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October 2018 Edition
Read.  Be Inspired.  Act
                 'The Heart Beat' Newsletter of Sri Sathya Sai Sanjeevani Centers for Child Heart Care - Atal Nagar, Chhattisgarh and Baghola, Palwal, Haryana, for the month of October 2018.
All services rendered are Totally Free of Cost to All. As always.
Kind regards,
Sri Sathya Sai Sanjeevani Team.

Editor's Note

When Sri Sathya Sai Sanjeevani Center for Child Heart Care was conceived a promise was made. Every child that came to the institute would have the highest quality of service absolutely FREE of Cost. This child would be treated like our own. We were to empower this child and its care giver with a healthier, holistic lifestyle, free to draw on this beautiful canvas that is life. We are pleased to say 66,660 Pediatric Cardiac Consultations,  6,937 pediatric cardiac surgeries and cath interventions and 32,363 rural children & 7,015 rural pregnant mothers followed up on a Monthly basis - All Totally Free of Cost so far.

Work tirelessly continues for the Divine Mother & Child Health Team who are ceaselessly following mission protocols to screen and educate every last child in rural and urban India.
The Sai Sanjeevani Centre at Atal Nagar, Chhatissgarh, conducted a 3 day Continued Medical Education Program with an International delegation of Physicians from UT Health Science Center San Antanio, USA.
Dr. Muhammad Ishaq, a Paediatric Cardiac Surgeon hailing from Afghanistan and Dr. Susheel Kumar, Paediatric Cardiac Surgeon from USA are visiting our Atal Nagar Campus. We warmly welcome them. Our family grows with two new members, Dr. Gautam Shankar and Dr. Praveen Dontineni joining out Palwal campus as consultant Paediatric Cardiologist and Paediatric Cardiac Surgery Fellow respectively.
Our Newsletter this month also caries Celebrations of Dussehra and our Atal Nagar Cath Lab turning 1 year. Three medical snippets are sure to pluck the strings of the heart along with a warm welcome to a new member of the Sai Sanjeevani family.

With fortitude and vigor, we continue on the path of Love and Service. 

Do stay in touch. We sincerely value it.

Sai Sanjeevani Team
All Services Rendered Absolutely Free of Charge
From the Heart 
Why Free?
A Question is often asked. Why is Healthcare, Totally Free in Sri Sathya Sai Sanjeevani ?
To see every being as one’s very own, brings a beautiful view of the world. A world where there are no walls of your and mine in between, but just we and ours. How does a father charge a fee to his own child. Or can he ? Especially when the child is dying in its own mother’s arms.
 The Universe chooses to breathe Life into the child and so - perpetuates itself. The Child lives, and Life goes on.  Life in the World is sustained by the ‘Currency Of Love’.

Sathya Sai Sanjeevani uses it and makes Fee,  Free.

C. Sreenivas

Where there is a Will, there is a Way

Himanshu Prajapati, a 9 years old boy came to Sai Sanjeevani from Bhilwara, Rajasthan with complains of severe cyanosis from day one of life. The family knew about the his heart condition, but could not afford the high cost of treatment. Himanshu somehow survived this far with severe disability. He was very blue and was barely able to walk.

     His diagnosis was transposition of great arteries with intact ventricular septum and subvalvar left ventricular outflow tract obstruction. TGA is a complex birth defect in which the great arteries arising from heart are interchanged resulting in blue blood circulating in the body and red blood going to the lungs.

     One out of every 3,300 babies born will have transposition of great arteries. Nearly 30% of these babies will die in first week of life, 50% will die in first month of life and 90% will die before reaching their first birthday.

     Therefore, it is extremely rare for someone like Himanshu surviving this long without surgery. What is even more rare is the kind of operation Himanshu underwent at this age. We performed what is called an arterial switch operation which is typically performed in the first month of life. The obstruction in the left side of the heart ensured good functioning of the heart and prevented the lungs for extremely high pressured blood supply (ventricular outflow tract preserved the left ventricle function and also protected the lungs from hypertension), thereby keeping the option of arterial switch operation open.

     Arterial switch operation is the surgery of choice with best long term outcome. Himanshu is one of the fortunate few and we are happy to part of his amazing journey.

A Medical Surprise
Anjum Taj, 16 yr old girl from UP, came to our OPD, with complaints of breathing difficulties while doing her regular activities over the last 6 months. She was having frequent chest infections since childhood for which she had been admitted several times at other Pediatric hospitals. Due to poor socioeconomic status, her family couldn’t afford further investigation and management of suspected heart ailment. When her parents came to know about our hospital through Social media they visited our hospital. Upon investigations, she was diagnosed to have a large PDA with markedly elevated Pulmonary artery Pressures. She was admitted the same evening, for Device closure of PDA. In Cathlab, we were surprised to witness an extremely rare variation of Aortic arch, “ Cirumflex left Aortic arch— left sided ductus” wherein, the Aorta lies abnormally inside the thorax along its course over the left bronchus winding down laterally towards right side of spine to again wind back to left thorax at diaphragmatic penetration to enter abdomen. The whole curving course of the Aorta along with hugely dilated Pulmonary artery branches with a large (9 mm) PDA made it very tricky for the Intervention. Luckily, her Lung artery pressures dropped upon deployment of a large (12/14mm) PDA device; from more than 50% systemic pressures to less than 25% systemic pressures. Child has been so lucky, that even at 16 yrs, she remained operable, with a large sized PDA and that too in an abnormally oriented Aortic arch which caused profound shunting and hugely dilated lung arteries! Child got successfully treated with device closure and can now carry on a normal life ahead!
Giving Hope

Aditya Tiwari, a 3 year old child, visibly cyanotic and saturating 60% was diagnosed to have tricuspid atresia with normally related great arteries. He underwent Bidirectional Glenn Shunt as a palliation to increase saturation and was discharged home on POD – 5 with a plan to subject him for Fontan completion at a later date.

Aditya’s parents from Bihar, had admitted him to a local hospital due to complaints of a bad cold, fever and breathing trouble. It is then that they were informed of the infant’s heart condition. For over 2 years, the family travelled frequently to Delhi to show the child at various private hospitals in Delhi only to be disappointed due to either long waiting periods or unaffordable care options. At Sai Sanjeevani, the family expressed immense gratitude to the doctors for the love & care shown to them and resolved to spend significant time at the hospital annually to volunteer as sahayaks and share the love with other helpless parents seeking solace at Sanjeevani.

BDG(Bidirectional Glenn )Shunt is indicated in children with congenital cyanotic heart disease with decreased pulmonary blood flow and decreased systemic oxygenation and who cannot undergo a corrective biventricular repair . It is a surgery meant to increase pulmonary blood flow by creating an end to side anastomosis between superior Vena cava and right pulmonary artery .It is bidirectional in the sense that blood flows into both right and left branches of pulmonary artery.I t is ideally done in infancy. The lesser the age of the child the more the benefit as more venous blood gets diverted into the pulmonary artery through the shunt. 

It is a palliative procedure which has to be followed up by a completion Fontan surgery at a later date thereby committing the patients to a univentricular correction.
All Services Rendered Absolutely Free of Charge
Of the Heart 
We present to you a consolidated report of all the work done at Sri Sathya Sai Sanjeevani Centers for Child Heart Care at Atal Nagar, Chhattisgarh & Palwal, Haryana.
           To offer a little perspective, the numbers you see are not mere figures representing the volume of work being done. What you see is workings of a magnificent system running on an ethereal force beginning with a group of individuals whose choice was to commit to the mission of lightening the burden of Congenital Heart Disease, to the hospitals that provide this care and finally to the child that has been healed. To us these are not just numbers, they are promises of a healthier world.

Sathya Sai Sanjeevani - A Snap Shot 

October 2018

OPD Consultations
3,200 in October 2018

Children Screened
974 in October 2018
Surgical & Cath Procedures
195 in October 2018

Pregnant Mother Screened
1,794 in October 2018

Children Awaiting Treatment
783 New Cases in October 2018
PEDIATRIC CARDIAC OPD Statistics for October 2018
PEDIATRIC CARDIAC CATH Work for October 2018
World Anaesthesia Day

Paediatric Cardiac Anaesthesia - Is as Cement is to a Building


The 16th of October 2018 marked World Anaesthesia Day. A day that commemorates the introduction of Anaesthesia to Modern Medicine and thereafter to the possibility of complex surgery. In lieu, we at Sai Sanjeevani are introducing to you Our work in Paediatric Cardiac Anaesthesia.

     The anaesthetists here at Sai Sanjeevani play the role of a perioperative physician, shouldering the responsibility of the preoperative work up, administering anaesthesia during surgeries and then transform into an intensivist in the post-operative ICU. Apart from clinical work, they play a vital role in planning and organisation of the conduct of a surgery. Of the various aspects of anaesthesia, in Paediatric Cardiac Surgery, Fast Tracking in Congenital Heart Surgeries presents a real challenge to any anaesthetist.

     Fast Tracking is now slowly gaining momentum among medical circles. We define it as being able to take the child off mechanical breathing support, under 4-6 hours after open heart surgery, Intensive Care Exit in less than 48 hours and discharging the child from the hospital within 7 days. Many factors influence these deadlines like complexity of surgery, state of the child, awareness of the disease and procedure by the parents and competency and expertise of the treating team.

     There are several benefits of discharging a child early at an optimal stage. To the child; it can go back to the comfort of home and family soon, which enhances cure and it is free of hospital anxiety or cross infection. The concept of Fast Tracking has gained popularity also as an economical benefit to the patient who is subject to heavy hospital bills. But in an institute like Sai Sanjeevani, where Care is absolutely Free, this idea presents as an opportunity to treat more children and ensure quick, complete recovery. With close to 7000 surgeries done in a span of 6 years, we have the largest bank of successful Fast Track cases.
     Managing a Child in the ICU with a congenital heart defect is a challenge unto itself. Though the child is born with the condition, the nature of survival is such that, the body finds ways to continue existence by compensating for the disease. Many times this means, our surgical intervention and post operative treatment has to be carefully tailored so as to not jeopardize the body’s innate ability to survive.
     To give perspective to our protocol of Fast Tracking, our team of Anaesthetic experts understand the child’s disease and its coping mechanisms before the surgery, ensuring the fitness of the child to undergo the intricacy of the surgery to be conducted. During the procedure, the Anaesthetists ensure the appropriate anaesthesia is given that can enhance early recovery and manage pain. Post procedure, the child is taken care of in the ICU and delicately managed as the uniqueness of treating a child is, they can rarely vocalise their problems to you.
     The Anaesthetist is largely an unseen figure in surgical treatment, but extremely vital, as cement would be to a building.

We congratulate and compliment our team of Paediatric Cardiac Anaesthetists, Dr. Balaswaroop Sahu, Dr. Shivani Gajpal, Dr. Deepjit Bhuyan, Dr. Subramanian Chellapan, Dr. Madhu Mahadeva Murthy and Dr. Nikita Jain for their hard work and compassionate Service.


The Growing Need for Sai Sanjeevani
As on 31st October 2018
Divine Mother & Child Health Program
Mothers Screening Programme was launched in 3 PHCs of Yavatmal District, Maharashtra. Being a large district with a radius of 240 kms,Each PHC caters to more than 200 expecting mothers. 

District Health Officer participated in the  launch at one of the PHC. The local team under the leadership of Dr. Prakash Nandurkar did the enough ground work for the launch of this unique programme. We will also be collaborating with Yavatmal Obstetric Society For bringing in quality care for these rural expecting mothers

What was really heartening to know was in one of the 3 PHC s, we came across an ASHA worker whose son was operated in our Raipur hospital. She was so touched that we have reached their doorstep. She spoke to the other ASHA workers about us and shared her experience at Sai Sanjeevani and has pledged to bring support of many other ASHA workers.
CME on Paediatric Cardiac Intensive Care
27th to 29th October 2018
A team of Intensivists and Doctors from UT Health Science Center San Antanio, USA visited Sri Sathya Sai Sanjeevani Hospital, Atal Nagar to conduct a workshop as a part of CME on Pediatric Cardiac Intensive Care for the Fellow Doctors and Nursing Staff. The team comprised of Dr. Cathy Woodward, a Professor of Pediatrics at University of Texas Health Science Center San Antonio and a doctorally prepared pediatric nurse practitioner with over 20 years of experience; Dr. Minnette Son, a Professor Pediatrics at Children’s Mercy Hospital, Kansas City, University of Missouri School of Medicine and adjunct Professor of Pediatrics in the Division of Critical Care and  Dr. Prashant Jha, a pediatric critical care practitioner at UT Health Science Center.
Dr Cathy, a teaching nurse practitioner essentially dealt with the topics of Airway management and suction and management of tracheostomy which was a hands on session where each of the 95 participants learnt on a pediatric mannequin. Her other sessions included pulmonary hypertensive crisis, flash pulmonary edema, airway bleeding, nutrition and feeding in ICU, infection control and antimicrobial therapy. She also trained on the importance/protocol of handover during transition of care from or to ICU, ICU to SICU, SICU to ward, ward to discharge and during shift Change. 
Dr Jha, an intensivist essentially dealt with management of postoperative bleeding, identification and management of postoperative  rhythm disturbances. 
Dr Son was training on the complex issues of ECMO for low Cardiac output, mechanical ventilation (invasive and non-invasive)  and management of invasive catheters. 
Visiting Faculty

Dr. Muhammad Ishaq Pediatric Cardiac Surgeon at Golden Jubilee Hospital Glasgow as the Locum specialist Registrar  of Cardiothoracic Surgery Glasgow UK

It was Albert Schweitzer who said: "We should all be thankful for those people in our lives who rekindle the inner spirit."

I am thankful for so much in my personal life and career, it's difficult to acknowledge everyone to whom I owe a debt of gratitude. First and foremost, my warm thank you to my dear colleague Dr Ashish Katewa in supporting my career progression. Secondly, I am fortunate to be working as advanced fellow in Cardiac Surgery Department of Sri Sathya Sai Sanjeevani Hospital. I have the privilege to work closely with highly skilled and thoughtful individuals who are committed to continuously improving healthcare, providing a remarkable experience for caring patients with congenital heart anomalies and making a lasting difference in poor people's lives.

Dr. TK Susheel Kumar Paediatric Cardiac Surgeon, USA
I am a pediatric cardiac surgeon working in the USA for the past 10 years. I took a break to experience philanthropic work in India. I couldn't have chosen a better institution of Service  than this.

Sri Sathya Sai Sanjeevani Institute is indeed a special place. I have thoroughly enjoyed working and interacting with people here. Although the people who work here come from various backgrounds, they are all driven by the same goal i.e. to serve others and that is what makes the place so unique and wonderful. I thank one and all here for letting me be a part of such elite community.

Welcome to the Family

Dr Gautam Shankar. FNB, DNB, D Ch Consultant Dept. of Paediatric Cardiology
Hailing from Bihar, Dr Gautam Shankar completed his DCh and DNB Pediatrics in Delhi. While evaluating options for a post graduate specialization, he felt that Interventional cardiology was an opportunity to directly impact lives. This inspired him pursual of FNB (Pediatric Cardiology) in Medanta – The Medicity, Gurgaon.  He joined Sri Sathya Sai Sanjeevani International Centre for Child Heart Care & Research, Palwal as a Junior Consultant.

“Pediatric Cardiology is a really interesting field with the potential to completely treat the child with good outcomes. One actually gets to give a life. Sai Sanjeevani for me offers the perfect balance of the case mix available in Government Hospitals and the Quality of private Hospitals. But the most exciting part is to offer it Totally Free of Cost for the poor little hearts of the country.”
Dr. Praveen Dontineni M Ch, DNB Dept of Paediatric Cardiac Surgery
Having completed his DNB (General Surgery) in KG Hospital, Coimbatore, Dr. Praveen pursued his M Ch (CT Surgery) in NIMS Hyderabad. It is during this period that he heard of Dr. Krishna Manohar, Senior Consultant, Dept of Pediatric Cardiac Surgery, Sri Sathya Sai Sanjeevani, Palwal. With an aspiration to specialize in Pediatric Cardiac Surgery, Dr. Praveen joined Sri Sathya Sai Sanjeevani International Centre for Child Heart Care & Research, Palwal as a Fellow.
“This experience of working under such a dedicated senior team is only something I could dream of. The journey at Sai Sanjeevani has just begun and every moment here is deeply inspiring. I strongly believe that for CHDs, a free model is the only way forward. I’ve seen so many hospitals, but never one without a cash counter. I really look forward to this one year of learning, compassion and service”
Life at Sai Sanjeevani

It's Marathon Time
As we run into the wind, for we are running with our children, for our children!
Sunday, 21st October 2018 kicked off with 100+ runners from the Sai Sanjeevani family & Guardian Life (India) participating in the Airtel Delhi Half Marathon (ADHM) 2018 to support the cause of #HealingLittleHearts.
It was a great sight as one of our little Sanjeevani warriors Abhishek Jangir, age 12, who had an ASD device closure at the Palwal hospital in April 2018, completed the Great Delhi Run - marking the true success of Sanjeevani. Our cardiologist Dr Yogesh, who performed this intervention, jogged side-by-side Abhishek & his father and it was a moment of great joy as we all triumphantly crossed the finish line.
Sai Sanjeevani family continues to have more supporters which include India Cares Foundation and all the individuals who came forward and put their step ahead, in running towards this cause.
“It was being a runner that mattered, not how fast or how far I could run. The joy was in the act of running and in the journey, not in the destination.” John Bingham
The spirit of running is continuing in Sai Sanjeevani, Atal Nagar as a FunRun was organized in coordination with LetsRun Raipur on 14th October 2018 for the staff, doctors, nurses and children at Atal Nagar. The run was organized around the scenic Sendh Lake as a preparatory run for the LetsRun Marathon 13.1 on 25th November 2018 at Ekatm Path, Atal Nagar.

Dussehra Celebrations

"Imperial Maheshwari seated in the wideness above the thinking mind and will and sublimates and greatens them into wisdom and largeness or floods with a splendour beyond them. For she is the mighty and wise one who opens us to the supra-mental infinities and the cosmic vastness, to the grandeur of the supreme light, to treasure - house of miraculous knowledge, to the measureless movement of the Mother's eternal forces. Tranquil is she and wonderful, great and calm forever. Nothing can move her, because all wisdom is in her, nothing is hidden from her that she chooses to know; she comprehends all things and all beings and their nature and what moves them and the law of the world and it's times and how all was and is and must be. A strength is in her that meets everything and masters and none can prevail in the end against her vast intangible wisdom and high tranquil power."


An excerpt from Sri Aurobindo's inspiring essay The Mother

Celebrating The Mother, all the Women and Men of Our Campuses observed the 9-day festival in complete Cultural glory. The diversity of this beautiful country is so seamlessly interwoven into our Festivities, and the Unifying Love for Mother is ever pervasive.

Cath Lab Atal Nagar Celebrating 1 year!
A special congratulations on 1 year of love and service to the Cath Lab Team of Atal Nagar
A Special Workshop

Sai Sanjeevani Values: Vision and Mission:
A special workshop by Mrs Shantini Thiagarajan

On the 27th of October 2018, Mrs Shantini Thiagararan conducted a workshop on the vision and mission of the hospital and the implementation of these values in daily lives. It was an interactive session and the participants included nurses and ward secretaries from out-patient department; front office staff; lab staff; DMCHP team members. There were fun games to help understand team work as a structured process; a skit on scenarios from daily life and responses to the same to include a few. The participants enjoyed the session thoroughly and found it very meaningful and useful.

Salutations to Lord Ganesha with Sacred Fire

Mr. Thiagarajan, Trustee and Mrs. Shantini Thiagarajan performed a Ganesh homam at Our Ganesh Temple.
All Services Rendered Absolutely Free of Charge

Art for Heart

An Initiative Started by the Sai Sanjeevani team, to collect paintings, drawings, or sketches, old or new to adorn the walls of the hospitals, not just to add colour but as a sacrosanct therapy of the soul.

Medical Fellowship Programs

Fellowship Programs in the fields of Paediatric Cardiac Surgery, Paediatric Cardiac Anaesthesia and Critical Care and Paediatric Cardiology and intervention along with certificate courses in Perfusion Studies, new session begins in Fall, September 2018.
Copyright © 2014 SRI SATHYA SAI SANJEEVANI HOSPITALS, All rights reserved.

All Services rendered are Absolutely Free of Charge

Our mailing address is:

Sri Sathya Sai Sanjeevani Hospital Center for Child Heart Care
Sector 2, Atal Nagar Chhattisgarh – 492101
+91771 297 0325, +91 94242 07140


Sri Sathya Sai Sanjeevani International Centre for Child Heart Care & Research
Baghola, NH-2, Delhi-Mathura Road, Palwal (District), Haryana – 121102
+91 1275 298140

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