JOURNAL OF PUSHPANJALI HEALTHCARE

June 2012

Learning to ListenVery recently, a group of 30 managers from the hospital traveled to Naukuchiatal (at the foothills of Kumaon region) and attended an inspirational workshop conducted by Mr Maaney Paul a Communications Guru. There had been many positives and earnings from this experience and the biggest was that one could perceive a sense of camaraderie that was hardly visible in the workplace. At this workshop what was abundantly clear that the key to effective delivery of services is communication, which is among the most central and natural human phenomena. Thus, it becomes an essential prerequisite for excellence in service delivery, especially in the healthcare sector, where we only deal with people. The people we deal with are stressed and so are their families. Here, effective and well thought out interactions go a long way in paving a smooth path.

Effective communication and teamwork is yet another pre requisite if we are committed to deliver high quality, and safe patient care. Communication failures are extremely common causes of adverse events in the hospital. The complexity of medical care, coupled with the inherent limitations of human performance, make it critically important that clinicians understand the need of creating an environment in which individuals can speak up and express concerns, and alert team members to unsafe situations. What we learnt at the workshop is that frequently, effective communication is situation or personality dependent. Other high reliability domains, such as commercial aviation, have shown that the adoption of standardized tools and behaviors is a very effective strategy in enhancing teamwork and reducing risk. In a healthcare delivery team, who plays an important role in communication? The answer is everyone since we all communicate all the time. The responsibility for effective communication rests on the individual with the understanding that attitudes and directions of service delivery ultimately aids in the realization of internal and external functioning. Learning to listen: In order for a free and smooth flow of ideas, thoughts and information to happen successfully, we must learn to know how to listen to the other person and during this process monitor the attitude and direction of our own thoughts. There is a difference between a work place where every one goes through the motions and a work place where people are motivated and eager to perform individually and as a group. Can we create a culture where ideas and enthusiasm of the workers are welcomed and harnessed into meaningful goals? We at PCH are determined to make our organization to be counted in the second category. We need your inputs and ideas to make that happen.

Dr Vijay Agarwal Executive Director

Editorial BoardEditors Dr Vinay Aggarwal Dr Vijay Agarwal Dr Gaurav Aggarwal Mr Gaurav Pandey Advisors Dr PD Garg Dr Madhumita Puri

PUSHPANJALI HEALTHCARERegistered Office: A-14, Pushpanjali, Vikas Marg Extn, Delhi - 110092 T/F: +91.11.22372852-57, 43075600 E-mail: info@pch.co.in Web: www.pch.co.in

Inaugurations20 February 2012

Pushpanjali Crosslay Charitable Clinic (PCCT)The Pushpanjali Crosslay Charitable Clinic was inaugurated by Mr Mohan Singh, President, RWA, Sec-1, Vaishali, Ghaziabad at the back gate of PCH. Dr Vinay Aggarwal, Dr Vijay Agarwal and Mr OP Manchanda, were specially present on this occasion. Dr Ajay Aggarwal manages this clinic daily from 10 am to 12 noon. The Clinic is closed on Sundays.15 April, 2012

PCH LibraryThe Library facility has been started at Pushpanjali Crosslay Hospital with effect from 15 April, 2012. The library is adjacent the Nurses Office (and opposite the Pharmacy) on the first floor; and is functional from 9:00 am to 8:00 pm on all working days.

Community ProgramsCampsDate (2012)4 March

LocationSt Thomas Orthodox Church, Sahibabad

Number of Participants200

Attending DoctorsDr Dhirendra Singhania, Dr AK Chhatrawal, Dr Ashwin Garg, Dr Anjali, Dr Ashutosh Misra, Dr Ashish Sao

11 March 11 March 16 March 25 March

Jiwan Anmol Hospital, Mayur Vihar Ramprastha Park ESI Hospital, Modinagar Shroff Eye Centre, PCH

76 109 140 225

Dr Gaurav Minocha / Dr Dhirendra Singhania Dr Dhirendra Singhania, Dr Amit Chhabra Dr Gaurav Jindal Dr N Shroff, Dr Shalni Gupta, Dr LD Sota, Dr Dipender Chauhan, Dr Pawan Johri

25 March

Shree Krishna Hospital, Mayur Vihar, Phase-1

200

Dr Dhirendra Singhania, Dr Gopal Sharma, Dr Varun Gupta, Dr Ashutosh Sharma

30 March 30 March

Easy Day, Mahagun Mall, Vaishali Lions Club, Baraut

160 250

Dr Amit Chabbra Dr Dhirendra Singhania, Dr Vibhu Mittal, Dr AK Chhatrawal

30-31 March, 1 April l8 April

HIV and AIIDS, First Aid Camp, Tyagraj Stadium Adharsheela Global Public School, Vasundhara

500

Dr Ruby Bansal, Dr Gaurav Jindal, Dr Rajat Kumar Agarwal

186

Dr Gaurav Manocha, Dr AK Chattarwal, Dr Kaushik, Dr Ashutosh Misra

10 April 29 April 9-11 May 13-20 May 26 May 27 May

Prithvee Builders, Noida Jhandewalan Mata Mandir, Mandoli Uflex Industries, Noida Mother's Day Well Woman Health Check up Muzaffarnagar with Rotary International Prostate and Stone Camp at PMC

120 85 415 40 120 150

Dr Amit Chhabra Dr Anjali Dr Gaurav Minocha, Dr AK Chhatrawal Dr Ruby Bansal Dr Gaurav Minocha Dr Yogesh Jhamb, Dr C M Goel, Dr Shailesh Chandra Sahai

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Visits

29 Feburary 2012

1 March 2012

Dr Anup Kumar Saha, Member of Parliament from Bardhaman Purba of West Bengal visited PCH and interacted with clinical leaders and senior staff.1 March 2012

Gambias High Commissioner to India, H.E. Dembo Badjie visited PCH and interacted with clinical leaders, senior staff.

2 March 2012

Mr Surendra Bagi - All India JDU President visited Pushpanjali Crosslay Hospital and appreciated the facility.

HE Mrs Irina A Orolbaeva, Ambassador, Kyrgyz Embassy in India visited PCH.

17 April 2012

A team of medical experts from Pushpanjali Crosslay Hospital met with the Vice-President and Minister of Womens Affairs, Aja Dr Isatou Njie-Saidy, to discuss the possibility of establishing a super-speciality hospital in Gambia. The team was escorted to the State House by Gambias High Commissioner to India, Dembo Badjie, to meet health authorities and the country's leadership to initiate the process of making the super-specialty hospital a reality. Brikama was recommended as a suitable location to house the facility. As per plan, this super-speciality hospital would serve as a referral ground for chronic and other complicated health cases from Gambia, and its regions. Like Pushpanjali Crosslay Hospital in India, the super-specialty hospital in Gambia will offer a comprehensive care through both modern and complimentary alternative systems of medicine with a concentrated focus on preventive measures. Speaking to reporters after the discussion, Dr Vinay Aggarwal, President-elect, Confederation of Medical Association in Asia and Oceania; and Chairman and Managing Director, Pushpanjali Crosslay Hospital (India), reflected on the importance of their visit to the country. He cited the efforts of High Commissioner Badjie in this move, saying that the latter visited PCH and invited the top management to visit Gambia to explore possibilities of a partnership with the government. Dr Vijay Agarwal and Mr OP Manchanda were a part of the delegation.

19 April 2012

23 April 2012

H.E. Mr Waven Winslow William, High Commissioner of Seychelles visited PCH and interacted with clinical leaders and senior staff.

Dr R Pai, HOD, Community Medicine from MAMC visited PCH and interacted with management and doctors.

Pushpanjali Golden Years Program (PGYP)Date (2012)26 Feb 25 March

TopicCare of Joints Common Eye problems

SpeakerDr Shuchita Bansal Dr Daraiuss Shroff, Dr Deepak Chauhan

Attendance73

26 33

29 April

Brain Attack

Dr Kapil Singhal

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CMEs, Conferences, Seminars and Workshops

Date

TopicClinical Communication Skills Emerging Backhand for Designer Doctors

Department

SpeakerDr Vivek Chhabra DNB, Faculty, Clinical Communication Skills, UK

29 February

Medical Services

3 March

IVF - An Approach to infertility

IVF

Dr Poonam Goyal, Dr Bhavana Mittal Dr Sowjanya Aggarwal

10 March

Child Abuse and Neglect Services First Seminar at PCH "World Kidney Day Public Lecture, launch of book Know your Kidney Nursing Workshop 2-day National Symposium on HIV & AIDS: Biology to Bedside at Amity University A case of Pancytopenia

Pediatrics

Dr TS Jain

10 March

Nephrology

Dr NP Singh, Dr Neeru P Aggarwal, Dr LK Jha Dr Sandeep Jain Dr Ruby Bansal Dr Ashok Kumar Grover,

11 March 15-16 March

Emergency & Trauma HIV and AIDS

Medicine

Dr Pankaj Chaudhary Dr Mohini Bhargava

21 March An interesting case of Multisystem Dysfunction Control and Monitoring of Hospital Associated Infection Cleanliness Week Autism: Early Diagnosis and Intervention An interesting case of Pyelonephritis Newer Adjuncts to Sepsis Therapy 25 April 27 April 10 May 12 May Nutrition in Critically Ill Book Launch What is IVF 3rd Inter-Hospital Nursing Quiz Competition "Patient Safety & Infection Control Nurses Day celebration with cultural program "Workshop of Healthy Vaishali, Happy Vaishali, Model Governance through Greater Citizen Govt Integration Nursing Nursing Marketing, Representatives of RWAs, Civic, Social and Environment Groups, Journalists, Urban Planning experts Medicine Webtelecast- Mayraj Fahim, Adviser on Local Government at City Mayors Foundation, New York; Mr Chandra Vikash Dr Parul Khurana With inputs from: Dr Parkash Gera, Dr Anupam Chhabra, Dr Gopal Sharma Dr Bhavan Gandhi, Ms Kanika Chandna Critical Care IVF Dr Parul Khurana, Dr Vishal Arora

28 March 1-7 April 6 April 18 April

Microbiology Medical Services Pediatrics Medicine

Dr Raman Sardana, Head of Microbioloogy, Apollo Hospital Dr TS Jain Dr Veronica Smith, Associate Prof, University of Alberta, USA Dr Amit Gupta, Dr Parkash Gera Dr Neeru P Aggarwal Dr Ashish Sadana, Dr Amit Gupta Dr Poonam Goyal, Dr Bhavana Mittal, Dr Sowjanya Aggarwal

16 May

An interesting case of Thrombocytopenia

19 May

Dieticians CME on Diabetes Education, Hotel Country Inn

Nutrition, F&B and Dietetics

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Chairpersons

Dr KK Gopinath Director, CIMAR Edappal, Kerala Dr Parasuram Gopinath Consultant & Scientific Director - CIMAR COCHI Dr RN Srivastav, Dr Jonathan Picken, Sh Amod Kanth, IPS, Dr SK Mittal Dr Vinay Aggarwal, Dr Vijay Agarwal Dr Gaurav Aggarwal

World Kidney Day

CME on IVF

Dr Vijay Agarwal

Dr DP Dubey, Dr Neeraj Jain, Dr Gopal Sharma

Book Launch on World Kidney DayDr Vijay Agarwal, Dr TS Jain

Dr Vivek Chhabra

Dr Vinay Aggarwal, Dr Vijay Agarwal Dr Vijay Agarwal, Dr SK Mittal Dr NP Singh, Dr CM Goel, Dr Neelesh Goel

Dr Arun Kakar Dr KK Gopinath, Dr Parasuram Gopinath

Child Abuse CMEDr Vinay Aggarwal, Dr Vijay Agarwal Dr Vinay Aggarwal, Dr Vijay Agarwal Mr Jitendra Singh, Municipal Commissioner, Ghaziabad Nagar Nigam

Medicine CME

Dr Amit Upadhay, Dr DP Dubey

Dr Vipin Mishra , Ms Charu Dua

Pediatric Digest

CME on World Autism Day

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CMEs, Conferences, Seminars and Workshops26 February 2012

Pediatric Digest 2012Centre for Comprehensive Child Health at Pushpanjali Crosslay Hospital organized Pediatric Digest 2012 and 4th Pushpanjali Crosslay Oration at Hotel Country Inn & Suites, Sahibabad. The oration was awarded to Prof RN Srivastava for his outstanding contributions to the cause of Child Health and Welfare in India. There were around 60 pediatricians present in this seminar.

Case Histories1: Laparoscopic de-roofing of renal cysts conducted for the first time at PCH

Ms Alaha, age 21years, resident of Afghanistan was admitted on 24 April 2012 in Pushpanjali Crosslay Hospital. She had a history of dull ache pain in upper abdomen as per investigations carried out in Afghanistan. She was diagnosed as a case of multiple hydatid cyst of liver. Intra operative findings were three well defined smooth walled cystic lesions in segment 4a (60x47x46mm); segment 3 (59 x 69 x 104 mm); segment 6; (83 x 89 x 46 mm). Dr AK Mittal and Dr Vijay S Pandey successfully performed Laparoscopic partial cystectomy with de-roofing and aspiration of cyst with omentoplasty. She was discharged in satisfactory condition on 2/5/2012 with appreciative comments for the operating team and hospital services.

2:

Surgery for cyst on left kidney

A 52-year-old patient presented with left flank pain for 6 months. On CT scan a 9 x 6 cm cyst at superior pole and 4 x 3 cm cyst at inferior pole of left kidney was seen. Kidney function was normal. The patient was operated on 17 May 2012. He was discharged after 36 hours. The operative team consisted of Dr Shailesh Chandra Sahay, Dr AK MIttal and Dr Gaurav Mittal.

3:

An interesting case of Vesicovaginal fistula (VVF) repair

Vesicovaginal fistula (VVF) repair was jointly carried out by Dr Shailesh Chandra Sahay and Dr Sushma Dikshit. The patient had a history of Cesarean section done 3 months ago in another hospital following which she developed Vesicovaginal fistula formation. She was first taken for diagnostic cystoscopy on which no fistula was seen. However, vaginoscopy revealed the fistula which was canulated. Thereafter, the patient underwent open VVF repair and was discharged on the 3rd day post operation.

Welcome to the FamilyDr NP Singh has joined as a Senior Consultant in the department of Internal Medicine and Nephrology. Dr Singh is an Ex Director Professor of Medicine and In charge Nephrology at prestigious Maulana Azad Medical College and associated Lok Nayak and G B Pant Hospital. He has a multifaceted personality with a vast clinical, teaching, research and administrative experience in the fields of Internal Medicine and Nephrology. He is presently also a Guest Faculty at FMS after having done MBA from the same. He has been bestowed with several academic fellowships including prestigious FAMS, FISN and FICP. He has more than 120 peer reviewed publications in National and International journals. He is the member of Indian College of Physicians, Asstt Editor JAPI and Secretary of Delhi Nephrology Society to name a few. He has authored three books including one for the public on Kidney disease. He has made immense contribution towards community services and has been instrumental in co-ordinating World Kidney Day organized by ISN. Dr Arun Kakar has joined as Director Surgery and Allied Specialties. Dr Kakar completed his medical education (MBBS and MS) from Maulana Azad Medical College where he later served as Director Professor of Surgery. Dr Kakar has been actively involved in Clinical Research activities and has been a guide for post graduate students over the last three decades. He has also published over 50 research papers in National and International journals. Besides his clinical and surgical work, Dr Kakar is on the Board of Surgical specialties (National Board of Examinations), is an Expert for selection of faculty in UPSC and ESI; is an Examiner for National Board of Examinations and University of Delhi; and is a member of the Faculty at Department of Medical Education, (National Teacher Training Centre; NTTC), JIPMER, Puducherry.

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In the News

29 March 2012

30 March 2012

Dr Anjali Gupta, Clinical Psychologist, spoke on Problems in Childhood on Sahara NCR Channel Dr Manish Tripathi, Chest Specialist, spoke on Snoring on Khabar Bharti Channel

Dr Vikram Sarbhai, Chest Specialist, spoke on Snoring on Khabar Bharti Channel

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A Special Gift to PCHThis painting was presented by Abha Mehta who was admitted under Dr KP Singh from 31st March, 2012 to 9th April, 2012 with c/o Acute Asthma and was on ventilator. The artist is her husband Mr RB Satish Kumar,

Employees of the MonthPushpanjali Crosslay HospitalFebruary 2012 March 2012 April 2012 May 2012 May 2012Mr Sonu JacobAdmin & House Keeping

Mr Ram SuchitGardener

Mr Lalit KumarSecurity

Mr Nirmal KalarFront Office

Ms ShakuntalaSdmin & House Keeping

Pushpanjali Medical CentreMarch 2012 April 2012 May 2012Sani BabuECHO Room Coordinator

Dev Chand JhaSr. M. OT Tech.

Soumya MolkarOT Staff Nurse

Empanellments7 April 2012 Dr Vinay Aggarwal was invited as a Chief Guest for the launch of the Jina the first volume of a series on Jainism at Poorva Sanskriti Kendra, Delhi.

UP Power Corporation Ltd Trifed NCDC Radisson Blu Hotel, Ghaziabad

Oberthur Technologies Taj Mahal Hotel, New Delhi

Power Grid Corporation of India Ltd Airport Authority of India Ltd

Edited, Printed & Published by Gaurav Pandey on behalf of Pushpanjali Healthcare, A-4, Yojna Vihar, Delhi-110092. Designed at Imaginative Dimension, Delhi-92, Tel: 9811752081/ 9811610894 For private circulation only

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