this project is on the services of hospitals
hope it will be of sum use to u
Introduction:-
A number of health problems require intensive medical treatment and personal care which is not available in a patient s home or in a clinic of a doctor. This is possible only in a hospital where a large number of professional and technically skilled people apply their skill and knowledge with the knowledge of advanced equipment and appliances.
The basic function of a hospital is to give proper treatment to the injured and sick without having any social , economic and racial discrimination .Some of the other important function and service of modern hospital are training of doctors and nurses ,support to medical research and and assistance to all activities carried out by public health agencies to prevent diseases.
The W.H.O states that the hospital is an integral part of social and medical org, the function of which is to provide for the population, complete health care both curative and preventive in nature. The hospital is also a center for training of health workers.
Today it also acts as an institution that provides accommodation to patients for medical nursing and care.
Medical services are primarily by central and state govt .Certain charitable and pvt institutions also contribute their relief efforts to provide these services.
In India majority of Govt hospitals are found in a depleted condition . It is therefore necessary that the corporate sector and voluntary agencies should come ahead and do the work
Dr. Balabhai Nanavati Hospital
Dr. Balabhai Nanavati Hospital
Dr. Balabhai Nanavati Hospital was inaugurated by Jawaharlal Nehru in November 1950, and the hospital opened its doors to its first patient in May 1951.
The hospital has since completed over 50 years of dedicated service, and we pride ourselves on offering quality medical care.
History
The very first patient to be admitted to Nanavati Hospital was a man from the Harijan community - he was treated free of cost, the first of a long line of less fortunate people who come to the hospital for their medical treatment. This spirit is in harmony with the wishes of Mahatma Gandhi who was among the first to give his blessings to the Hospital when still in its gestation stage,
and who had expressed his hope that the Institution would serve and aid people from every section of society.
Nanavati Hospital has grown from a 50-bed facility in a single building, to over 5 buildings housing 450 beds, and offers services in practically every field of modern medicine and health care. Today over 170 consultants, ably supported by a large nursing, paramedical and technical staff, run its 42 departments.
Why Nanavati Hospital?
Our well-equipped hospital rooms, state-of-the-art Heart Institute and technologically advanced equipment and systems are all backed by the expertise and reputation of the Hospital’s consultants, resident doctors, nurses and paramedics.
Nanavati Hospital prides itself on its attention to maintaining a high standard of quality and hygiene. The hospital serves 100% vegetarian meals, and offers patients the facility of selecting from different cuisines, ranging from Indian to Chinese.
The Hospital is conveniently located on Swami Vivekanand Road, Vile Parle (West), just opposite the Flying Club. Easily accessible, the Hospital links up to the main highways and roads, as well as to Public Bus Depots and Railway Stations.
Medical Services
• Anaesthesia
• Audiology And Speech Therapy
• Ayurvedic Medicine
• Blood Bank
• Cardiology
• Cardio-Vascular and Thoracic Surgery
• Cosmetology
• C.T. Scan
• Dentistry, Maxillo-Facial Surgery And Orthodontia
• Dermatology
• Dietetics & Obesity Management
• Endocrinology
• E.N.T
• Gastroentrology
• General Medicine
• General Surgery
• Hematology
• Histopathology (Surgical Pathology & Cytology)
• Homoeopathy
• Mammography
• Nephrology
• Neurology & Electrophysiology
• Neuro-Surgery
• Nuclear Medicine
• Oncology
• Ophthalmology
• Orthopedics
• Otoneurology
• Pathology
• Pediatrics
• Pediatric Surgery
• Prenatal And Reproductive Medicine
• Psychiatry
• Radiology
• Radiation Oncology
• Reconstructive Surgery
• Rheumatology
• Sonography
• Urology
HealthPlans
Nanavati Hospital offers Health Schemes for both, Mediclub members and non-members too. Some of these schemes are ideally suited for the corporate enterprise to subscribe to. Our Mobile Service enables these Check-ups to be conducted on-site at a company.
Health Check-up Schemes can be arranged for company executives and employees, in batches of 50 or less, depending on the number of participants. Employees can attend seminars to have their specific queries answered, and can participate in open two-way discussions with consultants. The Hospital can arrange a “Wellness Week” exclusively for your company, either at the Hospital Auditorium or at your office premises (provided there is adequate space).
Highlights of our Health Check-up Schemes
Computerised Medical Records
The Hospital maintains central computerized Medical Records for its Mediclub Members. Hard copies of all medical records are also maintained, and full confidentiality is ensured.
First Aid Programs
Programs that introduce the basics of first-aid can be designed especially for your employees, which can be held at the Hospital Auditorium over a period of two days.
Occupational Health Programs
Programs that focus on different occupational health hazards that are commonly experienced by employees can be devised and held at regular intervals.
Special Facilities
The Hospital offers specialized facilities (Whole Body Fat Assessment, Bone Densitometry for detection of Osteoporosis etc). Your employees can avail of these facilities at the Hospital as part of the Physical Check-up.
Cosmetology
DEPARTMENT OF COSMETOLOGY
NAME DAY TIMINGS
DR. KALPANA SARANGI Mon - Sat 1 p.m - 6 p.m
The Cosmetology Centre at Balabhai Nanavati Hospital was launched in May 2002 with the purpose of catering to the ever-increasing demands for specialized cosmetic dermatology treatment. Over a short span of two years the centre has evolved to become one of the best of its kind in Mumbai.
Various treatment modalities for all types of skin problems are available - pigmentation, melasma, acne, rough skin, superficial wrinkles and dark circles. Iontophoresis with galvanic electrodes, which is one of the newest modalities of treating these disorders, is an integral part of these face treatments, which are individually tailored to suit each patient’s needs.
Microdermabrasion, or skin polishing, is also done here for the improvement of skin texture, and treatment of scars or marks on the face. Non-surgical face-lifts are conducted, for toning and tightening of the skin. Chemical peels with both Alpha and Beta hydroxy acids or T.C.A. are also our field of expertise. Hair removal is done with the latest state-of-the-art ‘Diode Laser’, for excessive facial or body hair for both men and women.
Sutureless ear lobe repair, ear piercing, tattooing are all done under strict aseptic precautions. We offer radiocautery removal of warts, skin tags, moles, corns and cysts. Our cryosurgery unit is used to treat keloids and hypertrophic scars in combination with Intra Lesional Steroid injections for fast results. We have some of the highest success rates of treatment of hair-fall disorders, both generalized and patch (Alopecia Areata). Every possible type of vitiligo surgery (treatment of white patches) - punch grafting, split thickness grafting or the ultra thin Suction Blister Grafting, is done here. Other surgical procedures like nail avulsion, acne scar revision, skin and mucosal biopsies are also done.
Doctors perform all procedures, which ensures that you always get the best treatment. Full sterility is maintained during procedures, ensuring least risk of
complications and infections.
The department offers observership posts for fortnightly periods, to students and dermatologists wanting to further their knowledge.
Our motto and logo – complete skin, nail and hair health is our aim. We aim for a holistic and aesthetic approach wherein we don’t just make diseased skin healthy, but also help you make your healthy skin more beautiful.
EQUIPMENT
Radiocautery
Microdermabrader
Diode laser (for hair removal)
Non surgical face lift machine
Facial treatment unit
Ozone / steam
Galvanic electrodes for lontophoresis
Suction for removing blackheads
Ultraviolet light
Wood’s lamp
Superficial abrader
Hair treatment unit
Cryosurgery units
Cold beam infrared unit for dark circle.
Surgical instruments for procedures like
Punch biopsies
Ear lobe repair
Excision of moles, cysts, growths
Comedone extraction
Vitiligo surgery
Scar revision
Dermatology
DEPARTMENT OF DERMATOLOGY
NAME DAY TIMINGS
Head of Department
DR. S. S. SAWANT Tue,Thur 2 p.m - 3:30 p.m
O.P.D
DR. V. V. SARAF Mon, Sat 2 p.m - 3:30 p.m
DR. K. SARANGI Tue,Thur 1:30 p.m - 2:30 p.m
DR. H. S. MARWAH Wed 2 p.m - 3:30 p.m
DR. M. P. GALLA Fri 2 p.m - 3:30 p.m
The skin department at Dr. Balabhai Nanavati Hospital boasts of the best medical expertise in the field, as well as the latest surgical treatments available, performed by renowned dermatosurgeons of the country.
Some of India’s highly acclaimed dermatologists form our panel of consultants, who are available daily in the skin OPD for examination, advice and treatment of patients suffering from various diseases of the skin, leprosy and sexually transmitted diseases, including HIV.
Balabhai Nanavati Hospital is one of the few hospitals where specialized procedures are done for various skin disorders. We have facilities for laser surgery for birthmarks, moles, various benign and malignant growths of the skin, and hair removal. Full-face derma brasion (or removal of upper layer of skin of the face followed by its regeneration) is done for scars, acne marks and growths. This is one of the few centres in India where allergy testing for various antigens is done. Other treatments offered include
Acne treatment for both active acne and acne marks. Cryoslush (treatment with solid CO2) cryoller subcission and grafting for acne scars etc.
Vitligo surgery for white patches by tattooing, grafting and melanocyte transfer..
Removal of growths, skin tags, warts, moles, corns, cysts and tumours.
Hair transplantation.
Ear lobe repair.
Treatment of keloids with liquid Nitrogen (Cryosurgery) and Intralesional steroid injections.
Treatment of patchy hair loss with phenolisation / injections.
Chemical peeling for pigmentation, blemishes and post acne marks.
Nail avulsion and other nail surgeries.
State-of-the-art equipment and the latest technology are used for all these surgical procedures.
There is also a full fledged cosmetology cell where specialized treatments for pigmentation, acne, wrinkles, diode laser hair removal, microdermabrasion, sutureless ear lobe repair etc are all done apart from all other routine surgical procedures.
Several dermatosurgery workshops have been held at Nanavati Hospital, the latest of which was in January 2004 as the pre-conference workshop of the 32nd Annual conference of IADVL. Over 500 dermatologists from all over India attended this workshop wherein more than 50 live surgeries were demonstrated, and this was relayed live through our state-of-the-art audiovisual connection from the operating theatres to the Auditorium. The event achieved much acclaim and was highly appreciated by all delegates.
Our consultants are invited to deliver lectures and as guest speakers at national and international level meets. Our students have presented papers and taken part in workshops at local, state and national level. We also offer 2 week long observership posts to dermatologists desirous of learning dermatosurgery. Various students and senior doctors from all over India and abroad have taken advantage of this facility.
Homoeopathy
HOMOEOPATHIC DEPARTMENT
NAME DAY TIMINGS
O.P.D
DR. SATISH GALA Sat 9:30 a.m - 11:30 a.m
Homoeopathic Department at Nanavati Hospital was started in January 1991 under renowned Homoeopathic Physician Dr. Anil Bhatia.
The Homoeopathic Department deals in treating:
Respiratory problems in adults and children especially- Recurrent Upper Respiratory Tract ailments in children, Asthma,Chronic Sinusitis and allergic disorders relating skin and respiration.
Chronic Skin problems like Psoriasis, Eczema etc.
Gastrointestinal Disorders like Irritable Bowel Syndrome, Ulcerative
Colitis, Acid Peptic Disease.
Department also receives regular referrals from Physiotherapy department for conditions like Plantar Fasciattis, Calcaneal spurs, cervical spondylosis and osteoarthritis.
Homoeopathy is a system of Medicine that is natural, non addictive and unlike conventional medicine has no side effects.
Homoeopathy very simply triggers your body to heal yourself. It strengthens your resistance and immunity which is why it is the choice of 300 million people worldwide.
Homoeopathy supports the body’s own mechanism by means of specially prepared remedies, is an effective form of treatment.
However, it involves careful study of every episode to evaluate and the cause which precipitates these, the exact symptoms and the factors which make things better or worse.
Constitutional Homoeopathic care with the management of experienced professional homoepath can help recover a person’s general health on deeper levels by treating the condition from the root rather than suppressing its symptoms.
Homoeopathic medicines apart from being effective are also easy and convenient to use.
Nuclear Medicine
DEPARTMENT OF NUCLEAR MEDICINE
NAME DAY TIMINGS
Head of Department
DR. PATNAIK Mon - Sat 9 a.m - 5 p.m
The Department of Nuclear Medicine comprises of two sections -
Nuclear Medicine Imaging, popularly known as Isotopic Scans
Radio Immuno Assays (RIA) to estimate the amount of hormones and other substances in the blood
Equipment
Imaging (Isotopic Scans) is carried out with state-of-the-art Siemens Diacam Gamma Camera System, interfaced with an advanced computer capable of creating tomographic slices and other quantitative information.
Routine scans are carried out like Thyroid, Bone, Liver, Renal, Gall Bladder and advanced studies like Myocardial Perfusion scan using thallium and other compounds.
The RIA equipment includes the semi-automatic RIA counter that is interfaced with a computer for the final readings. The department carries out estimation of thyroid hormones, gynaec hormones and tumour markers.
Radiation Oncology
DEPARTMENT OF RADIATION ONCOLOGY
NAME DAY TIMINGS
Head of Department
DR. NAGRAJ HUILGOL Mon to Sat 9:00 a.m - 10:30 a.m
Nanavati Hospital's Department of Radiation Oncology was set up in 1980 to provide radiation therapy to patients. The department is equipped with a mega voltage therapy machine, simulator, computerized treatment planning system and brachytherapy unit. Patients are simulated on conventional simulators as well as on CT and MRI equipment. The images obtained from these sophisticated machines are fed into a recently acquired computerized planning system 'ASHA', a system approved by the FDA (USA).
The department is also very active in the field of research. Multicentric trials with reputed institutes like the International Atomic Energy Agency and Department of Atomic Energy of India have been conducted. We work closely with the Indian Institute of Technology and Bhabha Atomic Research Centre, in our research pursuits.
The Smt. Sarojben Jhaveri Centre for Hyperthermic Oncology and Medicine
Established to impart Hyperthermic treatment, this facility is unique to our centre, and initial studies have demonstrated excellent results, comparable to data published in the west.
Hyperthermia refers to heating of cancerous tissue to temperatures of 410 - 450° C, in order to render cancer cells inactive. Heat alone, or together with radiation and chemotherapy, helps mobilise cell kill rates. Head and neck cancer, and some pelvic tumours, can be effectively treated. The division will soon begin a prospective trial to prove its initial findings, with the support of the Indian Council of Medical Research. A prospective trial to assess the benefits of hyperthermia treatment in HIV patients is also on the anvil.
Service mix scenario:-
Marketing management helps an organization in raising its potentiality and assits the user by making available goods or services of their own choice and capacity. Though hospital is a non-profit making organization still the significance of marketing practices cannot be ignored. The service mix comprises following “7p’s”
• Product
• Price
• Promotion
• Place
• People
• Process
• Physical Evidence
Product:-
The main product of Dr. Balabhai Nanavati Hospital is to provide top quality of services and facilities to its patients and employees.
• Diagnostic equipments - Radiocautery Microdermabrader, Diode laser (for hair removal) ,Non surgical face lift machine,Facial treatment unit ,Ozone / steam ,Galvanic electrodes for lontophoresis, Suction for removing blackheads ,Ultraviolet light ,Wood’s lamp,Superficial abrader, Hair treatment unit, Cryosurgery units ,Cold beam infrared unit for dark circle. Surgical instruments for procedures like, Punch biopsies ,Ear lobe repair ,Excision of moles, cysts, growths, Comedone extraction ,Vitiligo surgery & Scar revision
• Medicines – Allopathic , Ayurvedic , Homeopathic , Unani etc.
• First-Aid - Programs that introduce the basics of first-aid can be designed especially for your employees, which can be held at the Hospital Auditorium over a period of two days.
Price:-
The pricing structure of Dr. Balabhai Nanavati Hospital depends on the following factors.
• Length of stay
• Level of illness
• Medicines consumed
• Frequency of visit
• Use of equipments
• No. of test required
• Type of rooms
• Specialists
Promotion:-
The promotion in Dr. Balabhai Nanavati Hospital is of two types (a) Personal (b) Impersonal
(a) Personal Promotion comes from person to person , word of mouth promotion
(b) Impersonal Promotion is through Television , Advertising , Publicity And Sales promotion measures.
Place:-
The Dr. Balabhai Nanavati Hospital is located at Vile Parle (W) on S.V.Rd .It is located at such place that there is no inconvenience to the people coming there. Adequate transport and communication facilities are available at good frequency. It is at close proximity from the railway station. The infrastructure facility of our hospital is of the top notch.
People:
People play a very important role in every service sector.So Dr. Balabhai Nanavati Hospital provide better facilities to their employees and staff.
The following are the efforts made by our management to make our employees and staff excellent in providing services.
• Providing training for quality patient care with a human touch.
• Using latest technology
• Using the services of professionally competent medical consultants.
Process:-
The process of Dr. Balabhai Nanavati Hospital is divided into 3 phases
1. The Joining phase
2. The intensive consumption phase
3. The detachment phase
Physical evidence:-
The physical evidence of Dr. Balabhai Nanavati Hospital includes I.C.U., medical shops ,clinics , ambulance,out patient wards, emergency wards , diagnostic and surgical wards and equipments.
Our employees and doctors maintain a dress code which indicates professionalism and discipline .
We also provide good ambulance facility and our hospital is hygienic and clean.
King Edward Memorial Hospital
King Edward Memorial Hospital
About hospital
Welcome to King Edward Memorial Hospital
Founded in 1926, the Seth Gordhandas Sunderdas Medical College (GSMC) and the King Edward Memorial (KEM) Hospital are amongst the foremost teaching and medical care providing institutions in India. The medical college (school) provides training to about 2000 students in undergraduate, postgraduate and superspeciality medical courses; in undergraduate and postgraduate physical and occupational therapy; Masters and PhD courses in various allied specialties. A nursing school is also maintained by these institutions.
With about 390 staff physicians and 550 resident doctors, the 1800 bedded hospital treats about 1.8 million out-patients and 68,000 in-patients annually and provides both basic care and advanced treatment facilities in all fields of medicine and surgery.
Funded mainly by the Municipal Corporation of Greater Mumbai , these institutions render yeomen service - virtually free of cost - mostly to the underprivileged sections of the society
Modern medicine was introduced to India by the Europeans. With the foundation of the Grant Medical College in Bombay in 1845 the 'native citizens' of the presidency were given an opportunity to study western medicine from some outstanding teachers. The college soon gained a world-wide reputation and its founder-principal, Dr Charles Morehead, was invited to help the University of London in formulating its programme for medical education.
Towards the end of the century the old order represented by Sir Robert Grant, Dr Charles Morehead and Sir Jamsetjee Jejeebhoy was replaced by officers of the Indian Medical Service (IMS) who, far from encouraging the best talent of the college, maintained their hold on the prestigious professorial posts. After much hesitation, a few non-clinical professorial posts were opened to non-IMS Indians and Dr Y. G. Nadgir was the first to be appointed to a chair (Anatomy). The fact that an IMS ' officer would be professor ofmateria medica one year and teach obstetrics and gynaecology the next underlined the unwillingness of the authorities to give opportunities to capable Indians.
Nationalist Indians strove to correct this imbalance. Among them was Dr K. N. Bahadurji, the first Indian to obtain the coveted M.D. degree of the University of London. When he was denied the post of Professor of Medicine at the Grant Medical College (an IMS officer holding only the Licentiate of the Royal College of Physicians diploma (LRCP) being appointed instead) he advocated the establishment of a new medical college, staffed by Indians, that would break the monopoly of the IMS. He placed the idea before Sir Pherozshah Mehta - the lion of Bombay - and other members of the Bombay Municipal Corporation. Dr Bahadurji died on 15 August 1898 before his plans could materialize.
GENESIS AND FOUNDATION In 1907, under the Police Charges Act, the work of medical relief within the city of Bombay was entrusted to the Municipal Corporation. In 1909, an ad hoc committee of the corporation decided that 'the time had come for the Seth Gordhandas Sunderdas Medical College in 1925 Photo by Keshav M. Godhia to be associated with the proposed hospital. At the instance of Sir Pherozshah Mehta, the donors also insisted \ that the professors and teachers to be employed should I all be properly qualified independent Indian gentlemen I not in government service. The Municipality approached the Bombay Medical Union for a detailed scheme for the organization of the medical college and hospital. Dr. Jivraj Mehta, just returned from London after obtaining an M.D.degree, was approached by the union. He suggested a radical departure from the traditional design of teaching hospitals in India where isolated blocks housed separate departments. Dr. Mehta proposed that the entire medical college be housed in one large building and the hospital (including the out-patient block) in a separate building. This would facilitate co-ordination between the various departments. The two buildings were to be interconnected by covered corridors so that patients, students and staff could easily go from one building to another during heavy monsoon rains. (The Seth G.S.Medical College and K.E.M. Hospital were the first multistoreyed institutions of their kind. The K.E.M. Hospital was the first Indian hospital housing the out-patient department within the main hospital building).
The plans were submitted to W.A.Pite who had designed the Kings College Hospital in London and was then a leading authority on hospital construction. The local architect was G.Wittet. In those days it was thought that if an architect happened to be an Englishman, he was not only a fit person to draw up plans for a hospital but also to select its equipment. Wittet drew up a long list of equipment to be imported from England, including even ordinary beds for the wards, lockers and mobile screens.
The equipment committee (consisting of Dr Rustom Cooper, Dr P.T.Patel and Col.Hamilton) insisted on obtaining most items from Bombay. Wittet strongly expressed his resentment but was disregarded. When the hospital and the college were formally inaugurated on 22 January 1926, Wittet was presented a gold cigarette cas 5* by the Governor of Bombay, Sir Leslie Orme Wilson, in appreciation of his services. In the very first week, however, a large piece of the plastered ceiling of the operation theatre came down and within the first fortnight, the tiled floor cracked! The total cost of construction of the hospital was Rs.2,527,699 and that of the college Rs 1,364,574.
In making the first appointments to the staff, the Municipal Corporation was largely guided by Dr G. V. Deshmukha very active member of the corporation and also a big noise in the profession (Cooper). Dr Jivraj Mehta was elected Dean of the college and hospital. The first batch of teachers included Dr.M.D.D.Gilder, Dr P.C.Bharucha, Dr A.S.Erulkar, Dr P. T. Patel, Dr G. V. Deshmukh, Dr.R.N.Cooper, Dr V.L.Parmar, Dr.N.A. Purandare, DrV.R.Khanolkar and DrB.B.Yodh,who, according to Dr Jivraj Mehta, were individuals of the highest capability and deepest integrity. There was a great bond of striving towards a common aim - ensuring a brilliant success for these institutions. Remember, these were the first medical institutions in the country staffed by Indians at the professorial and other levels and there was a great sense of pride in all of us.
Medical Services
• Anaesthesiology
• Biochemistry and Clinical Nutrition
• Blood bank
• Cardiology
• Cardiovascular and Thoracic Surgery
• Chest Medicine and Environment Pollution Research Center (EPRC)
• Clinical Pharmacology
• Dentistry
• Ear, Nose and Throat Surgery
• Emergency Medical Services
• Endocrinology
• Gastroenterology
• Gynaecology & Obstetrics
• General Surgery
• GSMC-FAIMER Regional Institute
• Hematology
• Medical Education Technoloy Cell
• Microbiology
• Neonatology
• Nephrology
• Neurology
• Neurosurgery
• Nursing
• MRI
• Obstetrics & Gynecology
• Occupational Therapy
• Ophthalmology
• Orthopedics
• Osteoporosis
• Pathology
• Pediatric Surgery
• Pediatrics
• Physiology
• Physiotherapy And Rehabilitation
• Preventive and Social Medicine
• Psychiatry
• Pulmonary Medicine
• Radiology
• Surgical Gastroenterology
• Urology
PULMONARY MEDICINE
NAME DAY TIMINGS
Head of Department
DR. A. S. KOCHAR Tue, Thur, Sat 2:00 p.m - 3:00 p.m
Wed, Sat 10:00 p.m - 11:00 p.m
O.P.D
DR. SHIRISH SHAH Mon, Fri 2:00 p.m - 3:00 p.m
ASTHMA AND ALLERGY CLINIC:
We are conducting intracutaneous and intradermal (prick) Allergy Testing with different allergens including Pollens, Fungi, Dusts, Insects, Foods and Danders etc.
FIBER–OPTIC VIDEO BRONCHOSCOPY:
The most comprehensive latest and finest video bronchofiberscope system of Olympus (Japan) has been added to the diagnostics of our department. The Fiber–Optic Scopy is of prime diagnostic importance in cases of lung cancer, tuberculosis, hemoptysis, and intrabronchial lesions. We can directly visualise the lesion and videotape the whole procedure for review, or we can take still pictures of the lesion with a specialised camera.Fiber-Optic Scopy can also be done on an outdoor basis.
CRITICAL CARE UNIT:
We have a battery of modern ventilators (Bennett and Siemens) in the Hospital I.C.U. Trained Medical and Nursing Staff in consultation with the Pulmonary Department provides round the clock services to patients on ventilators, of the following categories
atients suffering from respiratory failure
COPD life threatening Bronchial Asthma
ARDS Pulmonary Embolism
Post C.A.B.G complications needing ventilatory support.
EQUIPMENT DETAILS
The installation of state-of-the-art pulmonary function laboratory of Jaeger (Germany) – world-class equipment which provides data of all lung functions like
Ventilation Studies
Diagnosis of Bronchial Asthma and Chronic Bronchitis
Static Lung Volumes
i.e. FRC, RV, TLC and RV/TLC ratio for the diagnosis of Emphysema and Airtrapping
Lung Compliance
The diagnosis of early Pulmonary Oedema in cases of Coronary Artery Diseases and Mitral Valve Disease.
Airways Resistance
For quantifying the extent of Airways Obstruction in Bronchial Asthma using an extremely simple and latest technique.
Diffusion Studies
This information is of utmost value in the diagnosis of pulmonary fibrosis, pulmonary oedema and in lung involvement in cases of rheumatoid arthritis and other collagen vascular diseases.
Our department provides all the diagnostic modalities in the area of pulmonary medicine as is available anywhere where in the world.
OSTEOPOROSIS
NAME DAY TIMINGS
BMD - Head of Department
DR. DEEPAK PATKAR Mon - Sat 9 a.m - 5 p.m
BMD - Team
DR. BHARAT PAREKH - -
What is Osteoporosis?
Osteoporosis has been called the silent epidemic. It progresses without pain or symptoms of any kind and is often only diagnosed when a fracture occurs. Yet it is a disease that can be prevented and treated and must not be considered a normal or inevitable part of aging.
Osteoporosis has been called the silent epidemic. It progresses without pain or symptoms of any kind and is often only diagnosed when a fracture occurs. Yet it is a disease that can be prevented and treated and must not be considered a normal or inevitable part of aging.
Osteoporosis literally means porous bone. It is a disease in which the bones become weak, brittle and fragile and are more likely to break. Maximum bone density occurs between the ages of 20 and 30. After 30, as a part of the natural aging process, there is a gradual loss of bone density and strength. Bone begins to break down faster than new bone can be formed.
Of the 6.1 crore Indians who are estimated as having Osteoporosis at any given time, between 60-70% are women. One out of every two women and one out every five men over the age of 65 suffer from Osteoporosis.
W.H.O studies place people of Asian origin at a higher risk of getting Osteoporosis. Indians in fact, are said to present the highest prevalence of Osteoporosis, the Osteoporosis fractures that occur 10-20 years earlier in men and women.
Groups Targeted for Assessment of Osteoporosis
Menopausal women and those who have undergone surgical menopause. The rapid loss of bone density in this group is due to the fact that the ovaries stop producing estrogen, the hormone that protects against bone loss.
Pre-menopausal women with a history or presence of prolonged amenorrhea
Patients treated with exogenous steroids.
Alcoholics and patients with chronic liver disease.
Rheumatoid arthritic patients and those with chronic mobility problems.
Patients with metabolic bone disease such as HPT, Cushing's Disease or CRF.
Those undergoing thyroid hormone replacement.
Patients with hypogonadism.
Those with malabsorption.
Patients with multiple myeloma and bone metastasis.
Users of drugs like anticonvulsants and tetracycline.
Patients with hip implants and chronic low backache.
Routine check up for geriatric patients.
EQUIPMENT DETAILS - BONE MINERAL DENSITOMETRY (BMD)
Osteoporosis has been called the silent epidemic. It progresses without pain or symptoms of any kind and is often only diagnosed when a fracture occurs. Yet it is a disease that can be prevented and treated and must not be considered a normal or inevitable part of aging. Of the 6.1 crore Indians who are estimated as having osteoporosis at any given time, between 60-70% are women.
The K.E.M. Osteoporotic and Obesity Assessment Centre has installed the DPX-MD, the high tech, state of the art Bone Densitometry System from LUNAR. For the very first time in India, whole body densitometry will be possible together
Considered the gold standard for clinical bone densitometry, the DPX-MD uses dual x-ray absoptiometry (DEXA). Having a scan is a simple process. The patient is merely made to lie back on the comfortable padded scan table and breath normally. The densitometer takes care of the rest. Total body scans takes around 5 minutes; femur, AP and Lateral spine scans take under 1 minute. The DPX-MD provides quite, smooth operation with the patient dose 5X lower than competitive bone densitometer. It is powerful tool in a doctor’s hand. It can help detect osteoporosis before fracture occurs, predict future chances of fractures, determine the rate of bone loss and monitor the effects of treatment over a period of time.
The full spectrum of Densitometry:
• AP spine
• Lateral spine
• Femur
• Forearm
• Total body
• These assessments find application in
• Weight reduction treatment
• Growth Hormone treatment
• Muscular Dystrophy
• Malabsorption syndrome
• Primary and Secondary Hyperparathyroidism
• Anabolic steroid therapy
• Anorexia nervosa
• Assessment of lean body mass for chemotherapy.
THE MRI CENTRE
NAME DAY TIMINGS
Head of Department
DR. DEEPAK PATKAR - -
Team
DR. SURESH GOKHALE - -
DR. BHARAT GALA - -
DR. MALINI LAWANDE - -
DR. SONA PUNGAVKAR - -
The MRI Centre at K.E.M. Hospital has been operational since 1992 and about 50,000 patients have been scanned to date. The centre, in keeping with it’s tradition to offer the best to patients, now has a new state-of-the-art 1.5T GE Echospeed MRI Scanner. The new unit is equipped with several additional features to make the patient more comfortable; these include an inbuilt music system with head phones for the patient, shorter scan times and ‘flared’ patient friendly design of the magnet. Newer additions, such as the phased array body and spine coils, the endorectal coil, and the peripheral angiography coil, improve the image quality of the scan considerably.
The MRI Centre has installed a special high-end MR machine, and we are the only hospital to offer MRI as a complement to ultrasound for unborn children. The Centre began performing antenatal MRI since 2001, and has performed approximately 80 such scans. All foetal organs can be evaluated and studied in detail. While similar work in this field has been done abroad for some time, this is the first time that such examinations have been performed in India.
What is MRI?
It is a computerized imaging technique, capable of obtaining images of the body in any plane. MRI utilizes strong magnetic fields and radio frequency pulses to generate images, which demonstrates more clearly than other methods, the possible differences between normal and abnormal tissues. The procedure is painless, has no known side effects, circumvents the harmful effects of radiation, and provides the radiologist with high- resolution images that offer additional information when compared to the CT scan. With newer technology, it is also possible to obtain functional and biochemical information of body tissue. Imaging of the heart and arteries is also possible, through a non invasive procedure.
MR Spectroscopy (MRS)
MR spectroscopy is available at the K.E.M.Hospital MRI centre. The study takes approximately 2 to 6 minutes, and can be an add-on to a routine brain MRI. A non-invasive procedure that does not require any injections, MRS provides biochemical information about tissues. Some areas where the procedure provides invaluable information include:
Differentiating radiation necrosis from recurrent brain neoplasms
Differentiating between types of brain tumours, and monitoring their response to treatment
Early diagnosis of Alzheimer’s disease
Paediatric hypoxia, where MRS can define coma status, and often predict the outcome
Inborn and acquired errors of metabolism (brain imaging)
Perfusion and Diffusion
Perfusion and diffusion weighted imaging (DWI) have radically altered the role of imaging in stroke patients. It is possible to diagnose ischaemia within a 3-hour window period so that immediate intervention, if required, can be carried out. DWI is a promising technique for the evaluation of patients with multiple sclerosis, and in differentiating some benign intracranial masses.
Functional Imaging
High-speed gradients and EPI techniques on the MR unit allow functional imaging. For instance, it is possible to map out the motor or visual cortices in a particular patient. This technique plays an important role in patients with neoplasms opting for surgery, as well as in psychiatric disorders.
3D Contrast Enhanced MR Angiography
Non-invasive, high-resolution contrast angiography without arterial catheterisation is now possible. Due to the high performance gradients and fast 3D gradient Echo pulse sequence, high-resolution 3D (volumes of) image data can be easily acquired in a single breath hold.
All angiographies, other than coronary are also possible on this machine. These include renal, mesenteric, peripheral angiography and portal venography. The contrast used in MRI is non-nephrotoxic, and hence this study can be performed in patients with compromised renal function.
Cardiac Imaging
Fast sequences allow breath hold imaging and greater morphological clarity. Cine sequences aid in evaluating the cardiac motion. Unique feature of arrhythmia detection window makes it possible to image patients with arrhythmias as well.
Musculoskeletal Imaging
It is now possible to study various joints in motion with MR fluoroscopy and cine MR. Kinematic MR can detect:
Entrapment syndrome
Instability
In addition, the machine can achieve a very small field of view, high resolution 1024 matrix and superior fat suppression. This can be used to study
Articular cartilage
Trabecular microfractures
Abdomen and Pelvis
Using breath-hold imaging, phased array and intracavitary coils, MRI has revolutionized abdominal imaging. It is particularly useful in
Staging of pelvic malignancies (especially uterus and prostate)
Evaluating pancreatico-biliary tree (MRCP)
Imaging of anorectal fistulae
Uterine masses (fibroids, adenomyosis etc)
In-utero evaluation of fetal and placental disorders
Interaction
Clinical meetings are held regularly (monthy or bimonthly) in various branches like neurology, orthopaedics and paediatrics. This allows better interaction and discussion between the radiologists and referring doctors. The hospital has registered students for DNB (Diplomate and National Board) which is a nationally recognized degree equivalent to M.D.
A number of articles have been published in various national and international medical journals, on the work done in the MRI centre. Also a number of research projects are being carried out.
MRI IN OBSTERICS
Magnetic Resonance Imaging has come in vouge as an imaging modality because of it’s excellent soft tissue resolution, multiplanar capability and lack of ionizing effect. It is widely used for imaging of brain, spine and musculoskeletal system.
Faster techniques have dawned the era of fetal MRI. This paved the way for meaningful imaging of fetus without the need for fetal or maternal sedation. Single-shot fast spin echo (ssFSE) sequences provide evaluation of the fetal organs, especially of the brain in a detailed fashion. Till date, ultrasound has been the investigation of choice for imaging the fetus in order to screen birth defects. But sometimes it reveals only a limited amount of information. This is due to inadequate visualization of specific fetal anomalies as well as fetal position, maternal body habitus and the amount of liquor. In difficult cases, Magnetic resonance imagining (MRI) is an option that adds to the ultrasound diagnosis to delineate the abnormality better. Maternal anatomy can be evaluated as well at the same time without interference by bones, fat or gas filled organs.
MRI research is demonstrating great potential for imaging pregnancy and improving outcomes in a variety of circumstances including cases of -
• Brain or spinal anomalies
• Chest lesions
• Oligohydramnios (less fluid around the baby)
• Secondary abdominal pregnancy
• Masses within the foetal abdomen
• Placental abnormalities
• Multi-foetal pregnancies
SAFETY CONSIDERATIONS
There is no evidence that clinical MR examinations are harmful to the fetus. No mutagenic or adverse effects have been observed after experimental and clinical studies. However, it is prudent to avoid scanning in the first trimester when organogenesis occurs. The approach can be with the help of a team which comprises of the MRI consultant, Ultrasonologist, pediatric surgeon, obstetrician and gynecologist, geneticist and perinatologist.
DEPARTMENT OF GYNAECOLOGY & OBSTETRICS
NAME DAY TIMINGS
Head of Department
DR. K. SANKAR Mon - Sat 1:30 p.m - 4:30 p.m
(by appointment)
O.P.D
DR. S. C. PATEL Mon, Wed, Fri 9 a.m - 10.30 a.m
DR. MAYA LULLA Mon, Wed, Fri 10 a.m - 11.30 a.m
DR. R. M. SARAOGI Mon, Wed, Fri 9 a.m - 10.30 a.m
DR. P. GALVANKAR Tue, Thur, Sat 9 a.m - 10.30 a.m
DR. R. SHAH Tue, Thur, Sat 10 a.m - 11.30 a.m
DR. A. VIRKUD Tue, Thur, Sat 9 a.m - 10.30 a.m
DR. SHYAM DESAI Tue, Thur, Sat 9 a.m - 10.30 a.m
FAMILY PLANNING - Head of Department
DR. MEGHNA BHAGWAT Mon to Sat 11:30 a.m - 3:00 p.m
K.E.M.Hospital’s department of Gynaecology and Obstetrics is a highly reputed tertiary referral centre for the management of all types of high-risk pregnancies and obstetrics emergencies. These include
Bad obstetrics history
Pregnancy with jaundice (treatment done in collaboration with gastroentrologists)
Pregnancy with Renal Failure (treatment done in collaboration with department of Nephrology)
Pregnancy induced hypertension
DIC (in collaboration with the Haematology Department)
Diabetes Mellitus and other endocrine problem (in collaboration with the Endocrine department)
Other Facilities
The department offers good antenatal, intranatal and post-natal care and management services in the form of Comprehensive Health Check–Up packages. Services include –
Preventive Care and Cancer detection – Pap smear, colposcopy, mammography, sonomammography
Infertility
I-trimester – MTP as OPD procedures same day discharge
II-trimester – MTP
Obesity Management (Dietetic & Obesity clinic)
Menopausal Clinic – comprehensive health check up of pre and post menopause women
Management of Adolescent Gynaec problems
Family Planning services – contraception for spacing and permanent methods like vasectomy, tubal ligation, (mini laparotomy, laparoscopy). Endoscopic Surgery (Laparoscopy & Hysteroscopy) for all gynaec problems including LAVH (laparoscopic assisted vaginal hysterectomy)
Assesment and management of urological conditions pertaining to gynaecology with a backup of urology Department Labour Analgesia.
PHYSIOTHERAPHY & REHABILITATION DEPARTMENT
NAME DAY TIMINGS
Head of Department
DR. ALI IRANI Mon - Sat 9 a.m - 6 p.m
Introducing Energizer : The K.E.M.Hospital has a fitness center called ‘ENERGIZER’.
WHY FITNESS?
Fitness is the very basis of todays active life, the only way to counter the inevitable breathless pace.
At some point in life 80% of people accost, any one or worse avariety of health problems, Tropping the list is the most common one-obesity, which more often then not leads to high blood pressure, diabetes, back ache, arthritis, and most dreaded heart disorders.
We live in the age of physical awareness. Fitness not only enables one to achieve higher levels of physical efficiency but also develops a dynamic appearance which is a must in this highly competitive world.
WHY ENERGIZER?
Recognising this essential need for fitness evolved the Energizer the complete fitness center the best of its kind in the country.
To begin with Energizer evaluates your level of fitness and guides you professionally through a well planned fitness regime.
Individual attention is given to nutritional advice, exercise and training for sportspersons. The Energizer gym offers not only the latest world class tested equipment but also provides personalised medical supervision.
So whether your goal is to reduce weight or to maintain fitness and flexibility, you are in sage hands.
Achieve the energy to make it big, be a go getter. Get ‘Energized’.
We offer
A) Assessment and treatment of :
Musculoskeletal disorders such as osteoarthritis of the knees; back; neck or other spinal problems; frozen shoulders; tennis elbow; ankle; sprain etc
Neurological disorders such as hemiplegia; cerebral palsy, nerve palsies, poliomyetitis, paraplegia, quadriplegia, diabetic neuropathies, etc
Sports injuries
Respiratory disorders such as bronchial asthama, pneumonia, bronchiectasis or any other respiratory disorder where there is chest congestion
Amputees
B) Electrotherapy for pain relief :
Electro-Acuscops (Microelectric therapy)
Short ware diathermy
Ultrasound
Muscle Stimulator
Transcutaneous Electric Nerve Stimulation (TENS)
Traction
Infra Red
C) Exercise therapy : Our team of Physiotherapists and Occupational therapists strive to treat the physically disabled. The dept. runs a special sports clinic for the evaluation, treatments of prevention of various sports injuries.
Service mix scenario:-
Marketing management helps an organization in raising its potentiality and assits the user by making available goods or services of their own choice and capacity. Though hospital is a non-profit making organization still the significance of marketing practices cannot be ignored. The service mix comprises following “7p’s”
• Product
• Price
• Promotion
• Place
• People
• Process
• Physical Evidence
These are the Service scenario of King Edward Memorial Hospital
Product:-
The main product of King Edward Memorial Hospital is to provide top quality of services and facilities to its patients and employees.
• Diagnostic equipments –
Radiocautery Microdermabrader, Diode laser (for hair removal) ,Non surgical face lift machine,Facial treatment unit ,Ozone / steam ,Galvanic electrodes for lontophoresis, Suction for removing blackheads ,Ultraviolet light ,Wood’s lamp,Superficial abrader, Hair treatment unit, Cryosurgery units ,Cold beam infrared unit for dark circle. Surgical instruments for procedures like, Punch biopsies ,Ear lobe repair ,Excision of moles, cysts, growths, Comedone extraction ,Vitiligo surgery & Scar revision
• Medicines –
Allopathic , Ayurvedic , Homeopathic , Unani etc.
• First-Aid –
Programs that introduce the basics of first-aid can be designed especially for your employees, which can be held at the Hospital Auditorium over a period of two days.
Price:-
The pricing structure of King Edward Memorial Hospital depends on the following factors.
• Length of stay
• Level of illness
• Medicines consumed
• Frequency of visit
• Use of equipments
• No. of test required
• Type of rooms
• Specialists
Promotion:-
The promotion in King Edward Memorial Hospital is of two types (a) Personal (b) Impersonal
(a) Personal Promotion comes from person to person , word of mouth promotion
(b) Impersonal Promotion is through Television , Advertising , Publicity And Sales promotion measures.
Place:-
The King Edward Memorial Hospital is located at Vile Parle (W) on S.V.Rd .It is located at such place that there is no inconvenience to the people coming there. Adequate transport and communication facilities are available at good frequency. It is at close proximity from the railway station. The infrastructure facility of our hospital is of the top notch.
People:
People play a very important role in every service sector.So King Edward Memorial Hospital provide better facilities to their employees and staff.
The following are the efforts made by our management to make our employees and staff excellent in providing services.
• Providing training for quality patient care with a human touch.
• Using latest technology
• Using the services of professionally competent medical consultants.
Process:-
The process of King Edward Memorial Hospital is divided into 3 phases
4. The Joining phase
5. The intensive consumption phase
6. The detachment phase
Physical evidence:-
The physical evidence of King Edward Memorial Hospital includes I.C.U., medical shops ,clinics , ambulance,out patient wards, emergency wards , diagnostic and surgical wards and equipments.
Our employees and doctors maintain a dress code which indicates professionalism and discipline .
We also provide good ambulance facility and our hospital is hygienic and clean.
