Starting a new Cardiac Surgery set up

The gratification and satisfaction of starting Heart surgery program post COVID was fraught with fears, apprehension and lot of queries in mind last June,2021. The team getting together, making the new management understand the exclusivities of Cardiac Surgery, training of new inductions all posed a big challenge. Today 9 months later looking back and analysing the zero mortality (100% success) achieved so far does look an uphill task but unimaginable too. There was no morbidity too and average length of stay hovered around 5.5 days. We took acute MI Cabgs, CABG +AVRs, poor lv functions and valve replacement surgeries coming to us in failure with saturations of 82%. Whole credit goes to in depth evaluation, stabilisation preoperatively to optimise for surgery, an intense post operative care by the most experienced team. There were sleepless nights to make patients sleep well and go back home in comfort and smiles on their faces.

I always say Programs are always bigger with teams and not mere buildings. An intentness to treat life and see them as humans surpasses any other expectation and brings laurels to our specialty and the profession.

Kudos to the team and thank God for His Choicest blessings on us and all my patients who showed faith in this new setup and in challenging times. Just to add one of the patients brother-in-law law of a dear family friend had to be induced in his presence in OT as he was jumping out of table being scared though having tight left main stem Coronary artery disease. But his brother-in-law’s presence worked and today he is a confident man riding the lift alone which he was scared to do preoperatively!! 

#surgery  #team #training #covid #success #management #coronaryarterydisease #cabg #sarwalheartsurgery #drsarwal

Substandard Cardiac Surgery Centres

All hospitals including the small nursing  home types like HH, MH here in tricity of Chandigarh aspire to have the most prestigious  speciality services of Cardiac Surgery with them which is not only  highly skill oriented but is very man power intensive if you want to save lives. This is the only speciality which gives you seconds to rescue a life in danger and help needs to be in house 24x7. Recently these over ambitious small setups have spoiled the stature of speciality in encouraging the younger generation Surgeons to work without back ups,  on refurbished equipment which thankfully Govt is banning them now, cheap reused disposables just for the sake of operating and inturn earning the meager bucks not bothering whether life will be saved or not. All kinds of unscrupulous means to earn extra money underhand even from Govt schemes are adopted in the name of viability knowing Honble Courts have nothing to offer as a quick relief. Years pass on to get small redressal.
This approach in highly critical and skilled speciality has destroyed the image of the speciality and the profession. Crowds gather on each mortality, police uses force still the show goes on.
NABH approvals have become another farce with hired team and hired equipments to fill the forms for approval.

My question is simple:
Can't the Govt ban  or bar these small funny setups from operating this highly skilled speciality or makes it mandatory to provide standardised care at these hospital cum nursing homes? It will go a long way to save many bread winners of the families and save huge avoidable losses of life!
#team #nursing #hospital #hospitals #work #money #power #surgery #cardiacsurgery #heartsurgery #drsarwal #sarwalheartivillage