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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
- Diagnosis and treatment of Tuberculosis under RNTCP guidelines
- GeneXpert Laboratory for the diagnosis of Drug-Resistant TB using CB-NAAT ( Cartridge Based Nucleic Acid Amplification Test)
- Separate DOTS Plus ward for the Programmatic Management of MDR-TB. This is the only specialized center in South Gujarat.
- IRL (Intermediate Reference Laboratory) will soon be added to our setup.
- Pulmonary Function Testing and Inhalational Therapy for Obstructive Airway Diseases are available on OPD basis.
- Video Assisted Fiberoptic Bronchoscopy.
- Whole Body Plethesmography for DLCO.
- Polysomnographic Study for diagnosis of Sleep Disorders.
- Lung Biopsy for the diagnosis of Lung Tumors.
- 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
S.No. | Name | Qualification | Designation |
---|
1 | Dr Parul Vadgama | MBBS MD | Associate Professor |
2 | Dr Khyati Shamaliya | MBBS MD | Assistant Professor |
3 | Dr Bhoomika Patel | MBBS MD | Assistant Professor |
4 | Dr Grinish Tamakuwala | MBBS MD | Assistant Professor |
Unit wise Faculty And Resident List
Unit 1
(MONDAY, WEDNESDAY, FRIDAY)
1. | DR. PARUL VADGAMA | ASSOCIATE PROFESSOR & HOD |
2. | DR. BHOOMIKA PATEL | ASSISTANT PROFESSOR |
3. | DR. MITALI PANVALA | SENIOR RESIDENT |
4. | DR ARATHI RADHAKRISHNAN NAIR | THIRD YEAR RESIDENT |
5. | DR JAIN SAPNA SANJIVBHAI | THIRD YEAR RESIDENT |
6. | DR PATEL ROBINKUMAR RATILAL | THIRD YEAR RESIDENT |
7. | DR. JIGNESH GENGADIYA | SECOND YEAR RESIDENT |
8. | DR. CHINTAN PATEL | FIRST YEAR RESIDENT |
9. | DR. DHWANI PATEL | FIRST YEAR RESIDENT |
UNIT 2
(TUESDAY, THURSDAY, SATURDAY)
1. DR. KHYATI SHAMALIYA | (ASSISTANT PROFESSOR) |
2. DR. GRINISH TAMAKUWALA | (ASSISTANT PROFESSOR) |
3. DR. ASHA GUNDRASIYA | (SENIOR RESIDENT) |
4. DR VADGAMA MANSI NITINBHAI | (THIRD YEAR RESIDENT) |
5. DR MUNEERA A P | (THIRD YEAR RESIDENT) |
6. DR. ROHIT VAISHALI JASHBHAI | (SECOND YEAR RESIDENT) |
7. DR. SREERAG VARIOR | (SECOND YEAR RESIDENT) |
8. DR. JIGAR DESAI | (FIRST YEAR RESIDENT) |
9. DR. MEERA NANDAKUMAR | (FIRST YEAR RESIDENT) |
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 | 2018 | 2019 | 2020 | |
OPD | Annual | 33,734 | 36942 | 18584 |
Daily Average | 123 | 136 | 67 | |
J4 Ward | Annual | 2989 | 3164 | 1404 |
Daily average | 8 | 9 | 4 | |
DOTS PLUS Site | Annual | 319 | 388 | 207 |
Daily average | 1 | 1 | 0.5 |
Postgraduate Course started in June 2009 with yearly admission of one Degree and one Diploma student recognized by MCI in 2012.
ON PART OF UNDERGRADUATES | ON PART OF POSTGRADUATES | ON 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.No | Name of the Paper | Conference | Authors |
1 | Ethambutol 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 2013 | Dr. Gopal Sing Solanke Dr. Arunkumar S Roy Dr. Shyam Krishnan Dr. M.Z. Patel |
2 | A case of Solitary Pulmonary Nodule; GIMACON 2013 | 2013 | Dr. Arunkumar S Roy Dr. Shyam Krishnan Dr. Gopal Sing Solanke Dr. M.Z. Patel |
3 | A case of secondary Pulmonary Alveolar Proteinosis; ICAAICON Dec 2013 | Oct 2013 | Dr. Shyam Krishnan Dr. Arunkumar S Roy Dr. Gopal Sing Solanke Dr. M.Z. Patel |
4 | A case report on William Campbell syndrome in an adult Patient | CIMSCON 2013 | Dr. Ravi Vaviya Dr. Mani Tiwari Dr. Khyati D Shamaliya Dr. M. Z. Patel |
5 | Exploring 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) | 2013 | Dr. Shiv Kumar Yadav Dr.M.Z. Patel Dr.Abhay Kavishwar Dr.S.L. Kantharia |
6 | Investigating the factors associated with Multi Drug Resistant-Tuberculosis in Surat District -a Case Control Study. | IAPSM-GC CONFERENCE December 2014 | Dr. Shiv Kumar Yadav Dr. Rahul Damor Dr. S. L. Kantharia Dr. M. Z. Patel Dr. Mani Tiwari |
7 | Prevalence 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 2014 | Dr. Mani Tiwari Dr. M. Z. Patel Dr. K. Shamaliya Dr. Shiv Kumar Yadav |
8 | Investigating the factors associated with Multi Drug Resistant- Tuberculosis in Surat District -a Case Control Study. | NATCON Feb 2015 | Dr. Shiv Kumar Yadav Dr. Rahul Damor Dr. S. L. Kantharia Dr. M. Z .Patel Dr.Mani Tiwari |
9 | Retrospective analysis of MDR-TB patients registered under RNTCP in a Public sector hospital of western region of India. | NATCON Feb 2015 | Dr. Mani Tiwari Dr. Arun S Roy Dr. M .Z. Patel Dr. K. Shamaliya Dr. Girinish Tamakuwala Dr. Shiv Kumar Yadav |
10 | Ototoxicity associated with usage of injectable Kanamycin in Drug Resistant TB Patient (Cat IV Eligible) | NATCON Feb 2015 | Dr. Arun S Roy Dr. Mani Tiwari Dr. M. Z. Patel Dr. K. Shamaliya Dr. Ravi Vaviya Dr. Shiv Kumar Yadav |
11 | Capreomycin Induced Electrolyte Imbalance In A 13-Year Old Female Under Cat-V Regimen For Extensive Drug Resistant Pulmonary Tuberculosis | NATCON Feb 2015 | Dr. Mani Tiwari Dr.Ravi Vaviya Dr.Bhaskar Bamaniya Dr. K. Shamaliya Dr. M. Z. Patel |
12 | Presentation of Renal Amyloidosis in a patient of Pulmonary Tuberculosis | JIC 2015 | Dr. Mani Tiwari Dr. Arun S Roy Dr. Girinish Tamakuwala Dr. Khyati Shamaliya Dr. M. Z. Patel |
13 | Drug induced peripheral neuropathy in 30 year old male under cat –V regimen for Extensive Drug Resistant Tuberculosis | JIC 2015 | Dr. Khyati Shamaliya Dr. M. Z. Patel Dr. Mani Tiwari Dr. Arun S Roy |
14 | Adverse 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 2015 | Dr. Mani Tiwari Dr. Khyati Shamaliya Dr.M. Z. Patel |
15 | Peripheral neuropathy in XDR-TB patients on second line anti-tubercular therapy | ERS 2015 International Congress | Dr. Mani Tiwari Dr. M. Z. Patel Dr. Khyati Shamaliya |
16 | Utility of Intrapleural streptokinase in Diabetic patient | RSSDI-2016 | Dr. Grinish Tamakuwala Dr. Mani Tiwari Dr. Khyati Shamaliya Dr. Parul Vadgama |
17 | Primary Choriocarcinoma of Lung- A rare presentation of choriocarcinoma with diagnostic dilemma between Primary Lung tumour or metastatic tumour | NAPCON 2016 | Dr. Grinish Tamakuwala Dr. M. Z. Patel Dr. Parul Vadgama Dr. Khyati Shamaliya Dr. Sabarinath |
18 | Renal Amyloidosis in patients with Pulmonary Tuberculosis | NAPCON-2016 | Dr. Bhavika Kantharia Dr. M. Z. Patel Dr. Parul Vadgama Dr. Khyati Shamaliya |
19 | Utility of Expert MTB/Rifampicin Assay in pediatric patients with suspected pulmonary tuberculosis coming to tertiary health centre of south Gujarat | NAPCON-2016 | Dr. Sabarinath Dr. Parul Vadgam Dr. M. Z. Patel Dr. Khyati Shamaliya |
20 | Silicotuberculosis mimicking Sarcoidosis- Precision Pulmonology | NAPCON-2017 | Dr. Shubham Dwivedi Dr. M. Z. Patel Dr. Parul Vadgama |
21 | Acute Mercury Poisoning presented as Interstitial pneumonitis. Diagnostic and treatment Challenge | NESCON-2017 | Dr. Sabarinath Dr. M. Z. Patel Dr. Parul Vadgama Dr. Khyati Shamaliya |
22 | Silicotuberculasis –A vivid Presentation | NAPCON-2018 | Dr. Mansi Vadgama Dr. Parul Vadgama Dr. Khyati Shamaliya Dr. Grinish Tamakuwala |
23 | Vivid Presentastion of Pneumocystis Carini Pneumonia in Human Immunodeficiency Virus infected Patients | NAPCON-2018 | Dr. Sapna Jain Dr. M.Z. Patel Dr. Parul Vadgama Dr. Khyati Shamaliya Dr. Grinish Tamakuvala |
24 | Pulmonary Hydatid Cyst mimic Necrotic Consolidation –A case presentation | NAPCON-2018 | Dr. Robin patel Dr. Parul Vadgama Dr. Khyati Shamaliya |
25 | Pulmonary Atriovenous Malformation in a case of Tuberculous Sequale | GIMACON-2019 | Dr. Mansi Vadgama Dr. Parul Vadgama Dr. Khyati Shamaliya Dr. Grinish Tamakuwala |
26 | Respiratory Complication in Down’s syndrome –Subacute Hypersensitivity Pneumonitis Vs Idiopathic Subpleural Cyst | GIMACON-2019 | Dr. Sapna Jain Dr. Parul Vadgama Dr. Grinish Tamakuwala Dr. M.Z. Patel |
27 | Squmaous Cell Carcinoma Of Lung Masquerading as a Organizing Peumonia | NAPCON-2019 | Dr. Asha Gundrasiya Dr. Grinish Tamakuwala Dr. Parul Vadgama |
28 | Acute Exacerbation of Bronchial Asthma presented as Spontaneous Pneumomediastinum | ACPGCON-2019 | Dr. Vaishali J. Rohit Dr. Khyati Shamaliya Dr. Parul Vadgama |
29 | Squamous cell carcinoma of lung in a 20 years old non smoking male | GIMACON 2019 | Dr. Jignesh Gengadiya Dr Parul Vadgama Dr Khyati Shamaliya Dr Bhoomika Patel |
30 | A case of Viral Pneumonia in a PLWH patient | JIC-2019 | Dr. Aarathi Nair Dr. Khyati Shamaliya Dr. Grinish Tamakuvala |
31 | Idiopathic Spontaneous Pneumomediastinum- A unique presentation | JIC-2019 | Dr. Muneera AP Dr. Parul Vadgama Dr. Khyati Shamaliya Dr. Grinish Tamakuvala |
32 | A case of Rifampicin induced thrombocytopenia in sputum positive pulmonary tuberculosis – A rare presentation | NAPCON-2019 | Dr. Muneera AP Dr. Parul Vadgama Dr. Grinish Tamakuvala |
33 | A rare case of Female Kartagener’s Syndrome | NAPCON-2019 | Dr. Arathi Nair Dr. Parul Vadgama Dr. Grinish Tamakuvala |
34 | A rare case presentation – Diagnostic Dilemma between multiple myeloma Vs. Multifocal Tuberculous Osteomyelitis with Lung Abcess | GIMACON-2019 | Dr. Aarathi Nair Dr. Parul Vadgama Dr. Khyati Shamaliya |
35 | Renal Tuberculosis presenting as acute kidney injury A case report | GIMACON 2019 | Dr Sreerag Varior Dr. Parul Vadgama Dr. Khyati Shamaliya |
36 | Secendary Pneumothorax: A rare Presentyation of Silicotuberculosis | NAPCON-2020 | Dr. Vaishali J. Rohit Dr. Khyati Shamaliya Dr. Parul Vadgama |
37 | A rare case of Kartagener’s Syndrome presenting at a tertiary centre | NAPCON-2020 | Dr. Jignesh Gengadiya Dr Parul Vadgama Dr. Bhoomika Patel |
38 | Alpha 1 Antitrypsin deficiency An underrecognised cause of empyema | NAPCON-2020 | Dr. Sreerag Varior Dr. Parul Vadgama Dr. Grinish Tamakuvala |
39 | Idiopathic Spontaneous Pneumomediastinum A unique case report | NATCON-2020 | Dr. Jigar Desai Dr. Khyati Shamaliya Dr. Parul Vadgama |
40 | Pulmonary Spindle Cell Carcinoma A rare case report | NATCON-2020 | Dr. Dhwani Patel Dr. Parul Vadgama Dr. Khyati Shamaliya |
41 | A case of viral pneumonia in a PLWH patient | NATCON-2020 | Dr. Meera Nandakumar Dr. Grinish Tamakuvala Dr. Parul Vadgama |
42 | Pulmonary arteriovenous malformation in a patient with tuberculosis sequels: a rare cause of hemoptysis | NATCON-2020 | Dr Chintan Patel Dr. Bhoomika Patel Dr. Parul Vadgama |
PUBLICATIONS
S.NO | Topic of Research | Author | Publication |
---|---|---|---|
1 | A study of correlation of 6 minute walk test (6MWT) &spirometry findings in COPD patients | Dr. Grinish Tamakuwala Dr. Khyati Shamaliya Dr. M.Z. Patel Dr. Bhoomika patel | International Journal of Reasearch in Medicine |
2 | To Study clinical pattern of extrapulmonary Tuberculosis in HIV positive patients | Dr. Grinish Tamakuwala Dr. Khyati Shamaliya Dr. Bhoomika patel | International Journal of Reasearch in Medicine |
3 | Obstructive sleep apnoea : a study of polysomnographiccharacterics among patients attending new civil hospital, surat and its correlation with various medical comorbidities | Dr. ParulVadgama Dr.Sabarinath Ravichandar, Dr. M.Z.Patel | Journal of Evidence based medicine Healthcare |
4 | A study of Pulmonary manifestations in collagen vascular diseases | Dr. Parul Vadgama Dr. Pankaj Garg | National Journal of Community Medicine |
5 | A study of effect of subcutaneous Immunotherapy in treatment of allergic rhinitis and allergic asthma in Udaipur, India | J S Matta Bhoomika Patel Chandra ShekharJaiswal M L Ved | Int J Med Res Prof |
6 | Assessment of inhalational techniques and their common errors in Bronchial asthma patients coming to tertiary hospital of south gujarat | Dr Khyati Shamaliya Shivani dalal Dr. Anas patni | International journal of Respiratory care 2020 |
7 | An intrapleural instillation of streptokinase in multiloculated tuberculous empyema thoracis. Does it avoid surgery? - A case report | Dr Zalak Asodiya Dr Parul vadgama Dr Grinish Tamakuwala Dr Arathi nair Dr Asha Gudrashiya | Indian journal of applied research |
8 | Outcome of Chemical Pleurodesis in patients with Recurrent Pleural Effusion Coming to Tertiary Health Care Centre | Dr Parul vadgama Dr. Mansi Vadgama Dr. Grinish Tamakuwala Dr. Zalak Asodiya | International Journal of Scintific Research |
9 | Pulmonary Hydatid Cyst Mimic Necrotic Consolidation- A Case Report | Dr. Robin Patel Dr Parul vadgama Dr. Khyati Shamaliya Dr. Mansi Vadgama Dr. Vaishali J. Rohit | Indian journal of applied research |
10 | Squmaous Cell Carcinoma Of Lung Masquerading as a Organizing Peumonia | Dr. Asha Gundrasiya Dr. Grinish Tamakuwala Dr. Sapna Jain Dr. Khyati Shamaliya | Indian journal of applied research |
RESEARCH WORK
No. | Topic of Dissertation | Author | Year/Month |
1. | A study of clinical pattern of extra-pulmonary tuberculosis in HIV positive patients | Dr. Khyati Shamaliya Dr. M.Z. Patel Dr. Rajesh Solanki Dr. Savita Jindal | 2012 |
2. | A study of diagnostic approach in pleural effusion in adults | Dr. Dharmendra Bamaniya Dr. M.Z. Patel | 2013 |
3. | A prospective study of hydropneumothorax | Dr. 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 Tiwari \\Dr. M.Z. Patel Dr. Khyati Shamaliya | 2013 |
6. | A study of correlation of 6-Minute Walk test and Spirometric Findings in stable COPD Patients | Dr. Grinish Tamakuwala Dr. M.Z. Patel Dr. Khyati Shamaliya | 2014 |
7 | Obstructive sleep Apnea: A study of polysomnographic characteristics of patients attending New Civil Hospital, Surat | Dr. Sabarinath Ravichandar Dr. M.Z. Patel Dr.Parul Vadgama | 2015 |
8 | Yield of different diagnostic modality in diagnosis of lung cancer in patients coming to New Civil Hospital, Surat | Dr. Shubham Dwivedi Dr. M.Z. Patel Dr.Parul Vadgama | 2016 |
ABSTRACT AT CONFERENCES (Total 13)
AWARDS (Total 3)
Sr.No | Name of the Paper | Conference | Authors |
1 | A case of Solitary Pulmonary Nodule; GIMACON 2013 | 2013 | Dr. Arunkumar S Roy Dr. Shyam Krishnan (presenting author) Dr. Gopal Sing Solanke Dr. M.Z. Patel |
2 | Drug 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 |
3 | Presentation of Renal Amyloidosis in a patient of Pulmonary Tuberculosis(THIRD RUNNER UP) | JIC 2015 | Dr. Mani Tiwari (presenting author) Dr. Arun S Roy Dr. Grinish Tamakuwala Dr. Khyati Shamaliya Dr. M. Z. Patel |
QUIZ (Total 3)
- 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.
- 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.
- 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