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Medical Opinion For Treatment Date: 05 Jan 2022

Patient Name: Natane Bekele Aduga Country: Ethiopia Age: 18/M

Clinical Assessment
The patient is a known case of kidney failure since last 10 months. It has been
informed that his mother will be the donor. The patient was put on dialysis 1 month
ago and is also a known case of renal stones, which requires further evaluation and
work-up.

Treatment Plan Being Considered


As per the medical inquiry shared, the patient is eligible to undergo kidney transplant
from a blood-related donor. The donor, his mother, is 50 years old. She is deemed fit
as per the evaluation conducted by the local doctor. But still, the recipient and the
donor are required to undergo a series of tests at the hospital to check the blood
type, blood grouping and other parameters.

Blood tests, serology tests (HIV, Hep C, and B) and Blood group, Urinalysis, Kidney
function test, Liver function test, Electrolytes, Renal ultrasound, Whole abdomen
ultrasound, Doppler ultrasound of the kidney vessels, Tissue compatibility tests (HLA)

Patient’s own blood relative would be accepted as the donor following tests for the
health of the donor, compatibility, and other factors. Once a go-ahead from the
doctor is received, a surgery would be planned for the donor and the patient.
However, all of the donor's parameters should be normal on arrival to be approved as
the donor.

This treatment plan includes the cost of pre-investigations and kidney transplant
surgery. The costing may, however, vary as per the exact requirement depending on
the condition of the patient after the surgery and also the results of the pre-
investigations.

Length of Treatment Expected Outcomes


Surgery Time  Improvement in symptoms
4 to 5 hours  Improved quality of life
Stay in Hospital  Return to normal lifestyle
Patient – 7 to 10 Days
Donor – 5 to 7 Days
Stay in Outside
Hospital
45 days (approx)

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com
The Below 5 Options Are From India and It Includes The
Following:

 Donor and patient work up before surgery


 Surgeon fees, OT charges, Anaesthesia
 Routine drugs and consumables
 Post operative investigations for donor and recipient
 Consultation of Nephrologists and urologists
 Pre-anaesthesia check-up and clearance
 Follow-up consultations, DJ stent removal and blood tests
 Ethics committee documentation coordination
 2 to 3 Anti Rejection injections
 9 to 12 dialysis sessions
 Return flights for 3 person (ADD – DEL - ADD)
 Accommodation For 55 days for Patient, Donor and 1 Attendant
 Local transfers – airport – hotel – hospital – hotel – airport

Average cost of meals for 3 adults for 45 days is about $1000 to $1300

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com
Hospital and Doctor Profile
BLK Superspecialty Having successfully treated numerous
Hospital, New Delhi, India patients, Dr. Yajvender Pratap Singh Rana is a
NABH, JCI Accredited leading name in the field of urology & renal
transplantation. He has been widely
acknowledged for his versatile and patient-
centric approach.
Qualification
MBBS, MS (General surgery) & DNB (Genito
Urinary Surgery)
Experience
Presently working as a Sr. Consultant in
Urology Department at BLK-Max Super
Speciality Hospital, New Delhi
Experience Abroad:
 Observership at Johns Hopkins Brady
Urological Institute - Baltimore, USA
 Award
 Won Gold medal in paper presentation in
ASICON-Rajasthan state Chapter-
ASICON 2007
Dr. Yajvender Pratap
Singh Rana  Second Position in Progress session –
Senior Consultant – NZUSICON 2010 (Fetal urological
Urology and Renal interventions – can we beat the fate)
Transplant
20+ Years Experience  USI- Travel fellowship for year 2011 for
American Urology Association meeting
2011- Washington DC
 Awarded Gold Medal by National Board
of Examination for 1st rank in Urology
Membership
 Full Member of Urology Society of India
 American Urology Association
 Indian Society of Organ Transplantation
Speciality Interest & Expertise:

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com
 Kidney Transplantation
 Robotic Urology
 Pediatric Urology
 Urogynecology
 Laparoscopic Urology
 Minimal Invasive Urology for Stone
Diseases
 Andrology and Reconstructive Urology
 Male Infertility & Sexual Dysfunction

Cost of Package: $21550


MAX Hospital, New Delhi Dr. Anant Kumar has 35 years of experience in
-India Urology & Kidney Transplant. He is
NABH Accredited currently,Chairman of Uro-Oncology, Robotic &
Kidney Transplantation, Max Hospital at Saket
New Delhi & Max Hospital Vaishali. He is well-
known as one of the best robotic and
laparoscopic surgeons in India. He was also
Director of the Department of Urology, Renal
transplantation and Robotics at Fortis hospital
& Apollo Hospital in Delhi & NCR. Prior to this,
he was the Professor and Head, Urology &
Kidney Transplantation at SGPGIMS, Lucknow.
He was also a Consultant Urologist in
Addenbrooke’s Hospital, Cambridge, UK.

Dr. Anant Kumar,widely known as the best


urologist in NCR, is also known as the best
Dr. Anant Kumar robotic surgeon in Delhi and highly-skilled
Senior Kidney Transplant kidney stone specialist in Delhi. Being the best
Surgeon urologist in Delhi, he specialises in Kidney
35+ Years Experience Transplantation, Robotic Assisted Laparoscopic
Urology, Reno vascular Hypertension,
Laparoscopic Urology, Urological Oncology,
Laser Urological Surgery and Reconstructive
Urology. Currently regarded as one of the most
well-known Urologists in India.

Popularly known as the best urologist in Delhi

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com
and Uro-oncology in Delhi, Dr. Anant Kumar
has 35 years of experience in Urology & Renal
Transplantation as a teacher and clinician. A
leading urologist in Delhi NCR, he has truly
earned the title of the best robotic surgeon in
Delhi by performing over 500 robotic surgeries
in the last 5 years. Also, He has done over
3500 kidney transplants in the last 30 years &
has been retrieving all kidneys
laparoscopically in the last 20 years and has
done over 2200 lap donor nephrectomy.

He has extensive experience in Reno vascular


hypertension. Being a highly skilled,
experienced and best robotic surgeon in Delhi,
he has done several hundred endourological
procedures like PCNL, URS, flexible
ureteroscopy, endopyelotomy, TURP, TUBT,
optical urethrotomy etc. Dr. Anant Kumar has
been removing prostate gland by laser for the
last 10 years and has used Thulium, green
light and Holmium laser. Presently he has
been doing HOLEP by Lumenis machine. He
has done all kinds of reconstructive urology of
kidney, bladder & urethra. He has been doing
urethral stricture surgery for the last 30 years
and has performed over 700 such cases. For
the last 20 years, he has developed special
interest in laparoscopic urology & has now
performed almost all laparoscopic urological
procedures including radical Prostatectomy,
Cystectomy and Partial Nephrectomy. He has
started Robotic assisted urological surgery for
the last 6 years for prostate, kidney and
bladder cancer and other urological
reconstructions like pyeloplasty, ureteric
reimplantation bladder augmentation etc. and
is well-known as one of the best robotic
surgeons in Delhi.

Cost of Package: $21100

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com
Fortis Flt. Lt. Rajan Dhall Dr. (Col) Rajeev Sood is the HOD & Director
Hospital, Vasant Kunj Urology, Robotics Renal Transplantation. Dr.
(Col) Rajeev Sood comes with more than 23
New Delhi, India -NABH years of distinguished services with the Armed
Accredited Forces and more than 22 years of super
specialization in urology. Born on 26th
November 1959 and a graduate of the '76
batch of the Armed Forces Medical College, he
is a Gold medalist through MBBS, MS and MCh.

As a surgeon, he was awarded the Vishisht


Seva Medal by the President of India for
performance beyond the call of duty. While
with the Armed forces he has the credit of
doing the first cadaver renal transplant and
the first laproscopic live donor nephrectomy in
the Armed Forces, he has to his credit more
than 1000 renal transplants.

He took voluntary retirement from the Armed


Forces in the year 2003. Most recently he
served as Senior Consultant Urology and Renal
Transplantation at Max Healthcare - Saket. He
is the driving force behind the Laser
Prostatectomy programme in the country.

He started Holmium laser enucleation of the


prostate (HoLEP) in the year 1999 and later
was the first to launch the High energy Green
Dr. (Col.) Rajeev Sood light laser prostatectomy programme in the
DIRECTOR- Renal country in 2003. He has been active in the
Transplant academic field and has been faculty at
30+ Years Experience numerous Indian and International
conferences and operative workshops, with
numerous publications to his credit.

Cost of Package: $20425

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com
QUALIFICATION
Manipal Hospital, Dwarka MBBS | MS | MCh | DNB | MNAMS
New Delhi, India -NABH Fellowship & Membership
Accredited
 Member, Urological Society of India
 Member, American Urological
Association
 Member, Indian Society of Organ
Transplantation

Field of Expertise

 Robotic Constructive Urology


 Renal transplantation
 Transurethral Incision of Prostate
 Congenital defects
 Genito-urinary fistulas

Languages Spoken

 English
 Hindi
 Assamese
Dr. Sanjay Gogoi
HOD and Consultant - Awards & Achievements
Urology and Kidney
Transplant  Part of the team that performed Worlds
30+ Years Experience First Robotic Kidney Transplant (RKT))
 Performed India's youngest Robotic
Pyeloplasty in a 5 months old child in
2012.
 Performed Sri Lanka's first Laparoscopic
Donor Nephrectomy in 2003

Cost of Package: $20525

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com
Dr. Harsha Jauhari, He was Awarded Dr. B.C.
Artemis Hospital, Roy National Award 2016, by the Hon’ble
Gurugram President of India.
Delhi NCR, India M.S.(Gen.Surg.), F.R.C.S., F.I.C.S., F.A.I.S.,
Diplomate in Medical Ethics & Law, graduated
NABH & JCI Accredited
from Armed Forces Medical College, Pune
(1968-72), was awarded M.S.(Gen.Surg) from
G.S.V.M. Medical College, Kanpur (1973-76),
was elected F.R.C.S. in 1983. He was awarded
the Dr. P.N. Berry Trust Scholarship by the
Indian High Commission, U.K on request by the
Institute of Urology, London, to train in
Transplant Surgery. In 1988 he returned to
India, to serve the country by setting up
Transplant Programs first in Delhi, followed by
U.P & then Haryana.

He has to his credit almost 6000 Renal


Transplant & 3500 C.A.P.D. catheter insertions,
which are probably the largest series in India.
In addition, he has over 200 original
Dr. Harsha Jauhari Publications, Surgical Innovations and
Senior Consultant - Lectures, delivered at National & International
Urology and Kidney Forums, concerned with various facets of
Transplant Transplantation. The past few years have been
40+ Years Experience devoted to propagating the Ethics & Law of
Transplantation & the need for Organ
donation.

He is Advisor, (Organ Transplantation), to


Ministry of Health & Family Welfare, Govt. of
India since 2014 & is involved in developing
the National Organ Transplant Programme
(NOTP) & National Organ & Tissue Transplant
Organisation (NOTTO). He is a core member of
Advisory and Expert groups to Ministry of
Health & Family Welfare, for matters
pertaining to Transplantation, dialysis and
kidney Disease.

Among his various qualifications is a Diploma


in Medical Ethics & Law. He has been
Chairman of Medico-Legal Committees for the
India Society of Transplantation (ISOT), Delhi

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com
Nephrology Society (DNS), The Association of
Surgeons of India (Delhi) and Sir Ganga Ram
Hospital for the past decade and has helped
steer more than 70 Medico-Legal complaints
against Doctors & Institutions to safety.

He had been unanimously elected President of


the Association of Surgeon of India – Delhi
State Chapter 2016-17.

The esteem his colleagues hold him in is seen


by the fact that although a Transplant
Surgeon, he was unanimously elected
President of The Delhi Nephrology Society in
2007-2008.

In conclusion, it can be said that Dr. Harsha


Jauhari has contributed considerably in his
chosen field of Transplant Surgery, both as a
clinician & as a Teacher. He is an
acknowledged expert in the Ethics & Law in
Transplantation.

Cost of Package: $20275

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com
Assistance Provided By MediGence
Before Travel During Travel After Travel
 Comprehensive  Dedicated medical  Follow-up on a
treatment plan case manager for regular basis
 Visa assistance end-to-end personal  Consultation with
 24X7 support support treating doctor (if
 Travel and lodging  Interpreter service needed)
assistance on demand  Any other support
 Hospital  Local travel required
coordination arrangements

Points to Note
 This treatment plan is valid for 30 days from the date of its issue.
 Final modality of treatment would be decided on the basis of initial evaluation
of the patient’s condition. Therefore, the exact cost estimate can only be
provided after the doctor has seen the patient.
 Room category can be upgraded to deluxe/VIP/Private category at an extra
cost.
 A visa letter will be issued by the hospital to speed up the process.
 All the visitors are requested to carry at least four copies of their passport size
photographs with them.
 A detailed checklist with a list of documents to carry at the time of boarding
will be provided.
 A “fit to fly” certificate must be obtained from the treating doctor in the origin
country before medical travel.

_____________________________________________________________________
Global Patient Care Helpline: (+1) 4242834838
Email: contactus@medigence.com

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