TRIMHS justifies establishment Cardiologist perform rare heart surgery

By Pradeep Kumar

NAHARLAGUN, Sept 16: The Tomo Riba Institute of Health and Medical Sciences (TRIHMS) justified its establishment in 2017 and 2018–19 academic session started on 01.08.18 as lone medical college hospital in Arunachal Pradesh with its cardiologists of the has successfully conducted a rare surgery to close a congenital hole in the heart of a 30-year-old female patient, according to hospital sources.

The surgery – first closure of Atrial Septal Defect (ASD) of the patient under local anesthesia – was performed percutaneously (through the skin) on Thursday last by cardiologists Dr Rinchin Dorjee Megeji and Dr Tony Ete along with a team of nurses.

Both cardiologists

“This is the beginning of a new era in medical science in the state, People have3 lot of expectations from this lone medical-college and hospital. Thus, we are making all possible efforts with commitment,” both cardiologists told this daily. The ASD is an opening or hole in wall (septum) that separates the top two chambers of the heart. The opening is since birth, but later the septum grows and seals the opening. However, in a few cases it does not get sealed, resulting in an increase in the workload on one side of the heart and excessive blood flow to the lungs, they said.

“We are grateful to Chief Minister Pema Khandu, Health & Family Welfare Minister Alo Libang and principal secretary besides TRIHMS director Dr Moji Jini for pushing us every day to go to greater heights,” they said.

Meanwhile Chief Minister Pema Khandu had congratulated the TRIHMS team for the rare feat.

“Heartiest congratulations to Dr Rinchin Dorjee Megeji, Dr Tony Ete and the entire cardio team of @TrihmsOfficial for successfully carrying out the first closure of atrial septal defect – a hole inside the heart – percutaneously in a 30-yr-old female in local anaesthesia. Proud moment, indeed! Best wishes for the future!” Khandu twitted.

The existing General Hospital, 1st referral hospital of the state, was renamed as Arunachal State Hospital in 2015 and rechristened as TRIHMS in 19.05.17.  It may be recalled here that the credit for establishment goes first to former union joint health secretary Shakuntala D Gamlin who was instrumental in getting the Centre’s approval for the college which she had expedited as chief secretary. She had led a team to visit then General Hospital to push the project.

The cost escalation and lack of fund has stopped the work but former chief minister Dorjee Khandu during a visit to TRIHMS had given go ahead signal to Dr Jini and sanctioned over Rs one crore additional fund.  Chief Minister Pema Khandu had met Rs. 100 crore gap funding in 2018-19 budget to make it functional to offer many specialties while its MRI unit is one of the best in India.

With the present GoAP attaching to priority to health sector, CM Khandu and HFW Minister Libang have been taking special interest for procurement of advanced equipment for the hospital to rise to this position today.

While India offers three-year post-graduation Diplomate National Board (DNB) 6,848 seats annually, interestingly TRIHMS had created a benchmark by introducing full-time three-year post-graduation level DNB courses in anesthesiology, radiotherapy, pediatrician and gynaecology in 2019, thanks to the initiative of Dr Jini.

The TRIHMS would have been eligible to offer DNB courses after the first batch medical students’ clear MBBS course. But the DNB courses could be offered even without a medical college, and this college met all criteria to offer DNB courses due to the initiative of Dr Jini. The selection is on the basis of National Eligibility Entrance Test (NEIT) with 15% all India quota and rest 85% state quota.

There are now 479 medical colleges in the country, out of which 227 in government and 252 are in private sector with annual admission capacity of 67,352 MBBS and 31,415 postgraduate students per year. There are 6,848 DNB seats which are equivalent to MD/MS.

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