OMAN — broadcast
20260920 163000 UTC
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[00:00:00] There will be a partnership, meaning a community partnership, and
[00:00:03] civil society organizations that will be part of Sohar's file.
[00:00:07] These
[00:00:09] frequent hospitalizations due organizations in the
[00:00:12] private and public sectors
[00:00:16] will be a fundamental supporter and a basic pillar for these
[00:00:18] basic pillars, in terms of learning for
[00:00:22] sustainable development, health and well-being
[00:00:24] for citizens. Also, there is learning for international
[00:00:28] citizenship, and also, we are now addressing illiteracy,
[00:00:32] whether it is written, digital, or reading. These
[00:00:36] full of matters will be comprehensive and included
[00:00:40] that really put a strain on in all of our files that will be submitted. There are also economic aspects,
[00:00:44] tourism, historical, heritage, and developmental aspects.
[00:00:47] The Wilayat of Sohar, thank God, is one of the fully developed wilayats in
[00:00:50] terms of basic services and infrastructure
[00:00:53] that also serves many young people. There are
[00:00:57] parks and gardens in the municipal sector.
[00:01:00] In fact, there are many
[00:01:02] health walkways that focus on supporting health
[00:01:06] and building capabilities, also in
[00:01:10] without them having the presence of many institutes and schools specialized in building
[00:01:14] that have been conducted in the capabilities of young people. Your Excellency, how can
[00:01:17] lifelong learning contribute to achieving sustainable
[00:01:20] development as well?
[00:01:25] reduces their need for reduce their hospitalization, Of course, here in among the sustainable development programs for 20-30 at
[00:01:28] the global level. The quality of education and the quality
[00:01:32] of education receive great attention here in
[00:01:35] the Sultanate of Oman due to the Ministry of Education's commendable
[00:01:38] the annual efforts in this regard, including integrated support and creating
[00:01:41] appropriate conditions for our children's education,
[00:01:44] whether it is basic education up to
[00:01:48] higher education, and then higher education in universities, colleges,
[00:01:52] and institutes. How can Sohar currently join,
[00:01:55] Your Excellency, the Global Network of Learning
[00:01:59] Cities? And your aspirations,
[00:02:02] which you discussed at the meeting, as I mentioned to you,
[00:02:06] Brother Abdullah, we in the Wilayat of Sohar, the wilayat is ready in all
[00:02:11] burden on benefit after studies and its sectors, and this is considered one of the basic pillars in this
[00:02:15] regard. So, strengthening
[00:02:17] lifelong learning aspects,
[00:02:22] when the same patient is hospitalized and also literacy. There are also many developmental pillars upon which
[00:02:26] economic, developmental, investment,
[00:02:30] and tourism aspects are built.
[00:02:32] or long-term This is one aspect. Also, mobilizing energies, and by that, we mean mobilizing
[00:02:36] resources, whether human resources or material
[00:02:39] and financial resources. Your Excellency,
[00:02:41] in ecstasy, you talked about the strategic axes, but if we delve
[00:02:43] into them more broadly, what are the strategic axes
[00:02:47] that also enhance
[00:02:49] And even in light of Sohar's entry into learning
[00:02:52] cities? One of the basic
[00:02:55] pillars is education for sustainable development,
[00:02:58] as well as education for lifelong learning
[00:03:02] and for literacy, whether it is literacy in reading,
[00:03:05] writing, or digital literacy.
[00:03:09] expected Also, communication with
[00:03:11] mortality rate, these different committees at the level of the Wilayat of Sohar
[00:03:14] in the cultural sector. Also, communication with
[00:03:16] relevant government agencies
[00:03:21] effects. It reduces in the aspect of developing capabilities and building the capabilities of young people, including
[00:03:25] youth clubs,
[00:03:27] or a month, but in the remotely. What does this recreational centers, and educational centers. There are
[00:03:30] is its significance? Its impact on many pillars that we rely on, and the most important pillar
[00:03:33] is, as we always say, mobilizing energies and mobilizing resources
[00:03:37] so that Sohar becomes a city of continuous lifelong
[00:03:40] learning in this aspect. Of course,
[00:03:43] there will be an evaluation later on in this regard, and God
[00:03:47] willing, we are hopeful that Sohar's file will be
[00:03:50] a strong file and a professionally presented file,
[00:03:54] and God willing, we will achieve this accession in the near
[00:03:57] future, God willing.
[00:03:59] We will also have Dr. Aref bin Your Excellency, yes, Your Excellency, a final
[00:04:02] question due to time constraints.
[00:04:05] What are the recommendations that you came up with from
[00:04:08] the meeting? We came up with many recommendations,
[00:04:11] the most important of which is to start preparing
[00:04:14] the file for Sohar's accession,
[00:04:17] and that it be a complete file, and
[00:04:20] according to the pillars and foundations that
[00:04:23] the accession file
[00:04:25] Sultanate, with needs to join
[00:04:27] the remarkable development UNESCO, and God willing, we will work hard on that, God willing.
[00:04:30] Thank you, His Excellency Sheikh Saud Mohammed Al-Hinai, Wali of
[00:04:34] whether doctors Sohar. This is what we have
[00:04:37] and what is clear about this project. We will return
[00:04:40] to you in the studio there in Muscat. Thank you, colleague Abdullah
[00:04:44] Al-Riyami, and this is also a corner of giving from the corners
[00:04:47] of the nation in the Wilayat of Sohar, as we mentioned, and following
[00:05:10] I don't have enough time
[00:08:05] we continue with you, our viewers, tonight in your
[00:08:09] program "From Oman". How wonderful it is to talk about
[00:08:13] achievements. Today, our health sector is filled with
[00:08:16] national competencies, with highly skilled
[00:08:19] medical staff. What proves this are the qualitative
[00:08:22] achievements in various fields. Today, as
[00:08:26] we followed through social media and various
[00:08:29] media outlets, the Royal Hospital, dear viewers,
[00:08:32] succeeded in implanting the first sensor to monitor
[00:08:36] heart failure patients
[00:08:39] achievement mean, and what
[00:08:43] the health scene in the Sultanate of Oman in general, considering
[00:08:46] that it is also the first of its kind in the Sultanate of Oman.
[00:08:50] These details will be discussed with our esteemed guests. We welcome, on your behalf, our viewers,
[00:08:53] Dr. Amna bint Sulaiman Al-Busaidi, Consultant in Heart
[00:08:57] Failure and Heart Transplantation at the Royal Hospital. Good
[00:09:00] evening, Doctor. Welcome to the program "From Oman". Good evening, Professor
[00:09:04] Bayanan, and good evening, our dear viewers, and thank you for this
[00:09:08] wonderful hospitality. You're most welcome.
[00:09:11] Ishaq Al-Balushi, Consultant in Heart Failure
[00:09:15] and Heart Transplantation. Good evening, Doctor. We congratulate
[00:09:18] you on this honorable and qualitative achievement
[00:09:22] for the health sector in the Sultanate of Oman in general. Good evening
[00:09:25] and joy. Thank you for the kind invitation, sister
[00:09:29] Bayanan, and I greet you and the listeners,
[00:09:32] both male and female. As you kindly mentioned,
[00:09:36] this is indeed a wonderful medical
[00:09:39] advancement, praise be to God, that we are witnessing in our beloved Sultanate.
[00:09:43] From progress in treatment and improving the quality
[00:09:46] of life for patients with heart muscle failure here at the National
[00:09:50] Center for Cardiac Medicine and Surgery, and also attracting the latest technologies.
[00:09:53] If we talk from another perspective, there is much to discuss, but we will start
[00:09:57] by first wanting to inform the viewer about the nature
[00:10:00] of this operation. In the beginning, Dr. Amna, perhaps
[00:10:03] before we talk about the nature of the operation itself,
[00:10:07] I would like to give the viewers an overview of
[00:10:09] the device. The device is called
[00:10:14] this device. It is a sensor
[00:10:17] that measures pressures in the pulmonary arteries in patients who suffer
[00:10:20] from heart failure, and usually, heart failure
[00:10:24] is advanced, and these patients suffer from
[00:10:27] difficulty breathing, fatigue with exertion, and
[00:10:31] they have
[00:10:34] to fluid retention and congestion.
[00:10:37] So,
[00:10:39] perhaps one might wonder
[00:10:43] what is the relationship between measuring
[00:10:45] pressures in the pulmonary arteries and the heart?
[00:10:48] These pulmonary arteries are connected to the
[00:10:51] heart, and when pressures inside the heart chambers
[00:10:55] increase due to heart muscle failure,
[00:10:58] these pressures are reflected in the pulmonary arteries,
[00:11:02] and these can be early indicators
[00:11:06] that give us the opportunity to intervene early
[00:11:09] by adjusting the patient's treatment before
[00:11:13] symptoms appear, and before symptoms
[00:11:16] of fluid retention appear, and before the patient comes
[00:11:19] to the hospital. So, this is the basic
[00:11:22] idea behind using this device.
[00:11:26] And as you kindly mentioned,
[00:11:29] it is considered one of the latest technologies,
[00:11:32] and this technology is not available in all countries of the world.
[00:11:36] So, thank God, we feel great pride
[00:11:39] that these devices
[00:11:42] are available in Oman, and through them, we can
[00:11:45] monitor patients remotely,
[00:11:48] and improve their quality of life. As Dr. Aref mentioned,
[00:11:52] today we are not talking about the impact, and we are talking about
[00:11:55] many benefits of such
[00:11:59] technologies. Let's talk, Dr. Aref, about the sensor
[00:12:02] itself, its features, the duration
[00:12:05] of its implantation, and other details, and give an overview
[00:12:09] and idea to the viewer about the operation that was performed, God willing.
[00:12:13] As Dr. Amna kindly
[00:12:17] gave a brief
[00:12:20] and detailed explanation of the chip,
[00:12:23] the chip is approximately
[00:12:27] the size of less than 50
[00:12:31] baisa. Yes, the chip
[00:12:35] is very small. This chip usually
[00:12:38] has a self-renewal feature. It doesn't need any
[00:12:42] battery, no charging, nothing. Once it is implanted
[00:12:46] in one of the main branches of the pulmonary
[00:12:48] artery, specifically the left branch, it remains
[00:12:52] there for life, and it has the ability, through
[00:12:55] the design that
[00:12:58] was created, to self-renew without
[00:13:01] any power. Usually, the
[00:13:05] operation is performed through
[00:13:07] the femoral vein under
[00:13:11] local anesthesia. The patient is conscious,
[00:13:14] and this gives us an indication of the vital
[00:13:17] signs. We can communicate
[00:13:20] and interact with the patient, and this accelerates
[00:13:23] the recovery process after the operation.
[00:13:26] The operation takes about an hour,
[00:13:29] more or less, but generally around
[00:13:33] an hour. Patient selection
[00:13:37] follows certain steps. We choose the right patients.
[00:13:41] The technology is available, and it has many positive
[00:13:46] hospitalization, and we anticipate and prevent
[00:13:49] problems with what is called proactive predictive
[00:13:53] medicine.
[00:13:56] The occurrence of problems for these patients before any
[00:13:59] congestion or fluid retention occurs. Once this chip
[00:14:03] is implanted, it starts sending
[00:14:07] vibrations or readings. Once
[00:14:10] the readings are approved,
[00:14:13] we take about three or four readings, and then
[00:14:16] we agree and adopt these readings before the patient leaves the hospital.
[00:14:20] We set a specific range for the readings
[00:14:24] that are allowed or that we expect the patient
[00:14:27] to take, or we can say that this is the permissible
[00:14:31] range so that we can take proactive steps.
[00:14:35] The minimum reading and the maximum reading,
[00:14:38] and then there will be a median reading.
[00:14:41] Recovery usually takes about after we implant
[00:14:45] the chip.
[00:14:47] The patient is examined after the operation,
[00:14:51] praise be to God. This operation does not involve
[00:14:55] any surgical intervention or open-heart surgery, only through
[00:14:59] catheterization. The patient is discharged, and praise be to God,
[00:15:02] all patients were discharged on
[00:15:06] the same day after the operation, and
[00:15:09] the readings started reaching
[00:15:13] us to the treating medical the case.
[00:15:17] Therefore, we were able to know these
[00:15:20] readings and these numbers that we
[00:15:23] had previously set. So we can deal with these
[00:15:27] readings and then take the instructions
[00:15:29] and steps that follow that. How many patients have had
[00:15:33] a sensor implanted to date? And patient response varies
[00:15:36] from one patient to another. If we say today that those who suffer
[00:15:40] from heart failure, is this chip suitable
[00:15:43] for everyone, or are there, as they say,
[00:15:46] certain vital characteristics that must also be consistent
[00:15:49] with this chip? We have implanted the chip in
[00:15:52] three patients so far. And as
[00:15:55] you mentioned, there must be certain conditions that the patient
[00:15:59] must meet,
[00:16:01] including symptoms of heart muscle failure, fluid retention,
[00:16:04] and patient hospitalization during the past
[00:16:08] year or more than once
[00:16:11] during the past 12 months.
[00:16:15] Also, in addition to that, we rely on certain hormones
[00:16:18] called natriuretic peptides that give us an idea
[00:16:21] of the severity of fluid retention and the severity of
[00:16:25] the patient's condition with us. So these conditions
[00:16:28] must be met by the patient in order to implant
[00:16:32] the CardioMEMS chip. Yes, we know
[00:16:35] that even such technologies sometimes have side
[00:16:38] effects and effects that are not,
[00:16:42] let's say, good in the long run. What do today's studies
[00:16:46] say in this regard, Doctor? Yes, thank God,
[00:16:49] most recent studies
[00:16:52] the past, and I just want to mention a point, as my colleague
[00:16:55] Dr. Amna mentioned, this technology is not
[00:16:58] new. The technology has been around for a long time, but we
[00:17:03] the Sultanate preferred to see
[00:17:07] the results of all these studies before applying them to
[00:17:10] our patients. And almost two to three weeks ago,
[00:17:16] conference of the European
[00:17:20] Society of Cardiology
[00:17:22] raised the recommendations and instructions that this sensor
[00:17:25] or this chip has more
[00:17:29] benefits than the harms that
[00:17:32] may accompany it. So they even raised
[00:17:36] the rating, and they recommend it for patients with heart
[00:17:39] muscle failure to what is called Class 2
[00:17:43] A level, meaning that the expected
[00:17:48] their results over the past years showed that
[00:17:51] the maximum benefit and the reduction in the rate
[00:17:55] of patients being admitted to hospitals
[00:17:58] due to fluid retention or fluid congestion
[00:18:01] or acute increase in heart muscle failure decreased
[00:18:04] significantly over the years. Regarding the question of
[00:18:07] immediate
[00:18:10] complications, usually, it is like
[00:18:13] any cardiac catheterization procedure.
[00:18:17] The intervention is performed through the veins.
[00:18:20] In general, intervention through or catheterization through
[00:18:23] the veins has fewer complications and problems
[00:18:26] than intervention through the artery. So, blood
[00:18:29] clots, malformations,
[00:18:31] bleeding,
[00:18:35] clots, bleeding. Even internal bleeding is generally
[00:18:39] less. We, of course, before choosing any
[00:18:42] patient, as Dr. Amna mentioned, we have certain
[00:18:46] conditions and certain options,
[00:18:48] and a team meeting to say that
[00:18:52] this person is the right person for whom
[00:18:55] complications and problems may be less. In some
[00:18:59] cases, the catheterization or operation
[00:19:02] is performed through
[00:19:05] the vein in the neck instead of the saphenous
[00:19:08] vein in certain cases, in certain
[00:19:11] situations where it is difficult for us to access from other
[00:19:15] places, so we choose other alternatives. Complications in
[00:19:18] general may be
[00:19:21] like immediate bleeding or delayed bleeding, infections, pain,
[00:19:25] but praise be to God, all the patients we operated
[00:19:29] on, who are three patients,
[00:19:32] were discharged on the same day. It has been about a week or
[00:19:36] two weeks, and the results are reassuring,
[00:19:39] praise be to God. Patients, on the contrary,
[00:19:43] noticed that when we followed up with
[00:19:46] the patients and communicated with them, they felt
[00:19:49] that the team was more
[00:19:52] interested in them because there was continuous follow-up
[00:19:56] with them, and this is a very
[00:19:59] important point, especially in the beloved
[00:20:02] its diverse geography, different terrains,
[00:20:06] and the distance from the National Center for Cardiac Medicine and Surgery,
[00:20:09] which is the primary center for such cases and diseases.
[00:20:12] So, continuous communication and follow-up are difficult, right?
[00:20:16] And you overcome kilometers, and this
[00:20:19] greatly facilitates the matter for patients, exactly.
[00:20:22] I mean, even today, if we ask
[00:20:26] three patients, we are talking about this period. God willing,
[00:20:29] the number will increase, and it is certainly a beginning for
[00:20:34] in general. Is this your plan?
[00:20:37] Exactly, Doctor. We certainly have a plan to include this
[00:20:41] operation for a larger number
[00:20:44] of patients, but of course, as we mentioned,
[00:20:48] on the condition that the patient meets the conditions, and we ensure
[00:20:52] the patient's need for this operation
[00:20:54] and for implanting this chip, of course.
[00:20:58] So, God willing, we will try to gradually
[00:21:01] implement this operation, but it is necessary
[00:21:04] to have a complete and comprehensive assessment
[00:21:08] of patients to ensure their need for the operation,
[00:21:11] of course. Yes, to also inform the viewer
[00:21:15] about the difference and impact that such
[00:21:18] technologies actually make. Previously, how were
[00:21:22] heart failure patients dealt with? Let's talk about
[00:21:25] that scenario that really involved long distances,
[00:21:30] the medical staff, on the patients themselves, and so on.
[00:21:34] And today, how a small electronic chip remotely
[00:21:37] solves many challenges, many
[00:21:40] challenges. Yes, the level
[00:21:44] of safety is higher. Thank God, go ahead, Doctor.
[00:21:48] Patients used to wait weeks or months for
[00:21:51] their appointments in clinics. Now,
[00:21:54] as a medical team, we can
[00:21:57] monitor the patient's condition
[00:22:00] to come to the clinic. So, remotely,
[00:22:04] as you mentioned, this makes it easier for the patient
[00:22:06] and also reduces the burden
[00:22:10] on clinics and the hospital and follow-up appointments,
[00:22:12] and also
[00:22:15] hospitalization and waiting in emergency
[00:22:18] rooms.
[00:22:21] So, of course, there are benefits not only for the patient themselves
[00:22:24] and improving their quality of life and symptoms,
[00:22:28] but also for the healthcare system as a whole. Yes,
[00:22:31] just to add to Dr.
[00:22:34] Amna's words, there are many indicators
[00:22:37] of the quality of care provided
[00:22:40] in the treatment of heart muscle failure. One of the main
[00:22:43] criteria is when the patient is hospitalized within
[00:22:47] 30 days after discharge from the hospital. Many studies have shown that
[00:22:50] these people who are hospitalized once, twice, or three
[00:22:54] times not only experience psychological burden,
[00:22:58] but also a financial
[00:23:01] the services available in the health
[00:23:04] institution. So, if I have a certain number of beds
[00:23:06] and a certain medical staff and certain capabilities,
[00:23:12] once, twice, or three times a month or every two
[00:23:15] months, they found that the quality of life for these
[00:23:19] patients, and even, God forbid, the issue of death and so
[00:23:22] on, and the exacerbation of problems, increases with them. So, one
[00:23:26] of the things that was studied in this field was that patients who had
[00:23:29] the chip or the small device, this CardioMEMS,
[00:23:33] the rate of re-hospitalization decreased
[00:23:37] significantly.
[00:23:39] these studies that were conducted during the past ten
[00:23:43] years, they found that the patient
[00:23:45] had a better quality of life,
[00:23:49] greater acceptance of medications,
[00:23:52] and even the mortality rate,
[00:23:55] let's say, and the
[00:24:01] people exceeded the number
[00:24:04] or percentage that we had previously studied for them. So, on the contrary,
[00:24:08] perhaps the result or
[00:24:10] the effect may not be noticeable in the immediate
[00:24:14] period, within a week, two weeks,
[00:24:17] long term, it has a very
[00:24:21] positive effect in certain cases and in certain
[00:24:25] patients. And I emphasize what the doctor mentioned, not only on the patient
[00:24:28] but also on the healthcare system as a whole.
[00:24:31] Let's talk about the national expertise that worked on this operation,
[00:24:35] in addition to our medical staff. We are always proud
[00:24:39] of this high skill, and it is proven by the qualitative
[00:24:42] achievements in various hospitals in Oman.
[00:24:46] Usually, every week or two weeks, not a month goes
[00:24:50] by without us talking about a qualitative medical achievement
[00:24:53] by our Omani doctors. Thank God,
[00:24:57] the staff was Omani,
[00:25:00] including the doctors and the nursing staff,
[00:25:04] and also
[00:25:06] the staff in the catheterization rooms who helped
[00:25:10] us during this operation. This, of course,
[00:25:12] reflects
[00:25:17] in the health sector and in
[00:25:21] all categories,
[00:25:24] or nursing staff.
[00:25:28] So, thank God, we have reached a very advanced stage,
[00:25:31] and we are now competing with other
[00:25:35] developed countries, thank God. Yes, as
[00:25:37] I mentioned at the beginning of
[00:25:39] the episode today, this operation
[00:25:43] is not performed in many countries, only in certain countries,
[00:25:47] and I expect the main reason is the scarcity
[00:25:54] of... And with this answer, I conclude because
[00:26:00] to talk about these achievements, which never stop
[00:26:03] and these few minutes are not enough for them. We are always
[00:26:06] proud of you, proud of your achievements,
[00:26:09] and proud of these contributions you make in service of Oman,
[00:26:13] its people and its land. Thank you, Dr. Amna bint Sulaiman
[00:26:17] Al-Busaidi, Consultant in Heart Failure and Heart Transplantation, Royal
[00:26:20] Hospital, Dr. Aref Ishaq Al-Balushi, Consultant in Heart
[00:26:24] Failure and Heart Transplantation, Royal Hospital. Thank you both.
[00:26:28] And thanks are always extended to you for your kind
[00:26:31] follow-up to the evenings of the "From Oman" program,
[00:26:34] the beginning of the week's evening. We wish you a week
[00:26:38] much work and giving. Goodbye and good night.
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[00:29:37] and write it as documentation and celebration
[00:29:40] in Oman in a week. Here we gather because
[00:30:08] the story begins here. Dear viewers, peace, mercy,
[00:30:11] and blessings of God be upon you. From the news center of Oman TV, we greet
[00:30:15] you and present to you the headlines at 9
[00:30:18] p.m. His Majesty Sultan Haitham bin Tariq
[00:30:21] Al Said, may God protect him, congratulates the Armenian President and the Maltese
[00:30:24] President on the occasion of
[00:30:25] their countries' independence
[00:30:29] day. In an Omani medical achievement, the Royal
[00:30:32] Hospital succeeds in implanting the first sensor to monitor
[00:30:36] heart failure remotely.
[00:30:37] The opening of a new part
[00:30:40] of Sultan Turki bin Said Road project,
[00:30:44] extending between the wilayats of Al Kamil and Al Wafi
[00:30:47] and Sur in the governorate.