Gaping 
              hole in heart list  
               
              GMOA’s battle for cardiologists 
               By Apsara Kapukotuwa  
              The failure to give suitable appointments to three heart surgeons, 
              who have returned from abroad is denying the country the opportunity 
              of reducing the long wait of patients for heart operations, the 
              Government Medical Officers Association said.  
             The 
              GMOA said heart surgeons often preferred to practice abroad due 
              to poor salaries and lack of proper facilities here. As a result 
              even children with heart defects were forced to wait 6-8 years for 
              operations.  
             GMOA 
              secretary Anurudhdha Padeniya said it seemed that Sri Lanka had 
              no option but to continue to collect names on a waiting list that 
              extended upto 2013.  
            "That 
              is due to the usual occurrence of congenital heart defects in eight 
              in every thousand babies born. Six of these are correctible by surgery 
              and is commonly known as hole in the heart. The cost of sending 
              some of these patients abroad, even with funding from the Presidents' 
              Fund is generally between one hundred thousand and three hundred 
              thousand rupees," he said. According to Dr. Anuruddha Padeniya, 
              the long term cost of looking after a patient who goes into pulmonary 
              hypertension due to the lack of early surgery is often more than 
              the cost of the surgery itself.  
             The 
              reasons for the delay in operating those with heart defects are 
              surprisingly few and look relatively easy to solve. Sri Lanka has 
              six heart surgeons of whom two are attached to the private sector. 
              The others are attached to the Colombo National Hospital and the 
              Galle Karapitiya Hospital.  
             Even 
              though the Kandy General Hospital has built three comprehensive 
              heart surgery units, with the aid of hadhawath mithuro under the 
              guidance of Dr. A.L.M. Beligaswatte five years ago, no surgeon has 
              yet been appointed to take over its duties. The technical facilities 
              provided therein are sufficient for three surgeon cardiologists 
              to operate without hindrance.  
             The 
              need to establish and reinforce cardiothorasic surgery in the country 
              has long been the battle cry of the GMOA. Three years ago, the GMOA 
              presented a National Strategy Plan on how to combat this issue-to 
              date, they state, no move has been taken regarding it.   |