Wrong for adult cardiologists to treat pediatric patients, say doctors

KOLKATA, Nov 6:
When 11-year-old Joydeb Rishi was diagnosed of a heart ailment, he was referred to an adult cardiologist by doctors. It was only a year after that his parents realised that what their son required was a pediatric cardiologist.
In the absence of awareness on the existence of the super-specialised doctors, hundreds of children across the country are wrongly taken to adult cardiologists, say experts. Finding a pediatric cardiologist isn’t easy either, especially in smaller cities and towns.
Dr Subhendu Mandal, head of the Department of Pediatric Cardiology at BM Birla Heart Research Centre in Kolkata, says there are only around a hundred such pediatric cardiologists like him all over India where 600 children are born each day with a heart disease.
“Adult cardiologists are just not trained nor equipped to handle children. They don’t know the subject. I feel like a rare species myself as there are so little trained pediatric cardiologists,” says Dr Mandal who did a two-year fellowship in pediatric cardiology from UK.
India’s top cardiac surgeon Dr Devi Shetty agrees with him saying the difference between adult cardiology and pediatric cardiology is that of repairing a wall clock and a wrist watch.
“Pediatric cardiology requires a greater set of skills. This is what differentiates the men from the boys. But it’s unfortunate that there are so little number of pediatric cardiologists in India,” says Dr Shetty who runs the multi-specialty Narayana Health hospital chain.
According to statistics, every hundredth child born in India suffers from a congenital heart disease but not all require immediate medical intervention as complications may surface later on in life.
Dr Sreesha Maiya from Narayana Health City Bangalore says a major problem is also with the doctors who don’t refer such cardiac cases to pediatric cardiologists.
“There is no law in the country which stops adult cardiologists from treating or even operating upon a pediatric patient,” he laments.
What makes pediatric cardiology more complicated is the number of variations. (PTI)