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FCD insight

VOLUME #1 ISSUE NO#1 JUNE 2016

For a Healthier Future

Innovative Lab – Page 5

Biolitic laser for high anal fistula, a first for the clinic – Page 7

First in Pediatric Urology in Mauritius Page 9

HAPPENINGS IN THE WORLD OF FORTIS CLINIQUE DARNÉ

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Founded in 1953 by Dr. Francois Darné, a highly respected surgeon, the clinique initially had a

capacity of 12 rooms and one operating theatre.

In 1996, renovation work was carried out and the facility reverted to its former trade

name, Clinique Darné.

1953

19962009

20092009

1972

The Emergency Department and the pharmacy were both renovated

in October 2009.

2011

2012

2014 2015

2015

2009

2013

2013

2013

Official launch of the Dentistry Department. The launch ceremony was conducted by the Minister of Health and Quality of Life, Lormus

Bundhoo. The new dental clinic is headed by Dr Jerome Bhunjun,

senior dental surgeon.

Launch of PHC Lounge/ Vaccination Centre

Launching of 60 years and beyond for FCD

60 years anniversary

First Bioresorbable Vascular Scaffold(BVS) implant in Mauritius done at FCD.

Upgradation: Launch of state-of-theart Cath Lab

New training centre at Duval house Inaugurated by Mr. Ashish Bhatia, the

Executive Director of Fortis Clinique Darné.

Launch of Vascular & Thoracic Surgery Unit

The Nest for Newborns, was also launched. It comprises the

Well-Baby Unit and the Neonatal Intensive Care Unit (NICU) which

consists of two levels of care - NICU Level I, Level II, Level III

In January 2009, CIEL Group joined hands with Fortis Healthcare Ltd. and was renamed Fortis

Clinique Darné.

In November 2009, Fortis Clinique Darné introduced its new cardiac surgery team, that

was further strengthened with the expertise of Fortis-Escorts Cardiac Program from the Fortis

network.

2011 Physiotherapy and Rehabilitation Centre

2011 Launch of the new FCD Website-www.fortiscliniquedarne.comwww.fortiscliniquedarne.com

2012 Launch of Endoscopy Suite

2013 Renovation and relocation of 6-beddedDialysis Centre.

2013Expansion of services – North Satellite Centre

2014Introduction of Lasik Laser Surgery Unit

In 1972, following Dr Darné’s appointment by the Mauritian Government as ambassador of

Mauritius to France, the clinique was taken over by a private company and started trading as ’THE MEDICAL AND SURGICAL CENTRE LTD ’

FCD Milestones

Upgradation of 13 Bedded ICU

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From the COO’S Desk •

What’s new •

Infection Control •

Clinical Excellence •

Doctor Connect •

Code Blue Management Training •

Featured Article •

A day in the life of a Nurse •

Floor Coordinators •

Team Networking •

Cancer Screening in collaboration with CANMA •

Special feature •

In the limelight •

We are what we eat •

Patient’s Voice •

Best Patient Feedback •

• Page 4

• Page 5 - 7

• Page 6

• Page 7

• Page 8

• Page 9

• Page 10

• Page 11

IN THIS ISSUE

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From the COO Desk

Dear Friends of Fortis,

It gives me great pleasure to share with you my thoughts for this inaugural

issue of ‘FCD Insight’. This quarterly newsletter will be your window to the

world of Fortis Clinique Darné.

I invite you to flip through the pages to find out more about the recent progress we’ve been

making across the organization with your invaluable contribution. Our clinicians, paramedical,

administrative and support services team have not stopped working assiduously for the past

months to cater for the high occupancy while ensuring that our patients receive the best

possible care. You will also be able to browse through new campaigns we have launched across

the year and patient testimonials which pay tribute to your hard work and commitment.

The past year has been a formidable one for the organization. The challenges we have faced

together made us realise there is a lot more to achieve and many more opportunities to deliver

quality healthcare. I am certain that we will be working collectively to continue to strengthen

our position this year.

Thank you for your unrelenting determination and dedication.

Happy reading!

Unnati Negi

Chief Operating Officer

Mr. Vikram DookaykaHead Marketing

Mrs. Unnati Negi Chief Operating Officer

Dr. Ashish SharmaHead Medical Services

Mr. Dhiraj BuruthHead of Finance

Mr. Arun SethiHead of Support Services

Mr. Andy HauHuman Resource Manager

Our Management Team

Ms.Yajna SeewooruthunHead of Patient Care Services

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2015 was a year filled with developments for the Clinic: new services, new treatments and regional exposure were the major accomplishments. Here is our year in review:

600mm

200mm

In the fast-changing environment of lab tests, we strive to ensure that our patients always get the latest technology available. Here is a list of the new tests which have recently started in our lab:

• C-Peptide test for the diagnosis and treatment of patients with abnormal insulin secretion

• Blood Culture test for the detection of micro-organisms in blood

• Homocysteine blood test for heart disease, stroke, arterial and venous thrombosis as well as atherosclerosis

• RA33 test for early detection of Rheumatoid Arthritis

• Auto Immune Antibodies Screening for detection of 17 autoimmune antibodies

• ENA profile for the diagnosis of connective tissue diseases

• C3 and C4 for the diagnosis and monitoring of acute rheumatic fever

• Urea Breath Test for detection of H Pylori

• Thin Prep Pap Test (pap smear) for cervical cancer

International Accreditation

What’s New

Since 2015, our lab has started working towards ISO15189: 2012 accredition. It is used by Medical Laboratories to assess, review and develop their quality management systems for competence. This international accreditation ensures that FCD effectively delivers and support patient care through the quality and competence assessment. It is an important milestone for FCD to be ISO 15189:2012 accredited.

Our Urodynamic Lab is available for a series of specialised tests that help diagnose the functional problems of the urinary system. The urodynamic evaluation is recommended when a disorder of the function of the urinary bladder or the controls of urine is expected.

The urodynamic test include one or more of the following procedures:

• Uroflowmetry• Cystometry• Electromyography (EMG) for sphincters• Pressure flow studies

Innovative Lab

Urodynamics

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Insurance Desk

Our “Insurance Desk” was implemented in 2015. This new concept consists of a dedicated area where insurance companies’ representatives can interact with the insured who receive a personalised service from their insurer. It includes assistance throughout the admission and discharge process as well as advice on the level of coverage available.

Infection control training provided to FCD employees.

An infection control committee was set up at FCD where infection control training was provided to FCD staffs from the 24th to the 26th

of August 2015 to improve hand hygiene practices among health care workers and improve compliance with recommended barrier precautions. On this occasion, FCD was delighted to welcome Dr Murali Chakravarthy, Chairman of the Central Infection Prevention and Control Committee of Fortis Hospitals in Bangalore and also Director, Clinical Affaire Director, Department of Anaesthesia, Critical Care & Pain Relief to conduct the training.

Topics covered during the training were:

Composition of HIPAC Team, universal precautions, hand hygiene, biomedical waste disposal, isolation and quarantine, prevention of HAIs, environmental disinfection and cleaning, blood and body fluid exposure (including sharp injuries), CSSD, operation theatre, benchmarking and QIP in infection control.

Patients suffering from thoracic and vascular conditions can now benefit from our brand new department, the Vascular & Thoracic Surgery Clinic. This new service provides care for patients suffering from trauma or disease within the chest walls or with vascular deficiencies and will cover all related surgical activities. A talented panel of senior consultants support Dr. Veerapen to ensure a proper follow up post surgery.

CEREC, a new smile in one visit!

Our latest service is the launch of the CEREC (Chairside Economical Restoration of Esthetic Ceramics) method within the clinic. This long-waited-for method of CAD/CAM dentistry provides amazing single tooth restorations to the patient who gets results and a new smile in only one visit!

ONE VISIT DENTISTRY!Esthetic ceramic crowns or partial crowns in a single visit. Ask me about CEREC.

NO UNPLEASANT IMPRESSION MATERIAL

NO BOTHERSOME TEMPORARY PROSTHESIS

THE MEDICAL & SURGICAL CENTRE LTD

HEAD OFFICE: Georges Guibert Street, Floréal 74111, Mauritius

Tel: (230) 601 2300 | Fax: (230) 696 3612 (Administration) / (230) 696 1209 (Medical)

FCD NORTH: Office C, C0 – 05A & C2 – 204, La Croisette Mall, Grand Bay, Mauritius

Tel: (230) 601 2300 | Fax: (230) 269 6224

Email: clinique@cliniquedarne.com | www.fortiscliniquedarne.com | www.facebook.com/fortiscliniquedarne24/7 Emergency and Ambulance Services: Dial 118

For appointments, please call on 601 2300on weekdays from 09 00hrs to 17 00hrs

Infection Control

Launch of Vascular & Thoracic Surgery

Clinic

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Keeping up to date with medical advances and progress.

With the aim to keep our doctors from different faculties updated about the constant changes in medical practice, a series of clinical meetings are held at the clinic on a monthly basis. The doctors’ talks include an introduction on the latest innovation/case and a presentation on the chosen theme or technique. The latest talk, a presentation on “Normal Pressure Hydrocephalus – a treatable cause of altered neurological status” was held on the 5th May, presented by Dr Vikash Rambhujun (Resident Medical Officer) and moderated by Dr Hemraz Boodhoo (Neuro Surgeon).

Doctor connect

An innovative treatment for erectile dysfunction

Dr Balbir Verma, Urologist at FCD provided a new treatment to a patient suffering from sexual dysfunction. Previously treated by medication, the patient was proposed vacuum erection device which is a prostatic implant. The surgery was a success and the patient is now able to reverse the issue of erectile dysfunction at will.

Biolitec laser for high anal fistula

Much to the relief and benefit of patients, FCD introduced Biolitic Laser for treatment of hemorrhoids and fistulas. This treatment is very safe as it prevents the damage of the sphincter with gentle removal of fistulas. Implemented by Dr Abbasakoor, Consultant General & Colorectal Surgeon, this successful treatment is the most recent and innovative one at FCD concerning Coloproctology.

Bariatric Surgery

Dr Aashish Shah, Bariatric surgeon at Fortis Health India, delivered a presentation on Obesity - A surgical perspective in October. Our patients presenting with severe obesity will now have a new option for treatment (Bariatric Surgery) and management of this life-threatening condition. We are in the process of setting up a unit at FCD.

EP Support program for cardiac patients

Those suffering from heart failure now have their own support group where they can share their experience and the everyday life challenges that these conditions imply. The group that was launched in October is superheaded by Dr Aparna Jaswal, Electrophysiologist from the Fortis Escort Heart Institute in New Delhi – who travels regularly to our clinic for pacemaker surgeries and consultations.

FCD implemented Code Blue Management Training in March 2016. The aim of this training is to provide standard guidelines to Code Blue Team members for an organized efficient response, to a cardio pulmonary arrest situation within the clinic. As at date, approximately 33 nurses have already been trained. Staffs are required to understand the protocols and procedures where they can effectively intervene in case an emergency situation arises. After 3 weeks a procedure performance check list is distributed amongst those who have undergone the training to ensure that they have grasped the whole concept of Code Blue Management. This evaluation ensures that each member manages the situation efficiently on site and are well aware of the procedures and protocols. To ensure quality care during Emergency situations, every 3 months a session on Code Blue Management is provided to all Code Blue Team members.

Clinical Excellence

Featured article

Code Blue Management Training

2015 was a year where we had many “firsts” for our Clinic.

Fortis Clinique Darné Emergency Department can become a hectic place very rapidly. The department is operational 24 hours a day, all year round. Mr. Izaad Pondor, Ambulance in Charge of this extremely busy place; works with 46 staff members ranging from qualified ER nurses, ambulance nurses to drivers and porters.

The need to prioritise

With as much as 2200 patients per

month, ER can be a chaotic place where

effectiveness and rigour are key success

indicators.

The Emergency Room : On the alert 24 hours a day (The expression is “on the alert”)

Working in the ER requires physical endurance, mental acuity and the ability to maintain a clear head in stressful situations.

During a shift, the staff on duty sees dozens of patients with wide range of symptoms and injuries. They need to be able to identify serious or life-threatening symptoms, for example heart attacks, strokes, road traffic accidents and act promptly. Priority is given to patients with the most serious conditions - a process called triage. The facilities and services

Patients may attend the Emergency Department on their own or in ambulance. FCD provides an Advanced Cardiac Life Support Mercedes-Benz ambulance that is equipped with state-of-the-art facilities. The ambulance is always on standby to meet any emergency situations. On average, the FCD ambulance conducts up to 7 emergency trips per day. three Ambulances – two at Floréal and one at Fortis Clinique Darné North.

ER has a crucial role to play in saving lives during emergency situations. The department comprises of a plaster room, a procedure room and 3 observation rooms. The premises are equipped with “state of the art” equipment for an emergency intervention.

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Dr Jhugroo Vishan

Paediatrician

Dr Ledesma Robert

Endocrinologist

Dr Aruna Ramdaursingh

Dermatologist

Dr Shiv Anand Hemun Seegobin

Internal Medicine Specialist/Geriatrician

Dr Dharamraj Luchmun General Surgeon

Dr Reuben Pillay Veerapen

Thoracic & Vascular Surgeon

Dr Krisma Gowrydoss - Nangu

Radiologist

A new service to enhance patients’ experience at FCD

Your Comfort, Our Priority

We understand that no one likes or chooses to spend time in a clinic. To ensure that all the needs of the patients are taken care of; FCD introduced Floor Coordinators on each ward in August 2015. Acting as the link between the patient and all services of the hospital, the floor coordinators attend to all the queries of our patients to ensure that all their concerns are addressed promptly. For example, they liaise with the Billing Team for an efficient discharge process along with the Medical Team for any medical issues or with the Dietetics Department for any concerns on food. Floor Coordinators are a recent addition to the Patient Welfare Team; all part of Patient Care Services.

The position was implemented in 2015 and the service is provided by:

• Brinda Taukoordass - Floor Coordinator Level 2

• Sara-Jane Rouget - Floor Coordinator Level 3

• Neelam Babooram - Patient Coordinator Level 1

• Caroline Marie - Patient Welfare Officer Level 4

Floor Cordinators

New Empanelment

My Role

My role cannot be defined in one word, as I do so many different things. As Ambulance in Charge, I am responsible of the overall supervisory work for ambulance, driver and ER nurses, as well as clinical supervision on weekends. I oversee the proper operations of the clinic in the absence of the Chief Nursing and Deputy Chief Nursing.

Izzad Pondor Ambulance in charge

I am also in charge of the international patient repatriation by ambulance. In addition to these, I help out with Marketing for events coverage, the validation of medical supplies, as well as the catering for staff.

How I got there?

I was recruited as a student nurse in 2003 where I worked on Level 4. Three years later, I got my registration as general nurse and worked in Operation Theatre, Level 2 and Level 3 until mid 2009. From there, I shifted to ER where in 2014 I was promoted to Deputy Head of Department and in charge of the Ambulance. Since 2015, I have been promoted as Head of the Department.

My typical day at work

There is no really such thing as a typical day in the ER. My day starts with planning and organisation of the day’s schedules. I make sure to welcome each patient individually to understand their concerns, which in turn helps me to proceed to triage and deal with all the procedures of admission and discharge.

With my busy schedule, I always find time for meetings, trainings, counselling my staffs, as well as replying to patients’ queries.

The moment I will always remember

After 11 years of dedicated work, I was extremely happy to be nominated Nurse of The Year 2014.

One thing I would like to change about my work

It would be great if the cold cases and the Emergencies could be separated to provide better care and service to the patients.

What I love most about what I do

Our long shifts and the number of patients do make my experience in ER one of the most challenging in health care. However, I really enjoy the direct contact I have with patients and the diversity of the cases. I must admit I like the adrenaline rush I get when I tackle an emergency.

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Fortis Clinique Darné in collaboration with Cancer Association of Mauritius (CANMA) organized a screening for the general population on the occasion of World Cancer Day at Mauritius Gymkhana Club, Vacoas. The event had as objective to create awareness on Cancer and motivate the general public to adopt a preventive approach to their health. FCD’s team comprising of doctors and nurses ensured the screening of all those who were present. The event was highly successful earning the biggest crowd at FCD’s stall with more than 200 citizens from all over the island within only 5 hours while many of our competitors were also present.

An evening of sharing

Reputed for its tradition of providing personal and dedicated care, Fortis Clinique Darné has been the market leader in the private healthcare sector in Mauritius for the last decades. With its association with Fortis Healthcare, India’s largest healthcare chains, it continues to further strengthen its leadership position by reinventing itself to provide the best of healthcare in Mauritius, by combining ‘Clinical Excellence’ with ‘Compassionate Patient Care’.

In 2016 we had the opportunity to welcome Mr Bhavdeep Singh, CEO, Fortis Healthcare Limited & Mr. Sukhmeet Singh Sandhu, Director, Fortis Healthcare (North). They were at FCD from 21st to 27th Feb 2016. Fortis Clinique Darné offered a platform of interaction for our renowned specialists through a Networking Cocktail held on the 25th February 2016 at La Clef des Champs, Floréal.

This initiative is a testament to the continuum of care provided by Fortis Clinique Darné and to our continuous endeavour in raising the level of care on the island. The Networking Cocktail was attended by over 50 guests of which the majority were the finest family of experienced healthcare professionals, our FCD doctors, FCD Board Members and FCD Management Team to share their vision for FCD’s progress towards excellence.

Team Networking

Cancer Screening In Collaboration with CANMA

From left to Right :

Mr Jean Pierre Dalais ( Executive Director at Ciel Ltd), Mr Bhavdeep Singh (CEO, Fortis Healthcare Limited), Mr Jérôme De Chasteauneuf (Non-Executive Director & Head-Finance at Ciel Ltd.), Mrs Unnati Negi (COO, Fortis Clinique Darné), Mr Sukhmeet Singh Sandhu (Director, Fortis Healthcare (North))

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A new concept was launched by the Marketing Department: “A

nu mett enn dialog”. Created in a spirit of information sharing and

awareness, the concept includes public and free talks by our doctors once a month on different themes. All the editions were positively received by the public and the concept is already very popular.

In the Limelight

Our Facebook Fan page has been totally revamped to make it more dynamic and attractive! The page now features posts published daily providing general information about our clinic, marketing campaigns and health tips. Visit our brand new page here:

(www.facebook.com/fortiscliniquedarne)

A series of screens can now be seen around strategic areas of the clinic. These screens act as a new platform to communicate the services of the clinic - Marketing Campaigns, PHC Packages amongst others.

OWN IT, LIKE IT & SHARE IT

www.facebook.com/fortiscliniquedarne

Current Campaign

New Communication Platform

Reputed for its tradition of providing personal and dedicated care, Fortis Clinique Darné has been the market leader in the private healthcare sector in Mauritius for the last few decades. For more than 60 years Fortis Clinique Darne has been the trusted partner of Mauritians. With its association with Fortis Healthcare, India’s largest healthcare chains, it continues to further strengthen its leadership position by reinventing itself to provide the best of healthcare in Mauritius, by combining ‘Clinical Excellence’ with ‘Compassionate Patient Care’.

Clinical Excellence andCompassionate Care,

Our Ethos

Special Feature

Dr. Kevin Teerovengadum, Pediatric Surgeon at Fortis Clinique Darné recently performed two complex interventions in pediatric urology that were carried out for the first time in Mauritius. The first intervention was on the ‘urethra posterior valve’ on a baby of 40 days that weighed only 3kg. The condition is an irregularity of the canal transferring urine from the bladder outside the body, which is usually obstructed at birth. Babies with this condition were diagnosed after a prolonged time and this normally resulted in damaged kidneys. A ‘vesicostomy’ was carried out where the canal was unblocked during the first intervention itself. Our little patient spent only 2 days at FCD after the surgery and he is absolutely fine.

Another First in Mauritius, this second innovative surgery was carried out on a girl of 6 years diagnosed with vesicoureteral reflux. It is an abnormality where the urine returns to the kidney, causing urinary infections. Previously considered as a complex surgery, the patient was required to stay at the clinic for several days. With the ambulatory surgery where an ‘endoscopic technique’ was used, the child was able to return home on the same day after her intervention. The surgery lasted only for half an hour and it was a success. Since the surgery, the child not contracted any urinary infection.

First in Pediatric Urology in Mauritius

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Contact us on ext 643Suggestions to

improve our FCD Experience 11

FCD INSIGHT

Patient’s Voice

We are what we eat

Papayas, “The fruit of the angels”.

The sweet and butter-like consistency ripe fruit is eaten raw, without skin or seeds while cooked in curries or jams when unripe. A 100 gram serving of papaya will provide you all the vitamin C that you need in one day, around 43 calories and a moderate source of folate. Otherwise, it has negligible content of nutrients!

But did you know that:

One serving of papaya will provide you all the vitamin C that you need in one day

• The black seeds in the center of a papaya are edible and have a spicy, peppery taste • Papaya plants are not trees, but giant herbs • Papaya contains an enzyme, papain that can be used as a meat tenderizer. Papaya seeds and leaves have been used for medicine in traditional medicine in tropical cultures

“The Truth About…”

Aphasia

Aphasia is a condition that affects a person’s ability to communicate (express and understand language, both verbal and written). Aphasia typically occurs suddenly after a stroke or a head injury. But it can also result from a slowly growing brain tumour or a degenerative disease. The severity of communication handicap depends on the site and extent of brain damage.

Once the underlying cause has been treated, the primary treatment for aphasia is speech and language therapy that focuses on relearning and practicing speech and language skills and using alternative or supplementary communication methods.

DID YOU KNOW?

Family members often participate in the therapy process and function as communication partners of the person with aphasia. World Head Injury Awareness Day is celebrated on 20th March.

Validated by

Dr Rachna Gopal, Speech Therapist

Best Patient Feedback

Name: Mathew Prasanth

Date Joined: 27/09/2014

Years of Service: 1 year of serviceJob Title: Nursing Officer

Nominated as nurse of the Year 2015 for the excellent feedback FCD received from several patients. He shows good commitment and dedication towards patients and Doctors.

His work on Level 2 focuses a lot on delighting our clients and ensuring that all their needs are met.

IL ON GUÉRIE MON MARIE

TROP TOP CETTE CLINIQUE FORTIS

DARNÉ

UN GRAND MERCI POUR TOUTE L’ÉQUIPE

DE LA CLINIQUE!

VOAHIRANA RAHIMALY

MICHAEL PASCAL

MIREILLERAJAO

Validated by

Faheema Korumtollee, Dietician

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THE MEDICAL & SURGICAL CENTRE LTDHEAD OFFICE: Georges Guibert Street, Floréal, 74111, MauritiusTel: (230) 601 2300 | Fax (230) 696 3612 (Administration) / (230) 696 1209 (Medical)

FCD NORTH: Office C, C0 - 05A& C2 - 204, La Croisette Mall, Grand Bay, Mauritius Tel: (230) 601 2300 | Fax: (230) 269 6224

Email: clinique@cliniquedarne.com | www.fortiscliniquedarne.com | www.facebook.com/fortiscliniquedarne

24/7 Emergency and Ambulance Services: Dial 118