TRIHMS inks record in cardiac surgery

By Pradeep Kumar

NAHARLAGUN, June 29: The Tomo Riba Institute of Health & Medical Sciences (TRIHMS), the lone medical college of Arunachal Pradesh known for creating many records, added a new feather to medical science, particularly to the cap of its cardiology department, to justify setting up of the institution in 2017 for offering best possible treatment to the people of the state.

A medical team  led by cardiologist Dr. Rinchin Dorjee Megeji, Dr. Tony Ete, Cath lab technician Nilutpal Goswami and OT nursing officer Joram Moni implanted a “3 tesla MRI compatible dual chamber AICD (Automatic Implantable Cardioverter Defibrillator)” for primary prevention of cardiac arrest in a 37-year-old female with cardiac sarcoidosis and severe left ventricular systolic dysfunction.

The AICD device implantation is the first of its kind in Arunachal Pradesh and adds another feather in the cap of cardiology department of and TRIHMS as a whole, Dr Megeji, said, adding the patient was advised the same by a hospital in Chennai. On learning that such operation is possible in own state with lesser expenditure with the care of own people, they returned happily and approached the hospital.

The team, which has planted over 70 permanent pacemakers, lauded the patient and her family members, anaesthesiology HOD, OT in charge and TRIHMS director and CMS TRIHMS, particularly state Govt for having faith in cardiology team and providing high tech equipment. The team was excited after installation of cath lab and waiting for right opportunity to perform life saving cardiac procedures to send a louder message that remote Arunachal Pradesh is not legging behind in reducing financial and mental burden of such patients and lessening risk of imminent death.

The TRIHMS, which had inducted its first batch of 50 MBBS students on 01.08.18 would qualified to introduce PG course after completion of first batch MBBS course, but interestingly three-year post MBBS-DNB and post diploma DNB courses (gynaecology, anaesthesiology, paediatrics and obstetrics) were approved in 2001 by New Delhi-based National Board of Examinations in Medical Sciences (NBEMS) after it accredited TRIHMS, thanks to the initiative of director Dr Moji Jinni. Three DNB students had joined in 2001.

These courses are equivalent to MD/MS and those qualify will be eligible to apply for teaching faculty in any medical college, official sources told this daily on Monday. The mode of selection for this course is All India NEET-PG.

A high level team of NBEMS had inspected TRIHMS in 2020 to assess available infrastructures and faculty strength to grant permission for introducing DNB courses in gynaecology, pediatrics, radio diagnosis and anesthesiology.

While developing a medical college with highly sophisticated equipments is a lengthy process that too by overcoming various official hurdles, top ranking Medical Council of India authorities have arrived here to conduct tow-day recruitment for faculty members too.

Cardiovascular diseases (CVDs) are number one cause of death globally, taking an estimated 17.9 million lives each year. CVDs are a group of disorders of the heart and blood vessels and include coronary heart disease, cerebrovascular disease, rheumatic heart disease, and other conditions. Four out of 5 CVD deaths are due to heart attacks and strokes, and one-third of these deaths occur prematurely in people under 70 years of age, cardiologist Dr Rinchin Dorjee Megeji said.

Pacemaker implantation (single/dual-chamber pacemaker, AICD (automated implantable cardioverter defibrillator}, CRT (cardiac resynchronization therapy) and electrophysiological studies, etc. can be carried out for CVD cases. Invasive Lab is the area where cardiac interventions are performed and is the core component of every cardiology department. Cardiac interventions are by far the fastest and most effective lifesaving procedures in medical science and have transformed the medical field since its inception, according to Dr Megeji.

Deaths from CVDs), the leading cause of deaths worldwide, jumped 60% globally from 12.1 million in 1990 to 20.5 million in 2021, according to a new report by the World Heart Federation, cardiologist Dr Megeji had told this daily earlier underscoring the importance of installation of cardiac cauterization laboratory or ‘cardiac cath lab’.

The TRIHMS has been receiving cases referred by B Borooah Cancer Institute (BBCI), Guwahati, said ortho-surgeon Dr Taba Muri, the only specialist in bone cancer replacement in NE India.

Pointing out that osteoarthritis is most common among older people, and most frequent causes of physical disability which need replacement of hip, knee, elbow and shoulder bones, he said, adding such replacements are frequent in TRIHMS. Such replacements being done here would benefit patients needing such treatment at their door steps now without going outside, he said with confidence.

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