Department of Nephrology
Overview
- 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
- Preventive nephrology- Pondicherry Rural Kidney Survey Project. (3yr. project)
- 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:
- Challenges for dialysis staff – during covid-19 times-A QUAL study
- Survival Analysis on hemodialysis patients in a Rural Hospital in Pondicherry, South India- a retrospective cohort study.
- Patient education and advocacy in Dialysis –a Qualitative study.
- HTLV-1 in Hemodialysis-The HAM syndrome.
- QOL study in dialysis.
- Patient education in dialysis patients: 8 year study.
- QOL study in hemodialysis patients
- Pruritus in hemodialysis patients
- Prolonged QT syndromes in hemodialysis patients
Awards
Distinctions and other Awards:
Received2009-2012 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
- 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.
- Unit Metrics displayed every month.
Events
Interactive Educational Meeting – Patient / Staff Meet Report
In continuity with the Department of Nephrology’s thrust towards patient centric case, yet another patient Focused– Interactive didactic patient Educational Meeting was hosted at Sri Manakula Vinayagar Hospital, Madagadipet, Puducherry at the Basement Auditorium on 6th August 2024. This 3 hour session was a very informative, educative and patient empowering session.
As usual we were lucky to have in our midst the Principal speaker Dr. Thyagarajan Thandavan, CEO, TIDES Institute LLC as from Chennai. This is a triannual meet conducted by Dept. of Nephrology since last 8 years. Dr. Thyagarajan provided lot of patient friendly healthcare tips and facilitated discussions with patients, caregivers and staff, providing valuable insight and delved through patient and family experiences.
Dr. Girija Gopal, Prof. & HOD, Medicine Dept. and Deputy Medical Superintendent graced the occasion this time also as she has been a pillar of strength for our dialysis patients since inception of these meetings. Other speakers included Dr. Sugan Gandhi, Nephrologist. Dr. Ravikumar HOD, Dept. of Nephrology also interacted with patients. This is a unique feature of our bonding & interactive with our patients of families. All the doubts and queries from patients & attenders were addressed in depth & length.
These meetings are the core of patient education. Active collaboration between staffs & patients were advocated. Patients & their caregivers were given free use of the microphone & anecdotal episodes and issues close to their heart were presented by them. A family fulcrum was thus maintained evenly. Many issues pertaining to patient care were addressed in a thread bare manner. These sort of interactive educational meetings will go a long way in fostering & empowering patients to go ahead in a patient-centric model of health care where the patient is in the driving seat & is responsible for their own health.
These meeting buttressed the importance of patient education, communication, removal of barriers hindering patient care & thus going a long way in improving patient care and rendering patient satisfaction.
This model in fact has been presented at the last World Congress held in kaulalumpur, Malaysia.
World Kidney Day 2024 Celebration
We held our world kidney day CME event conducted by Nephrology Department & Department of General Medicine-Organized by Dr. Ravi Kumar Sr. Consultant Nephrologist, Sri Manakula Vinayagar Medical College & Hospital, Madagadipet, Puducherry & Dr. Girija Gopal, Professor & HOD, Medicine Department. A CME was organized on 14.03.2024 at Sri Manakula Vinayagar Medical College & Hospital Campus. Our Guest speakers were Dr. Ranjanne Muthu, Senior Consultant Nephrologist, Apollo Hospitals, Chennai & Dr. Thiagarajan Thandavan, CEO, TIDES Institute, Chennai, who expounded on the World Kidney Day theme for this year “Kidney Health for All – Advancing Equitable Access to Care and Optimal Medication Practice”. We were ably assisted by Dr. Sugan Gandhi Asst. Professor of Nephrology, SMVMCH & Dr. Gavaskar, Dr. Shalini, Dr. Akkasthiya, Dr.Pooja, Mr. Adhimoolam and other staff from the Nephrology department. Total of 94 delegates attended the CME Programme.
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.
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.
