SRI SATHYA SAI SANJEEVANI HOSPITAL

A Public Service Institution providing Free of Cost Pediatric Heart Care

Sector 2, Naya Raipur, Chhattisgarh

Contact : +91 771-2970325 I +91 9424207140

THE HEART BEAT

July 2014 Edition

The Newsletter of Sri Sathya Sai Sanjeevani Hospital

PREFACE` ` ` `

It is a pleasure to bring to you the second edition of our monthly newsletter “The

Heart Beat”. We are greatly encouraged by the overwhelming response

received for the inaugural issue. Every suggestion to us is a step in our bringing

together hearts that serve and help cure.

This issue we present the work done in July 2014, with emphasis on the wide

range of medical work and academic sessions held. We also share with you the

stories of babies Megha Sahu, Taniya Gajabhy and Ujjwal Nagpure, tender

hearts that beat in a new rhythm thanks to Dear Swami, through Sri Sathya Sai

Sanjeevani. Distinguished guests have recorded glowing accolades during their

visit to the hospital .

July being the sacred month of Guru Poornima, we introduce Dr Krishna

Manohar, our brilliant, highly experienced and inspirational Chief Pediatric

Cardiac Surgeon, whose Mission in Life is to make Sri Sathya Sai Sanjeevani a

Centre of National Eminence in Child Heart care and make many a Child’s

Heart beat for a healthy world.

Do stay in touch. We would love to hear from you.

Your Loving Sai Sanjeevani Team

Email : sanjeevani.report@gmail.com

Website : www.srisathyasaisanjeevani.org

Facebook : SriSathyaSaiSanjeevaniHospital

Twitter : @SathyaSaiSanjeevani

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CONTENTS

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` `

Our Work 04

Our Stride 06

Our Heart 09

Our Sanjeevani 15

Our Guests 17

Our Inspiration 20

Pic: Idol of Lord Dattatreya in Sai Sanjeevani Hospital

Surgeries

456 surgeries have been conducted in Sai Sanjeevani since it’s inception in

November 2012. Out of these, the Center of Pediatric Heart Care has

conducted 231 pediatric cardiac surgeries since February 2014, covering a

wide range of conditions. 43 pediatric cardiac surgeries were conducted in

July, 2014.

Type of case No.

Co-arctation of Aorta 2

PDA Ligation 4

ASD Closure 7

VSD Closure 13

Sub Aortic Membrane (with VSD) 1

Atrio Ventricular Canal Repair 1

Tetrology of Fallot Repair 9

TGA – Senning’s Operation 1

Mitral Valve Repair 2

Bidirectional Glenn Shunt 3

Total 43

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OUR WORK` ` ` `

Out-Patient Services

Of the 283 registrations during the month, 112 were new cases and 171 were

revisit cases (adult and pediatric).

.

All services rendered are

totally free of charge

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Out-Patient Services – continued .

A total of 245 ECHOs were performed this month, of which 104 were for new

pediatric cases to check for pediatric or congenital heart conditions, s shown in

the table below. Also 101 Indoor post-operative screening and 40 revisit ECHOs

were performed.

Types of ECHOs No

ASD 9

VSD 23

PDA 5

PS 5

COA 2

Bi AoV 1

DOUBLE Ao ARCH 1

TOF 11

VSD / PS 1

VSD / PULMONARY ATRESIA 7

TGA 3

TRUNCUS ARTERIOSUS 1

TAPVC 1

CCTGA 1

ALCAPA 1

MITRAL ATRESIA 1

RHD 12

TB PERICARDITIS (CONSTRICTIVE) 1

DCM 1

NORMAL 17

TOTAL 104

As shown in the

table, Since

inception, we have

had the

opportunity to serve

patients across

17 states and 3

countries.

Country/state Outpatients Cardiac surgeries

Indian States

Assam 13 4

Bihar 94 21

Chhattisgarh 2306 197

Haryana 6 1

Jammu & Kashmir 1 1

Jharkhand 84 21

Karnataka 1 0

Meghalaya 1 1

Madhya Pradesh 275 34

Odisha 366 82

Punjab 11 2

Rajasthan 5 0

Tripura 1 1

Uttar Pradesh 67 19

West Bengal 245 54

Maharashtra 80 15

Andhra Pradesh 4 1

Other Countries

Bangladesh 4 1

Nepal 2 1

Nigeria 1 0

Total 3,567 456

Academic Programs

The following are the key academic knowledge sharing sessions that were conducted at

Sai Sanjeevani in July, 2014.

6.07.2014 Tetrology of Fallot Dr Krishna Manohar

Senior Pediatric Cardiac Surgeon

Sri Sathya Sai Sanjeevani Hospital

12.07.2014 Presentation of Kawasaki Disease

15.07.2014 Classification of VSD

20.07.2014 Single Ventricle Repair

Reaching out beyond boundaries

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OUR STRIDE` ` ` `

1. Commencement of DCHP - Phase 2

The Divine Child Health Program (DCHP) commenced on 1st September 2013

in Sri Sathya Sai Sanjeevani Hospital, Naya Raipur. The Program covers

healthcare needs of rural school going children in Chhattisgarh State through

timely detection of Defects, Diseases, Deficiencies and Disabilities through

systematic health screening.

The Phase 2 of DCHP started on 8th July 2014. This phase would focus on health

education and management apart from screening of children. During this

phase, 346 children across two schools, one primary and one middle, in

Dharsiwa block, Raipur district have been covered.

Apart from 29 conditions that are recommended to be screened as per the

guidelines of the Rashtriya Bal Swasthya Karyakram, the Govt of India Program

for screening of children, 8 conditions related to ‘adolescent health concerns

have also been included under DCHP.

As part of the management plan, appropriate referral and counselling was

provided to the children and their families. Basic medication including

albendazole tablets, skin ointments, ear drops and vitamin tablets were also

provided based on the need

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Pic: DCHP team

Pic: Medical check up of children

by our experienced physician

Pic: Vitals and anthropometric

measurement for paramedic staff

Pic: Health education and demonstration of

good hygiene practices to primary school

children

Pic: Mehek, Student of Pirda Primary School

2. Expansion of Infrastructure at Sai Sanjeevani Hospital–

widening the scope of care

With a high birth rate, India carries an enormous burden of congenital heart

disease (CHD). Therefore, management of CHD is an important national issue

that is often overlooked despite its enormity and severity. The resources are

scarce and the infrastructure, abysmally limited to reach out and serve both

the need and the needy.

Pediatric Cardiac Care in India is still in its infancy. There are very few

specialized pediatric cardiac care centers in India, and most of them are

concentrated in the developed / urban geographies.

Sri Sathya Sai Sanjeevani Hospital, Naya Raipur, undertook specialized and

focused pediatric heart care in February 2014. As on date, over 230 children

with CHD have been successfully treated, totally free of charge.

In order to further our address to this national need, we are now working to

expand and strengthen our infrastructure. In the coming months, we will be

commencing 2 more State of the Art Operation Theaters, an 8 bedded high

dependency ICU, a 12 bedded step down ICU and 20 bedded ward.

Dedicated to Pediatric Heart Care, the new infrastructure will enable

incremental procedures and thereby strengthen our endeavor to serve more

children with Congenital Heart Disease.

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OUR HEART` ` ` `

In this section of the newsletter we share with you a few stories of little hearts

that have touched us deeply.

1. God’s Grace in Time- The story of Megha Sahu

Age : 2 months

From : Palaud Village, Chhattisgarh

Operated on : 5th July 2014

“अन्य अस्पतालों में, किसी भी सेवा िे पहले पैसे जमा िरने होते हैं" (Across hospitalsbefore availing any services, one needs to deposit money) . These words

describe the plight of Megha’s parents, who were looking for affordable

healthcare for their baby.

The family belonged to a village less than 5 kms from Sai Sanjeevani. They were

devastated when they knew of the condition of their baby. Not knowing of

Sanjeevani initially, they knocked the doors of many a hospital in Raipur trying

to find a way forward. Being a homeopathy doctor himself, what shocked

Megha’s father was the priority being given to money over actual provision of

care across modern medical institutions.

Pic: Megha Sahu with her parents - father – Laxmi

Narayan and mother - Umeshwari

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Baby Megha was brought to Sanjeevani with a history of breathing difficulty

since 2 weeks of life, that had recently got aggravated .

Diagnosis and treatment

The baby was evaluated and found to have severe long segment Co-

arctation of Aorta; sever LV dysfunction and no PDA indicating an impending

cardiogenic collapse. The baby was admitted to the hospital in an

emergency, and within an hour, post necessary investigations, the baby was

taken up for a high risk Co-arctation repair

The baby underwent successful repair and was electively ventilated for the

next 24 hours. The baby was then shifted to the Step down ICU after 48 hours

and then upon regular establishment of breast feeding pattern, she was

shifted to the post-op ward (MatruChhaya) 72 hours after surgical repair.

The baby’s heart improved well in the post-op period and was successfully

discharged on the 7th day after operation. The pre-discharge ECHO showed

good result, offering a near normal life without further interventions.

Their experience

“सत्य साई संजीवनी सब अस्पताल से बेहतर है। भगवान से इतनी कामना है कक कोई बच्चेको भी हार्ट की बीमारी ना हो, और अगर हो, तो उनपे इतना कृपा बक्ष दे कक वो संजीवनीअस्पताल के बारे में जान पाए और समय पर अपने बच्चे को यहााँ लेके आ पाए ।”

( Satya Sai Sanjeevani is better than all hospitals. I pray to God that no child

should suffer from a heart condition, and if he/she does, I pray that God

showers enough grace on them so that they get to know about Sanjeevani and

in time are able to get the child to Sanjeevani.)

What they would want her to become

“इसको बड़ा करके, डॉक्र्र बनाएाँगे। खदु जो परेशानी देखा है, आशा है कक सामने वालों का भीपरेशानी समझके इलाज करेगी”( When she grows older, we will make her a doctor. Since she has been

through the difficulty, we wish that she will treat patients with an empathetic

approach)

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2. A mother’s perseverance - The story of Taniya Gajabhy

Age : 13 months

From : Bhopal, Madhya Pradesh

Operated on : 12th July 2014

Taniya was only 1.4 kgs when she was born and had multiple admissions to the

hospital due to prolonged chest infections. She also was diagnosed bilateral

cataract and congenital rubella syndrome. While the parents wondered

where to start the treatment and rehabilitation process, the first step that was

guided to them was of the bilateral cataract extraction when she was 7

months old. But further ophthalmic rehabilitation was becoming difficult as

doctors wanted cardiological fitness and clearance.

It was then that a close friend of theirs, who is an ardent devotee of Sri Sathya

Sai Baba, informed them of Sanjeevani in Raipur.

Diagnosis and Preparation

Her complete cardiological evaluation revealed a large PDA. Her case was

discussed in a multidisciplinary meeting and also considering the

developmental delays, the child appeared a very high risk for anesthesia

required for the PDA ligation procedure. The baby was thus started on

antifailure measures and the parents were advised to regularly follow up for

developmental and cardiac status.

Pic: Taniya with her father – Pramod Gajabhy and

mother – Shalini Gajabhy

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Decision Time

With the dedication of the parents and the utter will of her mother, after over 6

months, Taniya had caught up with some developmental milestones, though

delayed, that increased the hopes of the medical team with respect to a

better post-op anesthetic tolerance. The parents also persisted that their baby

should be given the chance of life. Post further deliberations, it was decided to

do a high risk PDA ligation

Surgery

The baby underwent surgical ligation in the same week and was successfully

weaned and extubated by the Pediatric Cardiac Intensivist. She was closely

monitored and slowly was started on regular feeding pattern. 3 days later, the

baby was shifted to the post-op ward and was eventually discharged.

Swami’s response to Tanya’s mother’s perseverance

The parents were delighted that they could now proceed with the ophthalmic

rehabilitation of the child and were praying that they be guided to the right

place. On the day of her discharge, one of Sanjeevani’s guests, who had

come to see and experience Sanjeevani for a day, met the girl’s parents and

volunteered to help them for the baby’s ophthalmic treatment. For all at

Sanjeevani, this looked like Swami’s response to the determination of Taniya’s

mother to get her cured and her undying faith on him.

Their experience

“एक ववश्वास था कक अगर मेरी बेर्ी यहााँ ठीक हो जाती है तो इसको ज़ ंदगी भर कोईतकलीफ नहीं होगी। और ऐसा ही हुआ । सही में यहााँ दावा के साथ-साथ दआुओं का असरहोता है। ”

( I had the confidence that if my daughter becomes fine here, she will not have

any trouble for the rest of her life. And that is exactly what happened. Truly

here, along with the medicines, it is prayers and goodwill that have an effect

on the children )

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2. Destiny’s Child - The story of Ujjwal Nagpure

Age : 18 months

From : Balaghat, Madhya Pradesh

Operated on : 23rd June 2014

18 month old, Ujjwal was brought by his parents with a severe breathing

difficulty , with a past history of frequent chest infection and poor weight gain.

Having gone to a number of private hospitals earlier only be faced with the

reality of how expensive surgery would be, they kept postponing it with the

hope of finding more affordable care. However, the difficulty that Ujjwal was

facing in breathing this time was severe and in time, the divine intervened in

the form of a neighbour who had heard of Sanjeevani. They wasted no time

and rushed him immediately.

Diagnosis and Surgery

His complete cardiac evaluation revealed severe segmental co-arctation of

Aorta with globular dilated, dysfunctional and poorly contracting Left Ventricle

with a small PDA supplying descending Aorta.

Considering the declining cardiac status of the child, upon detailed discussions

with his parents, the child underwent extended end-to-end anastamosis repair

of Co-arctation with PDA interruption.

Pic: Ujjwal Nagpure

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Post – op ordeal for Ujjwal

Due to the poor cardiac contractility, the baby was electively ventilated for 48

hours and weaned slowly and extubated from mechanical ventilatory support.

Initially the baby could not breathe properly and needed reintubation and

mechanical ventilatory support. The baby also had cardiac arrests due to the

worsening contractility but could be successfully revived each time by the

Intensive Care Team that continued supporting the poor cardiac function with

high dose of medicines and ventilator support.

This battle of survival continued for over 2 weeks . Finally to avoid sound box

damage due to long term ventilator support, the baby underwent a

tracheostomy procedure on day 15 post surgery. The baby had better

breathing pattern but needed further care as because the initially collapsed

left lung re-expanded with chest physiotherapy, the other lung had lobar

pneumonia that needed aggressive medicinal treatment.

The Divine hand

Every time the baby faced a difficult situation, whether an arrest or pnemonia,

destiny seemed to disagree with the symptom and helped revive the baby to

the next stage. And finally one day, the divine hand was felt clearly when the

baby’s heart suddenly began to show remarkable improvement that surprised

the medical team. Excited with this miracle, the team continued their care.

The Revival

Slowly, the baby’s lungs began to improve and finally the tracheostomy was

removed. the baby began developing a good appetite and started

demanding frequent meals. Thereon, his increasing feedings resulted in a

healthy gain of weight. It was like the whole ordeal was just completely turned

towards hope and he sprang back to life.

Apt to his name which means ‘bright’, destiny surely has plans that are filled

with hope and brightness for this little child.

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OUR SANJEEVANI` ` ` `

This month, as part of the ‘Our Sanjeevani,, we pay respect to the guru who

leads the Center for Pediatric Heart Care at Sri Sathya Sai Sanjeevani Hospital.

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It is our honour to introduce Dr Krishna Manohar, who has committed

himself into an eternal bond of selfless love with little hearts and whose life

has become one with the rhythm of the every tender heart he is ushered to

care for. Dr Krishna Manohar hails from Anchal village, Kerala. As a sign of

destiny, he was born in the same year when open-heart surgery became

popular in the world – 1956.

His Journey so far - After his medical graduation from Trivandrum and Post

Graduation from Calicut (Kerala), he began his journey in pediatric cardiac

surgery in Sree Chitra Tirunal Institute, Trivandrum, under his first guru Padma

Vibhushan, Dr M S Valiathan. After 23 years, he then served in Frontier

Lifeline in Chennai under his next guru, Padma Shri, Dr K M Cherian , who is

considered the father of Cardiac Surgery in India. Through the period of his

experience in these two renowned institutions of Heart Care, Dr Krishna

Manohar distinguished himself as a pediatric cardiac surgeon

extraordinaire, perfectly balancing surgical and academic excellence.

Senior Pediatric Cardiac Surgeon, Sri Sathya Sai Sanjeevani

“For a Doctor, Patient is GOD.

Caring for patients is the best

form of worship.”

Dr Krishna Manohar

Dr. Krishna ManoharMS, MCh

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His Inspiration – After working directly with stalwarts like Dr. M S Valiathan and

Dr. K M Cherian, Dr Krishna Manohar realized the true potential this profession

gives in achieving unsullied self satisfaction. With time, he realized that the

deeper meaning to this opportunity is the quintessential truth - “Tat tvam

asi”, which means “that is you”. To see God in everybody, he feels, is not just

a spiritual goal but is an essential feeling a surgeon needs to carry in his/her

heart, while caring for patients as reflections of God.

“Sri Sathya Sai Baba is

the God for Pediatric

Cardiac Surgery.”

Dr Krishna Manohar

Journey to Sai Sanjeevani - It was in 1991 that

Dr Krishna Manohar first learnt about the

Institute of medical excellence that Sri Sathya

Sai Baba had commenced to conduct free

cardiac surgeries in Puttaparthi. This had not

only filled Dr.Krishna Manohar’s heart with

hope, but also a selfless prayer that a similar

institution should be established for

championing Pediatric Cardiac Care

exclusively.

It was after 2 decades that his guru Dr M S Valiathan informed him about Sri

Sathya Sai Sanjeevani Hospital, Naya Raipur and advised him to set up a

pediatric cardiac team here in order to fulfill his dream – to provide quality

pediatric cardiac care totally free of charge to all. Since February 2014, Dr

Krishna Manohar and his team has been incessantly working towards

translating this dream into a reality with utmost dedication and love.

“Life is God’s Magic. If you want to experience the real magic, it is here in

Raipur. Come and See it . . .”

Dr Krishna Manohar

OUR GUESTS` ` ` `

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Hon’ble Justice M. Karpaga Vinayagam

Chairperson, Appellate Tribunal for Electricity, New Delhi

Justice M. Karpaga Vinayagam, a very renowned name in the legal field, visited Sai

Sanjeevani on 12th July 2014. He has held significant posts such as Judge of the Madras

High Court and Chief Justice of the Jharkhand High Court and is widely respected for

the several landmark and path-breaking judgments given by him.

He appreciated the effort being put in the hospital to take Bhagwan Sri Satha Sai

Baba’s values and directions forward. Excerpts from his message to the Sanjeevani

team are given below:

My kudos to the team of doctors , who are doing a commendable job in giving quality

treatment with love to the poor people across the country”

“I feel it a great opportunity, created byBhagwan Baba , to see the tremendous

services being rendered to the patients,

especially the small children, with no fee

charged. I felt amazed to see the new-born

children who have recently undergone heart

operation.

Baba used to say, Service to man is Service to

God. Here, this real service to God is being

rendered.

Visited on 12th July 2014

Shri Sanjay Tandon and Family

BCom(Hons.), FCA, CWA; State President of BJP Chandigarh; s/o Shri Balramji Das Tandon, Governor of Chhattisgarh

Shri Sanjay Tandon along with his family visited Sri Sathya Sai Sanjeevani Hospital on 26th

July. They spent significant time understanding the various aspects of Swami’s hospitals

and the upcoming Sri Sathya Sai Sowbhagyam – Center for Human Development. He

shared his experience with us in the following words.

Visited on 26th July 2014

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It was fascinating to learn about its eco-friendly architecture and the state of the art

facilities of Sai Sowbhagyam. The building promises to be a work of art, which in turn

will encourage the long forgotten Indian art and sculpture. The huge statue of Lord

Padmanabha in the premises is a sight to behold.

I was incredibly impressed by everything I saw. From the peaceful vicinity, greenery

and the adjacent lake to those who I interacted with at the facilities, an extremely

motivated and humble group of individuals. Even the Hon'ble CM of the state spoke

very highly of the hospital.”

“I, along with my family, had the honourand privilege of visiting the Sai

Sanjeevani Hospital and the upcoming

Centre for Human Development - Shri

Sathya Sai Sowbhagyam.

The hospital embodies what our dearest

Bhagwan stands for- Love. A dedicated

facility for congenital heart disorders (in

children), that caters to the need of

those less fortunate, set up in a remote

part of the country, providing world class

treatment, free of cost.

Special Mention

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Sri Sathya Sai Sanjeevani Team was invited for the swearing-in ceremony of the

new Governor of Chhattisgarh, Shri Balramji Das Tandon, as his guests.

Shri Balramji Das Tandon, who is an ardent devotee of Sri Sathya Sai Baba,

expressed his appreciation for the service being rendered by Sri Sathya Sai

Sanjeevani Hospital.

Pic: Shri Balramji Das Tandon ,Governor of Chhattisgarh, Dr Raman

Singh, Chief Minister – Chhattisgarh, Shri Sanjay Tandon, President

of BJP Chandigarh, Shri C Sreenivas, Chairman, Sri Sathya Sai

Health and Education Trust

OUR INSPIRATION` ` ` `

“Having resolved what ought to be resolved, hold on to it till you have succeeded.

Having desired what ought to be desired, hold on to it till your desire is fulfilled.

Having asked what ought to be asked, do not leave the hold till you get it.

Having thought what ought to be thought, hold on to it till you have succeeded.

With heart mellowed, the Lord must yield to your wishes.

With no thought of yourself, ask Him with all your heart.

Persevere, be tenacious, and never give up, for it is the

quality of a devotee never to retreat, abandoning the resolve”

By Bhagwan Sri Sathya Sai Baba

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