP, Shalby Hospitals, receives the AHPI
‘Best Patient Friendly Hospital’ award for the year 2014 from
the Hon’ble Governor of Andhra Pradesh & Telangana Shri ESL
Narsimhangaru
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
3
Better Surgery for removing the Uterus
Gynaecologist Dr Mehta and Laparoscopic Surgeon Dr Bisoi take a fresh look at Hysterectomy
Dr Sibasis Bisoi ( +91 9904614477
Total Laparoscopic Hysterectomy •Total Laparoscopic Hysterectomy
is proving to be the best method to
[TLH]
remove the Uterus.
She could not be operated through
the vagina because the size of her
A Real Life Case
Saritaben [name changed] was uterus was bigger than what can be
miserable, she suffered heavy pe- removed from the vagina. To have a
riods and pain because of fibroids, quick recovery without a scar for her
and her uterus and bladder were condition, the only option was...
slipping downward [a condition
called prolapse of the uterus]. It was
causing serious discomfort. She
needed a hysterectomy [removal of
her uterus] and urinary bladder repositioning.
Open Surgery
She was advised that abdominal hysterectomy was the best option. This would enable the surgeons could see everything clearly.
It would involve a big incision on
the abdomen, about two days in the
hospital, and nearly two months of
recovery.
Obstacles & Second Opinion
But Saritaben was a working
woman and still young. She did not
like the idea of an abdominal scar
at her age. She could not rest for
that long as she had to continue
her job. Also, she had two children
who needed her attention. She took
a second opinion, this time from the
team of Gyanaecologist Dr Dimple
Mehta and Laparoscopic Surgeon
Dr Sibasis Bisoi.
The surgeons counselled her about
the newer methods of surgery and
they told her about all treatment options. They told her that the uterus
can be removed in four ways:
Types of Hysterectomy
•Abdominal Hysterectomy
•Vaginal Hysterectomy
•Laparoscopic-assisted vaginal
hysterectomy [LAVH]
Total Laparoscopic Hysterectomy
transfusion
•Small scars
•Early recovery
•Each part can be visualised much
better, so far more precise surgery
•Very less surgical tissue injury, so
faster internal healing
Injured Liver Repaired, Collegian’s Life Saved
Dr Avinash Tank and Dr Pranav Shah save Snehil Seth’s life by timely skilled surgeries
Dr Avinash Tank ( +91 9824400817 | Dr Pranav Shah ( +91 9904403733
A speeding auto rickshaw tried to
overtake a car, but slammed into
Snehil Seth’s bike. Luckily the police were nearby, they called an ambulance and Snehil by accompanied
by friend Yash Shah to Shalby Hos-
Increasing Haemorrhage
Although not much blood was
seen outside Snehil’s body, Snehil
had profuse internal bleeding. He
had lost almost 50-60% of his total blood. His BP fell, his pulse was
Now
that
the number
of working
women is
increasUterus
ing and the
need for a
good cosmetic look
[meaning no
scars] is desired, laparosRectum
copy will surely
be the way ahead
for
hysterectomies.
Because laparotomy gives
faster recovery with minimal scars.
Besides the patient gets all the advantages of a laparoscopic surgery,
which are:
•Less bleeding, no need for blood
Dr Avinash Tank operated on Snehil the same night. Snehil’s abdomen was a bloody mess, Dr Tank
painstakingly identified the bleeding vessels and bleeding areas and
cauterised or sutured them to stop
the bleeding. With decades of experience in treating liver injuries, Dr
Avinash was successful.
High End Equipment
Fracture Repair
Dr Pranav Shah repaired his fracture as soon as his life was safe,
with plate and screws, a major surgery made more risky because of
Snehil’s delicate condition due to
blood loss.
I met Snehil Seth when he had
come for a follow up examination.
He was fully aware that he had got
another lease of life, given by the
surgeons, and he was very grateful to his friend, who had taken the
lead to bring him to Shalby.
Recovery
Saritaben’s
experience
on the second day after her TLH
shows the
success of
her surgery:
“The
next
morning,
I
View of internal orwalked out of
gans in Laparoscopy
the hospital,”
she said.
“I felt wonderful. I
never took any of the
medicines prescribed
for pain because I didn’t
have any pain!”
She was back at work after only
four days, although she had undergone a major surgery! That is the
magic of Laparaoscopic Surgery!
The CT Scan was done half an
hour after the USG. In that half
hour the liver bled even more and
his condition worsened. He had to
be operated immediately...
Timely surgery, life saved
It is a form of minimally invasive
However, TLH needs special sursurgery. It is similar to the meth- gical equipment called a morcelaods used in gallbladder removal tor and of course, a good quality
and and appendectomy surgeries. It laparoscope. Also, it needs a highly
is also used in cardiology, urology, skilled team.
and other fields.
Surgical Skills
But in gynaecology, the acceptUnless the surgical team is skilled,
ance of laparoscopy has come more there is more risk to the patient than
slowly. Out of all the hysterecto- open surgery. The same applies for
mies done, more than 80% are ab- hospital infra structure, which indominal surgeries. But they
cludes well appointed opcould have been done
eration theatres, ICUs
as laparoscopic or
and well managed
vaginal hysterecpatient rooms.
tomies.
Bladder
Today’s Need
Worsening Condition
Secret of Success
Full time surgeons and all critical
care departments next to each other
pitals. Snehil was losing blood...
rapid, his blood oxygen level was help a lot in life threatening situalow. Such a condition is called being tions. Shalby’s ER has CT, MRI, Lab,
On Arrival
X Ray, USG on the same floor.
In Shalby, doctors found that he haemodynamically unstable.
was haemodynamically unstable,
meaning his blood pressure was low
and his pulse rate was very high,
his blood oxygen was low.
On examination, his arm was
found to be fractured, but that could
not explain his critical condition. He
had pain in the abdomen. He probably had injury on the abdomen, but
it needed further investigations.
Dr Avinash Tank [L] with Snehil Sheth & his friend Yash Shah
Investigations
Left: Open surgery is done via such a scar. Right: TLH can be done with such small scars
4
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
His arm was X Rayed and an ultrasonography [USG] study was made
on his abdomen. The USG showed
blood in the abdomen.
On hearing about this, Dr Avinash
immediately ordered a CT Scan, as
that would show if Sahil was bleeding internally.
Dr Pranav Shah [L] examine’s Snehil Sheth’s wound scar
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
5
Treating a Road Traffic Accident
An Incoming siren blaring Ambulance mobilises about 50 staff
...and stops at the Emergency Room [ER] door...
...an ambulance carrying a RTA victim drives into a hospital...
...alerted staff rushes to transfer the patient...
...to stabilise him and & begin diagnosis...
H. P. Dholakia
B-302, Vraj Vihar-3, Opp. Ashoknagar
Near Prernatirth Derasar, Satellite-Ahmedabad
(TEL) 079 26920936, 9824212261
Date: 27th-Feb-2015
Shree R. S. Khambete,
Editor, Shalby Times,
Ahmedabad
Dear Sir,
Sub: Sharing of experience in Shalby Hospitals
I have been receiving
complimentary copies of
Shalby Times for the last
few months and on going
through the last issue no.
3, I came across an invitation to share my experience in Shalby Hospitals. This
has motivated me to share my experience on the occasion of my undergoing Spinal Surgery during August2014. I was admitted to Shalby Hospitals on 20th
August for pre-operative pathological and other tests
and was operated for Spinal Impediment to which I
was suffering for over a year. The surgery was performed by Hon. Dr. Niraj Vasavada, ably assisted by
Dr. Pratik Lodha and their team of doctors. There has
been remarkable recovery and relief from the Spinal
Ailment, I can walk one km regularly. I do feel that
such an achievement could be registered with the
highly professional, skill, humanitarian approach,
highly co-operative attitude and utmost concern for
the patient displayed by Dr. Niraj Vasavada & also
his assistant, Dr. Pratik Lodha, not only during surgery but also in the post surgery period extending over
almost 3 months. I am thus greatly indebted to both
these doctors and through them the Shalby Hospitals
management, for my gradual recovery and achieving
almost normalcy in my physical disposition.
Yours faithfully
H. P. Dholakia
Defying Cancer
Dr Kajal Shah recollects a lady’s tough fight
Dr Kajal Shah ( +91 9714833369
64 year old Minaxiben
was diagnosed with breast
cancer in 2005. She was
brought to Shalby Hospitals and operated. She was
given chemotherapy. She
responded to the treatment well.
But in September 2007
her cancer spread to the
liver, lung and bone. She
was again admitted in
Shalby and Dr Kajal Shah
started treatment.
The cancer had damaged
a small portion of liver in
September 2009. To treat
that, Dr Kajal did Radio
Frequency Ablation. In
August 2010, the size of
the tumour increased.
In March 2012, a part of
the liver was removed due to
spread of cancer. In august
2012 she developed recurrence in left lobe of liver.
Hormonal treatment was
given. In February 2013,
the cancer progressed to
both sides of her liver. But
she did not have symptoms. Tests of her liver
function were also normal.
Then
she
developed
multiple well defined one
cm sized lesions in both
lungs.
Chemotherapy was begun and she responded
well.
Just at the time when it
seemed that her condition
had stabilised, she developed double pneumonia,
infection and shock.
Then her Left Ventricle
[LV] of the heart began
to fail. She had severe LV
dysfunction and was admitted in ICU from in July
2014.
She was put on more
aggressive chemotherapy.
She recovered after the series of prolonged illnesses
in September 2014.
Now she is being given
maintenance chemotherapy.
She has undergone many
surgeries and many doses
of chemotherapy, she has
been through pneumonia
and heart dysfunction in
the preceding nine years,
and yet she has survived.
Perhaps
Minaxiben
is
stronger than Cancer!
From: Farah Lalani [[email protected]]
Sent: Wednesday, February 25, 2015 12:03 AM
To: Dr. Nilay Brahmachari, Krishna Shalby Hospital
...a CT Scan done as he has a severe head injury & Lab tests...
Subject: THANK YOU
...and finally the patient recovers in the ICU & wards
A good hospital’s efficiency is measured by
how fast the staff can begin treatment in cases
of a traffc accident, a heart attack, stroke or
any case of a seriously ill or wounded patient
being admitted. In pre-alerted cases, heart attack or stroke patients are taken for interventional treatment within minutes...
...taken for emergency surgery to repair the head injury...
For Emergency - S G Road +91 99240 23456 | Krishna Shalby +91 99047 22345
Dear Dr Nilay
A very big thank you to your team with Dr Vikram
Shah for the marvelous work. I deeply thank you all
for your great work and service. I had a talk with my
mother and she semeed okay apart from a little pain.
Thank you to the whole entire team of Shalby Hospital for the great work.
I just can’t express how happy I am.
I hope by the time she comes back to Tanzania she
will be walking faster than me.
Rgds,
Farah
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
7
1
4
December
2012
TKR surgeries begin in Shalby, Jabalpur
Shalby Hospitals, Jabalpur, is operational, many surgeons begin surgeries
With literally hundreds of patients coming from Madhya Pradesh to Ahmedabad especially for joint replacement surgery, it was the vision of Dr Vikram Shah to be able
to provide Joint Replacement Surgery in Jabalpur, the third largest city in the State of
Madhya Pradesh. That has turned to reality. Dr Vikram also operated in the new unit.
2
5
1. Dr Vikram Shah works closely with his staff. On the very first day of his
visit he was with the administrative Staff of Shalby Hospitals, Jabalpur.
2. The Operation Theatre where Dr Vikram began surgery with his team.
3. Patients taking exercise after their total knee replacement surgery
4. Dr Vikram being welcomed by patients at a free check up camp in Jabalpur
5. The Operation Theatre Staff poses with Dr Vikram after the first surgery.
3
8
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
The laying of the Foundation...
Shalby organises many free medical check up
camps. The above is a news item about such a
camp organised by Shalby in December, 2012.
At that time the making of the hospital was envisioned.
Today the connect with so many patients
shows up in the response to the the hospital
services. Already most services are active and
the remaining are to be operational soon.
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
9
We are Enjoying our Life
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10
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
4-2-15 hkºku 11:30
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ðÄw {krníke {kxu MktÃkfo
+91 97377 22213
Dr Manoj Gumber ( +91 9879511234 | Dr Jigar Shrimali ( +91 9824593330
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
11
{Mfík{kt økwshkíke Mk{ks îkhk MðkMÚÞ òøk]íke fkÞo¢{
þpÕçke nkpÂMÃkxÕMkLkk MksoLk ËwçkELkk hkf nkpÂMÃkx÷{kt Mksohe fhþu íku rðþu zkp ¼hík økßshLkwt MktçkkuÄLk
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Enquiries ( +91 95748 22203
Shalby’s Home Care going places...
Shalby Home Care ( +91 9723999927 ( +91 9723999937
¨ÉvªÉ|Énäù„É ºÉä +ÉiÉä ¨É®úÒVÉ
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„É챤ÉÒ ½þÉìκ{É]õ±É ¨ÉvªÉ |Énäù„É Eäò VɤɱÉ{ÉÖ®ú
B´ÉÆ <xnùÉè®ú ¨Éå +º{ÉiÉÉ±É „ÉÖ¯û Eò®úxÉä VÉÉ
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The popularity of Shalby Home Care Program
can be seen by how often Shalby’s Home Care
Van is parked around nearby areas. Recently the
health check of the staff of Crowne Plaza Hotel, S
G Road, Ahmedabad was done by the team at the
hotel premises, thus saving work hours of the staff
12
Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
{Éc÷ÉäºÉÒ EòÒ ºÉ±Éɽþ
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Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
13
|ÉÉSÉɪÉÇ Eò½þiÉä ½èþ... „É챤ÉÒ Eäò b÷ÉìC]õ®úÉäxÉä ¨ÉÉä]õÒ´Éä]õ ‡EòªÉÉ
b÷Éì ‡½þ¨ÉÉÆ„ÉÖ ¨ÉÉlÉÖ®ú ºÉä ¤ªÉÉ´É®ú ‡xÉ&„ÉÖ±Eò ‡„ɇ´É®ú nù®ú¨ªÉÉxÉ ¨ÉÖ±ÉÉEòÉiÉ
Dr Himanshu Mathur ( +91 95740 33383
Englishman’s Second Total Hip Replacement
The Rev John Robert Thwayte of Malbazar, West Bengal, is orginally from England. He has lived and
worked in India for the past 60 years. He underwent a total hip replacement twenty years ago, but that
surgery needed revision. Joint Replacement Surgeon Dr Deepk Saini visits Neotia Getwel Hospital in Siliguri
every month and conducts joint replacement surgery. He examined the Reverend and decided to operate in
Ahmedabad because it was a redo surgery, which is more complex and needs more team work and higher
back up facilities. Rev Thwayte was cheerful after his surgery and looked forward to go home in Siliguri.
Dr Deepak Saini ( +91 98240 12492
Joint Replacement Surgeon
Dr Deepk Saini visits Neotia
Getwel Hospital in Siliguri
every month and conducts
joint replacement surgery
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14
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Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
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Shalby Times | Issue No. 4 | Volume No. 8 | Published on 15 April 2015
15
RNI No. GUJBIL/2008/25426
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Printed & Published by Dr Rajendra S. Khambete on behalf of ‘Friends of Shalby Foundation’
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Published from ‘Friends of Shalby Foundation’, Shalby Hospitals, S.G. Highway, P.O. Ambawadi Vistar, Ahmedabad-380015
Editor: Dr Rajendra S. Khambete