The Department of Endocrinology, TNM
College & BYL Nair Charitable Hospital, was started in these institutions
on 17th June 1962. Dr. Smt S.M. Shahani was the pioneering spirit
behind this endeavor. She made a modest beginning by starting an outdoor clinic
and setting up a laboratory. In late 1962, the
department got a tremendous boost by the offer of a $ 1,25,000/- grant from the
Ford Foundation which allowed the purchase of sophisticated laboratory equipment.
Dr. M.S. Kenkre and Dr. S.K. Bhansali from the departments of Pharmacology and
Surgery began the Thyroid OPD in 1967. The
Nuclear Medicine Services supported the clinic with thyroid hormone assays,
thyroid scans and uptakes, and radio ablation for hyperthyroidism.
Dr. Mrs. K.D. Nihalani was responsible
for beginning the Diabetes Clinic in 1971. The Diabetes Clinic was a part of
the Department of Medicine. Dr. S.D.Mehtalia (Hon Professor) and Dr. P. S.
Menon were associated with the Clinic. The department had a Medical
Nutrition Therapist and a Social Worker attached to it from its inception and
is fully geared for appropriate follow-up for patients with all sorts of
complications. In 1987, the Thyroid Clinic and the Diabetes Clinic were
integrated with Endocrinology Department.
Since then the department has grown
steadily and is today recognized both at the national and international levels.
Currently the department laboratory
offers specialized hormonal investigations with state-of-the-art
modern technology at nominal rates and has 2 DM Endocrinology training seats per year.
Different Endocrine Hormones.
(FSH, LH, Prolactin, Cortisol, Testosterone, T3, T4, FT3, FT4, TSH,
Anti TPO Antibodies, Vit.D, Insulin, C Peptide, PTH).
pertaining to Endocrinology & Diabetes
(Blood Glucose/OGTT, Glycated Haemoglobin, Urine pH Serum osmolality, and Urine Osmolality)
is responsible for patient care in the specialty of Endocrinology.
This comprises clinical evaluation of patients, specialized laboratory
investigations, specialized treatment modalities, and long-term follow up which
is extremely important in the branch. Referrals are made to
this specialty from within the city and state and at times from other parts of
India. The department has 30 beds for indoor patients where patients are
admitted for diabetes management, pre/post-op care for surgical endocrine
The department conducts the following OPDs :
Diabetes and Diabetes Foot OPD: The Diabetes Clinic runs OPDs on Monday
and Thursday from 8.00 a.m. to 11.30 am. Patients are examined in
Blood Glucose values are
repeated every three months and dosages of drugs are adjusted according to
these reports in well-compliant, well-adjusted patients. Less compliant or less
well-adjusted patients are evaluated at frequent intervals. Patients are
also evaluated for any specific problem they may have and are treated
accordingly. Hba1c tests are done in the Endocrine
laboratory at a very concessional rate. Special care is taken for patients
with Type 1 diabetes and pregnant women with diabetes.
The department also manages all the patients suffering from diabetes and
undergoing surgery in the hospital.
We have Podiatry Services wherein patients are evaluated for neuropathy
using a Bioesthesiometer and Vascular insufficiency using a portable Doppler.
Preventive measures are
recommended for patients with a high-risk foot in terms of off-loading,
specialized footwear, etc.
We arrange for new technological measures like Self-Monitoring of Blood glucose,
Continuous Glucose monitoring Ambulatory Blood Pressure Monitoring, and Insulin
Infusion pumps for needy patients.
Thyroid and Obesity OPD: It is run on Wednesdays and
Fridays. This is geared toward diagnosing and managing all thyroid disorders, be they Goiters, Nodules, Multinodular Goiters,
Hypothyroidism, Thyrotoxicosis, or Malignancy. The Pathology Department by
virtue of FNAC and Histopathology of Surgical Specimens also contributes to the
workup of patients with thyroid disorders. Radio Isotope scanning
for the thyroid gland and whole body scans on cases of suspected malignancy could
be carried out in the Isotope Unit. Radio- Iodine Therapy can be administered in the Nuclear Medicine Department for patients with Thyrotoxicosis. We follow up on patients with thyroid malignancies in the Special Care
Clinic. Patients with obesity are assessed and evaluated for complications and causes. They are then managed with a multidisciplinary approach with the help of dieticians and other relevant departments as per the complications.
CLINIC AND GROWTH CLINIC: Is run on Tuesdays and
Saturdays every week. Endocrine OPD patients with hypothalamic-pituitary
disorders, secondary hypertension, adrenal disease, reproductive disorders
including hirsutism, parathyroid disorders, Metabolic Bone Disease, Obesity,
Lipid Disorders, and genetic/chromosomal disorders are evaluated and managed.
The Puberty and Growth Clinic evaluate patients with short stature and pubertal disorders.
Patients' socioeconomic status is ascertained by the social worker, who
helps patients by arranging for drugs or any other help which is needed.
Eligible patients are also enrolled in the MJPJAY scheme for their evaluation