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  1. About Us
  2. Department Activity
  3. Education & Courses
  4. Research
  5. Patient Information
  6. Contact Us

Our mission is to provide a broad spectrum of quality internal medicine care for patients with cancer. Our vision is to continually grow as a research-driven internal medicine division in a comprehensive cancer care center.

The Department of General Medicine is an important clinical service of the Hospital as a vast number of patients presenting to the Hospital invariably need to be referred to this Department. The Department consists of a dedicated medical team as well as trained technicians, nurses.

We provide both outpatient and inpatient consultation services for management of medical illnesses of patients undergoing surgery, radiotherapy and chemotherapy and consultation services to ICU.

Cancer patients with pre existing medical disorders as well as medical complications of cancer treatment are managed. The department meets the needs of patients with Preoperative assessment and optimization for major cancer surgery along with post-operative medical management. This commonly includes management of diabetes, hypertension, ischemic heart disease, asthma, COPD etc

Pre-chemotherapy evaluation wherever indicated and treatment of Chemotherapy and Radiation induced toxicity.

Management of infections in the immuno-compromised patients especially HIV, tuberculosis, MDR TB, fungal, viral and other bacterial infections. Management of critically ill oncology patients. acute complications, including infections, pulmonary complications, cardiovascular disease and metabolic disorders.

In addition to above we have set up the country’s first AIDS Malignancy Clinic and first Cardio Oncology clinic. We also have a dedicated Cancer Thrombosis clinic.

Clinics:  General Medical Consult ( Inpatient /Outpatient /ICU/Casualty )

The Department of Medicine conducts the following  speciality clinics:

  • Cardio Oncology Clinic 
  • Cancer thrombosis clinic
  • AMC Clinic
  • Cardiopulmonary evaluation of long term childhood cancer survivors

Services:

Diagnostic Services

  • Echocardiography
  • Cardiopulmonary Exercise Test
  • ECG
  • Pulmonary function test

The Department of Medicine Conducts The Following Speciality Clinics

  • Cardio Oncology Clinic Cardiomyopathy  Clinic was set up in 2009. It was renamed as Cardio oncology clinic in 2012.

    This clinic was conceived following the observation of an increasing number of patients with  drug induced cardiotoxicity who required frequent monitoring . Also with the advent of targetted therapy  more cardiotoxicities were seen.

    Our team consists of  Physicians,Medical Oncologists, pediatric oncologists , and cardiologists-KEM hospital.

    The clinic provides following services:

    1. Prechemotherapy evaluation  ( risk assesment) and optimisation of high risk cases.

    2. Diagnosis and management of cases with cardiotoxicity

    3. Long term cardiac monitoring of childhood cancer survivors

    4. Point of care testing of BNP and Trop I.


    Affiliations –invited member of international society of cardio oncology


    We have recently  conducted the first conference on cardio oncology in India 2015


  • AMC Clinic : Clinic was set up in 2003.

    The clinic addresses issues of anti retroviral therapy, complications  related to concomitant chemo therapy  and ART,  prophylaxis during radiotherapy and perioperative management.

    A data base of all HIV associated cancers  is maintained.

    Ongoing  ICMR funded study of Pathobiology & clinical profile of HIV associated Lymphomas and head and neck cancers in India & the West.

    Dr. Aruna Alahari Dhir– Member of the International working committee of AIDS Malignancy Consortium (AMC), National Cancer Institute, US

    Data has been presented in international meetings and published in peer reviewed journals.

  • Cancer Thrombosis Clinic :

    The clinic has been started in 2007.. Patients diagnosed with VTE are referred to the clinic. Patients are managed as per standard guidelines with close monitoring of patient who are on oral anticoagulants, Data is prospectively recorded for all patients. The Hospital Cancer Thrombosis Working Group has been formed. It is a multidisciplinary team and includes members from various departments (the physicians ,medical oncologists ,radiation oncologists, surgical oncologists, intensivists, interventional radiologists ,hematologists ,and cardiovascular surgeons). Monthly meeting are being conducted to address research and clinical issues related to DVT in cancer patients.


    Data has been presented in international meetings and published in peer reviewed journals.

The Department of Medicine Conducts the Following Diagnostic Services

  • Cardio Pulmonary Exercise Lab :

    One of the few centers in India performing this test .

    Comprehensive cardio respiratory risk assessment is done for high risk lung cancer patients..
    Impact on patient care-This test contributes to decision making, regarding surgery, in the high risk lung cancer patients who would otherwise have been refused surgery based on conventional tests.

  • Echocardiography

    A state of the art 3-D echocardiography machine is available for transthoracic, transesophageal echocardiography. Annually about 11000 echocardiography’s are carried out. In addition we have a portable unit to conduct emergency bedside 2Decho in the intensive care unit.

  • Pulmonary Function Testing laboratory

    A state of the art Pulmonary function unit is available for complete spirometry, as well as diffusing capacity. On an average about 4000 PFTs are carried out annually. PFTs are carried out in pre and post operative  Lung cancer patients, in patients who have received  Bleomycin , breast cancer patients receiving radiotherapy and in childhood cancer survivors apart from COPD and Asthma.

  • Electrocardiography

    About 35,000 ECGs are reported   each year.

Faculty Staff

  • Dr. Aruna Alahari Dhir Professor & Head of Dept.
  • Dr.Sheela P.Sawant Assoc Prof.&Asst.Physician
  • Dr Anuprita DaddiAssistant Prof
  • Dr. P T V Nair Medical Officer
  • Dr Prakruthi JSenior Registrar

Fellowship in infectious diseases and HIV Medicine :

Two years fellowship  by Homi Bhabha National Institute(Deemed university).

The clinical experiences afforded to ID fellow trainees include opportunities to observe and manage adult patients with a wide variety of infectious diseases on both an inpatient and an OPD  basis. People with cancer suffer from defects in host defense that place them at risk for infections. Understanding the different risk factors in the individual patient is necessary to implement the appropriate preventive strategies and to formulate a reasonable diagnostic and therapeutic plan when infection ensues. Factors that predispose to infectious diseases include those related to the underlying malignancy and treatment-related immunosuppression. Neutropenia, asplenia, high-dose corticosteroids, and lymphocyte-depleting agents represent different forms of immunocompromise that increase the risk of different kinds of infections.

With the major and supramajor surgeries conducted at the hospital, the fellow will gain experience in post operative infections and infections in the crically ill.

HIV Medicine

On every Tuesday fellows attends a weekly HIV clinic ,Facilitating the development of clinical skills in HIV care, Clinic begins with Consultation of patients having HIV  infection  and  malignancy , case discussion on  antiretroviral medications most suitable with the planned chemotherapy for respective patients ; opportunistic infections; immune reconstitution inflammatory syndrome; neoplastic, neurologic, and metabolic complications of HIV/AIDS; coinfection with viral hepatitis.

Preventive care issues-  vaccination  in  immune compromised   patient  .Prophylaxis to prevent OI (opportunistic infections)  in patient undergoing chemotherapy.

Publications

  • Asymptomatic myocardial metastasis from cancers of upper aero-digestive tract detected on FDG PET/CT: a series of 4 cases,Ameya D Puranik, Nilendu C Purandare, Sheela Sawant, Archi Agrawal, Sneha Shah,Prafful Jatale and Venkatesh Rangarajan Cancer Imaging 2014, 14:16
  • Anal cancer in HIV infected patients, Alahari Dhir A , Sawant S , Daddi A , Engineer R , Deodhar K International Journal of Antimicrobial Agents. 2013
  • HIV-associated non-Hodgkin’s lymphoma- experience from a tertiary referral cancer center , Aruna Alahari, Sawant S, Tanuja Shet , Infect Agent Cancer. 2012
  • Venous Thromboembolism in cancer   patients S Sawant ,A A Dhir, A Daddi, PTV Nair Thrombosis Research 129(supplement 1)2012
  • Pulmonary embolism in cancer patients. Sawant S, Banumathy P, Daddi A, Dhir A A. Indian Journal of cancer 2012,49:119-24
  • Primary oesophageal carcinoma in the era of highly active antiretroviral therapy. Justin Stebbing, Susan E Krown, Mark Bower, Anu Batra, Sarah Slater, Grant Pakter, Diego Serraino, Bruce J Dezube, Aruna A Dhir and Liron Pantanowitz   Archives of Internal Medicine. 2010 Jan; 170(2):203-207.
  • HIV associated non Hodgkin’s lymphoma: How much do we know?’, A.A.Dhir Indian Journal of Cancer. 2010 Jan-Mar; 47(1):6-7.
  • M Dhir AA, Sawant SP  alignancies in HIV: the Indian scenario..Curr Opin Oncol. 2008 Sep;20(5):517-2Dhir AA, Sawant S, Dikshit RP, Parikh P, Srivastava S, Badwe R, Rajadhyaksha S, Dinshaw KA
  • Spectrum of HIV/AIDS related cancers in India .Cancer Causes Control. 2008 Mar;19(2):147-53

Working Schedule

Private OPD    - MON/WED /FRI –9.30 AM TO 1.00PM , ROOM NO 105 ,First floor ,Main building,

General OPD – MON to FRI (Except on Thursday) Golden Jubilee  Building ,Basement

Specialty Clinic - ROOM NO 105 ,First floor ,Main building

Monday

Tuesday

Wednesday

Thursday

Friday

Cancer thrombosis clinic Cardiopulmonary evaluation of long term childhood survivors  Cardiooncology clinic AIDS Malignancy clinic Cancer thrombosis clinic

2pm — 5pm

2pm — 5pm

2pm — 5pm

2pm — 5pm

2pm — 5pm

Phone: Hospital Number: 24177000,ext 4214

Address: Department of General Medicine , Room no –105, First floor ,Main building , Secretary  available from 9.30am to 5.30 pm

Fax: Hospital Fax Number:

Email-id: Email-id:

Contact Us

TATA MEMORIAL HOSPITAL
Dr. E Borges Road, Parel, Mumbai - 400 012 India
Phone: +91-22- 24177000, 24146750 - 55
Fax: +91-22-24146937
E-mail : msoffice@tmc.gov.in (for patient care and queries) / hrd@tmc.gov.in(for administrative - HRD matters)

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