Biography Dr Virendra Singh Asthma Specialist Ex. Superintendent, SMS Hospital, Head & Senior Professor Division of Allergy & Pulmonary Medicine, SMS Medical College, Jaipur. Chief Editor, Lung India National Coordinator ILD India Registry Education: MBBS & MD (1971 to 1980): SMS Medical College, Jaipur Respiratory Fellowship: City Hospital, Nottingham, UK (1988 to 1989) Achievements 1. INVENTIONS Invented three instruments for care of respiratory patients. Importance of these equipments has been documented in various scientific studies published in national and international journals. Following are the inventions. Pink city flow meter: It is an equipment to measure severity of asthma and smoking induced lung disease. (Invention Patent No. 160580/86). Published in: Invention Intelligence: Jan 1991:35-37 Pink city lung exerciser: It is an equipment to perform yogic breathing exercises. Useful in asthma and other respiratory diseases. (Invention Patent No. 160764/86). Published in: Am Review Resp Disease 1990;141:A24, J Asthma 1987;24:355-59 Hydration attachment to lung exerciser: With Lung Exerciser, this invention improves symptoms and lung functions in asthmatic patients. (Patent No. 164780/87) Published in: J Asthma 1987;24:355-59 2. DISCOVERIES A. New nervous reflex: Discovered a nervous reflex explain patency of nostril. Published in: J Appl. Physiology 1987:62:91-94; Year book of Pulmonary Diseases 1988-PP 34-35.This discovery was also included and appreciated in the year book of pulmonary medicine. B. Evolved a hypothesis: Asthma and gastro esophageal reflux (GER) are closely linked but the mechanism was poorly understood. We discovered the mechanism. It was published in the leading international journal of asthma as the original article and commendable remarks were made in the editorial of the journal. This hypothesis was proved in the subsequent western studies. The hypothesis was considered a landmark discovery and was discussed in the editorials of the top international journals with commendable remarks. Published in: J. Asthma 1983; 20:241-43; Annals of Allergy 1985; 55:344. In editorial of J. Asthma 1983;20:237-38 and Am Rev Respir Dis 1990;141:1391-92, Respiratory Medicine Book by Murray &NadelIInd Edition Vol.2 Pg.2424 C. Provided scientific proof that yogic breathing pranayama improves asthma: “Yoga improves asthma” was believed but could not be proved in authentic scientific studies therefore at international level; yoga was never advised in treatment of asthma. We carried-out the authentic studies including the first double blind placebo controlled study of the yoga. These studies showed that yoga improved asthma. Published in J. Asthma 1987;24:355-59; J. Asthma 1987;24:183-86; LANCET 1990;335:1381-83; Am Review Resp Disease 1990;141:A24, GINA guidelines for Asthma Management 2002 Pg. 114, Chest (India Edition) 2002; 3: 295. D. New test to detect effect of pollution on healthy people: It is difficult to detect effect of traffic pollution on the lungs of healthy people. We discovered that peak flow variability testing increases in people exposed to vehicular pollution. Published in: J Asthma 2003;4:81-86. E. New mechanism in pathogenesis of asthma: Allergens cause asthma by inducing inflammation in airway mucosa. However, still it is not known why airway inflammationpersists despite removal of allergens? We discovered that friction generated during activities causing fast breathing such as coughing may be very high and it may cause injury to airway mucosa. Repeated mucosal injury during coughing in asthmatic airways continues airway inflammation. Published in: Am Rev Respir Dis: 1993;147:A832; J Asthma 1999;36:419-426; JAPI 2000;48:501-504; JAPI 2000;48:343-45. 3. PUBLIC WELFARE WORKS A. Asthma education in India: An asthmatic patient passes through phases of wellagain and sick-again cycles. These phases are quite painful and patient stops treatment out of frustration, to suffer from agony further. Simple measures of lifestyle modification and learning about the nature of the disease can protect a patient from the agony of recurrent attacks of asthma. We designed programs of asthmatic style. It is now available in nine Indian languages and available free of cost on website wwwasthmacure.com. B. Crusade against tobacco:In order to fight against tobacco we established Indian asthma care society (IACS) which has launched sustained efforts against tobacco. Pamplets, booklets, hordings, audiovisual slides and CD programs were designed and lacs of people have been benefited. Indian asthma care society has launched many writ petitions in the courts and persuaded authorities which helped in formation of antitobacco laws. As a result of one of writ petition of IACS in the supreme court, Gutakha was banned in the country. Asthma Bhawan, a charitable center of excellence was constructed by IACS. It serving for research and treatment of asthma and tobacco induced diseases. C. Children motivation for honesty: In order to motivate children to imbibe good moral character a program based on principles of Mahtma Gandhi was designed and named “Satviktaekpahal”.Monthly programs are organised for last 5 years for school children. 4. CAPABILITY OF MOTIVATING PEOPLE Worked as superintendent of SMS Hospital since 1st July 2012.During the tenure the hospital became the biggest hospital of the country with highest number of OPD patients (over 25 lacs) and number of investigations (over 45 lacs). The number CT scans done in one day made a world record in Limca book. The heavy rush was tackled by motivation of staff through individual and group meetings. Staff infighting were tackled with regular discussions. Mistake committed by employees were addressed by innovative method of prayashchit, practiced by Gandhi ji.The habits of addictions such as tobacco chewing, smoking and alcohol use were also addressed through innovative skills. The problem of strike was tackled with help of public of Jaipur. People volunteered to work in the hospital and did work of computer, trolley pulling and even cleaning. Result of these steps: now majority of employees are duty-bound, left addictions and ignore petty quarrel. It leads to effective patient care despite of heavy patient load. The hospital has also been awarded the prestigious national computer award. T AWARDS The works of Dr Virendra Singh have been acknowledged by following awards: 1. Independence Day Award ofNational Research Development Corporation (NRDC) (15th August 1989): Award of Govt of India of Rs. 50,000/- given for the best invention in the country (Pink City Flow Meter). 2. Cash merit (15th Aug 1990): Awardof Rs.15, 000/- of Govt. of Rajasthan: Given on for inventions and discoveries. (The highest cash merit award ever given) 3. Association of Physicians of India (January 1991):E Merck Awardfor presenting the best paper in the Chest diseases at API conference. 4. National Academy of Medical Sciences Award (1990-91): Dr S Saxena Memorial Awardfor the best bio-engineering work in the country (Pink City Lung Exerciser) 5. Lectureship award of API (1992): KGPB Memorial Award for the best publications in the country in field of asthma and bronchitis. Awarded by API. 6. Hari Om Alembic research BC Roy award (1990) for the best fundamental research work in the country in field of medical sciences. It was given by the President of IndiaSh. Shankar Dayalji Sharma. 7. NaharSammanPurskar (1993): Given by Rajasthani welfare association, Mumbai for outstanding research in medical sciences. 8. Sarabhai Oration Award(1995): Given by API for the best work in the field of chest diseases in the country. 9. SMSMedicalCollege Golden Jubilee award (1997): For outstanding work in medicine.