राजकीय आयुर्विज्ञान संस्थान, उत्तर प्रदेश
Government Institute of Medical Sciences, Uttar Pradesh
The department of TB and Respiratory diseases was established in 2018 with RNTCP certified DOTS centre. The department provides outpatient and inpatient care along with facilities for management of conditions presenting with acute respiratory distress . We have 8 beds for inpatient care and a separate ward for management of patients suffering from pulmonary tuberculosis. The staff is well trained for management of various respiratory ailments ranging from Pneumonia, Asthma, COPD and Lung Cancer. We have facilities for interventional procedures like pleural fluid aspiration and Intercostal Drainage . Our DOTS centre has latest diagnostic tools for early diagnosis of TB and resistance pattern and is equipped with facilities for diagnosis of Diabetes and HIV and facilitates for treatment of the same .
A. Faculty Members of PULMONARY MEDICINE:
S No
Faculty
Name Rank & Appointment
DOJ
Teaching experience
1
DR. Rashmi Upahyay
MBBS, MD , DNB (PULMONARY Medicine)
Associate Professor and Head
MBBS, MD , DNB (PULMONARY Medicine)
Associate Professor and Head
26.06.2019
Yes
Residents In Department Of PULMONARY MEDICINE:
S.No
Resident
Name
Qualification
Joining Date
*
Senior Resident
-
-
-
1
Dr. Sagar Srivastava
MBBS, DNB (Respiratory Medicine)
30/05/2022
2
Dr. Shekhar Singh
MBBSMD (Respiratory Medicine)
28/08/2022
Non-Teaching Staff of Department of PULMONARY:
Designation
Name
Nursing Incharge
Mr. Sandeep Singh
RICU Incharge
Mr. David Sidhu
Bronchoscopy and PFT technician
Mr. Praveen Bhati
Staff Nurse
Mr. Javed Ali
Mr. Mohit Panchal
Mr. Akash Sharma
Mr. Ashish Rathi
Miss. Pooja Jaiswal
Miss. Poonam Deopa
Miss. Anita Gautam
Mr. Mohit Panchal
Mr. Akash Sharma
Mr. Ashish Rathi
Miss. Pooja Jaiswal
Miss. Poonam Deopa
Miss. Anita Gautam
Data entry operator
Mr. Dharamveer
Departmental Information:
S.No
Headings
Details
1
Name of the Department
Pulmonary Medicine
2
OPD (Monday-Saturday)
• Upper and lower respiratory tract infections
• Allergic sinusitis/rhinitis
• Pulmonary Tuberculosis
• Cervical Lymphadenopathy
• Bronchitis
• Asthma
• Chronic obstructive Pulmonary Disease
• Interstitial lung Disease
• Pulmonary Rehabilitation
• Fungal Lung Diseases
• Shortness of breath due to any cause
3
IPD (beds)
MALE :6
FEMALE :6
ISOLATION :15
4
ICU
6 beds with mechanical ventilator
• Respiratory Distress
• ARDS
• Sepsis
• Shock
• Pulmonary Embolism
• Poisoning
• Neurological weakness causing respiratory distress
• Pneumothorax
• Hemothorax
5
PROCEDURES
• Pulmonary Function Test
• Pleural fluid aspiration(Diagnostic and Therapeutic)
• Intercostal drainage
• Sputum and aspirate smear for AFB /TRUNAAT
• CT guided FNAC and Biopsy of mass lesions of lung
• Fiberoptic bronchoscopy(BAL ,Endobronchial Biopsy , Brush Biopsy)
• Intubation and Mechnaical ventilation
• Sleep Study(POLYSOMNOGRAPHY)
• Sampling for FNAC of lymph nodes(Cervical/Inguinal)
6
EQUIPMENTS
Spirometer
Fiberoptic Bronchoscope
Mechanical Ventilators
Sleep Lab
Pulmonary Rehab equipments
7
CME/WORKSHOPS
7 January 2021: CME on Updates of MANAGEMENT OF DRUG RESISTANT TUBERCULOSIS
25 March: Celebration of world TB Day and CME on latest trends in diagnosis and Management of Tuberculosis
3 SEPT 2022: Inauguration of DR TB ward
13 september 2022: CME on Programmatic management of Drug resistant TB
8
TRAINING ACTIVITIES
MBBS: Clinical postings of 2nd year MBBS onwards for acquaintance with the subject and case based cbasic training regarding identification and primary management
JUNIOR RESIDENTS: Daily case based training regarding various aspects of patient care ,approach to management of cases , ethical and moral values associated which form an integral part in patient care
DNB program: Fixed schedule for clinical presentation and journal club. Lectures and updates in clinical practice is scheduled every month and strictly followed.
8
RESEARCH ACTIVITIES
• ICMR : PLACID Trial
• ICMR: COVID 19 registry
• Evaluation of complications and sequelae in COVID 19 Patients with LONG COVID
• Outcomes of Pulmonary Rehabilitation in POST COVID patients with Long COVID
• Comparison of SIDDHA medicines with Standard Allopathy treatment in COVID 19 patients
• Stressor Combat Strategies and Motivating Factors Among Health Care Service Providers During COVID-19 Pandemic (Anurag Srivastava, Saurabh Srivastava, Rashmi Upadhyay, Rakesh Gupta, Kiran Jakhar, Ruchi Pande)
Mission
- 1. To provide best healthcare facilities to the patients atten
- 2. Create awareness regarding health among people in the area and around
- 3. Persistent efforts to improve quality of healthcare and keep up with the latest advancements in the field
- 4. Carry out research activities, educational programmes and training of students and staff.
RESEARCH ACTIVITIES
- • ICMR : PLACID Trial
- • ICMR: COVID 19 registry
- • Evaluation of complications and sequelae in COVID 19 Patients with LONG COVID
- • Outcomes of Pulmonary Rehabilitation in POST COVID patients with Long COVID
- • Comparison of SIDDHA medicines with Standard Allopathy treatment in COVID 19 patients
Faculty
Dr. Rashmi Upahyay
MD, DNB
Assistant Professor & Head
Achievements and Awards of Dr. Rashmi Upahyay
- 1. Dr. Sahebzada Saiduzzafar Khan Gold medal in Anatomy in 2003
- 2. Honours in Anatomy, MBBS First Year, 2003
- 3. Honours in Physiology, MBBS First Year, 2003
- 4. Honours in Microbiology, MBBS Second Year, 2005
- 5. Honours in Ophthalmology, MBBS Third Year, 2006
- 6. Honours in Paediatrics, MBBS Final Year, 2007
- 7. Honours in Obstetrics and Gynaecology, MBBS Final Year, 2007
- 8. Honours in Medicine, MBBS Final Year, 2007
- 9. Honours in Surgery, MBBS Final Year, 2007
- 10. Awarded BEST JUNIOR RESIDENT in 2011 on 66th foundation day of Department of Pulmonary Medicine, KGMU
Details of Membership
- 1. Life member of Allergy asthma and applied immunology
- 2. Life Member of Indian Sleep Disorders association
Conferences and CMEs attended by Dr. Rashmi Upahyay
- 1.14th National Conference of Chest Physicians and Indian Chest Society - November 2012.
- 2.Attended PG update 2013 held on 14-15 Sept 2013 at VMMC Safdarjung Hospital. N. Delhi
- 3.Attended HIHT Pulmocrit 2013 (Basic Bronchoscopy workshop ) on 26 October 2013
- 4.Attended BPCON 2013 held at Lucknow on 16-17 November
- 5.Participated in 20th annual conference of Indian Society of Critical Care Medicine held from 14th- 16th Feb 2014 at Jaipur
- 6.Participated in National Sleep Medicine Course 2015 5th-6th Dec in Guwahati
- 7.Curriculum implementation support program” 3 days training programme held at Government Institute of Medical Sciences, Greater Noida, UP on 25th- 27th July 2019
- 8.“Revised Basic Course Workshop in Medical Education Technologies” 3 days training programme conducted Maulana Azad Medical College, Regional Centre at Government Institute of Medical Sciences, Greater Noida, UP on 3-5 December 2019.
- 9.“AETCOM sensitization Programme for Attitude, Ethics and Communication” 3 lidays training programme conducted Maulana Azad Medical College, Regional Centre at Government Institute of Medical Sciences, Greater Noida, UP on 6 December 2019.
- “10.Curriculum implementation support program II” 3 days training programme held at Government Institute of Medical Sciences, Greater Noida, UP on 9th and 10th September 2020.
- 11.“Good Clinical Practice” workshop held on 23rd October 2020.
- 12.”Fighting COVID-19 – Translating Knowledge to Action” from 5th December 2020 to 13th January 2021
- 13.PHFI’s Certificate Course in Antimicrobial Stewardship(CCAMS), Batch – II from 20 jan 2021-25 jan 2021
- 14.HRCT Masterclass in association with CHEST in June 2021
- 15.DIFFICULT TO TREAT TB classes organised by UP TB DIVISION AGRA
- 16.NAPCON 2023, march at AGRA
- 17.UP STF meeting at Agra 1st march 2023
CONTRIBUTIONS TO THE DEPARTMENT Dr. Rashmi Upahyay
- 1. Establishment of MDR TB ward 2022
- 2. Establishment of BRONCHOSCOPY UNIT
- 3. Establishment of PULMONARY CRITICAL CARE ICU
- 4. Establishment of SLEEP LAB
Research & Publications by Dr. Rashmi Upahyay
- 1. MD Thesis: Study on Cardiac Comorbidities associated with Chronic Obstructive Pulmonary Disease and Various Manifestations, 2012.
- 2. Primary Pulmonary T-cell Non Hodgkin’s T-cell lymphoma - GJMEDPH, Vol 1(3) May- June 2012 GJMEDPH, Vol 1(3) May- June 2012
- 3. Swyer James Mcleod Syndrome presenting as hemoptysis in an adult - GJMEDPH, Vol 1(3) May- June 2012
- 4. Platinum based doublet cross over therapy for advanced stage non-small cell lung cancer? A better survival option - GJMEDPH, Vol 1(4) July- August 2012
- 5. Verma SK, Kapoor N, Bhaskar R, Upadhyay R. Pyopneumothorax following suicidal kerosene ingestion. BMJ Case Rep. 2012 Dec 18;2012:bcr2012007795. doi: 10.1136/bcr-2012-007795. PMID: 23257648; PMCID: PMC4544370.
- 6. Garg R, Kushwaha RA, Goel MM, Upadhyay R. An Unusual Cause of Respiratory Distress: Solitary Tracheopathia Osteochondoplastica-A Rare Entity. J Bronchology Interv Pulmonol. 2015 Jul;22(3):274-7. doi: 10.1097/LBR.0000000000000152. PMID: 26165901.
- 7. Maxillary sinusitis with pulmonary tuberculosis: Upadhyay R, Prakash V, Singh AB, et al. BMJ Case Rep Published online: [14 July 2014] doi:10.1136/bcr-2014-203952
- 8. Sinobronchial allergic aspergillosis with allergic bronchopulmonary aspergillosis: a less common co-existence Upadhyay R, Kant S, Prakash V, et al.BMJ Case Rep Nov 4, 2014 doi:10.1136/bcr-2013-201946
- 9. " Verma SK, Upadhyay R, Chand P, Tayal N. Tuberculosis: oral alveolus and pulmonary alveoli coexisting. BMJ Case Rep. 2014 Dec 4;2014:bcr2013202014. doi: 10.1136/bcr-2013-202014. PMID: 25477361; PMCID: PMC4256666.
- 10. Upadhyay R, Dubey A, Kant S, Singh BP. Management of severe obstructive sleep apnea using mandibular advancement devices with auto continuous positive airway pressures. Lung India. 2015 Mar-Apr;32(2):158-61. doi: 10.4103/0970-2113.152632. PMID: 25814802; PMCID: PMC4372871.
- 11. Ajay Kumar Verma, Ved Prakash, Rashmi Upadhyay, Surya Kant, Ankit Bhatia .Oral tuberculosis mimicking malignancy .Muller Journal of Medical Sciences and Research Vol 6 | Issue 1 | January-June 2015
- 12. Abhishek Dubey,Balendra Pratap singh, ,Sunita Tiwari, Rashmi Upadhyay.Anthropometrical Correlates Of Sleep And Metabolic Parameters:A tertiary center sleep lab based study.International journal of pharma and biosciences January 2015,6(1)
- 13. The potential impact of family history of loud Snoring and risk of Obstructive sleep apnea in overweight subjects. Abhishek Dubey, Surya Kant, Abbas Ali Mahdi, Sunita Tiwari, Rashmi Upadhyay Snehal Upadhyay : Journal of Cardiovascular Disease Research Vol 5 ● Issue 4 ● Oct-Dec 2014
- 14. Upadhyay R, Garg R, Kushwaha R, Goel M. A long-standing endobronchial non-Hodgkin's lymphoma: Designed to be cured. Lung India. 2016 Sep-Oct;33(5):577-8. doi: 10.4103/0970-2113.188996. PMID: 27625464; PMCID: PMC5006350.
- 15. Singh, A., Upadhyay, R., & Tayal, N. (2017). Diagnostic and treatment challenges in management of allergic fungal rhinosinusitis. Indian Journal of Allergy, Asthma and Immunology, 31(2), 38. https://link.gale.com/apps/doc/A507183248/AONE?u=anon~e96f19f0&sid=googleScholar&xid=23773833
- 16. Chapter in Mannual of Practical examination in critical care and emergency medicine, Radiology in Intensive Care ;27;598-622.CBS publishers and distributors Pvt Ltd, Jan 2019
- 17. Agarwal A, Mukherjee A, Kumar G, Chatterjee P, Bhatnagar T, Malhotra P et al. Convalescent plasma in the management of moderate covid-19 in adults in India: open label phase II multicentre randomised controlled trial (PLACID Trial) BMJ 2020 ; 371 :m3939 doi:10.1136/bmj.m 3939
- 18. .Upadhyay R, Aprajita , Srivastava S, Raja A, Gupta RK. Healthcare professionals' knowledge, attitudes, and practices on coronavirus disease in Western Uttar Pradesh. J Edu Health Promot 2020;9:359
- 19. Saurabh Srivasatava,Shalini Bahadur,Shalini Shukla ,Rashmi Upadhyay, Jaganathan Sikcan et al. Quantification of IgG specific antibodies in recovered COVID 19 patients and its association with disease severity. RAS mIcrobiology and Infectious diseases.
- 20. Srivastava, A., Rengaraju, M., Srivastava, S. et al. A double blinded placebo controlled comparative clinical trial to evaluate the effectiveness of Siddha medicines, Kaba Sura Kudineer (KSK) & Nilavembu Kudineer (NVK) along with standard Allopathy treatment in the management of symptomatic COVID 19 patients - a structured summary of a study protocol for a randomized controlled trial. Trials 22, 130 (2021). https://doi.org/10.1186/s13063-021-05041-x
- 21. Kumar G, Mukherjee A, Sharma RK, Menon GR, Sahu D, Wig N, Panda S, Rao VV, Singh S, Guleria R, Bhargava B; National Clinical Registry for COVID-19 Team. Clinical profile of hospitalized COVID-19 patients in first & second wave of the pandemic: Insights from an Indian registry based observational study. Indian J Med Res. 2021 May;153(5&6):619-628. doi: 10.4103/ijmr.ijmr_1628_21. PMID: 34259194; PMCID: PMC8555588.
- 22. Srivastava A, Rengaraju M, Srivastava S, Narayanan V, Gupta V, Upadhayay R, Kumar J, Parameswaran S, KanakavalliKadarkarai, AarthiVelmurugan. Efficacy of two siddha polyherbal decoctions, Nilavembu Kudineer and Kaba Sura Kudineer, along with standard allopathy treatment in the management of mild to moderate symptomatic COVID-19 patients-a double-blind, placebo-controlled, clinical trial. Trials. 2021 Aug 28;22(1):570. doi: 10.1186/s13063-021-05478-0. PMID: 34454572; PMCID: PMC8397852.
- 23. Srivastava A, Srivastava S, Upadhyay R, et al. (April 27, 2021) Stressor Combat Strategies and Motivating Factors Among Health Care Service Providers During COVID-19 Pandemic . Cureus 13(4): e14726. doi:10.7759/cureus.14726
- 24. Chopra, Deepti & Rathore, Bharti & Rai, Jayant & Upadhyay, Rashmi & Sidhu, Jaspreet & Srivastava, Saurabh. Hydroxychloroquine: Adverse Drug Reaction Profile of an Old Drug in a New Situation. Current Drug Safety. 17. 10.2174/1574886317666220301111913. (2022)
Details of chapters in books
- 1. Pain management (Hindi)
- 2. Radiology in Intensive care in Mannual of practical examination in Critical Care and Emergency Medicine
Certificate courses by Dr. Rashmi Upahyay
- 1. Certificate Course in evidence based Diabetes management cycle II, PHFI, New Delhi
- 2. Certificate course in Diabetes and Cardiovascular diseases,PHFI ,New Delhi
- 3. ACLS, BLS 2016
- 4. FCCS course in January 2017 at Max Saket , New Delhi
- 5.State level PMDT 2021 guidelines Training of Trainees 6 September to 9 September 2021 STDC Agra
- 6.Certificate course in Antimicrobial Steawardship Batch 2 from 20-25 January 2021: PHFI
- 7.Certificate course in Fighting COVID 19-translating knowledge to action 13.01.2021:PHFI
- 8.Certificate course in online PSG scoring workshop July -August 2021
Details of PROCEDURAL EXPERTISE
- 1.Fiberoptic bronchoscopy(diagnostic/therapeutic)
- 2.Endobronchial Ultrasound (EBUS)
- 3.Medical Thoracoscopy
- 4.Allergy Immunotherapy
- 5.CT guided FNAC ,Biopsy
- 6.Spirometry / Diffusion lung capacity tests
- 7.Staging of Cancer and Cancer Chemotherapy
- 8.Sleep study for diagnosis of sleep related disorders
- 9.ICU Procedures: Endotracheal intubation, Mechanical ventilation, central and arterial lines, hemodynamic monitoring , management of septic shock
- 10.Management of emergency procedures (Intercostal drainage )
- 11.Speciality clinics : Interstitial lung diseases, ABPA, Asthma and allergy, Tuberculosis
- 12.Management of Diabetes and Hypertension
Dr. Sagar Srivastava
MD,
Senior resident
Work Experience of Dr. Sagar Srivastava:
I. Have worked as ‘Post Graduate Resident’ in the Department of Pulmonology in Ram Krishna Care Hospital, Raipur from 5th June 2017 to 16th July 2020 (6 weeks mandatory extension due to COVID-19 pandemic), and
a. Have worked in emergency and have mastered the skill of effective triaging and protocols for best management of the patients.
b. Have worked in pulmonology ward which includes treatment management, assisting consultants, patient and relatives counselling.
c. Have worked in intensive care units, and have learned the skills of emergency management, lines placement, intubation and mechanical ventilation.
d. Have independently performed about 180-200 Elective & Emergency bronchoscopic procedures including endobronchial ultrasound, pediatric bronchoscopies, foreign body removal.
e. Have done rotatory postings in the departments of Critical care, Radiology and emergency care.
II. Have worked as ‘Consultant’ in department of Pulmonology at Navjeevan Hospital, Gwalior from 1st August 2021 to 30th April 2022.
Research Works/ Seminar presentations:
Academic Workshops and Accomplishments:
Department Workload
Department Pics
