Our Hospitals: Powai Thane

ACCIDENT AND EMERGENCY CARE

022 25763322 / 3323
022 71023322 / 3323

OPD APPOINTMENT

022 25763500
022 71023500

Call For Blood Donation Camp

25763355/3356/3357
 

022 25763355
022 71023355

Blood Bank

022 25763365 / 66
022 71023365 / 66

Laboratory Services

022 25763318 / 3398
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Health Check

022 25763323 / 9819873621
022 71023323

Home Care Services

Post COVID Clinic

Many COVID-19 patients have complained of a range of short-term and long-term health issues after recovery, including but not limited to:
 
1. Pulmonary (Lung related) – e.g., breathlessness
 
2. Cardiac (Heart related) – e.g., heart attack
 
3. Neuropsychiatric /Psychological – e.g., insomnia, fatigue mood changes, psychosis
 
It has also been widely reported in the medical literature that several COVID-19 survivors are facing  health issues like pulmonary inflammation/fibrosis, accelerated cardiac pathology, weight loss, lack of energy, post event anxiety, stress, sleep disturbance, etc.
 
The post-COVID-19 care clinic is based on three main pivots: clinical assessment, psychological intervention and rehabilitative care, with senior doctors’ multidisciplinary team.
 
Detailed clinical assessment will help in tackling the residual impact of the infection. Physical rehabilitation to assess impact on mobility, exercise tolerance and muscle weakness. Psychological evaluation will also play a big role in addressing Post Traumatic Stress Disorder (PTSD). These key areas of focus will help understand, diagnose and treat the long- and short-term implications of COVID-19, post recovery.
 
Patients will also be assessed for Lung fitness and Pulmonary Fibrosis, especially amongst those who have had complicated recoveries in the ICU. Those with pre-existing conditions such as Diabetes, Hypertension, Obesity, etc. will be evaluated to gauge the seriousness of the disease before, and after contracting COVID-19. This focused effort will help COVID-19 survivors who experience generalized weakness & lethargy, pain in the limbs, and those facing difficulty in recovering Lung capacity.
 
These services are available to all COVID survivors regardless of whether they had been in home quarantine or admitted to a COVID ward etc.
 
The post-COVID-19 care clinic objective is to help rehabilitate patients who have beaten COVID 19; back into their normal daily lives, by providing timely assessment and intervention treatment & therapy to enable complete recovery.
 
The clinic aims to identify and treat short term after effects and prevent or minimize the long term after-effects with comprehensive evaluation and continuous assessment by the specialist multidisciplinary team.
 
MULTIDISCIPLINARY TEAM:
 
Our unique integrated multidisciplinary team helps achieve treatment goals by providing optimal and well-rounded care for our patients and their families. The team comprises of:
 
Clinical Associate & Chief clinical Coordinator - Dr. Sushma Sanghvi
 
Post Covid-19  Physicians:
 
1. Dr. Shalini Suralkar
 
2. Dr.Vimal Pahuja
 
3. Dr. Neeraj Tulara
 
Chest Physicians:
 
4.  Dr. Swapnil Mehta
 
5. Dr. Sajit Babu
 
6. Dr. Maheema Bhaskar
 
Pulmonary Rehabilitation Physiotherapist - Dr. Nithya Menon
 
THE PROGRAMME:
 
The Post Covid-19 care clinic program will have:
 
1 Clinical assessment and specialist doctor consultation
 
2 Laboratory & diagnostic test
 
3  Psychological evaluation (QOL)
 
SERVICES AVAILABLE:
 
1. Comprehensive Clinical assessment, evaluation and treatment of short term and long term health issues in COVID-19 survivors.
 
2. A complete pathology and radiology work up including but not limited to Complete blood count, C-reactive protein, HbA1C, Fasting blood sugar, Post prandial blood sugar, Serum Ferritin, D-Dimer, Kidney profile, Liver function test, Pulmonary Function test, X-Ray Chest, HRCT chest, ECG,2 D Echo.
 
3. Pulmonary Rehabilitation Program under the guidance of a trained physiotherapist  and Nutrition counseling by a qualified Nutritionist
 
4. Regular follow up with the Post Covid-19 multidisciplinary team.
 
Benefits
 
The post-COVID-19 care clinic objective is to help rehabilitate patients who have beaten COVID 19; back into their normal daily lives, by providing timely assessment and intervention treatment & therapy to enable complete recovery.
 
PULMONARY REHABILITATION:
 
1 Improves exercise tolerance
 
2  Improves muscle strength (peripheral and respiratory)
 
3  Improves physical activity
 
4 Improves health-related quality of life 
 
5  Reduces exacerbations in patients
 
BREATHING EXERCISES:
 
1  Improves and redistributes ventilation
 
2  Increases effectiveness of Cough mechanism and helps in airway clearance
 
3  Improves the strength, endurance and coordination of breathing muscles
 
4  Maintains or improves chest and thoracic spine mobility
 
5  Corrects abnormal and inefficient breathing pattern thereby reducing work of breathing
 
6  Promotes relaxation
 
7  The coordination in these exercises teach the patient how to deal with an episode of breathlessness
 
8  Improves patient’s functional capacity for performing activities of daily living and return to occupational and recreational activities
 
 

Pulmonology Centre with advanced HEPA filter technology.

HEPA is a type of pleated mechanical air filter. It is an acronym for "high efficiency particulate air filter (as officially defined by the U.S. Dept. ... This type of air filter can theoretically remove at least 99.97% of dust, pollen, mold, bacteria, and any airborne particles with a size of 0.3 microns (µm)

Filters meeting the HEPA standard must satisfy certain levels of efficiency. Common standards require that a HEPA air filter must remove—from the air that passes through—at least 99.95% (European Standard) or 99.97% (ASME, U.S. DOE) of particles whose diameter is equal to 0.3 μm, with the filtration efficiency increasing for particle diameters both less than and greater than 0.3 μm. HEPA filters

capture pollen, dirt, dust, moisture, bacteria (0.2-2.0 μm), virus (0.02-0.3 μm), and submicron liquid aerosol (0.02-0.5 μm). Some microorganisms, for example, Aspergillus niger, Penicilliumcitrinum, Staphylococcus epidermidis, and Bacillus subtilis are captured by HEPA filters with photocatalytic oxidation (PCO). HEPA is also able to capture some viruses and bacteria which are ≤0.3 μm. HEPA is also able to capture floor dust which contains Bacteroidia, Clostridia, and Bacilli.

HEPA was commercialized in the 1950s, and the original term became a registered trademark and later a generic trademark for highly efficient filters. HEPA filters are used in applications that require contamination control, such as the manufacturing of hard disk drives, medical devices, semiconductors, nuclear, food and pharmaceutical products, as well as in hospitals,homes, and vehicles.
 

HEPA filters are composed of a mat of randomly arranged fibres. The fibers are typically composed of polypropylene or fiberglass with diameters between 0.5 and 2.0 micrometers. Most of the time, these filters are composed of tangled bundles of fine fibers. These fibers create a narrow convoluted pathway through which air passes. When the largest particles are passing through this pathway, they behave like a kitchen sieve which is blocked physically passing through. However, when the smaller particles pass with air, as the air twist and turns, the smallerparticles can’t keep the same motion of air up and they crush with the fibers. The smallest particles have very little inertia and they always move around the air molecules like they are bombarded by these molecules (Brownian motion). Because of their movement, they end up crashing into the fibers. Key factors affecting its functions are fiber diameter, filter thickness, and face velocity. The air space between HEPA filter fibers is typically much greater than 0.3 μm. HEPA filters in very high level for smallest particular particles. Unlike sieves or membrane filters, where particles smaller than openings or pores can pass through, HEPA filters are designed to target a range of particle sizes. These particles are trapped (they stick to a fiber) through a combination of the following three mechanisms:

Applications

HEPA filters are critical in the prevention of the spread of airborne bacterial and viral organisms and, therefore, infection. Typically, medical use HEPA filtration systems also incorporate high-energy ultraviolet light units or panels with anti-microbial coating to kill off the live bacteria and viruses trapped by the filter media.Some of the best-rated HEPA units have an efficiency rating of 99.995%, which assures a very high level of protection against airborne disease transmission.

COVID-19

SARS CoV 2 is approximately 0.125 µm. Airborne droplets of SARS-CoV-2 could be captured by HEPA filters, even if they are on the floor.

 
Location:
 
8th Floor, Dr L H Hiranandani Hospital, Powai
 
 Consultation Days & Time:
 
Tuesday, Thursday and Fridays: 11 AM to 1:30 PM
 
For appointments contact:
 
022 – 25763500 / 25763012
 
For any queries the patients can contact Dr Sushma Sanghvi on 022 25763012 / 7506418421