About the Department

Superspeciality Course :

The dept of Nephrology runs National Medical Commission recognized DM Nephrology course.

The intake capacity has been increased to 3 students per year from 2021-22 onwards.

Services offered

OPD : General Nephrology [ 2 OPDs/wk ] , Kidney Transplant Recipient & Donor follow up OPD, CAPD clinic, Vascular Clinic, Kidney Transplant Donor & Recipient ( pre surgery ) evaluation.

Indoor admissions : 44 beds

Hemodialysis : 14 dialysis stations , 24 X 7

Hemodialysis catheter placement : Double lumen central venous catheter

                                                       Tunneled cuffed catheter placement 

Acute Peritoneal dialysis

Continuous Ambulatory Peritoneal Dialysis

Peritoneal dialysis catheter placement : Acute PD

                                                              : Percutaneous Tenckhoff catheter placement

Kidney Biopsy  under USG guidance

Kidney Transplantation : Live & Diceased donor

Plasmapheresis

Continuous Renal Replacement Therapy

History & Progress of the dept over years :

Dr V V Shanbhag; pioneer of Nephrology in these twin institutes, initiated Peritoneal dialysis services in 1974, when he was Professor & Head, Artificial Kidney Division ( AKD), with 5 Hemodialysis machines, was started on 22 January 1982. First Live Related Kidney Transplantation was performed in 1983-84. Dept of Nephrology was separated from General Medicine dept in 1984, with Dr V V Shanbhag as Professor & Head, Nephrology.

Dr A R Halankar took over as Prof & Head, Nephrology in 1992. CIPD was practiced in early nineties by the dept. During his tenure, he expanded hemodialysis services further to 8 dialysis stations. AKD , Intensive Kidney Care Unit , General Nephrology beds were now housed on 6^th floor of Hospital building. First Diseased Donor Kidney Transplantation was done during his tenure, in 1997. He initiated DNB Nephrology in 2001.

Dr Kalpana Mehta was selected as Professor & Head : Nephrology in 2003 & is privileged to continue heading the dept till to date. Hemodialysis services were made functional 24X7 from 2005. The dept , since 2009, with office & 42 beds [ inclusive of 12 AKD , 5 Intensive Kidney care unit, 5 Kidney Transplant Room & 20 General Nephrology] ; is now permanently located on 7^th floor of OPD building. DNB Nephrology course continued during this period, till 2012. Fellowship courses in Clinical Nephrology & Dialysis Medicine; affiliated to Maharashtra University of Health Sciences were initiated in 2010 & 2011, respectively. The dept has been approved for DM Nephrology by Medical Council of India in 2012 & has been enrolling students since 2013 onwards. From 2021-22, the dept has been permitted to increase its intake capacity to 3.

USG guided Kidney biopsy & placement of Tunneled cuffed catheters under USG guidance in the dept by Nephrology faculties & residents , CAPD [ Continuous Ambulatory Peritoneal Dialysis ] for ESKD are regular features since 2014 onwards.

Nair Hospital has been involved in yearly National level Nephrology mock examinations since 2017 till 2020. We could not do it in 2021 & 2022 due to COVID. Around 14 to 15 national level examiners & experts in Nephrology are involved in 2 days marathon sessions ; in 2 separate halls with 3 sessions per day in each hall. Around 100 to 120 DM /DNB Nephrology students from all over India attended it.

The dept of Nephrology played a very vital role during COVID 19 pandemic. The dept was able to provide 5260 hemodialysis sessions to 662 COVID positive patients, till 21^st Jan 2022 & is still continuing. We are one of the very few centers in the world, probably the only one, to have performed so many COVID positive dialysis.

On 3^rd March 2020, the dept performed ,successfully, ABO incompatible live related [ Spouse ]Kidney Transplantation, First Ever in Public Health Institutes of Municipal Corporation of Greater Mumbai.

Today, Nair Nephrology dept is well equipped with 18 dialysis machines running 24 X 7, 17 dialysis technicians,18 Staff Nurses, Recognized Kidney Transplant center, apt to handle all types of Nephrology cases, including USG guided kidney biopsies & dialysis catheter placement, running NMC approved DM Nephrology course, with publications in National & International journals, with its faculties as invitees for National CMEs.

Faculty

Dr. Kalpana Shailesh Mehta

Professor & Head , Dept of Nephrology

Dr. Atim Eknath Pajai

Associate Professor - Nephrology

Dr Jyoti Bansode

Assistant professor ,Department of Nephrology

Dr Aniket Premanand Malve

Senior resident in DM Nephrology

Dr. Smita Patil

Senior Resident 2nd year

Dr Tusti Kumari

Senior resident

Durga Devendra Deorukhkar

Senior resident

Research and Publications

For last 5 years : 2017 onwards

1. Long Term Evaluation of Kidney Function in Live Related Kidney Donors. Saudi J. Kidney Diseases & Transplant. 2017;28(5): 1041-1049. 

      Authors : Dr. Kalpana Mehta, Dr. Rudramani Swami, Dr Atim Pajai, Dr. Sandip Bhurke, Dr. A. Shirkande, Dr. S. Jawle.




2.  Serum Homcysteine Levels in Various stages of Chronic Kidney Diseases. International Journals of Medical Research & Professionals. Int J Med Res Prof. 2017, 3(3):102-07.

      Authors : Dr. Kalpana Mehta, Dr. Sandip Bhurke, Dr. S.V. Sharma




3. Comparative Study of Efficacy of Cyclosporine and Tacrolimus in Renal Transplantation. International J of Healthcare Sciences. Vol.5, Issue 1,

      pg(256-267) April-September 2017

      Authors : Dr. Geeta Shah, Dr. Kalpana Mehta




4. Serum Aluminium levels in Stage 4,5 & 5D Chronic Kidney Disease.International J of Medical Research Professionals. 2017; 3(4); 178-83. Authors : Dr. Sandip Bhurke, Dr. Kalpana Mehta, Dr. Rudramani Swami, Dr. Amol Bhagat, Dr. Atim Pajai

5. Acute Kidney Injury of Infectious etiology in Monsoon season: Prospective study using AKIN Criteria. Indian Journal of Nephrology. 2018:28(2);143-152. Authors: Dr. Kalpana Mehta, Dr. Atim Pajai, Dr. Sandip Bhurke, Dr. A. Shirkande, Dr. R.D'Souza




6. Pulmonary Hypertension in various stages of Chronic Kidney Disease in Indian patients. India J Nephrol. 2019;29(2):95-10.

     Authors : Dr. Kalpana Mehta, Dr. A. Shirkande, Dr. Sandip Bhurke,D r. Atim Pajai, Dr. Rudramani Swami, Dr. S. Jadhav




7. Clinical & histopathological Analysis of Kidney Biopsies at Tertiary care hospital.International J for Medical Research Professionals. 2018 Nov; 4(6);12-20.

      Authors : Dr. Rudramani Swami, Dr. Kalpana Mehta, Dr. Pradip Saruk, Dr. Gajanan Pigulwar, Dr. Saurabh Lande, Dr. Vikas Kavishwar




8. Tunneled cuffed catheters for hemodialysis, placed by Nephrologists : Success rate, Efficacy & Complications. International J of Medical Research

      Professionals. 2018 Nov; 4(6); 65-70.

      Authors : Dr. Rudramani Swami, Dr. Swapnil Jadhav, Dr. Kalpana Mehta. Dr. Gajanan Pilgulwar, Dr. Sunil Jawale, Dr. Atim Pajai




9. Darbepoetin Alfa Versus, Erythropoietin Alfa for Treatment of Renal Anaemia in Patients with Chronic Kidney Disease at the Pre-Dialysis Stage: A

     Randomized Non-inferiority Trail. J of the Association of Physicians of India. Vol.67 Jan 20192019, pp 62-69.

      Authors : Dr. Kalpana Mehta, Dr. Smriti Sinha, Dr. Bansi Vamsi, Dr. Bala Reddy, Naidu NR, Thakur PA, Chary Sreenivas, Reddy VPR, Pandey R, Durgukar S




10.Efficacy, tolerability and safety of darbepoetin alfa injection for the treatment of anemia associated with chronic kidney disease (CKD) undergoing dialysis: a randiomized, Phase III trial. BMC Nephrology (2019) 20:90

      Authors : Shubhadeep, Dr.Sinha1, Vamsi Krishna Bandi1, Bala Reddy, Bheemareddy1, Pankaj Thakur1, Sreenivasa Chary1, Kalpana Mehta, Vikrant Reddy, Pinnamareddy, Rajendra Pandey, Subhramanyam Sreepada & Santosh Durgukar




11. Observational study to assess demographic, clinical profile and outcome of acute kidney injury due to acute gastroenteritis during monsoon season. Inj J Adv Med. 2019 Oct;6(5): 1508-1512

      Authors : Dr. Atim Pajai, Dr. Kalpana Mehta, Dr. Sandip Bhurke, Dr. Abhishek Shrikande, Dr. Sham Pagar, Dr. Rohan Pradhan




12. Clinical and Outcome of Hemodialysis Patients with SARS COV2 Infection in a Tertiary Care Centre in Mumbai, India. Indian Journal of Nephrology. Indian J Nephrol 2021;31:442-8

      Authors : Dr. Smriti Sinha, Dr. Rudramani Swami, Dr. Ahmad Shakir, Dr. Salman Ali, Dr. Jyoti Bansode, Dr. Kalpana Mehta.




13. Evaluation of oxidative stress in kidney transplant recipients. International J of scientific research. Volume-9 Issue 4 April-2020 DOI : 10.36106/ijsr

      Authors : Dr. Sanjay Swami, Dr. Smita Swami, Dr. Anuradha Kanhere, Dr. Kalpana Mehta




14. Renal and hepatic outcomes after Remdesivir therapy in COVID-19 positive patients with renal dysfunction at bassline or after starting therapy. Saudi J of Kidney Diseases & Transplant. Accepted in 2021

     Authors : Dr. Shakir Ahmad, Dr. Nikhil Bhasin, Dr. Rudramani Swami, Dr. Kalpana Mehta, Dr. Smriti Sinha, Dr. Salman Ali Sayed, Dr. Jyoti Bansode.




15. Safety and efficacy of acute Central Venous Catheters for hemodialysis with sodium bicarbonate vs antibiotic catheter lock solution. Saudi J of Kidney Diseases & Transplant. Accepted in 2021

      Authors : Dr. Salman Ali Sayed, Dr. Rudramani Swami, Dr. Shakir Ahmed, Dr. Kalpana Mehta.

16. Dialysis in COVID 19 Patients (Chapter in Book ) pp 342-355. Principles of Medical Management of COVID-19 - The MCGM Experience. Ed : Joshi M, Bharmal R, Sharma A.

      Authors : Dr. Kalpana Mehta. Published in 2021




17. Correlation of inflammation and anemia in patients on hemodialysis. International J of Health & Clinical Research.  2022;5(1):480-83 . Authors : Dr Atim Pajai, Dr Rohan Pradhan, Dr Kalpana Mehta, Dr Sayed Salman Ali, Dr Amol Bhagat, Dr Ruju Gala                                      




18. Spectrum Pregnancy related Renal Cortical Necrosis : A study from Western India. International J of Health & Clinical Research.  2022;5(1):402-407

     Authors : Dr. Ruju Gala, Dr. Aniket Malve, Dr. Salman Ali Sayed, Dr. Atim Pajai, Dr. Jyoti Bansode, Dr. Kalpana Mehta.




19. A Citywide Dashboard for Allocation & Scheduling Dialysis for COVID-19 Patients on Maintenance Hemodialysis. Indian J Nephrology. 2022;32(3):197-205      Authors : V. Billa.Noron HA, J. Kothari, S. Bichhu, Rajeshkumar, Dr. Kalpana Mehta,. Dr. Tukaram Jamale, Dr. Nikhil Bhasin, Sayali Thakare.et al

20. Maternal and foetal outcomes and their predictors in renal dysfunction in pregnancy. Accepted SJKDT 2022

      Authors : Shakir Ahmed, Rudramani Swami, Kalpana Mehta, Salman Ali Sayed, Rakesh Bhadade, Rosemary DSouza

Academic Activity

Monday : OPD Clinic

                     Patient education programme regarding CKD & Kidney Transplantation

Tuesday : Grand Teaching round

Wednesday : Clinical Case presentation

Thursday : Histopathology meet / Journal Club 

Friday : OPD clinic

Saturday : Seminar/ Lecture

                     Interdepartmental meet [ Radiology /Urology / Endocrinology ]

Participation in

1. Monthly Mumbai Nephrology Gp meetings

2. Annual West Zone : Indian Society of Nephrology conference

3. Annual Indian Society of Nephrology conference

Awards and Achievements

2017-18




Dr.Kalpana S.Mehta, Professor & Head , Department of Nephrology won 2^ndBEST ORAL PAPER AWARD for scientific paper presentation in 48^th Annual conference of Indian Society of Nephrology , New Delhi ,December 2017.

Topic : Pulmonary Hypertension in various stages of chronic kidney disease in Indian patients

Authors: Dr.Kalpana S.Mehta , Dr.Abhishek Shirkande , Dr.Sandip Bhurke , Dr.Atim Pajai

Dr.Rudramani Swami , R.Swapnil Jadhav.




Dr.Pradip Saruk and Dr.Gajanan Pilgulwar won 2ND PRIZE FOR QUIZ at Annual Conference of Indian Society of Nephrology West Zone, 2017 , Surat from 2017.




2018-19

Dr.Gajanan Pilgulwar won 2ND PRIZE FOR QUIZ at Peritoneal Dialysis Society India Conference held ,Aurangabad on 7^th and 8^th September 2018.




Dr.Gajanan Pilgulwar and Dr.Ahmad Shakir won 1ST PRIZE FOR QUIZ at Annual Conference ,Indian Society of Nephrology held, Lonawala, 2018.





2019-20




Dr.Sayyed Salman Ali won 2ND PRIZE FOR POSTER PRESENTATION at Annual Conference Indian Society of Nephrology West Zone, 2019 held at Ahmadabad 2019.




2020-21

Kidney Warriors Change Agent Award to Dr Kalpana Mehta by Kidney Warrior Foundation 2020


Nair Nephrology Team Won 3^RD PRIZE IN POST GRADUATE QUIZ held online by Annual Conference Indian Society of Nephrology West Zone , 2020 Kidney




Nair Nephrology Team Won 2^ND PRIZE IN QUIZ COMPETITON held by Mumbai Nephrology Group in remembrance of Madam Dr Vidya Acharya on 4^th October 2020


2022-23




Dr Aniket Malve : won First Prize in quiz : ISNWZ 2022




Dr Aniket Malve : Won Third prize in poster presentation : ISNWZ 2022

Gallery

Location

Dept : 7th floor, OPD bldg

           AKD [ Artificial Kidney Division ] : 14 Beds

                                     This is main dialysis area

          Intensive Kidney Care Unit Office : 05 Beds

         Kidney Transplant Room : 05 Beds

        General Nephrology - Male : 10 Beds

       General Nephrology - Female : 10 Beds

         Office, Dept library, Nephrology Seminar Room, Computer room, Faculty rooms with HOD's room, Resident on call     Room, Nurses room, Storage room are on the same floor.

OPD : Ist Floor . OPD bldg OPD 26

HDU [ High Dependancy Unit ] 2 Hemodialysis beds

Trauma Ward  1 Hemodialysis bed