CMS

Department of Nephrology

INTRODUCTION

Department of Nephrology was established as a separate clinical specialty in College of Medical Sciences Teaching Hospital in 2010 AD, under the leadership of the eminent Professor from India, Professor Dr G.C Das. Prior to that, Nephrology service in the hospital was restricted to hemodialysis programme and the nephrology patients were managed by Internists. Nephrology department was recognized by Kathmandu University in February 2010AD. The Department was the first of its kind in entire Nepal outside the capital city to provide the complete Nephrology services including Renal Transplantation. In Feb 2010 AD, with the permission of Kathmandu University; the college has started DM Nephrology – a post-doctoral super specialty programme in Nephrology, for the first time in Nepal. In a very short period of time, the department has grown tremendously in terms of its services and academic excellence. Recently in April 2015, the first renal transplantation was done in the college, which was the first of its kind in private medical sector of Nepal and that too outside capital city Kathmandu. Nephrology department is very much dedicated to patient service and thriving for academic excellence and research activities.

  1. Current Faculty in the Department
    • Prof G.C Das
    • MD (Internal Medicine) DM (Nephrology), FISN (Japan)
    • Renal Transplant Physician
    • HOD Nephrology
  2. Dr Madhav Ghimire
    • MD (Internal Medicine) DM (Nephrology)
    • Renal Transplant Physician
    • Incharge Department of Nephrology

Dr Madhav Ghimire is the first DM Nephrology graduate of the country, Nepal. He has joined the department of Nephrology in the College of Medical Sciences Teaching Hospital in the year 2010 AD as a candidate of DM Nephrology resident, under Kathmandu University. He completed his DM degree in the year 2013 AD. He became the first DM Nephrologist of the country. Other than this, he had training in Nephrology from various reputed international institutes like Mario Negri Institute in Bergamo (Italy), PGIMER Chandigarh (India), Sir Ganga Ram Hospital, New Delhi (India). Currently he is working in the department as a faculty (Associate Professor) and In charge. Dr Madhav Ghimire, was a key person, as a renal transplant physician, in the renal transplantation, which was the first of its kind in the private medical sector of Nepal, outside the capital city Kathmandu.

Services Provided By the Department

  1. Outpatient Service.
    • 3 days in a week (Monday/Wednesday/Friday)
    • On average 35-40 patients (Maximum 50 Patients) per OPD.
    • All Kinds of Kidney Disease patient including Post Renal transplant follow up patients.
    • Number of Post Renal transplant follow up patient- 10 per month
  2. Inpatient Service
    • 30 bedded Ward.
    • Renal Bed in ICU-5
    • On average 90-95% bed occupancy.
    • All kinds of kidney patients.
    • Most common- CKD approx. 60% of cases.
    • Others-
      • AKI
      • Glomerulonephritis
      • Malignancy Related Renal Failure
      • Stone disease
      • Post-transplant patients
  3. Dialysis Service
  4. The dialysis unit of our college was established on 30th July 2007 with an aim to provide dialysis service to renal failure patients from all parts of the country. Currently 10 dialysis machines are in service and free dialysis services are being provided to the poor and needy patients. Approximately 2000 renal failure patients have been already benefitted in the last 6 years from the dialysis unit of this college.

    1. Hemodialysis Service-
      • Maintenance Hemodialysis Programme- (100 patients in pool).
      • Emergency Hemodialysis Service (Round the clock).
      • Hemodialysis service for Inpatients and ICU patients.
      1. Machine
        • Currently 10 digital  touch screen machines (Fresenius )
      2. Staff dialysis
        1. Senior sister (Sister In charge): 02
        2. Dialysis Technician: 01
        3. Dialysis sisters: 12
      3. In a month on an average 550-600 sessions of hemodialysis are being done from the hemodialysis Unit and currently 80 patients are under Government`s free hemodialysis programme

    2. Hemodialysis With Ventilator Support in Hemodialysis Unit.

      1. SLED (Sustained Low Efficiency Dialysis)- SLED service is provided to sick patients in ICU
      2. Peritoneal Dialysis Service- More than 150 Acute Peritoneal Dialysis done in the ICU Setting.
      3. Plasmapheresis service
      4. Renal Transplant Service:
      5. College of Medical Sciences has always been a pioneer in starting the various academic and hospital based programmes. To add to the list the kidney transplantation is the latest. This college has created a history and has become the first private medical college in entire Nepal to start the renal transplantation. The first transplant operation was successfully performed on 24th April 2015. Department of Nephrology is proud to be a part of this milestone.

      6. Kidney Biopsy Service- Approximately 300 kidney biopsies done in last 5 years.

      ACHIEVEMENTS OF DEPARTMENT OF NEPHROLOGY

      1. In Renal Transplantation-
        • First Private Medical College to do Renal Transplantation outside capital city Kathmandu.
      2. In Hemodialysis-
        • First Private Medical College to bring the “Nepal Government`s Poor People Fund Programme” for maintenance hemodialysis patients- Since September 2012.
        • One of the largest  MHD Programme of Nepal.
      3. Collaboration with International Society of Nephrology -COMGAN Sister Renal Center programme for the upliftmemt of the department. This programme was established between Mario Negri Institute in Bergamo, Italy and Department of Nephrology, College of Medical Sciences Teaching Hospital, Bharatpur, Nepal, 2011.

      DEPARTMENT OF NEPHROLOGY

      DAILY DEPARTMENTAL ACTIVITIES IN TIME TABLE

      Day/ Time

      8:00am -9:30 am

      9:30 am-10:00 am

      10:30 am - 12:00 am

      12:00am -1:00 pm

      1:00 pm -2:00 pm

      2:30 pm -4:30 pm

      4:30pm-5:00pm

      Sunday

      Intern`s/ MD Resident`s Presentation

      Faculty Meeting @ Directors Office

      Morning Rounds (Hemodialysis/ ICU/Ward/Interdepartmental Calls)

      Post Round Patient Counseling and Discharge Preparation

      Lunch Break

      Renal Transplant Meeting

      Evening Round

      Monday

      Morning Rounds (Hemodialysis/ ICU/Ward/ Cabin/Interdepartmental Calls)

      Faculty Meeting @ Directors Office

      OPD DAY

      Lunch Break

      OPD DAY

      Tuesday

      Intern`s/ MD Resident`s Presentation

      Faculty Meeting @ Directors Office

      Morning Rounds (Hemodialysis/ ICU/Ward/Interdepartmental Calls)

      Post Round Patient Counseling and Discharge Preparation

      Lunch Break

      Dialysis and ward  Meeting

      Evening Round

      Wednesday

      Morning Rounds (Hemodialysis/ ICU/Ward/ Cabin/Interdepartmental Calls)

      Faculty Meeting @ Directors Office

      OPD DAY

      Lunch Break

      OPD DAY

      Thursday

      Intern`s/ MD Resident`s Presentation

      Faculty Meeting @ Directors Office

      Morning Rounds (Hemodialysis/ ICU/Ward/Interdepartmental Calls)

      Post Round Patient Counseling and Discharge Preparation

      Lunch Break

      Dialysis and ward  Meeting

      Evening Round

      Friday

      Morning Rounds (Hemodialysis/ ICU/Ward/ Cabin/Interdepartmental Calls)

      Faculty Meeting @ Directors Office

      OPD DAY

      Lunch Break

      OPD DAY

      OUT PATIENT CLINIC

      DAYS

      TIME

      MONDAY

      10:00AM- 5:00PM

      WEDNESDAY

      10:00AM- 5:00PM

      FRIDAY

      10:00AM- 5:00PM

      SPECIAL CLINIC (POST RENAL TRANSPLANT CLINIC)

      DAYS

      TIME

      SUNDAY

      2:30PM- 3:30PM

      ACADEMIC ACTIVITIES

      Department of Nephrology is highly devoted to academics activities. Academic sessions are regular part of the departmental activities. Various academic activities targeting students, interns, nursing staffs and post graduate residents are conducted by the department in regular basis. Nephrology department has produced 2 DM Nephrology graduate, one in the year 2013 and other in 2014 AD. The first graduate is the first DM graduate of the country. Currently he is working as faculty and in charge in the department of Nephrology of College of Medical Sciences Teaching Hospital and leading the department. In order to update the academics faculties from the department attend various national and international Nephrology conferences to present their papers and show their participation.

      PUBLICATION BY THE DEPARTMENT

      1. Clinicomicrobiological Profile of Infective Endocarditis in Tertiary care center of Nepal.Madhav Ghimire, Karki P, Khanal B, Acharya P, Sharma SK, Pahari Bishnu. Published in Journal of College of Medical Sciences-Nepal, Dec 2012, Volume 8. No: 4. Page 34-41.
      2. Hymenoptera Stings: A Study of Clinical profile, Complication and Outcome from a Teaching Hospital of Central Nepal.Madhav Ghimire, Pahari B, Paudel N, Das G, Sharma SK, Das GC.Published inJournal of College of Medical Sciences-Nepal, (JCMS), Nepal2013, Vol-9, No-3, 17-24
      3. Sepsis associated AKI in ICU setting: an experience from central Nepal.Madhav Ghimire, Bishnu Pahari1, Sanjib Kumar Sharma, Lekhjung Thapa, Gayatri Das, G. C. Das. –Published in Saudi Journal of Kidney Disease and Transplantation (SJKDT)Volume 25 Number 4; July 2014.
      4. Kidney Biopsy: An Experience from Central Nepal.Madhav Ghimire, Bishnu Pahari, Navaraj Paudel, Gayatri Das, Gopal Chandra Das, Sanjib Kumar Sharma. Published in J Nepal Med Assoc 2014;52(193):708-13
      5. Prevalence of Peripheral Arterial Disease (PAD) in End Stage Renal Disease (ESRD) Patients on Hemodialysis:Madhav Ghimire, Bishnu Pahari , Das G, Sharma S K, Das GC. A Study from Central Nepal. Kathmandu Univ Med J 2014;47(3):181-4. Published in Kathmandu University Medical Journal (KUMJ), Nepal.
      6. Intradialytic Muscle Cramp and Its Association with Peripheral Arterial Disease in End Stage Renal Disease (ESRD) Patients on Hemodialysis. Madhav Ghimire, Bishnu Pahari, Gayatri Das, Sharma Sanjib Kumar Sharma, Das Gopal Chandra Das. Submitted for publication in Journal of Nepal Medical Association (JNMA).

      DEPARTMENTAL ACTIVITIES

      ACTIVITIES IN 2010

      • Poster presentation was done on “Familial aggregation of Chronic Kidney Disease in Nepal”. (Poster No # PO01-059) at Asian Pacific Congress of Nephrology (APCN2010) ,COEX, Seoul, South Korea.
      • Dr Madhav Ghimire was awarded with “APSN TRAVEL GRANT AWARD” for outstanding presentation and active participation in 12TH ASIAN PACIFIC CONGRESS OF NEPHROLOGY at Seoul, Korea.
      • Receiving “APSN TRAVEL GRANT AWARD” for outstanding presentation and active participation in 12TH ASIAN PACIFIC CONGRESS OF NEPHROLOGY at Seoul, Korea. 2010

        Monthly Nephrology & Urology Meeting in the department of Nephrology- A part of regular academic activities. 2010

        International CME organized by department of Nephrology. Professor Norberto Perico delivering a lecture on Chronic Kidney Disease- Awareness and Screening Programme. 2010

        International CME organized by department of Nephrology. Professor Norberto Perico delivering a lecture on Chronic Kidney Disease- Awareness and Screening Programme. 2010

        Recreational activities organized by department of Nephrology as "Nephro Extravaganza." Taking some out of busy schedule to refresh our team and collegues.2010

        Recreational activities organized by department of Nephrology as "Nephro Extravaganza." HOD of Nephrology Prof G C Das honoring Principal of the college Prof PVS Rana.

      ACTIVITIES IN 2011

      • Oral Paper presentation was done  on “Outcome of Sepsis associated Acute Kidney Injury (SAAKI) in Intensive Care Unit: An Experience from a Tertiary Center of Central Nepal” at 10th National Conference of The Society of Internal Medicine of Nepal, (SIMON), Pokhara, Nepal
      • CME on “Kidney disease and Transplantation”: June 2011
      • CME organized by department of Nephrology on kidney diseases and transplantation. Laying the foundation to plan for Kidney Transplantation.2011

        CME organized by department of Nephrology on kidney diseases and transplantation. Laying the foundation for Kidney Transplantation.2011

        During the Nephrology and transplantation training in PGIMR, Chandigarh,India.2011

      ACTIVITIES IN 2012

      • One day CME programme conducted on “Kidney disease” on the occasion of World Kidney day 2012.
      • “Kidney Awareness Rally, Kidney Awareness Drama and  Health screening programme” was  organized by Department of Nephrology, on the occasion of World Kidney Day 2012.
      • Oral Paper presentation on Kidney Biopsy: “An Experience from CMSTH” at National Conference of Nepal Society of Nephrology (NSN), Kathmandu, Nepal.
      • Dr Madhav Ghimire awarded with “Dr Pusker Raj Satyal Memorial Award” for Best free paper Oral presentation at National Conference of Nepal Society of Nephrology, Kathmandu, Nepal.
      • Poster Paper presentation was done on “Kidney Biopsy-An Experience from Nepal” at Indian Society of Nephrology Conference (ISNCON-2012) 6-9th December, 2012 at Ahmedabad, India.

      • On the occasion of World Kidney Day 2012, an awareness rally was organized by department of Nephrology


        On the occasion of World Kidney Day 2012, an Kidney awareness rally was organized by department of Nephrology.2012


        Central District Office of Chitwan, inaugurating the kidney disease awareness drama organized by department of Nephrology.2012


        Medical students of the college displaying drama on the road side to aware about the kidney disease symptoms and prevailing myths. 2012


        Free Medical checkup to the public, organized by the department of Nephrology.2012

        Getting a group photograph after the hectic day of free medical checkup.2012

        Getting a group photograph after the hectic day of free medical checkup.2012

        One day, CME organized by department of Nephrology. HOD of Anatomy, Prof AK Dutta delivering a lecture on renal anatomy.2012.

        Oral Paper presentation on Kidney Biopsy: “An Experience from CMSTH” at National Conference of Nepal Society of Nephrology (NSN), Kathmandu, Nepal.2012

        Awarded with “Dr Pusker Raj Satyal Memorial Award” for Best free paper Oral presentation at National Conference of Nepal Society of Nephrology, Kathmandu, Nepal.

        Poster Paper presentation was done on “Kidney Biopsy-An Experience from Nepal” at Indian Society of Nephrology Conference (ISNCON-2012) 6-9 th December, 2012 at Ahmedabad, India. 2012

      ACTIVITIES IN 2013

      • Poster presentation was done on "Kidney Biopsy: An Experience from Central Nepal". WORLD CONGRESS OF NEPHROLOGY, 31st May-5th June 2013 at Hong Kong.
      • Poster presentation was done on "Hymenoptera Stings: A Study of Clinical profile, Complication and Outcome from a Teaching Hospital of Central Nepal". WORLD CONGRESS OF NEPHROLOGY, 31st May-5th June 2013 at Hong Kong.
      • Poster presentation was done on "Kidney Biopsy: An Experience from Central Nepal" at World Satellite symposium. 9th conference on kidney disease in disadvantaged populations. Kidney disease: A Global Challenge of Epidemic Proportions. 4th to 5th June 2013, Hong Kong Academy of Medicine, Hong Kong.
      • Dr Madhav Ghimire was awarded with “WCN-2013 TRAVEL GRANT AWARD” for outstanding presentation and active participation in WORLD CONGRESS OF NEPHROLOGY-2013, at Hongkong.
      • Dr Madhav Ghimire was awarded with the Scholarship to attend the 9th conference on kidney disease in disadvantaged populations. Kidney disease: A Global Challenge of Epidemic Proportions. 4th to 5th June 2013, Hong Kong Academy of Medicine, Hong Kong.

      ACTIVITIES IN 2014

      • Poster presentation was done on "Prevalence of Peripheral Vascular Disease in ESRD patients on Maintenance Hemodialysis: A Single Centre study from central Nepal." Paper presented on 14th Asian Pacific Conference of Nephrology (APCN-2014), 14-17th May, Tokyo, Japan.
      • Dr Madhav Ghimre was awarded with “APSN TRAVEL GRANT AWARD” FOR outstanding presentation in 14th APCN-2014 AT Tokyo, Japan.
      • Oral presentation was done on "Prevalence of Peripheral Vascular Disease in ESRD patients on Maintenance Hemodialysis: A Single Centre study from central Nepal." Paper presented on Nepal Health Research Council Meeting, Regional Workshop. June 2014.
      • Dr Madhav Ghimire was invited as faculty in PGIMER- Brigham Nephrology Course and NUTS of SAARC- First Indian Chapter 2014

      ACTIVITIES IN 2015

      • Poster presentation was done on PATTERNS OF RENAL DISEASES: RESULTS OF RENAL BIOPSIES FROM A TERTIARY HOSPITAL OF CENTRAL NEPAL.WORLD CONGRESS OF NEPHROLOGY, 13st March-17th March 2015 at Cape Town, South Africa
      • Poster presentation was done on PATTERNS OF RENAL DISEASES: RESULTS OF RENAL BIOPSIES FROM A TERTIARY HOSPITAL OF CENTRAL NEPAL. 10th conference on kidney disease in disadvantaged populations. Kidney disease: A Global Challenge of Epidemic Proportions. 18th to 19th March 2015, at Cape Town, South Africa.

 

Contact us

College of Medical Sciences

  • Address: Chitwan, Nepal
  • Tel:  +977-56-521527 (Fax)
           +977-56-524203 (Hosp.)
           +977-56-523603 (Res.)
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