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Nephrology

About the Specialty

Providing the best diagnosis and treatment of kidney diseases through state-of-the-art technologies. The Department of Nephrology at MGMCH is a dedicated department that deals with the function and pathology of the kidney.

Department of Nephrology

The experts in this department specialise in the diagnosis and treatment of kidney diseases as well as associated and related complications such as electrolyte imbalances, mineral deficiencies, and hypertension. Complete pre and post-op evaluation and management of renal transplant donors and recipients.

We have state-of-the-art dialysis machines providing OPD and round-the-clock emergency dialysis.

Our department is backed by advanced technological support for accuracy in treatment and evaluation in the evolving field of Nephrology.

We have various advanced dialysis and related modalities such as SLED, plasmapheresis (conventional as well as double cascade plasmapheresis). We also have a CRRT facility on our premises.

HOD Message

HOD Massege

Dr. Suraj Godara

Professor & HOD

Department of Nephrology

The Department of nephrology at MGMCH, Jaipur prides itself on being a pioneer in patient care, education, and scientific research. The department is dedicated to providing world-class renal care , dialysis services to all its patients undergoing a variety of simple to complicated procedures.

While we are equipped with supremely advanced operation theatre facilities and dialysis unit and the best mechine and technology available in the world today, our most notable asset is our phenomenal faculty. Our dedicated and highly qualified team of professionals deliver efficient and compassionate patient care that is par excellence.

Ailments

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Specialty Clinics

Dialysis Unit

Our Department has a dedicated Dialysis Unit with more than 40 dialysis machines that work on the latest technology. We provide OPD and 24*7 emergency dialysis facilities. For critically ill patients we have the facility of ICU dialysis too. We offer advanced dialysis and related modalities such as SLED, and plasmapheresis (conventional as well as double cascade plasmapheresis).

CRRT facility

Our team is equipped to provide CRRT facility for the benefit of patients deemed too critical for conventional modes of renal replacement therapy

Interventional Nephrology

We have experts for Ultrasound-guided Temporary and Fluoroscopy guided Tunneled Hemodialysis catheter insertions, ultrasound-guided renal biopsies, percutaneuos CAPD catheter insertions as well as AV Fistula creation by the Nephrology Department itself.

Renal Transplant

Kidney transplant surgery is another prominent service offered at our Department. Our experts offer living donor, deceased donor, ABO-incompatible, and swap transplantation.

Core Competencies

Patient care

Our team is dedicated to delivering compassionate and precise healthcare services. Each member recognizes the importance of their role as a healthcare professional, working diligently to provide optimal treatment for health issues and promote overall well-being.

Medical Expertise

Our team members are well-versed in the ever-evolving fields of biomedical, clinical, and related sciences. Leveraging this knowledge, they tailor patient care to ensure the highest quality.

Continuous Learning and Improvement

In pursuit of enhanced patient care, our experts thoroughly investigate and evaluate each case, devising optimal treatment plans through practice-based learning and improvement.

Interpersonal and Communication Proficiency

We prioritize the development of interpersonal and communication skills among all team members. Effective communication and collaboration with patients, their families, and professional associates are key aspects of our approach.

Commitment to Professionalism

Ethical principles underpin all our treatment plans, and we are unwavering in our commitment to treating all patients with sensitivity and professionalism.

System-Based Approach

Our responsive staff understands the broader healthcare context and excels in utilizing system resources to deliver high-quality care.

opration

Achievements

  • Comprehensive Transplant care programme.
  • Maximum number of renal transplants in the state and one of the leading transplant centers in the country including ABO incompatible and swap transplantation. We have done more than 2200 transplants till now .
  • The 1st deceased donor transplant of the state in 2015 . 22 have been done till now.
  • First swap transplantation in the state .Around 140 + have been done till now .
  • We are pioneers of ABO incompatible renal transplant in the state, having done the first one in 2016 . 200+ have been done till date.
  • First three way swap transplantation of the state .
  • First six way swap transplantation of the state.
  • First deceased donor combined kidney and liver transplantation in the state
  • First deceased donor combined kidney and pancreas transplantation in the state
  • Record of 4 transplants done in a day to raise awareness for organ transplantation
  • One of the largest haemodialysis centers in the state , a 40 bedded unit doing around 2600+ hemodialysis per month .

Aims and Objectives

Residents must clearly show a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

  • Acute kidney injury
  • End-stage renal disease
  • Proteinuria
  • Hematuria
  • Hypertension
  • Pyuria
  • Disorder of electrolytes balance
  • Acid base disorder
  • Mineral bone disorder
  • Toxicology
  • Demonstrate need of hemodialysis (temporary, permanent)
  • Hemodialysis
  • Arteriovenous fistula creation
  • Permanent and temperory tunnel cather insertion.
  • Renal biopsy
  • Renal transplant facilities
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Treatment and Services

  • Medical management
  • Plan for Hemodialysis
  • Initiation of hd
  • Insertion of tunnel cather
  • Renal biosy for cause of renal dyfunction
  • Renal transplant
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Procedures

  • Tunnel catheter insertions
  • Arteriovenous fistula creation
  • Renal biopsy
  • Peritoneal Catheter
  • Plasmapheresis
  • CRRT
  • Renal Reperfusion
  • Renal transplantation

Facilities

Outpatient services:

Offers outpatient (6 days a week), inpatient and 24 hours emergency services Works closely with urology and all other departments in addressing various diagnostic and therapeutic problems.

The OPD timings are from 09:00 AM in the morning to 4:00 PM in the afternoon. The Patients have to register themselves in the Nephrology OPD. The department also conducts speciality clinics for specific nephrological disorders on particular days (as shown below). Routine patients, (not registered in these clinics) are not usually seen in these clinics. Services Offered:

  • Renal transplantation services
  • Haemodialysis
  • ICU dialysis(sled/CRRT)
  • AV fistula creation
  • Peritoneal dialysis
  • Tunnelled haemodialysis catheter insertion
  • Plasmapheresis(conventional and double cascade)
  • Interventional Nephrology
  • Renal biopsy
  • Management of Mineral Bone diseases

Speciality clinics:

Sr.No. clinic Day timing
1 Routine Clinic Monday 11AM-2PM
2 AV Fistula Clinic Tuseday 11AM-2PM
3 Capd Clinc Wednesday 11AM-2PM
4 Acute PD Clinic THURSDAY 11AM-2PM
5 Renal Transplant Clinc Friday 11AM-2PM

Inpatient services:

The department admits patients for work up and management. There are two general wards (female and male), private wards, HDU and ICU for nephrology patients.

  • Patients are Referred to Nephrology Specialists for Various Reasons, Such As:
  • Acute renal failure, a sudden loss of renal function
  • Chronic kidney disease, declining renal function, usually with an inexorable rise in creatinine
  • Hematuria, blood in the urine
  • Proteinuria, the loss of protein especially albumin in the urine
  • Kidney stones, for evaluation of recurrent stone formers
  • Chronic or recurrent urinary tract infections
  • Electrolyte disorders or acid/base imbalance
  • Hypertension that has failed to respond to multiple forms of anti-hypertensive medication or could have a secondary cause

LAB Facilities :

Our robust transplantation program is possible only with our state of the art Laboratory . In 2015 ,Transplant immunology (HLA ) lab with Luminex facility was established at our institute. Flow Cytometry was introduced in 2015.In 2016- Double Cascade Plasmapheresis for ABO incompatible Renal Transplant was started . In 2016 , we added Nucleic Acid Testying (NAT ). In 2018 we had the honour of having the first HLA Lab of Rajasthan to be Acrredited by NABL. Flow Crossmatch facility for solid organ transplantation was started in 2018 and is the standard of care at our facility for all renal transplants.

RENAL TRANSPLANT CLINIC-

The renal transplant clinic is conducted on every Friday from 11am till 2pm. Patients from various places are being registered under this clinic for work up and free medicines.

Our Associated Doctors

Management Team
Dr. Suraj Godara

Professor & HOD

Experience16 years

QualificationMBBS, MD (Internal Medicine), DM (Nephrology)

OPD Schedulearrow
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FAQs

Risk for developing kidney disease include:

  • Diabetes (type 1 or 2)
  • High blood pressure
  • Smoking
  • Obesity
  • Family history of kidney disease
  • Abnormal kidney structure
  • Older age
  • Recreational drug use (such as cocaine, marijuana, and methamphetamine)
  • Damage to kidneys from certain medications such as chemotherapy drugs, certain overthe-counter pain relievers, NSAID.

  • Fatigue
  • Weakness
  • Nausea
  • Dry, itchy skin
  • Frequent urge to urinate
  • Blood in the urine
  • Feeling faint or dizzy
  • Ammonia-like breath
  • Foamy or bubbly urine
  • Puffiness around the eyes
  • Loss of appetite
  • Swelling in the ankles and feet
  • Muscle cramps
  • High blood pressure
  • Shortness of breath after minimal effort
  • Pressure when you urinate

Early on, kidney disease may not cause any symptoms because the damage to your kidneys is still mild. Your kidneys compensate for this damage by working even harder. Lab tests, including urine and blood tests, are the only way to detect kidney disease at this early stage. Most people do not notice symptoms until the kidney damage is severe, so it is essential to check your kidney function annually and know your genetic risk for kidney disease.

While we do not always know what causes kidney disease, determining the cause can help you find the best treatment. The main treatments for kidney disease are medications. Some medicines can stop further damage to your kidneys. Doctors will prescribe blood pressure medications to people with kidney disease. Other common medications used for treating kidney disease include prednisone (a type of steroid) and immunosuppressants, which help to keep your immune system in check. If your kidneys are severely damaged, your doctor may prescribe dialysis treatments and/or a kidney transplant.

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