| | From the Heart | | Why Free? A Question is often asked. Why is Healthcare, Totally Free in Sri Sathya Sai Sanjeevani ? To see every being as one's very own, brings a beautiful view of the world. A world where there are no walls of your and mine in between, but just we and ours. How does a father charge a fee to his own child. Or can he ? Especially when the child is dying in its own mother's arms. The Universe chooses to breathe Life into the child and so - perpetuates itself. The Child lives, and Life goes on. Life in the World is sustained by the 'Currency Of Love'. Sathya Sai Sanjeevani uses it and makes Fee, Free. | C. Sreenivas Chairman | | | Mishwa Begum, a 10 month old girl come from Nagla Kanpur, Gulawad, Palwal was diagnosed with TGA (Transposition of Great Arteries). Transposition of the great arteries is a congenital heart defect. Due to abnormal development of the fetal heart during the first 8 weeks of pregnancy, the large vessels that carry blood from the heart to the lungs, and to the body are improperly connected. Essentially, the connections in the heart are "swapped." Normally, oxygen-poor (blue) blood returns to the right atrium from the body, travels to the right ventricle, then is pumped through the pulmonary artery into the lungs where it receives oxygen. Oxygen-rich (red) blood returns to the left atrium from the lungs, passes into the left ventricle, and then is pumped through the aorta out to the body. In transposition of the great arteries, the aorta is connected to the right ventricle, and the pulmonary artery is connected to the left ventricle — the opposite of a normal heart's anatomy. The blue blood entering the heart gets pumped directly out to the body without going through the lungs. Blood coming from the lungs gets sent back to the lungs rather than out to the body. Babies born with TGA will die unless there is a hole between the two sides of the heart to allow some red blood to get out to the body. The operating team performed a Senning Procedure where the surgeon creates a two-way baffle in the top part of the heart. This baffle serves as a bridge between the two sides of the heart. The child was successively operated and discharged. When explained about the complexity of the condition to the father, a taxi driver and homemaker mother, who had to support a family of 8 adults and 2 children under one roof. The choice of treating this girl child had come down to the thread. The decision this father faced was one of many fathers that come to this institute. Teary eyed, the he said "My daughter's second chance is my second chance to life. She will always remember how great this place was for her." | | | Aditya Tiwari, a 3 year old child, visibly cyanotic and saturating 60% was diagnosed to have tricuspid atresia with normally related great arteries. He underwent Bidirectional Glenn Shunt as a palliation to increase saturation and was discharged home on POD – 5 with a plan to subject him for Fontan completion at a later date. Aditya's parents from Bihar, had admitted him to a local hospital due to complaints of a bad cold, fever and breathing trouble. It is then that they were informed of the infant's heart condition. For over 2 years, the family travelled frequently to Delhi to show the child at various private hospitals in Delhi only to be disappointed due to either long waiting periods or unaffordable care options. At Sai Sanjeevani, the family expressed immense gratitude to the doctors for the love & care shown to them and resolved to spend significant time at the hospital annually to volunteer as sahayaks and share the love with other helpless parents seeking solace at Sanjeevani. | | All Services Rendered Absolutely Free of Charge | | | Of the Heart | | We present to you a consolidated report of all the work done at Sri Sathya Sai Sanjeevani Centers for Child Heart Care at Atal Nagar, Chhattisgarh & Palwal, Haryana. To offer a little perspective, the numbers you see are not mere figures representing the volume of work being done. What you see is workings of a magnificent system running on an ethereal force beginning with a group of individuals whose choice was to commit to the mission of lightening the burden of Congenital Heart Disease, to the hospitals that provide this care and finally to the child that has been healed. To us these are not just numbers, they are promises of a healthier world. | | Sathya Sai Sanjeevani - A Snap Shot Journey so far | | OPD Consultations 69,361 Children Screened 46,450 | Surgical & Cath Procedures 7,523 Pregnant Mother Screened 7,015 | | OPD Consultations 17,461 2,748 done in December 2018 Children Screened 23,855 4,753 in December 2018 | Surgical & Cath Procedures 3,014 317 done in December 2018 Pregnant Mother Screened 3,472 196 in December 2018 | | Children Awaiting Treatment 30,077 As of 31st December 2018 | | PEDIATRIC CARDIAC OPD Statistics for December 2018 | | PEDIATRIC CARDIAC CATH Work for December 2018 | | PEDIATRIC CARDIAC SURGERIES for December 2018 | | The Growing Need for Sai Sanjeevani As on 31st December 2018 | | When a Child arrives at Sai Sanjeevani, it goes through an extensive diagnostic examination. The team of Cardiologists do an exemplary job of taking care of these children, infusing them and their families with a sense of hope and promise. We believe, 30,077 times the Divine has given opportunity to Serve and address His Will so far. The number, though daunting, only serves to re-enforce an energy and commitment to the Mission. | | Adding another year to the Sri Sathya Sai Sanjeevani Mission; more children healed, Bhoomipooja to commencement of medical services in Kharghar, Navi Mumbai, Surgical Service Missions around the world, Governmental empanelments and recognition of Excellence, Geo-Medical expansion of the Divine Mother & Child Health Programs, From Cure to Prevention - Research Wing and much more all in a span of ONE year. As we embark on the journey ahead, our heartfelt gratitude and love towards all who have supported us on this beautiful ride. Sai Sanjeevani glances back at all the happenings that made this wonderful year so colourful. Every child that has walked through our doors, fighting against tremendous odds, every milestone we have crossed in 2018, we are walking towards a new sunrise to unfold new pages and start a new chapter exceeding the limits of joy, peace, kindness and service. We wish old friends and new, loyal companions, a very very Happy New Year! May 2019 open doors to more smiles, laughter and compassion be our sole goal in this journey. | | Divine Mother & Child Health Program | | | The Divine Mother and Child Health Program is a unique Sri Sathya Sai Sanjeevani initiative providing Tertiary to Primary Healthcare at the source. The work tirelessly continues as a momentum is gained in the form of an increase in the workforce of volunteering young doctors from various parts of the world, obstetricians and gynecologists, over-seas subject experts and Our own vivacious Departmental Heads. The presence of a Tertiary care Centre in a Primary Healthcare Cohort is unusual and a tremendous value addition to the current scenario. The Antenatal Screening program took wind under this aegis and several pregnant mothers have enrolled in our program for monthly monitoring and assessment. | | Research in Congenital Heart Disease | | | The fate of babies born with congenital heart disease (CHD) has dramatically changed in the last 4–5 decades, going from a universally fatal condition in the vast majority of patients in the absence of diagnosis or intervention, to an entity whose outcome, at least in terms of peri-operative/hospital stay, has improved to an expected survival of about 96%. Indeed, since the first surgical solution for any type of congenital heart defect in 1938, ligation of a patent ductus arteriosus by Dr. Robert Gross at Boston Children's Hospital, followed by the pioneering work of Alfred Blalock and Helen Taussig in the palliation of "blue babies" with tetralogy of Fallot in 1944, to the critical breakthrough of open heart surgery with inflow occlusion and repair of an atrial septal defect by F. John Lewis in 1952, then the first operation done with the support of extracorporeal pump oxygenation by John Gibbon in 1953, and cross-circulation championed by C. Walton Lillehei in 1954, the field of surgical and interventional treatment and palliation for CHD has exploded into the success story we know today. While these heroic pioneering surgical feats were necessary to break the ice, parallel developments such as cardiac catheterization and echocardiography in the 1950's needed 2 decades to mature and become clinical mainstream in the sixties to seventies, leading to further precision in diagnosis, real-time imaging, and follow-up of the heart. With the birth of pediatric critical care in the late seventies, improvements in cardiopulmonary bypass (CPB) perfusion hardware, the advent of percutaneous catheter-based cardiac interventions and refinements in the 1980's for the current era of multidisciplinary treatment of CHD. Thus, guidelines and milestones have been established in the treatment of virtually every single congenital cardiovascular defect encountered in nature, ranging from near 100% survival and freedom from re-intervention or repeat surgery for the more simple malformations, such as atrial or ventricular septal defects, patent ductus arteriosus and coarctation, to more complex defects with correspondingly lower peri-operative survival and the need for continuous follow-up and care. Current statistics show that close to 200,000 children are born every year in India with Congenital Heart Disease of which, only 10% are addressed. The alarming increase in number of children awaiting treatment has forced a new multi-modal approach and hence, Research became the next logical step. Cause of Congenital Heart Disease and the impact on physiology and psychology of child and parent bore necessity to understand the disease better. At Sri Sathya Sai Sanjeevani, the growing numbers of children requiring attention posed a potent question of addressing the load in a multi dimensional approach. We found the need to find cause and improve the quality of the child being treated was gaining importance. The Research wing is dealing with cause, psychological impact and modification of treatment modalities to enhance treatment and quality of life by studying the genetic make up of the child and parent along with conducting clinical trials. | | Khargarh, Navi Mumbai - A new chapter | | | The Child, the City, Limitless Possibilities... Sri Sathya Sai Sanjeevani takes residence in Mumbai; the city of enterprise, resilience, discipline and hard work! 27th November 2018 marked yet another historic milestone in Sai Sanjeevani's ongoing mission of #HealingLittleHearts Totally Free of Cost, with the Commencement of Medical Services at the new Heart Edifice at Kharghar, Navi Mumbai, Maharashtra. The Sri Sathya Sai Sanjeevani Centre for Child Heart Care & Training in Pediatric Cardiac Skills will not only provide solace for thousands of ailing children & their families in Maharashtra and beyond, but will also serve as an institution focused on building the national & global capacity of trained professionals in pediatric cardiac care. It is set to have various educational and training programs for medical professionals & allied healthcare providers, to create future leaders in healthcare who will embody the spirit of service with competence & compassion. This Centre marks the third of these one-of-a-kind hospitals, behind the centres situated in Atal Nagar (prev. Naya Raipur), Chhattisgarh & Palwal, Haryana. | | All Services Rendered Absolutely Free of Charge | | | | | An Initiative Started by the Sai Sanjeevani team, to collect paintings, drawings, or sketches, old or new to adorn the walls of the hospitals, not just to add colour but as a sacrosanct therapy of the soul. | | | | Medical Fellowship Programs | | Fellowship Programs in the fields of Paediatric Cardiac Surgery, Paediatric Cardiac Anaesthesia and Critical Care and Paediatric Cardiology and intervention along with certificate courses in Perfusion Studies, new session begins in Fall, August 2019. | | | | | | | |