Department of TB & Chest(pulmonary medicine)

Introduction

The Department of Pulmonary Medicine has been functioning successfully since the inception of GMC, Surat in the initial years as an extension of Medicine Department and later on as an independent unit since October, 1999. Within a short period of time, this department has proved its vitality in providing quality care and treatment for a huge number of patients suffering from Tuberculosis and other respiratory ailments. We provide our services not only to the patients from South Gujarat but also to the neighbouring states. The department has also progressed in its academic achievements as our PG courses (M.D. TB & Chest Diseases and Diploma TB & Chest diseases) started in the year 2008 and were recognised by the MCI in 2012. All the staff members are enthusiastic working for the constant betterment of patient care and hospital facilities.

Facilities available at our Department

  1. Diagnosis and treatment of Tuberculosis under RNTCP guidelines
  2. GeneXpert Laboratory for the diagnosis of Drug-Resistant TB using CB-NAAT ( Cartridge Based Nucleic Acid Amplification Test)
  3. Separate DOTS Plus ward for the Programmatic Management of MDR-TB. This is the only specialized center in South Gujarat.
  4. IRL (Intermediate Reference Laboratory) will soon be added to our setup.
  5. Pulmonary Function Testing and Inhalational Therapy for Obstructive Airway Diseases are available on OPD basis.
  6. Video Assisted Fiberoptic Bronchoscopy.
  7. Whole Body Plethesmography for DLCO.
  8. Polysomnographic Study for diagnosis of Sleep Disorders.
  9. Lung Biopsy for the diagnosis of Lung Tumors.
  10. Non-Invasive Ventilation Therapy available.

We observed and celebrated the World TB day on 24th March, 2015 with the slogan “Reach the 3 million” and spread awareness to the common people. We also observed the World Asthma Day on 6th May,2014 , the World COPD Day on 19th Nov, 2014 and World Lung Cancer Day on 1st August,2014. Pneumovac and influenza vaccines are administered to COPD,Elderly and Immunocompromised Patients on regular basis in indoor as well OPD patients.

DEPARTMENT’S GOAL

  • This department believes in providing quality care and treatment for patients suffering from Tuberculosis and other respiratory ailments.
  • The facilities of the department are not just limited to the management of Tuberculosis(including MDR & XDR-TB management) but also includes sleep medicine, Bronchoscopy, DLCO and Body Plethesmography.
  • We provide our services not only to the patients from South Gujarat but also to the neighbouring states.
  • The department is very active in following the educational guidelines of MCI aiding in the overall academic development of the students.
  • We strongly support for the constant better care of patients and hospital facilities.

Teaching Staff

S.No.NameQualificationDesignation
1Dr Parul VadgamaMBBS MDAssociate Professor
2Dr Khyati ShamaliyaMBBS MDAssistant Professor
3Dr Bhoomika PatelMBBS MDAssistant Professor
4Dr Grinish TamakuwalaMBBS MDAssistant Professor

Unit wise Faculty And Resident List

Unit 1

(MONDAY, WEDNESDAY, FRIDAY)

1. DR. PARUL VADGAMA ASSOCIATE PROFESSOR & HOD
2. DR. BHOOMIKA PATEL ASSISTANT PROFESSOR
3. DR. MITALI PANVALA SENIOR RESIDENT
4. DR ARATHI RADHAKRISHNAN NAIR THIRD YEAR RESIDENT
5. DR JAIN SAPNA SANJIVBHAI THIRD YEAR RESIDENT
6. DR PATEL ROBINKUMAR RATILAL THIRD YEAR RESIDENT
7. DR. JIGNESH GENGADIYA SECOND YEAR RESIDENT
8. DR. CHINTAN PATEL FIRST YEAR RESIDENT
9. DR. DHWANI PATEL FIRST YEAR RESIDENT

UNIT 2

(TUESDAY, THURSDAY, SATURDAY)

1. DR. KHYATI SHAMALIYA (ASSISTANT PROFESSOR)
2. DR. GRINISH TAMAKUWALA (ASSISTANT PROFESSOR)
3. DR. ASHA GUNDRASIYA (SENIOR RESIDENT)
4. DR VADGAMA MANSI NITINBHAI (THIRD YEAR RESIDENT)
5. DR MUNEERA A P (THIRD YEAR RESIDENT)
6. DR. ROHIT VAISHALI JASHBHAI (SECOND YEAR RESIDENT)
7. DR. SREERAG VARIOR (SECOND YEAR RESIDENT)
8. DR. JIGAR DESAI (FIRST YEAR RESIDENT)
9. DR. MEERA NANDAKUMAR (FIRST YEAR RESIDENT)

DTC(District Tb Center is present in the same premises.

CORE ACTIVITIES

OPD BASIS

  • To deal with TB cases including extra-pulmonary Tb cases with Initiation of Treatment according to Category under DOTS.
  • Daily management of other Chest diseases, Asthma, COPD,pneumonia, Bronchiectasis, ILD, Cor-Pulmonale, Lung abcess, Pleural Diseases.
  • To deal with references from other departments.
  • Daily Spirometry in indicated patients.
  • MT Test
  • Immunization with Pneumovax & Influenza Vaccine.
  • Ultrasonic Nebulization for OPD patients.
  • Education for Inhalational Therapy.

INDOOR BASIS

  • Management of Complicated pulmonary TB, Hydropneumothorax, Pleural Effusion, Hemoptysis etc.
  • Other Chest diseases, Asthma, COPD, Pneumonia, Bronchiectasis, ILD, Cor-Pulmonale, Lung abcess, Pleural Diseases.
  • Management of Lung Carcinoma in collaboration with LCDC.
  • Diagnosis and Management of OSA, performing sleep study twice a week.
  • Daily Spirometry, DLCO & body plethesmography in indoor indicated patients.
  • Flexible Bronchoscopy in indicated patients on regular basis.
  • MT Test
  • Immunization with Pneumovax & Influenza Vaccine.
  • USG guided fluid Aspiration and CT guided Lung Biopsy in Indicated patients.
  • Central oxygen line and O2 concentrator facilities are available.

ADDITIONAL WORK

  • On OPD basis, we daily do average 40 sputum Examination for AFB smear.
  • Suspected MDR-TB patient’s specimen sent to IRL for Culture and DST.
  • We have the facility at our DTC site of GeneXpert Laboratory for the diagnosis of Drug-Resistant TB using CB-NAAT.(Cartridge Based Nucleic Acid Amplification Test)
  • We have DRTB centre(J4 Ward) catering all Districts of South Gujarat doing management of confirmed MDR-TB cases (Pulmonary + Extrapulmonary TB cases) like Initiation of Treatment, management of Adverse Drug Reactions and Management of Other Complications.

PATIENT LOAD

PATIENTS 201820192020
OPDAnnual33,7343694218584
Daily Average12313667
J4 WardAnnual298931641404
Daily average894
DOTS PLUS SiteAnnual319388207
Daily average110.5

Postgraduate Course started in June 2009 with yearly admission of one Degree and one Diploma student recognized by MCI in 2012.

ON PART OF UNDERGRADUATESON PART OF POSTGRADUATESON PART OF OTHER PARAMEDICAL STAFF
1.As per clinical posting
2.Theory Lectures on every Tuesday as per schedule
1.Every Tuesday – Journal Reading
2.Every Second Week Thursday – Seminar resentation
3.Every Second Week Friday – Case Presentation and Discussion
1.Physiotherapy Students-Every Tuesday

ABSTRACTS FOR ORAL PRESENTATION

Sr.NoName of the PaperConferenceAuthors
1Ethambutol induced optic neuritis in 20 year
female leads to complete irreversible blindness in both eyes in CAT IV regime for MDR TB;Nov 2013 NAPCON
Nov 2013Dr. Gopal Sing Solanke
Dr. Arunkumar S Roy
Dr. Shyam Krishnan
Dr. M.Z. Patel
2A case of Solitary Pulmonary Nodule; GIMACON 20132013Dr. Arunkumar S Roy
Dr. Shyam Krishnan
Dr. Gopal Sing Solanke
Dr. M.Z. Patel
3A case of secondary Pulmonary Alveolar Proteinosis; ICAAICON Dec 2013Oct 2013Dr. Shyam Krishnan
Dr. Arunkumar S Roy
Dr. Gopal Sing Solanke
Dr. M.Z. Patel
4A case report on William Campbell syndrome in an adult PatientCIMSCON 2013Dr. Ravi Vaviya
Dr. Mani Tiwari
Dr. Khyati D Shamaliya
Dr. M. Z. Patel
5Exploring the delays in Collection of sample,
Diagnosis & Treatment of Drug Resistant Tuberculosis in a Tertiary Hospital of South Gujarat.
(ORAL presentation at APSM-GC CONFERENCE)
2013Dr. Shiv Kumar Yadav
Dr.M.Z. Patel
Dr.Abhay Kavishwar
Dr.S.L. Kantharia
6Investigating the factors associated with Multi Drug Resistant-Tuberculosis in Surat District
-a Case Control Study.
IAPSM-GC CONFERENCE December 2014Dr. Shiv Kumar Yadav
Dr. Rahul Damor
Dr. S. L. Kantharia
Dr. M. Z. Patel
Dr. Mani Tiwari
7Prevalence of Extensively Drug-Resistant Tuberculosis among patients
with Multi Drug-Resistant Tuberculosis: - a Retrospective analysis from a Tertiary Care Hospital of Western Region of India.
IMA conference December 2014Dr. Mani Tiwari
Dr. M. Z. Patel
Dr. K. Shamaliya
Dr. Shiv Kumar Yadav
8Investigating the factors associated with Multi Drug Resistant-
Tuberculosis in Surat District -a Case Control Study.
NATCON Feb 2015Dr. Shiv Kumar Yadav
Dr. Rahul Damor
Dr. S. L. Kantharia
Dr. M. Z .Patel
Dr.Mani Tiwari
9Retrospective analysis of MDR-TB patients registered under RNTCP in a Public sector hospital of western region of India.NATCON Feb 2015Dr. Mani Tiwari
Dr. Arun S Roy
Dr. M .Z. Patel
Dr. K. Shamaliya
Dr. Girinish Tamakuwala
Dr. Shiv Kumar Yadav
10Ototoxicity associated with usage of injectable Kanamycin in Drug Resistant TB Patient (Cat IV Eligible)NATCON Feb 2015Dr. Arun S Roy
Dr. Mani Tiwari
Dr. M. Z. Patel
Dr. K. Shamaliya
Dr. Ravi Vaviya
Dr. Shiv Kumar Yadav
11Capreomycin Induced Electrolyte Imbalance In A 13-Year Old Female
Under Cat-V Regimen For Extensive Drug Resistant Pulmonary Tuberculosis
NATCON Feb 2015Dr. Mani Tiwari
Dr.Ravi Vaviya
Dr.Bhaskar Bamaniya
Dr. K. Shamaliya
Dr. M. Z. Patel
12Presentation of Renal Amyloidosis in a patient of Pulmonary TuberculosisJIC 2015Dr. Mani Tiwari
Dr. Arun S Roy
Dr. Girinish Tamakuwala
Dr. Khyati Shamaliya
Dr. M. Z. Patel
13Drug induced peripheral neuropathy in 30 year old male under cat –V
regimen for Extensive Drug Resistant Tuberculosis
JIC 2015Dr. Khyati Shamaliya
Dr. M. Z. Patel
Dr. Mani Tiwari
Dr. Arun S Roy
14Adverse Drug Reactions observed in Extensively Drug Resistant (XDR-TB)
Tuberculosis patients within six months of Initiation of Second line
Anti-Tuberculosis Treatment (CAT-V) in tertiary care center of Southern Gujarat, India
Nescon 2015Dr. Mani Tiwari
Dr. Khyati Shamaliya
Dr.M. Z. Patel
15Peripheral neuropathy in XDR-TB patients on second line anti-tubercular therapyERS 2015 International CongressDr. Mani Tiwari
Dr. M. Z. Patel
Dr. Khyati Shamaliya
16Utility of Intrapleural streptokinase in Diabetic patientRSSDI-2016Dr. Grinish Tamakuwala
Dr. Mani Tiwari
Dr. Khyati Shamaliya
Dr. Parul Vadgama
17Primary Choriocarcinoma of Lung- A rare presentation of choriocarcinoma with diagnostic dilemma between Primary Lung tumour or metastatic tumourNAPCON 2016Dr. Grinish Tamakuwala
Dr. M. Z. Patel
Dr. Parul Vadgama
Dr. Khyati Shamaliya
Dr. Sabarinath
18Renal Amyloidosis in patients with Pulmonary TuberculosisNAPCON-2016Dr. Bhavika Kantharia
Dr. M. Z. Patel
Dr. Parul Vadgama
Dr. Khyati Shamaliya
19Utility of Expert MTB/Rifampicin Assay in pediatric patients with suspected pulmonary tuberculosis coming to tertiary health centre of south GujaratNAPCON-2016Dr. Sabarinath
Dr. Parul Vadgam
Dr. M. Z. Patel
Dr. Khyati Shamaliya
20Silicotuberculosis mimicking Sarcoidosis- Precision PulmonologyNAPCON-2017Dr. Shubham Dwivedi
Dr. M. Z. Patel
Dr. Parul Vadgama
21Acute Mercury Poisoning presented as Interstitial pneumonitis. Diagnostic and treatment ChallengeNESCON-2017Dr. Sabarinath
Dr. M. Z. Patel
Dr. Parul Vadgama
Dr. Khyati Shamaliya
22 Silicotuberculasis –A vivid PresentationNAPCON-2018 Dr. Mansi Vadgama
Dr. Parul Vadgama
Dr. Khyati Shamaliya
Dr. Grinish Tamakuwala
23Vivid Presentastion of Pneumocystis Carini Pneumonia in Human Immunodeficiency Virus infected PatientsNAPCON-2018Dr. Sapna Jain
Dr. M.Z. Patel
Dr. Parul Vadgama
Dr. Khyati Shamaliya
Dr. Grinish Tamakuvala
24Pulmonary Hydatid Cyst mimic Necrotic Consolidation –A case presentationNAPCON-2018Dr. Robin patel
Dr. Parul Vadgama
Dr. Khyati Shamaliya
25Pulmonary Atriovenous Malformation in a case of Tuberculous SequaleGIMACON-2019Dr. Mansi Vadgama
Dr. Parul Vadgama
Dr. Khyati Shamaliya
Dr. Grinish Tamakuwala
26Respiratory Complication in Down’s syndrome –Subacute Hypersensitivity Pneumonitis Vs Idiopathic Subpleural CystGIMACON-2019Dr. Sapna Jain
Dr. Parul Vadgama
Dr. Grinish Tamakuwala
Dr. M.Z. Patel
27Squmaous Cell Carcinoma Of Lung Masquerading as a Organizing PeumoniaNAPCON-2019Dr. Asha Gundrasiya
Dr. Grinish Tamakuwala
Dr. Parul Vadgama
28Acute Exacerbation of Bronchial Asthma presented as Spontaneous PneumomediastinumACPGCON-2019Dr. Vaishali J. Rohit
Dr. Khyati Shamaliya
Dr. Parul Vadgama
29Squamous cell carcinoma of lung in a 20 years old non smoking maleGIMACON 2019Dr. Jignesh Gengadiya
Dr Parul Vadgama
Dr Khyati Shamaliya
Dr Bhoomika Patel
30A case of Viral Pneumonia in a PLWH patientJIC-2019 Dr. Aarathi Nair
Dr. Khyati Shamaliya
Dr. Grinish Tamakuvala
31Idiopathic Spontaneous Pneumomediastinum- A unique presentationJIC-2019 Dr. Muneera AP
Dr. Parul Vadgama
Dr. Khyati Shamaliya
Dr. Grinish Tamakuvala
32A case of Rifampicin induced thrombocytopenia in sputum positive pulmonary tuberculosis – A rare presentationNAPCON-2019 Dr. Muneera AP
Dr. Parul Vadgama
Dr. Grinish Tamakuvala
33A rare case of Female Kartagener’s Syndrome NAPCON-2019 Dr. Arathi Nair
Dr. Parul Vadgama
Dr. Grinish Tamakuvala
34A rare case presentation – Diagnostic Dilemma between multiple myeloma Vs. Multifocal Tuberculous Osteomyelitis with Lung Abcess GIMACON-2019 Dr. Aarathi Nair
Dr. Parul Vadgama
Dr. Khyati Shamaliya
35Renal Tuberculosis presenting as acute kidney injury A case report GIMACON 2019 Dr Sreerag Varior
Dr. Parul Vadgama
Dr. Khyati Shamaliya
36Secendary Pneumothorax: A rare Presentyation of Silicotuberculosis NAPCON-2020 Dr. Vaishali J. Rohit
Dr. Khyati Shamaliya
Dr. Parul Vadgama
37A rare case of Kartagener’s Syndrome presenting at a tertiary centre NAPCON-2020Dr. Jignesh Gengadiya
Dr Parul Vadgama
Dr. Bhoomika Patel
38Alpha 1 Antitrypsin deficiency An underrecognised cause of empyema NAPCON-2020 Dr. Sreerag Varior
Dr. Parul Vadgama
Dr. Grinish Tamakuvala
39Idiopathic Spontaneous Pneumomediastinum A unique case report NATCON-2020Dr. Jigar Desai
Dr. Khyati Shamaliya
Dr. Parul Vadgama
40Pulmonary Spindle Cell Carcinoma A rare case report NATCON-2020Dr. Dhwani Patel
Dr. Parul Vadgama
Dr. Khyati Shamaliya
41A case of viral pneumonia in a PLWH patient NATCON-2020 Dr. Meera Nandakumar
Dr. Grinish Tamakuvala
Dr. Parul Vadgama
42Pulmonary arteriovenous malformation in a patient with tuberculosis sequels: a rare cause of hemoptysisNATCON-2020 Dr Chintan Patel
Dr. Bhoomika Patel
Dr. Parul Vadgama

PUBLICATIONS

S.NOTopic of ResearchAuthorPublication
1A study of correlation of 6 minute walk test (6MWT) &spirometry findings in COPD patientsDr. Grinish Tamakuwala
Dr. Khyati Shamaliya
Dr. M.Z. Patel
Dr. Bhoomika patel
International Journal of Reasearch in Medicine
2To Study clinical pattern of extrapulmonary Tuberculosis in HIV positive patientsDr. Grinish Tamakuwala
Dr. Khyati Shamaliya
Dr. Bhoomika patel
International Journal of Reasearch in Medicine
3Obstructive sleep apnoea : a study of polysomnographiccharacterics among patients attending new civil hospital, surat and its correlation with various medical comorbidities Dr. ParulVadgama
Dr.Sabarinath Ravichandar,
Dr. M.Z.Patel
Journal of Evidence based medicine Healthcare
4A study of Pulmonary manifestations in collagen vascular diseasesDr. Parul Vadgama
Dr. Pankaj Garg
National Journal of Community Medicine
5A study of effect of subcutaneous Immunotherapy in treatment of allergic rhinitis and allergic asthma in Udaipur, India J S Matta
Bhoomika Patel
Chandra ShekharJaiswal
M L Ved
Int J Med Res Prof
6Assessment of inhalational techniques and their common errors in Bronchial asthma patients coming to tertiary hospital of south gujaratDr Khyati Shamaliya
Shivani dalal
Dr. Anas patni
International journal of Respiratory care 2020
7An intrapleural instillation of streptokinase in multiloculated tuberculous empyema thoracis. Does it avoid surgery? - A case report Dr Zalak Asodiya
Dr Parul vadgama
Dr Grinish Tamakuwala
Dr Arathi nair
Dr Asha Gudrashiya
Indian journal of applied research
8Outcome of Chemical Pleurodesis in patients with Recurrent Pleural Effusion Coming to Tertiary Health Care CentreDr Parul vadgama
Dr. Mansi Vadgama
Dr. Grinish Tamakuwala
Dr. Zalak Asodiya
International Journal of Scintific Research
9Pulmonary Hydatid Cyst Mimic Necrotic Consolidation- A Case Report Dr. Robin Patel
Dr Parul vadgama
Dr. Khyati Shamaliya
Dr. Mansi Vadgama
Dr. Vaishali J. Rohit
Indian journal of applied research
10Squmaous Cell Carcinoma Of Lung Masquerading as a Organizing Peumonia Dr. Asha Gundrasiya
Dr. Grinish Tamakuwala
Dr. Sapna Jain
Dr. Khyati Shamaliya
Indian journal of applied research

RESEARCH WORK

No.Topic of DissertationAuthorYear/Month
1.A study of clinical pattern of extra-pulmonary tuberculosis in HIV positive patientsDr. Khyati Shamaliya
Dr. M.Z. Patel
Dr. Rajesh Solanki
Dr. Savita Jindal
2012
2.A study of diagnostic approach in pleural effusion in adultsDr. Dharmendra Bamaniya
Dr. M.Z. Patel
2013
3.A prospective study of hydropneumothoraxDr. Gopal Sing Solanke
Dr. M.Z. Patel
Dr. Khyati Shamaliya
2014
4.A study of the effectiveness and safety of AKT CAT IV in MDR pulmonary TB cases after 6 months (Intensive Phase)Dr. Arun Roy
Dr. M.Z. Patel
Dr. Khyati Shamaliya
2012 till date
5.A study for the prevalence of Drug Resistant Tuberculosis and HIV Co-infection amongst
Sputum AFB Positive Pulmonary TB patients at DR TB Center Site, Surat Under PMDT Program
Dr. Mani Tiwari \\Dr. M.Z. Patel
Dr. Khyati Shamaliya
2013
6.A study of correlation of 6-Minute Walk test and Spirometric Findings in stable COPD PatientsDr. Grinish Tamakuwala
Dr. M.Z. Patel
Dr. Khyati Shamaliya
2014
7Obstructive sleep Apnea: A study of polysomnographic characteristics of patients attending New Civil Hospital, SuratDr. Sabarinath Ravichandar
Dr. M.Z. Patel
Dr.Parul Vadgama
2015
8Yield of different diagnostic modality in diagnosis of lung cancer in patients coming to New Civil Hospital, SuratDr. Shubham Dwivedi
Dr. M.Z. Patel
Dr.Parul Vadgama
2016

ABSTRACT AT CONFERENCES (Total 13)

AWARDS (Total 3)

Sr.NoName of the PaperConferenceAuthors
1A case of Solitary Pulmonary Nodule; GIMACON 20132013Dr. Arunkumar S Roy
Dr. Shyam Krishnan (presenting author)
Dr. Gopal Sing Solanke
Dr. M.Z. Patel
2Drug induced peripheral neuropathy in 30 year old male under cat –V regimen for
Extensive Drug Resistant Tuberculosis (SECOND RUNNER UP)
JIC 2015 Dr. Khyati Shamaliya
Dr. M. Z. Patel
Dr. Mani Tiwari (presenting author)
Dr. Arun S Roy
3Presentation of Renal Amyloidosis in a patient of Pulmonary Tuberculosis(THIRD RUNNER UP) JIC 2015Dr. Mani Tiwari (presenting author)
Dr. Arun S Roy
Dr. Grinish Tamakuwala
Dr. Khyati Shamaliya
Dr. M. Z. Patel

QUIZ (Total 3)

  1. Dr. Mani Tiwari, Runner up in Post Graduate Quiz competition of State level in Respiratory Disease organised by the Academy of Respiratory Medicine under the aegis of Enviornmental Medical association held at B J Medical College & Civil Hospital, Ahmedabad on 14-03-2015.
  2. Dr. Mani Tiwari, First prize in Chest India Challenge 2015 quiz organised by American College of Chest Physicians(ACCP) and sponsored to attend the Chest Meet 2015 conference in Montreal.
  3. Dr. Mani Tiwari, Reached the Top 6 level of National level of Torrent Young Scholar Award 2015(TYSA) Pulmonology.

Development Plan for Next 2 Years

  • 5 beded Respiratory Critical Care Unit
  • IRL under Development
  • Flexible Thoracoscope For Thoracoscopy in indicated patients

EVENT PHOTOGRAPHS