Overseas Patients
For overseas patients, special arrangements are made for their stay at Country Club International group of Hotels. The rates have been specially subsidized for patients of Jeevak Heart Hospital at Rs. 1000/- along with many other facilities. Once discharged after treatment / surgery from the hospital, the patient may need to stay for 1-2 weeks depending upon their condition.
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What about my post operative follow up: After cardiac surgery one usually stays in the hospital for one week to ten days. By the time the patient is discharged he is walking about. The patient sees the surgeon here at Jeevak Heart Hospital after 3-4 days, after discharge before going back home (wherever). Further follow up depends on what surgery / intervention has been done.
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For Valve Replacement patients - who have had a mechanical prosthesis put in - will need to get their prothombion time checked up, to adjust the dosage of anticoagulant medicine. This is a routine. Initially the patient feels confident in calling up the hospital and letting us know the result and we tell them what dose of anticoagulant to taken and when to get the next blood best done. Later the patient feels confident enough to regulate the dosage of anticoagulant himself / herself (though we don’t encourage this at all). The patient does it for his own convenience. Patient coming from overseas or faraway places, usually just consult their local doctor who can regulate the dose of anticoagulant medicine. Some e -mail the report to us or call us up….and we by return mail let them know, the dosage of anticoagulant to taken. The patient doesn’t have to come and visit the hospital for this, unless he wants to. Some patients after valve replacement do need repeat 2D Echocardiography (Ultra Sound sort of an investigation) say once a year. This one can get it done wherever they are and Scan the report and mail it to us.
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In case of Coronary artery bypass grafting surgery. Most cases after discharge - the patient does not need any special follow up. They have to have their Blood pressure under control, and if diabetic, their blood sugar under control. This can be followed up by local physicians (wherever the patient resides). The other thing to be followed up after coronary artery bypass grafting is Lipid Profile (another blood test); required to be done at 6 months or yearly interval. Again the result can be sent by e-mail to us to adjust the dose of statins (medicine). Patient may require EKG / 2D Echo Color Doppler to be done, yearly which can he done at the place of residence and reports scanned and sent to the hospital through e-mail. These are regular features.
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Regarding Surgery for Congenital heart defects - Most do not require much follow up except may be an 2D Echo Color Doppler after 6 month or so as the case may be - the results again can be scanned and sent to us by e-mail.
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Regarding angioplasty and stent (PTCA and Stent) - Postoperative follow up in most cases is limited to blood test, may be 2D Echo, EKG, TMT (if needed) all of which can be done at place of residence and report scanned and sent to us by e-mail.
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Within 24hours we reply to the e-mail with necessary advice. It there is urgency the reply can be expected within 10-15minutes.
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For Valve Replacement patients - who have had a mechanical prosthesis put in - will need to get their prothombion time checked up, to adjust the dosage of anticoagulant medicine. This is a routine. Initially the patient feels confident in calling up the hospital and letting us know the result and we tell them what dose of anticoagulant to taken and when to get the next blood best done. Later the patient feels confident enough to regulate the dosage of anticoagulant himself / herself (though we don’t encourage this at all). The patient does it for his own convenience. Patient coming from overseas or faraway places, usually just consult their local doctor who can regulate the dose of anticoagulant medicine. Some e -mail the report to us or call us up….and we by return mail let them know, the dosage of anticoagulant to taken. The patient doesn’t have to come and visit the hospital for this, unless he wants to. Some patients after valve replacement do need repeat 2D Echocardiography (Ultra Sound sort of an investigation) say once a year. This one can get it done wherever they are and Scan the report and mail it to us.
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What about if I develop complications after returning back to my country: This is a frequently asked question. Usually surgical complications do not develop late postoperatively - other than problem related to surgical wounds. Usually the patients wounds are dry and healthy, only then are they discharged from the hospital. Rarely if one develops late wound related problem, it has to be taken care of at place of residence because to travel all the way back to Patna for a superficial wound infection is illogical. Definitely the local physician can take care of it and can talk to the operating surgeon here and discuss the problem if he desires.
- What happens if a patient dies during the intervention or treatment here In India: The procedure in this case is as prescribed by the law. If the relatives wants, the last rites can be done here / or if they want to take the body back to their country of origin they can do so after some formalities.
However, we are very particular with the overseas patient; we do not accept very high risk patients, where morbidity and mortality is known to be high. When it comes to overseas patient, we are very selective and choose only the low risk patients, so that we avoid any morbidity and mortality and try give cent percent result.
