Hospital in Jalandhar, Punjab, India

Urology, Andrology, Nephrology, Transplant Surgery, Gastroenterology, Hepatology, Pancreatology, Gastrointestinal Surgery, Neonatology, Neonatal Surgery, Paediatric Surgery, Non- Invasive Cardiology, General Medicine, General Surgery, and Pulmonary & Chest medicine.

Kidney Hospital & Lifeline Medical Institutions is driven by vision of creating “quality healthcare services by continually upgrading & improving the medical care by entailing the finest medical skill combined with compassionate patient care”. From the pursuit of this mission emanates a passion to excel.

Kidney Hospital & Lifeline Medical Institutions is a 125-bedded hospital, which has the super specialties like Urology, Andrology, Nephrology, Transplant Surgery, Gastroenterology, Hepatology, Pancreatology, Gastrointestinal Surgery, Neonatology, Neonatal Surgery, Paediatric Surgery, Non- Invasive Cardiology and specialties like General Medicine, General Surgery, and Pulmonary & Chest medicine.

CENTRE FOR RENAL DISEASES

 Dialysis Services: The hospital has a busy Dialysis Unit with facilities for the following:-

 Hemodialysis: On an average 800 patients undergo Hemodialysis every month. The unit is equipped as under:-
• Dialysis Machines : 12
o For HBsAg +ve : 1
o For HCV +ve : 1
• Dialyser Reprocessing Unit
• Patient monitoring equipments
• Reverse Osmosis Plant

 Peritoneal Dialysis: The hospital staff is trained to look after peritoneal dialysis. On an average 10 to 15 peritoneal dialysis are done per month.

 CAPD: The hospital has the facility and trained staff to look after CAPD program.

 CAVH / CAVHD: This mode of dialysis is used for very sick patients with poor cardiac reserve. With the presence of two major cardiac centers in the city we get patients for CAVH after cardiac surgery. The hospital has the facility and trained staff for CAVH and CAVHD both with and without pump. We have two spare pumps for this purpose.

 Renal Transplant Services: The centre has done more than 370 renal transplantations till date. The transplant team constitutes the following:-
 Surgeons: Two qualified surgeons with good experience in transplant surgery.
 Nephrologists: Two qualified nephrologists with experience in transplant management.
 Urologists
 Intensivist
CENTRE FOR UROLOGICAL SCIENCES

 Interventional Urology: It has brought about a remarkable change in the management of various urological diseases. The hospital provides well-developed interventional radiology services. Procedures like PCN, ureteral stenting, kidney biopsy etc. are done routinely. It is also used in the management of post transplant complications like urinary leak, ureteral stricture, lymphocele etc.

 Paediatric Urology: It is an important subspeciality of urology. Only a few centres have the facility to look after paediatric urology patients. The hospital has recently acquired a full set of paediatric endoscopes. Common urological problems like post-urethral valves, vesico-uretric reflux & pelvi-uretric obstruction are managed routinely. The operation theatre is well equipped to look after this age group.

 Andrology: A separate clinic is run by the hospital for management of patients suffering from infertility and erectile dysfunction. The hospital has acquired Rigiscan and Cavernosometry equipment, which are very important diagnostic tools. Management of these patients includes hormonal therapy, psychiatric counseling, intracavernous pharmacotherapy and various surgical procedures.

 Urodynamics: The hospital has the services of Neuro-Urology & Urodynamics. The facility of advanced computerized Urodynamic evaluation including Video-Urodynamics is available.

 Laser surgery: The hospital is equipped with Laserscope Greenlight PV 80 watts Nd YAG LASER, which is being used for Prostatic surgery

 Prostate management: Prostatic disorders including BHP and carcinoma prostate are the commonest problems effecting elderly patients visiting the urology clinic at the hospital. Carcinoma prostate can be cured if detected early through the latest investigations available today. The hospital has the complete range of investigative and therapeutic management equipment to deal with these patients. Current investigation modalities include Trans-rectal Ultrasonography (TRUS), Serum PSA (Prostatic Specific Antigen), USG guided FNAC & Multicore biopsies. The treatment modalities available are TURP (Transurethral Resection of Prostate), TUIP (Transurethral Incision of Prostate), TUEP (Transurethral Evaporation), Laser Prostatectomy & Open Surgery. The hospital is also running a cancer prostate-screening programme for early detection so that curative treatment can be offered to these patients. The hospital has comprehensive infra structure for prostate diseases. Facility is available for:-

 Trans-rectal Ultrasonography
 PSA estimation
 TUR Prostate
 TUV Prostate
 TUI Prostate
 Laser Prostatectomy
 FNAC Prostate
 Cancer screening programme

 Urolithiasis (Urinary Stones): It is one of the commonest problems affecting urology patients in Punjab and its surrounding areas. The management of urinary stone disease has undergone a sea change from the older pattern of open surgery to the now commonly used non-invasive or minimally invasive surgery. The hospital has all different modalities for optimal management of different urinary stones like:-

 Lithotripsy (ESWL)
 Ureteroscopy (URS)
 PCNL (Percutaneous Nephrolithotomy)
 Mechanical Lithotripsy
 Open Surgery
 Chemolysis

Lithotripsy: Introduced during 1993 for non-invasive management of different urinary stones the hospital acquired the world’s best Dornier Lithotripter in 1998. The hospital has conducted over 3000 procedures till date.

Ureteroscopy: This endoscopic procedure has revolutionized the management of ureteric stones. The hospital has the complete range of ureteroscopes (various sizes, both rigid and flexible) backed by pneumatic and ultrasonic energy sources. This optimizes the efficiency of the unit. Around 15 to 20 ureteric procedures are performed every month. Almost all ureteric stones can be managed by URS. Additionally, ureteroscopy is also a very useful diagnostic modality.

Percutaneous Nephrolithotomy: PCNL is a highly specialized endoscopic procedure for the removal of large kidney stones. On an average about 20 PCNL procedures are performed every month. Due to further up-gradation of the department, even complicated stag-horn stones are being managed by PCNL. The hospital is equipped with all the three sources of energy viz. pneumatic, mechanical and ultrasonic for breakage of stones during PCNL. The advantages of this procedure are:-

 Minimally invasive
 Short hospitalization
 Minimal morbidity
 No incision
 Minimal convalescence

 Laparoscopic Surgery: Laparoscopic surgery was introduced at the hospital during December 1992. The department has the complete facility for Laparoscopic surgery like Nephrectomy, Nephropaxy, Ureterolithotomy etc. Laparoscopic method is also being effectively applied in the management of various post-transplant complications like Lymphocele.

CENTRE FOR GASTROENTEROLOGY & LIVER DISEASES

The centre provides quality care to patients having any gastrointestinal, pancreatic or liver disease. It’s Endoscopy Theatre is equipped with the latest Japanese video-endoscopic equipment for all diagnostic and therapeutic Endoscopy procedures for Upper GIT, Colonoscopy, and ERCP (Endoscopic Retrograde Cholangiopancreatography).

For the care of GI Bleed the hospital has all the facilities including: -

 Diagnostic Endoscopy, Colonoscopy & Enteroscopy.
 Injection Endotherapy, Sclerotherapy.
 Banding of Varices and Piles.
 Clipping of bleeding site.
 Endoloop applications.
 Argon Plasma Coagulation.
 Electrocoagulation.
 Laser photocoagulation and ablation.
 Polypectomy for Polyps, Endolooping & snaring of small tumours.
 Highly skilled and specialized surgical team is always available to tackle GI Bleed that is not controllable by Endoscopic means.
 Blood Bank to take care of the immediate needs of blood transfusion is available and is being run on voluntary blood donation.

Other procedures that are done routinely are: -

 ERCP to diagnose and treat Pancreatic and Biliary disorders are routinely done at the hospital. On an average 35 to 50 procedures are performed every month.
 CBD stones and Pancreatic Stones are being successfully removed.
 Stenting Biliary & Pancreatic done for benign and malignant strictures in CBD for chronic pancreatitis including self-expanding metallic biliary stents.
 Pseudopancreatic Cysts are drained.
 Prosthesis plastic and metallic expandable are deployed for malignant esophageal stricture.
 Balloon dilatation for Achalasia Cardia.
 Bougie dilatation for esophageal benign and malignant strictures.
 Foreign body removal from upper GIT.
 PTC and PTBD for malignant biliary strictures.
 Liver biopsies, liver abscess and cyst aspirations.

All the above procedures are routinely performed in the department. Indoor facilities with excellent care are available for patients needing admission.

CENTRE FOR GASTROINTESTINAL SURGERY

It provides facilities for all kinds of routine GI surgery to complicated major surgeries on elective and emergency basis for GI bleeds, intestinal obstruction, gall bladder and CBD stones, malignancies of esophagus, stomach, small intestine, colon, pancreas, GB & CBD including liver cysts & tumours. Pancreatic cysts and abscesses are also tackled. Portal hypertension surgery is also undertaken. Some of the major surgical procedures performed at this Centre include: -

 Whipples
 Duodenum preserving pancreatic head resection
 Necrosectomy
 Liver resections
 Hepaticojejunostomy
 Ileal pouch anal anastomosis
 Colectomy
 Total Mesorectal excision
 Sx for Portal Hypertension
 D2-3 Radical Gastrectomy
 Esophagectomy

Laparoscopic Surgery:

Complete facilities exist for Laparoscopic cholecystectomy, Vericocelectomy, Appendicectomy, CBD exploration, Abdominal wall hernia repair, anti-reflux surgery, hemi-colectomies and rectal surgery.

Hepatobiliary and Pancreatic Surgery:

The hospital provides a well developed centre for hepatobiliary and pancreatic disorders like cholelithiasis, choledocholithias, choledochal cysts, biliary strictures, biliary tree tumours, bile duct injuries, acute pancreatitis & it’s complications, chronic pancreatitis, diseases of the liver and portal hypertension.

Onco Surgery:

The hospital deals with malignant esophageal, stomach, pancreatic, small & large bowel, rectal and anal cancer.




CENTRE FOR ADVANCED NEONATOLOGY

The centre started functioning on 15 Aug 2004. The Advanced Neonatal Centre has been established as part of the ongoing process of creating super-speciality services under one roof.

We have a state-of-the-art, scientifically designed 24 bedded Neonatal Intensive Care Unit (NICU) with 10 ventilator beds. Our NICU is equipped with SLE High Frequency Ventilator, Siemens Servo 300 ventilators, centralized oxygen & suction, portable X-ray & USG machines, and uninterrupted power supply over and above the usual neonatal care equipments. We can effectively and efficiently manage all the problems encountered in neonates like:

 Respiratory distress syndrome: It includes conditions like Hyaline Membrane Disease, Meconium Aspiration, Pneumonia etc. We have facilities to provide nasal CPAP or mechanical ventilation with adequate monitoring. Our neonatologist has a vast experience and technical know-how to administer Surfactant, if needed in these babies.

 Prematurity and low birth weight: 7% of babies in community are born premature (<37 weeks) and 30% are low birth weight. These fragile babies need special care, strict asepsis, thermoregulation and appropriate nutrition including Total Parenteral Nutrition. We have the experience and equipment to provide this care.

 Birth asphyxia: it is among the most common killers of neonates in India. Our unit can manage even the severest of these cases.

 Critical Care of sick babies: We have enough experience and facilities for peritoneal dialysis in acute renal failure and initial stabilization of babies with congenital heart disease.

 Neonatal Jaundice: A common but potentially dangerous illness if not treated in time. We have Blue light phototherapy machines, which are more effective. For babies with severe jaundice, we have facilities for double surface phototherapy and Exchange Transfusion.

 Neonatal Septicemia: This is another major cause of neonatal mortality in our country. In our NICU, we put great emphasis on asepsis and rational use of antibiotics.

 Neonatal resuscitation.

Out-door clinic: Our OPD services include Antenatal counseling of high-risk mothers, Well baby clinic, Vaccination, Growth and neuro-developmental monitoring and management of common Pediatric problems.

Sick Baby Ambulance: The weakest link in the management of sick neonates is their transport. We have an efficient transport team of well-trained personnel, equipped with a sophisticated transport incubator with battery back up, infusion pumps, vital signs monitor, oxygen and resuscitation equipment. We transport sick babies to our NICU from referring hospitals within a radius of 100 Kms. We intend to provide world-class neonatal care at affordable prices.

CENTRE FOR ADVANCED NEONATAL & PAEDIATRIC SURGERY

We offer speciality care to children of all ages, from the premature infant to the 12-year-olds. We have an active and up to date laparoscopic team.

The centre offers diagnosis and treatment for the following: -
Neonatal surgery for severe congenital defects:

 Anorectal malformation. (ARM)
 Hirschsprung disease.
 Esophageal and intestinal atresias.
 Pulmonary and diaphragmatic anomalies.
 Abdominal wall defects (Omphalocele & Gastroschisis).
 Genitourinary anomalies.

General paediatric surgery:

 Hernias & hydroceles.
 Undescended testes (Cryptorchidism).
 Lumps.
 Circumcision.
 Laparoscopic correction of malrotation, anorectal malformations etc..

Thoracic surgery:

 Resection of pulmonary anomalies.
 Thoracoscopy for Empyema

Urology:

 Urodynamic study.
 Hypospadias.
 Vesico-ureteral reflux.
 Ureteropelvic junction obstruction.
 Posterior urethral valves. (PUV)
 Exstrophy bladder.

Surgical oncology:

 Diagnosis and surgical treatment of tumors. (WILMS Tumor, Neuroblastoma, RMS)
 Obtain vascular access for chemotherapy.

Emergency surgery:

 Appendicitis.
 Acute abdomen.
 Testicular torsion.
 Trauma.

Minimally invasive surgery:

 Laparoscopy in newborns and paediatric patients.

CENTRE FOR CHEST DISEASES & CRITICAL CARE

Critical care in its various forms plays a central role in access to medical care. Because of its dramatic display of medical intervention at its best, it is viewed as part of any quality medical system. The constant thrust for improvement of quality can prove significant for all who care for the critically ill.

At “Lifeline Centre for Chest Diseases & Critical Care” we aim to provide exceptionally high level of critical care & emergency services, and to recruit, maintain, and train a highly qualified team of health care professionals devoted to the care of the critically ill.
We offer round-the-clock quality service to our patients. Various facilities available at this Centre include:

Bronchoscopy: Both diagnostic as well as therapeutic bronchoscopy facilities are offered.

 Diagnostic: In the diagnostic range, in addition to routine bronchoscopies we also perform Bronchial washes, Bronchial lavage and Bronchoscopic Lung Biopsy (BLB). Recently we have introduced Trans Bronchial Needle Aspiration (TBNA) for mediastinal masses and lymph nodes. We have collaborated with pathological services to provide Rapid Onsite Cytology (ROSE) for prompt diagnosis.

 Therapeutic: In therapeutic range we do Foreign Body Extraction, Closure of Bronchopleural Fistula (BPF) and Balloon Tamponade for severe Hemoptysis.

 We plan to introduce cautery for bronchial tumours and stenting for inoperable tumours.

Spirometry: It is an important lung function test to diagnose various airway problems like Bronchial Asthma, COPD, PCD etc.

We cater to all classes of patients, be it nephrology cases, post-operative surgical patients, chest patients or cardiac cases.

We specialize in ventilatory management of:

 ARDS, Respiratory failure.
 Pulmonary Edema.
 Bronchial Asthma / COPD patients
 Routine post-operative patients.

CENTRE FOR NON-INVASIVE CARDIOLOGY

Heart disease and stroke is the world's largest killer, claiming 17.5 million lives a year. Eighty per cent of the victims are from low-and middle-income countries. Heart disease is largely preventable and simple, affordable steps can be taken to reduce the major risk factors. Controlling these risk factors helps the heart to age more slowly and dramatically reduces the risk of heart disease.

Early diagnosis and expert treatment are essential to being able to live a productive life. At Lifeline Heart Care, we can detect heart disease ... before it complicates life ..... with several tests that do not cause discomfort and are not complicated.

Our Non-Invasive Cardiac Laboratory is responsible for providing complete cardiac diagnosis through inter-related non-invasive methods and procedures.

The Laboratory utilizes a wide array of tests to help detect heart disease. These include:

 Computerized ECG
 TMT n 2D Echo
 Colour Doppler
 Stress Echo
 CT Angiography
 Thallium Scan



People requiring these investigative modalities include those suffering from:

 Diabetes Mellitus
 Hypertension
 Dyslipidemia
 Chronic Kidney Disease / End stage renal disease and
 Work related stress

We periodically conduct free clinical cardiac evaluation camps and offer subsidized investigational tests for the general public.

We shall be introducing Holter Monitoring & Ambulatory BP recording shortly.


AUXILIARY SERVICES

 Out Patient Department: The OPD functions on all working days. On an average of 150 patients visit the OPD; this includes both the new and follow-up cases. Emergency OPD is functional 24 hours a day including Sundays and holidays. Special OPD is conducted for: -

 Post Renal Transplantation
 Diabetes
 Andrology

 Indoor Department: The indoor department with an occupancy rate of 70 percent is equipped as under: -

 Total capacity : 125 beds
 General ward : 39 beds
 Private rooms : 25 beds
 Semiprivate : 08 beds
 ICU : 13 beds
 Neonatal ICU : 27 beds
 Transplant ICU : 04 beds
 Dialysis : 09 beds

 Intensive Care Unit: The hospital has two intensive care units with specially trained staff for these. There is a dedicated intensive care unit for transplant cases. The intensive care units are equipped with:-

 Ventilators
 Cardiac monitors
 Pulse oxymeters
 Defibrillators
 Infusion pumps
 Nebulizer
 Centralized Oxygen and Suction Unit
 Uninterrupted Power Supply

 Blood Bank:

 The hospital has a State & Central Government recognized blood bank (Licence No. 1621-B) within the hospital campus.
 All blood products are routinely screened as per blood bank rules.
 Our surgeons use auto transfusion programme in routine surgery.
 The hospital encourages voluntary blood donation camps with the help of various charitable organizations.

 Anaesthesiology: A team of one senior Anaesthetist and one junior doctor who have already conducted more than 370 renal transplants successfully has the following equipment for their smooth functioning:-

 Boyle’s apparatus : 4
 Anaesthesia Work Station : 1
 Anaesthesia ventilators : 2
 Pulse oxymeter : 1
 Multiparameter monitor : 3
 Centralised Nitrous, Oxygen and Suction Unit
 Routine anaesthesia equipment

 Imaging Department: The department is equipped as under:-

 X-ray units: 3
 300 mA GE Machine
 50 mA Seimen’s Mobile X-ray unit - 2

 C-Arm Image Intensifiers: 6
 Five for OT
 One for Lithotripsy

 Ultrasound: 5 machines with facility for: -
 Abdominal scanning
 Transvaginal scanning
 Transrectal scanning
 C-T Scan Facility & Colour – Doppler Study
 Associated with other diagnostic centres

 Laboratory Facility: The hospital has a well-equipped laboratory, which is run by experienced pathologist. It is equipped with latest equipment like Fully Automated Microbiology Culture Unit, Automated Sensitivity Analyser, Blood Gas Analyser, Fully Automated Biochemistry Analyser, Electrolyte Analyser, Urine Analyser, Cell Counter, Fully Automated Eliza Processing Unit, Tacrolimus Assay Analyser etc. Emergency investigations are carried out round the clock while specialized investigations are done during working hours. Highly specialized investigations are carried out in association with B. S. Diagnostics Centre (Jalandhar), Dr. Lal Path Labs Pvt. Ltd. (Delhi) and Ranbaxy Laboratory (Mumbai) from where the results are available within 24 hours by fax. The types of investigations carried out are: -

 Biochemical investigations
 Renal profile
 Liver profile
 Lipid profile
 Serum electrolytes

 Heamatological investigations
 Hb, PCV
 Various cell counts with peripheral smear
 Coagulation profile
 Bone marrow examination

 Microbiological investigations
 Gram staining
 Culture & sensitivity (Pyogenic / enteric)
 AFB staining
 Culture for AFB
 Fungal smear & culture

 Serology / Virology investigations
 HIV 1 & 2
 CMV-Ig G & Ig M
 Torch-Ig & Ig M
 Montoux test
 Widal test
 ASO Titre
 C Reactive Protein
 Rh factor
 VDRL
 Australia Antigen

 Cystopathology
 FNAC
 Imprint cytology
 Fluid cytology

 Specialized investigations
 Complete hepatitis profile (Hepatitis A, B, C & D)
 HLA typing
 Lymphocyte cross matching
 Histopathology
 Cyclosporin assay
 PSA
 Blood Gas Analysis
 Tacrolimus Assay

The hospital is certified as ISO 9001:2000 compliant organization by International Certification Registrar, an ANAB accredited agency. (The copy of the certificate is attached as Annexure 12)

The hospital is a Government recognized Renal Transplantation center. (The copy of the certificate is attached as Annexure 13)

The hospital is registered under PNDT Act as genetic clinic (The copy of the certificate is attached as Annexure 14)

The hospital complies with Biomedical Waste (Management & Handling) Rules 1998 (Undertaking by the hospital & the copy of the agreement with Common Waste Treatment Facility is attached as Annexure 15)

The hospital is approved under Section 17(2)(b)(ii) of Income tax Act 1961(Copy attached as Annexure 16)

Urology, Andrology, Nephrology, Transplant Surgery, Gastroenterology, Hepatology, Pancreatology, Gastrointestinal Surgery, Neonatology, Neonatal Surgery, Paediatric Surgery, Non- Invasive Cardiology, General Medicine, General Surgery, and Pulmonary & Chest medicine

Medical Library: The hospital has a well-stocked and organized medical library. The collection of books covers all specialities with special emphasis on urology, nephrology, renal transplantation and anaesthesiology. In addition to the books available in the library, the hospital subscribes to various related medical journals regularly. This helps the staff to keep abreast of the latest developments in their respective fields as well as assists in the research work.

Internal Communication: The hospital has a well-organized internal communication system enabling any person to be contacted or communicated within seconds whenever needed. Various components of the communication network include: -

 Inter-com communication
 External telephones
 Cell phones for all consultants

Computerization: The hospital has taken up an ambitious project of total computerization of all medical information pertaining to the patients visiting the hospital. The hospital has acquired Oracle based IHMS programme and 30 dedicated computers.

Free Diabetes Detection Programme: Free blood sugar tests are conducted every Sunday as part of the hospital’s commitment towards social welfare.