Dr. Bharat Yadav appointed Vice Chancellor of Patan Academy of Health Sciences
Dr. Yadav first came to Patan Hospital in 1989 as its most junior doctor. Before that, he had been a health assistant in the remove Sankuwasaaba District. Several years later he entered Patan's new MDGP training program and graduated as Patan Hospital's first Nepali MDGP. Around 2004, he became Chief of the hospital's ER and outpatient department, a post he's held since that time, leading the department through doubling its doctor number and establishing PAHS's first postgraduate doctor program, a fellowship in ER Medicine. He was just six months shy of retirement when his recent appointment as Vice Chancellor of PAHS extended his time at the institution until 2021.
Among the hundreds who work at Patan Hospital, it would be hard to find a more committed soul. At 10 pm on the night after his VC appointment was announced, he was found where he often is at that time: checking up on junior doctors in the emergency room. He knows the institution inside and out and cares about sustaining its ethos. He is known as a loyal, courageous, and forthright individual who is willing to speak up for what is right and work to change what is not. He is held in high esteem by the senior doctors under whom he's worked, and he always treats juniors with respect and care. We at FOPH are very happy to see PAHS in such capable hands.
On Saturday, April 25th, 2015, a 7.9 magnitude earthquake struck Nepal. It is clear that the devastation to human life and property has been catastrophic, and it will likely be weeks or months before the extent of the damage is assessed. While much news emphasis has been on Kathmandu and Mt. Everest, preliminary reports indicate there is also heavy damage in the rural areas. Tens of thousands of residents in Kathmandu are sleeping outside, and many aftershocks have been occurring since the main quake. It will take the country years to rebuild.
Our immediate concern is taking care of the basic human needs of those suffering. Patan Hospital has been doing just that since the disaster hit, and you can help.
Because of donors' past support, Patan Hospital is well equipped to help. As you can see from the letter below with a quote from Dr. Jay Shah, Patan Hospital Staff and Patan Academy Health Sciences students have been working around the clock to care for the injured.
Right now, the need is great. Friends of Patan Hospital will be sending a donation to the Patan Hospital Charity Fund in addition to the $30,000 we sent in February. This money will be used to care for the many injured who will be without the resources to pay for care in the coming days . Patan Hospital will soon be under severe financial duress without our help. Let's show our our friends and colleagues at Patan Hospital that we stand by their sides and donate now.
Donate Now to help victims of the earthquake in Nepal.
FOPH is seeking donations to help pay for the medical care of earthquake victims, and we will be rapidly sending funds to Kathmandu to help this greatly needed endeavor.
Update from Patan Hospital 4/25 11:43am
We are ok, 500+ injured, 46 casualties in our hospital, we are standby through night to have shift-wise rest for staff, students. In pvt clincs, corridors, and basic science classroom, relatively safe being on ground floor, students have been greatest helping hands...will have more details by tomorrow, the open space in front of hosp buildings and opd hall are used as makeshift wards. Have postponed regular opd and or tomorrow, will need few days to get to normal hospital functioning.
God bless us all
Dr. Jay Shah, Patan Hospital
FOPH Increases Charity Care Support
In November of 2013, the Board of Directors of Friends of Patan Hospital increased FOPH's annual donation for charity care at Patan Hospital from $25,000 to $30,000. FOPH has donated $20,000 for charity care in 2009, 2010 and 2011. In 2012 the donation for charity care was increased to $25,000. An important part of the mission of Patan Hospital is to provide healthcare to all patients, irrespective of the patient's ability to pay for that care. In a typical year approximately 4,300 patients receive charity care at Patan Hospital. FOPH's board of directors strongly supports this tradition of providing services to all who seek medical care, and the recent two increases in the support for charity care reflect the importance to the board members of this assistance. It is a way to directly touch the lives of the individuals who receive charity fund assistance.
A recent example of a charity care case involved a 12 year old girl from a remote village who was brought to Patan Hospital with Enteric (Typhoid) Fever / Pneumonia and was admitted to the Intensive Care Unit, where she was treated for 42 days. When her condition improved she was transferred to the Children's Ward, and after an additional 22 days of treatment she was discharged. The total hospital bill was $1,888, of which $1,145 was given as charity. The patient's parents were very poor day laborers. They sold their buffalo and a goat to raise the remaining $743 owed the hospital. Although the daily cost for the 64 days of hospital services was only $29.50, the daily wage for a laborer is far below that amount. Another recent charity case involved a 15 year old woman from Eastern Nepal with Acute Respiratory Distress Syndrome who was treated in the Intensive Care Unit for 53 days and then for 7 days in the Medical Ward. She recovered and was discharged after 60 days in the hospital. Her family was very poor. Her father is blind, and her mother works as a daily-wage worker. The total hospital bill, which included the provision of food to the patient, was $2,669, of which $201 was paid by the patient's mother. The remaining $2,468 was given as charity.
Construction of Pediatric and Orthopedic Block Nears Completion
Retrofitting and construction of the pediatric and orthopedic block building is in its final stage. Wards in the old building are being shifted to this new building to accommodate the Pediatric and Orthopedic departments while work on the 4th floor is being completed. The ground floor will be occupied by the Pediatric Ward. The Orthopedic Ward and Ultrasound Department are currently partially occupying space there; however, relocations will occur as the old building is retrofitted. The second floor will be the Medical Ward, and the third floor will be the Private Ward. The light structure building on the fourth floor will contain the Library with teaching, reading and seminar rooms. That portion of the building will provide additional space for Patan Academy of Health Services activities. This construction will add space for an additional 200 beds at Patan Hospital. Funding for this project has been provided by the Government of Nepal.
See pictures of the Orthopedic Ward in the new building and of the West Face of the New Building.
Improved Facilities Provided for ENT Outpatient Clinic and for Endoscopy Services
As a part of the ongoing efforts to improve the provision of services at Patan Hospital the ENT Outpatient Clinic has been moved to a larger room. There has been a substantial increase in the volume of patients, including outpatients, surgical and inpatients, during the past 2 years since the establishment of the ENT Clinic, and this increase necessitated the relocation of this clinic. The ENT Clinic provides instruction to interns and Patan Academy of Health Sciences medical students while serving patients. Another change at Patan Hospital has been the relocation of the Endoscopy Room to a less congested Medical Ward room. Both of these relocations permit a better utilization of space in Patan Hospital.
The information on page 1 about the founding of Patan Hospital needs to be updated to reflect the latest information.
Founded in 1982 as a Christian mission hospital in Kathmandu, Nepal, Patan Hospital has evolved into an independent secular hospital with its own Board of Directors. It maintains the values of its founders, providing quality compassionate care to all who come, regardless of religious affiliation or ability to pay. The hospital treats almost 350,300 inpatients and 33,130 outpatients per year. This is accomplished with a budget of $6 million through efficient operations and the contributions of many individuals, church groups and charitable organizations in North America, Europe and Australia.
Vice Chancellor of Patan Academy of Health Sciences Visits U.S. and Canada
Dr. Jay Shah, the Vice Chancellor of Patan Academy of Health Science (PAHS), travelled to the U.S this past summer to attend the 2014 Harvard Macy Institute Program for Leading Innovations in Health Care and Education in Boston, MA. He was also able to visit several other major academic medical centers where certain faculties have connections to Patan Hospital and to Nepal, including McMaster University in Toronto, the University of Colorado at Denver, the University of Alberta in Edmonton, and the Mayo Clinic in Rochester, Minnesota. Dr. Shah met with fellow medical educators and shared details of the groundbreaking work that is being done at PAHS. Friendships were established that will lead to increased cooperation between Patan Hospital and these medical centers, including possible research partnerships with Mayo Clinic and Harvard, training opportunities for Nepali physicians at the Mayo Clinic as well as for Mayo residents at Patan Hospital, and collaboration with the University of Colorado on motivating doctors to work in rural areas. FOPH sponsored Dr. Shah's Mayo and Denver visits and hosted a fundraising dinner in Denver at which several FOPH supporters and board members were able to meet Dr. Shah and hear more about his work at PAHS. Many thanks to Jim and Amy Hecht for spearheading the Denver visit, and to Aaron Mansfield at Mayo, Karl Stobbe at McMaster, and Kim Solez in Edmonton for coordinating those visits.
Digital X-Ray System Purchase for Patan Hospital
Last spring, Patan Hospital asked FOPH to purchase a new X-ray machine for them since one of their two X-ray machines broke down last winter. They later discovered that their one remaining operational machine also required some expensive repairs. Since Patan Hospital performs about 80,000 radiology procedures each year, they needed a machine that would be fast and capable as well as durable and maintainable. After discussion with several vendors and consultation with experts with first-hand experience with this type of equipment, it was determined that the best option was to buy a new digital X-ray system to replace the broken machine, and to upgrade the existing X-ray machine to a digital system as well. Digital radiography allows the X-ray beam to be captured directly onto a computer plate so that images can be processed much more quickly and efficiently than with the previous technology. The new digital detector plates are also more durable than their older counterpart, so these new DR systems should serve the hospital well for years to come. Konica Minolta of Japan, a reliable vendor with whom the hospital has years of experience, agreed to provide these two systems, along with an extended seven-year warranty, at the steeply discounted price of $97,000, paid for entirely by FOPH through the generosity of our donors.
Project C.U.R.E. Shipment
Again this year, FOPH paid for the delivery of another shipping container from Project C.U.R.E. full of donated medical supplies and equipment designated for Patan and Okhaldhunga hospitals in Nepal. This shipment was coordinated by FOPH Board Member, Dr. Rebecca Mashburn. When Dr. Jay Shah was in Denver, he and some FOPH board members met with Doug Jackson, C.E.O. of Project C.U.R.E., and toured their Denver warehouse. It was exciting and enlightening to see how much thought and care goes into processing and repairing all the donated equipment and supplies and organizing and preparing each shipment, and what a large number and variety of items are available. Dr. Shah and Mr. Jackson discussed how to ensure that the materials in each shipment are of true value to the hospital so that nothing is wasted, and Mr. Jackson invited Dr. Shah to come up with a "wish list" of items he would like to see included in future shipments. We look forward to continued and improved collaboration among Patan Hospital, FOPH, and Project C.U.R.E. in the years to come.
Increased Demands on Oxygen Plant May Require New Compressor
In 2012, an oxygen plant and piping for oxygen delivery to the wards were installed at Patan Hospital for the purpose of providing a safer, more economical, and more reliable source of oxygen for patients, replacing the fifty or so oxygen tanks per day that were being used. FOPH provided $130,000 of the $330,000 total cost, with Jim and Marilyn Simons contributing the remaining $200,000. Due to heavy demands on the system and the addition of more beds in the newly expanded Pediatric and Orthopedic Block, the hospital may be in need of a new more powerful compressor for the oxygen plant in the near future. FOPH will work with the hospital staff to evaluate alternatives for addressing this need.
Successful Performance on Basic Science Examination
In December 2012 PAHS's first batch of 3rd year students took the basic science examination which covered the entire two years of basic sciences curriculum. Students who fail this exam cannot continue to study the clinical curriculum, but must wait to take the exam again with batch 2 in a year. Eight external examiners participated in evaluating the theory/practical component. Of the 57 who sat for the exam, 55 passed and 2 failed (they passed the practical/viva but failed theory). The external examiners were satisfied with the students' performance, exam administration and the PAHS's curriculum. The new problem based learning system is succeeding in teaching PAHS's students, and PAHS's faculty
are pleased that they are succeeding in implementing the new curriculum and adapting to the new teaching style.
Dr. Aaron Mansfield Honored for Work in Nepal
FOPH Vice President and Director Dr. Aaron Mansfield received the Tow Tan Humanism in Medicine Award at the Mayo Clinic in May of 2013 in recognition of his work at Patan Hospital. Dr. Mansfield worked with the medical staff at Patan Hospital in publishing a study on how safe it is to use Gleevec in a developing country for the treatment of chronic myeloid leukemia. He also obtained equipment, including two fluorescent microscopes from the Mayo Clinic, to establish a cytogenetics lab and trained pathologists at Patan Hospital in the use of this equipment. Dr. Mansfield recently accepted a position as an Assistant Professor and staff member with the thoracic oncology group at the Mayo
Clinic in Rochester, MN.
Mayo International Health Program Physicians Serve at Patan Hospital
For the past few years residents at the Mayo Clinic have served training rotations at Patan Hospital as a part of the Mayo International Health Program (MIHP). In 2013 six Mayo residents completed rotations at Patan Hospital. They recommended Patan Hospital for training in specialties in: Internal Medicine, Ob-Gyn, Emergency, Surgery, Pulmonology and Infectious Diseases. The positive reaction of the MIHP residents who have come to Patan Hospital is a testament to the dedication and professionalism of the staff at Patan Hospital. As stated by one of the MIHP residents, "The one remarkable thing about the physicians I worked with in Patan Hospital is that they are all there because of they love what they do. It is not the financial incentive of medical practice that attracts them to the kind
of work that they do."
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