Dr. Sachin Chaudhari
Physician & intensivist
Physician & Intensivist - MITR
Physician & Intensivist
An intensive care physician (or intensivist) is a doctor who specializes in caring for critically ill patients. An intensive care physician treats patients who have any medical or surgical illness or operation that requires critical care support – generally life-threatening major illnesses or operations where high-level life support is required.
Treatment & Procedures:
Treatment generally involves a multidisciplinary team. The intensive care specialist will direct patient management and ensure the patient is medically controlled as well as possible while other specialty teams intervene as appropriate.
1. Some common procedures include:
2. Ventilation
3. Percutaneous Tracheostomy
4. Arterial Cannulation
5. Central Venous Access
DIABETES:
Diabetes is a number of diseases that involve problems with the hormone insulin. Normally, the pancreas (an organ behind the stomach) releases insulin to help your body store and use the sugar and fat from the food you eat. Diabetes can occur when the pancreas produces very little or no insulin, or when the body does not respond appropriately to insulin.
There are three types of diabetes :
1) Type 1 diabetes – The body does not produce insulin. Patients with type 1 diabetes will need to take insulin injections for the rest of their life. They must also ensure proper blood-glucose levels by carrying out regular blood tests and following a special diet.
2) Type 2 diabetes – Approximately 90% of all cases of diabetes worldwide are type 2. Some people may be able to control their type 2 diabetes symptoms by losing weight, following a healthy diet, doing plenty of exercises, and monitoring their blood glucose levels. However, type 2 diabetes is typically a progressive disease – it gradually gets worse – and the patient will probably end up having to take insulin, usually in tablet form.
3) Gestational diabetes – This type affects females during pregnancy. Some women have very high levels of glucose in their blood, and their bodies are unable to produce enough insulin to transport all of the glucose into their cells, resulting in progressively rising levels of glucose.
HYPERTENSION:
Hypertension is another name for high blood pressure. It can lead to severe complications and increases the risk of heart disease, stroke, and death. It is a condition in which the long-term force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease.
Risk Factors: Hypertension risk factors include obesity, drinking too much alcohol, smoking, and family history. Beta-blockers are a common treatment for hypertension.
Symptoms: One of the most dangerous aspects of hypertension is that you may not know that you have it. If your blood pressure is extremely high, there may be certain symptoms to look out for, including-
1) A severe headache
2) Fatigue or confusion
3) Difficulty breathing
4) Pounding in your chest, neck, or ears
5) Irregular heartbeat
THYROID DISORDERS:
Thyroid disorders are conditions that affect the thyroid gland, a butterfly-shaped gland in the front of the neck. The thyroid has important roles to regulate numerous metabolic processes throughout the body. Through the hormones, it produces, the thyroid gland influences almost all of the metabolic processes in your body. Although the effects can be unpleasant or uncomfortable, most thyroid problems can be managed well if properly diagnosed and treated.
What Causes Thyroid Problems?
All types of hyperthyroidism are due to an overproduction of thyroid hormones, but the condition can occur in several ways-
Graves’ disease: The production of too much thyroid hormone.
Hypothyroidism: by contrast, stems from an underproduction of thyroid hormones. Since your body’s energy production requires certain amounts of thyroid hormones, a drop in hormone production leads to lower energy levels.
INFECTIOUS DISEASES (MALARIA, DENGUE, TYPHOID, TUBERCULOSIS):
Infectious diseases are disorders caused by organisms — such as bacteria, viruses, fungi or parasites. Many organisms live in and on our bodies. They’re normally harmless or even helpful, but under certain conditions, some organisms may cause disease.
There are treatments for some infectious diseases, but for others, such as some viruses, you can only treat your symptoms.
You can take steps to prevent many infectious diseases:
1) Get vaccinated
2) Wash your hands often
3) Pay attention to food safety
4) Avoid contact with wild animals
5) Don’t share items such as toothbrushes, combs, and straws
Both ‘malaria’ and ‘dengue’ are known to be rapidly spreading mosquito-borne diseases and of high importance in terms of both mortality and morbidity.
Dengue Fever: lasts for up to seven days often with a drop and then small resurgence towards the end (biphasic pattern), plus a headache, swollen and painful joints, and then a rash. Finger and toe joints also get swelled.
Malaria: a short lasting, recurring fever, accompanied by chills and body ache. The short duration and recurrence of symptoms are what really distinguish malaria from other illnesses.
Typhoid: Typhoid is a bacterial infection that can lead to a high fever, diarrhea, and vomiting. The infection is often passed on through contaminated food and drinking water, and it is more prevalent in places where handwashing is less frequent.
Urology And Andrology
Hypospadia Surgery
Urology And Andrology
- Kidney and Ureteral Stones: This is a condition in which a solid material is formed due to the presence of certain substances in higher proportion in urine. These can be extremely painful and can be found blocking the urine flow from kidneys to the urinary bladder. They are of various sizes and shapes; hence treatment is based on the aspects like- location of the stone, size, surface of stone and shape of stone.
- Bladder stones: They are stones found in urinary bladder.
- Urinary tract obstructions like PUJO (Pelvi-ureteric junction obstruction)
- Urinary Tract Infections: any infection that occurs in the urinary system is called as urinary tract infection. This infection could affect the kidneys, ureters, bladder or urethra.
- Urethral strictures
- Urinary Incontinence: A medical condition that leads to no control over the bladder.
- Neurogenic Bladder: The urinary bladder has nerves and muscles that work in synchronisation to allow urination to occur. But in cases of nerve injury due to an illness or trauma, the nerve endings to the bladder are damaged as well which hamper normal urination. Due to this miscommunication between the nerves and muscles of the bladder occur resulting in improper emptying of the bladder.
- Benign Prostatic Hyperplasia (BPH): Prostate is a gland present in males that is necessary for reproductive functioning. Usually in men this gland tends to grow in size. This enlarged growth of prostate is called as benign prostatic hyperplasia which affects the quality of life for them. It leads to displeasing symptoms like poor flow of urine or difficulty in urine leading to pain or incontinence.
- Hematuria: It is a condition in which blood is present in urine. It can arise in cases of infection, any trauma to the urinary system and due to certain viruses.
- Erectile Dysfunction: A sexual dysfunction that leads to the inability to maintain an erection of penis during sexual activity.
- Prostatitis: Infection of the prostate gland is called as prostatitis.
- Vasectomy Reversal
- Interstitial Cystitis: Interstitial cystitis is also called as bladder pain syndrome. It is a chronic inflammatory condition of the muscular layers of the bladder. The exact cause of Interstitial cystitis is not known as of yet
- Voiding Dysfunction
- Female Urology
- Prostate Cancer: Prostate gland is an essential part of a male reproductive system. It secretes an alkaline fluid that is part of the seminal fluid. This gland is around the urethra and still
- Kidney Cancer: Kidney cancer usually occurs only in one kidney but it can affect both too. Surgery is carried out to remove a part of the kidney that has the tumor or in certain cases the whole kidney might need resection.
- Testicular Cancer: Cancer of testicles could either occur in either one or in both. Testicles are part of the male reproductive system that are necessary for production of male hormones and sperms. If detected early, it is treatable.
- Bladder Cancer: Bladder cancer is cancer of the urinary bladder. If caught in time it can be treated easily.
- Low Testosterone
Hypospadia Surgery
- Endo-urology:
- 1. Laser Stone surgery
- 2. Extracorporeal Shock-Wave Lithotripsy (ESWL) for Kidney and ureteral stones
- 3. Percutaneous Nephro-lithotomy (PCNL)- Treatment of large kidney stones (> 2 cm)
- 4. Treatment of calyceal diverticula
- 5. Ureteropyeloscopy /Ureterorenoscopy (URS)
- 6. Treatment of ureteral and kidney stones
- 7. Visual Internal urethrotomy (VIU) for urethral strictures
- 8. Percutaneous Cysto-Lithotripsy for bladder Stones
- 9. Cystoscopy and DJ Stenting
- 10. Cystoscopy and RGP
- 11. Cystoscopy and Biopsy
- 12. Transurethral resection of bladder tumour (TURBT)
- 13. Transurethral resection of Prostate (TURP)
- 14. Bladder neck incision
- Laparoscopic surgery in Urology
- 1. Laparoscopic Nephrectomy
- 2. Laparoscopic Nephroureterectom
- 3. Laparoscopic adrenalectomy
- 4. Laparoscopic pyeloplast
- 5. Laparoscopic kidney biopsy
- 6. Laparoscopic drainage of renal cysts
- 7. Laparoscopic ureterolithotomy for ureteric stones
- Orchiopexy for testicular torsion
- Ureteric re-implantation
- Pyeloplasty
- Sling surgeries for incontinence in Females like TVTO
- Management of Kidney trauma
- Management of injuries to ureter
- Radical prostatectomy
- Radical excision of bladder tumour
- Bladder augmentation
- Uretero-ureterostomy