In the Katha Upanishad, a parable of the “chariot” elucidates the intricate relationship between the body, the senses, the mind and the self (Atman). The chariot, a metaphor for the body, is akin to a vehicle that ferries the true self through life…
The Culture of Excellence
The Culture of Excellence
I spent a week at the All India Institute of Medical Sciences (AIIMS), New Delhi. My cardiac situation needed an evaluation and thanks to my long-standing friendship with Dr M. Srinivas, Director, AIIMS, it was done. I am back in Hyderabad and sharing some nice memories of the Institute and the people who work there.
First and foremost, AIIMS is a center of excellence in Medical Science. Though I am an engineer, thanks to Dr APJ Abdul Kalam’s initiative in the 1990s to develop civilian spinoffs of Defence Technology, I got involved with doctors and medical technology rather intensively. We could develop a coronary stent by developing a special steel alloy in India.
This success was rewarded with a DRDO Award in 1997 given by Prime Minister Atal Bihari Vajpayee. More than the award, standing before the most handsome man I had ever met in my life was the biggest prize. Considering it my fountainhead in the organization, I resigned from DRDO thereafter and established Care Foundation with which I am still associated. We pioneered telemedicine using satellite even before broadband over the phone arrived and established the telemedicine link between Black Lion Hospital in Addis Ababa and Hyderabad in 2003 as part of the Pan-Africa e-Network sponsored by the Government of India.
Medicine has undergone a transformation in the last 20 years. The best in world healthcare is now available in India and many foreigners, including patients from Europe, come to India to get major operations done here at much lower costs and with great service. For a while, modern medicine was a rich-people affair but then, in the last few years, the Government went in for a system overhaul.
Medical colleges are being established with the goal of every major district of India having one. Today, there are 22 AIIMS and more than 65,000 post-graduation seats in medical education in 2023, which is more than double the number ten years ago. AIIMS Delhi is ranked the best medical college in India. Private sector hospitals have also flourished but they cater mostly to the rich and the affluent.
My problem is related to the heart. Atherosclerosis, narrowing of heart blood vessels due to cholesterol deposits, runs in my family. My father died when he was 49. My younger brother when he was 60. In 2004, when I was exactly my father’s age, I survived a cardiac arrest, for at the time of the mishap, I was already in the hospital, “working” there, and received immediate resuscitation. I had a bypass surgery.
Twelve years later, the bypass also got occluded. The atherosclerosis had spread over other vessels. In 2017, one nearly blocked artery was opened by rotablation, and with two stents the passage of blood was restored. Over the next five years, the disease has further progressed and blocked all three arteries in a diffused fashion. This time at AIIMS, a team of doctors under Prof. Rajiv Narang, evaluated my heart through various tests, including nuclear imaging, and fine-tuned my prescription. Dr Mohsin Raj Mantoo, a cardiologist hailing from Kashmir, visited me twice daily.
The week I spent at AIIMS has brought me in touch with a new reality – the culture of excellence. Though the hospital is overflowing with patients and there is no place to even walk in the corridors, the staff performs without losing their heads in a manner that exemplifies the stithpragya state that the Bhagavad Gita talks about. They do not succumb to high work pressure compounded by demanding patients and are steadfast in their work. All machines are the best of the line, fully functional, and manned by well-trained staff. There are 7 Echocardiography rooms and 5 Cath labs working like a factory – patients taken in, served, and replaced by new patients, almost immediately. There is no discrimination by status and no breaking the queue. No touts or agents, and the fairness of the system is appreciated by the crowd, who reciprocate with patience and courtesy.
The doctors trained at AIIMS as part of their post-graduate education, go out to work in other hospitals in the country, are amongst the best in their fields. The culture of super-specialty is evident in the way they go deep into their specialization and cross-exchange with their colleagues of other specialties. There are no arguments but healthy exchanges. The guru-shishya culture is evident and the seniors are well-respected, while juniors are well-trained. The nursing and technical staff are especially proficient, and I found them equipped with both professional and soft skills. Though there is paperwork, all data flows seamlessly across the hospital.
But the most impressive of what I saw was the use of mobile phones with free data, by the patients and their attendants. While waiting for their turns, they indulge in watching videos, with ear plugs. The security guard in the private ward, where I had a room, was using the mobile phone to prepare for his competitive exam, taking tutorials and using a slate to do the calculations.
Hot food is available at Rs. 20/- for a meal portion and a cup of tea or coffee costs Rs. 5/-. Expansive options are not given so that instead of the majority poor watching rich people enjoying better servings, rich people consume what the poor eat, for a change. There are well-kept pharmacy outlets, and one need not go out to buy medicines.
The truth, I realized from all this is that medicine is all about management. Whatever your malady – blood pressure, diabetes, narrowing of blood vessels, death of cells in the kidneys or liver, or wherever, and cancers – what doctors can do is to “manage”. There is no cure as such. However, as nanotechnology advances, this era of “managing” is ripe for a conclusion and in the next ten years, we will see some “cures.”
I was truly inspired by reading the theme of AIIMS – शरीरमाद्यं खलु धर्मसाधन, the body is the primary instrument to do right things – prominently written on the logo and displayed at every apron. Then, the two snakes around a rod are not the caduceus for healing but the lotus blooming at the top-end of the rod makes it the Sushumna Nadi, and the snakes are the Ida and Pingala Nadi crossing each other and reaching the Sahasrara Chakra – the lotus of 1000 petals, considered as the abode of cosmic consciousness.
A country becomes great due to its people and institutions. India is the most populous country in the world and its multitudes of poor, about a billion people, need medical assistance, affordable medicines, and proper food. The government of India, which is elected by these people is duty-bound to take care of them in the real sense of the word. AIIMS is a shining example of this great tradition and I wish that India has 47 AIIIMS by 2047 and that the medical insurance cover of Rs. 5 lakhs provided by the Pradhan Mantri Jan Arogya Scheme be increased to Rs. 10 lakhs right away.
After I was discharged, Dr Srinivas sent me off with a plant and a memento. It is easy to create good institutions by the well-intent government, but they only become great due to the people who work there. AIIMS is a marvelous example of New India – a great civilization ushering in a new era of prosperity and progress. Mr. Phamdom Lasti Singh, from Manipur, who was recuperating after his cardiac bypass surgery in the room adjacent to mine, felt the same way.
MORE FROM THE BLOG
Warriors of Light
Multitude
Certain concepts are embedded in ancient wisdom, guiding generations, and the idea of the multitude is one such concept. In the national anthem of India, written by Gurudev Rabindranath Tagore (1861-1941), the multitude is hailed as the absolute sovereign…
Four Nos and Four Yeses
Had India and China been friends, the 21st century would already have been Asian. With peace within itself, being vastly more developed, and flourishing regional trade, what is not there on this planet that is not here?…


