2.12.09

A Snapshot of Medical Referrals Asia

About Medical Referrals Asia

  • Two year old patient referral and facilitation company that has the trust of eminent doctors, such as Dr. Naresh Trehan (Cardiology), Dr. Lye Wai Chung (Renal Tansplant), Dr. Manoranjan Chowhan (Nuclear Medicine), Dr. Vijaya Kumari Multi Organ Transplant), Dr. Suman Gupta (MIPH), Dr A Venkatachalam (Joint Replacement), and more
  • Currently, our Inbound patient referrals are to: Medanta, Artemis, Fortis, Apollo, Sir Ganga Ram, Aashlok, Chettinad Health City
  • Currently our outbound patient referrals are to : Parkway Group of Hospitals (Singapore) – Gleneagles, Mt. St. Elizabeth; Akshey Hospital (Uzbekistan)
  • Exclusive agents for Parkway Group of Hospitals, Singapore, for whom we have facilitated a majority of their patients from India in the last two years

Key Differentiators

  • We have medically qualified staff that carries out a proper assessment of the quality of care and clinical standards within a healthcare facility
  • We ongoingly compare the quality of healthcare providers in different countries as well as in India
  • Our recommendation to customers is not based on a “familiarization visits” or financial arrangements between us and hospitals. We are focused completely on our patients’ well being and select doctors and hospitals that are appropriate to the patient, as recommended by our Board.
  • We have a Medical Director who oversees our facilitation process.
  • Our outcomes are available on request.
  • Our biggest strength is our medical resource of 3,000 doctor network that is spread out over three continents.

Specialties

We specialize in facilitating clients with the help of expert specialists in Cardiology, Oncology, Renal and Hepatology, and Stem Cell.

Medical Referral Asia Treatment Flowchart



CLICK ON THE IMAGE FOR AN ENLARGED VIEW

22.11.09

SURGEON OF THE MONTH: DR. A. S. SOIN – OVER 7,500 LIVER, BILARY CANCER AND NON CANCER SURGERIES

Surgeon Spotlight: Dr. A. S. Soin’s Center Rates Among the Top Three in the World
liver transplant surgeon Dr. A. S. Soin
MBBS (AIIMS), MS (AIIMS), FRCS (Edin), FRCS (Glas), FRCS (Transplant Surgery)-Cambridge, Dr. A.S. Soin is presently a Senior Consultant Liver Transplant and Hepatobiliary Surgeon, and Director of Liver Transplantation at the Sir Ganga Ram Hospital, New Delhi, India.

Academic Career (Summary) Dr Soin's initial surgical training was at the All India Institute of Medical Sciences (AIIMS), New Delhi. He spent 11 years there gaining his MBBS and MS degrees followed by specialist experience in Liver and Gastrointestinal Surgery, during which he published a research thesis on on Portal Hypertensive Gastropathy .

He then obtained FRCS degrees from both Glasgow and Edinburgh in the UK, following which he trained and worked at two of the world's most renowned centers (University of Cambridge 5 years, University of Birmingham 1 year) for Liver and Biliary Surgery, and Liver, Kidney, Small Bowel and Pancreas transplantation for 6 years. He was one of the first few surgeons in the UK to qualify for and obtain an Intercollegiate FRCS in Transplant Surgery.
In addition to performing hundreds of transplants, he was Surgical Tutor for the University of Cambridge, and Faculty for 2 of the Royal Colleges in Surgery. At Cambridge, he also conducted pioneering research in transplantation. Nearly 100 of his original research papers and book contributionshave been published in international and national journals and books
He was a Visiting Fellow at the Kyoto University Hospital in 1997 and Asan Medical Centre, Seoul, in 2000. He wasVisiting Faculty at the Ege University, Izmir, Turkey in 2004, and Istanbul in 2006 and 2007. These centres are among the world's most renowned for living donor liver transplantation.

In the beginning of 1998, he gave up the opportunity of a Faculty post at University of Cambridge and chose to return to India to establish a centre of excellence in liver transplantation in his own country.
In India, he has the unique distinction of having established two centres for liver transplantation in Delhi, initially at Apollo Hospital, and then at his current institution, Sir Ganga Ram Hospital.
After 3 years of pioneering work in Transplantation at Apollo Hospital, he left the Hospital in pursuit of academic excellence and joined Sir Ganga Ram Hospital (SGRH) where he has been working for the last 8 years.

At Sir Ganga Ram Hospital, he has established India's first internationally acclaimed and a highly successful state-of-the art facility for pediatric and adult liver transplantation. At this centre, he and his team currently perform the highest number of liver transplants in India at about 12-14/month, with a success rate of 95% which compares with the best in the world.
Having performed more than 425 liver transplants at SGRH so far, his centre now rates among the first three in the world in the speciality of living donor liver transplantation, which is regarded as probably the most complex in all of medicine.
Besides running their own highly successful programme, he and his team are also responsible for training most of the remaining liver transplant teams in the country that have recently started performing this procedure. In disseminating expertise countrywide, building confidence in the procedure among both, patients and their referring physicians, and in moving it from the realm of experimental status to a highly successful life-saving procedure, he has in the true sense, pioneered the development of this speciality in India in the last 11 years.

He also specializes in complex liver, gall bladder and bile duct surgeries for cancer and bile duct strictures which get referred to him from all over the country and abroad. He has performed more than 7500 such liver and biliary cancer and non-cancer surgeries so far.

He continues to be deeply involved in academic and research activities. He has at the Indian Medical Association Surgical Postgraduate Teaching Course and is a Senior Faculty Member for one of India's most sought afterspecialist DNB courses in Surgical Gastroenterology and Liver Transplantation at Sir Ganga Ram Hospital. He also runs the country's only structured Liver Transplant Surgery Fellowship Training programme, and is a PhD thesis supervisor. He is an Examiner for the DNB, India andMRCS, UK, and teaches at India's Ethicon Institute of Surgical Training and the Royal College of Surgeons of Edinburgh advanced surgical skills courses.

He is currently supervising, 2 Liver Transplant Fellowship and 7 DNB research thesis projects.
He is a member of most national and international professional bodies in his speciality. He has been nominated to 3 National Advisory Boards in his speciality, and is advisor to many institutions including AIIMS for development of their liver transplant programmes.

In India, he has organized 3 National and 4 International level conferences in the field of Transplantation.


Overseas Budget Calculator– how much does treatment cost?

Top Medical Resource
Overseas Budget Calculator– how much does treatment cost?

The incredibly high cost of health care in the US might be better tolerated if the enormous expense led to better health but this hasn’t been
the case. According to a World Health Organization study, the United States ranked 15th among 25 industrialized nations based on a wide variety of health measures including infant mortality, the percentage of the population who have access to health care and the incidence of degenerative disease. The United States ranks behind the entire European Union and countries such as Cuba, South Korea, Singapore, Aruba, Greece and the Czech Republic.

If you’re exploring the benefits of travelling abroad for treatment, here’s one way to tackle the costs. Obviously, you would want to check out several other parameters, based on competence, ability, facilities, reputation, la
nguage, and more.

Expenses at Hospitals Abroad


It was taken from Patients Beyond Borders, a bestselling series of consumer guides to international medical travel that have helped thousands of patients plan for successful procedures abroad.

This is a rough guide and if you need further assistance in exploring and developing a treatment plan, feel free to contact me.














Praveer Shukla
Mobile: +91 9968593025
Skype: medreferrals
Email: praveer@medrefasia.com

FieldNotes:Medanta Medicity Update – The Unstoppable Dr. Naresh Trehan


Coming Soon - Medanta Medicity Soft Launch, 1st Week December 2008. Watch This Space!
(Praveer Shukla)


Medicity Construction Underway At Gurgaon, India

Always at the leading edge of treatment + technology, Dr. Naresh Trehan also keeps people on their toes, even in times of recession. His passion is Medicity, one of India’s largest projects in multi-specialty tertiary care medical treatment – and construction is in full swing here. It is envisioned as an institute that will redefine standards of excellence in healthcare delivery by bringing together the best of infrastructure, technology, training, education and medical intelligentsia.


In 1969 Dr. Trehan was one of hundreds of Indians who went to to the United States. By the mid-1980’s was earning over $1.5 million a year as a Manhattan heart surgeon. Then he did what few Indian doctors do: he came back, prompted largely by the Indians who kept showing up on his operating table and asking why they could not get the same quality of care back home. He was driven to return, he said, by ”a certain amount of arrogance — a kind of national pride.


‘I could do things better than most of my American counterparts,” he said.

He decided against practicing in an established hospital. Instead, with an industrialist backer, he founded his vision of a private heart institute and research center, The Escorts Heart Institute and Research Center and pioneered many aspects of cardiac surgery.


Today, he’s on a tryst with a new destiny with Medanta Medicity.


WHAT”s Unique about Medicity? Medicity aims to functionally integrate within one campus and one management the facilities of medical care, teaching as well as research and development. It also offers to explore the possibility of integrating knowledge of traditional and alternative medicine with modern medicine, through means of scientific research.


Medicity Views – when completed

With an investment of over $350 million, Medicity aims to create a world-class education and training centre backed by remarkable infrastructure, futuristic technology – that’s the extraordinary vision of Dr Naresh Trehan.


Medicity will offer a 1600 bed medical institute of world standards. The objective of Medicity is to bring in global healthcare delivery standards at affordable prices while firmly placing India on the international road map as premier destination for healthcare services, medical research and high-end medical diagnostics.

Besides offering the best of preventive and curative medicine, Medicity also offers to explore integrating the knowledge of traditional and alternative medicine with modern medicine, through means of scientific research.


Specialities

Medicity will provide integrated primary, secondary and tertiary care services spanning over 20 super-specialties and high-end services in:

  • Cardiology and cardiovascular surgery
  • Oncology (including medical, radiation and surgical oncology services)
  • Neurosciences (neurology and neurosurgery)
  • Musculo-skeletal (advanced orthopedics, joint replacements, rheumatology and physical medicine)
  • Transplant services
  • Minimal access surgery including robotic surgery
  • Nephrology
  • Advanced pediatrics, neonatology, gynecology and obstetrics
  • Ophthalmology
  • Internal medicine and respiratory medicine
  • Plastic and reconstructive surgery
  • Gastroenterology and hepatology
  • Dermatology
  • Dental and oral health (including oral and maxillofacial surgery)
  • Endocrinology
  • ENT
  • Geriatrics


Traditional Medical Practices

An important objective of Medicity will be to validate – and integrate with modern medical system – those medical practices in our traditional and complimentary systems of medicine such as Ayurveda, Unani, Siddha, Tibetan and tribal systems that are compatible with science.


Perhaps Dr. Trehan would agree with Isaac Disraeli who said “It is a wretched taste to be gratified with mediocrity when the excellent lies before us.”


Medical Referrals has the honor of listing Dr. Trehan among its Authors and Contributors.

21.11.09

‘Pay It Forward’ Transplant Recipient, Now Counselor With Medical Referrals

Mr.K M Lal is a director with a media organization in New Delhi, and he provides counseling support to renal transplant patients at Medical Referrals Asia.

I was diagnosed with Acute Renal failure in 1999. At the time, I lived in Gorakhpur, India, and was treated there for a year. One of the hardest things to come to terms with was that medication is just treatment, but not the cure. Kidney failure can be alleviated with medicines but not for long.

My symptoms were

  • Swelling, especially of the legs and feet
  • Little or no urine output
  • Thirst and a dry mouth
  • Rapid heart rate
  • Dizziness
  • Loss of appetite, nausea, and vomiting
  • Feeling confused, anxious and restless, or sleepy
  • Flank pain – pain on one side of the back, just below the rib cage and above the waist.

I came to New Delhi to the All India Institute of Medical Sciences (AIIMS) for further treatment under the care of Professor S. C. Tiwari.

My Whole World Turned Upside Down

Quite honestly, I was in a state of shock when I was told that my kidneys had failed and was told the consequences: seizures, bleeding, coma – and ultimately, death.

I am blessed with two children and I have a very loving wife. We have healthy habits and lead normal lives. None of us, before my diagnosis, had encountered prolonged illness. I don’t drink or smoke. I had a responsible position in an organization. What happened?

At 43, my whole world suddenly turned upside down. My biggest concern was that as the only earning member in the family – how would I take care of my home, children, the whole responsibility of the household – and along with all of this, the expense of my medicines and my treatment, all in the same package. It was a very tense period for me,

There is no specific treatment shown to unequivocally slow the worsening of chronic kidney disease. Diagnosed with severe CKD, the recommendation from Dr. Tiwari was to have a kidney transplant.

I could not put off having a transplant operation, and began the process of looking for a donor.

The first hurdle was: none of my family members had the same blood group match.

Legal vs. Illegal Alternatives

In India, the only way to have a transplant operation is if a family member donates an organ. That route looked like it was shut for me. I also visited the Singapore facilities to Discuss the status of Emotionally related donor and the legalities. Medrefasia guided me and was at my side all the way through in India and in Singapore.

Life was much easier with their support and backing. The doctors provided me complete support and gave a petient ear to my problems. Medrefasia people updated me of all developments taking in the case much before the doctor came in and told me about it.

There are legal ways to obtain a kidney and there are illegal ways. I considered what the consequences of taking the illegal route were. It is illegal to follow that route, but it is not illegal to consider it.

The first thing that occurred to me as I considered it was, even if I did get a kidney replacement, who would verify that it was healthy? Who would verify that the donor’s blood group was a match? Which organization would guarantee that the entire transplant process would be successful with an organ with suspect origins?

The entire transplant process would be a fiasco.

Before abandoning this pathway, I also looked for evidence that there actually were successful transplant surgeries conducted with illegally obtained organs – and the statistics were horrible. The recipients mostly died of infection or poor blood matching, or a variety of other complications.

An angel appeared!

I am highly grateful and thankful to my sister-in-law. She is like an angel to me. If I am here today, and sharing my experience with you all, it is only possible because she donated a kidney to me, and saved my life. When all the doors looked like they were shut, my sister-in-law offered one of her kidneys.

There is a myth that the donor suffers after she donates an organ but I must tell you this is untrue. The donor remains absolutely healthy and does not suffer from any ailments. There is a whole process that a donor goes through, including a thorough medical check and psychological evaluation and counseling which last several weeks.

Gratitude

My transplant has been successful. It has been 6 years. Looking back, I don’t really know how things fell into place. I know I had God on my side and am so grateful to the doctors who treated me – they were God-sent angels.

After the transplant, life has returned to normal – in other words, I have the same kinds of stress and accomplishments as anyone else.

Initially however, I lived in great fear of infection and organ rejection. The doctors assured me that they would let me know if there really was something to worry about, but I couldn’t shake the fear. Finally, I was told that one way to move past the fear could be to take on counseling other people who were facing the situation I had been in not so long ago.

Pay It Forward

I undertook training to be a counselor, and provided support to several hundred people at AIIMS for a few years, and that was hugely satisfying. It was my way of giving back to people – and, without even realizing it, I lost a paralyzing fear.

If you have a question, or need assistance in any way, I am now available here at Medical Referrals. Please email me, or contact Vikkesh. His organization played a major role in my recovery, and you could not have better professionals on your side.”

19.11.09

An Australian, A Singaporean, & A South Indian – and it’s a victory for cross border stem cell therapy

Stem Cell Transplant: Hope & Life

For 22 year old S. Vigneshwaran blood cancer could have spelt the end. “We had lost all almost everything in five years of treatment. But my classmates took up the matter with my department head and they started raising funds.” The students of Anna University’s Guindy Engineering College raised a massive US$ 90,000, halfway to the estimated US$1,80,000 needed for stem cell therapy.

That’s when a philanthropic South Indian businessman stepped in to fill the gap.

Diagnosed with acute myeloid leukemia went through agonizing times. When they stumbled across possible treatments in stem cell therapy, they looked for options in India but ran across stumbling blocks:stem cell samples from from blood relatives did not match; and there was no cord blood bank in the country.

That’s when an unknown Australian donor stepped in to fill in the other gap. Mount Elizabeth Hospital, Singapore, a Parkway hospital stepped in, and within a week, located the donor.

The end of the road for Vigneshwaran’s AML was when Singaporean Dr. Patrick Tan, Mount Elizabeth Hospital performed the transplant. Two years later, this week, he has been declared cured of a disease where once, untimely and tragic death was considered inevitable.

Cross Border Health is much more than medical tourism

The engine that drives it is international co-operation, co-ordination and collaboration in the interests of patients. Vigneshwaran’s case also brings into focus the need for active government participation in encouraging stem cell research and therapy in India, support for patients in the face of astronomical costs, and the need to allow foreign donor participation in the country.

Vigneshwaran’s Dream

Vigneshwaran hopes that his story of successfully fighting the disease will encourage hundreds of blood cancer patients and their family members to opt vigorously for stem cell therapy.

The End of the Superstitious approach to Stem Cell Therapy – the start of a worldwide political and scientific movement

Stem Cell research and therapy has been shadowed by skewed opinions and religious undertones. The issues are too wide to discuss in a blog. Suffice it to say that there is movement on the issues.

For example, recently,

Indian Union Minister for Science and Technology, Kapil Sibal, said the Department of Biotechnology (DBT) will invest approximately US$ 5 million over a period of two months for strengthening stem cell research in the country.

And to present the icing on the Cake

President Obama will begin the process of dismantling barriers to research in the US in this vital area that promises effective treatments for grave diseases like Alzheimer’s, Parkinson’s and diabetes.