Grand Launch of Quiet Suite-MRI at Kauvery Hospital by Padmashri Prof. Dr. Mohan Kameswaran, Managing Director & Senior Consultant, Madras ENT Research Foundation on 7th Sep 2017.
IMA monthly meeting was held at Kauvery Hospital, where Doctors' Day was celebrated along with the launch of Quarterly Newsletter.
Kidney related ailments on the rise
“Kidney transplantation is a successful permanent solution for chronic kidney failure. In India, on an average, 3000 kidney transplantation surgeries are performed every year”, said Dr. Balasubramaniyam, Chief Nephrologist, Kauvery Hospital, “Majority of the transplantations are performed ehere the donor is living related and a few are from cadaveric donors.”
It is estimated that 1 in every 65,000 children develop End Stage renal disease (ESRD) in children needing dialysis and transplantation. In the US, it is estimated that 1200 children develop ESRD every year. The disease can affect right from the new born period to adolescence.
Addressing the media about the two successful Kidney transplant surgeries performed on a 9 and 11 year old children at Kauvery Hospital, “In these cases, both the children had reached transplant state. The 9 years old boy had congenitally maldeveloped kidneys with high blood pressure requiring multiple blood pressure medications and acid accumulation, making it difficult to control with medications alone. The 11 years old had posterior urethral valve that led to recurrent urinary infection that further led to kidney failure. Both the children have done well post transplantation and had completed one month after surgery.” said Dr. Balasubramaniyam.
Both the kids were managed by Pediatric Nephrologist Dr. Prahalad, till they reached transplant stage. Subsequently Dr. R. Balasubramaniyam, Chief Of Nephrology took over the care. In both these cases, the mother was identified as the renal donor. After proper evaluation of the donor and the recipient, the transplant approval was obtained from the authorization committee. Ms. Hemalatha, transplant co-ordinator guided the process. The anesthetist team headed by Dr. Silamban and the surgical team headed by Dr. V. Muthu and Dr. Jeevagan operated on the donor and the recipient. Transplantation department nursing care was done by Ms. Inbanila and Ms. Mutulakshmi.
Talking about the increasing risk of Kidney failure in Children, Dr. Balasubramaniyam said, “Once the child is identified to have chronic renal failure in the initial stages, the aim of treatment consists of controlling the diet, controlling the blood pressure, aiding the bone growth, maintaining the hemoglobin and acid base equilibrium. But once the kidney failure reaches an advanced stage we should do pre-emptive kidney transplantation.
“In an adult we can wait for the kidney failure to become too advanced and plan for kidney transplantation later. But, in children we should do transplant early, because the child with kidney failure will start having growth retardation and bone changes that may become permanent. Also, it is difficult to do dialysis in a child, who is going to be increasingly non co-operative to treatment.”
Elucidating further on the procedure of Kidney transplantation, “Family counselling is done to make the parents understand the need for early transplantation before the child gets into advanced stage. This is the biggest task, as most parents will try alternative system of medicines to see if the child can be cured without undergoing a major surgery. Once the family is convinced of the need, then normally one of the parents will volunteer to be the kidney donor.
“The transplant surgery generally involves removal of a kidney from a donor and keeping it inside a recipient. Here the donor is an adult and the recipient is a child. Technically it is difficult to keep the adult kidney inside a child’s body. At the time of surgery the donor kidney blood tubes are bigger than the child and this warrants the kidney to be kept inside the abdomen, close to the vital organs and connections are even made to greater blood vessels (aorta and inferior vena cava) instead of the normal practice of external iliac blood tubes, says Dr. Jeevagan, Transplant surgeon and Urologist, Kauvery Hospital.
He adds, “Once the blood tubes of the adult kidney are connected to the child’s body when you allow the blood flow to resume in the kidney inside the child’s body the adult kidney can hold most of the child’ blood and the child could develop dangerous low blood pressure. Also soon after the surgery the adult kidney will start passing litres and liters of urine and the child’s blood volume is smaller and if not properly managed the child will drop the blood volume and kidney failure or disturbances in acid base balance and electrolyte balance can go haywire. The Nephrologist plays a big role in this situation to maintain all the parameters.
“Post operative period pain management is crucial that decides the child’s co-operation. Also, the immune system of the child has to be suppressed to make the kidney acceptable. The kidney is foreign object inside the recipient and the natural tendency of the recipient’s immune system is to reject the kidney. To make the kidney function, immuno suppressive medications are given that makes the kidneys not to get rejected on one side, at the same time make the child vulnerable to infections. In a pediatric transplantation we need to give doses of these drugs in a careful manner because of the child’s immune system is working against an adult kidney. Subsequently the long term care of the child involves careful monitoring of the kidney functions, looking for possible infections, maintaining the doses of immuno suppressive drugs”, he further added.
Dr. Aravindan Selvaraj, Executive director, Kauvery Hospital said, “When compared to adult renal transplantation, very few happen in children, because transplantations in children require much greater expertise. Some children are born with congenital abnormalities of the urinary tract that lead to recurrent urinary infections and kidney failure. The kidneys also fail due to large quantities of protein leakage in the kidneys called Nephrotic syndrome and this will lead to kidney failure especially when the children don’t respond to treatment.” Not many children are identified with the problems, the awareness that pediatric transplantations can be performed is still limited and not many centers can successfully perform pediatric transplantation.” He lauded the entire team of Doctors and Nurses for their efforts towards saving the lives of these two children.
World Elder Abuse Awareness Day observed on 15th June, serves as a call-to-action for individuals, organisations, and communities to raise awareness about abuse, neglect, and exploitation of elders.
In recognition of this day and with the mission of creating awareness and urge to action among the community at large, Kauvery Hospital conducted an awareness campaign on the importance of respecting elders. A pledge was undertaken by the students of Sri Sankara Matriculation Higher Secondary School, Thiruvanmiyur in support of Elder Abuse Awareness.
Affordable job-oriented courses are the need of the hour. And especially giving a helping hand to the underprivileged in receiving vocational training and finding suitable jobs is the need of the hour.
In line with this, our community college has been offering long term courses catering to the need of the local communities in a flexible manner. The courses are skill based. Our college started in the year 1999 has seen many batches of students undergoing courses of communication and software skills.
Everybody knows the reality, that there are many underprivileged children who are not able to pursue their studies for want of financial support from their parents. Another fact is that, the field of medicine is faced with acute shortage of nurses and other paramedical professionals. Most of them gathers experience and leave the health care facilities in india for greener pastures abroad.
To fix both this problems kauvery hospital has partnered with corporation of Chennai rotary club of madras east offering job oriented paramedical courses approved by Indian medical association tamilnadu state branch. The MOU was executed between Mr.V.G.P.Ravidoss (Former Director of RCME) and Dr.Arvindan Selvaraj (ED of Kauvery Hospital) the course is provided absolutely free for corporation school students which is sponsored by rotary club of madras east, the classed are conducted in the Chennai corporation community college and hands on technical training is provided by kauvery hospital upon completion of one year diploma course, 100% percent employment is possible in any of the IMA NHB affiliated hospitals in tamilnadu. Registration in any council or getting a government job may not be possible.
The first academic year started in the year 2014 with 15 Students. Totally 10 students had appeared for examination, out of 10, 1 of our student Mrs.Amala got state first rank in dialysis department in final paramedical examination.
From 2nd Batch totally 24 students wrote examination out of 24, 8 students got state rank in different departments, the award function was held in vellore which was conducted by IMA Paramedical wing
The demand for the course has been on increase and this year the 3rd batch id successfully running with 35 students, the students are preparing well for their exam. This year also we are expecting more and more state rank in final examinations. The examination centre usually in kauvery hospital.
The invigilation will conducted by paramedical staff, the answer papers are send to IMA paramedical wing on the same day of examination.
About placement till now 5 students are placed in Kauvery laboratory service, and 2 students are placed in dialysis department. 1 student in radiology department, another 4 students are working in MSR Dental hospital which is run by RN. Dr.Ravi Selvaraj. All others are placed in various hospitals across Chennai some students gone for higher studies also.
This year also for running batch kauvery hospital is ready to take more than 10 candidates in various departments according to the year need.
Upon completion of these studies the student will be a matter of pride in which ever place, t decide to work, as they have been taught by a team of committed and excellence teacher and have been imparted excellent training in an up-to date infrastructure.
Does our community college along with rotary club and kauvery hospital is contributing to a great social change and certain favorable climate among the local communities the learner and the job market.
March 2017: Kauvery Hospital is now the Health Care Partner for the British Deputy High Commission. Always taking pride in serving people.
On World Health Day, April 7th, Kauvery Hospital launched a new department. Mr.Ravichander, Regional Director, YES Bank was the Chief Guest for the evening.
Kauvery Hospital, Tennur recently won the Nursing excellence certification from NABH. National Accreditation Board for Hospitals and Healthcare Providers (NABH), is a constituent board of Quality Council of India, set up to establish and operate accreditation programme for healthcare organisations.
The standards provide framework for quality of care for patients and quality improvement for nursing services. It also ensures clinical competency and to develop a structure and process that support the culture of patient safety. Nursing Excellence accreditation was initiated and achieved by strenuous effort of Kauvery Hospital, Tennur.
Kauvery Hospital, Tennur is the first hospital to receive the NABH excellence certification in Tamilnadu, apart from the hospitals of Chennai. All units across Kauvery Hospital, will soon be implemented with NABH Nursing excellence certification.
Kauvery hospital (Specialties-Cantonment, Trichy) performed a cadaver transplant saving lives. Mr.Senthilkumar of Mellapatti village was brain-dead after a gory road accident. The relatives were immediately informed about his medical condition, and they were willing to donate the organs of Mr.Senthilkumar. Two kidneys and two corneas (Eyes) were retrieved on 10/3/17 and donated. The kidney recipients were two patients of Kauvery Hospitals. His eyes were donated to a private eye hospital.
Film actress and Social Activist Mrs. Suhasini Maniratnam launched Kauvery Medical Centre, an outpatient unit of Kauvery Hospital at Annanagar on March 15, 2017.
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