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Bangalore Baptist Hospitalfootprints

C ELEBRATING 40 YEARS OF G OD S FAITHFULNESS

Second Edition


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15

Beginnings

51

Committed to excellence

Early history The accent on quality

Bangalore Baptist Hospital

Footprints:Celebrating 40 Years of Gods FaithfulnessBangalore Baptist Hospital

Revised and ExpandedSecond Edition

Copyright 2013 Bangalore Baptist Hospital

All rights reserved. No part of this publication may be reproduced, stored in orintroduced into a retrieval system or transmitted, in any form or by any means(electronic, mechanical, photocopying, recording or otherwise), without the prior

written permission of both the copyright owner and the above publisher of thisbook.

Unless used autobiographically or with permission, all names and other personalidentiers in this book have been changed to protect privacy.

Published by Bangalore Baptist HospitalBellary Road, Hebbal, Bangalore 560024, Karnataka, India

ISBN: 978-93-5156-110-1

Ghostwriting and substantive editing: S. Sahu, BangalorePhotography: . Uday Kumar Daniel, Biju J. John, P. Karunakaran, ArunHubert, Harinath (Foto ech) and Bill BanghamConcept, design & Layout: Primalogue Publishing Media

Printed and bound by Brilliant Printers Private Limited, Bangalore

C o

n t e n t s

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Adding life to days

107

Out in the community

137

Academic excellence

The touch of Palliative care Community outreach initiatives Medical education and training


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AHPI Association of Healthcare Providers (India) ANBAI Association of National Board Accredited InstitutionsBBH Bangalore Baptist HospitalCABG Coronary Artery Bypass GraftCAHO Consortium of Accredited Healthcare OrganizationsCCHI Christian Coalition for Health in India CHD Community Health DivisionCMAI Christian Medical Association of India CMC Christian Medical College & HospitalDJ Halli DevarajeevanahalliDM Doctorate in MedicineDNB Diplomate of National BoardEdD Doctor of EducationEN Ear, Nose & TroatFHQM Fellowship in Healthcare Quality ManagementFICCI Federation of Indian Chambers of Commerce and Industry FMB Foreign Mission BoardGNM General Nursing & Midwifery HSSC Healthcare Sector Skill CouncilIMB International Mission BoardIMS International Medical SchoolIVF In vitro fertilisationMD Doctor of Medicine

MICA Mudra Institute of Communications, AhmedabadMI Medical Imaging echnology ML Medical Laborator y echnology MRACOG Member of the Royal Australian College of Obstetricians &

GynaecologistsMRI Magnetic resonance imaging MS Master of Surgery MSU Management & Science University NABH National Accreditation Board for Hospitals & Healthcare

ProvidersNABL National Accreditation Board for esting and Calibration

LaboratoriesNBE National Board of ExaminationsNCBH North Carolina Baptist HospitalNIMHANS National Institute of Mental Health and Neuro SciencesNSDC National Skill Development CorporationPCD Pastoral Care DivisionPRR Performance-Re lated Remunerati onQCI Quality Council of India RGUHS Rajiv Gandhi University of Health Sciences, Karnataka SBC Southern Baptist ConventionSMOM Samaritan Medical Outreach Ministries

Abbreviations

Our visionHealing andWholeness in thespirit of Christ


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Cornerstone

he cornerstone of the inspiration behind BBHis the love of God for all people. It is a love thatpropels all who believe in it to improve the lives

of individuals and communities in all dimensions oftheir existence. Te path taken by BBH to contribute tothe quality of life of all humans in its ambit is through

wholistic healthcare.

BBH was founded by IMB of the Augusta, Georgia-basedSBC, which believed in the importance of medical service

and had been supporting mission hospitals in 17 countriesbefore it opened BBH in 1973. Started as an 80-bedsecondary care hospital, the purpose behind BBH was tobring health and healing to people in the Bangalore areaand to do this as an expression of Gods love for them.Te Hospital was established as a not-for-pro t institutionto provide healthcare to all regardless of religious, ethnicand economic background. BBH has developed and beenrun with full transparency and with the cooperation andsupport of the Indian government.

Dr John H. Wikman

Dr Wikman and his wife, Barbara, arrived in Bangalore in 1968. He was involved in the purchase of land for BBH and the initiation of medical services rst a t SBCs Sankey Road mission station and, subsequently,where the Hospital stands today. Te Wikmans served in BBH till 1975.

16 footprints: Celebrating 40 years of Gods faithfulness

Moving forward

C losely associated with CMC Vellore, BBH has been transformed froman 80-bed secondary care centre to a 300-bed multi-speciality teachinghospital with over 1,000 staff and students. Over the past four decades,BBH has matured in four major dimensions: treatment cost, service scope, qualityand capacity-building.

Comprehensive services and coverage

BBH is a multi-speciality hospital that also offers most super-speciality services with excellent community health and palliative care programmes.

Subsidised treatment

BBH does its best to not turn patients away merely because they are unable to payfor treatment costs. Currently, the Hospital sets aside 10% of its income for poor-patient care.

Quality medical care

Quality care, at the Hospital, means ethical, compassionate, state-of-the-art care.Te professional culture at BBH motivates all members of the organisation tocontinually strive toward improving the quality of care.

Health education and training

From its inception, BBH has engaged actively in human resource developmentin healthcare. Te Hospital trains students in medical, nursing and allied healthcourses at both undergraduate and post-graduate l evels.

Prologue 17


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Te groundbreaking ceremony for BBH was held on 27February 1971. Dr J.D. Hughey, SBCs FMB secretary for theMiddle East and Europe, turned the sod. Rev Solomon Raj,evangelist at Indian Baptist Mission, and Rev Bill Marshall, FieldRepresentative for India, led in prayer. Present at the function

were Mrs ara Chandavarkar, of Chandavarkar & Tacker Architects Pvt Ltd; Mr A.V. Paramashivan, the contractor incharge of civil works at the Hospital; and three BBH missionaryphysicians Dr John Wikman, Dr Richard Hellinger and Dr RalphBethea.

Turning the frst sod


At the groundbreaking(Anti-clockwise fromtop): Dr J.D. Hugheyturning the sod; (L-R) Rev Bill Marshall,Rev Solomon Raj, DrRichard Hellinger,Dr Hughey, araChandavarkar and DrRalph Bethea; (Standing,Foreground L-R) Dr John Wikman, Dr

Hughey and others

From half a world away A teenaged boy called Jasper, writes Pam McPhail,1 had just

nished high school when he became convinced that he would become a medical doctor serving the poor around

the world. Te year: 1948. Te location: a tiny village, SlateSprings, in Mississippi, USA. Jasper, 18 at the time, did not knowthat he would become Jasper Lewis McPhail, MD and createmany landmarks in thoracic surgery at CMC Vellore a mere 14years later, continues Pam.

A purpose-driven man of many talents, Dr McPhail brimmed with hope and exuded energy that stemmed from a rm belief inthe providence of an all-powerful, all-loving God. He excelled inacademics and became a force to reckon with internationally inthoracic and cardiovascular surgery. Te Government of India,too, welcomed him as an outstanding medical specialist.

Dr McPhail and his wife, Dorothy (a certied nurse anaesthetistherself), were invited to CMC Vellore to set up its cardiothoracicservices. Tey were SBCs rst FMB emissaries to India, and DrMcPhails contribution to CMC was signicant. CMC returnedthe favour to SBC when the latter sought to establish a Christianhospital in India. CMC suggested that Dr McPhail requestthe then Indian health ministers at central and state levels forpermission, and Dr McPhail met Dr S. Radhakrishnan, the thenPresident of India, who introduced him to Mrs Indira Gandhi(Indias third prime minister) and Dr Sushila Nair, the then HealthMinister at the Centre.

Te request was granted, says Camille Lee Hornbeck 2; andBBH was founded as a trust on 15 January 1973, with the strongsupport of the state government. D. Devaraj Urs, the then ChiefMinister of the state (then, Mysore; now, Karnataka), inauguratedBBH, and the then SBC President Owen Cooper presented the

Prologue 19


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I remember what I did on my rst dayat work in BBH: type a few letters.

Te next day, I was posted at the cashcounter although I knew nothing aboutthe prices of the medicines. I wouldnervously write out the medicine billsfor patients although they were for justmultivitamins and cough syrups.

BBH patients had what I felt was aunique registration process. We wouldstamp their wrists with a metal seal thathad a map of India and then give thema token number. I would look for abranded wrist each time a patient cameto the billing counter.

Emelia JosephineRetired Supervisor, Business Office

Stamped byBaptist


Hospital to the people of India.

A hospital like BBH was one of SBCs longstanding dreams. SBC had made repeatedattempts over decades to start a hospital in India that would serve all people in thespirit of Christ and, most importantly, the poor. Now, at the opportune moment,this had come to be. BBH would be motivated by the love and high moral andethical standards of Jesus. Seventy-ve percent of its beds would be reserved for theindigent. It would have a powerful community outreach programme, be staffed byhealthcare professionals of distinction and double as a teaching hospital. BBH wouldbe an institution not only of treatment and cure but of healing and care.

Nationalisation

In the early 1980s, continues Hornbeck, FMB policy began to change. Tesignicant shift was from institutional funding to mobilising national support. EarlGoatcher, who was then the chairperson of the BBH trust and an FMB hospitaladministration consultant, comments: Visas for North American healthcarepersonnel were becoming more difficult to obtain. Consequently, nancial supportfrom the US would probably decrease and administrative, management andmedical leadership of BBH shift to Indian national leadership. Sure enough, bythe mid-1980s, instructions were received from FMB to explore alternatives for thefuture of the Hospital.

Te options considered were selling or leasing BBH or donating it to aChristian organisation. Dr Rebekah Naylor, then head of SBCs Bangaloreoperations (and, subsequently, head of BBH), was on CMC Vellores Council.She consulted other FMB lead ers and the then Director of CMC Vellore,Dr Benjamin Pulimood, who was on the BBH board himself. Te consensusthat gradually formed was for CMC Vellore to take up a managerial-technicaladvisory role for BBH, while IMB would be involved more in resourcemobilisation than operations.

A hospital like BBH was one of SBCs longstandingdreams. BBH would be an institution not only oftreatment and cure but of healing and care.

Prologue 21

Shri D. Devaraj Urs (R), the then Chief Minister of the then Mysore state, inaugurating BBH, as ShH. Siddaveerappa (L), Minister of Health, Government of Mysore, looks on

... From half a world away


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Looking ahead, IMB and the two medical institutions saw potential benetsas well as risks in this unusual alliance and therefore trod delicately through thedetails. By the end of 1988, a tripartite agreement was being forged between IMB,CMC Vellore and BBH. Dr Naylor was to continue in a leadership role, for thepresent. (She was shortly appointed to be the head of BBH for 1985-89.) Tename Bangalore Baptist Hospital would stay, as would the Christian ethos andfocus on excellence in healthcare of both institutions. BBH was registered as asociety and had operational autonomy. A memorandum of understanding madeCMC the administrative-technical advisor for BBH. Te BBH board of governors

would include a permanent IMB representative. IMB would facilitate fundraising,institutional sponsorships, advanced research and higher education.

Te agreement was formalised in 1989.

History has proved, from the growth, success and spiritual impact of BBH insubsequent years, that the ripartite Alliance was providential.

Te BBH blueprint was about delivering healthcare services to the poor,training healthcare providers to raise the quality of available healthcare and livinga life modelled on the biblical narratives of Jesus Christ and his apostles and earlydisciples. Tese pillars have not changed although BBH has evolved in many

ways to be viable and to keep pace with the urban and technological growth ofBangalore, which has brought thousands of people into the community that BBHserves.

Prologue 23

Facing page:(L-R) A 2012 photograph of Dr AlexanderTomas, Elaine and Clyde Meador, Dr SuranjanBhattacharji, Dr Sunil Chandy and Sunny Kuruvilla Te Memorandum of Understanding for the ripartite Agreement

... From half a world away


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In 1971, after the land for the Hospital was purchased and fencing was done,a large chicken coop was built on thesouth edge of the BBH perimeter. Tefresh eggs and poultry on sale twice a

week, and the curried chicken from thehospital canteen, were welcome delights.

A short while later, though, theHospitals outpatient clinic movedto the BBH premises from SankeyRoad, Bangalore because the Hospitalland needed to be seen by the publicas the BBH base. So doctors, nursesand patients and, later, pathologylab equipment and lab t echnicians replaced the birds in the coop. Soon,as many as 300 outpatients were beingseen every day: the communitys healthneeds were so pressing that manypatients would queue up the previousnight outside the gate, waiting forthe clinic doors to be opened in themorning.

Te rst lab test was a haemoglobin

blood count run on a patient withhookworm disease. Te haemoglobin

was 2.5 gm% and the haematocrit, 16.

When the Hospital building cameup, the clinic and the lab movedthere and the chicken coop becamea barn that started off with sevenmilch cows and six calves. Fresh, pure,unadulterated milk was a hit with notonly the BBH staff but with patientsand the Hospitals neighbours as well.

Te fourth species to be housed inthe chicken coop were pigs, of whichthere were two. Tey thrived on theleftovers from the canteen.

Te Hospital administrationalso experimented with agriculture.Dr Ivan Miles, an agro expert andvisiting professor at the Universityof Agricultural Sciences, Bangalore(virtually next door to BBH), grewmaize, millet and a variety of vegetableson the BBH land.

Hatching health in a chicken coop

Te chicken coop clinic (Clockwise from topL): View of the building; patients waiting

inside; the rst laboratory test;

BBH dairyTe Hospital began its medical services in a shed whichlater became the BBH dairy in 1973. Tere were about 25

Jersey cows, many of them named after lady missionaries,doctors and staff (Lilly, Sarah, Barbara, Sheeba, Rebecca,Susan, Hannah, Carolin, Linda, for instance)! Te milk

was supplied to both canteen and staff at a reasonable rate.Sam aylor and Easho Jacob took personal interest in thisventure, called the Agricultural & Livestock Department. In1978, the shed became the BBH chicken coop and, later, itssports store.


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Clockwise from top L: Te land earmarked for BBH; Dr Ivan Miles(centre); BBH (view from the main gate); a borewell being drilled

In 1962, SBC purchased government land in north Bangalore, with GeorgeDaCosta, attorney at DaCosta & DaCosta, Bangalore acting as legal counsel.Te state government helped in the arrangements and permits. Te McPhailsleft India in 1966, and another SBC missionary couple, Dr Ralph Bethea and his

wife, Lizette, took over for two years. Dr Bethea found a suitable site (the current13 acres). A third missionary couple, Dr John Wikman and his wife, Barbara,arrived in 1968, when the designing of BBH commenced, with architecturalrm Chandavarkar & Tacker Architects managing land development andconstruction. A.V. Paramashivan was appointed General Contractor for the civil

works and the formal groundbreaking ceremony took place in early 1971. DrIvan Miles, a US agronomist then on the faculty at the University of Agricultural

Sciences, Bangalore (then the Bangalore Agricultural University), planted the manytrees that make the BBH campus lush and green today.

Laying down the roots

Prologue 27

The frst surgery

Tirty-year-old Shamanna was the Hospitals rst Surgery patient, who came in with bilateral congenital cataract. Dr William Rowlett, with Dr John Wikmanassisting, did the operation on 5 July 1973. Dr Wikman gave Shamanna a hugand prayed briey with him before the surgery. Te operation over, Dr Rowlettgave Shamanna a pair of cataract eye-glasses, which thrilled Shamanna becausenow, for the rst time in his life, he could see!

Dr Rowlett was an ophthalmologist from Kentucky, USA and a volunteereye surgeon at several mission hospitals. He thoughtfully brought his ownequipment and cataract eye-glasses. Lens replacement technology had not beeninvented in those days, so cataract operations consisted of only lens extractions.

Te BBH operation theatre registershowing the Hospitals rst Surgery patient

Shamannas name at the head of the list

President of India visits BBH

President Fakhruddin Ali Ahmed visited BBH on 12 April 1976. Mr Ahmed wasreceived by William C. Mason, Administrator and doctors. Concluding his visit,he wrote in the visitors book, I am happy to learn of the good work done here inthe service of humanity.


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Prologue 34

A patient by the name of Mr Krishna Chivukula was admitted to BBH in April 2004.He was so pleased by the treatment and care he received that heinsisted on giving a cash gift to three nurses, Sunitha, Shanthi and Jessie, whohad attended to him. None of the three nurses knew that Mr Krishna was thechairman of an multinational Indo-US company. Tey politely declined toaccept personal gifts but told him that, if he chose, he could donate the amountto the Hospital instead.

Mr Krishna was at rst taken aback. It was most unusual for generousgratuities to be refused. Te more he thought about it, however, the more he wasdelightfully surprised at the integrity and commitment of the BBH staff.

He congratulated the nurses. And then he invited the then Director,Dr Santosh Benjamin, and several other BBH doctors to dinner. He was deeplyimpressed by the simplicity and professional ethics of the Hospital.

Mr Krishna did more. First, he wrote out a Rs 20,000 cheque to BBH forits staff welfare fund and then made a huge donation that was used for theHospitals most pressing infrastructure needs. His gift helped construct a new26,000 sq. ft. block at the Hospital that included a diagnostic laboratory,orthopaedic and ophthalmic operation theatres, blood bank facilities, a cardiaccatheterisation laboratory, an intensive care unit and a coronary care unit. On18 January 2008, the block was inaugurated by former President of India, Dr

A.P.J. Abdul Kalam.

o this day, Mr Krishna donates substantial amounts of money to BBH forpoor patient care.

From patient to benefactor

Mr Krishna Chivukula (extreme L) and former Presidentof India Dr A.P.J. Abdul Kalam (extreme R) at the

inauguration of the Chivukula Wing at BBH


It was most unusual for generous gratuities to be refused. The more Mr Krishnathought about it, however, the more he was delightfully surprised at the integrity andcommitment of the BBH staff.

O n the afternoon of 2 December 2000, I was busy at work at the BBHphysiotherapy department, when I suddenly developed chest pain. Tepain was bad enough to make me stop. I asked the duty nurse to call Dr Alexander Tomas, who was then the head of Orthopaedics at the Hospital.

Te pain grew severe. I fainted. When I regained consciousness, I was inIntensive Care, with the doctors attending to me. Dr Tomas was at my bedside.Dont worry, Mohan, he said. Im with you. Te doctors kept me in the ICUfor two days and, on the third day, shifted me to Manipal Hospital, Bangalore forangiography and angioplasty.

I was all alone in Bangalore. But the BBH family took care of me in every way medically, nancially and spiritually. Tey raised money for my treatment.

I was back at work in a month and, as is common for physiotherapists, was aboutto resume moving patients bodily. But Dr Tomas probably knew this was coming,and warned me: Youre allowed to work, Mohan. But no lifting of patients, okay?

And he instructed my colleagues to make sure I complied.

If you know what procedures like angiography and angioplasty cost, youllunderstand when I tell you how deeply indebted I am to all my BBH family andGod for saving my life.

Mohan SinghRetired Sr echnician (Grade II), Physiotherapy

Mohan Singh (standing) joined BBH in August 1978 as a security guard. In ve years,he was transferred to the Physiotherapy department. Dr Tomas noted his aptitude andsent him for a one-year diploma in Physiotherapy to CMC Vellore. Returning to BBH,Singh worked hard to help bring the Department to its current stature. He retired atthe end of August 2012, after 34 long years of service at BBH. His daughter, Bina, isthe founder of a leading architectural and interior design rm in Bangalore.

Grateful memories

Prologue 35


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Looking ahead

In 2006, the new leadership teamunder Dr Alexander Tomasfelt the need for a clear andcomprehensive master plan withspecic objectives and goals. As this

was discussed further, it was felt that astaff-owned, staff-driven strategic plan

would take us forward. By that time,I had nished a leadership training

programme at the Haggai Institute.Sam Rufus, CEO, EPIC (short forEnriching People in Creativity; http://

www.ideaologies.com), a trainer at theInstitute, helped us in this process.

The preparation

We began with some meetings withsenior Hospital staff to understand

what they felt was the need of the hourand to cue them to think big and, evenbetter, dream big. All of us present atthe time remember being inspired bythe Martin Luther King video, I Have

A Dream.

The brainstorming

Ten we had a series of meetings insmaller groups across the Hospital overthe next few months. We looked atthree basic questions and discussed ourresponses to them:Where are we now? Where do we want to go? How do we getthere?

Where we were As teams, we discovered ourstrengths, weaknesses, opportunitiesand threats. Tis took several sessions.Enriching our self-understanding

was eye-opening; it was grea t team-level self-assessment. We saw moreclearly the external forces, our abilityto negotiate with them, the value ofstrategy and the need to capitalise onopportunity.

Where we wanted to go

We expanded our dreams until we rose to the level of Vision. We

Sam Rufus (standing, L) at the Strategic Planning exercise

rened it until the vision statement we nally settled on was: Healingand wholeness in the spirit of JesusChrist. Healing went much beyondcure; wholistic went much beyond thephysical; both could be achievedin thespirit of Christ . Te mission statementfollowed: o provide quality,

wholistic care to all people and trainothers to do the same, sharing thelove of Jesus Christ, drawing peopleto Him and growing together intoa mature community. Our missionrevolved around healthcare, trainingand Christian witness.


Our goals required more than ve times the resources we were con dent of generating.But its an incredible story about planning and about placing our plans in the hands ofGod, who multiplies them in accordance with our needs!

Getting there

Tis was about operations and settingspecic, measurable, attainable,realistic, tangible and time-boundgoals. Our seven areas of focus were:infrastructure development, innovativetechnology, effective systems andprocesses, speciality service projects,new training programmes, bettercustomer relations, and appropriatestaff welfare. But, when we re-examinedour goals, we found they required morethan ve times the resources we werecondent of generating!

However, as these past years haveshown, weve outdone ourselves. Its anincredible story. Suffice it now to saythat it was not only about planningbut also about placing our plans in thehands of God, who multiplies them inaccordance with our needs!

P. Sunny KuruvillaFormer Deputy Director, BBH on sabbatical leave during 2013

Prologue 37


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W hen, in 1998, I joined BBH,it was as part of the Hospitalshousekeeping team. After ve years, I

was recommended for Nursing Aide, aposition I held for six years. In 2009,the head of Nursing, Mrs Flora Edwin,suggested that I enroll in the Support

Assistant training programme at BBH.I then became Nursing Supporter. After

a year, Mr Sunny Kuruvilla, then Head, Administrative Services, suggested thatI apply for a Guest Relations position inCustomer Care, where I now work.

At BBH, our supervisors, at everylevel, have our welfare and careergrowth in mind. Tey watch how

we perform and proactively provideprofessional guidance.

Te other thing is that an employees

current role brings together all theskills they learnt in their earlier roles.In my case, it was taking inventoryof linen, supporting my colleaguesand supervising junior staff, inHousekeeping. As Nursing Aide, theaccent was on communication andon providing quality nursing care.

As Nursing Supporter, I supervisedNursing auxiliaries, using higher-level

communication skills and Nursingmanagement responsibilities. Now,Im learning how to handle internaland external customer complaints andconicts and am exercising leadershipand training others on the job.

I look forward to every day thatcomes.

K. Sujatha

Learning and growing


At every level in BBH, our supervisors have our welfare and career growth in mind, watch how we perform and proactively provide professional guidance.

BBH was different, as Iremember it, from otherhospitals in Bangalore. I hadthe privilege of being its rst full-time chaplain.

Te uniqueness of the practiceof care at the Hospital is seen in theteamwork of its employees.

Every day at BBH was anadventure. One did not know whatone would face as one met patientson any given day.

Te weekly services for the staffand patients were good times to

worship together. People in pain tendto transcend religious barriers.

One cannot but mention the outstanding work of the longest serving chaplainat BBH, M.P. George. A faithful man, he had been there from the Hospitalshumble beginnings and had seen the ups and downs of the Hospital and how itspastoral care function had developed through the years.

It was not hard for us to learn that pastoral care does not come without itsmoments of utter bewilderment and helplessness. Tis, too, is part of completehealing.

A. Koshy Muthalaly

Prologue 41

Y ellamma joined BBH as a janitorin 1984, when she was just 22years old. She and her husband,Hanumanthappa, managed to puttheir children two girls and a boy through the Government School inHebbal, near BBH.

Like many Indian mothers, Yellamma dreamt big dreams forVenugopal, her son: admission into

Engineering school. Anywhere else, shemight have been pooh-poohed because,in India, most janitors are at thebottom of the socioeconomic ladder,

while Engineering is a coveted vocation.

But Yellamma decided to checkout her options. She asked BBH fora scholarship for Venugopal, and herrequest was granted. Te boy threw

himself into coursework, scored well and,on graduation, was hired by Infosys, atop Indian multinational software servicescompany. Now with Oracle India,Venugopal has a bright career ahead.

Yellamma and Hanumanthappa, whose daughters, too, have done wellfor themselves, say: BBH has helped uslive a good life and experience God.

Yellamma manages a 28-strong teamat BBH. She loves the opportunitythe Hospital provides of trainingand mentoring her juniors, to whomher advice always is: Be sincere. Befaithful. Be respectful. Be grateful.

When dreams come true Turning time back


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The heart of BBH

he chapel at BBH is like the heart of the Hospital. Centrally located onthe rst oor, one passes it en route to the operating theatres, the labourroom, the Intensive Care Unit, Wing 1 and Wing 2.

It is a common sight to see patients or relatives walking into the chapel at anytime of day or night to pray. It is also where staff and students gather for Fridayand Sunday worship services.

Te chapel was inaugurated by Mother eresa in 1980, which was indeed a greatprivilege for the Hospital. From the pulpit of the chapel, she spoke of people allaround us who hungered for love, compassion and care, just as they had in Jesustime. And she said: What you do here in BBH is a noble work. I will pray for thedoctors, nurses and other workers to continue to serve the sick and the needy forGods glory.

Mother eresa inaugurating the BBH chapel

What you do here in BBH is a noble work.I will pray for the doctors, nurses and otherworkers to continue to serve the sick and the

needy for Gods glory. Mother eresa

Chaplain M.P. George with a patient


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Committed to excellence


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he Hospital was rst certied asper ISO 9000 in 2004. In 2011,BBH was accredited NABH and

NABL in 2011. Te Hospital is the rstChristian mission hospital in India to getboth accreditations and has perhaps thehighest ratio of NABH assessors to bedstrength, among hospitals in the country.

BBH is a leader in the Quality Circlemovement, a paradigm of public-privatepartnership through which NABHassessors mentor state-run hospitals onquality improvement and accreditation.BBH has contributed signicantly tothe NABH knowledge base by framingquality guidelines for NABH assessors.Te Hospital prepared for NABH

accreditation on its own steam, ratherthan engaging an external agency.

Another feather in the BBH cap was theFICCI Healthcare Excellence Award for2012, received in August 2012 from theFICCI and QCI. In line with the theme,Innovations in Healthcare, chosen byFICCI and QCI for the competitionleading up to the award, BBH presentedtwo concepts, the Resident Administratorand PRR, as innovations in healthcaremanagement, emerging as the winneramong over 100 contestants nationwide.

Dr Badari Datta H.C.EN Consultant & Head, Quality

Quality by choice

The Hospital is the rst Christian mission hospital in Indiato get both accreditations and has perhaps the highest

ratio of NABH assessors to bed strength, among hospitals in the country. Dr Alexander Tomas (R) receiving the FICCI HealthcareExcellence Award for 2012 from FICCI President R. V. Kanoria


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54 footprints: Celebrating 40years of Gods faithfulness

Quality medical care 54

A chaay moment

BBH has changed a great deal. Ask any of the older employeesor the friends whove beenassociated with it over the decades.Te buildings have become taller; newones have been added. Roads have beenpaved. Te number of vehicles parkedin the compound has increased. Testaff and student populations have

grown. Te institution has evolved intoa busy super-speciality hospital.

Tose whove watched the Hospitalover the years have a sense of nostalgia

when they recall the good old days.(One of them went so far as to say:Even nostalgia isnt what it used tobe!) Nostalgia, an inseparable aspectof a life that has been lived, recalls thegood that was and is no more.

But are there things that have notchanged? When I brought up thequestion, many I asked replied in theaffirmative. Here are three that I believeare typical of who we are....

Baptist chaay. wenty-ve yearsago when, as a newcomer (a JuniorMedical Officer), I walked into theHospital canteen, I was served lovely,steaming hot, very sweet tea (chaay)in a stainless steel glass. Tat hadnot changed. Coffee had changed:there were many new avatars: blackcoffee, caf latte, sugarless and with

and without cream! But the good oldBaptist chaay had stayed true toits roots. Indeed just last year, a dearsurgeon friend, visiting from overseas,said it would give me immunity for alifetime against hypoglycemia!

A family atmosphere. Tis came fromanother colleague. Its something wevealways cherished. One of our seniornurses, Mrs Aleyamma, who recentlyreceived a Longevity Award said, Icannot forget how my colleagues andother staff were with me as I wentthrough a major cardiac surgery. Teirpresence, encouragement and prayersmeant so much to me. When I think of

the institution, it is that support fromthe hospital administration and staffthat comes to my mind.

Gods faithfulness. And then there wasthe clincher Gods faithfulness. Godsfaithfulness remains unchanged. Igot that from a lot of people. And Ithought, How true! As we celebrate our

40th anniversary, we can, with gratitudeto God, say with a resounding cryfrom within our hearts: Great is Tyfaithfulness!

Dr Naveen TomasChief of Medical Services & Deputy Director

Illustration: Amith Tomas


A cup of tea that changed my life

My MBBS and six monthsof internship completedin Mysore, I returned toBangalore in 1979 to do my remaininginternship in a particular missionhospital in the city.

An old schoolmate, Easho Jacob, worked in what he called the AmericanMission Hospital in Bangalore. I

went to see him. He took me to theHospital canteen for a cup of tea. As weexchanged notes about our experiences,

what Easho told me about this hospitalimpressed me deeply.

I changed my mind that momentand decided to do my internship thereinstead. I met Dr Naylor, Dr Fox andDr Macaden and joined BBH as its rstmale intern and then became its rstsenior houseman.

BBH then had 80 beds and onlyone doctor on call at nights. Tat meantI did night duty for the entire hospitalthree days a week!

But that was a different time, andmany wonderful moments compensatedfor the hard work. I got special dinnersper courtesy of Mr DSouza, the headcook! One of my patients, a senior nunfrom the Missionaries of Charity, wasso impressed by BBH that she, in turn,impressed on Mother eresa that theMother must inaugurate the BBH chapel!

I owe BBH a lot. While working here,I went on to do my post-graduation inOrthopaedics, my M.Phil in Hospitaland Health Systems Management and aDiploma in Medical Law and Ethics. It

was here that I met Glory, my wife. Ourson was born here. Our children spenttheir childhood on the BBH campus.

And, 33 years down the line, Im stillhere enjoying the experience. I amtruly blessed.

Sometimes its just a cup of tea andGod changes everything.

Dr Alexander TomasCEO



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A bout 15 years back, Dr StanleyMacaden, then CEO andDirector of BBH, Dr EdwardG. Shaw, Professor of RadiationOncology, Wake Forest University,North Carolina, USA and BobParker, Administrator were prayingfor a radiotherapy unit at BBH forpalliative radiotherapy to Bangaloresunderprivileged patients. Tey namedthe project Believe.

Dr Shaw contributed with hisknowledge, time and effort, whileDr Alexander Tomas spearheadedthe project, and the Edward G. ShawRadiotherapy Unit was inaugurated on3 January 2011.

Since then, more than 850 adultand child patients have undergoneradiotherapy at the Unit and 40-45 patients are treated daily on thelinear accelerator LINAC, includingan average of 10 patients receivingintensity-modulated radiation therapyper day.

A dedicated chemotherapy unit hasalso been added, with 8-10 patientstreated every day. Paediatric oncologyand haemato-oncology have also beeninitiated.

Te prayers and generouscontributions of Wake Forest University,Dr Shaw, Mrs Gail Mays, IMB,Good News Health, Dayanand Pai,the Mohammad Kapur rust and theSinging Churchmen are gratefullyacknowledged.

Dr Saro JacobHead, Radiotherapy and Oncology & Consultant Radiation Oncologist

Project Believe, our calling

Today, the Edward G. Shaw Radiotherapy Unit is a ful lment of the vision to serve Bangaloresunderprivileged cancer patients.


Radiotherapy eam: (L-R) Dhanlakshmi, Bless Yu, Dr Murali S, Dr Saro Jacob, Anusha, Rajadurai, Tanzeel, In front:(L-R): Mary K, Anjala


Dr Macaden, atrash can and aprayer Tat describes the beginning of ProjectBelieve, which brought to Bangalore theLINAC linear accelerator to serve the poorand established the BBH radiotherapy unit.

In 1998, Dr Stanley Macaden, then CEOof BBH, spent a sabbatical year at NCBH,

Winston-Salem, North Carolina, USA,learning about palliative care. And theNCBH pastoral care department featuredDr Macadens visit in its quarterly newsletter.

I was then director of the radiotherapydepartment at NCBH. I browsed throughthe story and, done with the newsletter,tossed it into the trash can.

But God said to me, I have plans for youand Dr Macaden. Go meet him. So wemet. Dr Macaden spoke of BBHs need fora palliative care programme, and I told himBBH must have a radiotherapy unit. So we

joined hands and prayed. Dr Macaden wouldsay, With God, all things are possible.

And Project Believe happened.

Edward. G. Shaw


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Love beyond boundariesLove beyond background

Swetha, an abandoned three-year-oldadopted by the Missionaries of Charity,has warmed the cockles of everyonesheart in the BBH radiotherapydepartment.

In 2011, Swetha developed a perinealtumour. A biopsy showed that the lumphad been caused by rhabdomyosarcoma(a type of muscle cancer). It wassurgically excised at the Hospital.Radiotherapy followed. Currently onchemotherapy at BBHs cancer centre,Swetha will continue treatment for

some time.

Love beyond borders

Noble, a bright, energetic four-year-old from Nigeria, had come with hismother to BBH for cancer treatment.He had a facial scar. His little mindcould not comprehend radiotherapy, sohis mum explained: a machine neededto take a photo of him every dayso that the scar would go away. Onlythen they could pass Immigration togo back to Nigeria. On the day of thelast photo-session, Noble was excited.Please ask the doctor to give me aletter to show Immigration that I can

go home now, he cried.

We still miss him.

Love beyond words

Lal Din is a quiet young man fromManipur. When he was admitted tothe Hospital for surgery for sarcoma(muscle cancer) of his leg, we noticedthat he had an amazing talent forsketching. So we asked if he wouldsketch some of our paediatric patientson cancer treatment. Lal Din agreedinstantly and, sure enough, spent nearlysix hours to produce a lovely sketch ofone child.

Bless Yu Voluntary Counsellor , Radiotherapy Dr Saro JacobHead, Radiotherapy and Oncology & Consultant Radiation Oncologist


Swetha Surviving cancer

A few years back, I thought my life was perfect loving parents, a lovingsister and caring friends. I was studyingto be an IAS officer a DistrictCommissioner (DC) who wouldchange society and create history.

Little did I know my whole life wasgoing to change in a ash. In 2006, my

whole life crashed. Tat 28 June thatyear my birthday I was diagnosed

with a brain tumour.

I have had three surgeries since. Tisis not the life I had imagined for myself.My perfect life had me with long hair,happily married and working as a civilservant. But until recently, I was bald.(My hair is cropped close today.) Imneither married nor a DC.

But Ive learnt how valuable andprecious life is. Im very lucky to havea family that supports me emotionally,nancially, morally and in everyother way possible. It has been a great

journey.

Yes, weve experienced a lot ofhardship the pain, the tears and thefears we hide from one another, theanxiety each time we go for a scan andthe relief when nothing shows up.

Tis has been our life for the last fewyears. We try to live in the present andnot think about the future. Te Buddhasaid, Te mind is everything. What

you think, you become.

I am becoming better a betterperson, a better human being. Faith andHope have kept me going.

Shruthi Cancer survivor, presently onchemotherapy at BBH

The bravest women I haveever known

Six-year-old Karen, emaciated frombattling rhabdomyosarcoma (malignantmuscle tumour) in the right cheek sinceshe was two, waited with her mother

a woman barely in her mid-twenties to see me in the Oncology out-patientdepartment.

I was totally unprepared for what Isaw. Te tumour reeked of the pungentstench of dead and decaying cells.Huge and ugly, it had stretched Karensmouth wide open and squeezed herright eye nearly shut. Maggots writhedinside her esh.

A horried gasp escaped from mebefore I could regain my composure.I ran to the washroom, desperate tocollect my thoughts before I saw Karenagain.

Later, I discussed our options withmy colleagues. Clearly, all we could do

was offer palliative care at Karens home.I called Karens mother to explain thetreatment plan. I was struck by hercomposure and calmness as I explainedthat the time was near for her to saygoodbye to her little one.

I nished what I had to say. Temother looked into my eyes, quietlythanked me, rose and left.

As I watched her leave, I knew thatthis was one of the bravest women I willever know.

Dr Saro JacobHead, Radiotherapy and Oncology & Consultant Radiation Oncologist

When cancer knocks



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Basic SpecialitiesInternal MedicinePsychiatryDentistryPaediatricsDermatologyRadiologySurgery

AnaesthesiologyPalliative CareEar, Nose & ThroatMicrobiologyPathologyObstetrics & GynaecologyOrthopaedicsCommunity HealthOphthalmologyRadiology

Super-SpecialitiesEndocrinologyPaediatric SurgeryPulmonologyHIV/AIDS ClinicsNeurosurgery & Neuro-RehabilitationNephrology & Dialysis

Vascular SurgeryEndocrinologyOral & Maxillofacial SurgeryPlastic SurgeryGastroenterology & InterventionalEndoscopy

Radiation OncologyNeurologyRheumatologyUrologyCardiology with Cath LabInfertility Clinic & Reproductive

Medicine

Other services & sub-specialitiesFamily MedicineSports MedicineSpeech & Hearing TherapyDental Surgery with Dental ImplantPaediatric DentistryOrthodonticsHead & Neck OncosurgeryPaediatric Orthopaedic SurgeryPaediatric EndocrinologyDevelopmental PaediatricsGeriatric CareDieteticsPsychological CounsellingPhysiotherapy & RehabilitationOccupational Therapy

HIGHLIGHTS

Cancer (Radiation) Therapy Adjuvant TherapyBiological TherapyCancer Surgery

ChemotherapyCombination TherapyHormone TherapyNeo-adjuvant TherapyRadiotherapy

Interventionl Cardiology AngioplastyCoronary StentingDrug Eluting Coronary StentingImplantable Cardioverter DefbrillatorPacemakerPeripheral AngioplastyCoronary Artery Bypass Graft

FertilityEgg Donation (Medical Indications)Genetic CounsellingIntracytoplasmic Sperm InjectionIntrauterine InseminationIn Vitro FertilisationMale Fertility TreatmentOvulation InductionSurrogacy (Medical Indications)

Tubal Ligation Reversal Vasectomy ReversalBlastocyst TransferFertility PreservationInfertility-Related Laparoscopic Surgery

(Myomectomy & Endometrium)Embryo FreezingEvidence-Based Ethical Practice

Orthopaedic Surgery Acetabular Fixation ArthroscopyBoth Hip Replacement (BHR)BHR with StemBirmingham Mid-Head Re-section

Bilateral Knee ReplacementBoth Knee ReplacementCemented Total Hip ReplacementHigh-Flex Knee ReplacementHip ReplacementSports Injury SurgeryShoulder Replacement

Total Hip Replacement Total Knee ReplacementUncemented Total Hip ReplacementUnilateral Knee ReplacementUnicondylar Knee Replacement

Spine Anterior Cervical DiscectomyForaminotomyKyphoplastyLaminotomy

Lumbar LaminectomyMicro-DiscectomyMinimally Invasive Spine SurgerySpinal Fusion SurgerySpinal LaminectomySpinal Tumour Surgery

Total Disc Replacement

NephrologyRenal Failure TreatmentDiabetic Kidney Disorder TreatmentPolycystic Kidney Disorder TreatmentRenal Hypertension Treatment

GastroenterologyPilesEndoscopic Retrograde CholangioPancreatographyMinimally Invasive Gasteroenterology

Surgery

The bouquet of services at BBHCosmetic Surgery

Abdominoplasty Arm Lift Aesthetic Vaginal SurgeryBreast LiftBreast AugmentationBreast ReductionButt AugmentationEyelid SurgeryBrow LiftChin & Cheek AugmentationCleft Lip SurgeryCorrective Cosmetic SurgeryDimple Creation & Face LiftFace SculptionGynaecomastiaKeyhole Breast ReductionLiposuction

Male Genital Cosmetic surgeryEar SurgeryNose SurgeryScar Removal

Thigh Lift

Dermo Cosmo TreatmentMicrodermabrasionPhoto-Facial Skin Polishing

Eye SurgeryRefractive ErrorsGlaucomaDiabetic Retinopathy ScreeningEye Muscle SurgeryCataractIntra-Ocular LensPterygium Removal SurgerySquint Surgery

ENTMicrosurgery of EarMicrolaryngeal SurgeryEndoscopic Sinus SurgeryRhinoplastyFaciomaxillary Trauma SurgeryEvaluation & Surgery for SnoringObstructive Sleep ApnoeaSurgery for Head & Neck Cancer

General SurgeryBreast BiopsyMastectomySplenectomy

Varicose Ulcer Treatment Varicose Vein RemovalRe ux SurgeryGall Bladder Surgery

Adrenal Surgery Appendix Surgery Advanced Laparoscopy

Vascular SurgeryPeripheral Bypass Surgery

Abdominal Aortic Aneurysm Arterial AneurysmsPeripheral Arterial Occlusive DiseaseBalloon Angioplasty

Varicose Vein Surgery

Urology & UrosurgeryLaparoscopic PyeloplastyLithotripsy & Percutaneous

Nephrolithotomy (PCNL)PCNLRadical NephrectomyRadical Prostatectomy

Total Cystectomy Transurethral Re-Section of Bladder

Tumour Transurethral Re-Section of Prostate

Male SurgeryCircumcisionHydrocele Operation

Adult Penis FrenuloplastyProstatectomy

Vasectomy Vasectomy Reversal

RehabilitationNeurological RehabilitationCardiac RehabilitationOrthopaedic RehabilitationSports RehabilitationGynaecology RehabilitationPaediatric RehabilitationLifestyle ConditionsPost-Surgical Rehabilitation

Laparoscopic SurgeryLaparoscopic AppendectomyLaparoscopic SpleenectomyLaparoscopic CholecystectomyLaparoscopic Hernia Repair

Anal Fissure & Anal FistulaHaemorrhoidectomy

Advanced Lap Surgery Advanced Paediatric Surgery

Paediatric SurgeryNeonatal SurgeryGeneral Paediatric SurgerySurgery for Cancerous &

Non-Cancerous Tumours Trauma SurgeryLaparoscopic SurgeryEndoscopy

Neuro-SurgeryBrain Tumour SurgerySpinal Cord Surgery

DentistryCosmetic DentistryFull Mouth RehabilitationBracesRoot Canal TreatmentCrownsDenturesEmpressExtractionFillingPolishing & FlourideScalingRoutine Dental Treatment

Health Check-UpInternational & NRI HealthScreeningHealth Screening PlansComplete Cardiac EvaluationSpine ScreeningEye ScreeningDental ScreeningGynaecological ScreeningMRICT Scan


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Patient Care Facilities

State-of-the-art diagnostic services

CT Scan, Mammography, X-Ray,Ultra-Sonography, Colour DopplerUltrasound Scan, Electro-Encephalograph, Electro-NeuroMyography, Endoscopy (including

Arthroscopy & Laparoscopy) andLaboratory Blood Bank with BloodComponents

Round-the-clock services

Emergency, pharmacy, etc

Well-equipped diagnostic andtherapeutic centre

Radiotherapy Unit, Cath Lab, DialysisUnit and Operation Theatres

Psoralen and Ultraviolet A lighttherapy

Sleep lab and pulmonary functiontest

Well-equipped physiotherapy unit

Birthing rooms and painless labourwith antenatal care package

Diet counselling

Pastoral care

Preventive health packages

Computerised vision testing

Adult ICU, CCU, High DependencyUnit, Neonatal ICU and PaediatricICU

Deluxe, private and semi-privaterooms

I joined BBH as a young nurse, in1979. My rst posting was in theoperation theatre one of thebusiest places in the Hospital but apleasure to work in because Dr Rebekah

Ann Naylor patiently taught me all Ineeded to know about working andassisting there.

I soon became a condent theatre

nurse, able to handle any emergency atany time.

oday, as Nursing Superintendent, I work out of the Nursing Office. Tis isanother chapter in my life. Te NursingDivision has grown from 80 to 585 staff,including 25 supervisors and 15 teamleaders who assist me.

I look back on two events thathave meant much to me. One was theinstallation of the post of Resident

Administrator, which our Director, Dr Alexander Tomas, started. Tis hadsignicant impact on our patient care.Te other was when BBH was awarded

Let your light so shine

O n my rst day in BBH, I was in the Hospital canteen,looking for a drinking-waterglass. Not nding one in sight, I askedthe waiter. But he gave me a full jug!

Was this how folks at BBH drank water straight from a jug? Severalothers were indeed drinking deftly, thethick torrent of water streaming from

jug to mouth without a drop beingspilt.

It looked really easy. I decided togive it a try although Id never done itbefore. Steadying myself, I took carefulaim, mouth wide open, tipping the

jug.

But in the fraction of a second,I was totally drenched the waterhad gone everywhere except into mymouth! Everyone around me burst outlaughing. Tinking wildly, I beamedbravely and said, odays my rst dayin BBH and God is already showeringHis blessings on me!

Shower in the canteen


the FICCI Award for OperationalExcellence because I felt it was givento me, too. Ive always believed in theverse that goes: Let your light so shinebefore men that they may see your good

works and glorify your Father which isin heaven.

Flora EdwinFormer Chief of Nursing, BBH

rue to the joke, God has continuedto shower His blessings on me.

Onenlemla Imsong Chaplain, PCD


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Fulflling dreams


he IVF programmme has beenfunctional from March 2012.

With Gods grace, the rst IVFbabies were born in November 2012.Te rst birth was a twin pregnancy, aboy and a girl delivered by Caesareansection. Te joy and delight of theparents was indescribable! Being the rstIVF birth from this hospital, they willhave a life-long relationship of gratitudeand love with BBH. Subsequently, twomore joyful couples received the gift oflife: healthy babies. And the story goeson.

Dr Korula George MD, MRACOGProfessor & Head, Reproductive Medicine

The Reproductive Medicine unit at BBH honours the deep human yearning of couplesto have a child and battles the social stigmaof infertility in India.

Infertility whose stigma in acountry like India leads, moreoften than not, to considerableharassment and emotional distress forthe sufferer and marital disharmonyand social ostracism for the coupleconcerned affects one in 10 couplesin India (10%-15% of the population).However, since infertility is not a life-

threatening condition, it is low on thehealthcare sectors priority list. Advancedtreatment facilities are not available inthe public sector. Medical colleges andlarge hospitals offering comprehensiveinfertility care are few. Medicalinsurance is unavailable for the problem.

Although India has created guidelinesfor addressing the issue, governmentregulation for it does not exist.

o honour the deep human yearningthat couples harbour to have a child,in August 2011, BBH established aReproductive Medicine unit under theleadership of Dr Korula George, formerhead of reproductive medicine at CMC


Bundles of joy

Vellore. Te Unit provides state-of-the-art, evidenced-based care for infertilecouples, including services for advancedlaparoscopic surgery and assistedreproductive techniques like IVF andintra-cytoplasmic sperm injection.Supported by related departments likeObstetrics & Gynaecology, Urology,Psychiatry and Neonatology, theinfertility care is comprehensive.

IVF is carried out monthly. Te rstbatch, done in March 2012, producedexcellent results: the rst IVF babies twins! were born in November 2012.

Compassionate, wholistic, humane,affordable and ethical treatment is apriority. BBH observes a strict code ofconduct with regard to patient care andconsent. Te Unit is ISO-compliant.


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40th Anniversary celebrations

In January 2013, through the course of a week, BBH celebrated completing 40years. It was a wonderful opportunity for not only many BBH old-timers fromover the decades to come together but also for those associated with BBH inmore recent years to watch, listen and participate.

Te celebratory events started off with a function on the morning of 11 January2013 to welcome and recognise many visitors and well-wishers, who had comefrom far and near. Tat evening, a grand public function featured the inaugurationof new buildings and facilities. Honourable Justice Shri N. Santosh Hegde,former Lokayata of Karnataka, was Chief Guest. He inaugurated Smrithi, our

new auditorium. Shri E.V. Ramana Reddy, Principal Secretary, Government ofKarnataka, inaugurated the new Central OPD. Dr John Wikman and Dr RebekahNaylor released the rst edition ofFootprints , BBHs coffee-table book. A dinnerhosted by Dr Alexander Tomas and Dr Glory Alexander at their residencefollowed, for the founders and staff from early days to the current time.

15 January 2013, the anniversary day, started with symbolic tree planting byformer and present leaders and important guests. Dr Naylor turned the sod forthe new nurses hostel. In the evening, a special thanksgiving service recalled afreshGods faithfulness over the four decades of BBHs existence.

Facing page: (L-R) BBH Nursing utors Blessy Anu Tomas and ArulShanthi M. render a celebratory Bharatanatyam recital in the Smrithiauditorium


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40th Anniversary CelebrationsSmrithi

An aesthetically designed hollow-framestructure covered with tensile fabricspread over multiple pyramidal andtriangular sections, Smrithi (meaningmemory) is the new BBH auditoriumthat will seat up to 700 people. Tetotal oor area measures nearly 6,000sq. ft. Smrithis ceiling ranges from17 ft high, at the lowest points, toa maximum height of 23 ft. Tesurrounding outdoors, green, imbued

with Nature and picturesque, elegantlyaugment Smrithis seating capacity.


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CAHO

With the inception of NABH in 2005, the Indian health sector saw signicantimprovement in the quality of healthcare systems. oday, the NABH standardsare an acclaimed benchmark. Te idea of establishing a consortium of accreditedhospitals was, in fact, conceived by NABH as far back as 2011.

CAHO was launched at the NABHs second National Conclave in 2012.CAHO was envisioned to be a common platform for al l NABH institutions.CAHO shares the assessment and accreditation concerns of member hospitals,

with a view to improving NABHs effectiveness and efficiency. It is a network of200 hospitals and 400 laboratories.

BBH is a founding organisational member; BBH CEO Dr Alexander Tomas isthe current CAHO President; and P. Sunny Kuruvilla is a founding member.

My heartiest congratulations to the leadership team and staff of BBH.Teir efforts over the past 40 years have made BBH as a living exampleof the effectiveness of organisations like NABH and CAHO. BBH CEO

Dr Alexander Tomas is a visionary leader. His effortin acquiring NABH accreditation for BBH, launchingCAHO and enhancing healthcare communication skillsat BBH have made the Hospital a model organisationin healthcare quality. I wish all of you more success andmany achievements in the years to come.

Dr Arati VermaSenior Vice-President - Medical Quality, Max Heal thcare Secretary-General, CAHO Co-Chair, NABH echnical Committee


CCHI

BBH has played a signicant role in bringing together the Christian Medical Association of India, the Catholic Health Association of India, the EmmanuelHospital Association, CMC Vellore, the Christian Medical College, Ludhianaand St Johns Medical College, Bangalore to form a coalition, the ChristianCoalition for Health in India (CCHI).

BBH is one of CCHIs founding members. CCHIs purpose is to take upproactive advocacy on health issues, including advocacy for policies tosupport and strengthen Christian healthcare work in India and promoteappropriate frameworks at national and state levels. As on date 1,000hospitals are part of CCHI, enabling the Coalition to provide services to its80,000-bed network.


A QCI initiative for the gram panchayat

QCI now covers Indias local rural government system the gram panchayat (village-level administrative council) for quality in administration and services.

Te uniqueness of this quality initiative lay in the Government of Karnatakaagreeing for panchayatassessment by independent third parties. wenty-veassessment teams covered 104 councils selected from a total of 1,341 councils.

Te top performers were honoured with a Grant of Accreditation at aQCI conclave in New Delhi. Te former Chief Minister of Karnataka, ShriSadananda Gowda, gave away cash awards amounting to Rs 10 lakh to the

winning councils.

A. Suresh Babu Senior Social Worker

ANBAI

ANBAI is a national body for improving post-graduate medical teachingprogrammes. ANBAI works closely with NBE. BBH has played a veryimportant role in ANBAI from its inception. Trough ANBAIs efforts, theMedical Council of India has now recognised DNB as being on par withMD and MS programmes. ANBAI was successful in effecting the withdrawalof the National Commission for Human Resources for Health bill, which

would have otherwise deprived large populations from accessing essentialhealthcare services. ANBAIs Karnataka chapter helped organise the NationalConference at BBH in 2013.

Dr Naveen Tomas Member, ANBAI

Above (L) Dr Bipin Batra, Dr Anurag Agarwal, Dr Devi Shetty, Dr H.S. Ballal,Dr Prem Nair, Dr S. Rajasekaran and others in ANBAI


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Collaboration atits bestOver her 65 years of independence,India has increasingly embracedmulti-sectoral development through

well-designed national- and state-levelpolicies and programmes. However,gaps in implementation exist.

Observing this, the PlanningCommission of India, together withIndia@75, a national multi-sectoralinitiative to realise Prof C.K. Prahaladsvision of India in 2022, launchedthe India Backbone ImplementationNetwork (IbIn), with 40 membersacross the country.

IbIn is based on Japans otal QualityManagement ( QM) paradigm, whichfocuses on improving implementationof policy. Te primary goal is to identifybottlenecks in policy implementationand facilitate better inter-agencycoordination.

BBH CEO Dr Alexander Tomas,an IbIn member, and other leaders Aruna Newton (of Infosys), JuliaMiddleton (of Common Purpose),Meera Harish (of ata Coffee) and

Raising publichealthcarestandards inthe state usingmentorsBBH has taken the initiativeof improving quality levels ingovernment hospitals via a jointpartnership with the Governmentof Karnataka, using a group ofmentors from Bangalore, led by

BBH CEO Dr Alexander Tomas.Te Jayanagar General Hospitaland the K.C. General Hospital haveachieved notable improvementsand submitted their applicationsfor NABH accreditation, as aresult. BBH is providing guidanceand technical support to the stategovernment for the initiative.

Dr Badari Datta H.C.Head, Quality Division & EN Consultant

A. Chandrashekaran (of Infocareer) identied elder care as a focus area, inthe light of the changing demographicsin the country. An innovative OpenSpace workshop was facilitated byCommon Purpose at BBH, withparticipation from the social, corporateand public sectors. Te workshophelped identify the major needs of theelderly as being social, nancial, healthand media-related. Geriatrics expertshave come together as part of a nationalthink tank, to evolve implementation

strategies and replicable models forelderly care in the country. PlanningCommission Member Arun Mairacontinues to provide support to theinitiatives of IbIn.

Dr Nancy Ramya I.Executive Programme Manager

Handbook of Healthcare Quality & Patient Safety released


Te Handbook of Healthcare Quality & Patient Safety was launched by HisExcellency, the Governor of Karnataka, Shri Hans Raj Bhardwaj, in thepresence of its co-editors, Dr Girdhar Gyani and Dr Alexander Tomas.

Te launch took place at Healthex International 2013, an exhibition-cum-conference on hospital, medical, surgical equipment, drugs, disposables andallied services. Healthex was held during 5-7 September in Bangalore.

BBHs Dr Badari Datta H.C., Dr R. Sindhulina Chandrasingh and P. SunnyKuruvilla and former BBH Consultant Urologist Dr Ajay Shetty are among thebooks co-authors.

Te handbook is the rst of its kind to be authored in India and is expectedto ll the huge skill gap in experienced Quality professionals in the healthcarearena in India and to accelerate the Quality movement across South Asia.

Supporting NSDC initiatives

HSSC is an initiative of the Confederation of Indian Industry and NSDC. TeCouncils key objective is to create a robust and vibrant ecosystem for qualityeducation and skill development in paramedical and allied healthcare personnelin India. BBH has helped review the curricula of various courses released byHSSC and is expected to start some of these in du e course. BBH is representedin its Governing Council as a special invitee.

Says Dr Naresh rehan, HSSC Chairman: I congratulate BBH, which hasscaled great heights and taken quality initiatives in training. I wish them thebest as they work with us in our endeavour to train and provide skilled supportservices to address the shortage of skilled workers in healthcare.

Dr Sindhulina ChandrasinghHead, Health Sciences raining


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Paliative care 103

Paliative care 103


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Because youprayed for meIn 2008, I had such a series of losses inmy business in Sanjay Nagar [a localitynear BBH] that I became mentallydistressed and physically sick. I did therounds of some hospitals in the citybut my condition did not improve.

With a wife and two small children,I didnt know where to turn. Andthen my brother said, Go to BaptistHospital. And I did. Ive been cominghere ever since. Each time, I go backfeeling happier because whenever I am

admitted here, people come and prayfor me and encourage me. Although Istill havent gotten over my difficultiescompletely, I know God cares for me.

Ramesh57-year-old BBH patient

Chaplain Vilbert Valence prayingwith a patient

Paliative care 103

The Indian scenarioTe term life-limiting illnessis used to describeillnesses where it is expected that death will be adirect consequence of the illness. Such illnessesinclude but are not limited to cancer, heartfailure, chronic obstructive pulmonary disease,dementia, neurodegenerative disease, chronicliver disease, end-stage renal disease and HIV/

AIDS.

Around 30 lakh patients suffer from cancer atany given point in time, with 10 lakh new casesbeing reported every year. As much as 70% ofall cancer victims are beyond cure at the time ofdiagnosis.

End-stage renal disease claims 94% of thoseit affects. Te remaining 6% survive throughkidney transplants, a precarious and oftenexorbitant route to an extended life.

35 lakh Indians are infected by HIV/AIDS.Over 30,000 of them die from the syndromeevery year.

AR suppresses the progress of HIV/AIDS andis used to prevent its transmission. However,only 6%-10% of those infected have timelyaccess to AR .

Te rapid rise in the population of agingIndians, from 7.7% in 2000 to an estimated12.6% in 2025, forecasts that the highestnumber of patients in need of pall iative care willincreasingly be from the elderly terminally ill.

Paliative care 103


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Out in the community


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116 footprints: Celebrating 40 years of Gods faithfulness Outreach 117


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For more years thanMadhuramma, 75, cares toremember, she would hideher left eye with her sarees pallu (thetrailing end of a saree). Tat eye had alarge, grotesque tumour. It disgustedmy loved ones, she recalls. My familyput me out of the house. Everyone

wanted Madhuramma out of sight. Tevillage temple became her home, where

she would lie, forlorn and withdrawn.In Winter 2011, when the BBH

CHD team visited Singarahalli,Madhurammas village, located 7 km(4 mi) from the Mother eresa RuralHospital, one look at her revealed theladys plight. Te team took her to St

Johns National Academy of HealthSciences, Bangalore, where the tumour

was successfully removed. One memberof the CHD team donated blood forher surgery.

oday, Madhuramma, relieved andhappy, waits for a prosthetic eye fromSt Johns. Meanwhile, she goes regularly

Empower: mainstreaming the differently abled

to a BBH-run senior citizens supportgroup in her village. Her life is movingon.

Te BBH CHDs Empowerprogramme, started in Devanahallitaluk (county) in 2010, is aimed atbringing new hope to thousands ofdifferently abled people who, likeMadhuramma, make up 5%-6% of thepopulation of the state of Karnataka.For this differently abled population,Indias Persons with Disabilities (EqualOpportunities, Protection of Rights andFull Participation) Act (1995) providesfor services related to rehabilitation,education, economic assistance and abarrier-free life, to facilitate their re-integration into the social mainstream.Empower has been helping thegovernment deliver on the primarycommitments embedded in the Act.

Empower reaches also those whosuffer from disabilities related tosight, speech, hearing, movement andmental health. Te BBH CHD team

is currently engaged in empoweringpeople with disability through awarenesscreation, capacity-building and home-based therapy, providing them withentitlement cards, aids and appliances;facilitating the creation of a barrier-freeenvironment; and helping them formself-help groups to develop self-reliance,self-condence and self-esteem.

Te Government of Karnatakas N.Subramanya Raje Urs, Project Assistantat the District Disability Welfare Officein Bangalore Rural District, is pleasedto have been closely associated with theBBH CHD team since 2010. Says he:Im condent that the government willget good results through the work ofBBH. BBH must continue and expandits work across the entire BangaloreRural district.

Madhuramma after her surgery

Indias 2001 census data reportedthat 2.13 % of the Indianpopulation were persons withdisability (PWDs). However, theactual gures are between 5% and10% which translated roughly to a12 crore population of PWDs in India.

It is reported that 90% ofthis population has no access torehabilitation services.

PWDs face multiple challenges inaccessing healthcare, education and jobs

and in participating in social activitiesas equals with their abled counterparts.

CHD at BBH started a community-based rehabilitation (CBR) programmethree years ago in 40 villages ofDevanahallitaluk (county). Around500 PWDs were identied, andcomprehensive rehabilitation servicesprovided, most at the doorstep.

BBHs dream to scale the initiativesto benet more people was fullled

when the Government of Karnatakaapproved the setting up of a DistrictDisability Rehabilitation Centre(DDRC) for Bangalore Rural District

and chose BBH as the implementingagency, providing a part of the nancesneeded for capital and operationalexpenses.

Trough the DDRC, BBH aimsto reach out to an estimated 60,000

PWDs in the 10 lakh populationacross the fourtaluk s of the district.

Shivanand B.Project Coordinator, CHD Sudhakar G.Physiotherapist

DDRC scales up rehabilitation for the differently abled

(L-R) Shivanand B, Sudhakar G and Dr Gift Norman receiving the Key symbolising theinauguration of the DDRC, Bangalore Rurak District from Former Devanahalli Memberof Parliament C. Narayanaswamy in the presence of Karnataka Home Minister Shri K.J.George, and Former Karnataka Minister for Haj, Wakf & Minority Welfare Shri Mumtaz AliKhan, Devanahalli Member of the Legislative Assembly Shri Pilla Munishamappa and others

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A photograph from the late 1970s of mothers with their childrenat the Nutrition Rehabilition Centre

From 1975, BBH has beenghting child malnutrition in therural areas around Bangalore. In1977, the Hospital started a NutritionRehabilitation Centre (NRC) onits premises, to which mothers ofmalnourished children were admitted,along with their wards, for six weeksduring which the mothers were taughtto prepare diets for their children usinglocally available and affordable food, aprinciple that is foundational for childnutrition. Dr Rebekah Naylor, Dr S.J.Michael and others guided this phase ofthe programme.

From 2010, the nutrition programmehas been transformed into a eld-based activity. It is a home care-basedprogramme carried out in the villages.Currently, 540 children in about40 villages in the Devanahallitaluk (county), near Bangalore, are covered.Te children range from newborns tothree-year-olds. Field health workersand community health nurses from

Responding to child malnutrition

BBH visit the homes in the villages, weigh the children and identify whichof them are malnourished. Te degreeof malnutrition of a child is ascertained,based on which the community healthteam provides nutrition rehabilitationcounselling, advice on supplementaryfeeding and regular follow-up andperiodic growth monitoring.

In the past two years, this hasresulted in approximately 60% ofseverely malnourished childrenimproving their nutritional status.BBH is thankful to see this measure ofimprovement in child health in such ashort duration.

Malnutrition has been dened as asituation where there is an unbalanceddiet in which some nutrients are inexcess, lacking or wrong proportion.Malnutrition occurs in two types,protein-energy malnutrition (PEM)and micronutrient deciencies, both of

which are pervasive in India.

In Karnataka, the National FamilyHealth Survey (NHFS) 3, conductedduring 2005-06, noted that 42.5%of under-5s had low weight fortheir age and 48% were chronicallymalnourished, while 19.8% sufferedfrom severe malnutrition. In poorerdistricts, the situation was even worse,

with more than 50% of the children

underweight. Te childrens nutritionalstatus had improved slightly sinceNFHS 2 was conducted (during 1998-99). However, many of the under-3s

were chronically undernourished. oadd to the challenge, nearly 70% ofKarnatakas children were recorded tobe anaemic.

Te dangers of malnutrition amongyoung children and their mothers needto be addressed with robust healthdelivery systems. Te BBH communityhealth department is continuing itsbattle against malnutrition.

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Dr Ranjitha Dev, Medical Officer withBBH CHD, at a mobile clinic

O ne of the rst initiativesof CHD at BBH was themobile clinic a van drivenfrom village to village, treating people.Te vehicle arrived in December1975 to roll out a feeding programmefor malnourished children up to veyears in age. Te mood was upbeat:Dr Rebekah Naylor wrote in her

journal that she was excited that the

programme had been well-received.Because the villagers turned out inlarge numbers, the original half-daycamps had to be extended to full-dayones. Dr Naylor noted: Already much[nutrition] education [for the mothers]has taken place.

Deaths due to communicable diseasesand preventable mother-and-childdisease conditions were high in the area.Ignorance and superstition cloudedthe peoples vision, discouraging themfrom accessing useful services. Manymothers and children died at deliverydue to unhygienic conditions and other

complications. Reaching them wherethey lived was thus a powerful strategyin helping them ght the battle for life,health and development.

Mobile clinics reached out tonearly 20 villages of Devanahalli everyfortnight, come rain or shine (as theydo today). Te team, which compriseda doctor and a nurse, often workedfrom early morning till late evening.Nearly 600 patients, including theelderly, who needed the service at theirdoorstep, beneted every month fromthis service, many of them sufferingfrom chronic diseases. Recallingthe clinics of that time, 68-year-old Muniamma, of the village of

Yerthanganahalli, says, Te clinics wereso useful! My diabetes and high bloodpressure were being treated. I used tohave a serious kidney problem, too.But, through your health workers anddoctors, Im doing very well now.

Knocking at their door

The mobile clinics treated people with diabetes, high blood pressure and other chronic diseases and bene ted mainlythe elderly and the poor.

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It was during the 1970s thatour country hailed the GreenRevolution, which wouldsupposedly ll granaries and bring foodin plenty to people. Yet in some villagesbordering the growing metropolis ofBangalore, access to food continuedto be a major issue. Te impact wasfelt by children under ve years of age,pregnant women and lactating mothers.

Te malnutrition in the children wasextreme marasmus and kwashiorkor.It was at this time that BBH establishedthe Nutrition Rehabilitation Centre,as part of its community healthprogramme.

Te main focus of the Centre wasnutrition education, through nutritionrehabilitation for malnourishedchildren, aimed at the mothers whotrekked to the Hospital.

Te Centre created an environmentsimilar to that in the homes of the

mothers and children who came to it. As part of the education, the mothers were involved in the preparation offood for the children. Health educationplayed a critical role in buildingawareness among the mothers aboutthe health of their children and makingthem conscious of its importance.

Vanaja Ramprasad

Memories after four decades

Te CHD eam


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M igrant rural populationscome to the cities in hordes,in search of livelihood anda better life. But, to do so, they acceptunhygienic, makeshift dwellings; largepools of disease-infested, stagnant

water; heaps of foul-smelling garbage;and cramming into overcrowded livingspaces slums.

According to the Karnataka SlumClearance Boards 2012 report tothe World Bank, Bangalore has 862slums, where about 20% of Bangalorespopulation resides. Of this, 42% havemigrated from other parts of India,

while 43% of the households havebeen slum-dwellers for over 10 years.

Although Karnatakas municipal bodieshave attempted to shift some 300 slumfamilies to newly constructed buildings,the families dont seem to want tomove. Te peoples reasons usuallyrevolve around the lack of facilities,

poor income-generating opportunitiesand loss of social mooring.

DJ Halli is one such slum teeming with people and deafened by shriekingtraffic. A growing population placesan increasing burden on limitedresources. DJ Hallis perpetual problemsinclude water shortage, poor sewageand drainage, mosquito infestation,infrequent garbage disposal issues thathave no straightforward answer.

But it is precisely in the face ofsuch challenges that BBHs UrbanHealth Centre is attempting ambitiousinterventions. Te team was like achild on its rst day at school: cluelessabout what was in store. Beginningby working out of a church in RoshanNagar, we often wondered about how

we would reach the 90,000-strongpopulation of the area. Rainy days

were messy and the crowds were oftendifficult to manage. We would work till9.30 pm. But we did not stop.

A survey the Hospital conductedearlier in the area had revealed a needfor interventions in malnutrition,cardiovascular disease prevention andmaternal and child health services,

which BBH has since provided. oday,an average of 35 patients, presenting

with various health problems, line upto meet the BBH doctor every day atthe Centre. And BBH, in collaboration

with government and private healthagencies, provides relief and helps theinhabitants of DJ Halli help themselves.

I remember Jesus said we were to letour light shine so that people mightsee the good that we did and praise ourheavenly Father. I suppose the lightdid shine through because the UrbanHealth Centre is today ooded withpatients!

Glory Zac Former Staff Nurse, CHD, BBH

An urban saga

Te DJ Halli slum

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BBH: my extended family

It was just four days after our wedding that I rst had an inklingthat there was something wrong with my wife Daisys heart. But thispaled against the vibrant colours of theyoung, new life we had begun together,and I put it out of my mind.

It was August 1985, and I was JuniorLaboratory echnician at BBH.

wo years later, Daisy becamepregnant. What should have beenroutine check-ups revealed instead thatshe had mitral stenosis (thickening of aheart valve due to chronic exposure toinfections). Soon after, she contracteda severe lung infection and had to beadmitted to BBH in critical condition.Dr Glory Alexander, then the Hospitalsphysician, closely supervised Daisysmedical management until hercondition improved.

Tat the damage to Daisys heartvalve was severebecame clear.

Surgery was indicated at the earliestdespite her ongoing pregnancy and wasplanned jointly with cardiothoracicsurgeons from CMC Vellore.

But how on earth would I pay forit? I had nowhere near the kind ofincome needed! However, Dr RebekahNaylor had already guessed this. Sheraised money through contributionsfrom fellow staff members and theoperation (a digital mitral valvotomy)

was performed at CMC Vellore in January 1987.

Daisy was six months pregnant atthe time. She came through a verystormy post-operative period and wasdischarged after 55 days. But our baby

was safe and sound in the womb and, when the big day came, our daughter,Sylvia, was born. (She is now [at thetime this story went to press for the 1stedition] the mother of a 7-month-oldchild.)

In early 1990, Daisy started showingS. Jeyapaul today

signs of re-stenosis. Tis warranted asecond surgery with valve replacement.I was again caught on the wrong foot,money-wise. But again, the zeal andunity of the BBH staff in supportingme emotionally and nancially wereoverwhelming.

Tis time, it was Dr AlexanderTomas, then head of Orthopaedics,around whom everyone rallied.Trough his friends, fellow alumniand a business contact, he put togetherthe needed funds. He also arranged aninterest-free loan from the Hospital.Dr Glory contacted the cardiothoracic

surgeon at St Johns National Academyof Health Sciences, Bangalore toarrange early admission and the bestnancial package. Not a single day didany of them including BBH seniors fail to visit Daisys bedside. Daisyrecovered well and was soon discharged.

Tings went well until September1998, when Daisy developed symptomsthat baffled BBH for nearly eightmonths. Te problem was nallydiagnosed at the Wockhardt HeartInstitute: severe mitral regurgitationand atrial brillation owing to loosenedstitches of the prosthetic valve. A third

surgery was needed.

I have no idea how Daisy managedto cope with all this.

I felt utterly helpless, pushed bycircumstance against a wall. Butagain, this time, Dr Tomas, thenBBH Director, Dr Stanley Macadenand C.M. John, Social Worker atthe Hospital, mobilised the needednancial resources, and the thirdsurgery was performed in July 1999.

Daisys heart beat one last time on8 October 2008; it had swum againstthe tide for too long. But her real heart and mine and Sylvias continue tobeat with eternal gratitude toward thestaff and management of BBH for theircare, compassion, commitment andselessness.

S. Jeyapaul Retired Sr Lab echnician(Selection Cadre)

A SILVER LINING

My father wasBerappa. He was aday-labourer. Hepassed away in August2011 from cancer.

When we broughthim to BBH, we

were told it was toolate. But they alsosaid that, as long ashe lived, they wouldtake care of him; andthe Palliative Home

Care team Dr RaviLivingstone, Sr Ruby, Sr Vinayashree and Sr Asha looked after my father

well. Dr Livingstone was always a source of strength.

My father and I were like friends. After he passed away, Dr Livingstonespoke with me about the realities of life. He said my life should becomea life of helping and caring for others. With their encouragement, Iveenrolled in the Diploma in ML course.

I will always miss my father. But I will never be able to forget DrLivingstone and Sr Ruby, Sr Vinayashree and Sr Asha, who have played asignicance part in my life.

SudhaII Year Student in the Diploma in ML course


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As Cabinet Minister for Health & FamilyWelfare Shri Ghulam Nabi Azad and Dr. BipinBatra, Executive Director, NBE look on, Smt Meira Kumar, Speaker of the Lok Sabha, presentsDr Alexander Tomas with the National Award for Excellence in eaching, given for 2012 toBBH for the DNB programmes

he large number of medicalcases from the villages nearBangalore prompted BBH

to start post-graduate training. Accordingly, BBH applied to NBE,a government body that focuses onquality medical post-graduate training.

As a result, the DNB programmes inGeneral Medicine and in Obstetrics& Gynaecology started in 1993 and,

subsequently, in Surgery, Orthopaedics,Paediatrics, Anesthesiology, EN andFamily Medicine.

DNB graduates are well-placed bothin India and abroad. Many of them

work as full-time consultants at BBH,some holding positions as departmentheads in the Hospital.

NBE has strict guidelines,conducting periodic inspections andclosely monitoring a variety of aspectsconcerning the DNB programmes.BBHs DNB programmes have runsuccessfully till date. Te emphasis isnot only on imparting quality t rainingbut also on teaching ethical practices. In2012, NBE presented to BBH the BestDNB eaching Hospital 2012 award,

for excellence in teaching.BBH has also taken the lead in

forming ANBAI, which aims at creating win-win partnerships between NBEand accredited hospitals.

Dr P. PadmajaDNB Coordinator

The DNB thrust

His Excellency H.R. Bhardwaj, Governor of Karnataka and Kerala (centre) with (L-R) BBHsDr .S. Girish, Dr Ajay Shetty, Dr Alexander Tomas and DNB Co-ordinator, Dr P. Padmajawith the National Award for Excellence in eaching, given for 2012 to BBH for the DNB programmes

DNB graduates are well-placed both in India and abroad. Many of them work as full-time consultants at BBH, some holding positions as department heads in the Hospital.


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Index ofterms andfrst namesSymbols40th Anniversary celebrations

83

AAcademic milestones 144A. Chandrashekaran 92Administrativ e Committee 8,

13, 38, 49AHPI 4, 86, 87Ajay Shetty 62, 90, 93, 143,

145Alexander Tomas 7, 8, 10,

12, 23, 35, 36, 44, 48, 55,62, 66, 73, 83, 86, 87, 88,90, 92, 93, 119, 131, 136,142, 143, 152, 154

Aleyamma 54Amith Tomas 54Amy Siew 90, 102Amy Siew Raichur 90A. Narayanaswamy 154ANBAI 4, 89, 143Aniamma C. Joseph 90Anil Kumar N. 62Anita Tomas 63, 64, 157Anurag Agarwal 89A.P.J. Abdul Kalam 34Arati Verma 88AR 78, 105Arul Shanthi M. 83Aruna Newton 92Arun Hubert 8Arun Maira 92Arvind Inbaraj 62

ASHA Foundation 78Asha Tomas 8, 157Ashoojit 117Awards 52, 53, 54, 73, 90, 91,

136, 142, 143Azam Mohamed Jillani 149

BBadari Datta 52, 87, 90, 92,

93, 147Balaji Srihari 145Balan 132Baptist Balasuraksha 146Baptist Mission Hospital,

ezpur 116Barbara Wikman

Barbara 16, 25, 26BBH Devanahalli 154Beenamma Kurian 87Benjamin Pulimood 7, 9, 21Benny Woods 44, 45, 62Berappa 131Beulah 78Bhardwaj 93, 143Biju J. John 8Bill Marshall 18Biogas 153Bipin Batra 89Blessy Anu Tomas 83Bless Yu 68Bob Parker 66Bouquet o services 70

CCABG 4, 62CAHO 4, 88, 90, 141Carolyn Woods 44CCHI 4, 88Celina 29Charit Bhograj 62CHD 4, 111, 113, 115, 117,

118, 119, 122, 123, 126, 129

Chemotherapy 70, 102, 103Chicken coop 24, 25Child abuse 146Child Response Unit 146Christa Mitra Hospital,

Ankola 116Christian Institute o Health

Sciences & Research,Dimapur 116

C.K. Prahalad 92Clementia Moses 132Clyde Meador 7, 23CMAI 4, 78, 141CMC Vellore 6, 7, 9, 11, 13,

17, 19, 21, 23, 28, 35, 75,76, 88, 130, 134, 140, 141

C.M. John 131C. Narayanaswamy 154Col Deepak Bunyan

Col BunyanBunyan 12,

coffee table book - sample

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