 if every patient is my relative, if every patient is treated as if they are my relative, see there are errors in the health care, nobody is God these are the rules health care is a science you apply the science, every 100% of the population is God that is why God has kept something but will it make surgery safe in our hospitals? will it benefit patients? yes, don't worry about money we are not interested to put one more hospital in a machine at a gala that is the commitment which they gave in irasanadu, this is developed in sweden and swizerland where the n care society holds it is too vigorous training tomorrow you want to become a commander in a military your team you are to identify team working, doctors are only one small part sisters, anesthetist, nutritionist, nurses, nurse care providers all team goes through the vigorous training you require tomorrow you want to be a soldier you will see rafialamal that training program if i do it, i will be leaning if i do it, i will be leaning there is no coroner cutting health care, space technology, atomic research and search release is zero margin affair if flight take off, all the protocols are 100% last protocol missed suddenly net in the nozzle, flight crashes that is the ease like that this is not operated n care society is the guardian of this they come and watch every day it is not monitored by us so it is a hard journey to be a Fauzi over years to achieve that excellency how do you know this this is not in the UK, America Asia Delhi now first on the astute of protocol 100% 75% in patient they apply patient already is benefitted they were astonished first time in their entire life 95% they are able to achieve in hospital nobody even in US UK could that is the discipline and the management we as a health care we understood as a management that money could have been put somewhere but they committed so our team went through rigorous monitoring training like how a soldier goes through over many years and every time you know what it is now it is not done but it is done by the patient they progress and interactive software is there which gives the update day to day and that is maintained by them and now first time we get and they were astonished in fact all the people who trained how did you achieve 92% in our hospital now 75% 78% that was the discipline especially I will tell you covid hit all of us at the time of the surgery but I will tell you era was a boon during covid you have to delay covid minimum human interaction surgery is not stopped life saving we cant choose between two people get treated for covid or dont come because you will develop covid health care or cancer problem they will not stop imagine covid time what we require patient should spend least time in hospital era should be 8 days in the one and half day complication should be so low you cant put him in ICU once a patient in ICU per day 10 doctors have to touch and deal in eras hardly you have to go to ICU you cant be in a drip day one uttavadi hodara begut du birbardi in eras so during the tough time of pandemic was our vigorous training and application and you will be astonished more than 1500 patients during the pandemic got benefited come get the surgery next week go more so we were the only health institution who surpassed 76% benchmark beyond 95% worst time of pandemic so now you understand the pandemic time only without complication short stay they went home this is a very very hard work i have to tell you all our colleagues vigorously supported every week we used to meet and audit yag miste kide illa hito yag 71% hito 92% hito if it is anas tisha they would reprimed me my colleagues very nagara developers what is that you are changing this is a team if you see the Bhagavad Gita how many horses are there one chariot is there that chariot is Krishna so i always say this in eras chariot one devan finger asthanu without lifting a weapon Krishna stare the chariot that is our management in our dilip, balal sir, karthik, manish they told we trust you dont think of this money and all the horses were all of us putting there and the patient was sitting in the chariot like a king going in this is something you know robotic surgery is easy for us to do but take my word improving in excellency is very tough so this is a very hard process very difficult to get accreditation so much so that we got it now we will try to be a role model to everybody so i wholeheartedly thank all the manipal anamit who had this vision all my colleagues who supported all of us together and the patients who accepted for it who derived their benefit and the nurses and the anaesthetists who made all the difference this has been like second training program for us it was easy to mch it was like a process of going through a child whom you take them to graduation or like your marriage in life so that was only once and we were honored we were a part of it on this behalf to take through this journey this is something you have to go to youtube understand hey madam you know one thing we cannot put it in one day but the bottom line is if i am a patient in manipal hospital if you are a patient your loud one is there you have got the best chance which may or may not be even available in western world today here which made a you know jadu vandrein gotha you know the snap of finger you give a different result you don't know you don't do medicine discipline protocol properly the result comes like a magic so this is something which i am honored to be part of it eye opener for me looking at the patient its very great thing and i sincerely on behalf everybody thank all the management of manipal my colleagues, our patients plus all of you i can write a message if the eyes and the mouth don't give through you it doesn't reach the society it doesn't serve any purpose what are the use of having kohinu kohinu time and yellow cut and lock are made that is the message so you are our eyes which can reach the society thank you very much for coming thank you see i am an anesthetist and then one thing that changed during this eras implementation in the post operative and post operative care that we were doing not that we were not doing for other patients but eras enabled us to sort of protocolize everything and then implement everything so that it helps in the overall benefit of the patient see the main thing that the patients are worried of during a surgery report a surgery is the pain and the sickness that follows the surgery and assess the patients pre-operatively we could identify the patients who are going to have more pain the patients who are going to have more post-operative nausea and vomiting and so we were able to start treating them during the inter-operative period itself so that the post-operative period the pain and the sickness is very much reduced it enabled them to have pain and sickness repeated in the post-operative period and that shortened the duration and see not only the beneficial effect of the eras is that it rubbed onto the other specialties also we started the program in only two branches so it rubbed onto the other branches like neurosurgery fine surgery and general surgery also those patients also have got benefited so I thank the Monicol hospital and NK for sort of allowing us to use it in the hospital especially the manager who supported us throughout this program it is the patients who are the winners before we used to operate and we used to have patients for 2-3 days now we do radical robotic hysterectomies and the next day when we go for rounds the patient is always already ready and ready to go home I can't emphasize enough the huge difference real world difference it has made the patients are happier when they go home they come back to us within a week for the next modality of chemotherapy and radiation therapy so it is truly thank you to METRONIC and to Monicol hospital for making such a great decision and making a huge real world difference to the patient all over India plus world Karnataka kalay Mukhar Nauri KGF so KGF is Karnataka's gold field so for us as such EOS is going to be the KGF or the gold find for which the entire country or even the world will look back to us because this is something that nobody in India as such has been able to establish or prove it for themselves so even if we talk about the main even if we talk about the main but who is the main who is the main person who has to go through this journey so what is more important in Monicol hospital we are focusing more on health care and not on sick care so when the focus is on health care now we have to do our health care who should work more we should work more so we are taking your health in your hands so patients are taking the health in their hands patients are made understood that you who are in birth you are not able to do anything you are not able to do anything within 3-4 hours you will be able to do anything you will not be able to do anything you will not be able to do anything the moment you come surgery over 2 hours 3 hours rest immediately you will be able to do anything within 4 hours you will not be able to walk so this gives more confidence in your hands automatically patients will come forward and they will recover so we are just going along with the guidelines and helping the patients to recover them faster and faster so the entire thing is about knowing the plan and sharing the plan all of us know the plan so we share the plan to the patient to the team all of us then we take it forward from there so what should be done what should be done they should actively participate so all of this is translated into this result what all of you can see in front of your eyes so this has been as all of us have told this is something which the whole of nation some world will look into us that even in a developed country like us or in developing country like us in India you are able to establish standards of world class and that people should come here and not we go out somewhere to take treatment from them so