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Vol. 2, Issue : 6
Thursday, March 12, 2009
Rural
Health a
life time
Mission
Role of
Women
in
armed
Help
your
body &
Mind
OATH
For Medical Students
1. I love my medical profession a
noble mission.
2. I will follow the motto Let my
care, remove the pain and bring
smiles.
3. I will be a lifelong learner, I will
practice what I learn and I will
train my team to be competent.
4. I will deliver quality care with
high standards irrespective of
whom I am treating.
5. I will not introduce any
diagnostic pain.
6. If any patient is unhappy with
my treatment, I will find out the
causes and treat the patient with
utmost care and free of cost.
7. I will work with integrity and
succeed with integrity.
8. I will continuously work for
complete cure and social
acceptance of all leukoderma,
HIV AIDS and leprosy patients.
9. I will make my profession,
patients my passion and service
to patients my obsession.
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Innovate to empower agriculture
Rural health a life time Noble Mission
30 years of dedicated service by Dr. Solomon has brought a new dimension to rural health
in the interior Karnataka, a place called Bet
After addressing 5000 students, teach- Geri, Gadag District and I attend 250 pa-
ers and parents at BVB Engineering Col- tients everyday. Interested Dr. Kalam
lege at Hubli said, that is the
during the inau- place I would
guration of Dr. like to visit and
RH Kulkarni me- see. Dr. Solo-
morial lecture mon face be-
complex on 6 comes bright
Feb 2009, and happily
Dr. Kalam trav- told that Sir, if
elled for 1 hour you visit that
and reached interior rural
Lakshmeswar to area, the entire
interact with village will be
the students of blessed and
Smt. Kamala & Shri Venkappa M Agadi he said, sir it is only 20 minutes from this
College of Engineering & Technology, place. OH! Then I will come today evening
Lakshmeswar. When he landed, he itself, Dr. Kalam indicated his interest to
met Dr. Solomon, welcoming him with visit that place. A happy rural doctor im-
folded hands amidst of other persons mediately rushed to the CSI Hospital for
in the queue. Seeing his humility, Dr. receiving Dr. Kalam. After all the functions
Kalam enquired in his usual inimitable are over in the day time, Dr. Kalam drove
style, What do you do? He replied, straight to the CSI Hospital at Bet Geri.
Sir, I am serving in a rural CSI hospital Continued on Page 2
Special gene causing cardiomyopathy in Indian population
Nature Genetics Journal has published online on 18 January 2009 about the findings of a typical gene called MYBPC3 or Myosin Binding Protein C
which is present in over 50.5 million Indians. This gene is set to be responsible for the occurrence of heart attack
among the Indian population when they reached around 45 years of age. This important finding has come from Dr.
Kumarasamy Thangaraj of Centre for Cellular and Molecu- lar Biology, Hyderabad and 15 others including Perundurai
S Dhandapany from Madurai Kamaraj University, Sakthivel Sadayappan from Molecular Cardiovascular Biology,
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. Based on this finding, the heart care
experts assembled here should discuss the possibility of screening of this gene among members of the families
which have heart patients. The family members who have been found to have this gene can be asked to follow a
strict vegetarian diet schedule along with aerobic exercises and meditation. A healthy life style change can make a good impact on the heart.
 E-Paper billion beats 2

Glimpses of BESEL
Rural health a life time Noble Mission .
Mission Hospital

When we landed there, it was around 7 pm, large number of patients was waiting
over there, hospital staff, doctors, patients and the local people has thronged the hospital
hearing the news that Dr. Kalam is visiting, and gave resounding welcome.

Dr. Solomon and the team of doctors gave a brief presentation about the vision and
mission of the hospital. The Basel mission started in 1834 in Basel, Switzerland, sent its mis-
sionaries to India. By 1901 the Mission was very active in north Karnataka. In those times,
plague and cholera epidemics had broken out, malaria and malnutrition took a heavy toll of
the people and famine conditions prevailed. In response to this acute need for healthcare in
this region, the mission established the hospital in Betgeri in 1902. For decades, the hospital
served by the doctor missionaries, provided only healthcare that was available in those
times. The hospital had done tremendous service to the poor as most of the treatment was
done free of cost, funded by the Basel mission. The Hospital is still fondly called the
German hospital by the local people, because of the German doctors who served here.
The Hospital has an Orphanage and a Polio Home.

The hospital was run mainly by doctor missionaries from Europe, till the early
1970s. Once the missionary doctors left, the hospital was no longer funded by the mission
and was expected to generate its own funds. It was recommended for closure in the late
1970s. An Indian Gynecologist, lady doctor who served from 1980-1985 helped in keeping
the hospital running with her selfless services. Since then many Indian doctors have served
in the hospital, some as full time consultants and many as part time consultants. Dr. Solomon
Chelliah, after graduation, he worked as Medical Officer in this hospital from 1980-83 and
then specialized in General Medicine at C.M.C Vellore, had joined the hospital as Physician
and Medical Superintendent in 1986, when there was no secondary care hospital in the re-
gion. Rural people were still dying due to poor obstetric care, poor immunization facilities,
snake bites, suicidal poisonings and infectious diseases. This is the time; the doctors under
the leadership by the Dr. Solomon decided to upgrade this hospital as a secondary hospital
with good Intensive Care Unit with ventilator facility, In-patients facilities with both general
and private wards, X-Ray unit and Hemo-Dialysis unit, Neo-natal unit. Modernization of
laboratory, pharmacy and operation theatre with facilities for basic minimal invasive surgery
was realized in a phased manner over the years.
March 12, 2009

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Dr. Kalam meets polio
affected students at
BESEL
In the polio home he
met and interacted with
around 50 students who
were affected by Polio.
Dr. Kalam promised to
arrange an FRO camp by
the Nizam institute of
Medical sciences, Hy-
derabad and DRDO, so
that specialists doctors 3.
will examine the polio
affected children and
carryout any surgical
treatment if required
before the fitment of
FRO calipers. All the chil-
dren were welcomed
this announcement by
Dr. Kalam.
Children were standing
in a queue to ask Dr.
Kalam questions and
asked number of ques-
tions with reference to
Chandrayan Mission,
nuclear deal, developed
India where Dr. Kalam
answered them one by
one.
March 12, 2009
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E-Paper billion beats 3
Rural health a life time Noble Mission ..
The challenge was how to do this, keeping the cost still affordable, so that it is not out of
reach for the common man. This objective of setting up a good secondary care centre has
been met to a large extent, in a phased manner over the years. Dr. Solomon briefed that
around 250 patients are attended to on a typical day. Dr. Kalam went around the hospital
wards, met the patients, and visited the facilities of the polio home.
The experience was very unique. In the sense, in a rural area how this hospital is pro-
viding health-care to the people with latest medical facilities at a very less cost. The in-
patients ward is having almost 100% occupancy. The hospital has managed to keep the cost
of the treatment very less and yet improve on its infrastructure. This is possible by:
1. The Specialist consultation charges are kept at Rs. 25/- for more than 20 years, making
an OPD consultation afford-
able to even to the poorest.
2. The doctors are expected to
work, more than the usual 8
hours and cover night duty as
well when the need arises.
The I.C.U bed charges are only
Rs.100/- and when other fa-
cilities like Monitors, Oxygen,
Ventilators are required, extra
charges are made.
4. Some hospital staff act as mul-
tipurpose workers, like the x-ray technician also works as a registration counter clerk.
Dialysis technician also backs up an OT technician when needed.
5. All visiting specialists and superspecialists, working part time for the hospital are
expected to charge at a minimum, considering the economic background of the pa-
tients. Since many of these doctors have established their name in the city due to
platform provided to them by the Hospital at the beginning of their careers, they do
not grudge their services to the poor.
6. Every doctor has to see the patient in OPD and in-patients. Administration is an add-
on responsibility, which the doctor has to perform in addition to the clinical work.
7. The Hospital believes in the
philosophy, that one is a doc-
tor first and then a specialist.
All specialists also work as
Medical Officers when the
need arises.
8. A hospital run pharmacy and
laboratory generates income
for the hospital, which is used
to subsidize patient care.
9. It is the general policy of the
hospital, that the staff should
be paid well and that no one should feel exploited.
 E-Paper billion beats 4

Role of women in Rural health a life time Noble Mission ..

armed forces How is it possible, that too in a rural environment? It was because of the leadership
given by a well qualified MD doctor, who graduated from CMC, Vellore, decided to stay at a
She walks with raised
rural place in Gadag district of rural Karnataka for the last 30 years and dedicated his life for a
head,
rural healthcare. He has not only provided leadership, he has enriched the healthcare facili-
With her eyes looking
straight,
She has her principles,
Unafraid of anybody!
She has a lofty
And knowledge based
pride,
Such cultured women,
Don't falter from the
chosen path.
She drives ignorance
away.
She welcomes the bliss of
life.
With learned mind,
This is the Dharma
Of emerging woman.

Yes, this is the poetry

from the great poet
Bharathiar. We have
witnessed women com-
mandos armed with weap-
ties by the collection of the little money from the patients and made the hospital serve with
ons at VSSC, Thiruvanan-
better medical facilities to the poor at an affordable cost, many times free. The patients are
thapuram during the visit of
coming to attend previous day night, stays there to get the treatment, everybody get the
Dr. Kalam to VSSC as a
Chancellor of Indian Insti-
urban healthcare without disappointment at affordable cost. He has made a difference in his
tute of Space science and life.
Technology (IIST) symboliz- While our cities boast of the most sophisticated tertiary health care infrastructure, our
ing the spirit of the Bhara- rural people are still being denied the basic primary and secondary health care. The need in
thiars song. our country is to have good, well equipped general hospitals in rural areas that can deliver
good secondary healthcare which is the key, to an effective healthcare delivery system. The
All Women Quarter above mentioned principles have helped in the past; however, the Hospital today is a testi-
Guard of CISF is function-
mony to the people who responded to a higher calling. A calling, to provide healthcare
ing at VSSC since 16 July
where it is needed the most. For this model to be successful and sustainable it means sacri-
2008, without break and
fices, dedication and above all an unwavering belief that one is making a difference in the
the motivation accorded
have led to the rise in mo-
lives of people. - By V. PONRAJ
rale of the women to very
high levels. This has given
an impetus to develop an-
other concept of All
Women Quick Reaction
Team by CISF team.

March 12, 2009

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 WWW.ABDULKALAM.COM
Role of women in
armed forces
A 14 days capsule
course for Quick Reaction
Team and STF personnel is
in progress at VSSC with
effect from 16th Feb to 28th
Feb 2009. In between the
Training program, they got
an opportunity to impart
the trainees with practical
training, during the visit of
the Dr. A.P.J. Abdul Kalam,
wherein the Women QRT
was deployed for his pro-
tection in the outer circle
and convoy from 19 to 21 th st
Feb 2009. The perform-
ance of the Women QRT
was highly appreciated and
their movements and drills
of mounting & dismounting,
swiftness and all round
visual security fully clad in
Bullet proof Jackets and
helmets with automatic
weapons was really worth
mentioning. This incident
remained the song of Bhara-
thiar as mentioned in the
beginning. V. Ponraj
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billion beats 5
Help Your Body and Mind
During 2008, Dr. Kalam
participated in the Help
Your Body programme at
Mumbai. This programme
proposes to create
awareness among the
people about the meth-
ods to combat chronic
diseases through 20,000
doctors who will function
as spokesperson in a
zone. Simultaneously, 90
diagnostic centers across 47 cities are being established for providing free testing
for detecting chronic diseases. In addition, it is also proposed to enlist the support
of local communities for building momentum in this programme. While inaugurating
the programme, Dr. Kalam had suggested to change the programme into Help your
body and mind and made the following suggestions for making the programme sus-
tainable on long term basis:
1. Spreading the habit of appropriate exercises for the mind and body to the entire
population.
2. Promoting conduct of periodic medical examination of all the individuals who
attain the age of 40 by the corporate sector for providing advice on healthy life
style intervention.
3. Making causes and cures of chronic diseases as a part of science education in
schools, so that Children can become health ambassadors for the families.
4. Arranging the screening of rural citizens on a periodic basis, so that the citizens
prone to chronic diseases can be provided with free treatment including nutri-
tion supplements.
5. Organising examination by physicians and psychologists about the status of
health both in rural and urban areas through corporate social responsibility mis-
sion.
6. The success stories of Help your Body and Mind programme can be brought out
as short films by media specialists, so that it can touch the heart of community
with practical facts.
Since the Association of Physicians of India has over 14,000 members spread in the
different regions of the country, he suggested that each one of the member can
take up a regional mission of carrying out a programme Help your Body and Mind for
screening and educating the local citizens on preventive healthcare strategies.

Billion Beats
No: 10, Rajaji Marg
New Delhi - 110016
Phone: 011-23015522
Fax: 011-23793601
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vponraj@abdulkalam.com
Thursday, March 12, 2009
Small Aim is a crime
APJ Abdul Kalam
To publish into billion beats:
Send your articles, success stories,
innovations, cartoons, poetry into
billionbeats@abdulkalam.com
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6
Towards a society free from all diseases
and cancers of the skin
APJ Abdul Kalam
I was studying the case of a person who had turned a new leaf in his life. He was also pre-
sented with the President's Award for the Best Self-Employed Person. This being a great
achievement in itself, his struggle was praise worthy as he has risen above social stigma of
being a leprosy patient. After 7 years of treatment in a Welfare and Rehabilitation Centre for
Leprosy Patients, he is fully cured and runs his own telephone booth at a City Railway Sta-
tion. This model should be followed by other rehabilitation centers in the country to make the
treated leprosy patients feel normal to function in the society. I would suggest the participants
of DERMACON 2009 to work out specific strategies in partnership with societal organizations, so
that the deformity and the associated social isolation feeling are removed from the leprosy
affected patients.
While we are engaged in rehabilitation we have also to ensure that no new cases are added.
In this respect early detection of the disease is essential in order to avoid permanent nerve
damage and deformities. This will need survey of the population and detection. We need to
educate the population and particularly the general practitioners in the government and private
hospitals about facts, the signs and cure for leprosy. Multiple Drug Therapy (MDT) a combination
of the anti-leprosy drugs such as rifampicin, clofazimine and dapsone has been found to be very
effective treatment for the disease. I would suggest that the Leprologists can study the strate-
gies followed by many NGOs and recommend whether it can be applied in government and non-
governmental organizations working on leprosy cure.
Suggestions for the DERMOCON 2009 participants
When I look at the dermatologists, venereologists, and leprologists, I would like to make
following suggestions which will be useful to the community at large:
1. All the organizations working on dermatology, venereology and leprology, prevention, cure
and rehabilitation should have a joint mission for rehabilitation.
2. Generating statistics about the number of people who have been cured of various types of
skin diseases in the country, their way of life, habitat status and education status. This data
may include whether the cured patients are living in isolated colonies.
3. It is essential to enlist the support of Philanthropic plastic surgeons who will allot at least
one day in a week for providing plastic surgery to cured patients free of cost.
4. As the rehabilitation action is progressing through surgical intervention an assessment can
be made about the type of education and occupational training needed for cured patients.
5. A voluntary movement may be started with print, advertising agencies and electronic media
to bring home to the society, how inhuman and unwarranted it is to attach stigma to skin
affected, HIV, leprosy cured patients.
6. I visualize creation of a beautiful cinema on skin, HIV and leprosy cured and rehabilitated
patients life similar to the picture Black which portrayed the story powerfully of a visu-
ally challenged girl.
7. Undertaking a pilot project of two years duration in Bangalore or any part of the country as
a starting point for eliminating discrimination and providing rehabilitation of the cured pa-
tients. The lessons of the pilot project could be spread to other parts of the country in the
second phase.
The eradication of skin diseases, HIV and leprosy among the people and mainstreaming of
the cured patients socially and economically is a multi-dimensional task. It involves an inte-
grated approach from government institutions, NGOs, medical institutions, medical associations,
rehabilitation institutions, development institutions and research institutions. I would suggest
the Indian Association of Dermatologists, Venereologists and Leprologists (IADVL) to work on
such a mission with the motto Let my brain remove the pain of the suffering. Dr. Kalams ad-
dress during the inauguration of DERMACON 2009, 37th National Conference of Indian Associa-
tion of Dermatologists, Venereologists and Leperologists (IADVL) Bangalore, 7 January 2009.