Department of General Medicine - TNMC & Nair Charitable Hospital

About the Department

History of Department of Medicine

TNMC & B.Y.L.Nair Ch. Hospital

Medicine Department is one of the largest and the most important clinical departments of the hospital. It has always been at the forefront and was deservedly in the limelight during the recent COVID pandemic. Since its inception, it has been helmed by stalwarts such as by Dr. D.D.Bamji (HOD), Dr. V.V.Shah, Dr. S.C.Seth, Dr. L.R.Patel & Dr. F.P.Sonavala.

It has risen from strength to strength and has always been at the helm of affairs, what with medical calamities such as Monsoon related illnesses, Swine flu and now the COVID pandemic, rocking the city.

In the past Initial 4 clinical units expanded to 6 by 1969.

Following were the HODs of Medicine Department in order

1. Dr. P.M.Dalal (1965-1969 )- First full time HOD

2. Dr. V.V.Shanbhag (1970-1983)

3.Dr. V.R.Joshi (1983- 1988)

4. Dr. K.D.Nihalani (1989-1991)

5.Dr. A.J.Paidhungad(1992- 2002)

6. Dr.N.E.Borges (July 2002-April 2008)

7.Dr.S.A.Kamath (May 2008- Nov.2008)

8. Dr. S.T.Nabar (Dec 2008- Jan 2011)

9. Dr. D.S.Asgaonkar(Feb 2011- Nov 2021)

10. Dr. Rosemarie de Souza(Dec 2021 - Present)

o Dr. V.V. Shanbhag started several specialties in department like Nephrology, Diabetes, Thyroid, Hypertension in 1975, and Asthma & COPD clinic in 1976.

o In 1983 Dr.V.R.Joshi was instrumental in starting Rheumatology clinic, HIV clinic was set up in 1992. Alcohol related medical disorders OPD, Tropical disease clinic & Geriatric OPD was started during 1993-1994. ART centre started in 2005 while ART plus centre in 2017 as per NACO guidelines.

o The most important addition to medicine department was setting of 8 bedded medical acute care unit (MACU) in 1978, the first of its kind among public hospital,by Dr. V.V.Shanbhag, now it is 23 bedded. MICU got ISO certified on 8th May 2007. Expansion of MICU with 15 bedded High Dependency Unit (HDU) well equipped with central monitoring system, ultrasound with 2D echo & Doppler, latest ventilators, infusion pumps, Digital x-ray machine etc. Training programs for nurses & residents are held quarterly in MICU.

o In last 10 years, Asthma Lab updated with new computerized PFT machine, HT clinic updated with ambulatory BP monitoring system, Medicine Research Lab was updated with latest equipments.

o Our staffs are responsible for teaching UG, PG. medical students, MPTH, BPTH, speech therapy, Nursing & Dental Students. UG, PG lecturers, Tutorials, clinical meetings, Journal clubs, CPCs are conducted on regular basis. Large number of Symposia, CMEs, and Guest lecturers by visiting dignitaries is conducted every year. Several Research projects are undertaken by UG, PGs & staff members in dept of Medicine. Our PGs participate in several quizzes

o Department has its own departmental library, Research Lab, Computer room as well as well equipped Seminar hall.

o We render community services also regularly including monsoon camps, all disaster calls, and special services in Ganpati festival and many more.

o Our Faculties render services to Kasturba Hospital also in management of various infectious disorder wards

o Our Medicine Department has spearheaded the war against Covid -19 pandemic by working day & night ceaselessly from the beginning both in Kasturba hospital and at Nair hospital from Feb 2020 till date.

Services offered

o Inpatient services

Admission and Management of various patients with medical disorders in wards and in medical ICU of B.Y.L.Nair Ch. Hospital

o Outpatient services

General Medicine OPDs run on 6 days of the week, new case papers issued from 8.00a.m. To 11.00a.m.

Sr. No.	OPD	Name of the in-charge Doctor	Days	Time
1	Rheumatology OPD 24A	Dr. Seema Kini	Monday/Wednesday	Morning 8:am to 11:00am
2	Hypertension (New) 26	Dr. G.C.Rajadhyaksha	Tuesday	Morning 8:am to 11:00am
3	Hypertension (Old) 26	Dr. G.C.Rajadhyaksha	Friday	Noon 1:30 to 3 :00pm
4	Geriatric Medicine OPD 26	Dr. M.V. Kaneria Dr. Shilpa Karande	Thursday	Morning 11:00 to noon 3:00 pm
5	ART OPD	Dr.Sushma Gaikwad	Monday to Friday, Saturday	9-4 pm,

Faculty

Satyajeet Hujare

Assistant professor

Amol khavane

Senior resident

Dr. Isha Naik

House Officer

Raghavendra R

House officer

Sanraksha Mayya

Dr UMESH JAIN

ASSISTANT PROFESSOR

Dr. Veena Shinde

HouseOfficer

Indrajit Vithalrao Suryavanshi

House officer

Dr DINESH T

SENIOR RESIDENT

Dr. Gaurav Gunjan

Senior Resident

Dr Aniket Nitnavare

Bonded Senior Resident

Dr Rosemarie de Souza

Professor and Head of Department, MICU In-charge

Dr.Girish C.Rajadhyaksha

Professor & Unit Head Dept. of Medicine

Dr. Vrinda Kiran Kulkarni

Professor, Head of Unit

Dr. Mala Vinod Kaneria

Professor and Unit Head

Dr.Santosh G.Gosavi

Additional Professor and Unit Head

Dr. Sushma S. Gaikwad

Additional Professor & Unit Head in Medicine Department at Nair Hospital - Nodal Officer & In-charg

Dr Seema Kini

Professor (Additional)

Dr. Aher Sangeeta

Associate professor

Dr.Shilpa P.Karande

Associate Professor

Dr Rakesh Bhadade

Associate Professor

Dr. Giselle Dsilva

Assistant Professor

Dr. Krutika Kale

Assistant Professor

Dr Umesh Jain

Assistant Professor

Dr Sagar Punjabi

Assistant professor contractual

Dr. Mayank Thakur

Assistant Professor

Dr Jivan Raju Morey

Asst. Professor

Dr Nitin Panad

Assistant Professor

Amit Yele

Lecturer

Amit Yele

Lecturer

Dr Swapnil Bharad

Assistant Professor

Dr. Nilesh Charawande

Assistant Professor

Dr. Chiranjivi Chaudhari

Assistant Professor

Dr Trupti Deshkar

Assistant Professor

Makne Sayali Diliprao

Assistant professor

Sanjeeta Ramdas Chavan

Assistant Professor

Dr. Prem R Lakhani

Senior Resident

Dr Sayali Makne

Dr. Nileshkumar Rai

Assistant Professor

Dr Urmila Bongane

Dr Sanchita Bhandare

Dr Ashish Rahadwe

House officer

Dr Subodh Vikas Patil

Assistant Professor

Sneha Rajkumar More

House officer

Sahil G Moriwala

Assistant Professor

Dr . Sujata Sanjay Mete

House officer/ Senior resident

Research and Publications

Consolidated Publications Medicine department 2017-22

2016

1.Girish C Rajadhyaksha, Charulata Limaye, Ameena Meah, Sushma Gaikwad. Acute Transverse Myelitis and Nicolau Syndrome after Benzathine Penicillin injection. Journal of Association of Physicians of India; 2016; 64(9); 95-96

2. N Gogtay, SK Kochar, NBV Kumar, GC Rajadhyaksha. Comparison of the safety and efficacy of fixed-dose combination of Arterolane maleate and piperaquine phosphate with chloroquine in acute, uncomplicated malaria. Malaria Journal; 2016

3.Aloke Gopal, Ghoshal, GD Ravindran, Paras Gangwal, Girish C Rajadhyaksha, Sang-Heon Cho. The burden of segregated respiratory diseases in India and the quality of care in these patients: Results from the Asia-Pacific Burden of Respiratory Diseases study. Lung India: Official organ of Indian Chest Society; 2016; 33(6); 611

4. Kaneria MV et al. Utility of procalcitonin as a diagnostic biomarker for bacterial infections and its comparison with C reactive protein and total leucocyte count. Int J Adv Med. 2016 Aug;3(3):675-680

5. Kaneria MV et al. A study of thyroid dysfunction in HIV infected patients in a tertiary care hospital. Int J Adv Med. 2016 Aug;3(3):708-715

6. Sushma S. Gaikwad*, H. Bhamare, D. S. Asgaonkar.et al:Study to determine various echocardiographic abnormalities and its correlation with CD4 count in patients with HIV infection at tertiary care hospital in Mumbai, India , International Journal of Advances in Medicine Gaikwad SS et al. Int J Adv Med. 2016 Nov;3(4)

7. Karande Shilpa, Arunab Mehta, ST Nabar, Sangeeta J Pednekar, and Vasanti Iyengar. ""Pulmonary functions in type 2 diabetes mellitus patients: an observational study at a tertiary level hospital in Mumbai, Maharashtra, India."" International Journal of Research in Medical Sciences 4, no. 5 (2016): 1574-1577.

8. Shilpa P. Karande, Santosh G. Gosavi, Chinmayee P. Mishra Study of hepatic dysfunction in type 2 diabetes mellitus accessing healthcare services in an urban tertiary care hospital. International Journal of Advances in Medicine (Int J Adv Med.) 2016; 3(2): 184-188

9.Sangeeta Pednekar, Shilpa Karande, Madhura Parab, Dharmendra Pandey Study of mild cognitive impairment by applying Kolkata cognitive screening battery in type 2 diabetes mellitus patients in India. International Journal of Research in Medical Sciences Int J Res Med Sci. 2016; 4(7): 2615-2618

10.Gosavi S, Karande S, Raut K. HbA1c: A Marker for Severity of Acute Myocardial Infarction. IAIM, 2016; 3(5): 89-93.

11. Santosh Gosavi, Prashant Shinde. Serum Albumin: A Prognostic Marker in Critically Ill Patients. IJSR , 2016;207-209 ,5(5)

12. Santosh Gosavi Kapil Raut. Impact of Hyperglycaemia on Myocardial Infarction. International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS), 2016, Vol 3, No.4,31-35.

13. Santosh Gosavi, Dilip Asagoankar. A study of risk factors for stroke and their effect on survival.IAIM,2016;3(7):196-202

14. Santosh Gosavi, Dilip Asagoankar. End organ damage in essential hypertension: An experience at a tertiary level hospital in Mumbai. AIMDR,2016;2(5)

2017

1. Bhadade R, Harde M, deSouza R, More A, Bharmal R.Emerging trends of nosocomial pneumonia in intensive care unit of a tertiary care public teaching hospital in Western India. Ann Afr Med. 2017;16:107-113.

2. Dharmesh K.Shah, Samit S.Jain, Amol A.Khot, Amit R.Gharat, Girish C.Rajadhyaksha, Pravin M.Rathi. Low prevalence of Hepatitis B and C infections among the healthcare workers despite low vaccination coverage for Hepatitis B in Mumbai. Indian Journal of Medical Sciences; 2017; Vol.69, No.1; 8-11

3. Girish C Rajadhyaksha, Ajaykumar C Singh. New Onset Seizures in Adults. International Journal of Education and Research in Health Sciences; 2017; 3(1); 42-47

4. Vrinda Kulkarni, Dilip Jadhav. A study of anemia in primary hypothyroidism. Original research article - Int J Adv Med. 2017 Apr; 4(2): 383-389. DOI: 10.18203/2349-3933.ijam20170522.

5.Vrinda Kulkarni, Kushal Agarwal. A study of clinical profile of malaria with special reference to complications and outcome. Original research article. Int J Adv Med. 2017 Apr; 4(2): 317-322. DOI: 10.18203/ 2349-3933.ijam20171010.

6.Prakash Relwani, Vrinda Kulkarni. A study of Carotid Intima Media Thickness (CIMT) in cases of Ischaemic stroke. Original research article. Int J Adv Med. 2017 Oct; 4(5): 1227-1230.

7.Giselle Dsilva, Vrinda Kulkarni, Sangeeta Aher. An uncommon manifestation of a common disease. Annals of Parasitology 2017; 63(4): 357 360.

8. Kini S, Pathan Y, Asgaonkar D. Health status and Stress levels of Nurses working in a Tertiary Care Hospital in Mumbai. Ann. Int. Med. Den. Res.2017; 3(1): ME42-ME46.

9.Seema Kini, Chetan Vekhande, Vikram Londhey A Cross-sectional study of Cardiovascular Involvement in Systemic Lupus Erythematosus in an urban Indian tertiary care centre. J Assoc Physicians India. 2017; 65: 59-63.

11.Shilpa P. Karande, Renuka P. Munshi, Dipti A. Kumbhar.A double blind, randomized, placebo controlled, phase IV, proof-of-concept, comparative study to evaluate the efficacy and safety of Swasawin asthaloc tablets when given as add-on therapy in patients suffering from mild to moderate persistent bronchial asthma. Int J Res Med Sci. 2017 Nov;5(11):4929-4936

12.Birajdar SV, Dsilva GR. Clinical and Biochemical Profile of Patients of Acute Coronary Syndrome at Rural Tertiary Health Care Centre. Int J Med Res Prof. 2017; 3(2):339-46. DOI:10.21276/ijmrp.2017.3.2.071

13.Borhazowal R, Harde M, Bhadade R, Dave S, Aswar SG. Comparison between Two Endotracheal Tube Cuff Inflation Methods; Just-Seal Vs. Stethoscope-Guided. JClin Diagn Res. 2017 Jun;11(6):UC01-UC03. doi: 10.7860/JCDR/2017/26301.10017. e-pub 2017 Jun 1. PMID: 28764268; PMCID: PMC5535458.

2018

1. Renuka Munshi, Falguni Panchal, Ajay Chaurasia, Girish C Rajadhyaksha. Association between paraoxonase 1 (PON1) gene polymorphisms and PON1 enzyme activity in Indian patients with Coronary Artery Disease (CAD). Current Pharmacogenomics and Personalized Medicine; 2018; 16(3); 219-228

2.Girish C Rajadhyaksha, Ameena Meah. Spectrum of diseases/conditions exhibiting hemostatic abnormalities in patients admitted to a medical intensive care unit of a tertiary care hospital. Indian Journal of Critical Care Medicine; 2018; 22(10); 711

3.Surbhi Lodha, C.L. Yi, Vrinda Kulkarni, A.R. Dalal. Successful late antenatal and delivery outcomes in Bernard Soulier Syndrome. Bombay Hospital Journal 2018; 60(4): 326-328.

4.Sushma s. Gaikwad, Dileep asgoankar Astha ganeriwal.To study estimation of the creatinine clearance and eGFR in HIV Positive patients and its correlation with different ART regimen and CD4 count at tertiary care hospital in Mumbai, India, world journal of pharmaceutical And medical research ISSN 2455-3301, wjpmr, 2018,4(11), 275-282.

5.Sushma S.Gaikwad, A study of fever profile in HIV infected hospitalized patients and its correlation with ART&CD4 count. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 17, Issue 6 Ver. 13 (June. 2018), PP 56-64 www.iosrjournals.org.

6.Durga Chougule, Milind Nadkar, Krishnamurthy Venkataraman, Anjali Rajadhyaksha, Niwrutti Hase, Tukaram Jamale, Seema Kini, Prasad Khadilkar, Vidya Anand, Manisha Madkaikar, Vandana Pradhan. Adipokine interactions promote the pathogenesis of systemic lupus erythematosus. Cytokine, 2018;111: 20-27. ISSN: 1043-4666

7.Shilpa P Karande, Seema Kini Osteoarthritis: Clinical and Radiological Correlation. J Assoc Physicians India. July 2018; 66: 37-39.

8.Krutika Kale, Seema Kini. Cervical Myelopathy A life-threatening complication of Rheumatoid Arthritis. The Indian Practitioner April 2018; 71(4): 37-39.

9.Aher S et al To study and correlate the levels of serum uric acid in patients with primary hypertension international journal of current research vol. 10, issue, 02, february, 2018

10. Mehta K, Pajai A, Bhurke S, Shirkande A, Bhadade R, D'Souza R. Acute Kidney Injury of Infectious Etiology in Monsoon Season: A Prospective Study Using Acute Kidney Injury Network Criteria. Indian J Nephrol. 2018 Mar-Apr;28(2):143-152. doi: 10.4103/ijn.IJN_355_16. PMID: 29861565; PMCID: PMC5952453

2019

1. Rakesh Bhadade, Rosemarie deSouza, Parag Bawaskar. Mortality outcome in patients of guillian barre syndrome. A single center study. International Journal of Contemporary Medical Research 2019; 6:17-21.

2.Girish C Rajadhyaksha, Vijay R Mundada. Study of Blood Pressure Variability and Nocturnal Dipping in Primary Hypertensive Patients by Ambulatory BP Monitoring. Internation Journal of Medical Research Professionals; 2019; 5(3); 30-34

3.Vrinda Kulkarni. Lymphadenopathy, in API textbook of Medicine, 11^th Edition, 2019, pg. no 48

4.Kaneria MV, Zaveri G. Surgical Site Infections in Orthopaedics: The Role of Antibiotics. Journal of Clinical Orthopaedics | Vol 4 | Issue 2 | July-Dec 2019 | page:26-32

5. Seema Kini, Faisal Memon, Dileep Asgaonkar. Outcome in Survivors of Middle Cerebral Artery Territory Ischemic Stroke: Can it be predicted? J Assoc Physicians India: May 2019, 67(2); 40-44.

6. Aditi Shah, Seema Kini , Vikram Londhey. Use of Disease Activity score (DAS 28) and Routine Assessment of Patient Index Data 3 (RAPID 3) for assessment of Rheumatoid Arthritis Disease Activity in the Indian Setting. J Assoc Phys India July 2019; 67(7): 58-60.

7.Harde M, Bhadade R, deSouza R, Jhingan

Academic Activity

Details of Seminars, Conferences, Workshops, Training Courses etc., Conducted during last 3 years (2018 to2021)

DETAILS OF THE SEMINARS

*Sr. No.*	*Title of Seminar*	*Date*	*Organized by*
1	Acute stroke management	20.04.18	Dept of Medicine
2	Rabies Prophylaxis	20.07.18	Dept of Medicine
3	Use of Dabigatran in vallvular and nonvalvular AFIB	04.01.2019	Dept of Medicine
4	Gender sensitivity training	25.09.19	Dept of Medicine
5	Diabetic complications	03.01.20	Dept of Medicine
6	Covid -19 -clinical presentations and management(zoom)	11.05.2020	Dept of Medicine
7.	Covid -19 -Updates in management(zoom )	15.07.2020	Dept of Medicine

DETAILS OF THE CONFERENCES

*Sr. No.*	*Title of Conference*	*Date*	*Organized by*
1	COVID and Mucormycosis(eCME)	28.05.2021	Dept of Medicine
2	Monsoon Related Illnesses(eCME)	03.08.2021	Dept of Medicine
3.	Medicine update(eCME)	20.08.2021	Dept of Medicine

DETAILS OF THE WORKSHOPS

*Sr. No.*	*Title of Workshops*	*Date*	*Organized by*
1	Research Methodology Workshop-MUHS	23.07.18 to 25.07.18	Dept of Medicine
2	Communication skills	30.08.2019	Dept of Medicine

Awards and Achievements

PRIZES and Awards Dept of Medicine 2017-2021

1 APICON 2017

a Dr. Natasha Tipnis -Ex resident -PG teacher Dr.G.C.Rajadhyaksha -At 1st Prize in platform presentation of scientific paper in the national conference at Mumbai, Early cognitive changes in patients with primary HT.

Dr.Amrita Gotur - Ex 3rd Year residents -1st Prize in poster presentation in APICON 2017 at Mumbai original paper

Dr.Rahul Deshmukh -Ex 3rd Year residents - PG teacher Dr.G.C.Rajadhyaksha- 2nd prize in poster presentation inÂ the state level conference in MAPCON 2017 at Aurangabad

2. Dr. Seema Kini -Deodhar Quiz in Rheumatology Dec 2017: Second Runner up prize for 3rd year residents Medicine: Dr Mrunmayee Deshpande and Kaustubh Telang Guide)

3 Dr Shreyas V. Shelke -During first year Medicine Resident PG teacher- Dr Dileep S Asgaonkar: TATA scholar 2019: Scholarship and observership at Tata memorial Mumbai 14 days and at Kings college and Guys andÂ St Thomas cancer institute London. (6-17th May 2019)

Dr.Shilpa Karande Associate Professor - Consolation Prize for Scientific paper presentation titled Delirium in elderly admitted in internal medicine wards in GSICON- 15^TH International Conference on Geriatric care and Gerontology-Annual conference of Geriatric Society of India on 27^th & 28^th Oct.2018, held at Pune.

5. Dr. Seema Kini -ICMR- Short Term Studentship-2019: Guide for short term studentship of Ms Fatema Ezzy 3rd MBBS student: Living with SLE in India: Social aspects and Prevalence of Depression and Generalised Anxiety disorder. Grant awarded

6. Dr. Mala Vinod Kaneria- a)MAHAISG Sponsorship for a Study on Clostriodiodes difficile

b) Selection in Paper presentation on, Stormy course in COVID 19 followed by the cytokine storm" at Mycocon 2021 (virtual platform)

c) M.J.Shah Award for Best Paper presentation at APICON on the Utility of Procalcitonin in Sepsis

d) Best correspondence article in The Journal of Association of Physicians of India

e) Second prize (J N Karbhase rotating trophy) awarded for paper presentation on DRESS syndrome

f) Second prize for paper presentation on disseminated tuberculosis

g) First prize in the exit examination at the Infectious Diseases Certificate Course (IDCC)

h) COVID Warrior Award received from Rotary Club of Worli for exemplary services rendered during the pandemic

i) First prize awarded to Dr. Minit Shah for presentation of interesting case at P. D. Hinduja National Hospital (Dr. Mala V. Kaneria)

7. Dr.Sushma Gaikwad- ART In-charge & HOUÂ a) Received International scholarship from IAS Educational Fund Scholarship to attend the 22nd International AIDS Conference2018 at Amsterdam, Netherlands. b) Received International scholarship to attend HIV drug therapy Glasgow 2014, Glasgow, UK c) First prize for poster paper presentation at 8th National Conference of AIDS Society of India, ASICON 2015