Following are the facilities provided by Department of Medicine for Management of OPD and indoor patients.

• Outpatient Services:-

Location:-

OPD Number 26, 1st floor, Multistorey Building.

Timing:-
8:00 am to 12:30 pm

The outpatient clinic is conducted daily from Monday to Saturday. Each unit consults one day per week.
OPD

Unit Head	Other Consultants	OPD Day
Dr.Milind Nadkar	Dr.Shraddha More	Monday
	Dr.Vinayak Pai
Dr.Anjali Rajadhyaksha	Dr.Meghna Vaidya	Thursday
Dr.Santosh Salagre	Dr.Juhi Kawale	Saturday
Dr.Archana Sonawale	Dr.Kiran Ahire	Friday
Dr.Kavita Joshi	Dr.Smrati Tiwari	Tuesday
Dr.Kaustubh Salagre		Wednesday

The outpatient clinic is conducted daily from Monday to Saturday each unit consults one day per week.
Patients attending the OPD for the first time will have to get an OPD case paper which is issued at the registration counter outside the OPD (026) from 7.30am to 10.30am. Only patients who have been specifically referred to the Medicine OPD from other OPDs or by the family doctor or private consultant will be issued OPD paper. Patients who have not been referred to Medicine OPD are first seen in the General Practice OPD (OPD No 006) and if necessary, referred to OPD 026.
Patients attending OPD for second and subsequent visits will have to get their case papers stamped at the registration counter and then attend OPD. Patients with case papers of a particular unit will only be seen on the OPD day of that particular unit.
Patients requiring elective (no urgent) hospital admission are admitted from the OPD.
Average work load:
In the year 2022 a total of 45506 patients (2965 new patients and 42541 follow-up cases) attended the OPD.
Unit wise wards:-

Unit	KEM Hospital
	Male	Female
Dr. Milind Nadkar	12	4a
Dr. Anjali Rajadhyaksha	12	4a
Dr. Santosh Salagre	9	4
Dr. Archana Sonawale	11	4
Dr. Kavita Joshi	11	4
Dr. Kaustubh Salagre	9	4a
Dr. Meghna Vaidya	12	4a
Dr. Kiran  Ahire	11	4a

EMS (WD 20 Gr. Floor main hospital building):

• Well equipped 15 bedded EMS ICU with multipara monitor with one bed for hemodialysis for critical patient.
• 12 beds for critical patient coming to emergency ward.
• Round a clock Resident Doctor along with Lecturer are posted for better management of critical patient.

MICU (WD 22 2nd floor, Main hospital building):

• 26 bedded MICU with Multipara, Ventilators, Hemodialysis, USG machine, 2D echo, Flexible Bronchoscope, Infusion Sets.
• Caters to serious patient admitted under Medicine Department.
• Round the clock doctors posted along with Critical care fellows and Intensivist.

Emergency Services:-
The Emergency Ward (Ward No 20 – emergency room) has 15 ICU beds and is located on the ground floor next to casualty. This is staffed by lecturers and resident doctors round the clock. Patients requiring urgent attention are first seen by the casualty officer and then referred to the emergency ward. Here, they are evaluated by the doctor on duty and a decision is made regarding admission to the various wards like general ward, Medical ICU, ICCU etc. Specialist opinion may also be obtained prior to admission. Emergency cases – the very seriously ill, are initially admitted to this ward and stabilized before being shifted to other areas of the hospital.
The emergency services are managed by the 6 medical units as follows:

Unit Head	Other Consultants	Emergency Day
Dr.Milind Nadkar	Dr.Shraddha More	Thursday
	Dr.Vinayak Pai
Dr.Anjali Rajadhyaksha	Dr.Meghna Vaidya	Monday
Dr.Santosh Salagre	Dr.Juhi Kawale	Wednesday
Dr.Archana Sonawale	Dr.Kiran Ahire	Tuesday
Dr.Kavita Joshi	Dr.Smrati Tiwari	Friday
Dr.Kaustubh Salagre		Saturday

In patient Services:-
Patients requiring hospital admission are admitted either from the Out Patient Clinic, or from the emergency room. Patients admitted from the OPD are admitted under the OPD unit. All patients attending the emergency services on a particular day are admitted under the unit that is on emergency duty. If they have old case papers of another unit (OPD or indoor) then they are subsequently transferred under the care of their original consultant.

• The distribution of beds in medical wards is as follows :

Unit Head	Other consultants	Male Ward	Female Ward	Emergency Day	OPD day
Dr.Milind Nadkar	Dr. Shraddha More	12	4A	Thursday	Monday
	Dr.Vinayak Pai
Dr.Anjali Rajadhyaksha	Dr.Meghna Vaidya	12	4	Monday	Thursday
Dr.Santosh Salagre	Dr.Juhi Kawale	9	4	Wednesday	Saturday
Dr.Archana Sonawale	Dr.Kiran Ahire	11	4A	Tuesday	Friday
Dr.Kavita Joshi	Dr.Smrati Tiwari	11	4	Friday	Tuesday
Dr.Kaustubh Salagre		9	4A	Saturday	Wednesday

Average work load:
Approximately 60 patients are admitted to the medical wards every day on emergency basis and 8 from the outpatient clinic. In the year 2021 – 2022, 29574 patients were admitted, with 3205 deaths.

Rheumatology Services 

Faculty:

Faculty Head :	Dr. M. Y. Nadkar Professor, HOD and Chief, Rheumatology
Other Faculty :	Dr. Aanjali Rajadhyaksha Professor Dr. Archana Sonawale Associate Professor Dr. Shraddha More Lecturer Dr. Vinayak Pai Lecturer

OPDs:

Saturday-8.00 am to 12.30 pm (CVTS bldg, ground floor)
Tuesday – 8.30 am to 12.00 pm (MSB first floor 13)
Established in the year 1977. In the year 2022, 4196 new patients and 15330 old patients attended the OPD and 355 patients required indoor admission
Rheumatology OPDs and review clinic are conducted twice a week. In addition Scleroderma, backache and lupus clinics are held every week. Patients are offered medical care, education about their disease and Rehabilitation therapy in collaboration with the Occupational Therapy, Physiotherapy and Social Service Department
An Immunology laboratory (Department of Pathology) with facilities for conducting tests like RF, CRP,ANA, dsDNA, A.N.C.A., A.C.L.A.,HLA B 27, estimation of C3, C4, and Synovial fluid analysis is available. Registries for Rheumatoid Arthritis and Seronegative Spondyloarthropathy have been maintained.

Hypertension Clinic
Faculty:
Head: Dr. Santosh Salagre
Other consultant: Dr. Juhi Kawale
OPD:

• OPD 201 Wednesday – 9.00 am -12.30 pm (multi-storey bldg, grd floor).

The clinic has an attendance of 5657 patients (including 866 new cases and old cases 4791 seen in 2022) every year. Patients are investigated for essential and secondary hypertension, and individualized therapy is provided. Patients are closely monitored for complications. Consultancy services are provided for hypertensive patients referred from various specialty wards and clinics of the hospital.

Geriatric Medicine Clinic: (1992-2022)
Outpatient department (OPD):
Faculty: Dr Meghna Vaidya
Location: Multi storey building, 1st Floor, Room No 13.
Timing: Thursday- 1:30 pm to 3:00 pm
Activities:

• Examination, investigations of the patients.
• Counseling and Therapeutic advice.
• Preventive geriatrics.
• Health education.
• Psychiatric, Physiotherapy, Occupational therapy, Dietician, Social worker reference.
• Referrals to other relevant specialties.
• Regular follow up of the patients. 

Facilities: Outpatient clinics : new patients/follow-up Referrals : Self, unit patients, from other services Enrollment : Regular, out-station, consultancy, Average annual enrollment : New: 51 Follow Up: 382 in 2022

Complete physical check-up and evaluation by the GFA members at the initial visit and as desired by them / again annually � Information recorded in pre-designed record card Baseline hematological, biochemical, ECG, XRC Other investigations as indicated � Drug-bank: free drugs are dispensed during the clinic hours by the nurse Health-education/supervisory care by GFA team Follow-up: weekly / monthly / quarterly / biannual / annual Therapeutic Workshop started in 1997-Patients under the guidance of Occupational therapists weekly attend this workshop and do handicrafts and other skilled jobs – exhibition of these articles periodically held(Indoor admissions if needed are done in medical unit ward-beds)

Community Services: Educative Poster Exhibition on elderly care: “Aging and the Aged” Drug Bank for the elderly Health education lecture series in elderly care (Series 1-9)- held at KEMH (in Hindi, Marathi, English.- Also supervised education to the patient during visits.) Audiovisual shows on Elderly care Therapeutic Workshop for the elderly – started in August 1997. Visit to the home for the elderly by the Geriatric functional assessment (GFA) team regularly Gifts distributed to the elderly on 1st October, World Geriatric day February 1999 : Orthogeriatric Services started in collaboration with Dr Devesh Dholakia, Lecturer, Orthopedics, KEMH Easy to read and practice guidelines on elderly care-Wealthy Tips for Healthy aging:1999 (Rs.25/-) All India Radio talks in Marathi and English for non-medical persons Public Lectures: (English or vernacular languages) Participation in National-International conferences Quarterly Bulletin – since October, 1994

Infectious Diseases Clinic
Faculties:
Dr Kavita Joshi
Dr Kaustubh Salagre
Place: Medicine OPD (MSB Room No.13)
Day: Friday
Time: 1:30 PM
Staff: Dr. Kavita Joshi (Professor Addl)
Fellow in Infectious Diseases
Residents from Dr. KDS  unit
Collaboration: 
Microbiology Dept.
Clinical Pharmacology Dept.
Objectives: 

• To develop new diagnostic tests for various infectious diseases in collaboration with Microbiology Dept.
• To follow up chronic infectious diseases on long-term.
• To develop protocols for common infections/conditions.
• To study drug- resistance pattern in various infections.
• To integrate the clinic with other such centers for clinical exchanges by meetings.

Case referral:
Medicine Dept: Drug-resistant malaria, complicated enteric fever, leishmaniasis, Hemorrhagic fevers, FUO, non-HIV cryptococcosis and toxoplasmosis, extra-intestinal amoebiasis, echinococcosis, filariasis, tropical eosinophilia, neurocysticercosis, viral encephalitis, extra-pulmonary tuberculosis, etc. New patient 156, follow up 139.
Referrals from other departments like Surgery, Gynaecology, GE Medicine, Haematology, Dermatology, etc.
Development of Lab Tests:
Hepatitis A & E
Toxoplasmosis
Dengue Elisa
Leptospirosis – MAT
HSV, etc.
ART OPD
Faculty :

Unit Head :	Dr. Kavita S. Joshi
Other consultant :	Dr. Smrati Tiwari

OPD:
Venue: Multistoried Building, 1st floor, Room No 13
New patients/ Follow up/ DACEP OPD days – Thursday – 8.30 am to 12 noon
Collaboration:
Dept of Microbiology
Dept of Clinical Pharmacology
Attendance :
New patient in 2022:- 734
Old patients on HAART:-780 
Activities :
1. Examination, investigations of the patients
2. Counseling, treatment guidelines Treatment,
3. Follow-up,
4. ADR monitoring
5. Research & various projects
6. Training of Observers
Palliative Care OPD
Faculty :

Unit Head :	Dr. Kaustubh Salagre
Other consultant :	Dr. Mrudula Solanki Associate Professor (Community Medicine) Dr. Sujata Lavangare Associate Professor (Community Medicine)

 

OPD:
Venue: Multistoried Building, 1st floor, Room No 13
New patients/ Follow up/ DACEP OPD days – Thursday – 9.30 am to 12 noon
Collaboration:
Planning to start palliative care OPD in collaboration with faculty from Department of Medicine, Community Medicine and TMH for Non oncology Palliative care. 
Activities :
1. Examination, investigations of the patients
2. Counseling and guideance of patients and relatives regarding Palliative care.
3. Follow-up and counseling by Counsellors
5. Research & various projects
Medical Intensive Care Unit
Faculty:

Dr. Milind Nadkar	Professor & Head
Dr. Nitin Sarate	Assistant Professor

Workload:

• Total admissions from 07.10.2022 to 31.12.2022- 230 (Death 86)
• Total admission from 01.01.2023 to 18.08.2023- 625 (Death 200)

Established in 1985 as a 7 bed ICU, in 1993 this was expanded into a 17 bed ICU and renamed as Jayantilal Chandulal Mehta Medical – Neurology – Neurosurgery Intensive Care Unit. This is a multidisciplinary ICU which is located on the second floor of the main building. Looking at the need for critical patients MICU is Further expanded to 26 beds on 29th Sept 2022.
Patients from medical, Obstetrics, neurology, neurosurgery and neuroradiology are referred to the unit for intensive care. The patients admitted to the unit are attended to round the clock by 1 senior resident and 1 junior resident from the Medicine department. In addition, residents from neurology and neurosurgery are readily available for consultation. The unit gets about 1000 to 1100 admissions annually and provides advanced intensive care to patients with a wide variety of medical and tropical diseases including severe malaria, tetanus, leptospirosis, poisoning, snakebite, scorpion sting, Guillain Barre syndrome, myasthenia gravis, subarachnoid hemorrhage, Status epilepticus and cerebral cortical venous thrombosis, Ecclampsia and other obstetrics emergencies.
The ICU is in the process of acquiring equipment for full invasive hemodynamic monitoring, Bronchoscopy and a dialysis machine for continuous renal replacement therapy.
The MICU regularly gets observers from different countries who require exposure to acute medicine in a tropical setting. 

Average work load:
Approximately 400-600 patients are referred here every day and 80-100 patients require admission to the emergency ward. In the year 2022-2023 more than one lac patients were referred to the Emergency room for treatment and more than 2000 patients were admitted in the emergency ward

Patient feedback and education:
Informal feedbacks are taken from the patient and relatives regarding the treatment. Various camps are conducted by Department of Medicine for education of community about chronic illnesses. Patient education booklet and pictorial exhibitions are prepared.

• Dr. Rakshika Teltumbade :- First prize at Poster Presentation – MAPCON 2022. Poster on “Clinical Profile and outcome in patients with Autoimmune Hemolytic Anemia at Tertiary Care Centre in Western Part of India”.
• Dr. Sahil Landge & Dr. Yash Sharma- Stood 1st in API quiz KAPICON 23 for  PG Medical Graduates.
• Dr. Mayuri Mahashabde:- Third Prize at quiz on “Myths and Truths of Thrombosis-case based approach” Conducted by Hematology Department in association with Bombay Hematology association in November 2022.
• Dr. Devesh Bhargude and Dr. Mayuri Mahashabde first prize at intercollegiate quiz on Diabetes milletus conducted by MGM Navi Mumbai in April 2023.
• Dr. Kiran Shinde Winner of poster presentation at Mahacriticon 2022.
• Dr. Raghvendra Pandit first position in case presentation competition (Dhanvantari) at Confluence 2022.
• Dr. Yash Kallurwar and Dr. Raghvendra Pandit winner of the zonal round of Dr. SD Deodhar Rheumat quiz held in Pune and selected for the National Ro