Sunday Times (Sri Lanka)

Give your mite and save a life

- Kumudini Hettiarach­chi reporting from Jaffna

Tightly clutching a cushion with a bright red heart to her chest, no words are needed, as 16year-old J. Archana smiles mutely. Knowing since 2009 that she had a hole in the heart, she and her paternal grandmothe­r, Nakapillai Gnanasound­arie,

The OHF is registered as a charitable trust in Sri Lanka and a charity company in the United Kingdom.

Please show you have a heart and save a life. Hatton National Bank Plc. Head Office Branch, 479, T.B. Jayah Mawatha, Colombo 10, Sri Lanka.

FOUNDATION

OXONIAN HEART HBLILKLX Amana Bank, 480, Galle Road, Colombo 3, Sri Lanka.

OXONIAN HEART FOUNDATION

010-0170533-001, Swift Code: AMNALKLX HSBC, UK Bank Account, 65 Cornmarket Street, Oxford, OX1 3HY, UK. GB05MIDL40­3534038599­08

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03859916, Sort Code: 40 35 34 Cheques drawn in favour of the Oxonian Heart Foundation may be sent to: Dr. Ravi Perumalpil­lai (Chairman), 10/1 No. 4, Alfred House Gdns, Colombo 3, Sri Lanka. Mr. Ananda Atukorala (Treasurer), 42/3, Horton Place, Colombo 7, Sri Lanka. from Alankerni in Kinniya, Trincomale­e, were compelled to do nothing due to poverty. They just could not afford the heart operation at a cost of about Rs. 500,000 in Colombo, while accessing a government hospital in the capital also brought with it heavy burdens on this 'single' grandmothe­r who was eking out a living as a labourer.

Last Sunday (July 6), however, her life changed in a way they had never imagined. Archana became the flag-bearer in a quest to introduce open-heart surgery in Jaffna.

The initiation of open-heart surgery using the heart-lung machine for people living in the northern, north-central and eastern areas has been the quest of eminent Heart Surgeon Dr. Ravi Perumalpil­lai.

Even though open-heart surgery under hypothermi­c conditions (not using the heart-lung machine) had been available in the 1970s and early 1980s for closure of holes in the heart at the Jaffna Hospital, it had ground to a halt when the then heart surgeon left.

Currently although cardiac interventi­ons are performed at a handful of major hospitals including in recent times at the Jaffna Teaching Hospital, openheart surgeries in the government sector are limited to the National Hospital, the LRH and the semi-state Sri Jayewarden­epura Hospital and the Kandy and Karapitiya Teaching Hospitals.

While cardiac interventi­ons (not open-heart surgery) are being carried out at the Jaffna Hospital, in some cases such as bypasses, a limiting factor is that due to device-shortages, the patients would have to buy such devices as stents at a cost of about Rs. 200,000 each, the Sunday Times understand­s.

Northern, north-central and eastern regions patients who need open-heart surgery, meanwhile, have to come either to Colombo or Kandy. For some surgeries there would be long waiting lists and in others they would also be faced by chal- lenges such as language issues, getting about in Colombo and Kandy and huge costs in finding lodgings if relatives wish to be with the patients. Back home, too, their families' routines would go awry and their own livelihood­s would be at stake. So, many decide to live with their heart problems.

Archana orphaned at an early age and being looked after by Gnanasound­arie is just one such person. Working as a labourer on and off, the grandmothe­r had been desperate to get Archana cured. It was to Jaffna that they headed to collect the money, with the grandmothe­r going begging from shop to shop.

"The humiliatio­n was so great that Archana had lamented, ' It would be better if I die'," recalls the grandmothe­r, shedding silent tears.

Fortunatel­y for them someone directed them to a charity and it was then that their path crossed that of Dr. Perumalpil­lai.

By this time, Dr. Perumalpil­lai, who had retired from the prestigiou­s John Radcliffe Hospital in Oxford, England, had already establishe­d the Oxonian Heart Foundation (OHF) to help the numerous Archanas who are languishin­g without open-heart surgery.

Having served as an intern at the Jaffna Hospital back in 197475 and visiting Sri Lanka over the years, both on holiday and on work, bringing teams from Oxford to strengthen best practices in cardiac surgery at the National Hospital and the Sri Jayewarden­epura Hospital, Dr. Perumalpil­lai had realised the dire straits people who required such surgeries were in.

With OHF being set up to support the developmen­t and delivery of cardiac care to the northern, north-central and eastern regions of Sri Lanka, its first project is the establishm­ent of cardiac surgery at Jaffna's Northern Central Hospital (NCH) run by Chairman S.P. Samy.

NCH, which functioned as a nursing home during conflictri­dden times, has now transmogri­fied into a 60-bed, Rs. 600 million hospital, under Chairman Samy and Director Dr. S. Keshavaraj­ah, committed to meeting the health-care needs, over a broad spectrum of specialtie­s, of the people.

"The NCH has committed its state-of-the-art operating theatres and also four Intensive

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