Department of Pulmonary Medicine
Respiratory Diseases are a common problem in India. Of all the patients coming to Medicine OPD, about 60% of them come with respiratory problems. Pulmonary complications are common in perioperative periods. Patients with major cardiac, liver, renal, rheumatic diseases, malignancies, patients on chemotherapy, solid organ transplant recipients also develop pneumonia, pleural effusion and other pulmonary complications in the course of their illness.
In the era of developing India, super-speciality medicine has already begun and is the standard of care which is going to expand further in future. In this scenario, a well developed Pulmonary medicine department to provide state of the art comprehensive pulmonary care to all the patients is a must in a tertiary care multi-speciality hospital.
The Department of Pulmonary Medicine will provide following services :
3. Emergency Services
4. Interventions and Procedures
a) Pleural procedures: Pleural Fluid Aspiration
b) Pleural Biopsies
c) Intercoastal Tube Drainage
e) Allergy Test
f) Ultrasound and CT guided biopsies
g) TBLB: Trans Bronchial Lung Biopsy
h) TBNA: Trans Bronchial Needle Aspiration
5. Pulmonary Function Lab : A well established PFT lab will run according to ATS and BTS guidelines. Respiratory therapist will conduct the tests. Consultants will report the PFT’s by rotation.
6. Sleep Lab : Polysomonography, AutoCPAP trial services will be provided. Sleep lab will be manned Respiratory Therapists. Consultants will report the sleep lab by rotation.
One paper reading, one journal club (one hour duration)every week on fixed days and time
Grand rounds twice a week
Radiology meetings once a week
Pathology meetings once a week
Tumour board (Pulmonologist, Medical Oncologist, Radiation Oncologist, Thorasic surgeon) once a week
Training sessions for staff nurses and respiratory therapist one in week
Clinical meetings with all Medicine Units once a week
8. Stop Smoking Clinic
Smoking is one cause one in 10 deaths all around the world. Each cigarette smoked decreases the life span by 5 minutes. It is a risk factor of major killer disease of the world like Cardiovascular disease, COPD, Lung Cancer, Tuberculosis.
9. Obesity Clinic
Obesity is a disease and an epidemic in India. With the growing of the waist size, the incidence of cardiovascular diseases, diabetes mellitus, hypertension and Metabolic Syndrome increases. Obstructive sleep i.e. apnoea is a major disease associated with obesity. OSA increases the risk of cardiovascular disease, Hypertension, heart failure and stroke by manifold. Obesity Clinic patients will get the advantage of comprehensive work up under one roof with one appointment- Pulmonary medicine, cardiologist, Endocrinologist, Bariatric surgeon, General Medicine and Geriatrics.