• Catalogued all the CT and MRI Scans in the department to make storage and retrieval easy (“Scan library”).
• Helped in designing and installation of computer software for patient data storage, retrieval and discharge summary preparation.
• Carried out original research study of the cerebral arterial network in Indian cadavers which has been published and well acknowledged by my peer community.
• Established a Cadaveric Microneurosurgical Dissection Laboratory in M. S. Ramaiah Medical College, Bangalore (one of the first of its kind in Karnataka).
• Established a modern neurosurgical department at BMCRI from scratch and developed it to a department of repute in the city. The department has been allotted 2 MCh pg seats/ year by the MCI.
• Helped in establishment of The Clinical Skills Centre at BMCRI with emphasis on Microneurosurgical Training. Conducted various workshops at this centre with participation from various post graduate students from all over the city, state and country. Have been doing regular hands on training for in house postgraduate students on cadaveric specimens especially on the various surgical approaches.
• I have conducted regular CMEs (consisting of seminars and a case presentation) for all the MCh and DNB Postgraduate students in the city every month (I or II Sunday) on a trot from July 2012 to date i.e. 60 CMEs so far.

• This was arguably the most challenging period in my entire career. I along with my team of Core Committee was entrusted the challenging task of commissioning the Trauma Care Centre which was already built and lying vacant for 6 years in August of 2015. The problems that we encountered included: civil structural inadequacies and modifications including literally constructing New OTs, equipment issues and installation, human resource inadequacies and scores of such miscellaneous problems. However, my team came to my rescue and we were able to face and solve all these problems one by one. The Hon Min of Med Ed, Dr Sharanaprakash Patil, and all the secretaries gave me their unstinted support. We started the Trauma Care Centre in a phased manner beginning in December 2015. In the meantime, I was made the first Special Officer of this centre in October, 2015. Formal Inauguration was held in May 2016. We have been given some administrative and financial autonomy which has been wisely utilised by us. It is now the biggest Trauma Care Centre in the country and is a shining example of how a state government hospital can work efficiently. "A captain is only as good as his team." My contribution in this venture can only be judged in the context of the support I received from my team and my superiors between whom I served as a bridge.

• Produced and released a documentary movie "Jeeva Jagrithi" on RTA prevention. It has been well received in all fora especially the Border Security Force which is using it to educate its personnel and their families.
• Produced a video on various aspects of patient care at home for the care-givers. Various aspects of patient care like RT feeding, intermittent catheterisation, tracheostomy care, etc. have been demonstrated for common people. This will be particularly useful for those are providing care for patients especially debilitated patients at home.
• SIMULATION and SKILLS CENTRE: Along with the then DME, Dr. Sachidanand, I was involved in the sanctioning, planning, tendering , construction and commissioning of the Simulation and Skills Centre in BMCRI. It is a state of the art centre and arguably the best of its kind in the country. It was a Rs 23 crore turnkey project. It will train trainers, Undergraduate and postgraduate students, interns, faculty and nursing and paramedical students. Dr Asima Banu was made the first director of this facility.

Management of unstable thoracolumbar and lumbar spinal injuries using pedicular screw plate fixation.

Thoracolumbar and lumbar spinal injuries can be physically and mentally devastating to a patient. Most of the patients are young working males i.e. the productive population in our country. Many methods of spinal stabilization have been proposed and advocated. A prospective study of fifty cases of unstable thoracolumbar spinal fractures stabilized by the Steffee VSP System was carried out. Fall from a height (usually a tree) was the most common mode of injury. In addition to pedicular screw plate fixation, laminectomy was done in some case with neurological deficit followed by inter transverse process bone grafting. Most of the cases i.e. forty five were segmental fusions but multisegmental fusions were done in five cases.

All the cases showed neurological improvement or remained stationary. There was no neurological deterioration in any case. All but two cases showed spinal angulation correction the mean being 13.050. Mean sagittal index correction was 0.23. The surgical procedure, anatomy of the pedicle and biomechanics of pedicular screws was discussed along with some of the complications.

In our small and short series we have been gratified with the results. However, there is a need to operate more cases and follow up for a longer duration before coming to any categorical conclusion.

• Developed the department of neurosurgery at M.S. Ramaiah Memorial Hospital.
• Increased the number of surgeries from a mere 100 cases a year to 330 cases a year in M. S. Ramaiah Medical College.
• Established the department of neurosurgery in the Government sector at Bangalore Medical College and Research Institute (BMCRI) (where none practically existed)
• Started high end brain and spine surgeries with the available equipment in Victoria Hospital.
• Established the department at BMCRI Superspeciality Hospital
• Around 975 major cases are being performed every year.
• All kinds of brain tumors , cerebrovascular cases, skull base surgeries, complex spinal cases, neuroendoscopic surgeries, etc are being performed regularly.
• Our patients come from as far as West Bengal, Orissa and even Bangladesh.
• We have been able to have a very low mortality and reoperation rate.
• Our department has been now recognised as one of the departments of excellence in Bangalore Neurological Society.