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  Superspeciality Services / Nephrology  
   
     
  INTRODUCTION  
     
 

The KEM Hospital Renal Unit started in 1969, with a single bed and facilities only for peritoneal dialysis. Haemodialysis was introduced in 1973. Since then, the Unit has grown into a reputed centre for nephrological investigation and treatment for patients from all over Maharashtra. The first and the oldest Unit of its kind in Pune, it has just moved into a newly enlarged, up-to-date and modernized home, with a strong focus on patient friendliness.

 
 

This was made possible by the generosity of Mr. Rahul Bajaj. The renovated unit was named the Kamalnayan Bajaj Renal Unit.

 
     
  FACILITIES:  
     
 

The Unit offers the facilities of acute & maintenance haemodialysis, peritoneal dialysis and related therapies as well as renal transplantation, to a complete cross-section of the population.

 
     
 

Special features of the unit are the state-of-the-art Reverse Osmosis plant for ultra pure dialysis water and a pleasant waiting area for patients' and relatives.
The hospital has a well established Renal Histopathology service run by specially trained and experienced Renal Histopathologist.

 
 

An excellent specialized Renal Unit Library which is an up to date source of reference is also thanks to the generosity of our benefactors.

 
     
  THE TEAM:  
     
  Consultants:  
     
 
Dr. F.F. Wadia, F.R.C.P (London) Director, Dept of Medicine
Dr. Anil Godbole, M.D.
Dr. Sudhir Jagtap, M.D.
Dr. Valentine Lobo,
 
     
  Surgeons:  
     
 
Dr. D.V. Kirpekar, M.S, FICS, FAIS.
Dr. S.B. Kulkani, M.S., F.R.C.S., Diploma in Urology(London)
Dr. S.S. Bhalerao, M.S, DNB.
 
     
  Anesthetics:  
     
  Dr. Anand Bhatia and his team of Anesthetists.  
     
  ACTIVITES:  
     
  Dialysis  
     
 

The introduction of maintance dialysis came in the late 1980s fulfilling a long standing demand of patients. In recent years we have added modern variants of Sustained Low Efficiency Daily Dialysis (SLEDD), SCUF and Continuous Venous Hemofilteration (CVVH). Dialysis in the ICU in-situ for critically ill patients is also being done.

 
     
 

With increasing incidence of Acute Renal Failure & CRF the unit has helped a lot of patients requiring dialysis. The state of the art Altratouch 1000 allows all possible improvisations in acute and maintance dialysis to be offered to patients.

 
     
 

The KEM Renal Unit is the first in Pune to successfully use Sustained Low Efficiency Daily Dialysis (SLEDD) in the management of haemodialysis.

 
     
 

The Dialysis Clinic is a part of the special care of maintenance dialysis patients. The patients are closely evaluated and changes in treatment are done by doctors / consultants. The clinic also provides an atmosphere of group therapy, where members of the team and patients address their common problems.

 
     
  Renal Transplantation:  
     
 

The preferred method of treating end stage renal failure is kidney transplantation. The unit has an active Kidney Transplant Programme.
The programme is based mainly on live related donors and with the present exception of tissue typing the entire pre and post operative work up and care of patients is undertaken here.

 
 
   

The transplant clinic regularly monitors the health of transplanted patients. Free interaction between the donors, recipients and prospective transplanters and their relatives motivates many prospective patients to accept transplantation.

   
 
 

The Dialysis and Transplantation Coordinator proves to be a vital link at this stage. She counsels the patients and their families regarding social, financial, emotional problems and helps them raise the requisite funds; she also looks after the integrated administration of the dialysis and transplant program.

 
     
SOME OTHER PATIENT RELATED ACTIVITIES:  
     
 
Renal OPD
a

Every Thursday afternoon a Renal Out-patient Department attended by all the Consultants, looks into the needs of patients with all kinds of kidney conditions. Among other benefits, regular follow-up of chronic patients ensures timely intervention and smooth induction into the dialysis and transplant programmes. Patient education forms a part of the OPD where issues related to the diet, fluid balance, dialysis compliance and need for regular OPD follow up are addressed.

b

The Unit has always encouraged transplanted patients 'to live as persons' and as part of its rehabilitation efforts has been actively motivating them to participate in the Transplant Games held in different parts of the country . Further, patients are actively encouraged to resume work and contribute financially towards their family life as before.

c

Celebration of "Donor Day" each year is another important activity of the Unit. Donors of transplanted patients are felicitated and free interactions on such occasion are a very important element in motivating dialysis patients to consider transplantation.

 
     
  ACADEMIC ACTIVITIES:  
     
 

The KEM Hospital has been recognized for training by the National Board of Examinations, New Delhi for the DNB (Nephrology) postgraduate qualification. In recent years the Unit has made presentations at the West Zone Conferences of the Indian Society of Nephrology and the Indian Society of Critical Care Medicine.

 
     
  FUTURE PLANS:  
 
1. To establish a Tissue Typing Laboratory
2.

To develop a Pediatric OPD service in conjunction with the Department of Pediatrics and Pediatric Surgery and to concentrate on preventive measures to try to avoid the enormous emotional and financial costs of corrective treatment or renal replacement therapy (RRT) in later life.

 
     
  CONTACT:  
     
  Ms. Rohini Sahasrabuddhe: 020- 66037369 (2.00 pm to 4.00 pm)  
     
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