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Researcher | Nabarun Dasgupta | Global Indian
Global IndianstoryWar on drugs: Indian American researcher Nabarun Dasgupta’s fight against overdose deaths
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War on drugs: Indian American researcher Nabarun Dasgupta’s fight against overdose deaths

Written by: Namrata Srivastava

(September 20, 2023) It was the year 2002, a time when a surge of federal funding was being channelled toward the battle against terrorism. Amidst this, Indian American researcher Nabarun Dasgupta, then a student pursuing a master’s degree in public health at Yale University, found himself on the hunt for a summer internship. Little did he know that government agents would soon approach him with a unique proposition: an opportunity to be part of a specialised team preparing for the unlikely but chilling prospect of a bioterrorist threat – in the heart of Wyoming.

Researcher | Nabarun Dasgupta | Global Indian

Dr. Nabarun Dasgupta

“To be honest, I didn’t think Wyoming was a real target for bioterrorism,” the researcher said in an interview, “So I started to look for a place where I could make a more immediate impact.” Since then, Dr. Dasgupta’s keen focus has been on exploring the synergies between informal information sources and conventional public health surveillance to enhance the development of resilient drug safety treatments and solutions.

Over the moon to be on #TIME100Next list of emerging leaders globally. Amazing company to keep! So much love to teams @RemedyAlliance @UNC who make the #harmreduction and science happen. https://t.co/FX9eB5nTT7@ejwheeler9 @UNCpublichealth @UNC_IPRC @TIME @TaraLaw27 pic.twitter.com/0NsDzmcnWq

— Dr. Nabarun Dasgupta (@nabarund) September 13, 2023

And after working in the field of drug safety for years, Dr Dasgupta, now a senior scientist at the University of North Carolina Injury Prevention Research Center, and an Innovation Fellow at the University of North Carolina’s Gillings School of Global Public Health, recently got recognised on the ‘Time 100 Next 2023,’ a list of rising leaders “for shaping the future and defining the next generation of leadership.” An elated Dr. Dasgupta took to Twitter to share the news and wrote, “I’m delighted to be selected as part of the Time100 Next cohort. While this may appear to be a singular honor, I am humbled to highlight the compassionate heroes who care for our loved ones and offer practical solutions (sic).”

A journey for the people

An alumnus of the prestigious Princeton University, the Indian-American researcher became aware of the rising issue of drug overdose in the United States of America when he was in his late teens. His calling came, unfortunately, after losing a very close friend to this epidemic. “So I was working in a cardboard box factory in Maine, and it was between my college and grad school, and I saw people using OxyContin to be able to function at their job. At the same time, I had friends from high school who were using OxyContin in ways that you know, made them more at risk and were causing all sorts of problems in their life.” the researcher said, adding, “When I got to grad school, I had to do an internship and ended up going back to Maine and studying OxyContin and heroin as a problem, and ended up losing a friend of mine to an overdose. And it was at that point that I realised this was a real thing. That was around 2002. And so for the last 20 years almost, this has been my focus, to prevent overdose deaths.”

Researcher | Nabarun Dasgupta | Global Indian

Dr. Dasgupta with his team

After completing his Master’s from Yale University, the researcher was hired by Purdue Pharma to spearhead their epidemiological initiatives. The task proved to be captivating, immersing Dr. Dasgupta in an in-depth analysis of the impacts of OxyContin and various other opioid medications. Their collective goal was to enhance both physician and patient education and information, to address addiction issues and mitigate overdose incidents. In the course of his work, the researcher also delved into the realm of highly effective antidotes for overdose emergencies. “If administered in time, naloxone [the antidote] reverses the effects of most opioid overdoses,” he said, “It is also relatively safe. For instance, if an overdose is suspected but in reality hasn’t happened, administering naloxone won’t harm the patient.”

Giving back to the community

For nearly four years, the team dedicated their efforts tirelessly to tackle the issue. Unfortunately, shortly after the drug lost its patent protection and transitioned to generic status, the company made the difficult decision to dissolve the group. In search of the next chapter in his career, Dr. Dasgupta embarked on a journey of applying to doctoral programs. As he secured admission to UNC, a senior colleague from his former group, Dr. Curtis Wright, took him aside for a conversation.

“Dr. Wright had spent much of his career in the Navy and the Food and Drug Administration,” the researcher mentioned, “He told me, ‘Nab, you went to great private schools, but attending a public university involves something different. The people of North Carolina are giving up resources and opportunities just to educate you. Your tuition does not repay that debt. It is your responsibility to find ways to give back to that state.’ To be honest, I never thought of my education in this way, but I took it to heart, and when I got to Chapel Hill, I was determined to do just that.”

Researcher | Nabarun Dasgupta | Global Indian

Dr. Dasgupta assembling overdosing prevention kits in Wilkes County, North Carolina

Soon, the researcher started working on the drug overuse issue – which, at the time, was claiming about 47 deaths per 100,000 people in a single county of North Carolina alone. And that’s how Project Lazarus came to be established. “Project Lazarus is a nonprofit that we started in the Appalachian foothills of western North Carolina. It is this comprehensive, community-based programme that works to help people who have pain conditions and help people who have an addiction get treatment and prevent overdose deaths,” explained the researcher, whose efforts were able to drop the drug overdose death rate in the country by 69 percent over three years.

But he didn’t stop his work just at that. Over the years, Dr. Dasgupta has analysed several samples submitted by public health programs in his laboratory, to determine the composition of illicit street drugs. Additionally, his team provides vital support to experts working on harm reduction strategies and offers educational resources to inform community members about the risks of drug overdose. Since 2021, the lab has examined drug samples sourced from 32 different states.

In the year 2022, Dasgupta took a pioneering step by co-founding the non-profit organization known as the Remedy Alliance For The People. This organisation operates as a major distributor of naloxone, the opioid reversal drug. To date, they have successfully shipped over 1.6 million free and low-cost doses of naloxone to 44 states, making a significant impact in combatting opioid-related emergencies.

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  • bioterrorism
  • drug safety
  • Global Indian
  • Global Indian Exclusive
  • healthcare impact
  • illicit street drugs
  • Indian American
  • Indian American researcher
  • Indians in America
  • Indians in USA
  • innovative research. Indian American
  • Nabarun Dasgupta
  • naloxone distribution
  • opioid epidemic
  • overdose prevention
  • Project Lazarus
  • public health
  • Remedy Alliance
  • researcher
  • Time 100 Next

Published on 20, Sep 2023

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The Marathon Man: Murthy RK is all set to complete all six of the world’s top 42k races

(August 1, 2024) Running to stay fit has held Murthy R K, in good stead personally and professionally. The accomplished Indian marathoner, Murthy has completed over 50 marathons, 75 half marathons, and 100 five to ten-kilometer races, including the Boston Marathon, the New York City Marathon, London Marathon and Berlin Marathon. He has his eyes trained on Tokyo now, and once he completes it, will be one of only around 200 Indians to have attempted all of the world's top six marathons. He has also represented India in the Asian and World Masters Athletics Championships. “I have always been an avid runner, representing my educational institutions at the state and national levels and winning awards,” he tells Global Indian. He first started with the Mumbai Marathon 11 years ago. The race is held on the third Sunday of January every year. Running through the streets of Mumbai, with the crowd cheering, offering sweets, juice, and fruits, and playing music while dancing, is exhilarating. “Crossing the sea link bridge on foot is an out-of-this-world experience. I've participated in the Mumbai Marathon for 11 consecutive years and have no intention of stopping. If you're a runner, I highly recommend running the Mumbai

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secutive years and have no intention of stopping. If you're a runner, I highly recommend running the Mumbai Marathon at least once in your lifetime,” he says. He is also a techie by profession, has done stints at various corporates and currently works at Sonata Software.

[caption id="attachment_53098" align="aligncenter" width="379"]Murthy RK | Indian marathoner | Global Indian Murthy RK has taken part in all the world's most important marathons[/caption]

Marathon calling

Having run distances ranging from 3000 meters to 350 kilometres, Murthy has set official records for running more than 50 marathons, 75 half marathons, and 100 plus five to ten-kilometre. The longest distance he has run is 350 kilometres, from Bangalore to Subramanya Temple in Mangalore, accomplished over five days. Interestingly, he has also represented India in the Asian & World Masters Athletics Championships. The Asian master’s is like other Track & Field events but is designed for athletes above 35 years of age. Regular focused training is must for any races and must for such international races. The competition is as intense as any Asian championship, with participants from across the continent.

“When I last competed in Malaysia, I secured fourth place in the 10,000-meter race, overtaking several participants from Japan, China, Malaysia, Singapore, Indonesia, Sri Lanka, and other countries. Finishing in top 10 is not at all easy and it’s a very happy feeling. My advantage lay in my competitiveness and years of practice. I consistently logged 65-75 kilometres weekly, honing my skills.” This dedication paid off during competitive events, and he has won more than 25-30 races over the last few years in my age group across India. “I qualified for the Masters Athletic Championship, designed for athletes over 35 years old.” This is no easy feat, and the competition, which is intense, even includes former Olympians and World Championship athletes. “I also had the honour of representing India at the Asian Masters in Kuching, Malaysia, and the World Masters in Malaga, Spain,” he says.

How to keep going

Having been part of World Major Marathons he says that staying prepared has been key from the start. His journey began with running distances of 21–42 kilometres, exploring trails across India and internationally, often combining these events with family vacations. “I discovered the circuit of the six World Major Marathons: Berlin, Boston, Chicago, London, New York, and Tokyo. Participants who complete all six marathons receive a special medal combining all six. So far, fewer than 200 Indians have achieved this feat. I have completed five, with only the Tokyo marathon remaining,” he says.

[caption id="attachment_53100" align="aligncenter" width="349"]Murthy RK | Indian marathoner | Global Indian At the Boston Marathon[/caption]

Each of the six marathons is unique, which earns them worldwide popularity. When he ran Boston in April 2024, there were over 30,000 plus participants; in London, there were 57,000 plus. Berlin and Chicago are known for their fast and flat courses, making them ideal for setting personal bests. In contrast, Boston and New York are considered the toughest due to their rolling hill courses. London is renowned for its large crowds, and Tokyo for its cleanliness and organization.

“Preparation and planning for each marathon vary based on the terrain and personal goals. Qualifying for these races, along with registration, hotel bookings, flights, and visa arrangements, can take nearly a year. Beyond the logistical planning, training involves balancing running with health, associated injuries, while addressing the call of duty - work, family, etc. Ultimately, the feeling of completing these races is indescribable and must be experienced to be truly understood,” he adds.

Fitness Cues

Training for a marathon is one of the most demanding aspects of the preparation. Covering 26 miles (42 kilometres) of continuous running is not for the faint-hearted. It typically takes me around three and a half hours to complete; for some, it may take 5-6 hours. “Consistent, daily training is essential. Despite having a solid training plan or a coach, race day can bring unexpected challenges that test both mental and physical coordination. You can plan and strategize for the distance, but once you are on the course, things may not always go as expected. Your body’s response can vary, and unforeseen issues can arise. For example, during my Boston Marathon I had to walk nearly half the distance due to severe muscle cramps, struggling to drag my feet to the finish line,” he says.

Discipline First

Discipline is crucial for marathon running, and for him the 3Cs - consistency, commitment, and continuity are essential. “Over the past 20 years, I’ve maintained a routine of waking up around 4:30 AM every day. I train for at least two hours on weekdays and over four hours on weekends. On Saturdays, I run 30-35 km, a distance some might not even drive. In addition to running, focusing on core strength and flexibility is important. Maintaining body weight requires mindful eating habits. I avoid coffee, tea, and carbonated drinks, indulge in sweets only occasionally, and abstain from alcohol and smoking. While some friends joke about my strict regimen, the discipline and results make it worthwhile,” he says.

Murthy RK | Indian marathoner | Global Indian

Stay Focused

Murthy believes in dedicating 10,000 hours to achieve mastery in any field. With a clear goal and strong commitment, he believes you can overcome any obstacle. “My advice to aspiring runners is to commit fully, set achievable goals, join a supportive group, work with a coach, start gradually, and aim for incremental milestones. Running is physically demanding, and injuries are common, so it is crucial to know your limits and avoid overexertion. Commitment remains essential to overcoming challenges,” he says.

For someone who has gained valuable insights from distance running, he believes that running parallels life, a marathon, not a sprint. Enduring aches and pains to complete a 42-kilometer race mirrors the challenges of life's journey. “Your condition at the start differs from when you finish. Despite the hardships, the sense of accomplishment upon crossing the finish line and earning a medal inspires you to plan your next race. Running is about taking one step after another, allowing time to reflect on work, family, and solutions to problems. It fosters discipline, commitment, and consistency,” he says. Murthy is clear that he is always preparing for his next run. “My mind is always focused on planning the distance to cover and the timing for achieving it. I am eagerly anticipating my participation in the World Masters Athletics Championship in Gothenburg, Sweden, in August 2024, marking my second appearance, and the Tokyo Marathon in March 2025 to complete my six stars in the World Major Marathons,” he says. Amen to that.

Follow Murthy RK on Instagram.

 

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Into the Wild with Dr. Koustubh Sharma: Behind the scenes of snow leopard conservation

(November 24, 2023) A fresh ibex carcass was a tell-tale sign that a snow leopard was nearby. This was back in 2010, in South Gobi, Mongolia, where Dr Koustubh Sharma, the Conservation Science Director at the Snow Leopard Trust, stood with a team of seven researchers on a peninsula-shaped ridge line that dropped into a steep slope. It was mid-morning, though, an unlikely time for a snow-leopard sighting. As a colleague, Orjan, inched closer to examine the carcass, the snow leopard, which had been hiding just out of sight, jumped up on to the ledge to avoid him and found itself face-to-face with Koustubh. "He was so very surprised," Koustubh laughs, as he recalls. "I still remember that look on his face, and all the scars he carried." The snow leopard overcame its surprise and slunk away as quickly as it had appeared - Central Asia's apex predator can also be quite shy. In fact, Koustubh says, there are hardly any known encounters where a snow leopard has deliberately attacked humans. In the 15-odd years that Koustubh has worked on the conservation of the species, he has only seen it a handful of times in the wild. The animal's elusive

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The animal's elusive nature was part of what drew him to it. "People work with snow leopards for years and never get to see them," he says. They melt into their terrain, making them very hard to spot and can survive in no-man’s land atop snow-covered mountains, breathing very scant air fairly comfortably.

A career in conservation

[caption id="attachment_46975" align="aligncenter" width="464"] Dr Koustubh Sharma. Photo by Xavier Augustin[/caption]

Koustubh speaks to Global Indian from Bishkek, Kyrgyzstan, where he has been based since 2017, splitting his time between his role as International Coordinator at the Global Snow Leopard and Ecosystem Programme and as the Director for Science and Conservation at the Snow Leopard Trust. One of the species' foremost researchers and conservationists,  Koustubh's work involves collaborating with policymakers, conservationists and organisations from snow leopard range countries. It means working with partner organisations and making sure that the research and field terms have all the support they need - in terms of scientific and financial resources. "There's a lot of grant writing, outreach, communication and public speaking involved," Koustubh explains. "And since a third of the world's snow leopards live within 100km from international borders, you need to work with multiple governments."

It also involves braving some of the world's harshest terrains, usually in alpine and sub-alpine zones, at elevations of between 3000 and 4,500 meters above sea level. Snow leopards have a very broad range - their habitat extends thousands of kilometres across diverse and very rugged landscapes, across the mountainous regions of Central and South Asia, covering some 12 countries including Afghanistan, Bhutan, China, India, Kazakhstan, Kyrgyzstan, Russia and Uzbekistan.

Tech as a gamechanger

A couple of decades ago, being a conservationist meant a lot of treacherous hikes to set up camera traps, and going back everyday to change film rolls and batteries. By 2004-2005, the technology had evolved to digital cameras and conservationists had to visit every six months to replace the battery, collect data and put the traps back. Today, technology has done away with the need to physically camp out in the bitter cold of the rugged Central Asian terrain.

[caption id="attachment_46976" align="aligncenter" width="629"] Testing camera traps. Photo courtesy: Dr Koustubh Sharma[/caption]

Bridging technology and conservation holds a deep fascination for Koustubh. He even appeared in a Microsoft ad, talking about how scientists at the Snow Leopard Trust use the MS’ AI tech in their research efforts. “To protect snow leopards, you need to know where they are,” he said. Camera traps capture thousands of images that need to be analysed - a task that means days of work for humans, and 10 minutes for an advanced AI.

From Bhopal to Bishkek

His association with the snow leopard feels like kismet - he was in the right place at the right time. After completing his Master’s in Physics, Koustubh moved to the Panna Tiger Reserve to do his PhD in wildlife zoology by studying the Four Horned Antelope. "Those were blissful times" he smiles. "I would go in the morning, observe the wildlife and come back. It was like earning for a hobby." Spread out over 552 km of forestland, life at Panna was not for the faint of heart. "It can be quite intense if being alone scares you," Koustubh agrees. He wasn't one to scare easily though - in college, he had picked up bird watching, because it was something he could do in Bhopal. When an overhaul of one of the city's lake required compiling bird data, Koustubh, who was a college kid then, was taken on for the project. "And that was how my association with the Bombay Natural History Society started too," he says.

At the Panna Tiger Reserve, he met another scientist, Dr. Raghu Chundawat, who incidentally, is the first person to complete a PhD on snow leopards, back in the 1980s. Given his background in Physics, Koustubh was fairly comfortable with numbers and he collaborated with Dr Chundawat to explore and experiment on a few methods to monitor and assess snow leopards. They tried and tested site occupancy methods - which are techniques used to determine whether a particular area or site is occupied by a certain species. These methods, which involve camera traps, surveys for tracks, scat or markings and DNA samplings were all fairly new at the time.

As he wound up his thesis, Koustubh heard about the Snow Leopard Trust. Founded in 1981 by Helen Freeman, the Snow Leopard Trust is a non-profit dedicated to the conservation of the endangered snow leopard and the preservation of its ecosystem. They were looking for a regional field biologist, someone who could stay in a remote area without worrying too much about what was happening back home. They also wanted someone to help the researchers in study designs and data analysis. Koustubh was the man for the job.

Where the wild things are

That's how Koustubh began his journeys through the wilderness of Central Asia. "My first trek was in -40 degrees," he says, when he was tasked with setting up a base station site for the first ever long-term ecological study of snow leopards in Mongolia back in 2008. He took off from Delhi, with his overcoat in his main suitcase. As the plane landed, the pilot announced that the temperature was 35 degrees Celsius. "I was like, why is everyone panicking back home? I have lived through 45 degrees Celsius. I stepped out and felt like I was being pricked by thousands of needles. I hadn't heard the 'minus'. My colleagues still make fun of me," he smiles.

Extreme weather is part of the deal, though. Snow leopards tend to live higher up in the mountains, usually above the treeline but just below where everything is totally frozen. "It is the only species that is found only in the mountains." Since prey is scarce so high up in the mountains, snow leopards wander extraordinary distances in search of food, accounting for their large home ranges. Creating and preserving a habitat is challenging, because it spans several thousands of square kilometres. "So, we work with people whose spaces overlap with the snow leopards," Koustubh explains.

Community-driven conservation

Such a large home range means snow leopard territories often overlap with that of humans. With a global population of a few thousand mature individuals, which is projected to decrease by about 10 percent by 2040, the snow leopard faces significant threats from poaching and as mentioned already, the loss of habitat due to infrastructural expansion. "So by design, all conservation work is about community engagement," Koustubh explains, adding, "By building partnerships with local communities, understanding challenges that snow leopards face and coming up with mutually agreeable solutions for people and animals alike." Humans are the main threat to snow leopards, which attack their livestock - and their livelihoods. "We have developed community-owned insurance programmes that helps protect villagers from the onslaught of loss."

Simply put, if people are losing their livestock already to disease, and then one is killed by a snow leopard or a wolf, they're going to want to take their frustration out on the predator. If farmers are losing fewer livestock, they can better withstand the loss of one or two. "In some areas we even work with communities by helping them develop handicraft products. We also help them produce honey, and initiate tourism programmes." Happy tourists can go a long way towards protecting the snow leopard, Koustubh says. "We have another programme to help communities build sustainable and conservation-oriented tourism." At the end of the day, Koustubh says, there's no replacing local skills. "You can bring in your skills and compliment them."

When he's not working, Koustubh is out stargazing on clear nights in Bishkek, to pursue his "rekindled childhood hobby" of astrophotography. I spot some equipment in the background as we speak. "I use a 70-200mm and 400mm standard canon lenses, Schmidt–Cassegrain catadioptric telescope, Doublet Refractor telescope and Newtonian telescope to photograph the night sky," he explains. His Instagram profile is peppered with pictures of Orion's Belt and the Horsehead Nebula, which appear to hold a certain fascination for him.

 

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Dr. Koustubh Sharma's work in snow leopard conservation bridges gaps between science, policy, and community, shaping a future where both humans and these elusive cats can thrive. His journey underscores the importance of perseverance and collaboration in the face of environmental challenges.

  • Follow Dr Koustubh Sharma on Instagram
Story
Dr GV Rao: The ‘living legend’ of Gastroenterology

(October 27, 2023) Some 14 years ago, a prominent personality from the film industry approached Dr GV Rao seeking medical help for his condition. A diagnosis revealed colon cancer. However, the patient did not want his family to know, as there was a wedding scheduled in the family. The hitch -  a family member needed to sign the consent forms for the surgical procedure. The patient reposed his full faith in Dr Rao, who signed the forms. Today, the patient is healthy and leading a normal life. For Dr GV Rao, regarded as the “living legend” in the world of Gastroenterology, there have been umpteen situations when he went out of his way to help his patients. “After all these years, I still get calls at midnight for some emergency. But my experiences have taught me to stay composed even in the most demanding situations,” smiles Dr GV Rao, Director and Chief of Surgical gastroenterology, GI Oncology and minimal invasive surgery at the Asian Institute of Gastroenterology (AIG). A leader in his field, basic science research is a crucial area of interest for Dr Rao, who is keen on developing indigenous research pathways, techniques and technologies that can help clinicians

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hat can help clinicians treat patients in more cost-effective yet efficacious way. “I am following the advent of newer technologies in the form of artificial intelligence and machine learning. It is fascinating and opens up opportunities for us to work on from the clinical standpoint,” Dr Rao tells Global Indian.

He sees immense potential in developing a sub-specialty which can be a hybrid of AI and GI Surgery where surgeons will get trained on AI models which in turn will further develop essential surgical practices with the data points coming from the surgeons’ usage.

[caption id="attachment_46085" align="aligncenter" width="609"] Dr GV Rao[/caption]

The prodigy

The soft spoken doctor’s journey is truly fascinating. “But for a Court decision, I would have been a veterinary doctor,” chuckles Dr Rao. Born into a middle-class Hyderabad family with one sister and three brothers, he tried to get admission in a medical school at the age of 16 but was too young to qualify. “I went to court and got the clearance. In the meantime, I enrolled in a veterinary college for a month as I did not want to waste an year. If the court had ruled differently, I would have been a vet," informs Dr Rao.

His early schooling was in the Vivekananda School but his father, G Murahari, who was a civil engineer working in the Electricity Board, wanted to give his children the best education, despite the financial constraints. Subsequently, he got admitted into the Hyderabad Public School, Ramanathpur, which he says, was both a cultural and academic shock to him.

“My father insisted on English literature as the first option, which was tougher than math or science,” he says. As a result, he scored poorly in the first year. “But then, that’s the beauty of an institution like HPS which instilled language skills, be it oratory or written. Imagine Thomas Hardy’s Far From the Madding Crowd as a non-detail book !,” recalls Dr Rao, who, within one year was able to grasp enough English in order to top the class. At school, he played tennis and hockey but it was swimming that has been a constant in his life since the schooling days.

Father’s ambition

It was primarily his father’s ambition and his influence that kept Dr GV Rao motivated to become a doctor. After his MBBS from Osmania Medical college, Hyderabad, he was keen on getting into general surgery. “I went on to do my Masters from Bangalore and was lucky to get trained under Prof. Vittal who shaped me as a skilled surgeon,” informs the doctor.

Back then, Surgical Gastroenterology as a specialty had just started in Chennai and Dr Rao  began to work under Prof. Natesan Rangabashyam, the doyen who envisioned Surgical Gastroenterology as a speciality and started MCh Surgical Gastroenterology.

When he returned to Hyderabad, Dr Rao was offered a government posting in his father’s hometown. But it was more of a primary health center with not much work for a surgeon. “My father was very happy about my job and posting, but I resigned within three days of my joining, without his knowledge. He did not talk to me for nearly 6 months,” says Dr Rao. Those were the days when a government job meant career security.

Dr Rao went on to specialise in Laparascopy and GI surgery at many prestigious hospitals overseas including St Marks and Kings College, London. “I was trained under Prof. Sydney Chung for the basic laparoscopy. Once, I went for a workshop in Hong Kong where Prof Chung showcased laparoscopic cholecystectomy in the morning and by evening, that very patient walked into the auditorium. That entire thing was an awe-inspiring moment,” recalls Dr Rao, who then stayed back to learn laparoscopy with Prof Chung.

Dr Rao’s inclination towards minimally invasive approach in surgery got him interested in following Dr. D Nageshwar Reddy (chairman of AIG) and his work in endoscopy. The rest is history. “We started a morning and evening practice at Medinova hospital and slowly moved towards creating our own space.”

Asian Institute of Gastroenterology

Another interesting case that actually helped both Dr Reddy and Dr GV Rao transform their services was when a popular Chief Minister’s spouse approached them.

The patient underwent laparoscopic cholecystectomy and subsequently developed septic shock because of an impacted CBD stone. An urgent ERCP was to be done. “We were contacted and airlifted to attend the patient at midnight. We managed to save the patient and as a result the CM offered us a place in his state to start a full-scale practice,” says Dr Rao.

However, they did not want to move out of Hyderabad. “The CM then ensured that we get a place in Hyderabad to start our independent institution. That’s how Asian Institute of Gastroenterology got its first proper building in the year 2004.”

The early years

Describing the first two years (2003-04) as the most dramatic in his career, Dr GV Rao beams with pride when he says that they performed the first Endoscopic appendectomy in the world, this evolved into the Natural Orifice Transluminal Endoscopic Surgery or Scarless Surgery.

Dr Rao was asked to present this data in a major gastroenterology meeting in USA after being primed about a possible negative response from the attendees as had happened when the first ever laparoscopic cholecystectomy was showcased earlier in similar meetings. “The presentation went  flawless, but the standing ovation of 4000 plus audience is unbelievable to this day.”

Back then, the first 50 laparoscopic cholecystectomy were done at midnight because of the non-availability of endoscopy camera. “It was a kind of innovation at that time, where we used to leverage an endoscopic camera with adapter to fix on the laparoscopic instrument to do the surgeries. Surgeons these days won’t even be able to imagine something of that sort,” he explains.

Challenges for medical fraternity 

As a medical professional, Dr Rao feels the internet-acquired knowledge by patients is a huge challenge. “Patients increasingly rely on information from the internet, which can be both a boon and a challenge. While it can empower patients to make informed decisions, it also leads to misinformation and self-diagnosis, potentially complicating the doctor-patient relationship,” he points out.

Another challenge is the “empathy deficiency” in next-generation doctors. “With the growing emphasis on technology and specialization in medical education, there is a concern that future doctors may lack the interpersonal skills and empathy required for patient-centered care. Balancing technological advancements with compassionate patient interactions is crucial.”

As algorithms and machine learning become integral to healthcare, concerns arise about the opacity and bias of these systems, he says. “The medical community must grapple with issues of accountability, data privacy, and ensuring that AI complements, rather than replaces, clinical expertise,” he feels.

Keeping the doctor away

“I prioritize my personal health by maintaining a balanced lifestyle. Regular exercise, including both cardiovascular workouts and strength training, helps me stay fit and promotes overall well-being,” says Dr Rao, who adheres to a diet rich in fruits, vegetables, lean proteins, whole grains, and healthy fats while practicing portion control to prevent overeating.

Staying well-hydrated with an adequate water intake is essential for digestion and overall health, he advises. “While I do enjoy occasional indulgent foods and treats, I do so in moderation, not making them a regular part of my diet,” he says. Regular check-ups and screenings are scheduled to monitor his health and detect potential issues early.

At AIG, they have a Bicycling club where they get together on Sundays, enjoy a nice ride, and have a comforting breakfast together. “You don’t realize at first but activities like these do help take out the stress and also builds a great camaraderie among teams.”

Loves sci-fi

The doctor loves watching science fiction movies and some of them do get featured in his clinical presentations too. “From Matrix, Terminator to Avatar, I try and catch up with all the latest sci-fi movies and they do keep me hooked,” says Dr Rao, who by his own admission, has a soft corner for Hyderabadi Biryani but does not over indulge.

Dr Rao says it would be worth it if all the experience and practical knowledge that he acquired, can be used to influence medical teaching, practice, and community work. “Consulting government agencies with a science-based approach would be something that I would be delighted to contribute to,” he says.

  • Follow Dr GV Rao on LinkedIn

Reading Time: 10 mins

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From Mumbai Streets to North Carolina Eats: Chef Meherwan Irani’s Chai Pani

(October 29, 2023) From chaat to vada pav and more, Chef Meherwan Irani's restaurant chain called Chai Pani, is all about celebrating Indian street food with aplomb. Pani puri, sev puri, dahi puri, vada pav, misal, bhajiyas – sounds like just a streetfood restaurant in India. This menu, however, belongs to Chef Meherwan Irani’s Chai Pani, in America’s Deep South, in Asheville, North Carolina. In 2022, Meherwan’s flagship restaurant in Asheville, Chai Pani, was named Outstanding Restaurant by the James Beard Foundation, in the ‘Oscars’ of the culinary world. “It was jaw-dropping, honestly,” Chef Meherwan Irani smiles, as he chats with Global Indian. “To win the award for the Outstanding Restaurant, where the word Indian doesn’t even figure, was a shock. It means a lot because I got nominated five times for Best Chef but never got to the finals.” What’s more, Meherwan has just signed a deal for a cookbook with Penguin Random House’s division Tenspeed Press. [caption id="attachment_46322" align="aligncenter" width="506"] Chef Meherwan Irani[/caption] Born in Ahmednagar, in Maharashtra, Irani went to the US for an MBA, then lived and worked with companies like Lexus and Mercedes Benz in the Bay area for 12 years. A desire to get

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ion Tenspeed Press.

[caption id="attachment_46322" align="aligncenter" width="506"]Indian Cuisine | Chef Meherwan Irani | Global Indian Chef Meherwan Irani[/caption]

Born in Ahmednagar, in Maharashtra, Irani went to the US for an MBA, then lived and worked with companies like Lexus and Mercedes Benz in the Bay area for 12 years. A desire to get out of the rat race made him and his American wife Molly relocate to Asheville in North Carolina, with their daughter Aria. This was way back in 2009, and it was a move that would forever change the course of their lives; and go on to significantly impact that of others as well.

The co-founder and CEO of the Chai Pani Group of Restaurants, says, “Life in San Francisco was too busy and too expensive. So we moved to North Carolina and having grown up at the hotel my parents had in Ahmednagar, I was familiar with the hospitality business. I wanted to start a restaurant; I made a list of my favourite street food based on what I had eaten in Mumbai and other cities. Then I created dishes, ran focus groups with white Americans for feedback and over a couple of hours one night, I created the entire menu for Chai Pani.”

Chai Pani Time 

Meherwan called the restaurant Chai Pani because the phrase has multiple meanings in Indian culture and many layers, much the way the menu does. It literally means tea and water. While the common association is a small roadside snack with friends, or a small tip to grease the wheels, it mostly signifies hospitality and welcome (offering tea and water to guests in your home)!

Meherwan made frequent trips to India to figure out how the hawkers made bhel puri and other snacks. “There is no culinary school for vada pav, pav bhaji or bhel puri; or chai even. Also, I wanted to create food that was different, but not necessarily an acquired taste. The Indian food at restaurants is often too oily, too spicy and greasy and not how we make it at home. We give it a halka sa touch of spice and tadka and don’t drown it in chilli and ghee. I wanted to create flavour profiles that are universal, combinations that appealed, because with globalised palates, there was less fear of people not wanting to try the unknown.”

Indian Cuisine | Chef Meherwan Irani | Global Indian

Elevating Street Food

Chai Pani essentially serves snacks you could get on the streets of  Indian cities and meals you’d be served in someone’s home — what Meherwan felt were the most under-represented Indian foods in Western culture. Diners craved Chai Pani’s stereotype-shattering food, drinks and service, and this first-of-its-kind establishment has been recognised as sparking a revolution in Indian cuisine in America. He also insists that managing people is an art; one that is diligently taught to staff. He avers, “The philosophy at the centre of Chai Pani, which is the purpose of our existence, is that we don’t serve food, but serve people by serving food.”

Word spread and the local, predominantly white populace started frequenting Chai Pani. Now, every Friday through to Sunday, from 5 to 9 in the evenings, they queue up for pani puri and the restaurant averages anything between 3000 to 5000 of them being sold every week! Other popular items are vada pav, sev puri and dahi puri.

Chai Pani and the kebab and rolls restaurant that followed, Botiwalla, have décor inspired by the Irani cafés one sees in Mumbai. Old Hindi film posters on the walls add a dash of Bollywood, as does the music playing in the background. The atmosphere is mela-like, especially during pani puri time!

What makes this restaurant authentic all the way is Meherwan’s integrity and approach to food. He reveals, “We make the sev in-house, we even set the dahi ourselves for the raita and dahi puri; and teach our staff how to do it as well. We buy puris from Atlanta, from an ex-team member who wanted to start his own business.” The puris, he says, resemble “what you get at the Elco Market pani puri stall [a famous street food place in Bandra, Mumbai] and like them, we too serve our pani cold.” The green chutney is Parsi style and the tamarind chutney reminiscent of Mumbai. The vada pav is served with a mix of chutneys and fried green chillies, just like it is sold on the streets of Mumbai.

[caption id="attachment_46318" align="aligncenter" width="532"]Indian Cuisine | Chef Meherwan Irani | Global Indian Chef Meherwan Irani with his wife Molly, the co-founder of Chai Pani[/caption]

I love my India 

Sticking to his Indian roots, Meherwan also serves Kingfisher and Haywards beer – both Indian brands and Old Monk rum, besides Thums Up. The cocktails here too have Indian flavour profiles, like a gin and cilantro cocktail and the Punjabi Porch Pounder which is gin, sage and Indian spices. The Tamarind Margarita is self-explanatory.

What started as one restaurant in 2009, is today a group of restaurants and includes Botiwalla which serves grilled kebabs, rolls, and more, along with the popular chaat items. Meherwan says, “We didn’t have the budget to expand though Chai Pani was self-funded. Family and friends like family came forward and expressed interest in our expansion plans. If you remember that scene in the movie Kal Ho Na Ho where friends come together to relaunch the Indian restaurant, it was exactly the same with us.”

Spicewalla is their retail brand of freshly crushed spices and blends – over a 100 of them and they include spice blends from across the world.  Meherwan leads a growing team across several locations: Chai Pani Asheville, Chai Pani Decatur, Botiwalla Atlanta, Botiwalla Charlotte, and spice brand Spicewalla, which has two outposts in Asheville and Atlanta.

Intriguingly, although Chef Meherwan Irani is half-Parsi, the menus don’t quite include Parsi dishes, nor do eggs dominate the menu, given how much the Parsis love them. An acknowledgement of his Parsi heritage is the raspberry soda [also made in-house] and the Falooda at Chai Pani. He agrees, “Yes, I did think of including Parsi dishes but other than Kheema Pav, others didn’t work out. I do sneak in the Parsi dishes like Egg Bhurji, Akuri, Dhansak and Patra ni Machchi at special events and galas.”

Indian Cuisine | Chef Meherwan Irani | Global Indian

The Gift of Giving 

Through Chai Pani University, Meherwan and Molly provide formal training in leadership and management skills coaching to managers and employees who express an interest in future leadership positions. In 2018, the University launched an annual programme to send several of their employees to India for cultural immersion. Meherwan explains, “We pay for everything – and we take anything between eight to 15 employees twice every year. They love the visits, and many of them have come with us several times. Some have even learnt how to speak Hindi.”

As part of their visit, the team also goes to the hotel run by Meherwan’s parents. And they unanimously declare that meeting his parents and getting cooking tips from Meherwan’s Parsi mum is usually the highlight of the trip. “My mother is the heart and soul of why Chai Pani exists. Her cooking philosophy is all about balance – tradition and innovation.”

The co-founder couple are generous bosses in other ways too. He reveals, “We give away a certain percentage of our business to our staff – the managers and other employees, every year. That is so they have a sense of ownership. Our daughter Aria is now studying law, and we hope to bring her into the business someday.”

The Iranis also created Chai Pani Giving, an internal foundation dedicated to giving back and supporting causes related to hunger, poverty and socio-economic inequalities faced by immigrants, especially in the service and hospitality business. He says, “We believe that since our needs are taken care of, we need to do the next best thing and help the community. We conduct food drives at shelters for the homeless, provide support for education.” They have sent over 50 kids to school in the last seven years, and several to college.

Indian Cuisine | Chef Meherwan Irani | Global Indian

Global Melting Pot 

Speaking on global trends in Indian food, Chef Meherwan Irani says, “Regionality is gaining prominence. Unlike an all is one approach, the originality of each dish is the standpoint. In Mumbai for instance, there is a cultural coming together that is reflected in food. Take bhel puri – the murmura comes from Andhra, the sev from Gujarat, papdi from the North and chutneys from Maharashtra. But, if you look across cuisines, veganism, conscious eating, giving back to the planet through the way we eat is growing.”

  • Follow Chef Meherwan Irani on Instagram

Reading Time: 5 mins

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From lows to highs: Saweety Boora wins gold in World Boxing Championship

(April 12, 2023) Saweety Boora is riding high with her recent win. She defeated China’s Lina Wang to clinch a gold medal in the recently held Women’s World Boxing Championship. With this victory, she became the seventh Indian boxer (male or female) to become a world champion, and the first Indian to win the world boxing title in the women's 81 kg category. For Saweety, who is being celebrated for bringing glory to India, the triumph has come after a lot of tears and tribulations. In fact, there was a time when the dispirited Saweety turned to Kabaddi, spending twelve hours a day on it, all to forget her ‘first love’, boxing. Winning gold at the World Boxing Championship has resurrected the boxer’s belief in her abilities, motivating her to make her country proud in the 2024 Olympics. [caption id="attachment_37218" align="aligncenter" width="574"] Saweety Boora[/caption] The tale of heartbreaks in boxing Saweety rose to instant fame when she won a silver in her debut Women’s World Championship at South Korea in 2014. One year later, she clinched another silver at the Asian Women's Amateur Boxing Championships in China. However, after such great feats so early in her career, the boxer went through several lows.

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y Boora | Global Indian" width="574" height="718" /> Saweety Boora[/caption]

The tale of heartbreaks in boxing

Saweety rose to instant fame when she won a silver in her debut Women’s World Championship at South Korea in 2014. One year later, she clinched another silver at the Asian Women's Amateur Boxing Championships in China.

However, after such great feats so early in her career, the boxer went through several lows. One major blow was her failure to qualify for the Tokyo Olympics in 2020, despite her hard work and efforts. “It was the darkest phase of my life,” the boxer said. “What is the use if there is no Olympics? I had played at various international and Asian tournaments and won medals. The only medal that was missing in my career was of the Olympics," she said.

The boxer was so shattered by having been left behind, that watching the Indian contingent head to Tokyo sent her into an acute depression. It was so severe she nearly quit boxing.

Finding solace in Kabbadi

Talking about the lowest phase of her life, Saweety said in an interview, “I was depressed. I wanted to stay away from everything - social media and TV during the time Olympics were going on because I was not there. It was the worst feeling for me,"

Indian Athlete | Saweety Boora |Global Indian

To vent out the frustration the boxer turned to Kabbadi, a game she had played in her early years. “Boxing is my first love, my life and my passion. The thought of leaving that was very difficult for me but I needed something to hold on to,” she said.

When Indian athletes were earning accolades in the Tokyo Olympics, Saweety used to leave for practice at five in the morning, train for six hours, take a break and come back to practice again until midnight. “I just wanted to shut myself away from the world to keep boxing out of my mind,” she said.

Support in family and friends

It was her brother, and her Kabbadi player husband Deepak Hooda, who stood by Saweety during this time. Deepak’s Pro Kabaddi League team was also very supportive. "I earlier played Kabbadi for physical fitness and then I started training for the game,” she said adding “I used to be so good at it that many thought I could make it as a professional player.”

Motivated by the encouraging words of the Pro Kabaddi League team, Saweety gave trials and was selected for nationals because nobody could match her speed in the women's game.

Back to her first love

No matter how much solace Kabbadi provided, nothing could keep Saweety away from boxing. When the trials for the Asian Boxing Championships in 2021 began, she decided to give the sport another chance.

The boxer clinched a bronze medal in the championship which was held in Dubai. Things started looking up from there and subsequently Saweety was selected for the Women’s World Championship proving her mettle by winning gold. Her joy ever since has been boundless.

Indian Athlete | Saweety Boora | Global Indian

Family of players

Sport runs in the family – Saweety's farmer father, Mahender Singh, had once been a national-level basketball player. Her husband, Deepak, served as the captain of the Indian National Kabaddi team from 2019-2022 and her younger sister Siwi Boora, is also a boxer. Siwi won a gold in the Khelo India Youth Games followed by Khelo University Games. Saweety’s brother Mandeep is a boxer too.

Wiser with the grind

All her struggles, along with the tough upbringing she had in rural Hissar, under the watchful eye of a sportsman dad, have made her wiser. Today, Saweety is strong on the inside too, able to rise above great odds. The boxer is super excited after winning gold in the 2023 World Boxing Championship but knows the job is far from over. “Just to be on top in one championship is nothing. There’s a lot to do. I have been working diligently to ensure that I can give my best at the elite level,” said the thirty-year-old athlete who is looking forward to bringing laurels to the country in Olympics 2024 to be held in Russia.

    • Follow Saweety Boora on Twitter and Facebook

Reading Time: 5 mins

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About Global Indian

Global Indian – a Hero’s Journey is an online publication which showcases the journeys of Indians who went abroad and have had an impact on India. 

These journeys are meant to inspire and motivate the youth to aspire to go beyond where they were born in a spirit of adventure and discovery and return home with news ideas, capital or network that has an impact in some way for India.

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