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Dr. R. Balasubramaniyam.,
MBBS, DNB (Gen Med), DNB (Nephro)
Chief Nephrologist
Head of the Department of Nephrology & Postgraduate Medical Institute.
K.G. Hospital, Coimbatore. India
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Nephrology
Ours is 350 bedded multispeciality health care centre situated in the heart of Coimbatore city offering medical, surgical and health education services. It is a totally self-contained unit with exemplary patient care and state of art equipments. Our hospital with ISO 9002 certification is the first multispeciality hospital in the state and fourth in India.
Dr. R. Balasubramaniyam is a young, energetic, enthusiastic & patient friendly Nephrologist. He has been associated with nephrology since 1994 & with KG Hospital since 1999.
Professional Experience :
- At present Chief Nephrologist at KG Hospital, Coimbatore since April 1999.
- Consultant Nephrologist, Coimbatore - January 1997 to April 1999.
- Registrar Nephrology at Apollo Hospital, Chennai under Dr.MK.Mani 1994 to 1996.
- Consultant Physician at Sankara Nethralaya, Chennai, January 1994 to December 1994.
He is a Nephrologist par excellence who has vast experience in various aspects of nephrology - haemodialysis, continuous ambulatory peritoneal dialysis (CAPD), pediatric nephrology, general nephrology & renal transplantation.
Heading the department of Nephrology at KG Hospital & PostGraduate Medical Institute. ONE OF THE YOUNGEST NEPHROLOGISTS TO HAVE ATTAINED SUCH A STATUS AT SUCH AN EARLY AGE. He is the only Nephrologist who deals with all aspects including Kidney transplantation, Cadaver transplantation, CAPD, Pediatric Nephrology, Interventional Nephrology & a teacher in training students of Dip. NB in the country.
Membership & Affiliations :
- District Chairman - Prevention and cure of kidney disorders, District Leadership Team for the year 2005 - 2006
- Member of Southern Chapter of Indian Society of Nephrology.
- Life member of Indian Society of Nephrology.
- Life member of International Society Of Nephrology.
- Life member of Peritoneal Dialysis Society Of India.
- Rotary member of Rotary Club Of Coimbatore Midtown - RI 3002.
- Secretary IN K.G. Academic Society.
Awards Won :
- Eminent Teacher Award given by Dr. G. Bakthavathsalam, Chairman, K.G. Hospital.
- Vocational Excellence Award by Rotary Club of Coimbatore North.
- MAHARAJA TRAVANCORE'S PRIZE for proficiency in medicine in final MBBS for securing highest marks in final MBBS in general medicine at Stanley Medical College.
- PC MARY TANKER FOUNDATION " YOUNG INVESTIGATOR AWARD" in 1996 among nephrologists of south India given for the BEST RESEARCH WORK BY A YOUNG SCIENTIST for the work on pre - transplant donor kidney biopsy.
- STAR OF KG HOSPITAL award given by our Honorable President DR. APJ. ABDUL KALAM.
Research Papers published :
- Acute renal failure in Intensive Care Unit - Southern chapter of Indian Society of Nephrology, 1999, Goa.
- Enalapril induced acute renal failure in a neonate - International society of Peritoneal Dialysis, Montreal, Canada - 2001.
- CAPD - Our experience - Southern chapter of Indian Society of Nephrology, Tirupathi - 2002.
- Changing spectrum of primary glomerulonephritis over a period of 10 years at Southern chapter of Indian Society of Nephrology (SCISN - 1995).
- Donor kidney biopsy a prospective study - Southern chapter of Indian Society of Nephrology.
- Continuous Renal Replacement Therapy in Post cardiac surgery patients - SCISN(1996)
- Changing spectrum of primary glomerulonephritis - A retrospective study presented at southern chapter of Indian Society of Nephrology (SCISN - 1996 Bangalore.)
- Continuous Renal Replacement Therapy in Post cardiac surgery patients - SCISN(1997)
- Pre-transplant Donor Kidney biopsy a prospective study - SCISN 1996
- Renal Transplant in children - SCISN 1997
- Anuric acute renal failure in a Neonate - SCISN 2000
- Neonatal acute renal failure due to maternal usage of ACEI - at International Society of Peritoneal Dialysis - 2001 at Montreal, Canada
- Renal Emergencies and Snake Envenomation at Emergency conference at Coimbatore.
- Usefulness of Pre-transplant high resolution CT scan (HRCT) chest in detecting early tuberculous pulmonary lesion - A prospective Indian study. Presented in Southern Chapter of Indian Society of Nephrology, Thirupathy - 2002.
- An invited speaker at the International Conference on Emergency Medicine at Hyderabad - October 2002.
- Retrospective analysis of Ambulatory Blood Pressure monitoring in resistant hypertensives at the XII National Conference of Hypertension Society of India 2003 held at Madurai.
- Usefulness of Pre-transplant high resolution CT scan (HRCT) chest in detecting early tuberculous pulmonary lesion - A prospective Indian study. Presented in Indian Society of Nephrology, Southern Chapter XXIV Annual conference held at Mangalore - Accepted as one of the top 3-research work done by a young Nephrologist in South zone.
- Peritoneal dialysis in acute renal failure in infants Presented in Indian Society of Nephrology, Southern Chapter XXIV Annual conference held at Mangalore.
- Usefulness of Pre-transplant high resolution CT scan (HRCT) chest in detecting early tuberculous pulmonary lesion - A prospective Indian study sent for Indian Journal of Nephrology.
- Peritoneal dialysis in acute renal failure in infants Sent for Indian Society of Peritoneal Dialysis.
- CAPD - Our experience - Southern chapter of Indian Society of Nephrology, Tirupathi - 2002.
- Usefulness of Pre-transplant high resolution CT scan (HRCT) chest in detecting early tuberculous pulmonary lesion - A prospective Indian study. Presented in Southern Chapter of Indian Society of Nephrology, Thirupathy - 2002.
- Usefulness of Pre-transplant high resolution CT scan (HRCT) chest in detecting early tuberculous pulmonary lesion - A prospective Indian study. Presented in Indian Society of Nephrology, Southern Chapter XXIV Annual conference held at Mangalore - Accepted as one of the top 3-research work done by a young Nephrologist in South zone.
- Peritoneal dialysis in acute renal failure in infants Presented in Indian Society of Nephrology, Southern Chapter XXIV Annual conference held at Mangalore.
- Successful Cadaver transplantation by shifting a brain dead victim 500 kilometers by road - Southern Chapter of Indian Society of Nephrology- 2004.
- Successful renal transplantation following two hyper acute failed transplantation - Southern Chapter of Indian Society of Nephrology- 2004.
- Pathogenesis of essential hypertension - Indian Society of Nephrology, Southern Chapter XXIV Annual conference held at Mangalore.
- Usefulness of Pre Transplant CT scan in identifying early Tuberculous pulmonary lesion at CONGRESS OF ASIAN SOCIETY OF TRANSPLANTATION MEETING AT DELHI in March, 2002.
- Usefulness of Pre Transplant CT scan chest in identifying early tuberculous pulmonary lesion was sent to the 9th Asian Pacific Congress of Nephrology Scientific Programme, Pattaya, Thailand.
- Infection free CAPD programme in a developing country was sent to the 9th Asian Pacific Congress of Nephrology Scientific Programme, Pattaya, Thailand.
Haemodialysis :
We have 9-dialysis unit, which are state of art machines at K.G. Hospital. We do 500 - 550 dialysis per month. All types of dialysis techniques are performed in our center. The department has grown in the last 4 years significantly because of the teamwork, which was developed by us.
The salient features of our dialysis department :
- 24 hours availability.
- Over 1,00,000 dialysis performed.
- High quality computerized dialysis machines.
- Experienced dialysis staff.
- Personal attention to patients.
- Free dialysis to poor patients.
- Separate machines for jaundice patients.
- competetive charges per dialysis.
Introduction Of New Dialysis Technique In Coimbatore - CAPD :
CAPD (CONTINUOUS AMBULATORY PERITONEAL DIALYSIS) is a new dialysis treatment for patients with kidney failure. We have successfully introduced this treatment method in coimbatore. This is a procedure in which a small catheter is placed into the abdominal cavity of the patient through which the dialysate fluid is passed into the abdomen to purify the blood in the body. In the last 6 years, we have revolutionized dialysis in patients with diabetes, heart problems, children & in elderly patients through this technique.
CAPD - Infection Free CAPD Programme in a Developing Country
CAPD in our experience is an excellent modality of renal replacement treatment. Patient selection and education is very essential for a good, long term infection free program. Early identification and management is important towards infection control. Underlying ischemic heart disease is the major cause of mortality.
We have been rated as one of the " BEST CAPD CENTRES IN THE WORLD" because of our high success rates.
Salient features of CAPD :
- Leading CAPD center in India.
- Infection free program.
- Ideal for diabetics, old aged, children and heart patients.
- Treatment at home, no hospital visits.
- No diet restrictions.
Kidney Transplantation : Has been associated with more than 1000 kidney transplantation so far. Individually, performed more than 300 kidney transplantation surgeries. All type of transplantation are performed including
- Live Transplantations (where transplants are being performed among close relatives)
- Paediatric Kidney Transplantations (where kidney transplantation's are performed in children)
- Cadavar Kidney Transplantation (where kidneys are taken from brain dead patients & are transplanted to needy recipients)
Transplantation at K.G. Hospital
- Leading transplant center in India.
- Recognized center for Central govt. Tamilnadu & Kerala state govt. employees for transplant.
- Recognized for financial grants for transplantation from Prime minister / Chief minister relief funds.
- Transplants in children, diabetes performed.
- Experienced team of doctors & transplant nurses.
- Offers safe and affordable treatment.
- Over 300 successful kidney transplants are performed with a success rate of 98%.
Transplant team :
We have an excellent team of doctors who have performed more than 300 transplant surgeries.
- Dr.V.P.Shanmugasundaram MS, FICS
- Dr.M.Ramalingam MS MCh
- Dr.A.P.Chidambaram
- Dr.V.Veerappan
- Dr.Krishnan
- Dr.Selvarajan and
- Dr.Raja
- Dr.Srilatha
Paediatric Nephrology :
- Treats children with kidney disease - Glomerulonephritis, Nephrotic syndrome, Urinary Tract Infection etc.
- Performs dialysis, CAPD & transplants for children.
- New born (children with kidney failure) dialysis are done.
Snake Bite
There are over 500 venomous species of snakes available all over the world. These snakes belong to Elapidae, Viperidae and hydrophidae groups. In India, Saw - Scaled Viper and Russels viper bites are more common. The venom is a mixture of enzymes and non enzymatic compounds. Because of the actions of the venom, the patient gets local and systemic signs of envenomation. The manifestation starts within minutes. The local features include swelling, erythema, necrosis and gangrene. There is always secondary bacterial infection. Systemic manifestations include DIVC, renal failure, neuro toxicity, cardio toxicity and muscle necrosis. Management of a snakebite victim involves proper diagnosis of the complications, a complete investigation towards identifying organ damage , wound care, antibiotics, supportive treatment for organ damages, etc. This specific treatment involves in giving anti snake venom to neutralise the actions of the venom. There has been no standard protocol in treating patients with snake envenomation. We have developed a protocol at KG hospital based on the severity of envenomation in to mild, moderate and severe categories depending on the severity of DIC, rate of spread of cellulitis, presence or absence of cardio toxicity, neuro toxicity, muscle damage and hypotension. The doses are 20, 40 and 60 vials of anti snake venom per day. The dose is titrated according to the severity. In the last 2 years, 84 patients were treated according to these criteria and the results are excellent.
K.G. Kidney Care Foundation :
More than 80% of kidney failure patients are poor & unaffordable. To help these unfortunate patients, we have formed a forum called " KG kidney care foundation" by our patients, who are being treated at our centre, their relatives, friends and philanthropists to exchange views and educate the public regarding kidney diseases and on various types of treatment options available.
The foundation also plans to help poor patients. Any one can join us to support those unfortunate patients who are not able to afford for their treatment.
Contributions could be made on contributors' special days like birthdays, wedding day or any other rememberable day.
CHARITY begins at home and if each affordable family would come forward in helping a poor kidney patient it would make a significant change in the world of kidney care. We have introduced the following schemes to help those in need.
SAVE A LIFE TODAY
This project contributes Rs. 1000/- which will take care of the haemodialysis charges of the patient for one day.
SAVE A TRANSPLANTED KIDNEY
This project contributes Rs. 10,000/- to keep a transplanted kidney alive. This would go towards post transplant medications for a month.
Our Achievements :
So far 1000 poor patients undergoing dialysis has been benefited through this programme.
Landmarks Achieved :
- Baby sharadha - 2 day old child was brought to KG Hospital with both the kidneys not working. The child was dialysed for 28 days & was saved & today she is at the age of 4 years. Subsequently performed 6 more neonatal peritoneal dialysis.
- Transporting a brain dead victim from trivandrum to coimbatore for cadavar transplantation - FIRST TIME IN THE COUNTRY.
- First time in the country performed a complicated transplantation subsequent to 2 hyper acute failed transplantation.
Hypertension clinic & Free Blood Pressure checkup :
- The first centre to have a clinic for hypertension.
- "FREE BLOOD PRESSURE CHECK UP" clinic checks up blood pressure for every one who walk into the clinic.
- Over 3,50,000 individuals were screened so far & 8% of our population were found to have hypertension.
- Free counseling, treatment & investigations at concessional charges are done for identified patients.
- "Campaign against the silent killer" - a project formed to identify high blood pressure in student population and to create awareness about hypertension.
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