Showing posts with label Medi Talk. Show all posts
Showing posts with label Medi Talk. Show all posts

Wednesday, June 21, 2023

Will India-Russia DOD Pushes back CAATSA?

 It was held on 20th June 2023 but emailed on 21st June 2023 at 3:56 AM

Deputy Pentagon Press Secretary Sabrina Singh Holds a Press Briefing

We remain Deeply Confident in India's Diversification of Equipment, says US 


DEPUTY PRESS SECRETARY SABRINA SINGH:  Hi, everyone.  Good afternoon.

All right, so I have a few items to pass along at the top today, and then I'd be happy to take your questions.

So the secretary returned from his trip to Wiesbaden and Brussels on Friday, where he met with leaders and troops supporting training efforts for the Ukrainian soldiers, and then with NATO defense ministers.  The meetings were very productive, and the secretary looks forward to continuing his dialogue and open communications with his NATO counterparts.

Turning to this week, tomorrow, Secretary Austin looks forward to hosting His Excellency Sheikh Mohamud, the president of Somalia, here at the Pentagon.  You may recall that in May, 2022, at the request and coordination of the government of Somalia and at the direction of President Biden, U.S. Africa Command returned a small, persistent U.S. military presence to Somalia to train and advise partner forces to degrade Al Shabaab.  This reestablished U.S. presence and support from our partners and allies and multilateral efforts stand as straw -- as a strong signal as our -- as of -- our continued commitment to Somalia and the region more broadly.

Following up from some announcements earlier this year, during the department's regular oversight of our execution of presidential drawdown authority for Ukraine, we discovered inconsistencies in equipment valuation for Ukraine.  In a significant number of cases, services used replacement costs rather than net book value, thereby overestimating the value of the equipment drawn down from U.S. stocks and provided to Ukraine.  Once we discovered this misvaluation, the Comptroller reissued guidance on March 31st clarifying how to value equipment in line with the financial management regulation and DOD policy to ensure we use the most accurate of accounting methods.

We have confirmed that for F.Y. '23 the final calculation is $3.6 billion and for F.Y. '22 it is $2.6 billion, for a combined total of $6.2 billion.  These valuation errors in no way limit or restricted the size of any of our PDAs or impacted the provision of support to Ukraine, and while the DOD -- while the DOD retains the authority to utilize the recaptured PDA, this has no bearing on appropriated USAI or Ukraine PDA replenishment funding approved by Congress.

Sorry, going back in time just one more time, this past weekend, Under Secretary of Defense for Policy Dr. Colin Kahl returned from his travel to Hawaii, South Korea and Japan, where he engaged his counterparts in engagements to address mutual security challenges, identify opportunities to increase defense cooperation and enable efforts to network our alliances with like-minded partners.  Throughout his meetings, Dr. Kahl emphasized our shared commitment to building a free and open Indo-Pacific, one that is grounded in core principles, including the rule of law, respect for sovereignty and territorial integrity.

And lastly and finally, as many of you know, Senator Tuberville has placed an indefinite hold on the confirmation of our general and flag officers.  The department has 64 three- and four-star nominations pending the positions due to rotate soon.  Between now and the end of the year, there are approximately 650 general and flag officers that will require Senate confirmation, and without these leaders in place, these holds severely limit the department's ability to ensure the right person is in place at the right time and to ensure our strategic readiness and operational success.  These holds set a dangerous precedent and puts our military readiness at risk at a time when our military is expected to defend the nation with the acute threat of Russia and address the pacing challenge of the PRC.

And with that, I'd be happy to take your questions.

Q:  Thanks for this.

MS. SINGH:  Sure.

Q:  I wanted to ask you about the lost submersible near the Titanic. Are there any other resources that DOD will provide that would be able to aid with the search, or is it just a problem of distance and time and possibly the capability that we just do not have vessels that can go deep enough?

MS. SINGH:  So the DOD is assisting in search operations.  As of yesterday, there were two C-130s that conducted search-and-rescue flights and conducted a search flight over the area.  By later today, an Air National Guard C-130 will also join the search and conduct a search flight over the area.  So by the end of today, we would've committed three C-130s to conducting search-and-rescue flights.

In addition to that, the Navy has been in touch with the Coast Guard and is working to provide personnel such as subject-matter experts and assets as quickly as possible, but I don't have anything further to read out as the Navy and Coast Guard continue to remain in touch on this issue.

Q:  Are there any vessels that could get to the, I guess, suspected location where the vessel is in time?

MS. SINGH:  Right now, we're working with the Coast Guard.  The Coast Guard is the lead on this mission.  I believe that we are doing everything we can in terms of surveying the area, and that's been the focus of the department right now.  If there are further updates, I'd be happy to keep you updated on that.

Q:  The Wall Street Journal reported that China may be building a military base on Cuba.  The last couple of weeks, this building has been hesitant to say what China is doing in Cuba.  Can you talk about what your concerns are and to the extent you can, describe what this new military facility is?

MS. SINGH:  Sure.  Thanks for the question.  So I've seen the reports that you mentioned and the one from this morning.  I don't have anything to add to that.  I have nothing further to comment or provide to you at this time.

What we do know and what we have seen is the PRC continuing to make or continuing to express interest in the Western hemisphere.  We know that they want to expand their military presence, and so we are going to continue to monitor that.  We feel that we will have the resources needed to counter any further actions that if they decide to take any, but at this point, there's nothing that I can add to those reports.

Great, Liz, in the back.

Q:  To follow up on that question --

MS. SINGH:  Sure.

Q:  On the China and Cuba relationship, does the U.S. have any reason to reevaluate its posture in the Western hemisphere, in Latin America or anywhere in South America based on China's actions?

MS. SINGH:  We feel confident in our resources and our capabilities, and not just here in our hemisphere but around the world.  Again, we don't seek conflict with China.  Competition is something that the Secretary and this administration has spoken openly about but we feel very confident in our capabilities, but again, I wouldn't be able to speak more specifically to the reports that you referenced.

Yeah, go ahead.

Q:  Thank you.  Just one separate question.  Following Secretary Blinken's trip to China and meeting with President Xi, does the Defense Secretary feel more or less confident in being able to speak with his Chinese counterpart?

MS. SINGH:  Well, I think just most recently he was in Brussels and spoke to this.  We are certainly keeping a line of communication open.  We want to establish communication with the PRC and the Secretary's counterparts.

We have left that door open, they just have not chosen to walk through that door, but as the Secretary has said before, we remain confident that mil-to-mil communications will resume at some point, and hopefully with Secretary Blinken's visit just this week, that helps sort of unlock some of these communications.

But again, this is something we encourage.  We want to speak to our PRC counterparts but as you know, before his trip to Singapore, we extended that door and tried to have a meeting there and we were turned down.

Okay, one more.  Yeah?

Q:  Is the Secretary more hopeful or less hopeful?

MS. SINGH:  I wouldn't know how to characterize the Secretary's feeling at this moment.  I think what you heard from him last week is that he's confident military-to-military communications will resume at some point.  We will keep that door open and hopefully they will take us up on our invitation.

Lara?

Q:  My question is about India.

MS. SINGH:  Sure.

Q:  As you know, (inaudible) is expected to visit this week and India has contracts for five squadrons of S-400s from Russia. So I'm wondering if you could speak a little bit about whether DOD has continuing concerns about India's acquisition of Russian weapons, and any plans to push back on that or sanctions under CAATSA, anything like that?

MS. SINGH:  Sure.  So again, we welcome President Modi's visit to the United States this week.  Secretary Austin visited India just two weeks ago and was able to meet with his counterpart there.  What we always will continue to urge our allies and partners around the world is to avoid transactions with Russia.

We remain deeply confident in India's diversification of equipment, and over the past decade, our proposal for industrial cooperation will further integrate the U.S. and Indian defense industries.  So I think I'll just leave it at that.

Q:  Can you speak a little bit as to why the U.S. ended up taking certain measures against Turkey for getting the S-400s, whereas they have not taken such actions against India?  Can you speak a little bit to why they're -- different countries are being treated differently?

MS. SINGH:  We encourage all of our partners and allies to avoid transactions with Russia.  That's something that we've continued to reiterate with Turkey, with India, and with others.  I think there are very different and two different cases, and when it comes to India, we remain confident in their diversification of equipment and our ability to integrate with them as well.

Janne?

Q:  Thank you.

MS. SINGH:  Hi.  Nice to see you.  Welcome back from your travels.

Q:  Yeah.  Thank you.  I just have two questions on North Korea.

MS. SINGH:  Sure.

Q:  You know that last week North Korea launched two missiles and North Korean Kim Jong-un announced that it will soon re-try a second satellite launch.  As you know, North Korea has (inaudible) that they will not give the U.S. notice of launch. When North Korea attempt to launch a satellite, will the United States intercept the Koreans' satellite ?

MS. SINGH:  So I'm not going to preview or get into our planning or our operations.  What you've seen from North Korea within the last week or two weeks, when you mention the satellite launch, is that, again, these are clear violations of UN Security Council Resolutions.  It demonstrates DPRK's further use to destabilize and threaten peace and security in the region.

And I believe you saw just last week the White House put out a readout of National Security Advisor Sullivan's meeting with his counterparts in Japan and South Korea, where he again and we do from this podium we reaffirmed our commitments to the region.

So while I will say that our agreement between Japan and South Korea will not be shaken by the continuing destabilizing actions that DPRK continues to take.

Q:  (Inaudible) South Korean missile

MS. SINGH:  I'm sorry, could you repeat that?

Q:  If South Korea (inaudible)?

MS. SINGH:  Well, I wouldn't get into specifics from here, but as you know, we continue to coordinate and conduct exercises with the South Koreans, and I'll just leave it at that.

Q:  Last question --

MS. SINGH:  Okay.

Q:  Do you have anything on the U.S.-South Korea cybersecurity talks?

MS. SINGH:  I don't have anything more on that, I'm sorry.  I'd have to follow back up with you on that.

I'm just going to take a question from the phone here and then I'll come back to the room.  Chris Gordon, Air & Space Magazine?

Q:  Hi, Sabrina.  Thanks.  Secretary Austin renewed his case for Sweden's admission into NATO last week in Brussels, and yesterday, two U.S. B-1 bombers landed in Sweden.  Can we expect more deployments of U.S. assets, such as aircraft, or deployments of more U.S. troops to Sweden while they await membership into NATO?

MS. SINGH:  Thanks again for the question, Chris.  I don't have any announcements to make of any movement of assets into Sweden or anywhere else but what you heard the Secretary say last week is that Sweden has an extremely capable military, and for many years, the U.S. and Sweden and NATO countries have trained side-by-side together.

Sweden's decision to join the alliance and the path to ascension is something that, again, we continue to discuss, but we have an open door when it comes to the joining oof NATO and we look forward to forging an even deeper relationship with Sweden when they become -- when they officially become the 32nd member of NATO.

I'm just going to take one more question from the phone.  I'll go to Howard Altman and then I'll come back in the room.

Q:  Thanks, Sabrina, appreciate it.  So this morning, Russian Defense Minister Sergei Shoigu said that Ukraine was planning to attack Russian Federation territory, including Crimea, with HIMARS and Storm Shadows, and he said that the use of these weapons would show direct involvement of the USA and the UK.  Does the Pentagon have any response to that?  What is that response?

MS. SINGH:  Well, we continue to provide support to Ukraine and have committed to doing that for as long as it takes in their fight against Russia, in retaking their sovereign territory.  As we've said from this podium, we believe Crimea is part of Ukraine.  The Ukrainians are doing everything that they can with the equipment, with the capabilities that they can on the battlefield to continue to push Russians further back, and we support their efforts to retake their sovereign territory.

I'll come back in the room.  Missy?  Hi.

Q:  Sabrina, thank you.  Just wanted to follow up on Tara's question about the submersible.

SINGH:  Sure.

Q:  You said that by the end of the day there will have been three U.S. C130s that will have been deployed for search and rescue flights. Are there any undersea assets that are being deployed or plans to send anything actually down to look for the submersible?

MS. SINGH:  Right now we are providing air support. I believe the Coast Guard and the Navy have been in touch in terms of what they can provide in terms of assets that can further look for the submersible that has gone missing, I don't have anything more to announce right now. I know that's something that both the Navy and Coast Guard are trying to figure out and what makes the most sense. But the Coast Guard is really the lead for this mission.

So we are in direct support for them and we will continue to be for as long as they request assistance. Yes, great. Yes, right here.

Q:  Thank you, madam.

MS. SINGH: I'll come back to you. Go ahead.

Q:  Going back to U.S.-India military relations. Secretary’s Austin visit to India was at a very critical time when China is expanding in the region and many countries have fears of Chinese attacks or Chinese expansion. But at the same time the prime minister of India is coming tomorrow in Washington. And two weeks before his visit, for the last several months few items were going on discussion about military transfer from the U.S. with India. One, if during the Secretary’s visit was anything was promised or signed in India as part of U.S. military with India is concerned?

And second, when the prime minister comes here, how much do you think he will be getting from this building as far as India is concerned? Anything promised or discussed with the Secretary? And I have another one, please.

MS. SINGH:  So a few questions in there. I'll try and address all of them. So I think you've seen the importance that India has for this building, for this administration. Of course there is a state visit that's being hosted this week by the White House. I'm not going to get ahead of any announcements that might come out from the White House or any other agencies. 

But again, as the secretary did on his visit that was really about deepening Indian and U.S. relations and continuing military cooperation. We're not asking countries to choose between us and China.

Again, we do not seek conflict with China. We seek we encourage competition in a healthy and safe way but we're not seeking countries to choose sides here. I think this will be another opportunity for the Secretary to engage with India, his counterparts here at the state dinner and just further deepen cooperation between our two countries.

Q:  And number two. Now just before prime minister's visit to Washington, Secretary Blinken (inaudible) in China and some people are just asking the question why just days before the prime minister's visit and also at the same time prime minister gave interview to Wall Street Journal and he will talk about China/U.S. relations—we want peace with China and all that.

So how much do you think China will be discussed during Prime Minister Modi's visit in Washington because (inaudible) between U.S., China and India? So why Prime Minister Modi, you think, discussed China before coming to Washington and also that (inaudible) in China and also there are something in China and India after?

MS. SINGH:  So, I think those are great questions, and I would direct you to the appropriate offices to answer those questions, whether it be the State Department or President Modi's office.  But I speak on behalf of the secretary and the Department of Defense, so I wouldn't be able to answer those questions. So, I'm going to go ahead and move on here.

Yeah, so right here.

Q:  On the security situation in North Syria, I know that Turkey has increased its drone attacks on Syria, and today, they attacked a car and they killed (inaudible).  And what's your comment on these attacks, and kind of these attacks distracted local partner from achieving their goal of defeating ISIS?

MS. SINGH:  Well, as you know, our mission in Syria is the enduring defeat of ISIS, so we continue to work with our partners to accomplish that goal, and that's something that we're focused on.  I'm sorry, I'm not tracking the reference to the latest attack so I'm just not familiar to that, so I'm not going to speak to it.

Q:  And there are some reports that you have transported some military equipment from Iraq to Syria.  Can you confirm that?  And do you expect an increase by ISIS if you do, will you forces in Syria, and also, your local partners?

MS. SINGH:  Well, I'm not going to engage in hypotheticals there, but I can say that, again, our mission is very focused in Syria.  It is to ensure the defeat of ISIS.  That is something that we continue to do with our partners in the region.  It's something that we're focused on, and I'll just leave it at that.  I'll just leave it at that.

To you...

Q:  Last one.

MS. SINGH:  OK.

Q:  Last week there were some people from delegation (inaudible), and the Department of Defense officials and they discussed with the Minister of Peshmerga (inaudible) And what's your comment on this reform?  On the Peshmerga forces in Iraq and Afghanistan?

MS. SINGH:  I just don't have anything more to offer at this time on what you're referring to.

Mike?

Q:  The counteroffensive in Ukraine...

MS. SINGH:  Yeah.

Q:  The Pentagon's assessment, how it's been going thus far.  People have been too optimistic about they're expecting, you know, an unrealistic outcome this early in the fight?

MS. SINGH:  I think our assessments have been pretty clear from the beginning.  I think, you know, we know, as you're continuing to see the fight that it continued to move to the east, it's become more of a grinding battle every day.  You saw that in Bakhmut.  The Ukrainians can speak to their operations and more to the day-to-day on what's happening on the ground.  But we know this is going to be a hard fight.  We know this is going to take time, and we are confident that the Ukrainians have what they need.  They have the combat power.  They have the ability to be successful in their -- in their counteroffensive operations.  We see them launching both defensive and offensive operations right now.  But I would let them speak to more of that.

Warren?

Q:  Questions on two topics.

MS. SINGH:  Sure.

Q:  First on the submersible, when did the conversations between the Navy and the Coast Guard begin to figure out what assets to send?  Because we're now two days later, and it seems like the clock is very much ticking here.  Why the delay there?  And then the other question on the Senator Tuberville holds.  Have you asked or urged members of the Senate to go, at least in some cases like the nominee for the chairman of the Joint Chiefs, simply to go for a floor vote in that and just bypass Tuberville in that case?

MS. SINGH:  So on the first one, I believe conversations between the Navy and Coast Guard began this weekend.  Again, the Coast Guard is in charge of this mission, so when they request support or help in the assistance of search and rescue, that is what we are doing.  That's what we're providing.  But for when those conversations began, I believe they began this weekend.

In terms of Senator Tuberville and the holds specifically, that is really on Senate procedure, and we can go down a very long path on how Senate procedure works, not that I particularly want to do it.  But that is really a question for the Senate and how they decide to conduct their business.  

Yes, the chairman is one of those holds.  It is very important that we have a seated confirmed chairman in the position when Chairman Milley leaves.  But there are so many other positions that also are important and require Senate confirmation.

We know that these holds are going to have a ripple effect throughout the department, and we're talking about with 852 general and flag officers, 650 that are up for confirmation just by the end of the year.  I think Senator Tuberville certainly understands the importance of having a team, a cohesive team together to be able to confront the challenges, the day-to-day challenges that this building faces.  And so we would hope and we would urge that he lift his hold.

Q:  But has there been any discussions with the senator or the administration on at least in the case of the top officer, moving his to a floor vote and bypassing Tuberville?  Sure, the hold is on him, but at least in the case of the top officer, you're two, three months away from having an acting.

MS. SINGH:  Yeah.

Q:  Why -- is there consideration or discussion around going a floor vote on that?

MS. SINGH:  Well, I'm not going to get into private conversations between our office andand senators, but what I will say is that we are urging the hold to be lifted the blanket hold to be lifted on all of our general and flag officers.  Great.

Tony?

Q:  I have a bunch of questions.  You talked about the $6.2 billion evaluation.

MS. SINGH:  Yeah.

Q:  I don't expect you to know this off the top of your head, but can you get a written answer in terms of where that $6.2 billion is going to be spent now?  This is all PDA money, I assume.

MS. SINGH:  This is all PDA money.  We wouldn't have it broken down.  It would just be money that's reallocated into presidential drawdown packages.

Q:  Yes.  Can you check to see if there's going to be specific line items that they're going to use the money for?

MS. SINGH:  We would not. It's another pot of money that we have access to, so when we have our next presidential drawdown package to roll out, it's not like we're going to have, like, allocated here, this is $6 billion that we, you know, have found through our reevaluation.  It's just going to go back into the pot of money that we have allocated for the PDAs, and we will roll out the next package when we have that announcement.

Q:  I have a question on the House Armed Services Committee markup.  In the markup, they cut out funding for a little-known office here called the CAPE, the Cost Assessment and Program Evaluation office.

MS. SINGH:  Yeah.

Q:  It's inside baseball to a point, but this is an office that dates back to the 1960s under the McNamara, then 2009, Senators McCain and Levin and Warner all had weapons reforms the agency agreed to.

MS. SINGH:  Right.

Q:   So this agency looks like it's going to get whacked by the House Armed Services Committee.  What does this agency provide to the Pentagon that, you know, maybe it's not obvious to someone outside the Beltway?

MS. SINGH:  Well, as you mentioned, the Cost Assessment and Program Evaluation Office has enjoyed bipartisan support from its founding.  CAPE provides unbiased, independent decision support to the secretary and the deputy secretary, and it does so in a way that is transparent and collaborative.  CAPE creates options and presents those options to the secretary and deputy secretary to make decisions about the budget and helps inform and guide senior leadership on how to make decisions within this department.  These options are also, of course, in con -- in consultation with our combatant commanders and our services.

Q:  Can you give an example?  Like if the Air Force says something's going to cost "X", then CAPE would come back and say, "No, it's going to cost 'Y', and you need to get more money in it."

MS. SINGH:  Yeah.  I mean, just going back to we’re not commenting on pending legislation here, but again, CAPE is the check to ensure that taxpayer dollars are being spent efficiently and responsibly.

And in terms of, one of the examples that CAPE has done is making sure that our nuclear modernization program is fully funded each year.  That's something that's incredibly important.  We know that we're going to have to continue to modernize and develop here as a department, and CAPE ensures that we are on pace to get that done.

Q:  So they're in layman's language, they would tell the Secretary that if a service is just saying that something's going to cost X, it's really going to cost a lot more.

MS. SINGH:  Or a lot less.  Whichever -- right.

Q:  That's their value they provide?

MS. SINGH:  That's right.  They're the independent analysis for the department that provides a more holistic view of the budget, I would say.

Q:  Can you give us some examples as this markup process plays out? 

MS. SINGH:  I can do that for you.

Yes, Konstantin?

Q:  Thanks, Sabrina.  You mentioned -- going back to the submarine rescue, can you clarify something.  You mentioned the DOD is providing -- has already provided two C-130s and the Air National Guard is going to provide a third C-130. 

MS. SINGH:  Yes, by the end of today.  I don't know if they have already done so at this time or they will be doing so later today.

Q:  The two C-130s, can you say who they belong who those belong to?

MS. SINGH:  They're under the purview of TRANSCOM, so I'd direct any further questions that you might have, I would direct you to TRANSCOM.

Q:  OK.  And the Air National Guard C-130, do you have the unit that that's coming from?

MS. SINGH:  I do not.

Q:  OK 

MS. SINGH:  Yeah.  

Yes, Fadi

Q:  Thank you, Sabrina.  So you talked about the Ukrainian counter-offensive expressed confidence that they were going to be successful although you said it's going to take some time and be a tough fight. Considering the losses that they suffered so far.  From what we're seeing on the ground, do you think the Russians are going to be able to adapt or they're basically adapting?  And what are you basing your confidence on?  Are you seeing early indication that this counter-offensive is being successful in achieving what they needed to achieve within the first two weeks maybe?

MS. SINGH:  Well, I think what I'm reiterating is what you heard from the Secretary and Chairman Milley last week in Brussels, that we believe we have and not just us, I should say.  Again, we had a Ukraine Defense Contact Group last week, over 50 partner nations and allies met in pooling efforts and resources together for Ukraine.  So this is not just a United States effort, this is a worldwide effort to provide Ukraine what it needs to be successful on the battlefield.

We believe that we have provided Ukraine the systems, the capabilities that they need right now in the fight.  We know this is going to be a tough fight.  Of course the Russians are going to adapt, as they would have from the beginning of the war of, you know, things that worked, things that didn't, but so have the Ukrainians.

You've heard the Secretary speak about the training that we've conducted and continue to conduct overseas.  That is helping the Ukrainians in their fight every day, and we believe that what we have supplied them will enable them to be successful on the battlefield.  

And we have accounted for losses.  We know there are going to be losses on the battlefield.  That's the unfortunate part of this war but it's something we've seen the Ukrainians overcome since the beginning.  

And so again, the packages that we provide, they are done in collaboration with the Ukrainians, meeting their needs, finding out what else they need, and making sure that they get that in time on the battlefield.

I can take a few more and then I'll have to wrap up.  Yes?

Q:  Hailey Underwood from AFCEA Signal Magazine

MS. SINGH:  Great.

Q:  Could I just ask about the new NATO-Ukraine Defense Council that's been proposed?  How is the Secretary working to help shape this council?  And any considerations you can share about kind of the U.S.' point of view of how it should be established or look like and be, compared to what the U.S. is providing and NATO allies are providing, as far as support to Ukraine?

MS. SINGH:  Just to clarify, are you speaking of NATO -- potential accession of Ukraine to NATO?  

Q:  The preliminary step before that, the NATO-Ukraine Defense Council that's been announced?

MS. SINGH:  So I think the Secretary has said this before and something that we continue to highlight, is every country has its own path when it comes to membership in NATO.  We are certainly encouraged by what we are seeing with Sweden, and when it comes to Ukraine, they will have their own path to NATO ascension.

We certainly have. NATO has an open door policy when it comes to membership.  What we are focused on here at the department is making sure Ukraine has what it needs on the battlefield today.  We are of course committed to its long term efforts but our efforts right now are focused on the security packages that we're providing, that you see us roll out every week or so, and what we can get to what we can get to them on the battlefield that they need right away.  Great.

Yes, right over here?

Q:  Hi.  I had a budget question as well.  House appropriators had moved to cut the multi-year munition request that DOD has said it needs to help prepare for a potential conflict in the Indo-Pacific region.  They said that DOD has not provided enough information.  Has DOD been back to Congress to sort of walk them through the cost savings and sort of the process of getting to these contracts?

MS. SINGH:  So in terms of -- again, it's hard to comment on pending legislation, so I'm going to refrain from that.  The department is of course in touch with Congress and are working with them to address what we need in -- in the budget.  And so I won't get ahead of any of those conversations happening.  

And pending legislation is, again, hard to comment on, but I think Congress is well aware of the pacing challenge that the PRC proposes to the U.S. military and our country.  And so we are continuing to modernize, we are continuing to meet that challenge, but I just don't have more to add at this point.

Q:  Can you address what impact this would have on readiness in the production base if you do not receive the dollars to move forward with these contracts?

MS. SINGH:  Well, I think that's a great question but I am just not going to engage in hypotheticals right now.  Thank you.

Yes, at the back?

Q:  Thank you.

The submersible.  Is DOD preparing for a potential deployment of underwater drones to aid with that effort?  And is that some -- is that type of assistance something that DOD has offered the Coast Guard?

MS. SINGH:  I just don't have more to provide at this time.  We're working closely with the Coast Guard.  The Coast Guard is the lead for this mission right now.  You know, we're of course thinking of those onboard the submersible and their families, and we are doing everything we can right now to provide air search and support.  

If that, you know, changes, if our mission evolves, I'd be happy to update you, but at this time right now, again, we're working with the Coast Guard.  They are the lead on this and -- and we'll continue to support.  Great.

I'll go to Mike and then I'll -- this will be the last one.

Q:  Sure.  You commented about the story in The Intercept magazine about the Pentagon Protective Service Battalion monitoring social media to run down tweets about General Milley and the other top military brass here.  Can you comment on that at all?  Is that true or not or ... 

MS. SINGH:  I just don't have any comment for that.  I'm sorry, I haven't seen the reporting on that.  Great.

Thanks, all.  We will wrap this up for today.




Wednesday, November 13, 2013

Dr L H Lobo Memorial Oration on 16 November 2013

Wed, Nov 13, 2013 at 1:59 PM
Oration will be held in CMC Hospital auditorium 
Ludhiana, 13th, November, 2013: (Shalu Arora and Rector Kathuria): Dr LH Lobo memorial trust has been organizing the Dr L H Lobo Memorial Oration and Scientific symposium for the last 30 years, in memory of the late Dr LH Lobo, an eminent and renowned Orthopaedic Surgeon and Former Head of Orthopaedic department and Principal of Christian Medical College (CMC), Ludhiana.   This year the 31st Dr LH Lobo Memorial Oration will be jointly organised by the Dr LH Lobo Memorial Trust and the department of Neurology, CMC on November 16th in the hospital auditorium.

Professor Gourie Devi, former Director and Vice-Chancellor of National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore will be delivering the oration. After the oration there will be a CME on “Management of Central Nervous System Infections” from 9 am to 2 pm. Padma Bhushan Dr JS Chopra, Dr S Prabhakar, Head of Neurology, PGIMER, Chandigarh; Prof Satishchandra, Director and Vice-Chancellor, NIMHANS, Bangalore; Prof Mathew Alexander, Head of Neurology, CMC Vellore; Prof Gagandeep Singh, Head of Neurology, DMC, Ludhiana; Prof Yashpal Singh, Department of Neurology, CMC; Dr Jency Koshy, Department of Medicine, Dr Divya Deodhar, Department of Medicine, CMC, and Dr Vikas Loomba, Department of Medicine, CMC will be the faculty for the CME. 

The inaugural function and the oration will be conducted by Shri Sukhpat Rai Wadehra, President, Dr LH Lobo Memorial Trust and Dr MK Mahajan, Secretary, Dr LH Lobo Memorial Trust. Dr Jeyaraj D Pandian is the Organising Secretary and Dr Yashpal Singh is the Joint Organising Secretary. There will be no registration fee and the program will start at 8.30 am and conclude at 2.00 pm. Two CME credit hours will be available from Punjab Medical Council.
CMC:31st Dr LH Lobo Memorial Oration on November 16th

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Medical school Pathology 2013

Monday, May 06, 2013

Face of Defense: Soldier Aspires to Medical Degree

05/06/2013 09:53 AM CDT                                                                  Mon, May 6, 2013 at 8:29 PM
By Army Sgt. Tanya Van Buskirk
78th Training Division
FORT MCCOY, Wis., May 6, 2013 - Taking care of the force is something Army Staff Sgt. Megan Appleby feels is her lifelong calling.
Click photo for screen-resolution image
Army Staff Sgt. Megan Appleby, left, draws blood from a soldier during Warrior Exercise at Fort McCoy, Wis., May 4, 2013. The 4215th U.S. Army Hospital, based out of Richmond, Va., is providing medical support for the exercise. U.S. Army photo by Sgt. Tanya Van Buskirk
 
The 30-year-old Army veteran of 11 years, who has served both on active duty and in the Army Reserve as a laboratory technician, aspires to be an obstetric gynecologist.
A Lisbon, Iowa, native, Appleby is assigned to the 4215th U.S. Army Hospital command based in Richmond, Va. She said her passion for helping people started when she was very young.
"When I was little, the doctor that delivered my sisters and me was actually our doctor until we were 18 years old," she explained. "Having that doctor who knew you from inside your mom's stomach, and [having] that connection, is really amazing."
Joint Base Lewis-McChord, Wash., was Appleby's first duty station from 2002 to 2006, and where she earned a bachelor's degree in microbiology. In mid-2006, she transferred to the Army Reserve and began attending battle assemblies with the 7229th Medical Support Unit. She then transferred to her current unit.
Appleby was deployed to Kuwait in 2003. Being in an environment where there is a feeling of constant danger was scary, she said, but knowing she was surrounded by medical experts allowed her to focus on her job of caring for patients arriving for lifesaving care. That, she added, is the driving force behind her pursuit of a medical career in the military.
Appleby is taking her medical school entrance exam and applying to the Uniformed Services University of the Health Sciences to continue her service and military career. The program is a 14-year commitment, she said: four years of classroom studies, three years of residency and seven years of service and commissioning as a captain.
"I look forward to the challenge," she added, "because I enjoy both medicine and serving my country."

Wednesday, March 06, 2013

1.5 cms. thick stone removed at CMC

Wed, Mar 6, 2013 at 11:59 AM 
A 3 year old Girl Child was suffering from pain
Ludhiana, 6th March, 2013:(Shalu Arora and Rector Kathuria):A 3 year old girl child, daughter of a labourer was suffering, with continuous pain in the lower abdomen and urinary infection for past threemonths. She was referred to the Department of Paediatric Surgery CMC and Hospital Ludhiana for further management. Investigations revealed that there was a 2.5 cms. long and 1.5 cms. thick,stone which was completely  obstructing the flow of urine from left kidney to urinary bladder and causing urinary infection and abdominal pain. Since there was no free flow of urine from kidney, there wasswelling and deterioration of kidney function with continuous abdominal pain.

Dr William Bhatti Professor &Head, Department of Paediatric Surgery and his teamdoctors, Dr N Bedi, Dr A Gupta and Dr S Dhuria, successfully performed laparoscopic removal of stone from the ureter. Theparents are happy as their daughter does not have a big operative scar on her abdomen and she ispain free because of the laparoscopic surgery. This type of operation, where the impacted stone at lower ureterovesical junction in a 3 year old child,was removed by laparoscopic operationis the first to be performed in India. So far this type of surgery has been done by open procedures which results in long scar marks and prolongedhospital stay. In laparoscopic surgery,the child will have 2-3 tiny scars of 5mm on their abdomen, with  less pain and shorter hospital stay as compared to open surgeries.

Dr William Bhatti further mentioned that presence of stones in urinary system is a common problem in children and it can be managed safely with laparoscopic operations. Parents should not ignore if their child complains of continuous abdominal pain and paediatric surgeons should be consulted immediately to prevent further complications.

Sunday, March 03, 2013

300 delegates attended the stroke conference

18 International faculty members also participated
Dr. Monika Singla explaining secrets to prevent stroke at Ludhiana (Photo by Rector  Kathuria)
Ludhiana, 3rd March, 2013: (Shalu Arora and Rector KathuriaThe 8th National Conference of Indian Stroke Association organised by the department of Neurology, Christian Medical College, Ludhiana concluded today. There were 300 delegates who attended the conference from all over India including 18 International faculty members. Delegates also attended from the SAARC countries like Bangladesh. Yesterday there was a banquet for the delegates at the The Grand Pearl Resort. Mr RandhirKanwal the famous Ghazal singer entertained the guests. The medical students also displayed their artistic talent with a Bhangra dance.
Dr Jeyaraj D Pandian, Professor and Head of Neurology at CMC Ludhiana, the organising Secretary mentioned that all the major advances in stroke diagnosis and treatments were discussed in the conference. On the last day a special session on research in stroke was held and delegates from across the world discussed about the on-going important stroke trials and projects. A Skills workshop on the use of Botulinum toxin injection in treating stiffness of arms and legs following stroke was also held on the last day.
Dr Pandian said that for the first time a separate stroke rehabilitation skills workshop was held as a parallel meeting in CMC auditorium as part of the National stroke conference. More than 150 delegates attended this workshop which was organised by Dr Santosh Mathangi. One of the main highlights of the conference was the Teaching course on stroke which was held on Day 1 for MBBS students as a separate event at CMC. Medical students from three colleges in Punjab participated in this course.Dr Pandian stated that overall the conference had a major impact on the local doctors, neurologists, neurosurgeons, undergraduate medical students, physiotherapists, occupational therapists, speech therapists and allied health trainees from across the country. This would improve the care and treatment of stroke patients.

Friday, March 01, 2013

Fourth leading cause of disability worldwide

The 8th National Stroke Conference statrted at Ldh
Inaugurated by Health and Family Welfare Minister of Pb Madan Mohan Mittal
                                                                                  Photo by Rector Kathuria
Ludhiana, 1st March, 2013(Shalu Arora and Rector Kathuria):The department of Neurology at Christian Medical College, Ludhiana is organising the 8th National Stroke Conference of Indian Stroke Association from March 1st to 3rd in Hotel Park Plaza. The honourable Health and Family Welfare Minister of Government of Punjab Shri.Madan Mohan Mittal was the Chief Guest for the Inauguration of the conference. In his inaugural address the Health Minister stated that stroke is the second commonest cause of death and fourth leading cause of disability worldwide.In India 1.44 to 1.64 million cases of new acute strokes occur every year and 12% of strokes occur in the population aged below 40 years.  In India 40-50% of stroke patients are left with permanent disability.
Dr Jeyaraj D Pandian 
From the on-going Indian Council of Medical Research funded stroke survey conducted by CMC, in Ludhiana city the incidence rate i.e. number of new cases every year is 162 per 1,00,000 population. There is an enormous need to improve the stroke care in our country and in Punjab. ShriMadan Mohan Mittal also released the Stroke Solidarity String which is an Indigo colored string as a symbol of stroke support and awareness across the world.
Dr Abraham G Thomas, Director of CMC Ludhiana appreciated the efforts of the department of Neurology in bringing the conference to the city of Ludhiana. He also mentioned that Ludhiana city and Punjab has a very high number of stroke patients. CMC has a comprehensive stroke program to cater to the needs of the patients.
Dr Jeyaraj D Pandian the Organizing Secretary mentioned that today experts from India and overseas talked about how to diagnose and treat stroke patients as quick as possible in the ABC of stroke session. In the noon stroke experts discussed about acute stroke treatment with emphasis on thrombolysis.
Dr MR Sivakumar, President of Indian Stroke Association (ISA) mentioned about the various activities of ISA in improving the stroke care and awareness in the country. Dr Natan Bornstein (Vice-President, World Stroke Organisation), Dr Richard Lindley (President, Stroke Society of Australasia) and Dr Craig Anderson (President Elect, Asia Pacific Stroke Organisation) stated the importance of improving care of stroke patients in low and middle income countries like India. 
Dr Manoj K Sobti, member Punjab Medical Council and President, Indian Medical Association, Punjab explained the role of Punjab Medical Council in improving continuing medical education the State. Dr Yashpal Singh gave the vote of thanks. 
The conference will continue till Sunday March 3rd. 



World Stroke Campaign International Committee

Saturday, February 09, 2013

The Ponseti Method- can correct the foot deformity

09-February-2013 16:33 IST
Vice President Inaugurates National Clubfoot Conference
The Vice President of India, Shri M. Hamid Ansari has said that in India it is estimated that over 50,000 children are born with clubfoot every year making it an important factor of disability amongst our children. Delivering inaugural address at the “National Clubfoot Conference” organized to raise awareness on the prevalence of Clubfoot deformity here today, he has said that while clubfoot is easily identifiable and curable based on timely intervention; as a large number of children suffering from the disease are from the rural areas, they remain permanently disabled for want of access to timely cure and treatment.
He expressed his concern that it is estimated that in India there are more than 10 million persons with locomotor disabilities. Until two years ago, Polio was a major cause of disability. However, thanks to an effective anti-polio program, based on Government, NGO and international partnership, we have not had a single case of paralytic poliomyelitis for the last two years. With the eradication of Polio, it becomes logical to address the other causes of childhood disabilities; congenital clubfoot is one of them.
The Vice President said that until recently many children with clubfoot were treated surgically, which is not only an expensive but a less than fully satisfactory option due to relatively poor long-term results. Apparently, now a new method –The Ponseti Method- can correct the foot deformity in children in a more cost effective and efficient manner. Its relevance in low resource setting cannot be over estimated. The Ponseti method is now the standard of all National Clubfoot programs across the globe. It's phenomenal success is attributable to a combination of sound scientific knowledge, applied in an integrated socio-medical environment using the already existing health care delivery system in many countries.

Following is the text of Vice President’s address :
“I am happy to have been invited to inaugurate the National Clubfoot Conference being organized by CURE International India Trust in partnership with the State Governments especially the Government of Delhi, where the program to treat and eradicate the clubfoot disease is being implemented. I welcome all the participants, especially those from abroad, who have joined us today.
The Conference is expected to provide the doctors and experts from India and abroad an interactive platform to share experiences and update themselves on newer knowledge and techniques in the treatment of clubfoot disease.
It is estimated that in India there are more than 10 million persons with locomotor disabilities. Until two years ago, Polio was a major cause of disability. However, thanks to an effective anti-polio program, based on Government, NGO and international partnership, we have not had a single case of paralytic poliomyelitis for the last two years. With the eradication of Polio, it becomes logical to address the other causes of childhood disabilities; congenital clubfoot is one of them.
In India it is estimated that over 50,000 children are born with clubfoot every year making it an important factor of disability amongst our children. While clubfoot is easily identifiable and curable based on timely intervention; as a large number of children suffering from the disease are from the rural areas, they remain permanently disabled for want of access to timely cure and treatment.
Until recently many children with clubfoot were treated surgically, which is not only an expensive but a less than fully satisfactory option due to relatively poor long-term results. Apparently, now a new method –The Ponseti Method- can correct the foot deformity in children in a more cost effective and efficient manner. Its relevance in low resource setting cannot be over estimated.
The Ponseti method, I am told, is now the standard of all National Clubfoot programs across the globe. It's phenomenal success is attributable to a combination of sound scientific knowledge, applied in an integrated socio-medical environment using the already existing health care delivery system in many countries.
I am happy to learn that this simple but effective method is being adopted for treating children born with clubfoot in India. This programme has been launched under the public- private partnership mode with several State Governments partnering CURE International India to make this option a reality for the needy patients. It is particularly heartening to know that a large number of poor and deprived patients are able to access this method of treatment. In a short span of 3 years the program has become the largest in the world with over 7000 children enrolled for free treatment in 18 states in India and more are being added.
One of the key components of clubfoot care is follow up, as this condition can recur as the child grows older. It is good that the clubfoot program in partnership with Government medical colleges and CURE International India is documenting all cases and closely following up all the children treated with clubfoot.
I commend the National Rural Health Mission for partnering in this program of early identification of children with clubfoot. This is a major step forward in disability prevention, as an early intervention yields better results.
I congratulate all the Professors, doctors and experts, including members of CURE International India for this commendable initiative. I hope that this partnership will lead to making India free from disability caused by clubfoot. This would be a major achievement given the grave physical, economic and social consequences of the disease on the patient and his family.
I conclude by wishing the organizers and the participants of this Conference all success in their deliberations.”
*****
Sanjay Kumar/VPI/09.02.2013

Thursday, July 26, 2012

CMC surgeon does the region proud

Dr. Navneet Kumar Chaudhry has been elected as President 
Dr. Navneet Kumar Chaudhry, Professor & Head of Surgery at Christian Medical College Hospital Ludhiana has been elected as the President of Association of Minimal Access Surgeons of India (AMASI), North Zone for the term 2012 -2014. Professor Chaudhry was elected to this position during recently held 7th International Congress of Association of Minimal Access Surgeons of India, at Coimbatore, Tamilnadu, from July 19-22, 2012. With more than 4500 members, AMASI is the largest section of Association of Surgeons of India (ASI).
The international congress was attended by more than 2500 delegates from all over India and surgeons from Australia, UK, Korea, Germany and US. During the congress, Dr. Chaudhry delivered a guest lecture and chaired 3 sessions on live advanced laparoscopic surgery.
According to Prof. Chaudhry, the main aim of the AMASI is to bring safe and affordable minimal access surgery to the masses, with a special focus on training young surgeons in this highly technical and patient friendly surgical technique.. Dr. Chaudhry is the first surgeon from the state of Punjab to be elected as President of AMASI north zone.
CMC Hospital, Ludhiana pioneered minimally access surgery in early nineties and has played a key role in making this technique popular in North India. ----Shalu Arora and Rector Kathuria



CMC surgeon does the region proud

Monday, July 16, 2012

A new success by Dr. H S Bedi at CMC Ludhiana

Rare major open heart surgery saves  a new life
Ludhiana, 16th July, 2012 (Shalu Arora and Rector Kathuria)
Mr Vikas Masih – a   35 year old teacher – was in a very serious condition. He had developed a large blood clot in his lungs – a condition called massive pulmonary embolism – due to which he was not able to breathe. He was referred to Dr Harinder Singh Bedi – Head of Cardio Vascular Endovascular & Thoracic Surgery at the Christian Medical College & Hospital, Ludhiana. On examination and investigation Dr Bedi realized that Mr Vikas was in imminent danger of death as his oxygen levels were dangerously low. This was damaging his brain and kidneys.
He had already been put on maximal medical therapy including the latest blood thinners at another hospital – but they did not work. The only option to save his life now was a major and rare open heart surgery called pulmonary thrombo-endarterectomy. Dr Bedi said that the surgery is done on a heart lung machine but additionally for a short period of time the circulation even through the heart lung machine has to be stopped. This is called circulatory arrest and is like totally stopping the heart and the lungs - both the natural and artificial ones.
Dr Bedi explained that this is because otherwise the blockage in the lungs cannot be seen clearly. During the tense 10 minutes while the patient was ‘clinically dead’ - on no circulation at all – his lungs were totally cleared of all the deadly clot. Dr Bedi is a pioneer in this field and in fact has trained in this rare surgery at the St Vincents Hospital in Sydney. However this was a very challenging case as Vikas is very young and this extent of disease was unexpected.
The other members of the Heart team are Dr A Joseph, Dr Sheetal Garg, Dr Melchi, Dr Paul, Dr Reenus ,  Dr Dinesh, Dr Pratap, Dr William, Dr Pearl,  Dr Savan, Dr Meenu, DR Nina and Dr Ashwin  . The heart lung machine was manned by Mr Jairus and Mr William – who are the senior most perfusionists of Punjab – along with Mr Mathew.
Dr Abraham G Thomas – Director of CMC & H – said that the CMC was committed to bringing the latest technology to Punjab so that the people of this area were given the best possible therapy.
  

Monday, July 09, 2012

CMC organized another event for patient

A Free Medical & Dental Health Check-up Camp
Ludhiana, 8th July, 2012: (Shalu Arora and Rector Kathuria)
 
A  Comprehensive Free Medical Health Check-up Camp was organized at Sirish Hospital/CMC City Center,(B-XX 1140, Krishna Nagar, Ghumar Mandi), Ludhiana on Sunday, 08th July.  
Specialist Doctors from Christian Medical College and Hospital examined medical and surgical patients; for Skin, Pediatrics (Child Specialist), Ob/Gyn (Problems of ladies), Ophthalmologist (Eye Specialist), Dentist (Problems of Teeth), Ear, Nose and Throat, Orthopedics (Bones and Joints),etc.
The team of doctors, nurses and paramedical staff examined about 300 patients in the camp. This is the first time CMC Hospital has organized a free camp at Sirish Hospital.
Mr Gurprit Bassi (Gogi), Municipal Councilor, Chief Guest for the occasion, inaugurated the camp by cutting the ribbon. He lauded the efforts of CMC and Sirish Hospital for extending free medical check-up service to the community. He wished success for the camp and opined that such medical camps should be held more frequently. The camp was dedicated with a prayer by Rev Rogers.

Dr Sirish Chandra and Dr Baljinder Kaur expressed their gratitude to CMC Doctors for conducting this camp and for providing expert consultation for the patients.

Dr.A.G.Thomas, Director CMC, mentioned this camp is part of the commitment of CMC to serve the community by providing expert health care.

Also present on the occasion were: Dr Kim Mammen, Dr S C Khosla, Dr Vijay Obed, Mr Ashley Isaih.
 

Saturday, June 16, 2012

Appeal to help 7 year old Nagma


Help Nagma for successful stem cell transplantation 
Ludhiana, 15th June, 2012 (Shalu Arora and Rector Kathuria) 7 year old Ms Nagma (Hospital No: -C-7372377) is diagnosed to have severe Aplastic Anemia, a disease in which all her blood cells stop their production from the bone marrow. Patients with aplastic anemia require multiple blood transfusions and may have life threatening infections and bleeding as the cells to protect the body from these are absent.

            Her only hope for cure is Haematopoietic stem cell transplant with cure rate of 80-90 % is done at the right time. She is fortunate to find a full house HLA match in her younger sister. The estimated expense of a stem cell transplant is approximately cost Rs. 8 to 10 Lakhs. Her father is a truck driver and is unable to meet the daily needs let alone bear the cost of transplant.
Parents who have 3 daughters is keen to proceed with the treatment of their eldest daughter. Christian Medical College is providing free bed charges and is arranging some free facilities and medication. However, the added expenses need to be met. This is a request to all the well wishers to donate for this young girl and give her a second chance to live. If any one is willing to contribute for the same please contact Clinical haematology office – 0161-5037957 (cmcbmt@gmail.com) or All drafts/Cheque may be taken in favour of “Christian Medical College Ludhiana, Society” and please write  Nagma - C-7372377 at the back of the cheque.  All your contributions would be acknowledged.


Thursday, May 03, 2012

Early intervention for optimal treatment of squint

Every case of squint can lead to loss of stereo vision
Ludhiana, 2nd May, 2011(Shalu Arora and Rector Kathuria) Generally squint is considered important only from the cosmetic point of view. It is true that deviated eyes do not look good on a person’s face. Added to this is the psychological and emotional distress. However this is not the only deficit caused by squint, says Dr Satish Thomas, pediatric ophthalmologist and squint specialist at Christian Medical College & Hospital, Ludhiana. It can cause decreased vision because of amblyopia if the squint is in one eye. In addition, every case of squint can lead to loss of stereo vision or 3 dimensional vision.  We can have 3D vision only when both the eyes function simultaneously. Children with squint suppress image from one eye in order to avoid double vision, but in the process lose 3D vision.

Squint is best corrected as early as possible after its onset. This is because 3D vision can only be restored if eyes are realigned within about a year of onset, which is before 2 years of age. Amblyopia or lazy eye can only be treated before 7 or 8 years of age. If squint is to be operated only for cosmetic purposes, then timing of surgery does not matter as much. A surgeon can operate and correct squint at any age, but unless it is done very early in life, the patient cannot obtain any binocular vision and 3D perception ability. This is a very important criterion for many professions and careers like sports, surgery, becoming a pilot etc. It is extremely important even for most simple activities like threading a needle. Unfortunately many patients who come to us late have been advised by many doctors that they have to wait until they get older to have squint operated. Most squints do not improve with time and if we wait in the hope of spontaneous improvement, everything will be lost except a chance of straight eyes.
Dr Satish Thomas says that for the last 7 years, ever since he returned from doing fellowship in pediatric ophthalmology and squint from Sankara Nethralaya in Chennai, he has been earnestly campaigning for early treatment of squint. It is encouraging that over the last few years more and more patients are coming in earlier for treatment. In the last year Dr. Thomas said that he has seen close to 100 new children with squint in the hospital who have been appropriately treated. Twenty of them have been operated upon and many of them have been corrected with appropriate spectacles and occlusion therapy. However, the number of adults coming in with congenital squints is also on the rise. During the last year about 50 adult patients underwent surgery for squint which they had from childhood. This is a reflection of the society’s understanding of the disease which needs to change. Almost all the varieties of primary squint originate in childhood and need to be operated early in life for maximum benefits. 

Thursday, April 26, 2012

A Daring Lung Surgery at CMC Ludhiana

Latest device used for the first time
a happy mr birbal with dr hs bedi.jpg
Photo: A happy Mr Birbal Singh with Dr Harinder Singh Bedi
Punjab is now among the very few cities in India where the latest technology is being used to cure lung disease patients surgically without complications.  This was in the form of a new generation bronchial stapler used by Dr Harinder Singh Bedi – Head of Cardio Vascular Endovascular & Thoracic Surgery in the prestigious Christian Medical College & Hospital in Ludhiana.  Dr Bedi explained that in lung surgery for cancer and TB – the air channel (bronchus) to the diseased part of the lung is cut and then repaired. There is a major risk of the sutures giving sway as the suture area is always wet from lung secretions. This complication - called a broncho-pleural fistula - is a dreaded and sometimes fatal complication all over the world. To reduce this risk a new device called a bronchial stapler has been developed by the Ethicon Company of USA in conjunction with Cardio Thoracic surgeons. This has a double row of titanium clips which on deploying securely close the bronchus with an extremely low risk that a leak will occur.
This was used recently by Dr Bedi in Mr Birbal Singh r/o Basti Jodhewal , Ludhiana    . He suffered from a life threatening bleeding from the left upper lobe of the lung. He was referred to Dr Bedi by Dr Mary John – the Head of Medicine at CMC & H.  Mr Birbal was in a critical state and Dr Bedi realized that he would be at high risk of a fistula by conventional surgery. So the new device was used for the first time in Punjab. Dr Bedi has trained in Cardiac and Thoracic Surgery with Dr Mark X Shanahan – the former Chairman of Cardio Thoracic Surgery at St Vincents hospital in Sydney. There he had done many complicated cases. In fact Dr Bedi has been invited to give lectures on lung surgery by the Association of Cardio Thoracic Surgeons. But according to Dr Bedi – Mr Birbal presented a special challenge as he had lost blood and was very weak. The stapler was successfully used and Mr Birbal made a remarkable recovery.
The other members of the Heart – Lung Team are Dr A Joseph, Dr S Garg, Dr Paul, Dr Melchi, Dr D Benia, Dr William, Dr Savan, Dr Pearl., Mr William and Mr Jairus and Yoga Acharya Mr Nirmal Singh. Dr Bedi explained that in lung surgery major cardio-vascular repair can be required at any time – so it is important that the team be a fully trained Cardio- Vascular & Thoracic one.  Dr Bedi is a board certified surgeon qualified and authorized to perform cardiac vascular endovascular and thoracic surgery.
Dr Abraham G Thomas – Director of CMC & H – said that the CMC was committed to bringing the latest technology to the people of Punjab. He complimented Dr Bedi and his team for this pioneering surgery. Dr Thomas told that under the leadership of Dr Bedi CMC & H is regularly performing minimally invasive lung surgeries and is one of the  few centres in India doing this routinely . Shalu Arora and Rector Kathuria