BW Healthcare July-Aug 2023

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 101 He says that Yashoda has now become a household name in Ghaziabad due to the relentless efforts of his parents to which he has added strength by putting in innovative ideas of digital marketing and service excellence. “Yashoda’s OPD satisfaction rates have improved from 91.9 per cent to 92.5 per cent from 2021 to 2022 and the IP satisfaction rates have improved from 94.6 per cent to 97.8 per cent. The OPD volumes had a growth of 21 per cent and the IPD volumes had a significant growth of 57 per cent,” reveals Arora. Arora believes that a satisfying patient experience is the ultimate goal of all healthcare providers. The outcome of these continual measures he says have reflected in the patient satisfaction rates and the volumes of the patients reflected in an increase in turnover and Profit after Tax (PAT). “My ideas on process reengineering had led to a turnaround of revenues of many departments like Ophthalmology, Physiotherapy and Diagnostics which helped improve our bottom line and topline. To quote a few process re-engineering projects, the organisation had commissioned HIS (Hospital Information System) across the hospital in 2017 which was underutilised, however with management’s focus on use of HIS, the HIS system picked up,” Arora explains He says the HIS not only improved productivity by less utilisation of staff in carrying indents and other records from point to point but also saved a lot of stationery costs especially paper and printing besides manpower costs leading to Cost Reduction of 1 per cent In the Material consumption expense for the FY. Yashoda’s OPD satisfaction rates have improved from 91.9 per cent to 92.5 per cent from 2021 to 2022 and the IP satisfaction rates have improved from 94.6 per cent to 97.8 per cent. The OPD volumes had a growth of 21 per cent and the IPD volumes had a significant growth of 57 per cent Building Satisfying Patient Experiences SHUBHANG ARORA S hubhang Arora, Executive Director, Yashoda Super Speciality Hospitals comes from a family where the inception of starting a hospital was the underlying illness and untimely death of his grandmother. Arora says that his family started the hospital with the motto of serving the people and made small gains from the industry slowly progressing from 1990 to 2023 building one hospital after another. “We as a family have empathy with every patient in the hospital and treat him/her with the best in healthcare and our dictum in healthcare is that people should be onboard with us for a journey of illness to wellness,” states Arora. Shubhang Arora, Executive Director, Yashoda Super Speciality Hospitals speaks on his role in the hospital

102 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM Recently with the active interventions of Organizations like DGFASLI, IAOH (Indian Association of Occupational Health), ICOH(International Commission on Occupational Health) and its committed members in respective state branches the branch of occupational health has flourished to benefit the wellbeing of the citizens of India as a whole. Occupational health deals with ill health arising due to work or work environments. Dr. Soumya Prabhat Jati opines that this is not a routine field which a doctor chooses after completing his or her MBBS. According to him the journey professionally till now has been ef- DR. SOUMYA PRABHAT JATI The Developing Awareness Of Occupational Health Dr Soumya Prabhat Jati who is currently working as an occupational health physician at Haridwar, Uttarakhand feels that occupational health is key to a healthier society fectively impactful with these 5 ‘I’s – 1. Intriguing 2. Inspiring 3. Interesting 4. Illustrating 5. Invoking These 5 ‘I’s have given her motivation and a deep experience in terms of understanding him role clubbed with the various methods. It seems that he has derived a lot of basic understanding using her own techniques and skills. He also said that, “According to me India has a long way to go as far as diagnosing, treating and preventing occupational diseases are concerned. The major gap according to me has been - a. Lack of awareness on the subject b. Lack of training of medical professionals in the discipline c. Lack of social acknowledgement towards the pertaining issue These three issues need to be addressed and this exercise will eventually open doors to various opportunities.” Occupational health physicians over the years have played a key role in business continuity by taking care of the health and wellbeing of employees. He also went on to say that, “It is not that by doing so they just enhance the productivity of the employee but also help the employee lead a healthy and long life, in spite of the occupational challenges.” By participating in platforms like these she plans to promote occupational health as an important segment of the healthcare spectrum per say. He also said that, “Last but not the least, I would like to thank my mentors Dr. Shriniket Mishra, senior members of IAOH, the various organizations that I have worked in, my family and friends for the unflinching support and motivation.” I personally plan to continue my research and innovation in this field - get it verified by senior members of the community by participating in the National and International Conferences like OCCUCON, HWWE etc

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 103 Technology can be a game changer in bridging the gap by making diagnostics easily available and accessible. In addition, providing comprehensive diagnostic solutions across healthcare systems in India can be a great step forward in filling this gap. “We as an organization see our present positioning and outlook in the digitally driven diagnostic ecosystem,” said Dr. Aakar Kapoor. Along with this, he thinks demonstrating innovative approaches to patient care and supporting pioneering research and breakthrough technologies has also contributed to his success. He explained with gratitude that, “I have been involved with the industry and my active participation in key healthcare events, followed by thought leadership has finally led to this achievement. I would also like to extend gratitude to my team and City X-Ray & Scan staff who have left no stone unturned in delivering the most professional and accurate diagnostics services.” He believes that the gaps or challenges in diagnostics space in India are self-monitoring, supply chain and logistics, lack of access to quality diagnostics services, developing technology enabled healthcare system in rural areas, lack of registered and qualified diagnostics professionals, and accessibility of quality healthcare. He went on to say that, “We have many plans in the near future and intend to open multiple centres across Delhi-NCR to reach out to more people and provide high-quality diagnostics and imaging services, all under one roof. Since it is the trust of our customers that has taken us so far, we intend to take this relationship further to establish a standard for quality diagnostics.” It has definitely been an incredible journey for him so far and they are determined further to provide impeccable pathology and radiology facilities with the latest technology and equipment. This will help them to increase DR. AAKAR KAPOOR This is a great platform for recognizing the best young minds or talent which made a difference in healthcare space through innovation and technology Exploring The Benefits Of Technology Dr. Aakar Kapoor, MD Radiodiagnosis (Gold Medalist), Director & Senior Consultant Radiologist at City X-Ray & Scan Clinic, praises the BW Healthcare platform which is encouraging growth their revenue targets and grow exponentially. Whilst expressing his gratitude and happiness, he mentioned that, “This has been an encouraging experience and I feel grateful for the award by an excellent jury which recognizes exceptional talent in healthcare leadership. With this achievement, I think the diagnostics space is being focused upon and it is a good sign for healthy healthcare that its importance is being acknowledged through such platforms.” He also felt that with this milestone or achievement and his success due to constant advocacy for state-of-the-art diagnostics services has further encouraged him to contribute to a more efficient healthcare.

104 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM himself by saying that, “It has been a culmination of years of hard work and dedication. A profound sense of fulfillment and elation filled my heart when the announcement was made. Seven years of clinical practice and not just that but taking of multiple responsibilities and successfully accomplishing the same has led to this.” he signed off. DR NEERAJ SHAH The first challenge in Indian healthcare is the non-accessibility. Large portions of the population are unable to access to quality healthcare. The second challenge is that of limited reach of even Telemedicine. Overcoming Challenges Whether in a remote location or a city location, people are unable to access healthcare from the comfort of their own location and thus adding to the complexity of access related issues. An important challenge is that of non-affordability. According to Dr. Shah, “Government led schemes, increase in healthcare insurance penetration or by donor engagement – this challenge needs resolution if the nation’s exorbitant out of pocket health expenditures are to be met. One way to tackle this sky-high cost is indigenization of healthcare resources and technology to reduce the cost of total healthcare ecosystem of the nation.” He also feels that this will eventually result in significant cost savings for the providers and bring down the costs transferred to the patients in turn. His involvement in promoting eye and organ donation drive with Sankara Eye Bank and along with the gift an organ vertical of young Indians has led to a significant contribution to the society outside of professional sphere, devising low-cost device for improving corneal transplant outcomes and contribution in ophthalmology capacity building of the nation through training and mentoring newer cadre of ophthalmologists. Other eye care professionals seem to have been a part of a big dream that he had. Sankara Eye Foundation, India (SEFI) is spearheading into a grand Vision 2030 with a goal of providing approximately 400,000 free eye surgeries every year by 2030. He said that, “We aim to become the largest community eye care provider globally with both resilience and sustainability in built.” About receiving the BW Healthcare World 40 under 40 award he expressed Dr.Neeraj Shah, Chief Medical Officer and Consultant for Cataract, Cornea, Refractive Services at Sankara Eye Hospital, Jaipur feels that affordability is a big challenge

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 105 Encouraging Affordable Treatment SOUMITA GHOSE I n 2020, the total number of new cancer patients i n I n d i a w a s 1 , 32 4 ,41 3 a n d 851,678 people died from the disease in the country. Globally a large proportion of cancer-related mortality is from low- and middle-income countries and India shares a significant burden of this. Affordability and access to cancer care remain to be the biggest challenges, especially for the poor and hard to access population of India. SoumitaGhose feels that, “Alongside providing access to healthcare comparable with the systems of the developing world, there is perhaps a greater need to develop a deeper understanding of barriers and facilitators of cancer care in India.” According to her cancer patients need more awareness and affordability, it being key to managing the disease. She also went on to say that, “The future plans behold working towards our vision of providing world class cancer treatment in an affordable manner to all in need, especially the underprivileged; with a continuous focus on research and development.” Soumita Ghose is the Assistant General Manager - Administration and Policy at Tata Medical Center, points out challenges in affordability in this field She feels that relentless work towards cancer reduction and even treatment and prevention will make a big difference as well. Cancer can be prevented and treated. The biggest challenge though, is that not everyone can afford the treatment of this deadly disease. The access required needs to be created in a structured manner so that it can reach the masses and also help an umpteen number of people who need help with fighting cancer. About winning the BW Healthcare 40 under 40 award, she said that, “This has reinforced my passion for working with cancer prevention and care. More than being an individual award, I consider this a recognition of the tireless efforts that go into everyday lives of healthcare workers to bring comfort, compassion, dignity and equity to their patients.” All said and done, she seems like a person on a mission to save lives and create a lot of awareness around the subject of cancer and its preventions, treatment, cure and eradication. Dedicated to this, she has aspirations of contributing in a vast way.

106 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM Regulatory advancements, enhanced manufacturing infrastructure, increased affordability and reimbursement, R&D, and awareness initiatives will shape this space. These developments will pave the way for expanded access to therapies, improved patient outcomes, and the continued growth and innovation of CGT in India and beyond.” Talking about winning the BW Healthcare 40 under 40 award he said, “This motivates me to continue making impactful contributions to the healthcare sector in India. It is an incredible honour, and I am filled with a profound sense of gratitude and joy. It is a testament to the years of dedication, and passion I have poured into the field of healthcare. This is because of my relentless focus on improving healthcare access for all individuals in India and the region.” DR. KUNAL JOSHI One of the primary challenges is the need for a robust, streamlined regulatory framework. Establishing state-ofthe-art infrastructure and having skilled workforce will contribute to scalability, cost-effectiveness, and timely availability of treatments Addressing Serious Issues Cell and Gene Therapies are at the frontier of cancer treatment, offering real hope to millions. In the few countries, where cell therapies are available, these are very expensive, and access is limited. According to Dr.Kunal Joshi, “We at Immuneel are led by a group of healthcare visionaries, with a purpose to make CGT accessible in India and the region. We are on a mission to bringing the next-generation cell therapies, harnessing the bioengineered immune cell affordably, revolutionizing cancer care in India and giving hope to our patients.” He also feels that by combining his unique MBBS-MBA background and diverse experience across renowned organizations, he has been able to approach healthcare challenges from a holistic perspective. This multidimensional skill set has allowed him to drive innovation, bridge gaps, and implement effective solutions. Describing his contributions, he said “I have constantly sought innovative approaches to address healthcare needs, leveraging technology, and collaborating to create sustainable and impactful solutions. From touching the lives of over a million patients through innovative therapies, digital healthcare ecosystems, and patient-centric programs to commercializing the first-ever Indian FDA approved Cell and Gene Therapy (CGT) products in multiple indications, I have consistently demonstrated my capacity to create a scalable impact.” Patient access is key he feels, and the awareness required is vast. He feels the need of the hour is to address the challenge of affordability which is very crucial to ensure equitable access for patients across different socioeconomic backgrounds. “Healthcare professionals, including physician and paramedics need specialized training to administer these therapies effectively. Encouraging collaborations between academia and the industry will accelerate R&D efforts in CGT,” he states Looking ahead and at the larger picture, the field of CGT in India and the region holds immense promise. As per Dr.Kunal Joshi, “With concerted efforts and strategic interventions, we can expect significant advancements. Dr. Kunal Joshi - Commercial, Cell and Gene Therapy, Immuneel Therapeutics,addresses several gaps in the field of Cell and Gene Therapy (CGT)

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 107 The Indian diagnostic segment faces challenges in terms of accessibility, infrastructure, standardisation, and service quality. Diagnostic services are more concentrated in urban areas, leaving the tier 2 and tier 3 cities, rural and remote populations underserved. Additionally, the cost of diagnostic tests and services can be prohibitive for many, hindering timely access to healthcare. Inadequate infrastructure and equipment in smaller towns and rural areas result in delays, lower accuracy, and limited testing options. According to Dr. Arjun Dang, “Looking ahead, the Indian diagnostic space is being strongly influenced by technological advancements, including point-of-care testing, AI-based diagnostics, genomics, and personalized medicine. These advancements have the potential to improve accuracy, speed, and cost-effectiveness.” He feels that efforts to enhance accessibility and affordability through initiatives like telemedicine, mobile health units, and public-private partnerships can bridge the gaps in diagnostic services and reach underserved populations. Regulatory reforms promoting quality assurance, standardization, and accreditation can enhance credibility and ensure patient safety. Collaborations and partnerships between diagnostic service providers, healthcare institutions, technology companies, and government agencies can drive innovation, expand reach, and improve the overall ecosystem of diagnostics. He states that, “Dr. Dangs Lab’s primary motive has been provision of high quality, personalized and accurate laboratory services. The company shall keep on expanding its footprints in the market for furthering its mission and making high quality diagnostics available to the community.” In this endeavour, they look forward to adopting cutting edge technology and embarking on innovative service quality initiatives in order to provide the best and world-class diagnostic facilities to their patients. He concluded by saying that, “Winning this award for the second time is an affirmation of our unwavering commitment toward healthcare and patient service and an acknowledgement if our relentless pursuit of excellence. I believe that this recognition is far beyond an individual achievement. It has been made possible by countless hours of dedication, resilient effort and seamless collaboration of the team at Dr. Dangs Lab.” He said that their vision of service excellence and provision of the highest quality diagnostic healthcare to our community has been their guiding light throughout their journey that has inspired all of them to persevere tirelessly for making patient centred service provision possible for each of their patients. DR. ARJUN DANG Standardised protocols, quality control measures, and accreditation systems are needed to ensure the accuracy and reliability of diagnostic services. Solving these important issues in diagnostic service provision will definitely result in overall growth. Improving Health Infrastructure Dr. Arjun Dang – CEO of Dr. Dangs Lab, expresses his views on improvement of healthcare services and eradicating existing challenges in this domain

108 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM on total retention. Talking about winning the BW Healthcare 40 under 40 award, he said, “The team has worked extremely hard and this award is theirs more than mine. It feels great to receive this honour and to have had the opportunity to attend the event. It was truly a pleasure to interact with fellow winners, jury members and other eminent personalities from the healthcare industry. The insights gained have been tremendous.” He also appreciated the other panellists by saying that, “I was truly spell bound after my frank and open discussions with the charismatic Dr. Velumani and the supportive Sanjiv Navangul, both titans of the industry. My fellow speaking panellist Priyanka Chigurupati was also extremely helpful and gave the audience and me insights into the US market that are truly unique and the work that she is doing with Granules Pharmaceuticals is going to be massive over the next decade or so.” The inacces - sibi lit y a nd high cost of treatment for super speciality therapies is the biggest problem in this segment. Treatments have always been centred round large hospitals and as fast as the private healthcare provider industry is growing to bridge this gap the smoother will activities go on. Devashish Singh said, “I believe that a lot of care and healthcare delivery will move to an outpatient or at home setting. And that’s the area that we want to work in; to partner with likeminded start- ups to overall reduce the price and accessibility issues and by continuing to provide genuine medications and transparency.” He believes that it has been their customer service and the reviews that they get from across the country has brought Mr Med to the forefront over the past few months. He went on to say that, “On an average, we have grown 8 per cent month-month over the past 12 months. We would love to sustain this growth and try to get to 4x monthly revenue over the next 18 months. The challenges in marketing to a small target audience is the largest issue that we face and we are working on unique marketing campaigns to increase awareness amongst patients.” They are also looking to partner with pharmaceutical companies as well as healthcare providers to ensure that they can solve problems using their approach towards therapy that is built on industry average gross profitability but with higher than industry average Breaking The Shackles DEVASHISH SINGH Devashish Singh - Co-Founder & CEO MrMed.in sheds light on the inaccessibility and high cost of treatment for super speciality therapies The Government of India and various state governments are trying to work on the affordability question, but with development of cutting-edge drugs in targeted therapy, immunotherapy etc. it will be a challenge to get these at affordable prices for the masses

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 109 variety and complexity of cases performed.” Describing his journey and work experience, he said that he had got the opportunity to interact and serve diverse socio-economic patient groups. He also stated that each group needed a different approach and a tailored care plan. “Although surgery deals with a singular life at a time, the effects are amplified many times as the outcomes involve the entire families. While the direct measurements of outcomes are morbidity and mortality, the true impact by far remains intangible,” he signed off. DR. VISHAL SONI Regarding the areas that need strengthening, I am in the process of agreeing to outsource my work and accept variations in the outcomes. Also. I am learning to define work-life balance and draw a line to work hours. The Robo Doc Being the youngest consultant robotic surgeon and the youngest robotic surgery proctor in the Asia-Pacific Region, Dr. Soni also started and established one of the most financially successful Robotic General-GI Surgery Programs in India. He has served patients across strata and regions using best of technology and know-how. Having worked in a public setup, a private setup and now a corporate setup across various states of the country, he got the opportunity to interact and serve diverse socio-economic patient groups. According to him, “Each group needed a different approach and a tailored care plan. Although surgery deals with a singular life at a time, the effects are amplified many times as the outcomes involve the entire families. While the direct measurements of outcomes are morbidity and mortality, the true impact by far remains intangible.” When it comes to affordability he voices his opinion by saying that, “All segments of the healthcare industry need to work in tandem to achieve this mammoth task. It will be a collective effort of Medical Education, the Pharmaceutical Industry, Healthcare and Diagnostics Services, Technology & Innovation being utilized at the Grass roots, an inclusive approach with AYUSH and lastly the Governance believing in the goal with the bureaucratic support.” He goes on to say that areas like Robotic Surgery are set to change the paradigm of healthcare. He also said that, “My department is one of the fast growing unit in the hospital and the region with about 25 per cent YOY growth in number of surgeries and revenue since the past 5 to 7 years. Beyond numbers, we lead in the Dr. Vishal Soni - Consultant Robotic GI-AWR Surgeon, Zydus Hospitals feels that all segments of the healthcare industry need to work in tandem to achieve the task of affordability across all sects of society

110 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM From being a Paracetamol Active Pharmaceutical Ingredient (API) manufacturing facility to a multi-faceted global pharmaceutical company, Granules India has come a long way. Priyanka Chigurupati said that, “Unlike many women leaders in healthcare, I did not hail from a background in pharmaceutical. My roles over the past years, enabled me to deeply understand the different aspects of the pharmaceutical business. And, while women make up a large share of people working in health, they don’t quite often make it to leadership positions.” As of today, sheconsiders herself fortunate to have made the jump from a Divisional Manager to the C-Suite through sheer grit and determination. Her exposure to different cultures changed her values as a person and gave her an outside view of her home country. These experiences completely transformed how she is as a leader and her ability to work well with global teams. She went on to say that, “During my tenure as the Executive Director of Granules Pharmaceuticals Inc. my key contributions were to set up a front-end-global business and accomplish the filing and commercialization of 30+ abbreviated new drug applications (ANDA).” She has also been instrumental in launching of packaging and distribution facility through Granules Consumer Health (GCH) a step-down subsidiary of Granules India, in Manassas, Virginia, US. Their products are distributed to over 300 customers in regulated and semiregulated markets with a global presence extending to 80 plus countries. They have six manufacturing facilities in India and one in the US. For this year, her vision is to lead the company to launch about 15 products in the US market and increase the US organization’s strength by almost 50 per cent from the present number. Her focus is to aggressively pursue international expansion. Her approach is also to develop technological platPRIYANKA CHIGURUPATI Every innovation, research and development promotes highly skilled job openings and increases scientific knowledge amongst the industry workers. This fuels economic growth, and supports newer development cycles for the country Delivering Quality Drugs Priyanka Chigurupati - Executive Director, Granules Pharmaceuticals Inc. and Granules USA says that over the years they have established a strong presence across the healthcare value chain forms in chemistry and biotransformation to boost the innovation engine and bring offerings for our customers by adopting new technologies such as flow chemistry, biotransformation and fermentation, in order to minimize carbon footprint right from raw materials to the finished dosage forms. “We are also leveraging our technology alliances to achieve backward integration for some of the key raw materials, employing innovative routes and process technologies, and focusing on manufacturing quality with sustainability at the forefront,” she signed off.

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 111 Beyond physical infrastructure, human resource capacity needs to be built. India not only needs more qualified and equitably distributed doctors and specialists but also a strong and motivated public health workforce. A crucial lever is public-private partnership. “We need to address the mutual trust issues that often come to the fore in such partnerships and implement public-private partnership models at scale. Some progress has been made in this regard but we have some way to go for achieving universal health coverage. Boosting domestic manufacturing of devices and drugs as well as promoting indigenous research and innovation is also of the essence for ensuring affordability,” saidUrvashi Prasad. She feels that sustainability has been a key element of the initiatives she has designed or undertaken. While she was at the Dell Foundation her focus was on designing projects that required only catalytic funding from the foundation while the majority of the project funding was taken care of by the government or through a market-based model. Over the last several years while working in the policy space her efforts have been to contribute to systemic changes which are both scalable and sustainable. She went on to say that, “I combine my formal training in public health at the Universities of Birmingham, Cambridge and the London School of Hygiene and Tropical Medicine with a passion for bringing about change in the health sector in India. I also have wideranging experience in the sector from the grass root level to the highest levels of policy making in the government.” She is deeply affected by inequity in healthcare. While on the one hand, India is a hub for medical tourism, on URVASHI PRASAD At a personal level, I have dealt with various serious health issues including cancer and depression and I use my lived experience to advocate for better public health services for all Indians at the policy level and beyond Catalysing Public Health Urvashi Prasad - Director, Office of Vice Chairman, National Institution for Transforming India (NITI Aayog) addresses the need to strengthen the capacity of the public health system in terms of scale across rural, remote and tribal areas as well as quality of services delivered the other, 60 million Indians slip into poverty annually due to medical expenses. She also believes that a strong public health system is imperative for India to realize its demographic dividend. “At a personal level, I have dealt with various serious health issues including cancer and depression and I use my lived experience to advocate for better public health services for all Indians at the policy level and beyond,” she signed off.

112 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM As of today, India’s elderly are experiencing social isolation ,financial challenges, the families of elderly are experiencing care giving financial challenges, burnout, stress which also has a direct effect on India’s economy. According to Amrita Patil Pimpale, “We require entrepreneurs, innovators to introduce new ideas and approaches to create a positive impact on elderly care. Recognising individuals who have made exceptional contributions in their field can help to inspire others, and even younger minds to take up leadership roles in the geriatric care sector.” She also feels that cost effective treatment options are key to a better situation. This will happen with partnerships with NGOs which have been able to offer therapies to the elderly, and providing training for caregivers at subsidized costs, making treatment AMRITA PATIL PIMPALE Transforming Elder Care Amrita Patil Pimpale- Founder of Echoing Healthy Ageing, feels that one of the most effective ways to reduce healthcare costs is to focus on preventing illnesses and intervening at the early stage options more accessible for the underprivileged elderly part of our nation’s population. Talking about her background she said, “I grew up in a small town in Maharashtra,with frequent power outages,limited connectivity to the city etc. My education was at an institute with a vernacular medium of education. While I excelled in my studies, my town did not have colleges for higher education. With hard work, grit and great support from my parents I ventured out to a big city like Mumbai and later I received the opportunity to study and work in a progressed country like UK.”She always longed to come back to India to make a difference, and she found meaning in the geriatric care sector which got her back to India and even to her my roots – her small town in Palghar, where she worked towards creating a livelihood for women from tribal areas. She also said that, “I would like every small town girl to believe that it is possible to dream big and achieve your goals, create a meaningful impact in society with hard work, determination and resilience. Recognition will follow.” She regularly engaged in activities promoting healthy lifestyles, providing screenings and check-ups, and also offering preventative care services. “Community based care and skilling workforce in urban and rural areas – We have been working on educating dementia champions in urban as well as rural areas like civil hospitals, knowledge sessions for ASHA workers etc. Programs with the government have been particularly beneficial in reaching out to people who otherwise have limited access to information on health,” she states. Cost effective treatment options and with partnerships with NGOs they have been able to offer therapies to the elderly, and training for caregivers at subsidized costs, making treatment options more accessible for the underprivileged elderly. While implementing care services in India, I focused on creating person centred care services. While countries like UK, USA focus on providing institutionalized care, in India I realised home based care will be better accepted as an intervention by the elderly and their families. Home based care was affordable and provided high quality care.

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 113 I yurved is an innovative food brand that specializes in specially designed food formulas that provide nutritional support to children and young adults with developmental deficiencies. The focus on special nutritional requirements makes us the first-of-its-kind food company to do so. After extensive R&D, backed by Ayurveda and Nutritional sciences, they have been able to cater to the special nutritional needs for children with speech delay, Autism, ADHD, stammering, sleep disorder, constipation, seasonal allergies, frequent illness and other common issues. About their initiatives, Vandita Tewari Kapoor said that, “This not only sustains our growth but also keeps it profitable, allowing us to allocate resources towards maintaining the quality of our products and supporting our customers. At Iyurved, I have built a dedicated research and development team that has meticulously formulated all our food products. These formulations are not only based on the timeless teachings of Ayurveda but are also supported by scientific research.” This unique combination of traditional wisdom and scientific evidence allows them to deliver effective solutions that address a wide range of health concerns worldwide. Counting on statistics she conveyed that, “Iyurved is one of the fastest growing profitable companies in the segment, backed by a loyal customer base who are also our biggest supporters, promoters and ambassadors. Over the last year, Iyurved has experienced an astounding 400 per cent growth, with a month on-month increase of 15 per cent. This remarkable achievement is a testament to the effectiveness of our products and our commitment to providing healthy solutions to our customers. A repeat rate of 30 per cent is a strong testament to the trust that our customers have in us, which not only adds to our profitability but also sustains our business in the long run. This level of loyalty is a testament to the effectiveness of our products and our commitment to delivering high quality, healthy solutions to our valued customers. By keeping our RTO (return to origin) rate at a modest 5 per cent, we have been able to maintain VANDITA TEWARI KAPOOR Our strong parent community has been instrumental in promoting our products, eliminating the need to invest heavily in influencers. When parents share their positive experiences with our products, it resonates with others and spreads organically through word of mouth. Creating A Community That Cares Vandita Tewari Kapoor - Founder & CEO of Iyurved is on a mission to revolutionise the way children are nourished holistically, tackling several issues sustainable growth for our business.” This is further supported by the fact that 50 per cent of their transactions are pre-paid, which helps to reduce RTO rates even further. This commitment to minimising returns is a reflection of their dedication to delivering high-quality products and ensuring the satisfaction of our customers. In a highly competitive market that includes top brands like Nutella, the company has managed to secure a 4.25 per cent market share on Amazon even in the spreads category minus the ingredients which don’t add value. Additionally, they have earned the number 4 spot in the launch pad grocery segment, outcompeting hundreds of thousands of other products. These achievements are a testament to the quality and effectiveness of their products.

114 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM Our focus on patient experience - Medulance Healthcare aims to provide a comfortable and stress free experience for patients and their families. We provide trained attendants who can assist patients during transit and ensure their safety and comfort. Also, we offer transparent and competitive pricing for our services, with no hidden costs or charges.” One of the key impacts of Medulance’s work is improving the accessibility and availability of emergency medical services to people in need. Medulance’s mobile application enables people to access emergency medical services quickly and easily, which is particularly important in situations where time is of the essence. Medulance’s work has also helped to improve the efficiency and effectiveness of emergency medical services in India. “The company’s platform uses advanced technology to help dispatch ambulances quickly and efficiently, and to provide real-time tracking of ambulance locations. This helps to ensure that patients receive timely and appropriate care, which can be critical in emergency situations. In addition, Medulance’s work has helped to raise awareness about the importance of emergency medical services in India. By providing a reliable and accessible platform for emergency medical services, Medulance has helped to educate people about the importance of seeking timely medical care in emergency situations,” said Ravjot Singh Arora. Overall, Medulance’s work has had a significant impact on the healthcare sector in India, particularly in the field of emergency medical services. The company’s innovative platform has helped to improve access to care, enhance the efficiency and effectiveness of emergency medical services, and raise awareness about the importance of timely medical care in emergency situations. Medulance Healthcare is an Emergency response Support Provider that provides emergency and nonemergency ambulance services in India. Medulance uses advanced technology to enhance the efficiency and effectiveness of their services. According to Ravjot Singh Arora some of the factors that may differentiate Medulance Health Care from other companies in the same field include technology-driven approach: Medulance Healthcare uses technology to streamline their operations, reduce response times, and ensure patient safety. He said that, “We have a dedicated app that allows patients to book an ambulance, track its location, and communicate with the driver and medical staff in real-time. We have qualified and trained staff along with a team of highly qualified and experienced medical professionals, including paramedics, nurses, and doctors, who undergo regular training to keep up with the latest industry standards and best practices. Increasing Access To Preventative Care RAVJOT SINGH ARORA Ravjot Singh Arora – Director, Medulance Healthcare said that their focus is on leveraging technology and a customer-centric approach to improve the quality and efficiency of their ambulance services In the span of 5 years, we have expanded our business and are currently operational in 500 cities with a fleet of about 7,500 plus ambulances in India and have a workforce of 200 drivers, paramedics and 50 employees.

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 115 S ugarfit’s foremost impact lies in the remarkable health transformations they have witnessed among their clients. Through their innovative technology and personalized approach, they have helped close to 20,000 individuals reduce their blood sugar levels, achieve significant weight loss, and improve overall health markers. Many have even been able to reduce or eliminate their dependency on medication. Witnessing these transformations has been truly inspiring, and it validates their commitment to providing effective solutions for diabetes reversal. Shivtosh Kumar stated that, “We believe that education is key to empowering individuals to take control of their health. Through our comprehensive educational resources, we have empowered people with the knowledge and skills necessary for effective diabetes manage- SHIVTOSH KUMAR A Combination Of Technology, Research And Innovation Shivtosh Kumar - Co-founder and CPO, Sugarfit comments on their position in the market by saying that close to 60 per cent of their acquisitions are organic ment and prevention. Our online courses, workshops, and informational materials have equipped individuals with practical tools and strategies, enabling them to make informed decisions about their health and lifestyle.” They have built a strong and supportive community of individuals living with diabetes through their online forums, support groups, and social media platforms. This community has fostered a sense of belonging, encouraged open dialogue, and provided a space for individuals to share their experiences, seek advice, and receive support. The power of this community has helped individuals stay motivated, inspired, and connected on their diabetes reversal journey. He also said that, “At Sugarfit, we are committed to staying at the forefront of scientific advancements in diabetes reversal. We invest in ongoing research and development to continuously improve our technology, program and approach. Our innovative solutions and evidence-based interventions have contributed to advancements in the field and have allowed us to offer cutting-edge technologies for diabetes reversal. The impact created by our work at Sugarfit extends beyond individual health transformations. We have contributed to changing the narrative around diabetes, inspiring hope, and demonstrating that diabetes reversal is achievable.” Their commitment to empowering individuals, fostering community support, and driving innovation has made a lasting impact in the lives of those living with diabetes. They are humbled by the opportunity to be considered for the Forbes Healthcare Awards, and look forward to continuing their mission of transforming lives and creating a positive impact in the field of diabetes reversal.” We are committed to staying at the forefront of scientific advancements in diabetes reversal. We invest in ongoing research and development to continuously improve our technology, program and approach. Our innovative solutions and evidence-based interventions have contributed to advancements in the field and have allowed us to offer cuttingedge technologies for diabetes reversal.

116 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM join hands together for directing and dedicating policies towards welfare of general public. We are innovators in Healthcare for the Dr SKS Hair Booster which has revolutionized hair treatment and reduced the need of painful surgery.” She stated. They have the vision of being the sole leader to improve the health sector so that even the low earning sector as well as the general public could avail the awareness, prophylactic as well as emergency healthcare. DR. STUTI KHARE SHUKLA The pharmaceutical companies, doctors as well as the bureaucrats should join hands together for directing and dedicating policies towards welfare of general public Formulating A Novel Solution For Hair Growth Elements of Aesthetics Chain of Clinics are a non-surgical hair growth booster treatment body which has been helping thousands of people across the globe. Their dermatology services are also present in rural areas of Balaghat district, MP where 90 percent of the population is below the poverty line. Dr Stuti Khare Shukla said that, “For the introduction of a holistic approach and plans for physical, mental and spiritual well-being of individuals, we have a mantra for the good of all.” So far painful, tedious hair transplant surgery were thought to be the last resort for hair loss patients. Dr. Stuti with her intense research formulated a novel solution for hair growth. For this she earned a lot of popularity and is popularly known as Hair Growth Queen of India. Dr Shukla treated multiple patients in India as well as global and international patients. She completed her MBBS MD Dermatology and did several fellowships in Los Angeles California USA, Singapore & Bangkok and had strong collaborations in research which led to the FDA approval of this 5 minute non-surgical novel formulation. She has well established clinics by the name of Dr SKS Elements of Aesthetics in Mumbai Hyderabad Nagpur and Central India. Dr. SKS Hair Booster is an innovative hair growth solution which doesn’t involve any downtime pain. It is extremely effective and has shown 97 percent clinical efficacy in Indian Medical Council approved Journal. “We have achieved the FDA’s approval for this innovative product which is the biggest achievement for any medical product. By a holistic approach the pharmaceutical companies, doctors, as well as the bureaucrats should Dr. Stuti Khare Shukla - Chief Dermatologist at Elements of Aesthetics Chain of Clinics has been a pioneer in non-surgical hair growth treatment

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 117 in healthcare or to bring about a completely new chapter in Indian healthcare. We are an Intellectual propertyrich company, having filed several patents, trademarks, and copyrights. I n an exclusive interview with BW Healthcare World, Apar Gupta, Founder, Blu Ocean Innovation, spoke on Deep-Tech Startups and Indian startup ecosystem. What are the gaps in your segment? How do you anticipate the trajectory ahead? The major gaps are that Deep-Tech Startups don’t get any significant support from the indian startup ecosystem with respect to investors and / or the government. Our grants were approved from the State government of Uttar Pradesh but never reached us. We are thankful to media houses such as BW who still go extra miles to provide an honest and an unbiased support and recognition to the meaningful Startups who are really working to solve bigger problems of the society What are your company’s revenue tar- gets and ambitions in the coming years? At present, we are wholeheartedly involved in the imminent launch of our healthcare technology by 2024. The vision of the company is to revolutionise the wellness and healthcare industries in India by introducing unique and novel technologies for healthcare. The ultimate goal is to bring authentic, scientific solutions to Indian healthcare that can be easily available to every single Indian at an affordable cost. Any innovations that the company is opting for? Blu Ocean Studios has the mission to use innovative and disruptive technologies to counter the existing problems Deep-Tech Startups Don’t Get Any Significant Support From Investors APAR GUPTA At present, we are wholeheartedly involved in the imminent launch of our healthcare technology by 2024 The vision of the company is to revolutionise the wellness and healthcare industries in India by introducing unique and novel technologies for healthcare

118 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM World 40 under 40 award. Speaking about the innovative practices he has implemented in his work, the doctor emphasised the importance of quick decision-making that yields remarkable results which in turn aids in striving to be the best in the field, and employing out-of-thebox solutions to address challenges. For example, he stated about implementing changes to morning briefings, which have shown significant improvements in day-to-day operations. Additionally, he emphasized the involvement of colleagues in the decision-making process to maximize their engagement. To ensure affordable healthcare for all segments of society, Mittal highlighted the importance of economies of scale, and implementing process improvements. Regarding measures for sustainability and profitability, Mittal stressed the need for organisations to prioritise both clinical excellence and service excellence. This approach enhances the long-term credibility of the organization, fostering increased trust among patients and the communities they serve, he added. Mittal also emphasized his unique advantage of being a doctor at heart and a hardcore administrator by profession. “The expertise in medical knowledge, along with finance, business and strategic acumen, enables the optimal utilisation of healthcare resources to maximise profits for the organization and the well-being of patients and communities, “ he described himself. He also pursued various educational pursuits to enhance his qualifications, including a DNB in Health and Hospital Administration, a business course for entrepreneurs from the Indian School of Business, and several certification courses from reputable universities. I ndia’s healthcare market has been witnessing significant growth due to various factors such as changes in population demographics, the emergence of a larger middle class, higher incomes, improved health awareness, and the prevalence of lifestyle diseases. The market has been expanding at a compound annual growth rate (CAGR) of 10.36 percent, and it is projected to reach a revenue of USD 516.60 million by 2023. Furthermore, the projected market volume is of USD 766.40 million by 2027, as per the market researcher, Statista. Dr Pankaj Mittal, Hospital Director of Manipal Hospital, Gurugram, was bestowed with the BW Healthcare Affordable Healthcare & Sustainable Practices DR PANKAJ MITTAL Speaking about the innovative practices he has implemented in his work, the doctor emphasized the importance of quick decision-making that yields remarkable results which in turn aids in striving to be the best in the field, and employing out-ofthe-box solutions to address challenges. Regarding measures for sustainability and profitability, Mittal stressed the need for organisations to prioritise both clinical excellence and service excellence

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 119 By Bhupendra Paintola DR. NARAYANA SUBRAMANIAM Progress In Medicine Should Be Shared & Replicated I am working to ensure that the innovations implemented in my hospital can be easily reproduced by other teams in different locations, and that our protocols can be feasibly replicated. This will enable a larger number of patients to benefit from improved efficiency and reduced costs I n an exclusive interview with BW Healthcare World at,Dr. Narayana Subramaniam,Senior Consultant, Shankara Cancer Hospital, Bengaluru, spoke on Challenges in healthcare like access, affordability, and technology’s role in addressing them What challenges do you see in the healthcare sector and how do you envision the future of this space? Despite remarkable advances in healthcare, significant challenges remain in terms of access, affordability, and appropriateness. The application of technology plays a crucial role in addressing these issues. Healthcare in India is undergoing tremendous growth, allowing us to reach a broader segment of society and elevate care standards. However, increased efficiency is crucial. By fostering partnerships between the public and private sectors, hospitals, academia, industry, doctors, engineers, and entrepreneurs, unimaginable progress can be achieved in the next decade. What are your company’s revenue tar- gets or future plans for the coming years? In medicine, progress should be shared and replicated rather than confined to silos. I am working to ensure that the innovations implemented in my hospital can be easily reproduced by other teams in different locations, and that our protocols can be feasibly replicated. This will enable a larger number of patients to benefit from improved efficiency and reduced costs. India’s advantage lies in its economies of scale, aiming to offer highquality treatment to all patients without concerns about affordability. This remains the central focus of my work. By fostering partnerships between the public and private sectors, hospitals, academia, industry, doctors, engineers, and entrepreneurs, unimaginable progress can be achieved in the next decade

120 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM I n response to the Covid-19 pandemic, the Indian healthcare system faced an unprecedented crisis that exposed significant weaknesses. To adapt, hospitals, medical professionals, and the healthcare system as a whole had to transition a significant portion of their services to online platforms, resulting in a boost to the healthtech industry. According to a study conducted by RBSA Advisors, the healthtech market in India is projected to reach USD 50 billion by 2033, with a compound annual growth rate (CAGR) of 39 per cent from FY2020 to FY2023. Currently, the healthtech sector represents just over 1 per cent of India’s total healthcare industry, as per data from the India Brand Equity Foundation (IBEF), but it is expected to grow to USD 132.84 billion by 2023. Gaurav Sharma, Chief Strategy Officer at LifeSigns, was honoured with the prestigious BW Healthcare World 40 under 40 award. When discussing measures to ensure sustainability and profitability for companies, Sharma said that it is important to emphasise that success is never solely reliant on one individual. It is always a collective effort within an organisation. “In my role as Chief Strategy Officer, I am responsible for strategizing partnerships and our growth trajectory, but I cannot bring success alone. It requires a collective effort in the right direction, with the flexibility to make necessary adjustments, to achieve sustainability and profitability for any company,” he stated. Sharma emphasised the importance of innovation in work, stating that innovation is closely associated with GAURAV SHARMA Harnessing Technology for Affordable Healthcare While there are other ways to achieve affordability, Sharma believes that the common factor connecting them all is the use and adoption of technology competitiveness and value creation. “In the digital era, especially during the pandemic, where there is unprecedented growth, fostering a culture of innovation becomes crucial. Innovation begins with a simple idea that should be valued and implemented in workplace culture as it promotes open discussions and creates an inclusive environment for innovation,” he added. Sharma suggested various methodologies to make healthcare more affordable. These include providing affordable medicines, implementing the right public health policies and proactive healthcare measures, improving finance mechanisms, and enhancing the productivity of healthcare processes. While there are other ways to achieve affordability, Sharma believes that the common factor connecting them all is the use and adoption of technology. Technology has demonstrated its ability to increase affordability in multiple industries over the long term. He added that it has reduced costs and improved productivity across sectors such as manufacturing, banking, energy, and even simple services like taxi booking. By leveraging technology, businesses have not only enhanced their overall efficiency and usefulness but also made better data-driven decisions, ultimately leading to increased affordability, he conveyed. It is important to emphasise that success is never solely reliant on one individual. It is always a collective effort within an organisation

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ffiflffffi   fifffflffiflfffffl fifffflfflffiflflffiffi U N D E R fifffflffiflffl PROF. RAMESH K. ARORA Chairman Management Development Academy Jaipur DR. MUKESH BATRA Founder & Chairperson Dr. Batra's Healthcare DR MOHIT GUPTA Professor of Cardiology GB Pant Hospital New Delhi PT. (DR.) RK SHARMA Remedial Astrology (Gem Therapy) SUZY SINGH Acclaimed Mental Health Therapist Grief Expert, International Author & Karma Scholar Suzyheals JC CHAUDHRY Founder & Chairman Chaudhry Nummero Pvt Ltd RACHNA CHHACHHI Cancer, Nutrition & Mental Health Therapist PAWAN GOYAL Astrologer ASHTAR TASHI Spiritual Diva & Soul Mentor Thought Leader, Joyologist Intuitive Healer, Author HARBINDER NARULA CEO, BW Wellbeingworld & BW Healthcareworld DR. ANNURAG BATRA Chairman & Editor-in-Chief BW Businessworld & Founder, exchange4media NOOR FATHIMA WARSIA Group Editorial Director BW Businessworld fflffl DR. MICKEY MEHTA Global Leading Holistic Health Guru & Corporate Life Coach

122 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM AI-Driven Personalised Care For Affordable Healthcare SAHIL PRUTHI Th e m a r k e t f o r d i e t a r y supplements in India witnessed substantial growth, reaching Rs 331 billion in FY21, with a compound annual growth rate (CAGR) of approximately 15 per cent, according to a report by EY India. This segment, known for its high potential due to the rise in lifestyle diseases, experienced an accelerated adoption curve following the COVID-19 pandemic. The demand for herbal supplements, as well as vitamins and minerals, has seen remarkable growth of over 25 per cent in the past year, as per the report. Recognising his contributions to the field, Sahil Pruthi, Founder and CEO of Livofy, was honoured with the prestigious BW Healthcare World 40 under 40 award. When discussing strategies to ensure the sustainability and profitability of companies, Pruthi highlights the successful projects undertaken in the areas of business, marketing, and product development that have contributed to building a sustainable and profitable company. Initially bootstrapped and profitable, Livofy recently raised a seed round of INR 4.5 crore from prominent investors. Pruthi emphasises the strengths of Livofy, including a deep understanding of the importance and impact of wellness and technology in managing chronic disPruthi believes that incorporating AI to personalise care protocols can reduce manual effort, optimise costs, and enhance scalability, ultimately improving the affordability and accessibility of healthcare services eases, efficient utilisation of technology, a dedicated and talented team across various disciplines, and a panel of 25+ specialised doctors. However, Pruthi also acknowledges the need for more partnerships with doctors, hospitals, and insurance companies to expand their reach and assist more patients in managing their care protocols. In t er ms of ma k ing healthcare more affordable, Pruthi outlines the follow ing approaches: Cost optimisation to enable scalability and reach a larger population, Personalising and sustaining care management to ensure long-term effectiveness, Integrating wellness practises with medical protocols for a holistic and scalable approach to chronic care. Pruthi believes that incorporating AI to personalise care protocols can reduce manual effort, optimise costs, and enhance scalability, ultimately improving the affordability and accessibility of healthcare services. Pruthi emphasises the strengths of Livofy, including a deep understanding of the importance and impact of wellness and technology in managing chronic diseases

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 123 plans, ensuring that employees at all levels of a company can access the necessary support without economic concerns. Additionally, she recommends appointing medical or clinical interns in less accessible areas, such as rural or semi-urban regions, to provide initial guidance on various health concerns and direct individuals to appropriate medical or clinical services when needed. Highlighting her strengths, Mittal acknowledges the challenges of entering the sexual health industry. She attributes her success to her unwavering determination, strong people management skills, effective time management as a mother and entrepreneur, and the ability to make business decisions based on a balance of intuition and data. I n response to the Covid-19 pandemic, the Indian healthcare system faced an unprecedented crisis that exposed significant weaknesses. To adapt, hospitals, medical professionals, and the healthcare system as a whole had to transition a significant portion of their services to online platforms, resulting in a boost to the healthtech industry. According to a study conducted by RBSA Advisors, the healthtech market in India is projected to reach USD 50 billion by 2033, with a compound annual growth rate (CAGR) of 39 per cent from FY2020 to FY2023. Currently, the healthtech sector represents just over 1 per cent of India’s total healthcare industry, as per data from the India Brand Equity Foundation (IBEF), but it is expected to grow to USD 132.84 billion by 2023. Recognising his contributions to the field, Shailja Mittal, Founder & CEO of Qurex, was honoured with the prestigious BW Healthcare World 40 under 40 award. On creating sustainability for her company, Mittal conveyed, there has been a significant increase in the user base on both the platform and social media channels. “In the past two months, the user base has been growing at a rate of 100 per cent monthly, while social media channels have experienced a growth rate of 70 per cent monthly, mostly organically,” she added. Mittal believes in making healthcare affordable for everyone and suggests a few measures to achieve this goal. She proposes including physical, mental, and sexual health coverage in employee health insurance Data-Driven Decisions & People Management SHAILJA MITTAL Mittal believes in making healthcare affordable for everyone and suggests a few measures to achieve this goal. She proposes including physical, mental, and sexual health coverage in employee health insurance plans, ensuring that employees at all levels of a company can access the necessary support without economic concerns There has been a significant increase in the user base on both the platform and social media channels

124 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM SUKESH CHANDRA GAIN Substantial Disparity In Access To Quality Care Within the realm of renal care, there are several gaps and challenges that require attention. Firstly, there is a substantial disparity in access to quality care, particularly in underserved regions or low-income countries. Many individuals suffering from kidney diseases lack proper diagnosis, treatment, and support services. Bridging this gap and ensuring equitable access to renal care remains a top priority gap and ensuring equitable access to renal care remains a top priority. Secondly, there is a need for greater awareness and early detection of kidney diseases. Educating the public and healthcare professionals about risk factors, preventive measures, and the significance of regular screenings is crucial. Early intervention can significantly improve patient outcomes and alleviate the burden on healthcare systems. Another challenge lies in the high cost associated with renal care, including dialysis and transplantation. Making these treatments more affordable and sustainable for patients, especially in developing nations, is essential. Exploring innovative payment models, advocating for insurance coverage, and promoting cost-effective technologies can help overcome this challenge. I believe there will be an increased focus on preventive care and early intervention to mitigate the progression of kidney diseases. Additionally, there will be a growing emphasis on alternative modes of dialysis, such as homebased dialysis and regenerative medicine, which have the potential to revolutionise the treatment landscape. What are the revenue targets or future plans that your company intends to pursue in the upcoming years? NephroPlus has set ambitious revenue targets and has strategic plans to expand its global presence while enhancing patient care. Our primary objective is to continue expanding our network of specialised dialysis centres, both through organic growth and strategic acquisitions or partnerships. We aspire to provide accessible and high-quality renal care to a larger patient population in key regions with unmet needs. There will be a growing emphasis on alternative modes of dialysis, such as home-based dialysis and regenerative medicine, which have the potential to revolutionise the treatment landscape I n an exclusive interview with BW Healthcare World, Sukesh Chandra Gain, Senior Vice President - International Business, NephroPlus (Nephrocare Health Services Pvt Ltd.), spoke on gaps in access to quality renal care, lack of awareness and early detection of kidney diseases, high treatment costs, and the need for affordability and innovation What are the existing challenges in your segment? How do you envision the future of this field? Within the realm of renal care, there are several gaps and challenges that require attention. Firstly, there is a substantial disparity in access to quality care, particularly in underserved regions or low-income countries. Many individuals suffering from kidney diseases lack proper diagnosis, treatment, and support services. Bridging this

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 125 a significant portion of treatment costs. By leveraging AI, research processes can be accelerated, reducing development time and costs. Additionally, AI increases the success rate of medicines, while blockchain marketplaces eliminate intermediaries, making medicines more accessible and affordable. Agarwal believes that these advancements will lead to lower prices of medicines, extended patent durations for cost recovery, reduced failures, direct patient benefits through incentives or subsidies, and economies of scale through a larger covered population. Agarwal highlights Innoplexus’ strengths, including cross-domain knowledge in life sciences, drug discovery, software, artificial intelligence, and business. The company has gained valuable insights through interactions with researchers, doctors, hospitals, patients, pharma companies, biotechs, CROs, labs, biobanks, regulators, insurers, and technology experts, allowing them to understand the entire spectrum of healthcare. Innoplexus also thrives on excellent educational and work opportunities, with a focus on great teams, research, patents, and products. The blockchain AI market witnessed substantial growth, with a projected increase from USD 220.5 million in 2020 to USD 973.6 million in 2027, at a compound annual growth rate (CAGR) of 23.6 per cent during the period 2020-2027, according to a Fortune Business Report. The global impact of COVID-19 has created an unprecedented demand shock for blockchain AI, resulting in positive market growth across all regions. The market’s growth is driven by the rising adoption of AI-based blockchain platforms and services by small and medium enterprises (SMEs) for various applications such as payment systems and smart contracts. Vatsal Agarwal, Senior Vice President Data & Analytics, Innoplexus Consulting Services, was honoured with the BW Healthcare World 40 under 40 award. When discussing measures to ensure sustainability and profitability for companies, Agarwal highlights the company’s exponential revenue growth year-on-year and customer retention due to its quality and value. Despite the challenges posed by the pandemic, Innoplexus managed to sustain its operations without any layoffs, unlike many other technology companies, he added. Agarwal further mentioned that given the nature of medical research, the outcomes may take time to manifest, but Innoplexus anticipates continued exponential growth in the coming years, positioning itself as the “Tesla of Pharma.” Agarwal emphasises the power of AI and blockchain to make healthcare affordable for all segments of society. He notes that the high cost of healthcare is primarily attributed to research expenses, which account for AI and Blockchain Revolutionising Healthcare Affordability VATSAL AGARWAL Agarwal emphasises the power of AI and blockchain to make healthcare affordable for all segments of society. He notes that the high cost of healthcare is primarily attributed to research expenses, which account for a significant portion of treatment costs. By leveraging AI, research processes can be accelerated, reducing development time and costs AI increases the success rate of medicines, while blockchain marketplaces eliminate intermediaries, making medicines more accessible and affordable

126 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM S weta Bandal, GM- Operations & Quality, Pushapagiri Vitereo Retina Institute, says that one should never stop learning and upscaling as continuous learning leads to continuous growth. She also says, exploring one’s own potential while being honest and dedicated to one’s role and responsibilities also helps hugely in achieving something. Speaking about her organisation, Bandal says, “Pushpagiri Vitreo Retina Institute has been renowned for its great service towards participation in reducing community blindness and enhancing the vision outcome for our dear stakeholders. I am extremely confident that the same legacy will be maintained in the future as well.” Talking about the main challenges in the ophthalmology segment across India, Bandal states that the lack of awareness in the common public regarding eye health and the importance of consulting the specialist at earliest is scarce and that people should be aware of how Vital it is to have frequent visit to ophthalmologists. “The second SWETA BANDAL Building A Brand Sweta Bandal, GM- Operations & Quality, Pushapagiri Vitereo Retina Institute talks about the challenges in ophthalmology sector and her organisation’s future plans main challenge is that the people should be made aware of the difference between clear vision and compromised vision,” Bandal believes. “As we all know that India is the world’s capital of diabetes and with the increasing number of diabetics, there is certainly an increase in the number of diabetic retinopathy and sadly the people are not aware that diabetic retinopathy is really serious when it comes to eye health,” Bandal says. Reaffirming the solution again, Bandal explains that increasing the awareness about eye health among everyone is the solution specifically in the peripheral part of India so that the country is able to overcome this problem of visual impairment across India. Speaking about her organisation’s future plans, Bandal says, “We are 100 per cent sure that our tireless efforts will increase our overall revenue and allow us to achieve our targets. The future plan includes building a brand image across Telangana, refining the in-patient stay facilities and out-patient waiting facilities, and focusing on employees’ growth patterns to create a sound working culture resulting in the best ophthalmology hospital across the southern state.” We are 100 per cent sure that our tireless efforts will increase our overall revenue and allow us to achieve our targets. The future plan includes building a brand image across Telangana, refining the in-patient stay facilities and out-patient waiting facilities, and focusing on employees’ growth patterns to create a sound working culture resulting in the best ophthalmology hospital across the southern state

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 127 DR RISHUBH GUPTA Indian Medical Device Market Requires A Multi-pronged Approach Collaboration among the government, industry stakeholders, healthcare providers, and academia is essential to creating a conducive ecosystem for the growth of the medical device industry in India high costs. Therefore, it is essential to invest in healthcare infrastructure, particularly in underserved areas. Skill Development and Training: For the effective utilisation of medical devices, it is essential that healthcare professionals, including physicians and technicians, receive adequate training and skill development. However, there is a lack of qualified professionals, which results in the underutilization or misuse of devices. Collaborations between industry and academic institutions can facilitate the development of training programmes and seminars designed to improve the skill sets of healthcare professionals. Government initiatives and investments in programmes for skill development can also be used to resolve the skill gap. Regulatory Environment: The evolving and intricate regulatory environment is one of the challenges. Clarification, simplification of approval processes, and expedited regulatory decision-making are required. The government should continue to simplify and harmonise regulations, provide explicit guidelines, and create a transparent and efficient regulatory framework. Research & Development (R&D) Investment: Although the sector is booming, there is still a sizable disparity between India and other industrialised nations in terms of R&D capacity. Investing in R&D can help boost the Indian MedTech sector in several ways, including by enhancing product innovation, improving quality and safety, and attracting foreign investment. Intellectual Property Rights (IPR) Protection: The protection of intellectual property rights is crucial for encouraging innovation and attracting investments. Strengthening the framework for intellectual property rights, enhancing patent examination procedures, and ensuring effective enforcement of IPR laws can inspire medical device manufacturers with confidence and promote innovation. In summary, addressing the challenges in the Indian medical device market requires a multi-pronged approach. Collaboration among the government, industry stakeholders, healthcare providers, and academia is essential to creating a conducive ecosystem for the growth of the medical device industry in India. Although the sector is booming, there is still a sizable disparity between India and other industrialised nations in terms of R&D capacity I n an exclusive interview with BW Healthcare World, Dr. Rishubh Gupta, Cluster Head - Malaysia, India and Singapore, Baxter, spoke on delivering personalized care, problem-solving mindset, and ambition to inspire others in the healthcare industry. Challenges in the Indian medical device market and way ahead. View? The medical device market in India has experienced significant growth in recent years. However, it also faces several challenges that need to be addressed for further development. Here are some challenges in the Indian medical device market and potential ways forward: Infrastructure and Access: There are still significant infrastructure and accessibility disparities, especially in rural India, despite India’s expansive and diverse healthcare ecosystem. Medical devices have limited accessibility to the masses due to a lack of healthcare facilities, inadequate distribution networks, and

128 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM Honouring The Future Of Healthcare A glimpse of the leading medical professionals and their forte at the BW Healthcare World 2nd Annual 40 under 40 Awards and Summit Photo Essay Dr. Velumani & Dr. Annurag Batra Quick chat: Sustainability & Energy Efficiency in Healthcare Dr.Sanjeev K. Singh( On Screen), Mr.Nandan Bhatia (Moderator), Mr.Ravjot Singh Arora Panel Discussion -Empowering Doctors & Patients Through Collaborative and Patient-Centric Diagnostics Dr. Aakaar Kapoor, Mr. Kabir Mahajan, Ms.Zoya Brar (On Screen), Mr. Dileep Mangsuli, Mr. Raghavendra Goud Vaggu, Dr. Arjun Dang (Moderator) Mr. Mohit Nirula talks about how we must create an environment that enables senior citizens to live healthy, physically and mentally

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 129 Unveiling of the BW Healthcare World Magazine Audience Winners Photo (On Screen) Fireside Chat - How do genomics & precision medicine impact outcomes? Mr. Harbinder Narula, Dr. Vedam Ramprasad

130 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM Ms. Shwetambari Shetty talks about preventive healthcare as a guide for a healthy lifestyle with Mr. Harbinder Narula (Moderator) Panel Discussion - Medical Equipment Business in India – Imported vs Made in India Mr. K. Guruswamy, Dr. Urvashi Prasad, Dr. (Prof.) U. S. Vishal Rao, Dr. Geetha Manjunath, Mr. Harbinder Narula (Moderator) Viewpoint: Women’s Health – A big opportunity for India (Startup opportunities) Mr.Sanjiv Navangul Group Conversation: Patient Acquisition – The Best Practices Mr. Ashish Bajaj, Mr. Sreejith Edamana, Mr. Amrit Agarwal, Mr. Chitti Babu, Mr. Shivam Tyagi, (Moderator)

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 131 Panel Discussion: Integrated & Functional medicine - a future towards personalization Padmashri Dr. Mukesh Batra, Mr. Vikas Bansi, Mr. Shivtosh Kumar, Ms. Vandita Tewari Kapoor, (Moderator) Keynote Address: Integrated Medicine Padmashri Dr.Mukesh Batra Group Photograph Viewpoint: Future of Healthcare: Role of Innovation and Technology Dr. H. Sudarshan Ballal

132 BW HE ALTHCARE JULY-AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM Talking about his vision in revolutionizing the pharmaceutical segment and growth prospects for the company Nikhil Chopra also expresses his views on certain issues as of today. India is now being considered as the pharma hub of the world, so we would like to ask you, what is your take on where the Indian pharmaceutical industry stands today and where we are headed? A. I have spent a couple of decades in the Indian healthcare industry and I know this, that what we sell and manufacture in India is close to $ 25 billion which is growing at the rate of around 9 to 11 per cent. This is the range of growth and equally what we manufacture and export is actually also close to $ 25 billion. Hence we are looking at $ 50 billion of medicines manufactured. This figure by the year 2030 is projected to be at $ 130 billion. I think the way we are growing and the kind of demand that is there of quality Indian medicines which are manufactured, we will be reaching even greater heights. Overall in my perspec- “We As A Nation Will Be Achieving New Heights In The Pharmaceutical Industry” Q&A By Team BW Healthcare BW Healthcare World in conversation with Nikhil Chopra, CEO & Whole Time Director – JB Pharma NIKHIL CHOPRA CEO & Whole Time Director JB Pharma

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY-AUGU S T 2023 133 tive the way the industry is growing pre-Covid and post Covid in India, and today what is happening overall in the Indian pharmaceutical market, out of $ 25 billion market, 60 per cent of the portfolio is acute centric. That means it is seasonal dependent, which maybe antibiotics, cough and cold etc. whilst 40 per cent is chronic. The chronic part of the business is growing at a healthy double digit and the acute part of the business of the portfolio across for all the companies is around mid to low single digits. The mantra always remains that there are affordable quality medicines at affordable prices. That is what has worked and will further work for India. What have been the key milestones that have been achieved? At JB, as one of the most dominant players in the field of cardio-metabolism, we have a big franchise called Cilacar which is close to a 500 crore franchise, in which we enjoy 50 per cent of the market share in this entire market of Cilnidipine. We also have Nicardia where we enjoy 90 per cent of the market share. Nicardia as a product is a potent anti-hypertensive product which is a drug One thing specific that has happened post Covid particularly for the chronic part of the diseases where the burden is so high, for example cardiometabolic or neurological disorders, Opthamology, Glaucoma etc., I feel that the awareness levels of the consumers have become very high of choice for uncontrolled hypertension. These are organic brands that we have built in the area of cardiology, particularly in hypertension. 6 months ago we acquired a brand called Razel which is a lipid lowering agent, from Glenmark, and is a 60 crore brand that we acquired. In 2020 we were the thirteenth player in the area of cardiology. We were covering 40 per cent of the cardiology market which today is valued at close to 25,000 to 30,000 crores. In 2 years from the rank of 13 we are now at the rank of 8 in the cardiology market and we cover 90 per cent of this market with our range of products for cardiology and now we are the fastest growing company in cardiology. We are creating more awareness. Beside cardio-metabolism we are also a dominant player in the field of paediatrics. We have a good range of products in this field as well. We have an ample number of such products and we enjoy a good equity with 25,000 to 30,000 paediatricians in the country. What is your perspective as a pharmaceutical company regarding the balance between profitability and affordability?

134 BW HE ALTHCARE JULY-AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM Very clearly, as I mentioned earlier – quality medicines at affordable prices is our mantra. Accessibility is part of the entire supply chain and distribution in the country and we have 3,000 distributors across the country. Wherever possible what initiative we could take is reduce prices. For example, we have a heart failure pill where the cost of it is at Rs. 50,000 to 60,000 a year which many people cannot afford. Whenever we get the chance and looking at the near future, as there are already potentially 10 to 12 million patients who are potential sufferers of heart failure, out of which hardly 10 to 15 percent of these people are taking treatment. Diagnosis is costlier, medication cost is costlier, so why not improving overall accessibility in the product that comes at a quality standard and the question lies – Why can’t we make it more affordable? I am a big fan of volume growth and huge opportunities in terms of how we can serve the growing numbers of patients in the country with a portfolio which we have widened and our offerings are there. Overall, India having a population of 1.3 to 1.4 billion people, I What is needed to bring a change in India in terms of expectations from the policy makers, regulatory bodies and what is the industry’s expectation? My view is that we should not get into that because what is happening currently in India is that patented products which many of the multinationals have launched in India, have their restricted way of marketing and distributing those products in India. What is happening is that those multi-nationals are tying up with many of the Indian companies to make the products available and reach the clinics of doctors. I think that is the mid-way where things have evolved. In terms of what are the companies expecting, or frankly what the government is expecting before getting into R&D that there are fundamental issues that have to be resolved as in where India should be self-reliant in making basic intermediates of API (Active Pharmaceutical Ingredient), paracetamol etc. That basic problem has to be solved. 70 to 80 per cent of our country’s population is deprived of these basic molecules. People are now concerned a lot about their immunity and how they can sustain their immunity levels which will help them, in terms of not becoming victims of any chronic ailments they might be suffering from, and living a better quality of life feel that still the reach, and I want to double my medical representatives in the country, though we have 2,000 medical representatives already and 300,000 doctors in the country. Hence, there is a very vast scope in terms of our products as well. Q&A

#BWSocialImpact JURY MEMBERS CO JURY CHAIR KRIS GOPALAKRISHNAN Chairman - Axilor Ventures & Trustee Pratiksha Trust DR. KIRAN KARNIK Former President, NASSCOM MATHEW CHERIAN Chairperson, CARE India NATASHA PATEL CEO India Sanitation Coalition SHALINI BHARAT Director / Vice-Chancellor Tata Institute of Social Sciences NOOR FATHIMA WARSIA Group Editorial Director BW Businessworld DR. ANNURAG BATRA Chairman & Editor-in-Chief BW Businessworld & Founder, exchange4media Group DR. BHASKAR CHATTERJEE CEO, Anil Agarwal Foundation (Vedanta Group) DR. HUZAIFA KHORAKIWALA Trustee & CEO Wockhardt Foundation ANU AGA Former Chairperson Thermax Limited and Teach For India DR. RANJANA KUMARI Director Centre for Social Research New Delhi PADMASHREE DR. NIRU KUMAR Founder & CEO, Ask Insights POWERED BY KNOWLEDGE PARTNER EVENT PARTNERS EVENT PARTNERS Devika Kundu Sengupta +91 98716 54991 | [email protected] Neeraj Verma +91 80768 25854 | [email protected] Powered by 2ND EDITION Scan to nominate NOMINATE NOW SEPTEMBER, 2023 JURY DATE : JULY 22 LAST DATE TO NOMINATE: JULY 20

136 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM The global phenomenon of c l i m at e change has been exerting unforeseen a nd u nex pec t ed changes in weather patterns over the past years. The increase in surface temperatures across the world, rising sea levels, and changes in rainfall patterns are wreaking havoc on ecosystems and impacting human health and productivity in ways that were unimaginable a few decades ago. Agencies like NOAA Climate. gov, which monitor the rate of change in the earth’s temperature, have revealed that the earlier average rate of temperature change which was 0.08 degrees Celsius every 10 years, has now increased to 0.18 degree Celsius since 1981. This has led to countries like India witnessing unprecedented heat waves. In fact, 2022 was one of the hottest years recorded in more than a century. Higher temperatures have a significant impact on work performance and affect individual productivity – both at home and at work. Even small increases in temperature play a role in this. Research done over the past several decades shows that the ideal HOW HEAT STRESS IS IMPACTING YOUR PRODUCTIVITY & WORK OPINION By Shivam Tyagi ambient temperature for efficient human performance lies between 20-22 degree Celsius. Working in conditions beyond this temperature range has been shown to affect efficiency even for those engaged in sedentary work. Studies have shown that productivity declines by approximately 1 per cent for every degree that the temperature rises above 25 degree Celsius. In extreme heat, productivity can drop by as much as 20 per cent, which can have a significant impact on a company’s bottom line. Why does this happen? Whenever there are higher temperatures encountered, the physiological proHigher temperatures have a significant impact on work performance and affect individual productivity – both at home and at work. Even small increases in temperature play a role in this

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 137 individuals and manifest i n symptoms such as dizziness, confusion, and fatigue, which can make it difficult to concentrate and perform. Needless to say, employers need to be cognizant of this and implement measures to mitigate the risks to their workforce. In my role as a Health Partner to corporate leadership teams, I have seen that understanding heat exposure risks that organizations and employees face is only a starting point. As temperatures increase, conducting a proper Heat Risk Assessment for all business units and activities is critical to formalizing a Heat Exposure Management Plan for the organization. Some other strategies that can help are as follows: Awareness: Making employees aware of the risks and what they can do to prevent heat illnesses helps. Heat first-aid training sessions can help managers and employees like to identify the onset of symptoms in themselves and their co-workers, which in turn can help in limiting any consequences. Hydration: While providing adequate amounts of clean drinking water is a must, employers must also make oral rehydration salts available. Reminding employees to drink water and other fluids often, is essential. For every 20 minutes of outdoor work, at least one or two cups of water need to be consumed. Control the controllable: Temperatures at the workplace can be controlled by using air conditioning, fans, and other cooling devices to keep employees comfortable. While this is done, the value of air circulation cannot be overstated. Having a fan working at a low speed in an air-conditioned environment helps with circulation. Prevent heat radiation by using sun control films on windows and insulation on hot surfaces like pipes in factories. Flexibility: Allowing employees to start work earlier helps in ensuring that a majority of the workforce does not commute during peak heat hours. Encourage employees to take frequent breaks throughout the day. A work-rest schedule needs to be implemented that takes into account the nature of the work being performed. Attire: Allowing climate-appropriate clothing in areas of high temperatures can help employees perform better. Uniforms made of thick fabric and tight clothing made from synthetic fabrics can quickly reduce productivity. Use cotton clothing in lighter shades as much as possible. The impact of heat on productivity in the workplace is too significant to be ignored as a seasonal occurrence. With climate change, seasons themselves may not follow the usual patterns. Employers must be proactive in assessing their exposure and drawing up a response that mitigates the threat to employees’ productivity and health. cesses in our body lead to the diversion of blood supply away from the brain to the skin and extremities. This causes sweating and subsequent evaporation that helps to regulate the body’s core temperature. This diversion of blood, however leads to lower focus and concentration, leading to delayed completion of tasks and errors. Coupled with the release of the stress hormone cortisol, this affects the ability to think clearly before making decisions, leading to impacted performance. Heat can also affect mental and emotional states which in turn can impact productivity and lead to workplace conflicts. The most vulnerable ones are those whose occupations demand outdoor work in the energy-sapping heat. Working in such conditions leads not only to a lowered ability to work but also a lower willingness to work. Conditions like heat exhaustion, heat stroke, and dehydration are all too common in these DR VIKRAM VORA Medical Director (India) International SOS

138 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM What is Fibromyalgia? Fibromyalgia is a mental health condition, which manifests in the symptoms like chronic pain, headache, insomnia, anxiety and fatigue. It affects various systems of the body likethe nervous system, endocrine system, muscular system and immune system. The signs and symptoms are rheumatological and musculoskeletal in nature. People who are diagnosed with fibromyalgia suffer from severe muscular pain, numbness in the body, persistent physical exhaustion, difficulty in sleeping. Neurologically these people show less capability to deal with distress in day-to-day life, due to dysregulation of HPA Axis and not having optimum level of activity at sympathetic and parasympathetic nervous system. What are the signs and symptoms of Fibromyalgia? The list of impacted areas of the body is never ending. It is very much probable to have nausea, motion sickness, Irritable bowel syndrome, stiff muscles leading to limitations related to movement, attentiondeficit, mood lability, anxiety, depression, urinary tract infection, Polycystic Ovarian Disease, skin infections, roughness of the skin, rashes, unhealthy nails, which keep breaking off, cold and cough, migraine with very high light sensitivity, swelling of the limbs, low level of glucose and sugar in the body, and sexual health related problems.People who have had difficult childhoods, traumaexperience or intensive medical procedures are vulnerable to develop fibromyalgia. Is Fibromyalgia a mental health disorder? Fibromyalgia was considered a mental health condition in 1992 for the first time as it was added to “International Classif ication of Diseases(ICD-10)”. It is still not recognized in “Diagnostic and Statistical Manual of Mental Disorders (DSM-IV TR). FibromyFibromyalgia Can Be Described As A Syndrome Affecting MIND, BODY AND SOUL: Dr. Teotia Q&A By Kavi Bhandari In an exclusive conversation Dr. Anu Teotia, Senior Psychotherapist & Assistant Professor (II) Amity University Noida, talks about Fibromyalgia and its treatment DR. ANU TEOTIA Senior Psychotherapist & Assistant Professor (II) Amity University Noida

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 139 algia has symptoms related to physical health and mental health both. It can be described as a syndrome affecting mind, body and soul. It is also called as a chronic pain condition due to widespread pain people experience and also been seen a psychosomatic condition. Is there any gender-dif- ference? In adolescents, prevalence rate in both the genders is equal but when it comes to adults, more cases are found in females than in males. Various researches also demonstrate that females experience more severe symptoms of Fibromyalgia as compared to males. We are still to find very clear reasons for this sort of gender -difference, but few researchers could found out a link between females being more prone to anxiety and depression due to psychosocial (most of the trauma survivors especially when it comes to interpersonal trauma are females) as well as biological reasons (HPA Axis gets activated very quickly and remains active for longer term in females, due to the presence of oestrogen in the female body). Why do we need to talk about Fibromyalgia? It brings impairment and limitations in various aspects of life -functioning. Academics or work suffer equally due to problems with attention and memory storage retention, and high response time. Social relationships are affected largely due to persistent experience and expression of extreme negative emotions. Romantic relationships do also suffer due to the negative impact on sexual health, also leading to various sexual dysfunctions at times, more frequently in seen in females. How does Fibromyalgia affect the mental health of people? Fibromyalgia patients are more prone to develop clinical conditions of depression and Anxiety and different Cluster B and Cluster C Personality disorder like Borderline, Obsessive compulsive, Histrionic and Avoidant and also struggle with attention -deficit and brain-fog or mental malaise. Attempts to end their life are also not very uncommon in fibromyalgia patients. The experience of fibromyalgia in itself is traumatic to some people, as it takes away their control over their life, so bring the level of self-esteem down and there are also vulnerable to have body-image related issues. How is Fibromyalgia diagnosed? When it comes to diagnosis, there are specific points in the body, where people with fibromyalgia experience the pain. These points are called “Fibromyalgia Tender -Points. Hugh Smythe and Harvey Moldofsy, Physicians from Canada are the pioneers in the area of identifying these eighteen points, near the different joints in the body, as indicative of Fibromyalgia and also name them as “Tender-points. In practice, for the diagnosis, clinical exclusion criteria is used, which means ruling out the possibility of other physical and mental health conditions. And when no other physical and mental health condition could be diagnosed for the given signs and symptoms, the diagnosis of Fibromyalgia is provided. Reasons for Fibromyalgia? The reason for Fibromyalgia is not clearly known, though many cases have a family history of it, so heredity seems to play a part and most of the patients have experienced extreme negative and chronic distress in their lives. Sometimes patients also have a history of some kind of injury e.g., Automobile Accident, or infection or may be a surgery. Having childhood trauma is also very commonly seen in the patients of Fibromyalgia. Any kind of trauma, be it sexual abuse, parental neglect, physical abuse, emotional abuse, makes a person more vulnerable to develop such health conditions. Many Fibromyalgia patients have also found to be suffering from post-traumatic stress disorder. Treatment and Management of Fibromyalgia? Anti-anxiety, anti-depressants, SSRIs (selective serotonin reuptake Inhibitors) SNRIs (serotonin and norepinephrine reuptake Inhibitors) analgesics, muscle relaxants and sleeping pills are generally prescribed. Medication also depends on the set of symptoms, person is suffering from, e.g. if the person is also having Irritable bowel syndrome (IBS) or Seizures, medications are prescribed accordingly. Various Psychotherapies like Cognitive behaviour therapy, rational emotive behaviour therapy, Jacobson Progressive muscle relaxation, clinical hypnotherapy could also be used. Having childhood trauma is also very commonly seen in the patients of Fibromyalgia. Any kind of trauma, be it sexual abuse, parental neglect, physical abuse, emotional abuse, makes a person more vulnerable to develop such health conditions.

140 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM The World Health Organisation (WHO) defines telemedicine as the delivery of healthcare, where distance is a critical factor, by all medical professionals using information and communications technology for the exchange of valid information for the diagnosis, treatment, and prevention of disease and injuries, research and evaluation, and for the ongoing training of health care providers, all in the best interest of advancing the health of individuals and communities” is broadly referred to as telemedicine. The concept of telemedicine is not new, but it has gained renewed importance in the context of the COVID-19 pandemic, where access to medical care had become a major challenge for many people. Telemedicine can play a crucial role in achieving health equity by providing access to medical care to populations that are underserved or unable to access traditional medical services. In this article, we will explore some of the ways that telemedicine could assist the globe to attain health equity. • Low-Cost Remote Patient Management Telemedicine can be a game-changer for people who live in remote or rural areas, where medical services may be limited or not available. In many developing countries, access to medical care is a major challenge due to a lack of healthcare infrastructure and trained medical professionals. Telemedicine can help bridge this gap by providing access to medical care remotely. Patients in remote areas can consult with healthcare professionals via video conferencing, receive medical advice and guidance, and access medical care remotely. This can save time, money, and effort for patients who would otherwise have to travel long distances to access medical care. • Economically Accessible Telemedicine can be costeffective because it eliminates the need for in-person consultations, which can be expensive considering transportation costs Health Equity Through TELEMEDICINE COLUMN By Ganesh Subramaniam Telemedicine has emerged as a powerful tool in modern medicine with the potential to revolutionize healthcare delivery around the world GANESH SUBRAMANIAM Vice President of R&D Murata Vios

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 141 According to a Statista research report, in 2019, in India, the market size of the telemedicine industry was around 829 million USD and it will increase significantly in the coming years, reaching approximately 5.4 billion USD by 2025. and the need for specialized equipment. With telemedicine, patients can receive medical care from their homes, reducing the need for travel and minimizing the cost of medical care. Telemedicine can also reduce the cost of medical care for healthcare providers, as they can provide medical services remotely, without the need for expensive medical equipment or facilities. • Increased Access to Specialty Care Telemedicine can help people access specialist medical care that may not be available in their local area. For example, a patient with a rare disease may not have access to a specialist in their area, but through telemedicine, they can consult with a specialist remotely. This can save time and money for patients who would otherwise have to travel long distances to access specialist medical care. Telemedicine can also provide access to specialty care for people living in underserved areas, where there may be a shortage of medical professionals. • Patient Education & Awareness Telemedicine can be used to educate patients about their health and medical conditions. Patients can receive educational materials and videos via telemedicine platforms, enabling them to better understand their conditions and improve their self-care. Patient education is a crucial component of medical care, and telemedicine can help to improve patient outcomes by providing patients with the knowledge they need to manage their health effectively. • Health Equity & Inclu- sivity Telemedicine can help to promote health equity by reducing healthcare disparities between different populations. For instance, telemedicine can help in reducing the disparities in healthcare access between rural and urban populations or between low-income and high-income populations, thereby including everyone or majority of the population under the umbrella of quality healthcare access. It can also help reduce disparities in access to medical care for people with disabilities, who may face challenges accessing traditional medical services. Additionally, it can also be used to provide medical care remotely, making it easier for people with disabilities to access medical care. In conclusion, telemedicine has the potential to make a significant contribution to achieving health equity by providing access to medical care to populations that are underserved or unable to access traditional medical services. As the world continues to face healthcare challenges, telemedicine is poised to play an increasingly important role in providing access to medical care for all. It is essential that healthcare professionals, policymakers, and medical device professionals work together to develop and implement effective telemedicine solutions that can help to achieve health equity and improve patient outcomes.

142 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM The book is not only a work of spirituality and healing, but also explains about how important it is to be connected to our inner self Book Review by Kavi Bhandari BOOK REVIEW A one of a kind piece of work, the book ‘Consciousness Heals’ by Dr Newton Kondaveti truly deserves accolades. It takes the reader on a journey, emphasising on the fact that consciousness is the fundamental source of all creation. Consciousness is basically knowledge and energy. It is expressed through the mind, body and soul. The book also explains how illnesses are caused. It sheds light on the fact that when our mind, body and soul are completely aligned, we become a part of an immense source of power which characterizes limitless potential. Therefore the alignment of the mind, body and soul leads to good health and holistic wellbeing. When these aren’t aligned we tend to fall ill very often. Dr Newton’s metaphysical experiences and visions led him to discover that memories, impressions, feelings, beliefs, and frozen energies are stored in our body as a cellular memory, which determines our state of health. This is a great breakthrough in the fields of spiritual and holistic wellness. The book is divided into sections and sub-sections which describe Diving Into Our Inner Self how well our consciousness is actually functioning at all times, for our evolution and the discovery of our inner selves. By living our higher self we can eradicate all illnesses and diseases from our bodies, as our bodies are actually gross forms of the subtle planes. Our body actually talks to us and the food we consume makes a huge impact on our overall health and consciousness. What we consume is what we become, eventually, and this is a profound truth. The faster the majority of the population of humans on planet Earth understand this, the better it is for all of humanity. The book is very unique as it provides the reader with important and significant examples and very clear descriptions and concepts, which are scientifically proven. The healing power of our consciousness is so vast that it is beyond our brain’s comprehension. The book is also very good for people who don’t know about these factors that affect our health. Our mind, body and soul have to be perfectly aligned. If they aren’t, as mentioned above, our holistic health will be in a terrible kind of turmoil. Diseases can occur, but the sad part is the lack of awareness in today’s day and age about our consciousness. This is where the book excels – in spreading awareness and also providing tools and techniques to heal ourselves by eating right and living a happy, healthy and fulfilling life. On a conclusive note we can understand how our food is related to our mind and how our consciousness is the major and main factor of our wellbeing. The book is a must read for those suffering from lifestyle diseases as well. It is a work of constructive knowledge which helps us in our day-to-day lives. After reading Dr Newton’s work of tremendous content related to our consciousness and its presence and importance, we realise how less we know about the Universe. ABOUT THE BOOK Title: Consciousness Heals Author: Dr Newton Kondaveti Publisher: Simon & Schustor Number of pages: 130 Price: Rs 275

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144 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM Yoga and spirituality’s philosophies instruct us to let go of the tensions that are draining our energy. Arguments, bad relationships, demanding responsibilities, selfdoubt, rage, jealousy, money problems, and more. Any form of painful attachments—whether to people, things, events, memories, etc.— need to be broken. The practise of mindfulness teaches us to enjoy the little things while keeping our eyeon the larger picture and focusing on the details while keeping our gaze on the horizon. We may positively improve our life when we learn to let go of our harmful attachments. We develop mental health when we are physically fit. This is the powHarnessing the Power of Meditation, Yoga, and Tai Chi for MENTAL WELL-BEING AFTER HOURS By Himalayan Siddhaa Akshar We have the opportunity to develop, learn, and experience a variety of facets of life every day. By sharpening our senses, mindfulness enables us to notice and appreciate even the smallest details HIMALAYAN SIDDHAA AKSHAR Founder Akshar Yoga Institutions er we need to overcome any barriers or challenges in our way. To harness the power of the Sun, perform the Surya Namaskar exercise and practise daily meditation. Connect with higher energies Because the supreme global energy is so potent, everyone of us has a distinct handprint. This serves to illustrate the fact that we are endowed with unique spiritual abilities and skills that define who we are. We are given the freedom to express our unique creative potential however we see fit. Doing it in a way that acknowledges the divine inside us, is mindfulness. Journey Within A profound process, transformation requires a lot of inner labour. Selfexamination is a solitary path that may, nevertheless, be replete with joy and a zest for life. We must first remove our old skin in order to reach this condition of being. We will make room for new experiences in our lives as we let go of our old patterns, such as erroneous ideas, traumas, internal blocks, repressed feelings, and unpleasant circumstances, etc. You may identify the old habits that were holding you back through the inner journey and go on to more fulfilling endeavours.

WWW.BWHEALTHCAREWORLD.COM BW HE ALTHCARE JULY - AUGU S T 2023 145 We will make room for new experiences in our lives as we let go of our old patterns, such as erroneous ideas, traumas, internal blocks, repressed feelings, and unpleasant circumstances. What you think, you manifest According to the law of attraction, everything is first produced in the mental plane before it is generated in the physical plane. This demonstrates how your thinking patterns draw your reality into being. According to metaphysical research, our subconscious is unable to tell the difference between the actual and the imagined. The secret to opening up possibilities in our life is to imagine, believe, and act as though it may, might, or perhaps has already happened. Surround yourself with positive people Yoga gives us a strong sense of resolution, optimism, and faith that helps us draw other people with like energy to us. Any poisonous connection—with people, things, events, memories, etc.—that causes us harm tends to dissolve. When we practise mindfulness, we learn to focus on the minute things in life while also taking in the broader picture. We may change our lives in positive ways when we learn to let go of negativity. Unlock your potential We are all endowed with unique spiritual abilities and gifts that define who we are. We are given the freedom to express our unique creallow yourself space for reflection, contemplation, and pausing. Everyday quiet reflection walks help you focus better and benefit from a calmer, more clear-headed state of mind. Additionally, you strengthen your sense of self by walking, which is also a form of meditation. Focus on your breathing and take a detached look at your thoughts. Benefits of Tai Chi In tai chi, which is a low-impact, slow-motion exercise, you breathe deeply and naturally while concentrating on your physical sensations, much like you might in some forms of meditation. There are various ways that tai chi is different from other forms of exercise. The joints are not fully extended or bent, the muscles are relaxed rather than strained, and the connective tissues are not stretched. The motions are often circular and never forceful. Each day has its own energy and a wealth of lessons for us to learn. Being mindful makes sure we don’t overlook these priceless lessons life has to offer that can support our own quest for personal growth. We may escape the prison of routines and practises that no longer benefit us by practising mindfulness. Through asanas, pranayama, meditation, and chanting, yoga and spirituality may help us educate our minds to help us live more consciously. ative potential however we see fit. By valuing our mental health, we value the divine inside. We may discover the treasures we possess inside of us via the power of thankfulness, and this establishes a connection with a greater force. You may access and use your creative potential when you establish a connection with a higher power. Mindful Walk and SelfTalk Spend time alone every day and

146 BW HE ALTHCARE JULY - AUGU S T 2023 WWW.BWHEALTHCAREWORLD.COM Where there is purity of intention, comes enthusiastic inspiration. In today’s day and age, every professional needs to understand the value of humility. Professionals and especially very ambitious people have to understand that their only competition is with themselves. Hence, a person needs to grow in all aspects of life, and that also whilst competing only with himself or herself and not with others, which only results in the rat race of today’s world. The basic mantra or a person’s mentality as of now should be – mindfulness and the absence of arrogance. Developing an ego which is resonating out of success, can actually ruin a person’s mind set and inner self. It can lead to low selfesteem and jealousy. There is no room for negative emotions like anger, obsessed desire for absolute perfection or not being able to deal with rejection. Anger Shri Gauranga Das says that those who are not aware of how to deal with anger, can be given certain symptomatic solutions. Also, the good news is that there is a deeper intervention possible on uprooting anger totally. He explains that why it happens that even intelligent and sane people in certain circumstances and situations seem to, as they say – ‘lose it’. They are tempted and they engage in activities which they also know might be stupid but later they regret how they could have responded in a better and more mature manner, but didn’t. Desire for Perfection Perfection is a desire for excellence and if that doesn’t happen some people find that this also creates anger. Nowadays everybody is finally looking forward toan important aspect, which is well-being. Wellbeing is defined as the synergy between body, mind and the spirit. By slowing down the mind people can reflect upon what they did right what they did wrong. There is nothing wrong in striving for perfection as long as there is balance in a person’s emotional state, and a way of living. Dealing with Rejection A person taking a decision, which at times is related to the fear of rejection feels that he or she needs to grow bigger and has to outdo others while competing with the intention of showing the world that he or she is better. This keeps a person constantly in anxiety about that. It is difficult but in the long run awareness and patience are tools to deal with rejection. Rejections requires acceptance and the practice of moving on with a positive mind set. About the Author- Shri Gauranga Das has a B-Tech in Engineering and has authored 3 books. Heis also the Director of ISKCON (International Society of Krishna Consciousness)’s GovardhanEcovillage (GEV) Pure Intentions Are Key To A Happy Life LAST WORD Shri Gauranga Das A Guru, a guide, an oracle and a monk, Shri Gauranga Das has helped millions of people live a better life simply by improving their thoughts and embracing mindfulness With both intention and inspiration you can actually have the right kind of intelligence to make the right choices will give you the correct amount of intensity needed to make things happen,”

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