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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