Department of TB & Chest(pulmonary medicine)
Government Medical College Surat

Introduction

The Department of Pulmonary Medicine has been functioning successfully since the inception of GMC, Surat in the initial years as an extension of Medicine Department and later on as an independent unit since October, 1999. Within a short period of time, this department has proved its vitality in providing quality care and treatment for a huge number of patients suffering from Tuberculosis and other respiratory ailments. We provide our services not only to the patients from South Gujarat but also to the neighbouring states. The department has also progressed in its academic achievements as our PG courses (M.D. TB & Chest Diseases and Diploma TB & Chest diseases) started in the year 2008 and were recognised by the MCI in 2012. All the staff members are enthusiastic working for the constant betterment of patient care and hospital facilities.

Facilities available at our Department

  1. Diagnosis and treatment of Tuberculosis under RNTCP guidelines
  2. GeneXpert Laboratory for the diagnosis of Drug-Resistant TB using CB-NAAT ( Cartridge Based Nucleic Acid Amplification Test)
  3. Separate DOTS Plus ward for the Programmatic Management of MDR-TB. This is the only specialized center in South Gujarat.
  4. IRL (Intermediate Reference Laboratory) will soon be added to our setup.
  5. Pulmonary Function Testing and Inhalational Therapy for Obstructive Airway Diseases are available on OPD basis.
  6. Video Assisted Fiberoptic Bronchoscopy.
  7. Whole Body Plethesmography for DLCO.
  8. Polysomnographic Study for diagnosis of Sleep Disorders.
  9. Lung Biopsy for the diagnosis of Lung Tumors.
  10. Non-Invasive Ventilation Therapy available.

We observed and celebrated the World TB day on 24th March, 2015 with the slogan “Reach the 3 million” and spread awareness to the common people. We also observed the World Asthma Day on 6th May,2014 , the World COPD Day on 19th Nov, 2014 and World Lung Cancer Day on 1st August,2014. Pneumovac and influenza vaccines are administered to COPD,Elderly and Immunocompromised Patients on regular basis in indoor as well OPD patients.

DEPARTMENT’S GOAL

  • This department believes in providing quality care and treatment for patients suffering from Tuberculosis and other respiratory ailments.
  • The facilities of the department are not just limited to the management of Tuberculosis(including MDR & XDR-TB management) but also includes sleep medicine, Bronchoscopy, DLCO and Body Plethesmography.
  • We provide our services not only to the patients from South Gujarat but also to the neighbouring states.
  • The department is very active in following the educational guidelines of MCI aiding in the overall academic development of the students.
  • We strongly support for the constant better care of patients and hospital facilities.

Teaching Staff

NameQualificationDesignation
Dr. Mahendra Z. PatelMBBS MDProfessor and Head of Department
Dr. Parul Vadgama MBBS MDAssociate Professor
Dr.Ghanshyanm BorisagarMBBS MDAssociate Professor
Dr. Khyati Dipakchandra ShamaliyaMBBS MDAssistant Professor
Dr. Bhumika PatelMBBS MDAssistant Professor
Dr.Priyanka JoshiMBBS MDAssistant Professor

DTC(District Tb Center is present in the same premises.

CORE ACTIVITIES

OPD BASIS

  • To deal with TB cases including extra-pulmonary Tb cases with Initiation of Treatment according to Category under DOTS.
  • Daily management of other Chest diseases, Asthma, COPD,pneumonia, Bronchiectasis, ILD, Cor-Pulmonale, Lung abcess, Pleural Diseases.
  • To deal with references from other departments.
  • Daily Spirometry in indicated patients.
  • MT Test
  • Immunization with Pneumovax & Influenza Vaccine.
  • Ultrasonic Nebulization for OPD patients.
  • Education for Inhalational Therapy.

INDOOR BASIS

  • Management of Complicated pulmonary TB, Hydropneumothorax, Pleural Effusion, Hemoptysis etc.
  • Other Chest diseases, Asthma, COPD, Pneumonia, Bronchiectasis, ILD, Cor-Pulmonale, Lung abcess, Pleural Diseases.
  • Management of Lung Carcinoma in collaboration with LCDC.
  • Diagnosis and Management of OSA, performing sleep study twice a week.
  • Daily Spirometry, DLCO & body plethesmography in indoor indicated patients.
  • Flexible Bronchoscopy in indicated patients on regular basis.
  • MT Test
  • Immunization with Pneumovax & Influenza Vaccine.
  • USG guided fluid Aspiration and CT guided Lung Biopsy in Indicated patients.
  • Central oxygen line and O2 concentrator facilities are available.

ADDITIONAL WORK

  • On OPD basis, we daily do average 40 sputum Examination for AFB smear.
  • Suspected MDR-TB patient’s specimen sent to IRL for Culture and DST.
  • We have the facility at our DTC site of GeneXpert Laboratory for the diagnosis of Drug-Resistant TB using CB-NAAT.(Cartridge Based Nucleic Acid Amplification Test)
  • We have DRTB centre(J4 Ward) catering all Districts of South Gujarat doing management of confirmed MDR-TB cases (Pulmonary + Extrapulmonary TB cases) like Initiation of Treatment, management of Adverse Drug Reactions and Management of Other Complications.

PATIENT LOAD

PATIENTS 201220132014
OPDAnnual16,03818,79724,329
Daily Average505570
J4 WardAnnual10809181418
Daily average2-32-34-5
DOTS PLUS SiteAnnual319330335
Daily average1-21-22-3

Postgraduate Course started in June 2009 with yearly admission of one Degree and one Diploma student recognized by MCI in 2012.

ON PART OF UNDERGRADUATESON PART OF POSTGRADUATESON PART OF OTHER PARAMEDICAL STAFF
1.As per clinical posting
2.Theory Lectures on every Tuesday as per schedule
1.Every Tuesday – Journal Reading
2.Every Second Week Thursday – Seminar resentation
3.Every Second Week Friday – Case Presentation and Discussion
1.Physiotherapy Students-Every Tuesday

ABSTRACTS FOR ORAL PRESENTATION

Sr.NoName of the PaperConferenceAuthors
1Ethambutol induced optic neuritis in 20 year
female leads to complete irreversible blindness in both eyes in CAT IV regime for MDR TB;Nov 2013 NAPCON
Nov 2013Dr. Gopal Sing Solanke
Dr. Arunkumar S Roy
Dr. Shyam Krishnan
Dr. M.Z. Patel
2A case of Solitary Pulmonary Nodule; GIMACON 20132013Dr. Arunkumar S Roy
Dr. Shyam Krishnan
Dr. Gopal Sing Solanke
Dr. M.Z. Patel
3A case of secondary Pulmonary Alveolar Proteinosis; ICAAICON Dec 2013Oct 2013Dr. Shyam Krishnan
Dr. Arunkumar S Roy
Dr. Gopal Sing Solanke
Dr. M.Z. Patel
4A case report on William Campbell syndrome in an adult PatientCIMSCON 2013Dr. Ravi Vaviya
Dr. Mani Tiwari
Dr. Khyati D Shamaliya
Dr. M. Z. Patel
5Exploring the delays in Collection of sample,
Diagnosis & Treatment of Drug Resistant Tuberculosis in a Tertiary Hospital of South Gujarat.
(ORAL presentation at APSM-GC CONFERENCE)
2013Dr. Shiv Kumar Yadav
Dr.M.Z. Patel
Dr.Abhay Kavishwar
Dr.S.L. Kantharia
6Investigating the factors associated with Multi Drug Resistant-Tuberculosis in Surat District
-a Case Control Study.
IAPSM-GC CONFERENCE December 2014Dr. Shiv Kumar Yadav
Dr. Rahul Damor
Dr. S. L. Kantharia
Dr. M. Z. Patel
Dr. Mani Tiwari
7Prevalence of Extensively Drug-Resistant Tuberculosis among patients
with Multi Drug-Resistant Tuberculosis: - a Retrospective analysis from a Tertiary Care Hospital of Western Region of India.
IMA conference December 2014Dr. Mani Tiwari
Dr. M. Z. Patel
Dr. K. Shamaliya
Dr. Shiv Kumar Yadav
8Investigating the factors associated with Multi Drug Resistant-
Tuberculosis in Surat District -a Case Control Study.
NATCON Feb 2015Dr. Shiv Kumar Yadav
Dr. Rahul Damor
Dr. S. L. Kantharia
Dr. M. Z .Patel
Dr.Mani Tiwari
9Retrospective analysis of MDR-TB patients registered under RNTCP in a Public sector hospital of western region of India.NATCON Feb 2015Dr. Mani Tiwari
Dr. Arun S Roy
Dr. M .Z. Patel
Dr. K. Shamaliya
Dr. Girinish Tamakuwala
Dr. Shiv Kumar Yadav
10Ototoxicity associated with usage of injectable Kanamycin in Drug Resistant TB Patient (Cat IV Eligible)NATCON Feb 2015Dr. Arun S Roy
Dr. Mani Tiwari
Dr. M. Z. Patel
Dr. K. Shamaliya
Dr. Ravi Vaviya
Dr. Shiv Kumar Yadav
11Capreomycin Induced Electrolyte Imbalance In A 13-Year Old Female
Under Cat-V Regimen For Extensive Drug Resistant Pulmonary Tuberculosis
NATCON Feb 2015Dr. Mani Tiwari
Dr.Ravi Vaviya
Dr.Bhaskar Bamaniya
Dr. K. Shamaliya
Dr. M. Z. Patel
12Presentation of Renal Amyloidosis in a patient of Pulmonary TuberculosisJIC 2015Dr. Mani Tiwari
Dr. Arun S Roy
Dr. Girinish Tamakuwala
Dr. Khyati Shamaliya
Dr. M. Z. Patel
13Drug induced peripheral neuropathy in 30 year old male under cat –V
regimen for Extensive Drug Resistant Tuberculosis
JIC 2015Dr. Khyati Shamaliya
Dr. M. Z. Patel
Dr. Mani Tiwari
Dr. Arun S Roy
14Adverse Drug Reactions observed in Extensively Drug Resistant (XDR-TB)
Tuberculosis patients within six months of Initiation of Second line
Anti-Tuberculosis Treatment (CAT-V) in tertiary care center of Southern Gujarat, India
Nescon 2015Dr. Mani Tiwari
Dr. Khyati Shamaliya
Dr.M. Z. Patel
15Peripheral neuropathy in XDR-TB patients on second line anti-tubercular therapyERS 2015 International CongressDr. Mani Tiwari
Dr. M. Z. Patel
Dr. Khyati Shamaliya

PUBLICATIONS

Sr.NoName of the ArticleName of the JournalStatus
1Pleural fluid LDH-cholesterol and ADA levels :useful biochemical markers in comparison to Light’s
criteria for more rapid and accurate evaluation of pleural effusion
International journal of medical science & public healthDr.Dharmender A Bamaniya
Dr.M Z Patel
Dr. Kumarbhargav R Kaptan
2Awareness regarding Pulmonary Tuberculosis study among patients taking treatment of Tuberculosis in rural Surat,GujaratNational Journal of Medical ResearchDr. Parul Vadgama
3Effect of Awareness of Diabetes on clinical outcomes of Diabetes-an observational study at a private hospital in GujaratNational Journal of Medical ResearchDr. Parul Vadgama
4Sociodemographic profile and clinical presentation of Collagen Vascular disease with Pulmonary SymptomsNational Journal of Medical ResearchDr. Parul Vadgama
5Pure Red cell Aplasia due to IsoniazidInternational Journal of research in MedicineDr. Parul Vadgama
6Complicated Hepatic Hydrothorax treated with Chemical PleurodesisInternational Journal of research in MedicineDr. Arwind Pandey
Dr. Parul Vadgama
Dr. Arwind Daxini
Dr. R. P. Singh
7Endobronchial TB- Is Anti-TB drugs only sufficient?International Journal of research in MedicineDr. Parul Vadgama
8Genital Tract TB presenting as Post-Menopausal bleeding, erosion of cervix and PyometraJournal of Indian PractitionerDr. Parul Vadgama
9Early Presentation of Secondary Renal Amyloidosis in a Patient of Pulmonary Tuberculosis.International Journal of Medical Science and Public healthDr. Mani Tiwari
Dr. Khyati Shamaliya
Dr. M. Z. Patel
10A Young Male Patient of Systemic Lupus Erythematosus (SLE) presenting with early Lupus Nephritis:-A Case ReportInternational organisation of scientific research-Journal of Dental and Medical SciencesDr. Ketan Patel
Dr. Mani Tiwari
Dr. Rohit Kasat
Dr. Anka Arora
Dr. Tinkal Patel
11Investigation of the Risk Factors associated with MDR-TBIndian Journal of Public Health(IJPH) International Journal (Undergoing Peer Review)Dr. Shiv Kumar Yadav
Dr. Rahul Damor
Dr. S. L. Kantharia
Dr.Mani Tiwari

RESEARCH WORK

No.Topic of DissertationAuthorYear/Month
1.A study of clinical pattern of extra-pulmonary tuberculosis in HIV positive patientsDr. Khyati Shamaliya
Dr. M.Z. Patel
Dr. Rajesh Solanki
Dr. Savita Jindal
2012
2.A study of diagnostic approach in pleural effusion in adultsDr. Dharmendra BamaniyaDr. M.Z. Patel2013
3.A prospective study of hydropneumothoraxDr. Gopal Sing Solanke
Dr. M.Z. Patel
Dr. Khyati Shamaliya
2014
4.A study of the effectiveness and safety of AKT CAT IV in MDR pulmonary TB cases after 6 months (Intensive Phase)Dr. Arun Roy
Dr. M.Z. Patel
Dr. Khyati Shamaliya
2012 till date
5.A study for the prevalence of Drug Resistant Tuberculosis and HIV Co-infection amongst
Sputum AFB Positive Pulmonary TB patients at DR TB Center Site, Surat Under PMDT Program
Dr. Mani TiwariDr. M.Z. Patel
Dr. Khyati Shamaliya
2013 till date
6.A study of correlation of 6-Minute Walk test and Spirometric Findings in stable COPD PatientsDr. Grinish Tamakuwala
Dr. M.Z. Patel
Dr. Khyati Shamaliya
Proposal under Proposal

ABSTRACT AT CONFERENCES (Total 13)

AWARDS (Total 3)

Sr.NoName of the PaperConferenceAuthors
1A case of Solitary Pulmonary Nodule; GIMACON 20132013Dr. Arunkumar S Roy
Dr. Shyam Krishnan (presenting author)
Dr. Gopal Sing Solanke
Dr. M.Z. Patel
2Drug induced peripheral neuropathy in 30 year old male under cat –V regimen for
Extensive Drug Resistant Tuberculosis (SECOND RUNNER UP)
JIC 2015 Dr. Khyati Shamaliya
Dr. M. Z. Patel
Dr. Mani Tiwari (presenting author)
Dr. Arun S Roy
3Presentation of Renal Amyloidosis in a patient of Pulmonary Tuberculosis(THIRD RUNNER UP) JIC 2015Dr. Mani Tiwari (presenting author)
Dr. Arun S Roy
Dr. Grinish Tamakuwala
Dr. Khyati Shamaliya
Dr. M. Z. Patel

QUIZ (Total 3)

  1. Dr. Mani Tiwari, Runner up in Post Graduate Quiz competition of State level in Respiratory Disease organised by the Academy of Respiratory Medicine under the aegis of Enviornmental Medical association held at B J Medical College & Civil Hospital, Ahmedabad on 14-03-2015.
  2. Dr. Mani Tiwari, First prize in Chest India Challenge 2015 quiz organised by American College of Chest Physicians(ACCP) and sponsored to attend the Chest Meet 2015 conference in Montreal.
  3. Dr. Mani Tiwari, Reached the Top 6 level of National level of Torrent Young Scholar Award 2015(TYSA) Pulmonology.

Development Plan for Next 2 Years

  • 5 beded Respiratory Critical Care Unit
  • IRL under Development
  • Flexible Thoracoscope For Thoracoscopy in indicated patients

EVENT PHOTOGRAPHS

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