|::Departments : Clinical : Department of Chest Medicine|
The Department of thoracic medicine has been functioning in this hospital for the past 20 years. The department of thoracic medicine has been provided with separate OP and wards for men and women and dedicated separate ward for tuberculosis patients
The department O.P. (out patient) start from 8 a.m. and functions up to 12 noon. The daily average number of out-patient, cases both new and old cases together is around 150. This includes both tuberculosis and other respiratory disease cases.
The HOD and assistant professors of this Department have been trained in RNTCP (Revised national Tuberculosis control programme). The department has been supported by district tuberculosis center provided with Binocular microscopy and necessary lab materials and a RNTCP trained lab Technician. Health visitor for registering TB cases and issue of transfer slips and a medical officer from the district TB centre has been deputed to the department for carrying out RNTCP.
The department has undertaken sputum examination for all chest symptomatic, referred from general medicine department and chest department including both out-patient and in-patient.
The department of chest medicine has been asked to register all tuberculosis and extra pulmonary tuberculosis cases from the same district and also from the neighboring district.
we have been referring cases (index, suspect pulmonary cases and extra pulmonary patients to the DTC as per RNTCP norms and all patients are brought under DOTS therapy.
We came across lot of occupational lung disease (pneumoconiosis) like Byssinosis, silicosis etc. , since there are lot of quarry workers, weavers and textile workers in and around salem.
We do come across HIV co-infection along with pulmonary tuberculosis. We maintain a separate register for same, as HIV/TB register.
Since HIV& TB co-infectoin are very common and our hospital is having VCTC (voluntary counseling centre), we have been referring all tuberculosis patient in whom HIV is suspected to the VCTC.
The in-patient strength, including male and female is 30. The bed occupancy rate is 100% almost all the time. We admit both tuberculosis and non – tuberculosis cases like bronchial asthma, COPD, bronchogenic carcinoma, suppurative lung diseases and occupational lung disease cases.
The department of thoracic medicine has been provided with The cases being referred from all the departments of this hospital, both in-patient and out-patient. Department is equipped with flexible fibroptic bronchoscopy and spirometry, peak flow meter, nebulizers , intercostal drainage facility, pulseoximeter rigid broncoscope, arterial blood gas machine The department has been provided with flexible fibroptic bronchoscopy and a separate room has been provided for doing the procedure.
The bronchoscopy room is provided with pulse oximeter , suction apparatus and nebulizer for conducting the procedures efficiently. We admit cases for doing bronchoscopy procedure in whom it is indicated.
We have been provided with a spiro-meter for doing pulmonary function test in obstructive and restrictive lung diseases and asses the pulmonary function after broncho-dilator therapy and physio-therapy.
The SECOND CLINICAL YEAR MBBS STUDENTS are regularly posted every year to the department for training. We take clinical demonstrations classes both in out-patient department and TB & respiratory diseases ward in our hospital.
We take theory classes for final year MBBS students at Government mohan kumaramangalam medical college in the evening hours every fort-night.
We participate in the clinical meetings organized by the association of physicians of Govt. mohan kumaramangalam medical college and hospital every month and we present clinically interesting cases for open discussion . for the past 3 years we were presenting maximum number of clinically interesting cases and duly rewarded for the same.
Moreover the CRRI’s are posted to our department to undergo training in thoracic medicine. We discuss important articles in the clinical journals with the CRRI’s to update their knowledge in the TB and Respiratory Medicine. We have adequate clinical materials to present papers in National conference.
We had conducted CME programme on TB & Respiratory medicine sponsored by Tamil Nadu Dr. MGR medical university and medical council of India in the month of may 2003. eminent professors from various parts of Tamil Nadu participated in the programme and gave guest lectures. The medical officers of PHC’S and private practitioners were the beneficiaries of the programme. Department of thoracic medicine and district tuberculosis center jointly conducted CME on RNTCP UPDATES on 2013.
We also admit cases under CMCHIS , and so far 135 cases are benefited under the scheme.
THEORY PROGRAMME FOR THE UNDERGRADUATES (2015-2016)
|DAY AND TIME
(FROM MARCH 2015 –MAY 2015)
TB&OTHER RESPIRATORY DISEASES
-Clinical demonstration classes for first clinical year – for 15 days for each batch on rotation
-Weekly theory classes for the Pre-final year students - the following topics were discussed during theory classes
3) Chemotherapy of tuberculosis
4) Bronchial asthma
6) Pleural effusion
10) Occupational lung diseases
11) Respiratory failure
12) Lung abscess
13) Congenital anomalies of lung
14) Bronchiogenic carcinoma
18) Cystic fibrosis
19) Childhood asthma
20) Community acquired pneumonia
TEACHING PROGRAMME FOR THE POST GRADUATES 2015-2016
THORACIC MEDICINE CLASS
12 TO 1 PM
-Clinical classes for PG students for 15 days (1st year M.D General medicine) & for 1 month (II year M.D General medicine)
Number of units in the department
OP Days and Timings
Monday to Saturday : 8:00 to 12:00 noon
IP Unit and Admission Day
TB ward (Monday to Saturday)
Pulmonology ward (Monday to Saturday)
Bed strength of Department
TB ward: 20 beds
Pulmonology ward : 20 beds
Average OP statistics
||AVERAGE PER MONTH
Average IP Statistics
||AVERAGE PER MONTH