DEPARTMENT OF PULMONARY MEDICINE

MAIN ACHEIVEMENTS AND FACILITIES OF THE DEPARTMENT

Achievements:-

1.      Active participation in the RNTCP program.

2.       Successfully organized ZTF meetings for the RNTCP control program held at Jodhpur in December, 2014.

3.      Successfully organized 13th State Conference on Tuberculosis & Respiratory Diseases NCCP-RAJPULMOCON-2014 on 29th & 30th March 2014 at Dr S N Medical College, Jodhpur.

4.      RNTCP sensitization program has been organized recently for the residents and faculty of medicine and surgery, Obstetrics & Gynecology and has been planned for the other clinical departments.

5.      Dr. Sunil Vyas has been awarded with MNAMS degree.

6.      Dr. Deepak UG has been selected for poster presentation at ERS conference at Amsterdam, Netherlands and ACCP CHEST conference at Montreal, Canada.

7.      Dr. Kailash Sharma won the Chest Challenge competition organized by ACCP (USA) and were selected for attending Chest Conference in Montreal (Canada) and free ACCP membership.

8.      Dr. Narendra - Second Prize for paper presentation in NAPCON 2015 held at Jaipur.

9.      Dr. Shameel KK - Gold Medal in Doctor Hans Kumar Award For best paper presentation in Rajpulmocon 2015 held at Jaipur.

10.  Dr. Shameel KK - Second Prize for poster presentation in Bronchocon 2016 held at Shri Nagar Jammu Kashmir

11.  Dr. Srikant, Dr. Isha & Dr. Laxman Soni, has been selected for poster presentation at ERS conference at London UK (2016).

12.  Dr. Manish Advani 3^rd Prize in Dr. J.C. Kothari for Best Paper Presentation in NAPCON 2016 Held at Mumbai.

13.  Dr. T.A. Ashwathy had been selected for poster presentation in ERS international congress 2018 held at Paris, France.

14.  Dr. T.A. Ashwathy won 3^rd place for paper presentation at RAJPULMOCON 2018.

15.  Dr. Subho Sarkar won the 1^st place in paper presentation at RAJPULMOCON 2018.

16.  Dr. Lokesh Verma won the 2^nd Place in poster presentation at ACPGCON 2018.

17.  Dr. Lokesh Verma had participated in North zone round of Torrent Young Scholar Award Programme 2018.

18.  Dr. Theres Mathew first Prize for poster presentation “Relation between vascular parttern visualised by Narrow Band Imaging Video Bronchoscopy” PCCM-CME 2018.

19.  Dr. Theres Mathew Best Performer award for workshop “New Diagnostic Tools in Diagnosis of Tuberculosis” in RAJCROPACON 2018.

20.  Dr.Govind Desai won the Chest Challenge 2019 competition ( All India 1^st Rank)  organized by ACCP (USA) and is selected for attending Chest 2019 conference to be held at New Orleans ,USA and free ACCP membership.

21.  Dr Suresh Yogi secured Rank 9^th  (All India) in Chest Challenge 2019 organized by ACCP (USA) and secured free membership

22.  Dr Govind Desai and Dr Ashutosh Singhal were selected for North Zone TYSA pulmonology quiz held at New Delhi.

23.  Dr Lokesh Verma won the First prize in E-poster at NAPCON 2019 Kerla.

Publications in Last 3 years:-

1.      Chaina Ram Choudhary 1, Laxman Kumar Soni2, Sharwan Ram3, Gopal Purohit4, Sunil Vyas5, Priyanka Soni6,

Clinco – Radiological Profile and Diagnostic yield of various procedures in analysis of tubercular pleural effusion. Indian Journal of Immunology and Respiratory Medicine Volume1 Issue3 July-Sep 2016.

2.      Dr C.R Choudhary 1 , Dr Subho Sarkar 2 , Dr Gopal Purohit 3

Prevalence of Obstructive Sleep Apnea in idiopathic pulmonary fibrosis

International journal of scientific research Vol-7 issue 2 Feb 2018

3.      Dr Advani Manish 1,Dr Purohit Gopal 2 , Dr Vyas Sunil 3 , Dr kumari jyoti 4

Comparision of diagnostic potential of narrow band imaging bronchoscopy over white light bronchoscopy in lung cancer.

Journal of  Bronchology and Interventional Pulmonology :April 2018 volume 25 issue2 p-132-136

4.      Dr C.R Choudhary 1 , Dr Jyoti Kumari 2 , Dr Manish Advani 3

Isoniazid induced early onset of motor dominant neuropathy and treatment with high dose of pyridoxine The Indian journal of tuberculosis 65 (2) 175-176, 2018

5.      Dr Sanidhaya Tak 1 , Dr shweta choudhary 2 , Dr Mahesh Gupta 3 , Dr Gopal Purohit 4, Dr C.R Choudhary 5 , Dr Sunil Vyas 6 , Dr Hemant Borana 7

Scholars Journal of Applied Medical Sciences (SJAMS), Sep 2018; 6(9):3391-3394

Occupational exposure of silica and its immunological effects at Tertiary care hospital

6.      Dr Sunil Vyas 1 , Dr Theres Mathew 2, Dr Devesh Meena

“Pulmonary Agenesis-a rare entity”

Lung India-July 2018

7.      Dr C.R Choudhary 1 , Dr Shameel ahammed K.K 2

Tuberculous Empyema thoracis:Clinical profile,diagnostic tools and management outcome International Journal of scientific research march 2017 volume-6, issue 3.

8.      Dr C.R Choudhary 1 , Dr Rajendra Kumar Garg 2

Geographical distribution and resistance pattern of multidrug resistant pulmonary tuberculosis patients in western Rajasthan International Journal of scientific research March 2017 volume-6, issue 3

9.      Dr Mahesh Kumar Gupta 1 , Dr Sanidhaya Tak 2 , Dr Shweta choudhary 3, Dr Gopal Purohit 4 , Dr C.R Choudhary 5 ,Dr  Sunil Vyas  6 , Dr Hemant Borana 7

Prevalence of positivity of CBNAAT (Cartridge based nucleic acid amplification test) in Extra Pulmonary Tuberculosis Scholars Journal of Applied Medical Sciences (SJAMS) 2019 7(1): 79-82

10.  Dr. Raaghav Gupta1, Dr. Gopal Purohit 2, Dr. Balveer Choudhary 3,

Role of flexible fiberoptic bronchoscopy in diagnosis of indefinite pulmonary infiltrates. International Journal of Research in Medical Sciences Gupta R et al. Int J Res Med Sci. 2019 May; 7(5):1674-1677.

11.  Dr. Lokesh Verma 1, Dr. C.R. Choudhary 2, Dr. Gopal Purohit 3, Dr. Hemant Borana 4, Dr. Govind Desai 5, Dr. Sanidhaya Tak 6,

A Cross Sectional Study of Echocardiographic Finding in Chronic Obstructive Pulmonary Disease Patients and its Co-relation with the Severity of Disease.  Volume-8 [Issue-4] April 2019/Print issn No2277-8179.

12.  Dr. Lokesh Verma 1, Dr. Hemant Borana 2, Dr. Govind Desai 3, Dr. Sanidhaya Tak4,

Saber sheath trachea in chronic obstructive pulmonary disease patients in J Adv Med 2019; 6:989-90.

13.  Dr. Lokesh Verma 1, Dr. Sanidhaya Tak 2, Dr. Govind Desai 3, Dr. Neetu Maurya 4, A Cross Sectional study of clinical and Electrocardiogrphic profile in Chronic Obstructive Pulmonary Disease Patients and Its Co-relation with the Severity of Disease.

14.  Dr. Jitendra Kankheria 1, Dr. Gopal Purohit 2, Dr. C.R. Choudhary 3, Dr. Hemant Borana 4, Dr. Brij Mohan Meena 5,

Study on Prevalence of Different Microbiological Organism in Empyema Thoracis.

15.  Dr. Brijmohan Meena 1, Dr. Gopal Purohit 2, Dr. C.R. Choudhary 3, Dr. Hemant Borana 4, Dr. Jitendra Kankheria 5, Dr. Govind Desai 6,

Role of Non Invasive Ventilation in The Management of Type 2 Respiratory Failure.

16.  Dr. Devesh Meena 1, Dr. C.R. Choudhary 2, Dr. Gopal Purohit 3, Dr. Hemant Borana 4, Dr. Dr. Govind Desai 5, Dr. Raghaav Gupta 6,

To Study the Usefulness of CBNAAT (Cartridge based Nuclear Acid Amplification Test) in BAL (Bronchoalveolar Lavage) Samples for the Diagnosis of Smear-Negative/Non Sputum Producing Patients with Suspected Tuberculosis.

Facilities:-

1.      Special procedures like I.C.T.D, pleural aspiration and F.N.A.C for various lung diseases are regularly done here. in 2014 – 902 minor OT procedures have been performed.

2.      About 450- 550 Bronchoscopies are done every year. In 2014 - 543  bronchoscopies have been performed. Diagnostic Bronchoscopy is being performed every Wednesday and saturday.

3.      In 2014 -39 C-ARM guided TTNA & Transbronchial lung biopsies are done

4.      Medical Thoracoscopy is done for Pleural diseases (Tuesday & Friday).

5.      Body Plethysmography has been installed and functioning well

6.      CPET has been installed.

7.      Electrocautery facility for Bronchoscopic procedures is available since Jan 2015

8.      New flexible bronchoscope with Narrow Band Imaging Technology has been installed.

9.      In patient Deptt. – 150 bedded hospital with 4 wards, 3 cottage wards and 2 separate wards for the DOTS-Plus (MDR).

10.  Respiratory ICU(4 beds) has been started.(Non Invasive Ventillation only)

11.  Computerized  Spirometry is available and daily 10-12 spirometry is being performed for diagnosis and follow up.

12.  Central oxygen supply is available in all the Wards of the hospital.

13.  Silicosis camp is regularly conducted on every Friday for diagnosis & A & B certificates are issued for silicosis patients for the financial benefit from govt by the pneumoconiosis board comprised of Dr. PC Vyas, Dr. Gopal Purohit, Dr. A L Chouhan. 1949 patients were screened till date & 1004 A certificates & 104 B certificates has been issued.

14.  In our Department we have NDR TB Centre in which we have started 62 bedaquillne and 8 delaminide regimen in 2018-19.

Teaching Schedule:-

-          Weekly case presentations, seminars and journals by residents on rotational basis.

-          Case of the week/month routinely presented.

-          Ward round teaching by the faculty on daily basis.

-          Classes are held from 8-9am daily on weekdays.

Timely organization of CME’s, Workshops and press conference on special days like: - 
- World ASTHMA day – 2nd Tuesday of May

- World ANTITOBACCO day – 31st May

- World TB day – 24 March, etc.

- Total Beds:  168

- Patient load in 2019

- Indoor:- 6538 (In 2019) & 1788 (Till May 2020)

- Outdoor:- 51220 (In 2019) & 17938(Till May 2020)

Events Organised:-

1.      The 13th state conference RAJPULMOCON 2014 was successfully organized by the Dept. of Respiratory Medicine Dr S N M C Jodhpur on 29th & 30th March 2014.

2.      Organized an Orientation programme on Silicosis in July 2015 for all the members of pneumoconiosis board of Jodhpur zone

3.      Regular CME's are being conducted through Chest forum.

New facilities upgraded in the hospital:-

1. Two Pathologists (1 lecturer & 1 Sr demonstrator) has been posted to perform pathology investigations like cytology.

2. One pharmacist for BPL & one for MNDY scheme has been appointed.

3. New pulmonary Function lab has been constructed for plethysmography, DLCO, Spirometry, CPET.

4. Autoanalyzer has been installed in the lab.

5. Digital x-ray machine has been installed in the dept.

6. Vacant post of nursing superintendent has been fulfilled by the appointment of S N Sharma.

7. Free meal facility for patients & companions has been started in hospital premises.

8. Parking facility for patient & attenders were upgraded in the campus

9. One pathology lab assistant & one X-RAY assistant were appointed

  10. New digital X-ray machine is installed for Indoor & Emergency  patients 

11. 38 Nursing staff have been appointed from Dr. S N M C, Jodhpur.

12. Ramp is being constructed in the hospital

13. New Bronchoscopy Suite is being constructed in the hospital

Research work undergoing in the dept (dissertation):-

A.    Prevalence Of Diabetes Mellitus In Diagnosed Tuberculosis Patients Under National Tuberculosis Elimination Programme: A Hospital Based Observational Study In Western Rajasthan.

Dr Atul Soni

B.     “An Observational Study To Assess Prevalence Of Pulmonary Embolism In Acute Exacerbation Of COPD In Tertiary Care Center Of Western Rajasthan”

Dr Adeeb Amir Ansari

C.     “To Study Efficacy Of Bedaquiline Plus Optimized Background Regimen In Drug Resistant Tuberculosis Under National Tuberculosis Elimination Programme”

Dr Radhe Shyam

D.    “An Observational Study To Find Out Changes In Arterial Oxygen Tension During Fiberoptic Bronchoscopy”

Dr Pardeep Kumar

E.     “Correlation Of Induced Sputum Eosinophil, Absolute Eosinophil Count And Serum IgE In Assessing The Clinical Severity Of Bronchial Asthma”

Dr Vijay Kumar

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