Wednesday, December 23, 2015

Dr Naresh Trehan: Unedited material collected for Effective People by Prof TV Rao

Case Study: Dr  Naresh Trehan

Background
Dr Naresh Trehan, an Indian national, is a renowned cardiovascular and cardiothoracic surgeon. Born on August 12, 1946, Dr Trehan graduated from King George Medical College, Lucknow. He went to the United States in 1969. After doing his graduation he went on to practice at New York University Medical Center Manhattan USA from 1971 to 1988. He completed a thoracic surgery residency under Dr Frank Spencer at New York University.
 By the mid-1980's was earning over $1.5 million a year as a Manhattan heart surgeon.
 After a successful career in the US, he returned to India and started Escorts Heart Institute and Research Centre in 1988, a global landmark in cardiac care and a front runner in research, training and education. At present, he is now serving as the chairman and managing director and chief cardiac surgeon of Medanta TM-The Medicity. He has served as personal surgeon to the President of India since 1991, has received numerous awards, including the Padma Shri, Padma Bhushan and Lal Bahadur Shastri National Award.
PROFESSIONAL EXPERIENCE

Dr Trehan, after training in general surgery and subsequently cardiac surgery at premier institutions in U.S. (NYU Medical Centre), held important academic and clinical positions at the New York University Medical Center, Bellevue Hospital of the city of New York and Veterans Administration Hospital (Manhattan), U.S.A. His pioneering work in the field of coronary artery bypass surgery was at the New York University Medical Centre, New York, USA.

In 1988, despite a successful career in United States he returned to India and started Escorts Heart Institute and Research Centre - a pioneering state-of-the-art heart institute in India. Within a short period this Centre became an important land mark the world over in cardiac surgery and cardiology having successfully performed over 48,000 open heart surgeries which includes surgeries of coronary artery, valves, carotid arteries, aortic aneurysm, cardiomyoplasty, cardiac arrhythmias, myocardial total arterial revascularization, transmyocardial laser revascularisation, least invasive coronary artery surgery on a beating heart, reduction ventriculoplasty (Batista Operation), heart port access surgery and robotically assisted cardiac surgery with excellent results. Some of these operations have been performed by Dr. Trehan for the first time in India.

Dr Trehan left Escorts in 2007 to give shape to his dream project Medanta - The Medicity, a multi super-specialty hospital located in Delhi’s NCR region, Gurgaon. Spread over 45 acres, Medanta is a 1500 bed hospital with 45 operating theatres which will cater to over 20 super-specialties. Medanta aims to match the standards of clinical care, research and education offered by the likes of Mayo/Harvard and Cleveland Clinics, while making treatments affordable.

Besides clinical work Dr Trehan has taken keen interest in training, education and research programmes. He is giving post doctoral training of international standard to 30 surgeons at a point of time, The training is of 3 years duration. Over 20 surgeons have already been trained so far.

Dr Trehan has also presented a number of scientific papers and chaired scientific sessions in national and international conferences in USA, UK, Japan, China, Israel and Far East countries.

HONOURS
ü  PADMA BHUSHAN AWARD by President of India in recognition of distinguished service in the field of Medicine in 2001.
ü  PADMASHRI AWARD by President of India in recognition of distinguished service in the field of Surgery in 1991.
ü  Doctor of Science Honoris Causa at the "18th Convocation of the Institute of Medical Sciences, Banaras Hindu University, Varanasi" in March 1996, for recognition of his attainment and position of eminence and contributions made by him for the country and the people of India.
ü  Doctor of Science Honoris Causa is conferred on the occasion of the convocation of the Chhatrapati Shahu Ji Maharaj University, Kanpur, 4th March 2004.
ü  Honorary Fellow Royal Australasian College of Surgeons, Melbourne, Australia in 2002.
ü  Ernst & Young Entrepreneur Award in the services category for yeoman services to the healthcare industry.
ü  Doctor of Science, being conferred by King George’s Medical University, Lucknow, on 22nd Janaury’2007.

What inspired him…
 “My parents (both doctors) came from Pakistan in 1952 and we had no roof over our heads. I have vivid memories of shifting to a three-room apartment opposite Plaza Cinema in Connaught Place and having to share one room with my parents and sister because two of the rooms were used by my parents as their clinics. I was around six then and used to happily pedal my toy car from K Block near Plaza to York hotel,” he reminisces.

But those were early years of initiation as well, for an impressionable mind. Dr Trehan recalls patients coming to his parents’ clinics with tears in their eyes and leaving the place with smiles. "Many people in those days were refugees and had frugal means. My father used to treat them free. That emotion of empathy sharing and feeling registered in my mind forever."
He decided against practicing in an established hospital and found an industrialist to finance his vision of a private heart institute and research center in New Delhi.The Escorts Heart Institute and Research Center opened in 1988. Today it is among the largest of its kind in the world, with 325 beds, 9 operating theaters and satellite operating rooms in five cities -- although that means little in a nation of a billion people.

At 67, Dr. Trehan may be the most prominent heart surgeon in the country. He has won just about every award India gives for citizenship and service.

Before an entrepreneur
After training in general surgery and subsequently cardiac surgery at premier institutions in the US (NYU Medical Centre), he held important academic and clinical positions at the New York University Medical Centre, Bellevue Hospital of the city of New York and Veterans Administration Hospital (Manhattan), US. His pioneering work in the field of coronary artery bypass surgery was at the New York University Medical Centre, New York, US, where he performed over 3,000 coronary artery operations.

Why an entrepreneur?
He wanted to create in India the same standard of healthcare, training and research that he saw in the US. "I was doing well in New York as a coronary bypass surgeon earning over $1.5 million a year, but wanted to come back to provide same standard of treatment that institutes like Mayo Clinic and Cleveland Clinic offered. “I also wanted to provide affordable treatment for cardiac care,” says Dr Trehan, who has conducted over more than 50,000 cardiac surgeries.
With Mediciti, his entrepreneurial endeavour is to create an organisation that has transparent governance and transparent billing system for patients. "With Medicity, I also want to restore the dignity that medicine seems to have lost," says he.

How it all began
He decided against practicing in any established hospital and found industrialist HP Nanda to finance his vision of a private heart institute. The land was taken from DDA. “We formed a trust and raised money," says Dr Trehan, who had 10 per cent stake in it, then. Thus, the construction of Escorts Heart Institute started in 1982 and the hospital was commissioned by 1988. It was only after the hospital was about to be commissioned that Dr Trehan returned to India.

Over the years
Within a short period the hospital became a leading name in cardiac surgery and cardiology. After takeover by the Fortis Group, Dr Trehan left Escorts and joined Indraprastha Apollo Hospitals as a Senior Cardiovascular and Thoracic Surgeon. Now, as the Chairman of Global Health Private Limited, Dr Trehan is engaged in building a MediCity spread over 43 acres in Gurgaon. "This Rs-1200-crore project has been envisioned as a multi-disciplinary high-tech medical institute and clinically modeled after global centres of excellence such as Johns Hopkins and Mayo Clinic in the US," says he. The first phase of the project with 600 beds is likely to be commissioned by mid 2009. Another 1,200 beds would be added after a few years.

Dr Trehan has collaborated with General Electric (GE) and other financial partners and aims to combine modern medicine with traditional medicine and holistic therapies. Under the MoU, GE India and MediCity will collaborate in a number of initiatives to create a medical institute of world standard, specifically in the areas of high-end medical diagnostics, clinical research and development, utility services like power generation and distribution, lighting, water treatment and other environmental friendly solutions.

Contribution to healthcare
He is a pioneer in the field of minimally invasive heart surgeries, including port access surgery for valve replacement/ repair and atrial septal defect. He brought and promoted the concept of minimally invasive surgery in India. For the first time in India, he performed robotic heart surgery including total endoscopic CABG, transmyocardial laser revascularisation surgery, stem cell therapy for non by-passable coronary arteries and heart failure.

He has been a part of development of many new technologies and devices, including the coapsys, a device meant for mitral valve repair on beating heart.

His views on health care for underprivileged (This indicates an integrative mind where he has combined his skills with the need of the nation in healthcare.)
Dr Naresh Trehan, said that diaspora should work on bringing next practices in medical healthcare into India. Suggesting Corporate-Corporate Partnership, he encouraged the diaspora to adopt villages and take healthcare to the poor. Finance, transfer of knowledge, exchange of personnel, corporate participation and research support are some of the various ways in which Diaspora can contribute towards enhancing growth and development in the Indian healthcare sector.
“Telemedicine is the only way to ensure healthcare at the doorstep of last man in the queue in states like Bihar where poverty and remoteness make healthcare inaccessible to many.” This was stated by Dr Trehan when he was in Patna to attend the joint conference of Bihar chapter of Indian Cardiological Society and Eastern India Interventional Cardiology Conclave.

Dr Trehan said India could achieve Universal Health Coverage only if it spent 9% of its GDP on health. "That's not practical. So, the only way out is the development of science and technology."

Its latest example is telemedicine. In Bihar, it will make primary care reach the doorstep of villagers who can't afford to come to cities for treatment due to poverty and other factors, the cardiologist said, adding data from the primary health centres could be sent to sadar hospitals and further to modern hospitals through mails, skype or videoconferencing.

He cited robotic surgery as another example. "Robotic surgery is the future of all surgeries. It is very efficient and minimally invasive. It's currently costly, but the research is on to make it cost effective. Almost all surgeries from bypass to removal of fibroids, transplants and correction of sleep apnea can be done robotically."

Dr Trehan pointed out India's healthcare demands were unique. "Our genes are completely different from our western counterparts. So why should we follow them blindly? Instead of pushing Ayurveda, Homeopathy and Unani to the corner, we should mingle them with modern medicine as per our requirement," he said and cited the example of how he took the help of Ayurveda to help patients swallow food items after they developed blisters in mouth following oral and laryngeal radiation.

Talking about Bihar's disease burden, Dr Trehan said most of the diseases in villages originate due to lack of sanitation and hygiene. If these issues are addressed, 90% of diseases will just not occur.

Addressing the conference earlier, Dr Trehan remembered Dr A K Thakur developing a cardiology hospital in Patna in late 1980s when the situation wasn't very favourable. At almost the same time, Fortis Escorts, an organization he was closely associated with, was being developed. "That was a watershed moment in the history of Indian cardiology," he said.

About Fortis Escorts
Fortis Escorts Heart Institute has set benchmarks in cardiac care with Paediatric path breaking work over the past 25 years. Today, it is recognised world over as a centre of excellence providing the latest technology in Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology and Paediatric Cardiac Surgery. The hospital is backed by the most advanced laboratories performing complete range of investigative tests in the field of Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine and Microbiology.
Mt  Trehan later had to part ways with FEHI due to conflict of interest with Medicitiy.

Transition from Escorts to Medicity
“More than conceiving, building, nurturing and merging it into an identity, Escorts helped me build a relationship with patients. That’s what I value the most and the ties are getting stronger even at Apollo. We are working for a larger good and hope to continue it even when our new hospital, Medicity, is set up. We would want to leverage the synergies to enhance the relationship with the patients and move forward towards building a better healthcare infrastructure in the country,” he says. 

About Medanta
Medanta – The Medicity is one of India's largest multi-super specialty institutes located in Gurgaon, a bustling town in the National Capital Region. Founded by eminent cardiac surgeon, Dr. Naresh Trehan, the institution has been envisioned with the aim of bringing to India the highest standards of medical care along with clinical research, education and training. Medanta is governed under the guiding principles of providing medical services to patients with care, compassion, commitment.

Spread across 43 acres, the institute includes a research center, medical and nursing school. It has 1250 beds and over 350 critical care beds with 45 operation theatres catering to over 20 specialties. Medanta houses six centers of excellence which will provide medical intelligentsia, cutting-edge technology and state-of-the-art infrastructure with a well-integrated and comprehensive information system.

Medanta – The Medicity brings together an outstanding pool of doctors, scientists and clinical researchers to foster collaborative, multidisciplinary investigation, inspiring new ideas and discoveries; and translating scientific advances more swiftly into new ways of diagnosing and treating patientsand preventing diseases. A one-of-its-kind facility across the world, Medanta through its research integrates modern and traditional forms of medicine to provide accessible and affordable healthcare. 

In Mr Trehan’s words:
Medanta – The Medicity, is the realization of my long-held dream to create and nurture a medical care facility that can rightfully stand alongside the very best in the world: A multi-specialty health care composite facility on one campus. It is my conviction that Medanta in concept and in reality will match the standards of clinical care, research and education offered by the likes of Mayo/Harvard and Cleveland Clinics, while making treatments affordable.
Located in the National Capital Region of New Delhi - Gurgaon, Medanta a multi super-specialty hospital, is just a 15 minute drive from Delhi's International Airport. Spread across 43 acres of land, Medanta will have 45 Operating Theatres, 1200 beds and 350 Critical Care beds catering to over 20 super- specialties.”



Reference Articles

Dr Naresh Trehan, an Indian national, is a renowned cardiovascular and cardiothoracic surgeon. After doing his graduation from King George Medical College, Lucknow, India, he went on to practice at New York University Medical Center Manhattan USA from 1971 to 1988. After a successful career in the US, he returned to India and started Escorts Heart Institute and Research Centre.[1] At present, he is now serving as the chairman and managing director and chief cardiac surgeon of MedantaTM-The Medicity. He has served as personal surgeon to the President of India since 1991, has received numerous awards, including the Padma Shri, Padma Bhushan and Lal Bahadur Shastri National Award.

Career
Trehan was the founder, executive director and chief cardiovascular surgeon of Escorts Heart Institute and Research Center (EHIRC), which opened in New Delhi, India in 1988.[2] Presently, Trehan is the Founder Chairman of Medanta - The Medicity one of the largest multi-specialty hospital at Gurgaon, on the outskirts of Delhi, established in 2009.[3] Trehan has been president of the International Society for Minimally Invasive Cardiac Surgery.
As chairman of Global Health Private Ltd., Trehan is overseeing the building of an integrated health care facility in Gurgaon, India, currently referred to as MediCity. MediCity will spread across 43 acres (170,000 m2) of land and is fashioned after institutions such asMayo Medical School and Johns Hopkins Hospital. Collaborating with Siemens and other financial partners, MediCity aims to combine modern medicine with traditional medicine and holistic therapies
He first met his wife when he was just 16. In 1969, the two married and now have two daughters. His wife, Madhu Trehan, is a journalist and writer.[

Honors
·         Padma Bhushan Award by President of India in recognition of distinguished service in the field of Medicine in 2001.[6]
·         Padmashri Award by President of India in recognition of distinguished service in the field of Surgery in 1991.
·         Doctor of Science Honoris Causa at the "18th Convocation of the Institute of Medical Sciences, Banaras Hindu University, Varanasi" in March 1996, for recognition of his attainment and position of eminence and contributions made by him for the country and the people of India.
·         Doctor of Science Honoris Causa is conferred on the occasion of the convocation of the Chhatrapati Shahu Ji Maharaj University, Kanpur, 4 March 2004.
·         Honorary Fellow Royal Australasian College of Surgeons, Melbourne, Australia in 2002.
·         Ernst & Young Entrepreneur Award in the services category for yeoman services to the healthcare industry.
·         Doctor of Science, being conferred by King George’s Medical University, Lucknow, on 22 January 2007




APPOINTMENTS
·         CMD Global Health Private Limited (Medicity)
·         Senior Consultant Cardiovascular Surgery at Apollo Hospital, Sarita Vihar, New Delhi from June 1, 2007 till Dec 31st 2009.
·         Executive Director and Chief Cardiothoracic and Vascular Surgeon, Escorts Heart Institute and Research Centre, Okhla Road, New Delhi, from 1988 – 2007
·         Appointed as Personal Surgeon to the President of India with effect from June, 1991.
·         Appointed as Honorary Consultant to the Cromwell Hospital, London U.K., with effect from March, 1994.
·         Appointed as Honorary Visiting Professor, Cardiovascular Surgery, LPS Institute of Cardiology, Kanpur (U.P.) with effect from June, 1996.
·         Appointed as Honorary Consultant, Cardiothoracic Surgery, to the Armed Forces Medical Services, with effect from March, 1997.
·         Appointed as Honorary Visiting Professor of Surgery, Bangladesh Medical College, Dhaka with effect from April, 2000.

PAST ACADEMIC APPOINTMENTS


·         Asstt. Professor of Surgery, New York University Medical Center, New York, USA, 1981-1988
·         Clinical Instructor in Surgery, New York University Medical Center, New York, USA, 1971-1974
·         Teaching Assistant in Surgery, New York University Medical Center, New York, USA, 1971-1974




PAST STAFF APPOINTMENTS


·         Attending Cardiothoracic Surgeon, New York University Medical Center, New York, U.S.A., 1979-1988
·         Attending Cardiothoracic Surgeon and Consultant, Bellevue Hospital of the city of New York, U.S.A.
·         Chief Thoracic and Cardiovascular Surgery, Veterans Administration Hospital (Manhattan), U.S.A.
·         Attending Cardiothoracic Surgeon, New York Infirmary-Beekman Downtown Hospital, New York, U.S.A., 1979-1988
·         Attending Cardiothoracic Surgeon, St. Vincent's Hospital and Medical Center, New York, U.S.A., 1979-1988

EDUCATIONAL QUALIFICATIONS


·         M.B.B.S. K.G. Medical College Lucknow, 1968 U.P., India
·         Diplomat, American Board of Surgery U.S.A 1977
·         Diplomate, American Board of Cardiothoracic Surgery U.S.A. 1979

PROFESSIONAL EXPERIENCE


After training in general surgery and subsequently cardiac surgery at premier institutions in U.S. (NYU Medical Centre), held important academic and clinical positions at the New York University Medical Center, Bellevue Hospital of the city of New York and Veterans Administration Hospital (Manhattan), U.S.A. His pioneering work in the field of coronary artery bypass surgery was at the New York University Medical Centre, New York, USA.

In 1988, despite a successful career in United States he returned to India and started Escorts Heart Institute and Research Centre - a pioneering state-of-the-art heart institute in India. Within a short period this Centre became an important land mark the world over in cardiac surgery and cardiology having successfully performed over 48,000 open heart surgeries which includes surgeries of coronary artery, valves, carotid arteries, aortic aneurysm, cardiomyoplasty, cardiac arrhythmias, myocardial total arterial revascularization, transmyocardial laser revascularisation, least invasive coronary artery surgery on a beating heart, reduction ventriculoplasty (Batista Operation), heart port access surgery and robotically assisted cardiac surgery with excellent results. Some of these operations have been performed by Dr. Trehan for the first time in India.

Dr Trehan left Escorts in 2007 to give shape to his dream project Medanta - The Medicity, a multi super-specialty hospital located in Delhi’s NCR region, Gurgaon. Spread over 45 acres, Medanta is a 1500 bed hospital with 45 operating theatres which will cater to over 20 super-specialties. Medanta aims to match the standards of clinical care, research and education offered by the likes of Mayo/Harvard and Cleveland Clinics, while making treatments affordable.

Besides clinical work Dr Trehan has taken keen interest in training, education and research programmes. He is giving post doctoral training of international standard to 30 surgeons at a point of time, The training is of 3 years duration. Over 20 surgeons have already been trained so far.

Dr Trehan has also presented a number of scientific papers and chaired scientific sessions in national and international conferences in USA, UK, Japan, China, Israel and Far East countries.

HONOURS
1.      PADMA BHUSHAN AWARD by President of India in recognition of distinguished service in the field of Medicine in 2001.
2.      PADMASHRI AWARD by President of India in recognition of distinguished service in the field of Surgery in 1991.
3.      Doctor of Science Honoris Causa at the "18th Convocation of the Institute of Medical Sciences, Banaras Hindu University, Varanasi" in March 1996, for recognition of his attainment and position of eminence and contributions made by him for the country and the people of India.
4.      Doctor of Science Honoris Causa is conferred on the occasion of the convocation of the Chhatrapati Shahu Ji Maharaj University, Kanpur, 4th March 2004.
5.      Honorary Fellow Royal Australasian College of Surgeons, Melbourne, Australia in 2002.
6.      Ernst & Young Entrepreneur Award in the services category for yeoman services to the healthcare industry.
7.      Doctor of Science, being conferred by King George’s Medical University, Lucknow, on 22nd Janaury’2007.

MEMBERSHIP OF PROFESSIONAL SOCIETIES AND EDITORIAL ADVISORY BOARDS 


1.      President of the International Society for Minimally Invasive Cardiac Surgery (ISMICS), Minneapolis, USA. 2004-05
2.      Member of Society of Thoracic Surgeons of U.S.A.
3.      Member of the Scientific Council of the American College of Angiology, U.S.A.
4.      Fellow Royal Society of Medicine, London.
5.      Fellow American College of Surgeons, USA.
6.      Fellow International Medical Sciences Academy.
7.      Member of Board of Directors of the International Society for Minimally Invasive Cardiac Surgery, Minneapolis, USA.
8.      Appointed as member of the Editorial Board of the Journal “Heart Surgery Forum”, Charlottesville, VA, USA.
9.      Council Member of Association of Thoracic and Cardiovascular Surgeons of Asia.
10.  Member of The European Association for Cardio-thoracic Surgery.

ASSOCIATION WITH NATIONAL BODIES AND COMMITTEES 

1.      Chairman, Confederation of Indian Industries - Healthcare Industry Committee.
2.      President, Indian Health Care Federation.
3.      Member, Key Advisory Group, Ministry of Health and Family Welfare, Govt. of India.
4.      Vice Chairman, Services Export Promotion Council, Govt. of India.
5.      Member, Task Force on Skill Development, XIth Five Year Plan, Planning Commission, Govt. of India.
6.      Member, Governing Council TIFAC (Technology Information, Forecasting & Assessment Council), New Delhi
7.      Member, Institute Body of Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow from 1996-2001.
8.      Member, Governing Council of Sri Jayadeva Institute of Cardiology, Bangalore, India.


ACADEMIC AWARDS


1.      Lal Bahadur Shastri National Award conferred by President of India, for excellence in Public Administration, Academics and Management for the year 2005.
2.      Dr. B. C. Roy National Award for the year 2005 in the category of “Eminent Medical Person”.
3.      Life Time Achievement Award - 2002 by the International Society of Cardiovascular Ultrasound.
4.      Jewel of India in the Millennium by the International Award Committee of Wisitex Foundation in 2002
5.      Rashtriya Ratan Award - 2001 presented by United Indians for outstanding services, achievements and contributions in chosen field.
6.      AMA Physician’s Recognition Award by The CME Alliance at ISMICS-2001, Munich, Germany.
7.      4th Sat Paul Mittal Annual Oration presented by Nehru Sidhant kender Trust & Dayanand Medical College & Hospital, Ludhiana on 6th March 2001.
8.      Sir Syed National Awards – 2001 from Mehfil-e-Sanam, Urdu Monthly.
9.      Indira Gandhi Millennium Award-2000 from All India Feroze Gandhi Memorial Society.
10.  IMA Dr. K. Sharan Cardiology Excellence Award from Indian Medical Association in 2000.
11.  Life Time Achievement Award-1999 from International Medical Integration Council in recognition of the pioneering work done in developing new surgical techniques.
12.  Distinguished Service Award in Hypertensive Vision-96 Conference, New Delhi, Feb.1996.
13.  Rotary Ratna Award from Rotary International (Distt. 3120) in 1996.
14.  India International Gold Award- 1995 from NRI Institute.
15.  Lok Seva Award - 1995 in recognition of outstanding performance.
16.  Rajiv Gandhi National Unity Award - 1995 for excellence, presented for outstanding services, achievements and contributions.
17.  Order of Merit for Management - Samajshree Award 1995 from Indian Council of Management Executives, Bombay.
18.  Sushruta Award 1994 at New York from the Association of Indians in America in recognition of excellence in research, teaching, community service and establishment of Escorts Heart Institute & Research Centre a premier institution for cardiac surgery in New Delhi, India.
19.  International Business Acumen Award 1993 on July 25th, 1994 by International Business Council.
20.  Distinguished Service Award 1994, by IMA, New Delhi Branch Chapter of IMA Academy of Medical Specialities, for the services to the Profession and the Nation.
21.  The Great Son of the Soil by All India Conference of Intellectuals - 1993 National Intellectuals' Award.
22.  Distinguished Service Award 1993 by IMA Academy of Medical Specialities for continuing, selfless, dedicated and devoted services to the medical profession and the community.
23.  Mother India International Award- 1992 by NRI Institute.
24.  Shiromani Award for the year 1992 for outstanding achievements in the field of cardiovascular surgery.
25.  T.P. Jhunjhunwala Foundation Award for the year 1992-93 for deep commitment and untiring efforts to achieve international standards in cardiac surgery in India.
26.  Yuva Shakti Organisation Jaipur Award for outstanding contribution in the field of Cardiac Surgery in India, 1992.
27.  National Institute of Punjab Studies Bhai Vir Singh International Award for unique contribution in the field of Medicine.
28.  Nagrik Club Jaipur Award for distinguished services in the field of Cardiac Surgery, 1991.
29.  Joshi Award by Delhi Medical Association 1989.
30.  Alumni Award of KG Medical College Lucknow 1989.
31.  National Integration Council Award 1988.

CSR Activities intiated by Dr. Trehan
Confederation of Indian Industry (Cll) in partnership with Indian Healthcare Federation (IHCF) has constituted a Task Force on Rural Health under the leadership of Dr Naresh Trehan. The thrust area for this task force is to help reduce the disease burden in the rural areas of the nation.

The task force aims to achieve this through its 'Healthy & Educated Villages Programme'. This Programme aggregates the corporate social responsibility efforts of several corporates and creates a scalable functioning model of adopting villages across the country. The adopted villages will be supported by:


·         Proving potable drinking water
·         Developing storm water and sewage disposal system
·         Developing garbage disposal system
·         Preventing vector borne diseases including Dengue and Malaria
·         Building and upgrading the primary education system
·         Creating health and hygiene awareness
·         Developing basic infrastructure for water and sanitation
·         Organising the Health check-up camps




Core Methodology

The plan aims to operate at three level model:

·         Apex Committee:CEO of the participating organisations
·         Executing Committee: Representatives from the participating organisations Who would be involved at the planning and co-coordinating level
·         Implementation and Evaluation Committee: Full-time dedicated employees who will engage in group work and complete the assigned tasks within stipulated guidelines roles of principles and support partners are envisages as being interchangeable.when the support partner adopts a village, it becomes the Principal partner and others take the role of supporting it and vice-versa.
 

Evaluation and Maintenance

·         During and after implementation, a team of professionals would evaluate the progress on a regular basis to make sure that the resources are used to their fullest
·         Upon completion of the project the responsibilities would be allocated for:

1.      Maintenaence of the village-village panchayat
2.      Supervision by a Task Force consisting of representatives from industry

Village Joniawas Pilot Project
Under the Chairmanship of Dr Naresh Trehan, CLL and Hero Honda Group adopted thier first village in july 2004 - Village Joniawas in Dharuhera, under the Healthy and Educated Villages Programme.


Telemedicine alone can ensure healthcare to all: Trehan

Banjot Kaur Bhatia  

PATNA: Telemedicine is the only way to ensure healthcare at the doorstep of last man in the queue in states like Bihar where poverty and remoteness make healthcare inaccessible to many.

This was stated by eminent cardiologist Dr Naresh Trehan who is in Patna to attend the joint conference of Bihar chapter of Indian Cardiological Society and Eastern India Interventional Cardiology Conclave.

Talking to select reporters on the sidelines of the conference on Saturday, Dr Trehan said India could achieve Universal Health Coverage only if it spent 9% of its GDP on health. "That's not practical. So, the only way out is the development of science and technology."

Its latest example is telemedicine. In Bihar, it will make primary care reach the doorstep of villagers who can't afford to come to cities for treatment due to poverty and other factors, the cardiologist said, adding data from the primary health centres could be sent to sadar hospitals and further to modern hospitals through mails, skype or videoconferencing.

He cited robotic surgery as another example. "Robotic surgery is the future of all surgeries. It is very efficient and minimally invasive. It's currently costly, but the research is on to make it cost effective. Almost all surgeries from bypass to removal of fibroids, transplants and correction of sleep apnea can be done robotically."

Dr Trehan pointed out India's healthcare demands were unique. "Our genes are completely different from our western counterparts. So why should we follow them blindly? Instead of pushing Ayurveda, Homeopathy and Unani to the corner, we should mingle them with modern medicine as per our requirement," he said and cited the example of how he took the help of Ayurveda to help patients swallow food items after they developed blisters in mouth following oral and laryngeal radiation.

Talking about Bihar's disease burden, Dr Trehan said most of the diseases in villages originate due to lack of sanitation and hygiene. If these issues are addressed, 90% of diseases will just not occur.

Addressing the conference earlier, Dr Trehan remembered Dr A K Thakur developing a cardiology hospital in Patna in late 1980s when the situation wasn't very favourable. At almost the same time, Fortis Escorts was being developed. "That was a watershed moment in the history of Indian cardiology," he said.


Medanta – The Medicity, is the realization of my long-held dream to create and nurture a medical care facility that can rightfully stand alongside the very best in the world: A multi-specialty health care composite facility on one campus. It is my conviction that Medanta in concept and in reality will match the standards of clinical care, research and education offered by the likes of Mayo/Harvard and Cleveland Clinics, while making treatments affordable.


Located in the National Capital Region of New Delhi - Gurgaon, Medanta a multi super-specialty hospital, is just a 15 minute drive from Delhi's International Airport. Spread across 43 acres of land, Medanta will have 45 Operating Theatres, 1200 beds and 350 Critical Care beds catering to over 20 super- specialties.


Medanta – The Medicity is one of India's largest multi-super specialty institutes located in Gurgaon, a bustling town in the National Capital Region. Founded by eminent cardiac surgeon, Dr. Naresh Trehan, the institution has been envisioned with the aim of bringing to India the highest standards of medical care along with clinical research, education and training. Medanta is governed under the guiding principles of providing medical services to patients with care, compassion, commitment.

Spread across 43 acres, the institute includes a research center, medical and nursing school. It has 1250 beds and over 350 critical care beds with 45 operation theatres catering to over 20 specialties. Medanta houses six centers of excellence which will provide medical intelligentsia, cutting-edge technology and state-of-the-art infrastructure with a well-integrated and comprehensive information system.

Medanta – The Medicity brings together an outstanding pool of doctors, scientists and clinical researchers to foster collaborative, multidisciplinary investigation, inspiring new ideas and discoveries; and translating scientific advances more swiftly into new ways of diagnosing and treating patientsand preventing diseases. A one-of-its-kind facility across the world, Medanta through its research integrates modern and traditional forms of medicine to provide accessible and affordable healthcare. 


A chat with country's top heart surgeon, Naresh Trehan



Open up your heart, what do you feel ... world hold on... The radio in the car burst alive with Bob Sinclar’s chartbuster — on a cue or some strange coincidence — as we drove to the Capital’s The Oberoi for a chat with the country’s top heart surgeon, Dr Naresh Trehan. He is one of the few professionals whose designation — chief cardiothoracic & vascular surgeon at Indraprastha Apollo, New Delhi — is perhaps not as important as the individual.

The song in a way reflected what we had been thinking that evening — how to get under the skin of the sultan of scalpel and lay bare his heart. For the background, we knew he wore tonnes of attitude on his sleeves, had astute professional acumen, went about his work with clinical precision and had a tough, no-nonsense approach in dealing with situations. Claim and fame were his regular visitors, but controversies were no stranger either. Well, we had checked out on him...

He stepped into the hotel’s lobby a tad late (blame it on Delhi’s choking traffic) and paced towards us in small, measured steps — sporting an air of authority tinged with age, grace and expertise. He is recognised immediately by the staff of the hotel’s exclusive Belvedere Club. He is greeted by almost everyone on the way as we amble across to a cosy corner at the club bar.

One look at his white Nehru-collared shirt, and you would be tempted to pin it down to a designer brand. “I am not at all brand conscious. This one was incidentally picked up during one of my visits to China. Apart from being comfortable, it also gives a formal feel,” he guffaws. Pleasantries over, settled in the warm couches, we place our orders. “A Diet Coke with couple of ice cubes for me”. He then shuffles in his seat, and confronts us point blank: “Ok, guys, fire your questions....”

We’d expected a straight response, but we needed to start somewhere, and let the ice melt. How’s been the transition from Escorts to Apollo, we asked, rather naively (after all, much has already been written about it).

“More than conceiving, building, nurturing and merging it into an identity, Escorts helped me build a relationship with patients. That’s what I value the most and the ties are getting stronger even at Apollo. We are working for a larger good and hope to continue it even when our new hospital, Medicity, is set up. We would want to leverage the synergies to enhance the relationship with the patients and move forward towards building a better healthcare infrastructure in the country,” he says. 

As for Medicity, he says, the Rs 1,200-crore project has been fashioned on the lines of a Mayo, Cleveland, Harvard and John Hopkins in its basics, and intends to go beyond what any conventional medical institute has attempted.

“India needs to work on healthcare infrastructure and create better benchmarks. We would not only offer the highest quality of healthcare but also an environment for excellence in research and teaching,” he elaborates.

Passion, concern, vision ... the doc file was getting heavy. So we egged him to speak about his childhood and schooling, and the first scratch over the surface appeared. “My parents (both doctors) came from Pakistan in 1952 and we had no roof over our heads. I have vivid memories of shifting to a three-room apartment opposite Plaza Cinema in Connaught Place and having to share one room with my parents and sister because two of the rooms were used by my parents as their clinics. I was around six then and used to happily pedal my toy car from K Block near Plaza to York hotel,” he reminisces.

But those were early years of initiation as well, for an impressionable mind. Dr Trehan recalls patients coming to his parents’ clinics with tears in their eyes and leaving the place with smiles. "Many people in those days were refugees and had frugal means. My father used to treat them free. That emotion of empathy sharing and feeling registered in my mind forever."


Indian Heart Surgeon Took Talents Home


-New York Times


Taken out of context, it looks like Naresh Trehan is playing a video game. He stares intently into a console at a three-dimensional image, his feet pressing on pedals, his hands maneuvering levers.
 

But in this case, context is everything. On a television screen several feet from Dr. Trehan, a heart, embedded in gelatinous tissue and blood, throbs insistently. Several feet farther still, lies the body that is home to the heart, on which Dr. Trehan is, at this moment, operating.
 

He moves a lever, and on the screen, a robot's claw lifts the internal mammary artery, soon to be joined with the coronary artery in a single bypass. Dr. Trehan is providing the brainpower by remote control. Two robotic arms with tiny hands, inserted through two small incisions in the torso, and a tiny camera inserted through a third, are doing the work.
 

When he moves the controls inches, the robots move micromillimeters, with more precision and steadiness than the human hand.
 

''Like going to the moon,'' Dr. Trehan said of the procedure.
 

Minimally invasive robotically controlled cardiac surgery is the latest frontier in heart surgery. It is slowly catching on in the United States, as doctors and industry work to bring the cost down and the clinical value up. But this is India, where those who can afford it have been accustomed to going abroad for state-of-the-art care, often provided by Indian doctors who have migrated themselves. Dr. Trehan was one of them. He went to the United States in 1969, and by the mid-1980's was earning over $1.5 million a year as a Manhattan heart surgeon.
 

But 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, 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 and found an industrialist to finance his vision of a private heart institute and research center in New Delhi.The Escorts Heart Institute and Research Center opened in 1988. Today it is among the largest of its kind in the world, with 325 beds, 9 operating theaters and satellite operating rooms in five cities -- although that means little in a nation of a billion people.
 

At 56, Dr. Trehan may be the most prominent heart surgeon in the country. He has won just about every award India gives for citizenship and service. He has operated on almost every major political figure or businessman and he counts many of them as friends.
 

Everyone wants him. One man, accused of helping to bilk the Delhi Development Authority in a land scheme, has petitioned the court to have Dr. Trehan perform his heart bypass.
 

Escorts also draws Indians and others from abroad to New Delhi, by bringing the most advanced technologies and techniques here. It is only the second place in Asia, after Japan, to perform robotic surgery. It has done about 50 robotic surgeries since December, moving cautiously because the procedure is costly and the technology still evolving.
 

On some fronts, Dr. Trehan has far outstripped the West. Most American cardiac surgeons still hesitate to perform ''beating heart'' surgery, which does not require stopping the heart or using a heart-lung machine. The procedure reduces trauma to the body but is challenging to perform. Escorts has done about 10,000 beating heart surgeries, including 4,000 last year alone, putting it in the top tier worldwide for this procedure.
 

The center devotes 10 percent of its income to free care for the poor and subsidizes care for government employees, members of the military and retirees. Staff members in its mobile echocardiogram van see 100,000 villagers a year.
 

Dr. Trehan said that when he returned to India, after almost two decades abroad, with his wife, Madhu, and two daughters, he found that ethics and family values that shaped his youth had been corroded. Corruption was everywhere; prominent families were at each others' throats over money. The things he held dear, which he found absent in America, were disappearing in India, too.

About Dr. Naresh Trehan: Dr. Trehan is a globally eminent Cardiac Surgeon and a post graduate from New York University. He established Escorts Heart Institute in 1988, a global landmark in cardiac care and a front runner in research, training and education. Currently the Chairman of the CII Healthcare Committee, President of Indian Healthcare Federation, and former President of the International Society for Minimally Invasive Cardiac Surgery. He has over 300 scientific publications to his credit and recipient of various awards including Padma Shri Award in 1999 and Padma Bhushan in 2001.

The Sultan of Cardiac Care


He established the concept of a corporate cardiac care hospital by setting up EHIRC in 1988 which is till date known as the mecca of cardiac care. Today, he is busy building the Rs-1,200-crore MediCiti, Gurgaon
Born on August 12, 1946, Dr Trehan graduated from King George Medical College, Lucknow. He went to the US for an internship in Philadelphia. He completed a thoracic surgery residency under Dr Frank Spencer at New York University.
Before an entrepreneur
After training in general surgery and subsequently cardiac surgery at premier institutions in the US (NYU Medical Centre), he held important academic and clinical positions at the New York University Medical Centre, Bellevue Hospital of the city of New York and Veterans Administration Hospital (Manhattan), US. His pioneering work in the field of coronary artery bypass surgery was at the New York University Medical Centre, New York, US, where he performed over 3,000 coronary artery operations.
Why an entrepreneur?
He wanted to create in India the same standard of healthcare, training and research that he saw in the US. "I was doing well in New York as a coronary bypass surgeon earning over $1.5 million a year, but wanted to come back to provide same standard of treatment that institutes like Mayo Clinic and Cleveland Clinic offered. “I also wanted to provide affordable treatment for cardiac care,” says Dr Trehan, who has conducted over more than 50,000 cardiac surgeries.
With Mediciti, his entrepreneurial endeavour is to create an organisation that has transparent governance and transparent billing system for patients. "With Medicity, I also want to restore the dignity that medicine seems to have lost," says he.

The first move
He decided against practicing in any established hospital and found industrialist HP Nanda to finance his vision of a private heart institute. The land was taken from DDA. “We formed a trust and raised money," says Dr Trehan, who had 10 per cent stake in it, then. Thus, the construction of Escorts Heart Institute started in 1982 and the hospital was commissioned by 1988. It was only after the hospital was about to be commissioned that Dr Trehan returned to India.

Over the years
Within a short period the hospital became a leading name in cardiac surgery and cardiology. After takeover by the Fortis Group, Dr Trehan left Escorts and joined Indraprastha Apollo Hospitals as a Senior Cardiovascular and Thoracic Surgeon. Now, as the Chairman of Global Health Private Limited, Dr Trehan is engaged in building a MediCity spread over 43 acres in Gurgaon. "This Rs-1200-crore project has been envisioned as a multi-disciplinary high-tech medical institute and clinically modeled after global centres of excellence such as Johns Hopkins and Mayo Clinic in the US," says he. The first phase of the project with 600 beds is likely to be commissioned by mid 2009. Another 1,200 beds would be added after a few years.

Dr Trehan has collaborated with General Electric (GE) and other financial partners and aims to combine modern medicine with traditional medicine and holistic therapies. Under the MoU, GE India and MediCity will collaborate in a number of initiatives to create a medical institute of world standard, specifically in the areas of high-end medical diagnostics, clinical research and development, utility services like power generation and distribution, lighting, water treatment and other environmental friendly solutions.

Contribution to healthcare
He is a pioneer in the field of minimally invasive heart surgeries, including port access surgery for valve replacement/ repair and atrial septal defect. He brought and promoted the concept of minimally invasive surgery in India. For the first time in India, he performed robotic heart surgery including total endoscopic CABG, transmyocardial laser revascularisation surgery, stem cell therapy for non by-passable coronary arteries and heart failure.

He has been a part of development of many new technologies and devices, including the coapsys, a device meant for mitral valve repair on beating heart.
Awards
He has served as personal surgeon to the President of India since 1991. He has received numerous awards, including the Padma Shri, Padma Bhushan, Lal Bahadur Shastri National Award, Dr BC Roy National Award, Life Time Achievement Award by the International Society of Cardiovascular Ultrasound, Jewel of India in the Millennium by the International Award Committee of Wisitex Foundation in 2002.
Fear and apprehension
He had no fear. "People would doubt as how one single person can revolutionise cardiac care scenario. But I knew that I could and I believe that I did raise the standards of cardiac care. I am also glad that my Indian patients also appreciated my efforts," says he
Mistakes made and lessons learnt
He laments about being betrayed twice. "I have seen how one can get betrayed by others’ greed. With Medicity, I am being extra careful to ensure that I don't lose control of the management," says he.

Tips for entrepreneurship
"Be passionate and obsessed with what you are creating," says he.
An entrepreneur that he admires in healthcare"Dr Frank Spencer who taught me how to practice ethical medicine," says Dr Trehan.
The road ahead
Besides working on the MediCity, Dr Trehan is conducting research in Ayurveda. "We want to come out with a hospital which would provide an amalgamation of various disciplines of medicines like modern medicine, Ayurveda and Unani," says he.


Bypassing ugly scars of surgery :


Cardiovascular surgeon Dr Naresh Trehan did another first in India by conducting a triple heart bypass surgery using the minimally invasive technique at Indraprastha Apollo Hospitals.

“The new technique allows the surgeon to put more than one graft in place without leaving a 6-inch scar running down the centre of the chest. It is done on a beating heart, so it carries the advantages of low infection risk and quicker recovery,” said Dr Trehan.

The triple bypass was done on Suman Singhal, 53, on Saturday, and she will be discharged on Thursday. “A big scar down the centre of my chest would have reminded me of the surgery very day for the rest of my life, but now I cannot see the scars as one is below my breast and the other near th e right underarm. No one can tell that I have undergone bypass surgery,” said Singhal.

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