New DES More Effective To Reduce Restenosis Than First-Generation Stents: Dr Mitchell Krucoff

New DES More Effective To Reduce Restenosis Than First-Generation Stents: Dr Mitchell Krucoff
Monday, October 26, 2009 08:00 IST
Our Bureau, Bangalore

Newer drug eluting stents (DES) are proving to be significantly more effective and safer compared to the ‘first-generation’ drug eluting stents. DES is developed to reduce incidents of re-blockage or restenosis which occur with bare metal stents and almost all trials showed a marked reduction in restenosis rates. The ideal drug eluting stent is one which demonstrates high efficacy while maintaining excellent safety profile.

The latest stents made of polymer and steel are known for higher biocompatibility. These are thinner in appearance and more flexible. The lower doses of the drug are much preferred as a long treatment option for complex and difficult cases. Another big advantage is the negative side effects. The drug eluting stents reduced the need for a second intervention procedure by about 40 to 50 per cent compared to bare metal stents especially in complex cases where patients reported long blockages in diabetics and those having small blood vessels, according to Dr Mitchell Krucoff, interventional cardiology scientist and advisor to US FDA on medical devices.

Dr Krucoff who is in India to research on medicine, healing and spirituality at the Sathya Sai Institute of Higher Medical Sciences in Bangalore, said that over 75,000 patients are treated with drug eluting stents each year in India. The ideal drug eluting stent is one that has proven in large clinical trials to reduce the chances of reblockage, morbidity and mortality.

According to the recently concluded international congress of interventional cardiology, Transcatheter Cardiovascular Therapeutics (TCT), in San Francisco, three separate large randomized clinical studies showed that the new generation drug eluting stent Xience V was significantly more effective and safe than the first generation Taxus stent.

India will account for 60 per cent of the global heart disease burden in the next few years, reports a recent study by a team of Indian and Canadian researchers. Indians have a genetic disposition to heart disease and develop disease earlier in their life compared to western population. Already the country set to become the diabetes capital of the world and it is forecasted that it will also be known for the highest incidence of heart disease, said Dr Krucoff.

Due to the effectiveness of stents, angioplasty is becoming the preferred choice of treatment of patients with narrowing of the blood vessels in the heart. These devices have evolved over the last two decades beginning from specialized balloons mounted on catheters to treat the narrowing to bare metal stents to drug coated stents. In India, use of drug eluting stents have increased dramatically since their introduction in 2003.

Going by the economies of scale, DES is being preferred to by-pass surgery in terms of faster recovery and higher productivity for the patient to get back to work at quicker pace, he added.

Interventional cardiology is a super specialty and the need of the hour is adequate number of trained experts. If there are specialists who have ample experience, they are most-sought after experts to implant DES. The number of cath labs should also increase to help specialist carry out the procedure. India is far higher in terms of expertise and use of stents than China. The country has a growing patient population who need DES which are affordable, said Dr Krucoff.

Pharmabiz Reference

Also see:
Official Sathya Sai Baba Website
Sri Sathya Sai Medical Trust
Sri Sathya Sai Institute Of Higher Medical Sciences Whitefield
Sri Sathya Sai Institute Of Higher Medical Sciences Prasanthigram

Sathya Sai Organisation Of Australia In Fiji

Sathya Sai Organisation Of Australia In Fiji

Free checks draw crowd
By Mereseini Marau
Saturday, August 22, 2009

A TEAM of 32 doctors and nurses provided free medical service to people of Navua and surrounding areas at the Lomary Catholic Primary School on Thursday.

The team includes six general practitioners, four nurses, three dentists, one dental processor, two eye specialists, three pharmacists and two gynaecologists. They are members of Sathya Sai Organisation of Australia — a non-governmental organisation.

Team leader Dr Gunu Naker said they saw more than 3000 people at Tavua, Ba, Sigatoka and Navua.

“Many people come for eye check, blood pressure, heart check and skin rash,” Dr Naker said.

“Some problems we had were people didn’t bring their medication and glasses, so we are unable to offer much advice whether they should continue with that medication or start with the ones we give,” he said.

The main aim of the group was to provide free medical service to people in rural areas, who would otherwise could not go to hospital because they can’t pay for transportation.

“We met the Ministry of Health and they informed us which areas needed medical attention and we visited them.”

Ranadi Rokosalu had a free check at Lomary.

“I am happy because some of us from the interior find it hard to go to Suva for expert advice.”

The team was in Nadi yesterday.

Fiji Times Online Reference
Official Sathya Sai Baba Website

Sai camp provides free care
22-Aug-2009 11:25 AM

MORE than five hundred people of Nadi took advantage of a free medical camp set up by medical professionals associated with the Satya Sai Organization in Australia.

Team leader Doctor Gunu Naker who is a general practitioner based in Australia is in the country with a team of more than twenty highly trained specialists and general practitioner doctors.

Doctor Naker told Fiji Daily Post that the medical camp trip to Fiji which started last year is getting popular every year.

“Last year we were able to see over three thousand patients,” Doctor Naker said.

He said all medical services including specialist diagnosis given to patients were absolutely free.

“The Satya Sai Organization is not a religious but a spiritual organization and service to mankind is an absolute priority,” Doctor Naker said.

He said the medical wing of the SSO in Australia has a team of thirty medical professionals and there is a sister team based in New Zealand as well. “Our Kiwi counterparts have been coming over here for the past four years now and they mostly concentrate in Vanua Levu but they have spent two days in Viti Levu during their last visit as well,” Doctor Naker said.

He said the free medical camp this year had taken place following a medical conference which was held at Dr. Umanand Prasad Medical School based at the University of Fiji. “We were very fortunate to have had the company of the Honourable Minister for Health Dr. Neel Sharma in the conference as well.”

He said the medical conference was well attended by the medical fraternity and is gaining momentum each year.

“The conference and free medical camp will now be an ongoing thing because it was very important to have a good medical facility so that everyone benefits in the end.”

“Students from the school have been joining us as well ever since we started last year and it is nice to have them amongst us as they get to learn a lot from their experiences,” Doctor Naker said.

He also thanked the management and staff of Andrews Primary School for providing the venue for yesterday’s medical camp.


Fiji Daily Post Reference
Official Sathya Sai Baba Website

Providing Hope And Healing To Heart Patients

Providing Hope And Healing To Heart Patients
Dr Michael Nobel, chairman of the Appeal of the Peace Prize Laureats Foundation, had said, ‘I have never seen anything like this on earth. It is a wonderful feeling, far removed from the national healthcare in the West, which does not seem to work very well. The impressive thing about the hospital created by Bhagwan Sathya Sai Baba is the combination of the three aspects: state-of-the-art technology, free medical treatment and the healing powers of his presence instilling in the patient the firm belief that he or she will get well.’

The Sri Sathya Sai Institute of Higher Medical Sciences’ super-specialty hospital in Whitefield, near Bangalore, offers free heart surgeries to people from all walks of life. Till date this hospital has conducted nearly four lakh surgeries, according to hospital staffers, who point out that there is no billing counter here.

The hospital’s mission is to ‘provide high quality medical care absolutely on a no cost basis to all irrespective of caste, creed, religion, and financial status in an overall spiritual environment which recognises the patient as a human being and not as a diseased entity’.

Each and every patient receives the same treatment
The hospital is situated on a sprawling 53-acre complex. A large number of patients, young and old, rich and poor, get their heart problems treated free of cost. Some treatments would cost Rs 4 lakh in other medical facilities.

Y Arvind, manager of public relations at the Sri Sathya Sai Baba Institute of Higher Medical Sciences, says that the list of patients is endless. ‘We have patients throughout the day and I must tell you that we are proud of our waiting list. We meet every patient and we never promise what we cannot deliver. But we only deliver the best here. The doctors meet and evaluate each and every patient who comes here. The cases are taken up for treatment depending on their urgency,’ he added.

Every patient receives the same treatment here, free-of-cost. ‘The idea is that each patient is at the same level and if you do not pay for your treatment, then everyone is on par,’ explains Arvind proudly.

The hospital runs on donations from various philanthropists and devotees
The hospital is equipped with a fully automated information system which takes care of the patient data. The hospital also maintains a manual record of the data.

The super specialty hospital, with a built up area of 3,54,000 sq feet, houses 333 beds, eight operation theatres, six intensive care units, two cardiac cath labs and a 24-hour emergency unit. This state-of-the-art hospital, with a dedicated team of expert doctors, is also remarkable due to its Indo-Saracenic architecture and magnificent gardens.

How does the hospital dispense free medical treatment to so many patients? All the funds for the hospital come from the medical trust, which in turn receives the money in the form of donations from various philanthropists and devotees of Sathya Sai Baba. Arvind explains that on an average, the hospital authorities spend Rs 50 lakh a month on surgeries, treatment, maintenance cost and staff salary.

Not medical counseling, but patient counseling
‘We are able to manage this thanks to resource optimisation. For example, we don’t waste paper. It is compulsory for anyone using a note to use both sides of it and not throw it away after writing on only one side,’ Arvind explained.

The doctors have been instructed not to conduct medical counseling, but to conduct patient counseling for every patient. The doctors draw up an emotional profile of the patient to figure out the route of his emotional imbalance. This understanding helps the doctors in keeping their patients calm, and studies have proven that a calm mind helps heal a patient better.

Sri Sathya Sai Baba‘s first initiatives in the field of medical care began with the Sri Sathya Sai General Hospital, Prasanthi Nilayam, which was inaugurated on October 4, 1956 as a 12-bed facility for serving the poor in Puttaparthi and the surrounding villages.

Free healthcare to all patients
The initiative was aimed at giving free healthcare to all the patients seeking treatment at the hospital. Soon, the hospital began to attract patients from all across Anantapur, adjoining districts and other states. Over the years, the SSSGH grew from a single room dispensary to a sizeable general hospital with 90-bed capacity, treating patients suffering from various aliments. The Out Patient Department in the hospital now handles nearly 600 patients daily on an average.

In 1976, a second hospital, Sri Sathya Sai General Hospital, Whitefield was inaugurated by Sri Sathya Sai Baba in Bangalore. He also founded the Sri Sathya Sai Medical Trust in September 1991, to set up super-specialty hospitals to provide quality medical care to needy patients irrespective of caste, creed and religion.

State-of-the- art medical care
The first venture of the Sri Sathya Sai Medical Trust, towards providing high-tech tertiary medical care, was in the form of the Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi in November 1991. The institute provides state-of-the-art tertiary medical care absolutely free of cost to all those who came to its portals. This super specialty hospital treats diseases related to cardiology, urology and ophthalmology.

After the success of the super specialty venture in Andhra Pradesh, the government of Karnataka wanted Baba to start another super specialty hospital in Bangalore and offered 53 acres of land to build a super specialty hospital in its suburbs. The Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore was inaugurated on January 19, 2001.

Rediff News Reference

Pujya Shri Pramukh Swami Maharaj Visits The Shri Sathya Sai Heart Hospital – Rajkot

Pramukh Swami Maharaj

Pramukh Swami Maharaj

Pujya Shri Pramukh Swami Maharaj Visits The Shri Sathya Sai Heart Hospital – Rajkot

The head of the Swaminarayan mission, Shri Pramukh Swami Maharaj visited the Shri Sathya Sai Heart Hospital at Rajkot.

Pujya Pramukh Swami met the Tustees Bros. Kanubhai Patel and Manojbhai Bhimani who took him around the whole hospital including the Operation theatres, ICUs etc. He was very pleased with the latest medical equipment in the hospital for diagnosing and treating even the most difficult cases. He then visited the wards and personally blessed all the patients there.

He told all those present there that He was very impressed with the care and love showered to the patients there by the devoted team of the Doctors and the staff.

Article in Gujarti (Translation in English below)

Pujya Shri Pramukh Visits Sathya Sai Hospital

Pujya Shri Pramukh Visits Sathya Sai Hospital

His Holiness Shri Pramukh Swami visits Sri Sathya Sai Hospital, Rajkot
Gujarat, India – Wednesday 29th June 2005

The most revered spiritual leader and head of Shri Swaminarayan Hindu Mission (BAPS), Pujya Shri Pramukh Swami Maharaj, graced Sri Sathya Sai Super Speciality Hospital, Kalawad Road, Rajkot with a visit last Sunday. The holy man saw for himself how this renowned establishment offers free facilities and services and was impressed by how it lives up to its ‘Service to Man is Service to God’ motto. He proceeded to give his personal attention to every section of the hospital and showered his blessings upon the medical staff, patients and members of the hospital trustee group.

Very expensive heart surgery and modern treatment is available at Sri Sathya Sai Hospital no cost – regardless of any ability to pay. Every patient is seen as ‘Narayana’ – God in human form.

His Holiness showed great interest in every aspect of the work being carried out and went through the administrative offices, operation theatre, Intensive Care Unit, and met those awaiting and undergoing treatment as well as those who had already been operated upon. This gave him an over all picture of the institution and its workings. He also met dignitaries and senior surgeons and showed how pleased and impressed he was with what he had seen and heard.

He then visited the Prayer Hall and offered flowers to the image of Sri Sathya Sai Baba, whose divine message has inspired the foundation of the hospital and other major social projects throughout India and, indeed, the world.

‘This auspicious visit by such a unique spiritual personality as Pramukh Swami Maharaj is truly momentous and an inspiration to do even more’ were the sentiments expressed by the Hospital Managing Trustee, Kanubhai Patel and Joint Managing Trustee, Manojbhai Bhimani.

Shri Pramukh Swami Maharaj is the inspiration behind the creation of over 650 temples worldwide and heads an organisation which promotes social awakening, education and service to the community. Bochasanvasi Shri Akshar Purushottam Swaminarayan Sanstha is a progressive and very active movement with several million followers throughout the world.

Are You A Doctor?

Sathya Sai Baba

Sathya Sai Baba

Are You A Doctor?

Dear reader, in this ‘Window to Sai Seva’ section, in every issue we bring you inspiring stories of service done by seva teams from all over India and the world. However, in this issue, we have something different. It is not so much on service but on an instrument of Swami who has been selflessly offering his time and energy for the poor and needy. What drives an eye surgeon from the USA to travel thousands of miles every year to spend three weeks serving in Swami’s Super Specialty Hospital in Puttaparthi? How different is the experience? Here is a persoanl account from a person to whom hundreds owe their eyesight.

In 2001, during one of his visits to Prasanthi Nilayam, Dr. Sanjeev Dewan, an eye surgeon based in Canton, Ohio, USA, was sitting on the veranda in front the Bhajan Hall, eagerly waiting for Swami’s darshan. “Baba walked into the veranda and as He passed, He glanced at me and said, ‘Are you a doctor? You are a patient’, Dr. Dewan said. “I knew the significance of Swami’s words. I nodded and said, ‘Yes, Swami, I am the patient and you are fixing my illness.'”

Dr. Dewan, a 40-year-old visiting eye surgeon at the Sri Sathya Sai Institute of Higher Medical Sciences (SSSIHMS), Prashantigram, feels that since he came to Swami’s fold, the transformation that Swami had desired has been taking place in countless ways. Every year, Dr. Dewan takes a break from his busy practice back in the U.S. and heads to SSSIHMS for three weeks, where he treats the patients – and himself gets ‘cured’.

The Qualifications of a True Doctor
“I am not a complete doctor. A doctor has to be wholly desireless, selfless and compassionate. The transformation is taking place in many ways,” he smiles. A disarming smile, which has the warmth to put even the most edgy among the patients, at ease. Apart from his smile, what patients notice as soon as they enter his room at the Hospital is a cheerful man in a lilac blue apron, with Ohio Eye Alliance embroidered on the left side. Dr. Dewan’s parents had migrated from Pakistan to India during the partition. The family later got settled in the U.S. in 1956.

It is a delightful story how Swami brought Dr. Dewan into His fold. As he tries to remember his first encounter with Bhagavan, one can see his sharp brown eyes getting wistful as he searches his memory. His head falls back and he looks remotely at the white wall facing him in his room.

“I am not all that good with the details”, he says breaking the silence. He, however, remembers the picture of a ‘man’ his wife had placed at the location of their marriage ceremony, which took place in Buffalo, New York in 1992. “During our wedding, Seema had kept the photograph of Sai Baba at the place where the wedding ceremony was to take place,” he says. “‘Who is this man?’ I had asked. ‘My Guru,’ was her answer.”

Mrs. Dewan has been an ardent follower of Baba since she was seven years old. She has visited Puttaparthi on several occasions and also authored several books on Swami, the first one being, “Sai Darshan”.

“I did not have any reservations about having the photograph of Sai Baba at my wedding, but somehow was not impressed with the ‘man'” says Dr. Dewan and continues, “It was several years after our marriage that one day my wife said, ‘let us go to India and visit Puttaparthi’ . I somehow felt like accompanying her. But I told her, ‘we will stay only for a day at the ashram as we have other engagements’.”

It was in 1995 that Dr. Dewan visited Prasanthi Nilayam for the first time. “We got down at the Puttaparthi airport, after taking a connecting flight from Bangalore. It was as if some invisible hand was taking care of all our concerns. As soon as we descended from the aircraft, a person volunteered to guide us to the ashram. We hesitated, but he took us along and made adequate arrangements for our stay. Only after we felt comfortable inside the ashram, he left,” Dr. Dewan recollects. He told us that he worked with the Indian Airlines. That was all we could gather about him, Dr. Dewan adds.

The Numinous Attraction of Divine Love
When it was Bhagavan’s darshan time, the family quickly reached the hall. “I sat far away from Swami, somewhere in the multitude of devotees. As I saw Swami walking among the devotees, I felt drawn to Him. Something overcame me. I wanted to be close to Him. ‘Why cannot I be close to him?’, ‘Why this distance?’, I kept asking myself. That night I was almost in tears,” Dr. Dewan confesses. “Then I told my Seema, ‘all right, we will stay for two days more!'” Now, Dr. Dewan chuckles.

The next day Dr. Dewan visited Bhagavan’s birthplace, where now stands a Shiva Temple and lies at one end of bustling Puttaparthi town. “During our visit Mr. Bhatt was the temple priest. He took us with him to his home and started narrating stories of Baba, I could not be satiated. Acknowledging my interest, Mr. Bhatt went from one story to another. Yet I wanted to hear more.” Soon Dr. Dewan was visiting Prasanthi Nilayam along with his family of five every year.

The Gift of True Vision
In innumerable ways, Bhagavan helped the Dewan family in their difficult times. One of the doctor’s three sons, 12-year-old Karan, was suffering from isotropia in one eye, which is an in-turning of the eye which makes a person cross-eyed. Due to his condition, Karan used to wear glasses.

Dr. Dewan says that during an interview granted to his family in the year 2000, Swami looked at his 12-year-old bespectacled son and told him: “Boy’s eyes are weak”, He then paused and added, “Glasses will go”. It is sometimes difficult to understand what Bhagavan means. But soon enough, Dr. Dewan was to witness the manifestation of Swami’s infinite grace.

“We went back to the U.S. and one day Karan came to me and said, ‘Dad, I see everything blurred when I wear glasses, but when I don’t, everything looks perfectly clear’. I thought he was joking. I specialise in paediatric ophthalmology, so I took Karan to my clinic and tested his eyes. His eyes were perfect. They had healed!” Dr. Dewan says, his eyes aglow with happiness reminiscesing this amazing miracle. “As Swami said, the glasses went,” he adds, jubilantly.

Working in the Temple of Healing
“I always feel that we are just instruments in His hands. I have experienced so many wonderful things here. The first time I came to the Hospital I was awestruck, as it looked more like a temple than a Hospital”, he says.

On his first visit, a large number of people with specific eye disorders, whose treatment was Dr. Dewan’s expertise, suddenly arrived at the Hospital. “This is Swami’s grace. And this happens on every occasion any visiting physician arrives at the Hospital. People may think it might be because the message spreads through word of mouth. But on many occasions the visiting physician might be visiting the Hospital for the first time. This has happened too many times for it to be just a coincidence.”

“Also when I come here, my efficiency suddenly increases. I am able to treat more people here than what I do back home in the U.S.. When I return my efficiency drops,” Dr. Dewan chuckles. “I believe it is Baba’s grace!”

He adds that on several occasions he had come across cases which he had never seen during his practice in the U.S. “Working here also helps me to gain new insights into several rare cases. I take back the experience with me to America”, he adds.

According to Dr. Dewan, in India he finds more cases of nerve palsy than back in the U.S.. He explains that there are three nerves which control the movement of the eye, and nerve palsy leads to abnormal movement of eyes. “Many cases coming to the Hospital are of such kind,” he explains.

Dr. Dewan had also yearned to teach, which he is able to do now during his present visit to the SSSIHMS. “I wanted to teach and now Swami has fulfilled my desire”, he says with a smile. “Teaching helps a doctor to remain abreast with the latest developments in the field of medicine. I have to answer questions, which are put to me by the resident doctors, so I have to strive harder to learn and then teach the same. This process helps me to be a better physician myself.”

An Aspiration for Peace
Speaking about the transformation which has come about in him, Dr. Dewan says that his experiences with Bhagavan have helped him to re-align the goal of his life. The goal has now changed to peace and unity. “I have a yearning to speak less and accept more – and to serve without desire.”

“It is difficult to explain to my colleagues where I go off to every year for three weeks. They think I am taking off to some beach,” he chuckles. “They find it hard to imagine that I am taking off to volunteer in a Hospital, which lies in a remote corner of India and treats patients free of cost,” he adds.

Dr. Dewan says he tries to explain to his colleagues that it is not a holiday but an experience that takes a person to a different level. He tells them that when he started visiting the Hospital he realised how much people appreciated the work that he was doing. “The fact that I was able to serve was itself highly rewarding,” he adds.

During an interview granted to Dr. Dewan and his wife, Seema, by Bhagavan, Dr. Dewan had asked Swami, “Why this separation between You and me, Lord?” “No separation, no separation.” Bhagavan had affirmed.

“Before I came to Bhagavan, I used to ask ‘God, where are you?’ I don’t ask that question anymore”, Dr. Dewan ends the conversation with a satisfied smile, to continue doing what he loves the most – serve patients in Swami’s Hospital.

– Heart2Heart Team