Department of Nephrology

Overview

Nephrology

  • State of the art ultramodern Hemodialysis unit with 24 units-Main HD Unit based on New York Lean model with 14 stations
  • State of the art –Two RO plants
  • 1300-1500 dialysis sessions per month.
  • ICU dialysis unit with portable RP plant from a few scattered patients to more than 1000 Haemodialysis sessions per month, we have come a long way especially during last three years. Planning to increase to 1500 -2000 HD sessions per month.
  • Two Separate Satellite /Isolation Dialysis units
  • CRRT-SLED facilities available.
  • Full time Nephrologist Service and backup for both Cold & Hot Nephrology cases
  • Two major projects completed
    1. Preventive nephrology- Pondicherry Rural Kidney Survey Project. (3yr. project)
    2. Survival Analysis in Rural Dialysis population
  • ISN approved World kidney day celebrations for last 5 years during first week of March.
  • Regular Didactic Patient & Public interactive sessions –throughout year.

Faculty List

 

SNo. Name Designation
1 Dr. P. Ravi Kumar Associate Professor
2 Sugan Gandhi. T. Assistant Professor

Facilities

  • Conduction of Regular daily OPD. We cater to both cold and hot nephrology patients.
  • The Haemodialysis units are open from Monday to Saturday round the clock.
  • Emergency dialysis done round the clock as and when a need arises.
  • Inpatient Nephrology care including inpatient dialysis. Treatment of Acute and chronic kidney injury cases, electrolyte conundrums, Acid base problems, congenital and acquired kidney diseases, diabetic nephropathy, nephrolithiasis, hypertensive renal disease, nephritic, nephritic syndromes, Renal artery stenosis and interstitial nephritis is routinely carried out.
  • Facilities for both Hemodialysis and Acute and Chronic Peritoneal dialysis.
  • Pre transplant work –up is also done
  • Full time Senior Consultant Nephrologist /Consultant Nephrologist are available for consultation round the clock. Since inception from last 10 years. Round the clock “Nephrology unit doctors” on call.
  • As we cater to diverse sets of patients inevitably we have started getting Hepatitis C “positive patients and have started an Isolation unit also for “Hepatitis C” positive patients on a separate floor with two dedicated machines and exclusive staff.
  • Infection control-Antibiotic “LOCK” given in the catheter!
  • Ultra-Modern two RO plants with stringent RO water standards with SS tank and rigorous controls for infection control in the dialysis unit.
  • We provide emergency dialysis and SLED in the Intensive care unit itself. We have an exclusive machine set aside for the ICU with its own potable water supply system.
  • Presently Total of 24 Hemodialysis state of art HD machines available for patient care.
  • Recently Inaugurated Plush & Sophisticated state of the art 14 station HD unit designed as a New York lean model HDU with standards meeting up to the ministry of health’s envisaged ideal model unit. An IDEAL unit not only from an aesthetic point of view, but also from the patient’s perspective also.
  • Special procedures like invasive central HD catheterization
  • Regular renal biopsies being done.
  • Perm catheters are also being regularly put in.

Academics

  • Educational activities: daily classes for interns and PG students.
  • Monthly Nephro-Medicine meet with case discussions, seminars and meetings.
  • Urine microscopy demonstration with hands on experience.
  • Metabolic rounds-case scenarios.
  • Regular Educational activities for all technicians , dialysis nurses and other staff.
  • Regular updates on CRRT.
  • Recent advances in Plasmapheresis.

Academic Calender - NEPHROLOGY Academic Activity

Week 1 Morning Session Afternoon Session
Monday Rounds/Case discussions Acute Renal Failure
Tuesday Rounds/Clinical Pharmacology cases Renal Replacement Therapy
Wednesday Metabolic Rounds Chronic Kidney disease
Thursday Case Scenarios Electrolytes-Sodium
Friday Rounds Electrolytes-Potassium
Week 2 Morning Session Afternoon Session
Monday Rounds Glomerulonephritis
Tuesday Case discussions Nephrotic Syndrome
Wednesday Rounds Hypertension & Trials
Thursday Case discussion Calcium /PTH Metabolism
Friday Rounds Pregnancy & Kidney
Week 3 Morning Session Afternoon Session
Monday Rounds Medications in Renal Failure
Tuesday Case discussions Acid- Base Cases
Wednesday Rounds Edema
Thursday Diabetic Nephropathy Proteinuria
Friday Hematuria Nephrolithiasis
Week 4 Morning Session Afternoon Session
Monday Poisonings Pearls in Nephrology
Tuesday Case discussions Snake Bite
Wednesday Rounds Case Records of Mass Gen Hospital
Thursday Case –Clin Pharmacology Phosphorus Metabolism
Friday Vasculitis Examination

Research

S.No. Topic First Author Name of the Journals Link of the recognition in UGC enlistment of the Journal Date of acceptance Date of publication Name of the Indexing database ISSN No. Type
1. Survival and Analysis of Predictors of Mortality in Patients UndergoingHemodialysis in a Rural Hospital in Puducherry, India: A Retrospective Cohort study P. Ravi Kumar1, V. Vinayagmoorthy, Amol Dongre & Pradeep Deshmukh The Open Urology & Nephrology Journal https://openurologyandnephrologyjournal.com/VOLUME/16/ELOCATOR/e1874303X2212260  01.11.2022 13.02.2023 Cross Mark 1874-30 3X International
2. Patient Education And Advocacy In Dialysis –A Qualitative Study Kumar, Dr. PR, Subramanian,Thandavan, Kidney International reports https://www.kireports.org/article/S2468-0249(22)00446-6/fulltext   Feb 2022 ISN Academy   International
3. Prevalence of Vitamin D receptor gene polymorphism among Chronic Kidney Disease patients in Puducherry – A Cross Sectional study Dr. Ramya Badrachalam, Dr. Asmathulla Shafiulla, Dr. Ravi Kumar International Journal of Medical Science and Innovative Research https://www.researchgate.net/publication/370322587   June 2022 Research Gate 2458-868X International
4. Challenges Faced by Dialysis Unit Staff During COVID-19 Times: A Qualitative Study Kumar P.R, Dongre A Nephro - Urology Monthly https://brieflands.com/articles/num-121133.html  17.02.2022 18.05.2022  Brieflands   International
5. Renal Equations Using Cystatin C and Creatinine in Correlation to Lipids in Chronic Kidney Disease - A Cross-Sectional study Kumar PR, Srivastava M, Asmathulla S Journal of Clinical Nephrology Renal Care https://clinmedjournals.org/articles/jcnrc/journal-of-clinical-nephrology-and-renal-care-jcnrc-6-051.php?jid=jcnrc   15.04.2020 Clinmed 2572-3286 International
6. Valcyclovir toxicity in peritoneal dialysis Kumar.P R Indian J Perit Dial https://www.ijpd.org.in/text.asp?2020/38/1/6/305753  14.05.2020 31.12.2020 Wolters Kuwar - Medknow 1874-303X National
7. Lipid Pattern of Chronic Kidney Disease Patients on Hemodialysis and on Conservative Management- A Comparative Study JMSCR Dr Raghu Rama Reddy.A, Dr Girija .S, Dr Ravi Kumar .P Journal of Medical Science and Clinical Research https://jmscr.igmpublication.org/home/index.php/archive/160-volume-07-issue-03-march-2019/7051   03.03.2019 IGM 2545-0450 International
8. Prevalence of Chronic Kidney Disease and Its Determinants in Rural Pondicherry, India-A Community Based Cross-Sectional Study Ravi Kumar P, Amol Dongre, R. Muruganandham, Pradeep Deshmukh, D. Rajagovindan The Open Urology and Nephrology Journal https://openurologyandnephrologyjournal.com/VOLUME/12/PAGE/14/ABSTRACT  22.05.2019 30.06.2019 Cross Mark 1874-303X International
9. Cadmium, the real link to chronic kidney disease causation in hotspots of rural Pondicherry and coastal Cuddalore areas Kumar PR, Dongre A Int J Med Sci Public Health https://www.researchgate.net/publication/331475514  20.02.2019 Jan 2019 Research Gate   International
10. Perceived challenges faced by family caregivers of chronic kidney disease patients and suggested solutions: A qualitative study Pravin Surendran, Vinayagamoorthy Venugopal, Amol R Dongre, Ravikumar Paninjukunnath. Int J Med Sci Public Health https://www.bibliomed.org/?mno=293733   2018  Bibliomed 2320-4664 International
11. Risk factors for kidney stones in Rural Pondicherry: case Control study Amol R Dongre , M Rajalakshmi , Pradeep R Deshmukh , MR Thirunavukarasu , Ravi Kumar Journal of Clinical and Diagnostic Research https://pubmed.ncbi.nlm.nih.gov/29207740/   Sep 2017 Pubmed   National

Research Projects undertaken:

  1. Challenges for dialysis staff – during covid-19 times-A QUAL study
  2. Survival Analysis on hemodialysis patients in a Rural Hospital in Pondicherry, South India- a retrospective cohort study.
  3. Patient education and advocacy in Dialysis –a Qualitative study.
  4. HTLV-1 in Hemodialysis-The HAM syndrome.
  5. QOL study in dialysis.
  6. Patient education in dialysis patients: 8 year study.
  7. QOL study in hemodialysis patients
  8. Pruritus in hemodialysis patients
  9. Prolonged QT syndromes in hemodialysis patients

Awards

Distinctions and other Awards:

Received

2009-2012 Cash Award/ Donations for excellence in patient care donated by families of patients at the Sunnybrook Health Sciences Centre, Toronto, Canada.

2006-2008 Donations/Gifts to Sunnybrook Foundation, Toronto, Canada given b patients for Kindness, Compassion, Caring and Spirit

1996 An initial study of Peritoneal Equilibration Test (PET), paper selected for the Tanker Award Session, Feb.1996, Bangalore, India. (DISTINCTION)

1983-1986 R.D.BIRLA SMARAK KOSH ENDOWMENT Merit Scholarship for MD (MEDICINE) Post- Graduate Education (DISTINCTION), Kasturba Medical College, Mangalore, India

1981 Merit Prize, 1st RANK in OPHTHALMOLOGY (DISTICTION)-Gold medal

1980 Merit Prize, 1st RANK in COMMUNITY MEDICINE (DISTINCTION)-Gold medal

1978 -1979 Merit Prize, 1st PRIZE in ANATOMY DRAWING, Anatomical Society of India Award1976 Nandan Editor’s Award for Excellence in English writing.

2019 October 7-9 World Congress on Nephrology Madrid, Spain: Principal Keynote Speaker, Dr.P.Ravi Kumar on “Prevalence of CKD and it’s determinants in Rural Pondicherry, India “.

Awarded the Certificate of excellence in Reviewing for HINARI Journals: International Journal of Advances in Nephrology Research 2021 (17.08.2021)

Teaching Award: Received:-

2005 Teaching Award, National Medical & Dental Conference, Republic of Seychelles, East Africa.

Outreach

CQI Initiatives

  1. Regular clinical and financial audit conducted since last 4 years for maintaining the rigorous standards as per NABH/AAMI guidelines / FDA /CDC infection control guidelines.
  2. Unit Metrics displayed every month.

Events

Nephrology and General Medicine

“World Kidney Day 2023 Celebration”

Dr.P.Ravi Kumar, Sr.Consultant Nephrologist and HOD, Nephrology Dept. & Dr.Girija Gopal Professor & Head, Medicine Dept. Sri Manakula Vinayagar Medical College & Hospital, Madagadipet, Pondicherry, Sotuth India 605107

Sri Manakula Vinayagar Medical College & Hospital, Kalitheerthal kuppam, Madagadipet, Pondicherry 605107 India, India – Friday 10th of March 2023 at 11:00 AM

This world kidney day we are conducting a CME for students and staff of Sri Manakula Vinayagar Medical College and Hospital Dr.Thirumalvalavan Associate Professor of Nephrology, Stanley Medical College, Chennai will be conducting case studies in Nephrology for UG & PG students. This years theme will be expounded in detail by Dr.Thiagarajan Thandavan , CEO, Tides Institute, Chennai by Dr.P.Ravi Kumar Sr.Consultant Nephrologist, & Dr.Girija Gopal, Professor & HOD Medicine Department. Emphasis will be placed on disaster awareness and Efforts and preparedness to tackle disaster management. Special emphasis will be placed on COVID -19 Pandemic, Wars especially in Ukraine and Earthquakes especially in Turkey & Syria.UNDDR (united Nation’s disaster risk reduction) and public health emergency preparedness (PHEP) will be introduced to the audience!

Nephrology and General Medicine “CRRT Update Workshop the Basics Update on plasmapheresis August 01st 2023

Basement Auditorium 2-3 pm Mr. Joseph Mathew Clinical Lead Therapy- Baxter Dr. Ravikumar, Professor of Nephrology

CRRT update was carried out covering the basic principles involved.

The indications for CRRT and the various modalities of CRRT were presented.

Detailed discussion about CRRT – Prismaflex Machine was carried out & its various parts were demonstrated

Live demonstration and troubleshooting methods were expounded to the audience comprising of PG students, staff, Dialysis technicians and nurses.

Post graduate students and faculty of General Medicine & Nephrology participated in the program Principles of Plasmapheresis were presented and plasma filter and the circuit was shown.

World Kidney day 2022 Celeberation

Patient Educational & Interactive Meet

Dr.P.RAVI KUMAR, Dr.P.Ravi Kumar, HOD, Nephrology Deptt., Sri Manakula Vinayagar Medical College & Hospital, Madagadipet, Pondicherry, India, Dr.Girija Subramanian Prof & HOD, Medicine, Dr.Thyagarajan Thandaven, (CEO,TIDES Institute, Chennai Dr.E.Kdhiravan, Asst.Professor, Nephrology, Dr.Gavaskar, Dr,Youvaj, Dr,Ilakiya, Dr.Sindhu (Nephrology Deptt.), Mr.AdhiMoolam Chief Technician & In- charge (Hemodialysis)

Sri Manakula Vinayagar Medical College & Hospital, Madagadipet, Pondicherry, India 605107, India – Friday 11th of March 2022 at 11:30 AM

Patient interactive educational meeting. Patients, families, caregivers, doctors, nurses, Dialysis staff and Technicians, medical social workers, and other staff members. Group discussions, Educational talk, empowerment of patients, Patients to address the gathering, Discussion of problems and knowledge sharing, demonstration of Videos on exercise for chronic kidney disease patients. Refreshments will be provided to all patients, families and caregivers!!

World Kidney Day 2021 Celeberation

Living Well with Kidney Disease

Dr.P.Ravi Kumar, SR.Consultant Nephrologist , Sri Manakula Vinayagar Medical College & Hospital and Dr.S.Girija Professor & HOD, Dept. of Internal Medicine, Sri Manakula Vinayagar Medical College & Hospital, Madagadipet, PUDUCHERRY (PONDICHERRY), INDIA.

Sri Manakula Vinayagar Medical College & Hospital, Madagadipet, Puducherry, India 605107, India – Thursday 11th of March 2021 at 11:00 AM

A CME is being held at the Sri Manakula Vinayagar Medical College & Hospital, Madagadipet, Puducherry, (PODICHERRY), INDIA by the Departments of Nephrology and Internal Medicine.

The Chief Guest is Dr.P.SOUNDARARAJAN, MD, DM, PhD, Senior consultant Nephrologist and Ex-Prof & HOD, SRMC, Chennai & HOD, SAVITHA Medical College Chennai & SR.Consultant, A POLLO HOSPITALS, Hyderabad/OMR Chennai. He will be delivering a lecture on PREVENTIVE NEPHROLOGY. The Second Lecture will be delivered by DR.Thiagarajan Thandavan, PhD, CEO TIDES institute for Medical Sciences, Chennai on CRRT advances & Plasmapheresis for the benefit of the Medical students. Dr.P.Ravi Kumar, Sr. Consultant Nephrologist will be expanding and deliberating on the WKD 2021 mission statement “LIVING WELL WITH KIDNEY DISEASE”.

“Crrt: a Hands on Exposure” 2021

CRRT workshop covered all the basic and fundamental principles involved.

The indications for CRRT and the various modalities of CRRT were delineated.

Special emphasis was given to CRRT in the ICU setting.

Live demonstration and troubleshooting methods were expounded to the audience comprising of PG students, staff, Dialysis technicians and nurses.

Latest papers in CRRT and the OMAKI trials were also presented.

A global picture of the CRRT modalities practiced in various parts of the globe were shown.

Circular

Department of General Medicine & Nephrology

A guest lecture is organized on 12.03.2020 in view of “WORLD KIDNEYDAY”. All the HOD’s, faculties and Postgraduate students are invited to attend the lecture.

Time Topic Speakers
2.00 to 2.30 p.m. Herbs in chronic kidney disease Dr. Malathy Professor of Nephrology, MMC, Chennai.
2.30 to 3.20 p.m. ABG interactive session Dr. R. Balasubramanian, Prof. & HOD of Medicine, Indira Gandhi Medical College, Puducherry.
3.20 to 4.10 p.m. The ageing kidney Dr. P. Ravikumar, Consultant Nephrologist, SMVMCH, Puducherry.

Time: 2.00 p.m. to 4.10 p.m.

Venue: Hospital Basement Auditorium

High Tea: 4.10 p.m.

A CME was conducted on 12.03.2020 in view of world Kidney Day 2020. This programme was attended by Undergraduate and Postgraduate students. In addition interactive patient care meeting was conducted by Dr. P.Ravikumar, for the patients and caretakers of patients on dialysis.

General Medicine

CME Based on World Kidney Day 13th March 2019

Patient Interactive Meet 14th March 2019

Dr.P.Ravi Kumar ( FULL Member of the International Society of Nephrology), Dr. Ravi Kumar P Nephrology Deptt, Sri Manakula Vinayagar Medical College & Hospital, Madagadipet, Pondicherry, India.

Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Pondicherry, 605107, India – Wednesday 13th of March 2019 at 10:00 AM

Organising Chairmen :Dr.A.K.Badrinath Deptt of Medicine & Dr.P.Ravi Kumar Nephrology Deptt., Sri Manakula Vinayagar Medical College & Hospital CME to be held on March 13,2019 to be addressed by Prof.V.Shivakumar, Prof OF Nephrology, Sri Venkateshwara Institute of Medical Sciences, Prof .Edwin Fernando,Prof & Head ,Nephrology Department, Stanley Medical College and Hospital, & Dr. Thiagarajan Thandavan. Exhibition: Kidney diseases/Diet in Kidney disease Camp for screening of kidney diseases

Patient interactive meet to be held on World kidney day on March 14, 2019 at the Sri Manakula Vinayagar Medical College and Hospital, Madagadipet, Pondicherry, India 605107

World Kidney Day 2018 Celeberation

Dr.P.Ravi Kumar, Consultant Nephrologist, Sri Manakula Vinayagar Medical College &Hospital

Sri Manakula Vinayagar Medical College &Hospital, Madagadipet, Pondicherry-605107, India – Thursday 8th of March 2018 at 11:00 AM

Interactive patient and public seminar.To educate about this year’s Theme on women and kidney disease. To Empower women! To Educate patient’s and family, friends about Pregnancy, Pre-eclampsia, Hypertension, Depression, and relationship to Kidney disease!

Panel discussion with Gynecologist Dr. Sasikala, HOD, OBG, SMVMCH & Consultant Physician Dr.S.Girija Professor of Medicine, Dr.Thyagarajan Consultant in dialysis, Nephrologist and Patients / Public in the audience.