KMCAANA- LRH Peshawar ICU Tele Rounding Project

Khyber Medical College Alumni association of North America (KMCAANA) is one of the oldest component Alumni of APPNA. It has a long history of service to its mother institution and the people of Pakistan.

During the year 2020, KMCAANA provided genuinely unique and unparalleled services in the history of Pakistan and APPNA. This enormous effort speaks volumes about the dedication, sincerity, and hard work of KMCAANA, its membership, and the capacity to work together with other members of APPNA towards serving patients in their time of need.

During 2020 and extending to date, KMCAANA organized daily virtual rounds at the COVID-19 ICU of the Lady Reading Hospital Peshawar. The attached news report is a testimony to this herculean effort. Even the Chief Minister of Pakhtunkhwa province recognized and appreciated the effort.

Brief facts about KMCAANA’s services in 2020 are as follows:

In 2020, Covid 19 pandemic hit Pakistan like the rest of the world. The surge was particularly devastating in Khyber Pakhtunkhwa, with mortality reaching 100% among patients requiring mechanical ventilation and critical care. The lack of adequately trained intensivists and subspecialists in the face of a new vicious, highly infectious viral disease with no specific treatment created an environment of fear and helplessness everywhere.

KMCAANA approached the intensivist team at LRH and offered to support the critical area team at this time of heightened need. After a few initial discussions, it was decided that our volunteer intensivists would make daily online rounds with the local team.

The daily rounds started in May 2020. Our volunteer intensivists rounded late at night, sometime until 2 am, giving the state of the art advice and support to our younger colleagues in Peshawar. It was realized that a large part of the high mortality came from suboptimum management of renal disease associated with the Covid cytokine storm. Soon KMCAANA gathered a group of volunteer nephrologists who rounded in pairs with the intensivist each night. This intense combined effort brought down the mortality by one-third.

The daily rounds continued until the end of October 2020. Our colleagues at LRH would also contact our volunteers any time of the day to consult or to provide follow-up on the patient’s progress discussed earlier that night. During this time, online training and support were delivered to the medical staff, nurses, respiratory therapists, and dialysis technicians.

With increased ability at the local level to manage Covid 19 and its critical care challenges, our teams of intensivists and nephrologists have been rounding twice a week since November 2020. Their selfless work has saved hundreds of lives and helped elevate overall standards of critical care in Khyber Pakhtunkhwa to a level that patients at other hospitals asked to be transferred to LRH.

This has been a unique persistent, ongoing volunteer effort at a high time of need with a noticeable and measurable improvement in patient care in the middle of a catastrophic pandemic by APPNA alumni with no comparable example which deserves APPNA’s recognition.

Besides the COVID-19 effort, KMCAANA also continued with other projects in 2020. KMCAANA established an endowment fund for student scholarships valued at more than $250,000. KMCAANA sponsored 50 need-based scholarships to students at Khyber Medical College in 2020. Additionally, KMCAANA has continued to support the APPNA SWDRC cornea transplant program as soon as the Covid restrictions are relaxed; KMCAANA plans to sponsor up to 100 corneas this year.

Respectfully Submitted,

Rashid Hanif, MD FACG, AGAF

President

KMCAANA

Intensivists

Attiya Munir Siddiqi MD

• Director, Neurosciences Intensive Care unit
• Pulmonary Critical Care/ NeuroCritical Care
• Gates Vascular Institute, Buffalo General Medical Center
• Buffalo, Newyork
• Affiliated with University at Buffalo, Jacobs School of Medicine
• Khyber Medical College
• Class of 1995

Sumera R. Ahmad, M.B.B.S.

• Consultant
  Assistant Professor, Division of Pulmonary and Critical Care Medicine
• Mayo Clinic
  200 First Street SW,
  Rochester, MN 55905
• Agha Khan Medical College 2005

Ghulam Khaleeq MD FCCP

• Assistant Professor of Medicine
• Michigan State University
• Sparrow Hospital
• Lansing MI 48912
• Graduated from Khyber Medical College
• Class of 1999

Abrar U. Khan MD MBA

• Medical Director Department of Critical Care Medicine
• Banner Thunderbird Medical center
  Glendale AZ
• Khyber Medical College 1995

Majid M Mughal MD FACC FCCP

• Clinical Associate Professor of Medicine
• Michigan State University
• Interventional Cardiologist
• McLaren Hospital
• KMC 1997

Dr. Fouad Gillani

• Pulmonary and Critical Care
• Burlington, Wisconsin

Dr. Fuad Bangash

• Pulmonary and Critical Care
• Boston Massachusetts

Nephrologists

Hashim Mohmand MDQ

• Nephrologist
• Dallas Nephrology Associates
• Dallas TX
• Khyber Medical College 1999

Behram Khan Mohmand, MD

• Consultant Nephrologist
  Parker, Colorado
• Khyber Medical College 1997

Hameed Ahmad, MD

• Assistant Professor
• UMKC School of Medicine, Kansas City , Missouri
• Khyber Medical College 1999

Abdul Moiz Khan

• Medical school: AKU 2005
  Currently,
• Consultant nephrologist, Mayo Clinic Health System, Eau Claire, WI

Dr. Zeeshan Pervaiz

• Tuscon, Arizona

Dr. Tauseef Zar

• Tucson, Arizona

Dr. Mohammad Zubair

• Orlando, Florida

Team ICU-LRH

Prof Aamir Ghafoor Khan

• MSc(G) DGM RCP&S(G) FRCP(Lond) FRCP(G)
• FRCP(Ed) FRCPI(Ire) FEBG(Eu) FRSM(UK)
• FACP(USA) FACG(USA) AGAF(USA)

Dr. Muhammad Sheharyar Ashraf

• Baqai Medical University 2008
• Chief Critical Care Division LRH

Dr Jawad Hameed

• Assistant Professor
• Department of Anesthesia & Critical Care
• Lady Reading Hospital- MTI