Vision: To bring cardiac surgery advances within the reach of the less affluent. Mission: Is to achieve vision by voluntary participation of Hospital, Surgical team and Suppliers through multisource funding. Objectives are creating awareness and detection in Camps, Transportation and accommodation, preparation and performance of surgery and follow up. Rehabilitation by partnership with NGO's and research are integral. 284 surgeries have been performed in the ratio of 1:4 Simple:Complex. Several infants and children with cardiac diseases dying, was the impetus to develop a Paediatric Cardiothoracic Surgery Department in the tertiary centre, Chennai, India for the less affluent. Even aft... read more Vision: To bring cardiac surgery advances within the reach of the less affluent. Mission: Is to achieve vision by voluntary participation of Hospital, Surgical team and Suppliers through multisource funding. Objectives are creating awareness and detection in Camps, Transportation and accommodation, preparation and performance of surgery and follow up. Rehabilitation by partnership with NGO's and research are integral. 284 surgeries have been performed in the ratio of 1:4 Simple:Complex. Several infants and children with cardiac diseases dying, was the impetus to develop a Paediatric Cardiothoracic Surgery Department in the tertiary centre, Chennai, India for the less affluent. Even after full development of the department the waiting list remained. So rose the necessity for creating another fully equipped centre with skilful staff. Less affluent wage earner receives the worst blow if there is a congenital cardiac defect in one of his children. Apart from the overcrowded Government Hospitals he has nowhere else to go. It was hypothesised that if the more affluent brethren would contribute for the less fortunate, the problem will be solved. Robin Hood stole Peter to pay Paul. In this strategy the affluent willingly give. 285 such surgeries have been performed with around Rs. 5,91,05,578/-. Statistics showed that in India 85% of 2,50,000 babies born every year cannot afford expensive cardiac surgery. Prevalence of Rheumatic heart disease is 1,25,000. Ischemic heart disease is 1,98,000. 90% of them can become normal or near normal after surgery. Remaining 10% will have a better and longer life. So, a sample which can be replicated was started in KJ Hospital and Research Foundation as a project called Needy Little Hearts (NLH). Tamilnadu Chief Minister's Comprehensive Health Insurance Scheme (CMCHIS) that contributed 65% of the cost of surgery, and the remaining was contributed by Philanthropists and Foundations. Free cardiac surgery for less affluent began. Gradually adults also joined and this ushered in Hearts for Hearts (H4H) - a Public Charitable Trust. Surgeries where performed in Public Health Centre which was dedicated for the middle income group for over 60 years. H4H surgical team has a permanent postoperative care team of 3 Nurses and PHC has 6 Nurses. They work in unison. The nurses are empowered. The anaesthesiologist is also Chief Intensivist who has a team of Intensivists. The cardiology department has a catheterization lab with facilities for intervention. H4H is determined constantly to upgrade its knowledge through participation with Children's Hospital Boston through IQIC (International Quality Improvement Collaborative). Our goal is to have barest minimum morbidity and mortality. We need large funds of around Rs. 3,00,00,000/- for performance of 200 surgeries/annually. Corpus fund of Rs. 30,00,00,000/- will yield an interest of Rs. 3,00,00,000/- for 200 surgeries/year forever. In the mean while till the corpus fund makes us self sufficient, we need Rs. 60,000/case to maintain the pace of 20 surgeries/month. The larger fund/year is required for buying new equipment, maintenance, facilities for acquiring constant extra knowledge and skill, research activities and maintenance of professional and skill staff. This will make the project self sufficient forever. Our motto is Diligence, Determination and Transparency. Child is the most important member of the family. It is funny that babies who can neither talk nor retaliate spontaneously, become the centre of attraction. They make a pleasant change in an environment frought with strifes and monotony of daily chores. Even when there is difficulty in making ends meet arrival of the baby brings joy. If this baby unfortunately has a cardiac disease the family is shattered. They are used to living hard but even to imagine the worst in the child is the last straw in the Camel's back. Parents taking the child in their arms, run from pillar to post with anguish. Everywhere they go they are reminded of their financial status. This breaks their hearts. They know not what to do. Government hospitals are overcrowded. Each time the baby finds it difficult to feed their misery deepens. Donor Sir and Madam, these are the babies and children who benefit from your mercy. The impact you will understand when you see the family before and after surgery. With the strength of your contribution when H4H surgical team accepts performing surgery on the child, parents bow their heads and silently weep. On the day of surgery they anxiously wait outside with numbness creeping all over them. When they are informed that the child is finally well they thank God with tears of joy. For the Donor who made it possible for them they find it difficult to express their emotions. Many chant that their Donor is their God. Their precious child is back to them. Their environment does not change but their darling is back to them and so they can face any challenge. 1 such parent offered to give a borrowed Rs. 3,000 ($ 45.19) for another child's surgery. He did not mind becoming a debtor "This money can gladden another parent and that is enough for me. I have been a debtor all my life and that really does not matter". Such is the impact of surgery on the family. The baby grows very fast after surgery, is so mischievous that it tires his mother but she is happy. He/She goes to School does well in studies and sports. Proudly the parents want him/her to be well educated. Boy/Girl is full of ambition wanting to become from IPS officer, Professional and even a Farmer to help his/her parents. Society still looks at them with wide eyes but does not really take them into its fold. It likes to keep them at a distance. This always worries them. This is where rapport with the donor plays a large role. They like to talk to the donors especially on special days like their Birthday, Wedding day, etc. They feel close to their donors. According to them donors gave them life and will understand them better. If the patient happens to be an adult and the bread winner father of family or the home maker mother of family, the rest of the family is shocked and with great difficulty get the patient to H4H surgical team. When the patients go through surgery and become well family is very much relieved. The family looks at the donor and says "You have not only saved one life but also that of the entire family". This is the impact of surgery. Donor Sir and Madam H4H team does not know to what extent you know the impact of your contribution. As long as they live they remember you as their Saviour. It is not the quantum of the contribution. It is the act of giving that makes the greatest impact.
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