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Short filmTranscript
00:09Hello. Good morning. We are here to say something. We already know who is first, somebody who has first stepped
00:21on moon or we don't know who is second on moon.
00:24Similarly, this hospital has a long history. It has been for so many years. And we have achieved a lot
00:31of milestones in this hospital, which is now Gleninger's Fortis Network Hospital.
00:37So, in the United 18, we were the first to do a heart transplant in the state in 2004. We
00:45were the first to do a heart transplant of simultaneous heart and kidney disease patients in the following year.
00:53We were used to do the first stencil therapy, which was done to the heart failure patients in this hospital.
01:01We were the first to do cardiac race immunization hybrid procedure in this hospital. And we were the first to
01:06do a leadless pacemaker in the English South India in this hospital.
01:11And I think a few people I met last time in the six months back when we were saying that
01:17we did the first clip procedure for the heart, six months back to the left side of the heart, six
01:22months back.
01:26So, here we are happy to announce that we have done a first clip procedure for the right side of
01:33the heart. Right side of the heart is a, you can say it is a, do you all know about
01:39the balls? So, quickly I just want this diagram since we need to have an explanation.
01:44So, you know what are valves are, do you know what are valves are? So, people usually hear about open
01:52heart surgeries, bypass surgeries, stents, so many things. But basically, valve surgeries, I don't know what is valve surgery. So,
02:01valves are nothing but they are doors.
02:03So,ÿ kids síntar, they are, air it goes. So, heart is a, heart is a, heart is a circulative
02:05system. So, heart is a, heart is aòl circulative system. As you can see here in the heart, you have
02:11four chambers.
02:13There are four rooms, this is one room, this is one room, this is one room, this is one room
02:18and this is one room. The left side of the heart is elephant, it is left side to the heart.
02:21So, this, it is called left endgame, lest developing side to the heart.
02:24Right side of the room, right atrium, right pentagon.
02:27These are four chambers with four rooms.
02:30These four rooms are separated by doors.
02:33So, wall and thread flows from one room to another room, from one room to another room.
02:38These doors are walls.
02:40So, these doors are walls.
02:41So, these doors are walls.
02:44These doors are walls open.
02:48So, when the valve is closed, the valve is closed.
02:55So, these are valve surgeries.
02:58So, these are valve surgeries.
02:59So, these are open heart surgeries.
03:03So, all these years, we only know that left side of heart disease,
03:08the bunch of heart disease, the mitral valve disease, the erotic valve disease.
03:12Because they were the first rankers in the class.
03:14So, people only class each other, who is the first ranker, they know them only.
03:18They don't know the silent person who is sitting in the class.
03:21So, they say a lot of this.
03:23Right side of the valve is that the silent boy.
03:25Who is dark horse, but he is something like a warrior, something like a sleeper set.
03:31You don't know that he is existing.
03:33But when he comes out, he puts a bomb.
03:35So, this is the right valve.
03:37So, in our right valve, when she is in the Kuwante,
03:41this is a very complex valve, complex anatomy, very difficult to treat.
03:45Surgical risks are very high.
03:48It is very silent.
03:49Symptoms are enabled.
03:51But symptoms are not allowed.
03:52Patients come with extreme heart failure.
03:54Very difficult to treat.
03:55So, always in the medical field, we always think about two things.
04:00Managing the symptoms and fixing the problems.
04:03Managing the symptoms one day, for example, you have a leg fracture.
04:09Patients will have severe pain.
04:11So, what we do?
04:12We do painkillers.
04:13Pain is at risk.
04:14But that is not the treatment.
04:16Fixing the problem is the treatment.
04:19That means fracture is fixed.
04:21Plate is a permanent fixation.
04:23So, there was always no problem for treatment of right heart failure.
04:27He tried to fix the problem.
04:29He managed heart failure.
04:32He managed to do this.
04:33He had a permanent solution to the repair.
04:35Even when you have to go to the dentist,
04:35In Hindi, for example, the treatment is always complex.
04:40Open heart surgery.
04:41This surgery is very risky.
04:43And people's survival rationale are still there.
04:46So, there has been innovation in the world.
04:48God is innovating.
04:49We have seen Tesla.
04:51People are talking about doing masks.
04:53So, a lot of innovation has happened. So, there was a clip which was identified which was an international company,
04:59not accessible to the normal people.
05:02So, simple card, which is the main puncher, we go up to the right heart and just click the wall.
05:10For example, if you close the door, you can open the door or lock the door. So, the window curtains
05:20will leak the wall.
05:22So, the window curtains will leak the door. So, the window curtains will leak the door.
05:27So, simple way identified to go in there and get the wall, so that the wall leakage is stopped.
05:33So, this is the new technology which has been done, new technology which has been identified.
05:46And this was in all international companies, what and why we do this was not accessible to normal people.
05:52The cost is very high. So, this is the first indigenous wall made in India, which we have done first
05:58time in Hyderabad.
06:00So, three important milestones which I wanted to highlight about this thing.
06:04This one is, in South India, we are the first to do.
06:09That tells that Hyderabad is, we are the medical hub for the South India, doing all innovations, all major procedures
06:15here.
06:16Second, using the first indigenous way of reading India wall to the patients.
06:22And this patient is a 75-year-old man who has been suffering with heart failure.
06:26So, with heart failure, symptoms around, and the car abhoro, swelling of the abdomen, eyes and day-to-day activities
06:32in chess for the road.
06:33Not only they are suffering for the family, but for himself as well.
06:37But, once we had done the clip of Hyderabad, we ended up swelling 30-20, mandirwada snows for the road,
06:44eyes and 30-20.
06:45The quality of life has improved.
06:46So, that is what we look at the people who are elderly, we don't want to play the world of
06:52cricket, day-20 or do anything.
06:54At least when they are able to do their day-to-day activities, without depending on anybody.
06:59That is what our goal of treatment would be in this kind of patients.
07:03So, that we were able to achieve. Procedure I have been three weeks, four months.
07:07He is absolutely fine, he is travelling in aircraft, he is doing extremely well.
07:10The treatment is affordable for normal patients.
07:13Second thing is, and third most important thing that I wanted to highlight about this procedure is,
07:20like I said, we are not addressing or not relieving the symptoms, but completely fixing the problem.
07:28To summarise it, we have a problem, like tricuspid recalcitation, where there is always leaking, P, S, the solution is
07:37triclip.
07:37Once we have a triclip, it is an easy procedure,
07:41we have a cliton, we have a valve in the process.
07:45Finally, B is grief or benefit of grief.
07:49The person has believed the symptoms and is very happy to do their day-to-day activities.
07:55So, what is the cost of this virus?
07:58It is exactly the market cost, the international one is close to 40-45 lakhs.
08:03Ours is a developing country, imagine how many people can afford 40-45 lakhs.
08:08But this comes based on the number of clips are required.
08:12And therefore, the curtain is closed, and the curtain is closed, and the curtain is closed.
08:17And the door is closed, and the door is closed, and the door is closed.
08:19Usually somewhere around between 80-20 lakhs.
08:23So, it's almost 50-60% less than the international one which is available.
08:31The door is closed.
08:37Open closed.
08:38The door is closed.
08:40The wall is leaked.
08:43The door is blocked.
08:46The door is blocked.
08:47So the door is blocked.
08:49The door is blocked.
08:51That is the complete solution.
08:56I just told you the layman terminology.
08:59But it is a very complex thing.
09:01It is a tricuspid anatomy.
09:03In other words,
09:06it is a very complex anatomy.
09:07In 100 years,
09:08in 2020,
09:09the anatomy of the tricuspid one
09:13is a complex anatomy.
09:14There are mood exhibits.
09:16Analysts are present.
09:18There are electrical impulses.
09:21So surgically, it was very difficult.
09:23So we never thought,
09:25we will be able to treat this disease.
09:28When we talk about the patients who tell,
09:31you are not going to go and talk to the bandit,
09:34you are not going to go to the bandit.
09:36You are not going to go to the bandit.
09:39No, they are not going to be able to go to the bandit.
09:39If you don't have a bandit,
09:41you will be able to do that.
09:43The other life will lead to you.
09:45The other life will be able to do it.
09:47There is some risk in terms of clocking.
09:50Yes, please.
09:54That was for surgery, not for this.
09:58It is a very safe procedure, it will be done in conscious sedation or sometimes.
10:04I do the drug procedure today, patient gets stuck tomorrow morning.
10:07So what is the material involved in this clip?
10:12Is it mechanical or bio?
10:14No, that is for the wall.
10:15The replacement?
10:16Yeah, when we do the wall, it is different from the clip.
10:19So early idea was that the clip idea was not there.
10:22It is something like an out of the box idea.
10:25It is something like an out of the box idea.
10:27We never imagined that 5 years back before Codent Swiggy would exist.
10:32It is an out of the box idea.
10:33It is out of the box if somebody could identify that we could clip this wall.
10:37And they identified in this procedure and we are clipping the wall and it is done.
10:40So like left side mitral wall with the clip is which we are doing routinely.
10:45We thought why not we do this mitral wall and lot of priors have come and
10:48now it is routinely done in the other countries.
10:51In India it has not become a routine procedure because of the cost.
10:55So now it is affordable to most applications who think it is not reachable to the normal person.
11:03Is there any possibility of this asking of any particular weeks later on?
11:08See every procedure has some complications.
11:12There is no procedure without complications.
11:14So when you travel from your house and you are coming here, there was a chance that you could
11:18put some out of the law or somebody will have to take you.
11:20So every procedure, the chances of complications in this patient is less than 1%.
11:24So it is 98% to 100%.
11:27In experienced hands, it is a very safe procedure.
11:32So the actions are in the number of procedures?
11:34South India though, first procedure amount.
11:37South India though, Indian night wall though, it is a first procedure.
11:40That tells that Hyderabad we are so strong in advocating and enacting the new procedures.
11:45So we are very trained with so many hospitals around.
11:49So medical health, people come from all over the country.
11:52From North to North East to Hyderabad for getting treatment.
11:57Technology, the hospital is an advantage with the technology.
12:01Being around, adapting to our technology.
12:04And training, we have to keep up with the latest technology.
12:08Learn those techniques and offer to the patients.
12:10If I don't learn this technology and if I am not able to offer this to the patients,
12:14I will say if I have treatment, it is not still possible.
12:18So again, trachycoccus, there are so many advantages we have in the center.
12:22So that is the thing which I want.
12:24Is clipping possible in all kinds of patients?
12:27Yeah, again there are selected from patients.
12:29Already the patients who have got irreversible damage.
12:33So there are certain tests, the patient needs to consult their doctor.
12:37If the damage is still not irreversible, then the clip will be helpful.
12:41If the damage is irreversibly done, then the clip might not be helpful.
12:48So there are a lot of factors which causes tricuspid disease,
12:56complicated fibrillation of the electra, disease A caused yesterday,
13:00pulmonary dysfunction, two different disease processes.
13:03Based on the disease, we will be able to identify what it has caused.
13:10So it depends upon what type of substrate they have.
13:16So usually, if we have metamedicine in advance,
13:19there are fetal eposolches.
13:21So if we have pregnancy, we will be able to identify the fetal eposolches.
13:24Do we want to continue with this pregnancy?
13:27If we have a father, we will be able to identify the fetal eposolches.
13:34How much is it possible?
13:37How much is it possible?
13:38The answer is that people will have 200, 300 years.
13:42I don't know.
13:43There are limitations of science, so we have some limitations,
13:46so we have got some answers.
13:48But the right heart disease usually means
13:49atrial fibrillation, electra disease, heart failure.
13:52So usually, in India, the average of 6% of the population.
13:58And in one month or six months, there is a moderate to moderate TR.
14:03In Japan, there is a secret.
14:05There is a secret.
14:07There is a secret.
14:10Because he is a secret.
14:12He is the one silent student in the class who is not talking but observing everything.
14:17Over a period of time, it will cause problems.
14:21With this advanced treatment.
14:26It depends.
14:27I said, it depends upon the disease what child is suffering.
14:31So usually, this disease is basically for the elderly.
14:35Like I said, it starts with mild, age of 40.
14:3840 is the start of only.
14:4150, 60.
14:42Moderate, 70, 75.
14:45There are a lot of other problems where he cannot be operated also.
14:48Because he will have some diabetes, some other disease, some kidney disease, some other disease.
14:53But he is suffering.
14:54He will put in oxygen and he cannot walk even out and sit to bed.
14:58So it will help him in all this way.
14:59Yes.
15:01So it depends upon the situation at that time.
15:03Yes.
15:05The clip is commercially available in India, not here.
15:10And at least you have to be able to have any doctor.
15:15Yes, the clip is commercially in the entire country, so we have done it for the first time.
15:24So next probably some other patient might get here, some other patient, it's commercially available now, that is what we
15:30are saying.
15:31Sir I have two questions, as an innovation and it is done in South India, so how to create that
15:36awareness to the 75 years old man to understand this procedure and also what about the insurance claim option because
15:42it is too cost.
15:44The insurance claim is open, insurance is in here, the station bar it was done with insurance.
15:49So how do you create that awareness to the 75 years old?
15:53Awareness now, there is nothing which cannot create awareness, this question would have been relevant, it was around 5-10
16:00years back, on social media it is so powerful tool that automatically you are the people who can create awareness,
16:06it's a job of yours, my job is to do the procedure correctly.
16:09Now you have to tell me that how could I benefit the millions of patients who are suffering and I
16:15can take this work to them and they can get aware of this treatment option and benefit from this treatment.
16:22That is your job now.
16:25If your not so far from you.
16:28When you 국ers said to должны, it's called to put them down their admit.
16:30That is right.
16:30It is about their own canal of charge, these hospitals are有一 cię areф
16:34quite pointed out and many individuals adults too worried about it and not only one of these hospitals
16:46are treated as prevents medical people from claims to put them down.
16:52I was able to do this at the same time.
16:53I didn't know what was going on from Hyderabad.
16:54So I didn't have the same time in Hyderabad.
16:57I didn't really know how to do the network hospitals.
17:01I was able to do it in the same place.
17:04I was able to do it in the same place.
17:04I had the same doctor as I had.
17:07And
17:08if you look at the science,
17:11you can't restrict your innovations.
17:15So you would have to be able to do that.
17:16So you would have to go to that other hospitals.
17:18It would be better to go to this hospital.
17:20Any hospital begins.
17:22In other hospitals, he starts with the fact that you are done.
17:27The patient keeps getting tired of this procedure.
17:30They are ready.
17:31FYI I find someone special patient,
17:34finding something simple.
17:42Right now, guy is ready.
17:44They are ready to call him and message.
17:46Then I hope the patient keeps getting close of.
17:48If you do not need a patient to keep them in the pain,
17:51I want to keep them in the pain.
17:56I have to keep in touch with them.
17:57This is why my doctor is a problem.
17:59If I have a doctor,
18:01I see a doctor that gets involved in the treatment.
18:04I am poor.
18:07We all have to get into the surgery.
18:10I have to train people.
18:10I am a good one.
18:16I am a good one.
18:17Then I came to the hospital.
18:20After that, when there was an update to the phone,
18:24the hospital was upgraded.
18:27People were able to visit this hospital.
18:30After that, there was an equipment that was upgraded,
18:33like CT scan, cath lab, OT instruments.
18:36This is totally upgraded,
18:39but I wanted to do that in Hathraeval.
18:42I don't think there is a place I would have done.
18:44place in the final. So, what is that one?
18:50It is not yet decided. We are looking for a place. Once it is done, we will start a new
19:03hospital.
19:05Doctor, coming up to you?
19:06We will start a new hospital. We will start a new hospital.
19:11We will start a new hospital.
19:17Is there any hospital?
19:19I am just asking, yes, you could leave.
19:22You know, a new hospital or a new hospital.
19:28That is simple. Summarizing, it is L-C-R.
19:32There is a leak. You clip. Then there is a leak. That's it.
19:41I am stopping the leak. There is a leak. That is, the problem is a leak.
19:47Solution is click. Relief is patient will get the relief and benefit.
19:53So, there is a leak. The solution for the leak is a clip. That is the solution.
20:00But clip patients are not failing.
20:02Are you asking the clip fail?
20:04Yes.
20:05Not failing necessarily.
20:06Like I said, every procedure.
20:07But sometimes what happens is valve repair.
20:10Again, I will tell you, this valve repair is a different thing.
20:13Yeah. Yeah, please, please, please, please, please.
20:15See, normally there are complications.
20:17Sir, I think there are complications.
20:21You know, when you lose these stents and all that, there are devices complications.
20:26Yes.
20:27Yes, that is what I am coming to you.
20:29Stents is a totally different procedure.
20:31So, when we insert a valve, there are chances that valve gets to move here.
20:37Because, for that we need to give high dose of blood thinners.
20:41So, when we do this clip, there is no need to give high dose of blood thinners.
20:45Number one.
20:48I need to monitor the thinning level of blood which is happening in the blood through certain tests.
20:54If I don't monitor, the blood will be doing two things and they will be bleeding in the brain and
20:58other things.
20:59With this clip, there is no need to lose those blood thinners.
21:02That is, again, the most important advantage.
21:05So, any procedure, whenever we do the procedure, the most important thing we look at is the risk benefit ratio.
21:10What is the risk and what is the benefit I am getting.
21:13Always the risk should be less and the benefit should be maximum.
21:17So, anything clicks when the risk is less and the benefit is maximum.
21:20That is the way that this device goes close compared to all of the modalities in the treatment.
21:26Like Sir said, we have a strong presence in the north.
21:33Most people don't deal in the couple.
21:35We have a strong presence in the south.
21:37The footage has come to south.
21:39They are in Bangalore, in Hyderabad.
21:41We have two centres.
21:42We plan to expand two centres which the management is going to take a call on there.
21:47But, we restrict our discussion on the clinical work and the benefit of the patient which he has got.
21:56So, I would like to congratulate the team and how to do this procedure.
22:04This procedure is a proud moment for us.
22:08In South India, it is the first time we have the procedure requirement for a patient with a company.
22:17And, it is successful.
22:19It is a great thing.
22:22And, as you know, the hospital at Jersey is known for its legacy.
22:28It was heart transplant ASM.
22:31And, heart flow is not a complex problem.
22:35It is not a pre-trail emergency.
22:37we have been lost to MS-type problems.
22:40We have done nice ones around all other transplants, including Mediatek and Laparoscopic Transplants.
22:51So, any complex treatment at a quarter decade, we have done.
22:56in our hospital. So, we want to communicate to all the public.
23:06And all insurances, we need to cover insurance for the patient.
23:14And all corporates, we need to cover all corporates, like CGHs,
23:21and CGH. It's an un-corporates product for negative women.
23:26So, through all these things, they can take this business. Thank you.
23:30First time in Aitabardo, we did the first commercial available for the patient.
23:36And the patient is doing extremely well.
23:39So, slowly, Ramananam, I hope, like, cell phone launch,
23:41and the price will be very high. But slowly, the price comes down.
23:45So, I hope that some prices come down, more and more people,
23:49the treatment will be here. So, it increases to more people,
23:52and more people can get benefit out of this.
23:56But, every bank has a bank. So, there are four chambers.
24:01Each chamber, every chamber, every chamber, every chamber,
24:03and every chamber, every chamber, every chamber,
24:04and the valve, and then the valve.
24:05So, we need to address the different types of valve.
24:11This trichuspid valve disease is always addressed.
24:15Because the valve is a very complex anatomy and the right side heart is very delicate and there is a
24:26lot of electrical networking.
24:28So, the surgery is a very complex surgery and the procedure is a high risk.
24:32So, the right side valve is a very challenging science.
24:36So, the right side valve is a very challenging technology.
24:45The right side valve is a very costly procedure.
24:49So, the right side valve is a leak that is very complex and it is very easy to use.
24:55The right side valve is a leak that is the right side valve.
25:04There are many problems in this case.
25:10The wall is leaking, and the leak is going to happen.
25:15We have a solution to the leak.
25:17The first time in Thailand, we have a clip of the first time in South India.
25:24The patient is 75 years old.
25:26He has suffered from 4-5 years.
25:28He has a toilet or a bathroom.
25:31He has a clip of 3 people.
25:32He has a leak.
25:34There are 15-20 medicines.
25:38There are 3 medicines.
25:40There are ISN.
25:40There are daily activities.
25:43The quality of life has improved.
25:45The quality of life has improved.
25:48The three important things we have here.
25:52First, in South India, we are in Hyderabad.
25:55The technology-wise, we are ahead.
26:00We are doing very good work.
26:02Second, we have made a clip from India.
26:07The cost of the clip is almost 50-60%.
26:14We are doing very good work.
26:16Hello everyone.
26:18My name is Bharat Kandriti.
26:20I am in the Votis Network.
26:21I have a clinical hospital in South India.
26:24I am in our hospital.
26:26We are doing clip surgery in our hospital.
26:29Dr. Sai Sudhakar is the director of the Cardiology Department.
26:34We are doing surgery in the International Clip.
26:37We are doing a lot of work.
26:40We are doing a lot of work.
26:44We are doing a lot of work.
26:48Doctrine doctor.
26:50We are doing a lot of work.
27:00It is being made in a hospital.
27:04Indeed, once, we have doneenden care for hospitalilers.
27:08First Heart Transplant in India is done in this hospital.
27:13India has done first Heart Transplant.
27:15But the media is done in the media.
27:20My first time in India is done in this hospital.
27:26We have done first Heart Transplant in India.
27:32We have done first Heart Transplant in India.
27:39We have done first Heart Transplant in Hyderabad.
27:41We have done first Heart Transplant in Fortis Network.
27:48The only of the studies have done no hospital in this hospital.
27:53We have done a lot of things like this and we are able to provide a lot of work.
28:01We have done that.
28:03We all have done it in this hospital so we can do it in this hospital.
28:05We currently have done the test.
28:08about it.
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