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Indian Newslink 15th April 2018 Digital Edition

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APRIL 15, <strong>2018</strong><br />

08 Fijilink<br />

Timely intervention saves scores of heart patients in Fiji<br />

Venkat Raman<br />

venkat@indiannewslink.co.nz<br />

MK Misabout 45 years<br />

old. Two months ago,<br />

he suffered a minor<br />

heart attack.<br />

At Heart International in Nadi<br />

(located at 12 Commercial Street),<br />

he underwent Echocardiogram<br />

and stress test which suggested at<br />

least two blockages in his heart.<br />

M K M wanted “angiogram with<br />

one stent” or “slightly cheaper<br />

stents if available.”<br />

In his best interest, Dr Seif E-Jack<br />

and his team at the Clinic politely<br />

advised against inferior treatment.<br />

He was treated with tablets.<br />

Two months later, he returned,<br />

having secured funding for the<br />

procedure.<br />

He received three stents at a<br />

fraction of the cost of the same<br />

treatment in New Zealand.<br />

No compromises<br />

R K P had multiple narrowing<br />

of heart and has been diabetic for<br />

some time.<br />

The best treatment in his case<br />

was open-heart surgery which is<br />

not available in Fiji.<br />

He was insistent on having “one<br />

or two stents instead” since he<br />

could not afford overseas travel.<br />

Heart International specialists<br />

advised him against ‘short-cut operation’<br />

and are currently treating<br />

him with medication until he is<br />

able to secure funds for open-heart<br />

surgery overseas.<br />

There are thousands of people-<br />

Dr Seif El-Jack (Picture Supplied)<br />

State-of-the-art equipment at Heart International Fiji<br />

(Pictures from www.heartinternational.co.nz)<br />

men and women, boys and girls<br />

– in Fiji with a heart condition. But<br />

their financial condition is so poor<br />

that they cannot even dream of<br />

traveling to New Zealand where<br />

an angiogram and angioplasty<br />

procedure with a single stent can<br />

cost up to NZ$35,000.<br />

Yet they cannot and should not<br />

be allowed to die.<br />

Hearty doctors<br />

There are kind-hearted cardiologists,<br />

surgeons and specialists<br />

in New Zealand who travel once<br />

or twice a year to perform pro<br />

bono medical work but there is<br />

a need for well-trained medical<br />

practitioners and well-equipped<br />

hospitals and clinics in Fiji.<br />

Heart International fulfils that<br />

need to an extent with Auckland-based<br />

Dr El-Jack, an experienced<br />

Interventional Cardiologist<br />

and his team at Heart International<br />

in Auckland’s Greenlane. A few<br />

months ago, they established a<br />

similar but smaller facility in Nadi.<br />

Dr El-Jack travels to Fiji every<br />

Friday evening, conducts angiogram<br />

and angioplasty procedures<br />

on weekends and returns to<br />

Auckland on Sunday.<br />

“A normal angioplasty requiring<br />

one stent would cost F$ 12,000<br />

(about NZ$ 8100). We have capped<br />

the cost of multiple stents to a total<br />

of F$ 15,000 (about NZ$ 10,100),”<br />

he said.<br />

Quality Care<br />

Dr El-Jack said that the focus at<br />

his Clinic is delivery of single-tier<br />

quality care, equivalent to what patients<br />

receive at a private hospital<br />

in New Zealand. “There cannot be<br />

Budget packages in Healthcare. At<br />

Heart International, we offer full<br />

medical alternatives, not cheaper<br />

procedures using inferior products.<br />

Every patient is on priority at<br />

our Clinic and care and service<br />

delivery are paramount,” he said.<br />

Lucky young man<br />

Dr El-Jack cited the example of L<br />

M T, a young (about 35 years old)<br />

man who suffered heart attack<br />

at a local hospital. Visiting Heart<br />

International, he told the staff that<br />

he would sort out the finances in a<br />

couple of weeks.<br />

He was treated in less than 24<br />

hours – a blocked vessel from the<br />

previous heart attack, and two<br />

other vessels critically narrowed.<br />

“L M T received three stents.<br />

This is one of the few times when<br />

stents not only improve symptoms<br />

but literally save lives. Another<br />

heart attack which was eminent<br />

in his case would have been fatal.<br />

This patient settled his financials<br />

within four weeks of his treatment<br />

and was very appreciative. We<br />

were very pleased with his clinical<br />

outcome. Money is not everything,”<br />

Dr El-Jack said.<br />

Finance Ok but flight risk<br />

Financial affordability is not the<br />

only factor that determines the<br />

ability to go overseas.<br />

There are patients whose medical<br />

condition would make them a<br />

‘flight risk.’<br />

Heart International in<br />

Nadi recently treated a 50-year-old<br />

woman, who was in pain, having<br />

suffered heart attack.<br />

She was fully insured and hence<br />

finance was not an issue.<br />

She could not travel overseas.<br />

Her complex medical condition<br />

was worrying.<br />

She received stents for very<br />

critical narrowing and went home<br />

the same day.<br />

“The service that Heart International<br />

provides in Fiji is aimed at<br />

enhancing healthcare for people<br />

with not many choices. Some of<br />

them do not have the financial<br />

means, some are not insured or<br />

perhaps not insurable and cannot<br />

travel abroad. All these factors,<br />

rather risks, are addressed at our<br />

Clinic in Nadi. International expertise<br />

is now available in Fiji. We<br />

will continue to serve the people of<br />

Fiji, simultaneously training local<br />

practitioners so that someday Fiji<br />

has its own medical expertise for<br />

patients with a heart condition,”<br />

Dr El-Jack said.<br />

Dr Parmjeet Parmar<br />

National List MP based inMtRoskill<br />

My office hasmoved to<br />

68 Stoddard Road<br />

If you require any<br />

assistance Iand my<br />

staff arealways happy<br />

and ready to provide<br />

advice and support.<br />

Bringing NewZealand HeartSpecialists to Fiji<br />

● Specialist Consultations ● Exercise Treadmill Test<br />

● Echocardiography (Echo) ● Angiography<br />

● Electrocardiogram (ECG) ● Angioplasty (Stenting)<br />

Please get in touch at<br />

parmjeet.parmar@<br />

parliament.govt. .nz<br />

or on 09 62067077<br />

to make an<br />

appointment<br />

Funded by Parliamentary<br />

Service. Authorised by<br />

ParmjeetParmar, Parliament<br />

Buildings, Wellington.<br />

12 Commercial Street, Namaka, Nadi

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