Friday, August 23, 2013

Guru Sri at Sri Sri Holistic in Hyderabad, AP    (AKA: Guru Pitka)

Amigos
Anant likes planes
Poster at KIMS Med College and Hospital outside Hyderabad, AP

Dept. of Fish Building (no joke)

Children
Kittens at SSKM in Kolkata, W.Bengal
More kittens!!!

Old sign (that looks like a tombstone)  from SSKM (where Dr. Acharya was on house staff)

Advertisement at Nightingale Hosp in Kolkata

No words



Thursday, August 15, 2013

The Pearl City


Its been a very hectic and eye opening week in Hyderabad. Below are some of the pictures as we went through MULTIPLE private and public hospitals. We met with many key opinion leaders in the field of cardiac health management and electrophysiology in and around Hyderabad. We also met with patients from all walks of life in Urban and Rural areas. The amount of information we captured as a team in astonishing. Though our 12 hour days are completely exhausting, we are thrilled to have the opportunity to talk to so many different types of people and find ways to make the greatest impact possible. 

The pictures below are only a VERY SMALL glimpse of our past week. 

Monday, August 12

Meet with Dr. Ramachandra 

Tuesday, August 13

CARE hospital visit 

Wednesday, August 14

Dean of Osmania University's Blackboard 

Outpatient follow up room


Old hospital beds

                                                                                                      Old school wheelchair design


911 in India is 108

The team outside of Osmania University 

Pigging out at lunch South Indian Style

Diagnostic clinic lab equipment 

                                                                                                           Various tests and prices


Packed rickshaw and teenagers walking by 
Cotton mill factory being built 

Herd of goats


Exploring the farmlands 

ECG and radiology manual for rural medical practitioners 

                                                                             
Team photo with Dr. Swami (RMP)
Head of RMPS in the district (left) 

Sunday, August 11, 2013

Wah Taj, Hello Hyderabad!

On Sunday, we decided to squeeze in a visit to the Taj Mahal in Agra before we left for Hyderabad (for a 7:30 PM flight). The five of us and Wade (of Medtronic) left our hotel at 5 AM to leave for Agra. As we've been doing in the past, we decided that interviewing the driver on the way there would be a great idea.

We were told that the trip to Agra would take 4 hours, but that the road was also great. It didn't seem like a 180 km trip on a new highway should take that long, but we soon realized that we had to pay some form of a tax in some other location in Delhi before getting on to the highway. We spent almost an hour looking for the tax office before we finally left for Agra around 6:15 AM. As promised, the road was one of the best we had seen in India so far. 

We covered the 180 km stretch in less than 2 hours! Most of us were asleep on the highway, but some of us were taking in the sights and talking to the driver. We saw India's first F1 circuit on the way, and what seemed to be the beginning of a huge sports city complex. We learned from the driver about his life, his family and his experiences with Indian healthcare. Its possible that if we keep this going, we might have the most comprehensive survey on healthcare facilities for Indian drivers that has ever been conducted!

We reached Agra around 8:45 AM. The city was filled with cows! One stood in the middle of the road, and refused to budge even with our horn honking! We drove ahead to meet our guide who was to take us around the Taj Mahal. He wasn't the best guide any of us had met and towards the end we just wanted to get rid of him!

We first needed to buy our tickets and this is where things got interesting. Tickets for Indian citizens is 20 rupees, while foreigners need to pay 750 rupees! While Anant got away with the cheaper ticket, Pratik tried his best to convince the ticketing office that he was an Indian citizen. Unfortunately he didn't have any ID proof, so he was forced to pay 750 rupees. But this came with a bottle of water and shoe covers, which Indian citizens didn't get!


We then took a private rickshaw to the East gate of the Taj, and this is where the tour began. We saw the large, ornate main gate to the entrance of the Taj, and received a brief lesson on the Taj's history. Built by Shah Jahan (the 5th emperor in a long line of the illustrious Mughal dynasty), it is dedicated to his third wife Mumtaz Mahal who died at childbirth. The Taj is therefore a mausoleum where both Mumtaz and Shah Jahan are buried. It took an impressive 22 years, and all the builders hands were cut off to ensure another such monument was never made again!!





The Taj itself was breathtaking! It is deceptively large from afar. We walked up to the monument, taking numerous pictures on the way. A funny sight was a number of people took pictures of themselves pretending to touch the top of the Taj as an illusion. Being a Sunday, it was mighty crowded but we managed to see all that we wanted to. We even caught a glimpse of a garden on the other side of the river, where it is rumored that Shah Jahan wanted to build a replica of the Taj in black marble (but couldn't because he died).

Vantage point 


Mosque 
Classic

West Entrance to the Taj 

Pratik & Brock 

The Team

After spending 2 hours at the Taj, we went to a cottage industry showroom where marble furniture and artwork was available for sale. Seeing as everything in sight was super expensive, we left to eat at the "Taj Mahal" restaurant. Within an hour, we were on our way back to Delhi, and we quizzed the driver more on his thoughts about healthcare in India. This was possibly our most extensive interview. Doctors paint a very different picture from what the majority of India really faces!
After a brief stop at the hotel, we were at the Delhi airport, ready to fly to Hyderabad. We had a brief American moment at McDonalds (a break from all the rich, filling yet awesome Indian food we had been having so far). We landed in Hyderabad at 9 PM and were in the hotel by 10:30. That concludes our 3 day stint in the capital city!



Saturday, August 10, 2013

Delightful Delhi





Above is the Qutub Minar. It is the oldest Islamic Minar in all of India. It is made of red sandstone and has inscriptions of the Quran. 
We arrived in Delhi on Wednesday morning and headed straight to the Radisson buffet breakfast. The variety of food was absolutely delicious even though we were heavily jet lagged and tired from our long hike to pulpit rock in Norway. After breakfast, the group headed to meet with recent CBID Alumni Anmol Chopra to BD India Headquarters. We learned about BD's efforts in understanding India's healthcare system and attempts to innovate for the extremely poor.



The next afternoon, we headed out to tour Delhi and some of its offerings. 









The team in front of the President's house. 
 After our tour of Delhi, we headed to Haldiram, a chain of restaurants, to have delicious Delhi Chaat. This was the closest we could get to street food without getting ill. We ordered chole bhature, pani puri, bhel puri, and dahi papdi chat. Kevin and Tiffany absolutely loved it and helped Anant and I in devouring everything. Our Delhi Bellies (get it?) were officially stuffed.
 Next morning we head to GB Pant, a massive government hospital to understand the public sector. We chatted with local patients as well as several pacemaker reps to understand various parts of the care pathway from patient diagnosis to treatment. This was our first exposure to the Indian healthcare system and were really excited to learn from as many people as possible.
We also met with Dr. Yadav in Faridabad for lunch. Dr. Yadav is a Cardiologist at B.K. Hospital. He diagnosis patients with various heart diseases. He gave us interesting insights into several of the challenges surrounding the uptake of pacemaker therapies across both rural and urban patients. From the left - Nitesh (Medtronic India Rep), Dr. Yadav, Wade (Medtronic US), Anant, Kevin, and Pratik (me).






After meeting with Dr. Yadav, we met the rest of the team at Escorts Hospital. Escorts is a private hospital that serves a lot of the upper - middle class of Delhi. We had a brief meeting with the director of the Electrophysiology department who was able to shed light into some of the challenges surrounding pacemaker implantation. 

To the left is a picture of advertising for a dissolving drug eluting stents. Many of the illustrations and claims on the poster were not completely accurate. 


We found an awesome jazz place by IIT Delhi. The venue was full of international travels and young Indians looking for a good time in Delhi. We quickly realized from the prices and ambiance (still cheap for USA) that this was the upper middle class and that most of the people in the government hospitals we saw earlier in the day could not afford the cover charge for this place (300 rupees).