04/01/2026
Finally settled down today on the first Sunday.
Woke up on 1st January 2026 with an urgent phonecall. A major heart attack patient in a remote place overseas with a cardiac arrest.
Limited resources for onsite with no emergency angioplasty capabilities.
Requested to be transferred to Singapore πΈπ¬ under my care for advanced treatment.
What followed has been an intense period of judgement making and evacuation planning with the hospital team from both ends and with the medical evacuation crew.
I had to fall back and order something I have not used since my early training days - systemic thrombolysis to break up obstructive blood clots in the culprit coronary artery.
Risk of a major bleeding in the body but there was no other way. Calculated decisions.
Managed to get a good outcome, flew in late last night 3rd Jan 2026 as per the jet availability and performed the angioplasty first thing today morning.
And my hospital π₯ team told me that it was the first angioplasty for the year. Interesting to see my sole name on the log book.
Truly a fullfilling lifesaving start to 2026. It is hard not to get emotional with the family who are so very relieved.
Dr Pinakin V Parekh
Medical Director
Senior Interventional Cardiologist
#2026