The Department of Cardiology at Bhubaneswar Apollo Hospitals offers a complete range of the latest in heart care treatments that include Non-interventional, Preventive Cardiac Care and all types of Interventional Cardiac Procedures such as Coronary Angiogram, Coronary Angioplasty, Peripheral Angioplasty and Congenital Shunt Lesion Device closures. These procedures are supported by the latest GE CATH Lab. Our Coronary Care Unit is well equipped with the state of art equipments and is on par with any of the best centers in the world. Our cardiac care team consists of highly trained Interventional Cardiologists and the supporting staff who are well trained in the latest technologies. Our utmost focus is to prevent cardiac diseases by patient and community education and to provide the best mode of treatment whenever it is required.

The centre for cardiothoracic surgery at Apollo Hospitals, Bhubaneswar is one of the best centers in Odisha providing modern quality driven care. The surgical team comprises of excellent and experienced surgeons trained in best institute in India. Highest international standards have already been set to this specialty to achieve best clinical out-comes and utmost satisfaction to the patients and their families.

The cardio-surgical program consists of Minimally Invasive Coronary Artery By-pass Graft surgery and Repair and Reconstruction of Heart Valves which has proven to be a much superior modality compared to valve replacements. Total Arterial Revascularization surgery for complex heart problems and Cardiac re-operation are also provided. Furthermore, surgery using minimal access result in cosmetically superior and minimal scars.

Our team has vast experience of managing all types of Congenital Heart Defects in all age groups. The surgical team is ably supported by the state of the art ICU and highly experienced intensive care consultants.

The right orthopedic care can make a big difference in terms of maintaining – or recapturing – the quality of life. From Joint Replacement to Sports Medicine, Treatment of Osteoporosis or Fractures and much more, Apollo Hospitals Bhubaneswar does it all.

This centre is at the forefront in providing the latest in orthopedic treatments and surgical techniques. The centre performs surgical procedures which include the most current Arthroscopic and Reconstructive techniques including major Joint Replacements, Arthroscopies, Spine surgeries, the most delicate Hand surgeries and much more.

Key Hole Surgery

Arthroscopic or keyhole surgeries of the joints are routinely performed. The most common Arthroscopic procedures include Repairing Cartilage and Meniscal problems in the Knee, reconstructing the ligaments in the Knee and stabilizing the joint, repairing Rotator Cuff tears in the Shoulder

Joint Replacements

• Total hip replacement
• Resurfacing Hip Replacement
• Total knee replacement
• Total shoulder replacement
• Total elbow replacement
• Wrist replacement
• Hand joint (small) replacement surgery
• Ankle joint replacement

Ilizarov and External Fixation Device

• Management of open fractures
• Infected non-union of long bones
• Limb lengthening
• Correction of deformities
• Fusion of joints

Arthritis

• Osteoarthritis
• Rheumatoid arthritis
• Infective arthritis
• Traumatic arthritis

Arthroscopic Surgery

• Key hole surgery for disorders of the knee, shoulder, elbow and ankle

Trauma and Fracture Surgery

• High quality Swiss ‘AO' systems, help stabilize fractures
• Image intensifier, confirms perfect fracture fixations

Spinal Surgery

• Disc surgery
• Micro surgery for disc
• Fixation systems for fractures
• Surgery for correction of spinal deformities
• Surgery for tuberculosis of spine
• Endoscopic spine surgery

Pediatric Orthopedics

• Congenital limb and spinal deformities
• Bone and joint infections
• Juvenile arthritis

Minimally Invasive Orthopedic Surgery

The Orthopedic surgeons at the Apollo Hospitals can diagnose and treat many types of bone and joint problems using minimally invasive techniques. Most minimally invasive orthopedic surgeries are done with the use of an arthroscope, a special thin tool designed for viewing and treating problems inside a joint. The arthroscope is so slim that it can be inserted into the joint through one or more tiny "keyhole" cuts. Specially designed instruments are used to do appropriate Surgeries. Recovery is faster due to less tissue trauma.

Resurfacing arthroplasty of the hip

Apollo has pioneered this procedure in India and now it is available in Bhubaneswar.

The Knee Clinic

It caters to patients having pain and instability resulting from injuries or diseases of the joint. Latest surgical reconstruction and non surgical techniques are used for complete care of the knee joint in all age groups.

Apollo Sports Medicine

Apollo Sports Medicine covers every aspect of treatment for sports injuries, all of which have one focus – getting a sports man back on track as soon as possible.

The department of Gastroenterology at Bhubaneswar Apollo Hospitals is one of the advanced gastroenterology units in this country. Apart from routine Upper GI Endoscopy, Colonoscopy, and ERCP, we have the advanced therapeutic facilities like APC (Argon plasma coagulation) which is used in controlling GI bleeding. Our Gastroenterologists are well trained in procedures like – control of GI bleed, Polypectomy, removal of CBD stone and Metal Stenting of various disorders of the Biliary and GI tract.

The department of surgical gastroenterology at Bhubaneswar Apollo Hospitals is one of the most advanced centers for various Abdominal and Laparoscopic surgeries including laparoscopic Cholecystectomy/ Appendicectomy/ Hernia/ and other complex key hole surgeries, complex Liver, Biliary, Pancreatic, Colon, Small Intestinal, Gastric, Oesophageal and Bariatric surgeries. Fully equipped department with advanced laproscopes and video endoscopes help our expert surgical Gastroenterologists and Hepatobiliary surgeons to perform complex Liver, Biliary and Pancaeatic surgeries. These procedures being minimal access-surgeries, save patient's time, money, and minimize pain and unnecessary scars of surgery. We have plans to start liver transplant surgery. subsequently. We also have expertise in taking up Re-do GI surgical cases. The surgical Gastroenterology team works in close collaboration with the Medical Gastroenterologists with the focus on better patient outcome

The departments of Neurosciences offer a complete range of Neurological care including management of Stroke, Epilepsy, CNS infections, various Muscle and Nerve disorders, Movement disorders, Tremor ,Head injuries, and also provides surgical treatment of Brain and Spinal cord Tumors.

The department is performing advanced skull based surgeries for Aneurysms, Endoscopic Trans-Sphenoidal surgery and Minimal Access Endoscopic Spine surgeries. We have the facility of neuro-intervention including diagnostic Cerebral DSA, Intrarterial Thrombolysis for Acute Stroke, Carotid Stenting along with Aneurysm Coiling and Tumor Embolisation. This department has a well equipped Neurophysiology laboratory that does diagnostic EEG, Electromyography, Sensory and Motor evoked potential studies and Nerve Conduction study. We also provide ICP monitoring, Intra-operative monitoring of sensory and motor nerve conduction and Cranial Nerve monitoring for deep seated brain tumors and spinal cord surgeries. Our team of Neurologists, Neurophysiologists and Neurosurgeons with national and international exposure and experience are highly trained and extremely experienced with good patient outcome to their credit.

   

The Department of Nephrology along with the Department of Urology has given new hope to patients suffering from Chronic Kidney Diseases and Renal Failure. Apart from the regular Haemodialysis and Peritoneal Dialysis (CAPD), we also offer safe and ethical Renal Transplants.

Department of Urology is well equipped with latest technology and skilled surgeons. All types of advanced Laparoscopic procedures (E.g. Laparoscopic Donor Nephrectomy, Laparoscopic Nephrectomy , Radical Nephrectomy, Laparoscopic Pyeloplasty, Laparoscopic Adrenalectomy along with all types of Endourological procedures (e.g. PCNL Key hole surgery for kidney stone), URS, TURP, TURT, and Posterior Urethral Valve Fulgration etc. are performed.

Our team of highly experienced urologists also perform surgeries for all types of Urological Cancers (e.g. Prostate, Kidney Bladder, Adrenal, Testis and Penis). Our experts also deal with problems related to Andrology (E.g. Impotence, Male Infertility). Our urologists specialize in all types of Endoscopic Urological procedures and Laparoscopic procedures for Kidney, Bladder, Prostate Cancer and for female Urethral disorders.

Treatments Offered :

Surgical problems in paediatric age group are quite different from those encountered by adults. About 5-7% of the new born babies may be having a surgical problem requiring surgical management. Paediatric surgeons are specially trained, having extensive experience and expertise in managing Congenital & Acquired Surgical problems in paediatric age group. Here in Apollo, we work in close association with our Neonatologists , Paediatric physicians and Intensivists to provide the best possible care and outcome.

Some of the common problems managed by paediatric surgeons:

Neonatal

Different Congenital Anomalies, Abdominal wall defects, Intestinal Atresias, Congenital Diaphrgmatic Hernias, Imperforate Anus, Hirschsprung's disease

General Paediatric Surgery

Hernias, Hydroceles, Phimosis, Lumps/Bumps, Perianal problems, Abscess, Appendicitis, Abdominal Cysts/Tumours

Thoracic

Oesophageal Atresia, CLE, CAM, Empyema Thoracis

Hepatobiliary

Choledochal Cyst, Biliary Atresia, Portal Hypertension, Psedudocyst of Pancreas

Paediatric Urology

PU Valve, VUR, Ureterocele, Hydronephrosis, Incontinence, UTI, Congenital Renal anomalies, Renal neoplasm and Undescended Testes

Paediatric Oncosurgery

Wilm's tumour, Neuroblastoma, teratoma, Dermoids

Paediatric Plastic surgery

Accessory toes, fingers, hemangiomas, lymphangiomas

Paediatric Neurosurgery

Hydrocephalus, Meningomyeloceles

Paediatric Trauma

Paediatric Minimal Access surgery

For the first time in Odisha , Video assisted Cystoscopic Posterior Urethral Valve Fulguration was performed in a 5 days old male child.

We have also taken up some rare problems like Morgagni's hernia in a 1 yr old child, opearated a case of Cushing's syndrome in a 2 year old child-having Adreno cortical carcinoma, and also successfully operated on acase of Torsion of Epididymal Cyst.Besides multiple routine cases, we have operated on a case of Wilm's tumour, used staplers in Modified Duhamel's operation for Hirschsprung's disease and taken up Splenectomies for Thalassemia patients.Intussusceptions with gross Septicemia, A huge infected Hemangioma with Septicemia were other complex cases managed successfully.

The department of General and Laparoscopic surgery has highly qualified surgeons trained in advanced Laparoscopic and Thoracoscopic procedures. Different types of Laparoscopic procedure like Laparoscopic Cholecystectomy, Appendicetomy, Hernia repair, Gastro intestinal surgeries, Splenectomy , hiatus hernia repair, GI cancer surgeries and obesity surgeries are done. We are supported by an advanced Laparoscopic OT and Intensive Care Unit.

Apollo Hospitals Bhubaneswar offers extensive facilities for Mother & Child care . Highly qualified specialists with latest equipments manage High Risk Pregnancies and Premature babies. We have level III Neonatal NICU with specialized Maternity and Paediatric ICUs.

In the department of Obstetrics and Gynecology , we provide daily OPD services, Maternity care and conduct highly sophisticated Gynecological surgeries. In addition, we also deal with Neonatal gynecological complications, Adolescent problems, Pre marital , Pre - Pregnancy check ups, Ante Natal Check up , Post delivery check up, and Post Menopausal check up with complete range of Obstetric and Gynecological services.

We have aesthetically designed Delivery Rooms to allow for greater bonding between the child and the mother.

The department of Ophthalmology is fully equipped for comprehensive eye care. We specialize in Advanced Cataract surgery and Phacoemulsification (Sutureless cataract surgery) with various types of Intraocular Lens implants (IOLs) e.g. Foldable IOL, Toric IOL( cylindrical) , Multifocal IOL. Contact lens facilities like Soft Contact lens, Rigid Contact lens, Bandaged Contact lens, Cosmetic Contact lens and Prosthetic Contact lens are also available.

We provide complete Glaucoma evaluation at our OPD service as our aim is for early diagnosis and treatment. Surgical management including Valve Implantation for Glaucoma patient is available. Dacryocystorhinostomy (treatment of blockade of tear duct) and other Ocular Plastic surgery procedures complete the departmental activities.

The ENT department at Apollo Hospitals Bhubaneswar is a highly advanced treatment centre for Ear, Nose and Throat related diseases. We have a dedicated ENT Outpatients department, fully equipped with Microscope, Endoscope and a modern Audiology set up with facilities for routine and advanced audiology including ABR. Microsurgical work including Tympanoplasty, Stapdectomy and Mastoidectomy are carried out. We have a full fledged Cochlear Implant programme for helping the completely deaf. Different types of surgical procedures are offered for various Ear, Nose and Throat related diseases.

The department of Endocrinology and Diabetology is a superspeciality unit at Apollo Hospitals, Bhubaneswar dealing with comprehensive management of Diabetes mellitus, management of various thyroid disorders(Hypothyroidism, hyperthyroidism, goiter, thyroiditis),Obesity, osteoporosis and metabolic bone diseases, Disorders of growth and puberty in children and diagnosis and management of short stature, Polycystic ovarian disease, disorders of Adrenals, Parathyroid, Pituitary, Hypogonadism in male and female and other hormonal disorders. It is backed by a highly efficient lab, a foot clinic and DEXA scan for osteoporosis.

The department of Internal Medicine has highly qualified doctors and is backed by an exclusive Medical Intensive Care Unit which forms part of the largest ICU in the state. The ICU functions round the clock with diagnostic services, availability of superspecialists, life saving equipment and is staffed by well qualified physician and nurses. All these are available under one roof. The special feature is diagnosis and management of complicated multi system medical disorder with utmost precision. Enormous care is taken to prevent cross infection and nosocomial infections.

Apollo Hospitals Bhubaneswar offers regular health check up programs to ensure your good health. Various health check packages like Apollo Master Health Check, Whole Body Check, Diabetic Check, Heart Check, Well Women Check, Child Health Check and Senior Citizen Health Check are available which are tailored to your specific needs. These health checks ensure a healthy life style to the individuals. These programs help early diagnosis and prevention of major ailments.

Modern Dentistry at Apollo Hospitals Bhubaneswar ensures that we care for your smile not only to enhance your beauty, but to rejuvenate your health and your life. The center is equipped with cutting edge technology, advanced equipments and services provided by the best practioners with a patient centric approach. The services range from general and restorative dentistry to high end cosmetic procedures.

Treatments

General & Preventive Dentistry

• Routine Cleaning i.e. scaling and polishing
• Sealant application for caries prevention
• Treatment for sensitive teeth
• Periodontal Treatment.
• Tooth Extraction

Cosmetic Dentistry

• Tooth colored fillings
• Teeth Bonding
• Diastema closure
• Teeth Whitening
• Ceramic crowns
• Tooth colored Veneers
• Porcelain Veneers
• Tooth contouring
• Enamel shaping
• Laminates

Restorative & Endodontics & Prosthetic Dentistry

• Restoration Of Caries
• Root canal treatment
• Ceramic crowns
• Ceramic bridges
• Full mouth rehabilitation.
• Partial Dentures Removable
• Complete Dentures

Orthodontic Treatments

• Metallic Braces
• Ceramic Braces
• Oral Surgery
• Impaction

The Critical Care Units at Bhubaneswar Apollo Hospitals are designed and managed based on the fact that methodological organization of Critical Care Services influences important overall outcome measures. We are proud that critical care is provided by a multidisciplinary team of highly experienced and professional physicians, nurses, respiratory care technicians, clinical nutrition specialists, physiotherapists, pharmacists and other allied health professionals.

Our strength is that these professionals use their unique experience, ability to interpret important therapeutic information, access to highly sophisticated equipment and the services of support personnel, and work in unison to provide the highest quality care round-the-clock.

Apollo Hospitals is planning to associate with the State Government Department of Trauma and Emergency, for developing a comprehensive Highway Trauma Rescue Center.

In an era of unprecedented growth of scientific technology in medical imaging, this department has been most dynamic in procuring state – of – the – art equipments. The 64 slice CT-Scan with cardiac and other Angiogram facilities , high definition 1.5 Tesla MRI with all the coils including facility of breast MRI and advanced MRI applications like spectroscopy, perfusion studies and diffusion tensor imaging are available. The Department is also equipped with high end 4D ultrasound & Doppler units, digital X- Ray, Fluroscopy and Mammography.

In addition, we also have an interventional radiology unit which deals with conventional & peripheral angiograms and angioplasty, image guided biopsies, drainage procedures and Embolisation of tumors / mass lesions. Biliary drainage and Stenting are our other important services.

Good laboratory support in an integral and essential component of any successful hospital. Apollo hospitals Bhubaneswar has procured state of the art analytical equipments and chosen appropriate manpower to handle these. Laboratory services include Hematology, Biochemistry, Pathology, Microbiology, and Blood bank. The facilities include Fully Automated Random Assay multichannel analyser, Chemilluminescent analyser, ISE, 3 & 5 part cell counter, Bio Rad D 10, ELISA system, Biomerux ATP reader, Auto stainer, Cryostart, Protein Electrophoresis, Immunofixation, Electrophoresis etc. The lab runs a robust internal and external quality control programme to generate a reliable and dependable results/ reports.

"Problems of the mind are not just thoughts and feelings; they are biological disorders of the brain."

To achieve these goals, the department provides a comprehensive range of diagnostic and treatment services for patients with Psychiatric and Developmental disorders and their families. These services include: Specialized Evaluations from birth to 18 years; evidence-based treatments for Anxiety, Depression, and Disruptive Behaviors; Psychopharmacological Evaluation and management; Psychodynamic Psychotherapy; Parenting Skills Workshops; Individual School Consultation; and Case management services and coordination.

Services:

Psychiatric Services

The department provides innovative psychiatric evaluations, treatment and follow-up care for the spectrum of behavioral, learning and emotional problems.

Among the many conditions that the average psychiatrist encounters in private practice are Personality-maladjustments, Phobias and Morbid fears, Marital troubles, Sexual problems, Mental depression, Alcoholism, Feeling of inferiority and inadequacy, Health complaints that fail to respond to medication, "Nervous breakdowns," and Psychoses.The duration of treatment, just as in physical disturbances, depends upon each individual case. Some conditions respond to relatively short treatment.

Counseling and Psychotherapy

When life is no longer working; when fractured relationships, out-of-control behavior, abuse or other issues tear you or your family apart; we can help. Our caring clinical psychologist focuses on solving your most troubling problems with insight and compassion, and without judgement.

Counseling commonly aids in the treatment of:

• Mood and anxiety disorders
• Marital and other relational problems
• Anger problems
• Substance abuse
• Child and Adolescent psychological problems
• Brain trauma

Clients also Benefit from Specific Therapies as Cognitive Behavior Therapy, Client Centered Approaches, Psycho Analysis, Hypnotherapy, Play Therapy etc...

Consultation-Liaison Psychiatry

"Consults" occur when the primary care team has questions about a patient's mental health, or how that patient's mental health is affecting his or her care and treatment. The psychiatric team works as a "liaison" between the medical team and the patient. Issues that arise include assessing the capacity of a patient to consent to treatment, attempting to settle conflicts between patients with the primary care team, and the intersection of problems in both physical and mental health, as well as patients who may report physical symptoms as a result of a mental disorder, and assessing patients for abnormal illness behavior. Delirium is commonly diagnosed and treated by psychiatrists. Finally, patients who have attempted suicide and subsequently admitted for medical treatment are generally treated by our psychiatrists.

Lead Consultant : Dr. Subrat Mishra
Support Consultant : Dr Sarojini Joshi
Multi - professional Support : Dr Satyabrata Dash, Dietician, Clinical Psychologist
Day of Clinic : 3RD Thursday of every month, 5 pm to 7 pm
Who will benefit : Adolescents with problems like Eating Disorders, ADHD, Pubertal Problems, Mental health problems

Features of the clinic

The transitional period of growing up from being a child to adulthood has its own unique problems and healthcare needs. Problems like eating disorders, adolescent depression, and pubertal problem can go unnoticed for a long time. Sometimes the adolescent and their parents feel helpless because of this. We are here to cater to managing this problem.

After registration the specialist nurse will take the basic vitals and measurements of the individual. History taking and clinical examination will be done by the Lead consultant. In addition all girls will be seen by Gynecologist. Appropriate investigations will be done according to the problem. Adolescent immunization advice will be given. Adolescent Psychiatric evaluation and counseling by clinical psychologist will be done where necessary. Dietary advice will also be given.

Lead Consultant : Dr Satyabrata Tripathy
Support Consultant : Dietician
Multi - professional Support : Specialist Nurse & Respiratory Medicine, ENT
Day of Clinic : 2nd & 4th Wednesday, 5 pm to 7 pm
Who will benefit : Patients suffering from allergic disorders like Atopy, Urticaria, Asthma, Allergic Rhinitis, Food Allergy, Contact Dermatitis, and Eczema.

Features of the clinic

At least 1 in 5 people suffer from some type of allergy related problem. Allergy involves an exaggerated response of the immune system. Allergens are substances that are foreign to the body and can cause an allergic reaction. Common allergens encountered may be Air Borne, food related, insect bites, or to medicines, latex, and rubber etc. Allergies can cause a runny nose, sneezing, itching, rashes, swelling or asthma. Effective management requires multidisciplinary and integrated approach as provided under the Allergy program. The Clinic will provide management of the entire spectrum of allergic diseases by an integrated multidisciplinary approach.

All patients presenting to the clinic will be evaluated by the Lead Consultant. Tests like Patch Test, Prick Test, Skin Biopsy, Blood analysis will be done to reach a proper diagnosis.

After proper diagnosis, treatment of all sorts of allergy related problems will be advised. Dietary advice for food related allergy will be given and expert opinion from respiratory physician and ENT specialist for management of the allergy related problems will be provided.

Lead Consultant : Dr Prasanta Padhan
Support Consultant : Dr Smarjit Patnaik
Multi - professional Support : Specialist Nurse, Physiotherapist & Occupational Therapist.
Day of Clinic : 1st, 3rd & 5th Monday, 5 pm to 7 pm
Who will benefit: Patients with various Musculoskeletal Diseases and Multi System Diseases due to Defects in the body Immune/defense system

Features of the clinic

This programme, headed by Dr Prasanta Padhan, trained Rheumatologist (arthritis specialist) from CMC, Vellore will offer a multidisciplinary approach to patients suffering from various types of arthritis and other musculoskeletal/rheumatic conditions in a single visit. Patients with known rheumatic conditions like osteoarthritis of knees and other joints, rheumatoid arthritis, gout resulting from high blood uric acid levels, psoriatic arthritis, ankylosing spondylitis and other spondyloarthropathies, various arthritis of childhood, systemic lupus erythematosus, scleroderma, fibromyalgia and many others will benefit from this service. The other team members are orthopedic surgeon, physiotherapist, occupational therapist and a specialist nurse.

After initial assessment by the rheumatologist, relevant investigations including X-rays will be done for confirmation of diagnosis. If a joint/joint area is affected by severe disease, the injections will be given to joints by the rheumatologist in the same sitting. Orthopedic surgeon will be available to assess your joints and will guide you for need for any interventions if necessary. Physiotherapist and occupational therapist will help the patient regarding exercise programme, modifications in activities of daily living. Specialist nurse will also explain you in details regarding your disease, its course, duration of therapy, long term outcome, side effects of medicines.

Lead Consultant : Dr. P K Sahoo
Support Consultant : Dr. Prasanta Pradhan
Multi - professional Support : Orthopaedics, Neurophysiologist, Physiotherapy
Day of Clinic : Friday, 5 pm to 7 pm
Who will benefit: All the cases of backache and spinal disorders.

Features of the Clinic

Four out of five people will experience backache during their lifetime. Backache affects people of all walks of life ranging from executives in the offices , to housewives at home and workers in the industries . The number of workdays and manpower lost due to backache add to the magnitude of the problem. The back and neck pain, is second to common cold for patients who visit the physician. Back and neck pain may result from strain, spondylosis, bulging disc, arthritis, infections, inflammatory conditions and other medical conditions. People with such problems may present with back and neck pain, radiating pain to the arm and leg (sciatica) and if not cared for, may develop weakness of hands and legs, pain in walking (neurogenic claudication) and lose control of bladder and bowel function.

The Apollo hospital at Bhubaneswar has added another feather to its cap by initiating a Backache program for imparting holistic therapy for people with back and neck pain by a highly qualified and dedicated team consisting of Neuro Surgeon, Rheumatologist, Orthopedic Surgeon, Neurologist, Physiotherapy and Occupational Therapist, Acupressure and Acupuncture therapies and Rehabilitation nurses.

People with backache presenting to this clinic will be assessed and evaluated by Lead and support consultant. Biochemistry, Hematological and Radiological investigation will be advised. Management protocol will involve management by the Neurophysiologist, Orthopedic surgeon and Physiotherapist.

Lead Consultant : Dr Dipika Mohanty
Support Consultant : Dr J K Padhi
Multi - professional Support : Cardiac Surgeons, MICU specialists
Day of Clinic : Tuesday & Friday, 5 pm to 7 pm
Who will benefit: All patients receiving Blood thinning medicines (anticoagulants)

Features of the Clinic

Anticoagulant or blood thinning medicines are like a double edged sword. They can save lives but also kill a person when in excess. Therefore, written information about Do's and Don'ts while the medicine is being given to you will be available besides one to one counseling. Special group of patients like pregnant ladies, women between the age group of 18-35 years, children taking anticoagulants will be benefited immensely knowing their risks and benefits. Proper tests which will tell you about the optimum and adequate amount of these drugs in your blood will also be performed in this clinic. This is meant for helping the public and patients and bringing awareness to the patients receiving anticoagulant therapy.

Features

• Counseling the patients receiving oral anticoagulants as well as heparin.
• Developing better protocol for anticoagulant therapy.
• Written information about Do's or don't with anticoagulation drugs.

Lead Consultant : Dr. Subrat Mishra
Support Consultant : Dr. B K Mishra
Multi - professional Support : Physiotherapist, Speech therapist, Clinical Psychologist, Specialist nurse, Occupational therapist
Day of Clinic : 2ND & 4TH Friday of every month, 5 pm to 7 pm
Who will benefit: Children with Physical or mental disability

Features of the clinic

The patients with disabilities as well as their family undergo much trouble for treatment. Sometimes they give up out of frustration and even stop treatments which may have been helping their child. For the first time in Odisha we are providing this multidisciplinary approach to the patients with disabilities as well as their families that will help them immensely.

After registration, initial examination will be done by an experienced Pediatrician and Neurologist. Advice will be given on medication, Physiotherapy and other therapies as needed. Counseling to the family with disability will be done.

Lead Consultant: Dr. B N Mishra
Support Consultant: Dr Subrat Mishra
Multi - professional Support : Nephrology/ Radiodiagnosis/ Lab. Services / Specialist Nurse.
Day of Clinic : 1st, 3rd and 5th Tuesday of every month, 5 pm to 7 pm
Who will benefit: Patients in Paediatric age group, having difficulty in urination, passing urine in drops, Bed wetting, High colored urination with fever, Lump in abdomen, Passing urine from abnormal sites (structural abnormality of genitalia), Empty Scrotum, and Scrotal Swellings.

Features of the clinic

Some urinary problems are unique to children and often associated with developmental or structural problems. Whether you have a new born, toddler or teen, your child might be having something wrong in their urinary tract, which can range from harmless to life threatening conditions. Diagnosis of urinary problems in children is not the same as for adults, as newborn babies cannot speak and older children may not express with clarity. Parental inputs may be distorted by emotions and anxiety. Early management of such problems may save a kidney and life .The purpose of this programme is to offer proper investigations, diagnosis of these urinary problems in children, starting from newborns , by fully qualified professionals, ensuring the finest treatment and highest quality urological care to children.

A child presenting to this clinic will be assessed by the Lead and support consultant. Appropriate investigations will be carried out and the child will be reviewed next day. Planning of treatment will be done. If needed help from Nephrologists will be sought.

Lead Consultant : Dr. B N Mishra
Support Consultant : Dr Subrat Mishra
Multi - professional Support : Medical Gastroenterology/ Radiology/ Lab. Services/ Specialist Nurse.
Day of Clinic : 1st, 3rd and 5th Thursday of every month, 5 pm to 7 pm
Who will benefit: Patients in Paediatric age group including newborns with history of persistent Jaundice/Pain abdomen/ Mass abdomen/ vomiting of blood/ Green or yellow vomiting / constipation/ bleeding per annum, and those with previous colostomies.

Features of the clinic

A healthy digestive system processes the food; replenishes the vitamins, minerals, proteins, carbohydrate and fats that are essential for the body to function properly. Liver and Digestive disorders can have significant effects on the health of a growing child. Some of them might be having developmental defects since birth, necessitating surgical management. Defects of liver and biliary tract, manifested as persistent jaundice, pain abdomen, may result in liver failure and could be life threatening, if not treated early. Vomiting and constipation in children are common problems and needs to be managed properly. Vomiting of blood and passing blood with stool can be at times life threatening. Those who have undergone colostomies require training and guidance for proper colostomy care. Some conditions are medically treatable and some require surgery. The aim of this programme is to identify the different birth defects and acquired diseases of Liver and Digestive system, to undertake required investigations and to offer the best possible treatment by trained professionals.

A child presenting to this clinic will be assessed by the Lead and support consultant. Appropriate investigations will be carried out and the child will be reviewed next day. Planning of treatment will be done. If needed help from Medical Gastroenterologist will be sought.

Lead Consultant : Dr. Dipika Mohanty
Support Consultant : Dr. Subrat Misra
Multi -professional support : Obstetrician and Gynecologist
Day of Clinic : 1st, 3rd & 5th Wednesday, 5 pm to 7 pm
Who will benefit: Parents of children suffering from genetic disorders

Features of the clinic

Rapid advances in molecular genetics over the past few decades have led to a tremendous increase in knowledge regarding genetic diseases. This information is being applied to the clinical management of diseases in the form of genetic counseling, carrier detection and asymptomatic and prenatal diagnosis.

Genetic counseling deals with human problems associated with occurrence and or recurrence of a genetic disorder in a family. It helps individuals and family to cope with genetic conditions and find out about various options, tests and resources available. Patients with a baby suffering from genetic disorders have obvious anxiety and concern about risk of the next baby having the same or similar problems. So, Genetic counseling can help the family greatly to take informed decisions and prepare for the future. The common genetic disorders are:

• Sickle cell anemia
• Thalassemia
• Down's syndrome
• Multiple abortions
• Congenital heart disease
• Neural tube defect
• Fragile X-Syndrome

Lead Consultant : Dr Smarjit Patnaik
Support Consultant : Dr Prasant Pradhan
Multi - professional Support : Physiotherapist & Occupational Therapist, Clinical Psychologist.
Day of Clinic : Monday and Wednesday, 5 pm to 7 pm
Who will benefit: Patients with hip pain, knee pain, shoulder pain and pain in other small joints pain due to degenerative age related arthritis or other types of painful arthritis.

Features of the Clinic

The Joint Replacement Programme will have a 360 degree approach to managing joint pain with the Apollo Advantage. The patient can be helped in many ways.

• Joint Check
• Physiotherapy
• Disease Management Program
• Key Hole Surgery
• Joint Replacement Surgery
• Rehabilitation
• Getting back to normal life.

Patients presenting to the clinic will be jointly assessed by the Lead and support consultant. Patients will be allotted into Basic and advanced check up package depending on the stage of disease. Patient who requires surgical treatment will be given preoperative counseling and family will also be counseled and educated by the surgeon and clinical psychologist. Those who need conservative treatment will be given planned physiotherapy care and diet counseling. An option of domiciliary physiotherapy care will also be available.

Lead Consultant : Dr. Madhu Sudan Modi
Support Consultant : Dr Susant Sethy
Multi - professional Support : Specialist Nurse
Day of Clinic : Tuesday, 5 pm to 7 pm
Who will benefit : Patients having Liver associated problems, Gall Bladder, Pancreas, Bile duct problems, apart from Liver Transplant consultations.

Features of the clinic

Our present day life style coupled with our inability to control infectious diseases has led to increase in liver and pancreatic related gastrointestinal disorders in the country.

Proper management of a patient with liver/gall bladder/ pancreatic disorders need a multifaceted approach and team work. Patient and family education also adds a vital component to the patient's well being.

After registration patient will be seen jointly by the Lead Consultant and support consultant. A detailed history will be taken and clinical examination will be done. All previous reports will be reviewed. The Team will then discuss the findings with the patient who will also be briefed on the working diagnosis. Laboratory tests and required radiological investigations will be carried out. Then the team will review the results at the next session and will further suggest the required modalities of treatment. Follow up advice will be given.

Lead Consultant : Dr Sarojini Joshi
Support Consultant : Orthopaedics, Cardiologist, or Psychiatrist
Multi - professional Support : Physiotherapist, Dietician & Special nurse
Day of Clinic : Thursday, 5pm to 7pm
Who will benefit : All Post and Perimenopausal Women

Features of the clinic

Like pregnancy, menopause is also a physiological condition. Both the transitional period between reproductive and non-reproductive life and the actual post menopausal period may affect a woman's life and the actual post-menopausal period may affect life greatly. The period also exposes women to certain ailments. Appropriate management of physical and mental symptoms and prevention of ailments are critical to enjoying good quality of life through one's menopausal period.

The Clinic will involve a Multi -disciplinary team. We will give women individual attention with a comprehensive health check and expert treatment of menopausal symptoms. We also offer education and guidance to prepare you to deal with the challenges of menopause.

• Those who have fear of oncoming Menopause can be counseled.
• Those who have Menopausal irregularity of periods and bleeding problems, could be examined, investigated and treated.
• Those who have already stopped periods and are having symptoms due to Menopause, can be examined, investigated, guided, treated and followed up regularly.
• Those who have had the uterus removed in the past and have suddenly started having Menopausal Symptoms, can be examined, investigated, counseled and treated.
• Those treated for cancer and who are having Menopausal symptoms such as hot flushes etc can be helped by guiding them and giving appropriate treatment.

Women presenting to the clinic will be received by a specialist nurse. After the initial assessment she will be evaluated by the Lead consultant. Subsequently investigations will be done and an appropriate support consultant will be enrolled. Dietary, physiotherapy and clinical psychologist support will be provided as per individual requirement.

Investigations- Package :
ECG, RBS, Pap Smear, BMD, Mammogram, Lipid, FBS, PPBS, Hemoglobin, Ultrasound Abdomen.

Lead Consultant : Dr. Subrat Mishra
Support Consultant : ENT, Paediatric Cardiology & Surgery, Ophthalmology, Orthopaedics,
Multi - professional Support: Lactation consultant, Audiologist, Biochemistry, Hematology
Day of Clinic : Monday & Friday, 5 pm to 7 pm
Who will benefit: Newborn babies

Features of the clinic

A newborn baby can give joy as well as anxiety to the parents. Often the serious diseases can get unnoticed for a long period before the family realizes or any doctor intervenes. At Apollo Hospitals Bhubaneswar, we believe in prevention and early intervention of these diseases to avoid complications. We will also give advice on infant nutrition, immunization and other common problems of early childhood.

The newborn baby will be subjected to Clinical examination by an experienced neonatologist (newborn Specialist), and tests such as Opthalmoscopy to detect birth defects of eyes, Pulse Oximetry to screen birth defects of Heart, Screening OAE test to detect hearing impairment may be done. Lactation advice to the breast feeding mother, immunization advice to the parents and issue of Immunization record will also be done.

Lead Consultant : Dr Nayan R Nanda
Support Consultant : Dr Sambit Das, Dr. Brajraj Das.
Multi -professional Support : Specialist Nurse, Physiotherapist & Dietician.
Day of Clinic : Monday, 5 pm to 7 pm
Who will benefit: Obesity where it affects quality of life, Morbid obesity with high Body Mass Index, Type 2 Diabetes mellitus and other associated illnesses.

Features of the clinic

Obesity is a dreaded condition with major increase in its incidence especially in young people in recent years in our country. Unnecessary and undesirable increase in body mass in an individual not only alters and deranges the entire metabolic system but also predisposes to several menacing disease conditions affecting quality of life and significantly reduces life expectancy.

Properly managing this condition needs multidisciplinary, multispecialty approach. Keyhole (laparoscopic) metabolic/bariatric surgery in selected cases to facilitate and expedite the process of losing excess and redundant body mass helps controlling and even curing certain associated disease like essential hypertension and type-2 diabetes mellitus.

We at Apollo, Bhubaneswar offer such patients all necessary medico-surgical facilities in a compact evidence based "one stop clinic capsule" programme in the nomenclature of "OBESITY & WEIGHT LOSS PROGRAMME".

Patient will be assessed by the lead consultant; BMI and co-morbid illnesses will be recorded. Multispecialty involvement will be in the same sitting or after reports is available. Diet and Physiotherapist support will be provided as per individual needs. Preparation for laparoscopic Bariatric surgery which is now the gold standard of treatment will also be done where needed.

Lead Consultant : Dr Sambit Das
Support Consultant : Dr Rita Dash/ Dr G N Rao
Multi - professional Support : Dietician, Specialist Nurse, Diabetes Educator, Technician and Biochemistry Lab Support.
Day of Clinic : Tuesday, 5 pm to 7 pm
Who will benefit : Patients with Diabetes

Features of the clinic

One stop diabetes clinic is a comprehensive diabetes clinic under one roof where Endocrinologist, Ophthalmologist, dietitian and diabetes educator come together to take a holistic approach towards management of diabetes. What makes it more unique is that it would be a one stop approach where a diabetic patient walks in after finishing his office and duties and gets thoroughly investigated and gets advice on the same day without going for repeated clinic visits. Besides the patient gets a customized Apollo diabetic file and diabetes identity card and a free membership in our Apollo diabetes club to get many more advantages.

Patient after registration will get an Apollo diabetic file and after a general screening by Lead consultant, patient will be allocated to different packages and investigations will be done in the morning. In the evening patient with all the investigations and a trained nurse will fill up the clinical proforma along with the diabetic foot check by a technician. After consultation with an Ophthalmologist, final consultation by Endocrinologist will be done. This will be followed by advice from the dietician and diabetes educator.

Lead Consultant : Dr. Sarojini Joshi
Support Consultants : Ms Susmita Misra
Multi -professional support : Dietician, Physiotherapist
Day of Clinic : Tuesday, 5 pm to 7 pm
Who will benefit : The people who will have maximum benefit are newly married couples planning to have a baby in the near future, women who had previous difficult pregnancies and a bad obstetric history.

Features of the clinic

Healthy motherhood and having a healthy child is for every couple's wish. To meet this goal Apollo Hospitals, Bhubaneswar has made an attempt. Pregnancy is a physiological condition. However, to prepare oneself properly beforehand is a wiser decision. We are there to help you by giving all necessary information and guidance. Experience matters. Apollo Hospitals as a group have the vast expertise and experience in this field. The goal of this programme is to achieve healthy pregnancy, healthy mother and healthy child.

Couples presenting to this clinic will be assessed jointly by Lead and support consultant. Subsequently investigations and immunization will be advised as per the requirement of the couple. Each couple will be counseled about proper diet, exercise and lifestyle changes by a dietician, physiotherapist and clinical psychologist.

Lead Consultant : Dr S S Pattanayak
Support Consultant : Dr Satyabrata Dash
Multi - professional Support : Dietician & Physiotherapist.
Day of Clinic : Thursday, 5 pm to 7 pm
Who will benefit : All elderly people.

Features of the Clinic

With age the body goes through wear and tear. Therefore old age has its own set of difficulties. There are cognitive (thinking, memory and attention), psychological and social changes as well as physical changes. These all present with a wide variety of ailments such as mild memory impairment, dementia, depression, relationship issues, Parkinson's disease, sleep problems, urinary problems, joint problems, respiratory difficulties, cardiac problems and eye problems. All these lead to multiple hospital visits and consultation with multiple consultants with the patient or care giver struggling to have all issues attended to and manage the multiple visits.

The Senior citizen programme is designed to be the focal point for all medical problems where the elderly patient is attended to by a physician and a psychiatrist who manage most of the regular physical and mental problems, facilitate and coordinate consultations with key super specialty departments as and when required, and educate both the patient and the caregiver regarding the issues in question (illness, medications, prognosis, expectations, nutritional guidelines, exercises to adapt and required psychosocial support at home setting). A nutritionist and a physiotherapist will also be available in the programme for the specific physical exercise guideline and nutrition guideline.

Individual will be subjected to general physical examination and a plan of management will be drawn. This will subsequently be followed up on a regular basis for symptom monitoring and maintenance. Mental status examination with special focus on cognitive function and emotional issues will be done. Medication and psychotherapy will be provided. The social dynamics also will be done. Patient and care giver education for maintaining physical, mental and social well being will be given. Dietary and exercise needs will be addressed.

Lead Consultant : Dr. Satyabrata Dash
Support Consultant : Ms Sushmita Misra, Dr S.S. Pattanayak
Multi - professional Support : Yoga therapy, Dietician
Day of Clinic : Friday, 5 pm to 7 pm
Who will benefit : Professionals, Students, Working women, elderly & house wives

Features of the Clinic

In our everyday life we are surrounded by issues and situations that overwhelm us or in other words cause stress. Stress though by itself is a more psychological issue, has the potential to cause numerous mental and physical illnesses. Mental illnesses such as depression and anxiety disorders and physical illnesses such as Stress induced Diabetes, Hypertension, Cardiac illnesses, Gastrointestinal diseases, skin diseases etc can be stress induced. Additionally, stress reduces the body's capacity to defend itself against infections and wear and tear and even cancer.

The professionals in this clinic will look at your specific issues and support you in reorganizing your life and overcoming your stress. In addition they will assess the existing stress related physical and mental issues and help in the management of the same as required. The clinic will also educate you regarding management of stress for your future.

The patients enrolling for stress management will have a Group presentation on stress and its impact. Then individual physical examination and routine investigations will be done. Further assessment of the stressors and plan will be chalked out for its management. Dietary advice will be given along with lifestyle and relaxation techniques. Educative study materials will also be given and necessary referrals will be made if required.

Lead Consultant : Dr. Sanjeev Gupta
Support Consultant : Dr. Sambit Das
Multi - professional Support : Specialist Nurse, Sonologist and Cytopathologist
Day of Clinic : 2nd & 4th Wednesday, 5 pm to 7 pm
Who will benefit : Patients with known or suspected thyroid disorders

Features of the Clinic

Evaluation of all thyroid disorders by a combined team of Endocrinologist and Head & Neck Surgeon along with on the spot Lab services, Ultrasound and FNAC under a single clinic.

Diseases of thyroid which will be covered are :

• Hypothyroidism and Hyperthyroidism
• Congenital hypothyroidism
• Graves' Disease
• Thyroiditis
• Goitre
• Thyroid Malignancies

Patient after registration will get a clinical evaluation by a combined team of Endocrinologist and Head and Neck Surgeon and will be allocated appropriate packages. Patient will visit the concerned consultants on the next day with the investigation results and appropriate treatment will be given.

Apollo Hospitals, Bhubaneswar has received the required permission from the State Authority to perform Renal Transplant. We are going to start our renal transplant surgery very soon in coming June-2011 in our Hospital. Our doctors Dr. Samiran Das Adhikary ( neurology ), Dr. Sudhiranjan Dash (Nephrology) with associate doctors are going to play the key role in the department.

An extremely premature baby as young as 25 week of gestational aged survived and was discharged on 7th November 2010. This was possible by tireless effort of doctors and nurses at the Neonatal Intensive Care unit (NICU) of Apollo hospitals Bhubaneswar as well as dedication and self believe of the parents. Naysha(Means miracle of God), was only 750gm at birth. She was extremely sick requiring mechanical ventilation for two weeks. She later developed neonatal sepsis, respiratory distress syndrome, patent ductus arteriosus, retinopathy of prematurity, anemia of prematurity and chronic neonatal lung disease. She was treated by a team of dedicated doctors led by Dr Subrat Mishra, Senior consultant of Paediatrics and Neonatology, who is trained in Australia to deal such complicated cases.

			Before										 After	

She is supposed to be the most extreme premature baby in the state to have survived without many complications. Even in the most advanced centers in the developed countries the prognosis of the extreme prematurity is very poor, with only 20 -30 % babies surviving. Most of the babies surviving have serious complications like chronic neonatal lung disease requiring oxygen for a long time and intra cranial haemorrhage leading to cerebral palsy. Naysha is now almost one year old and in good health. She is doing all normal activities of a baby of her age. She is a darling of the NICU staffs and is nick named Kuni(little child).

Awake brain surgery is a relatively new procedure in which brain surgery is done on awake and conscious patients. Recently this technique has been tried at the Neuro Surgery Operation Theatre of the Apollo hospital, Bhubaneswar. This surgery is usually done on patients with tumours and Epileptic foci lying near eloquent (speech/ motor) areas of the brain. These are specialised areas of brain which control movements, sensation, speech etc. This requires patient to be awake during brain surgery to test the speech and observe the movements of hands/legs. This allows optimal tumour resection with minimal post operative neurological dysfunction.

Awake brain surgery is possible with the help of skull block. This involves infiltration of local anaesthetics and blocking of nerves,which supply the scalp.In addition sedation is given in the form of midazolam, fentanyl and small doses of propofol.This allows the patient to lie still on the operation table for 3 to 4 hours. Brain by itself does not have any sensation and hence surgery is painless.

Stereotactic Neurosurgery refers to a means of Navigation to any point in the brain. Stereo is derived from the Greek word for three dimensions and tactic from the Latin tactus for touch. The term stereotactic thus reinforces the concept of using a three dimensional surgical system to touch a structure deep within the brain. Prior to the development of stereotaxi, reaching any point in the brain required exposure of a large area of brain. A large exposure may be associated with increased morbidity, and also it does not solve the problem of precisely reaching deep brain targets. The value of a stereotactic system lies in the ability to allow small exposures and to navigate with minimal disruption of overlying normal brain, short hospital stay and less cost.

Mr.Ramesh Chandra Sethi, aged 40years presented with headache, speech disturbances and right sided limb weakness for the last 6months with progressive deterioration in spite of being on medical treatment. Clinical evaluation and MRI brain was suggestive of a large tumour near the speech and motor are of the brain on left side. He was taken up for surgery on 23rd September, 2010 where stereotactic guided awake brain surgery was performed with a CRW stereotactic frame on the Head. Under awake anaesthesia stereotactic guided craniotomy and tumour removal was done. The patient was closely monitored for speech and movement of right side limbs by the surgeon and anaesthesiologist during surgery. Immediately after surgery the patient could sit up and even drink water. He was discharged 48hours after surgery. The recovery time & hospital stay was reduced and no ICU Care was required. The results have been high satisfactory to the surgical team as well as to the patient.

This is for the first time stereotactic guided awake craniotomy has been carried out in the state of Odisha & surrounding territory. This has been possible due to the able guidance of the Dr.Pankaj Mankad & the Neurosurgery, Neurology, Anaestheology, Radiology &Pathology team said Brig (Retd) Prof P K Sahoo, Senior Consultant Neuro Surgery, Apollo Hospitals, Bhubaneswar.

Fitting of CRW stereotactic frame

CT SCAN with CRW stereotactic frame

Anaesthesia for stereotactic guided Awake Brain surgery

The Neuro Surgery Dept. at the Apollo Hospitals, Bhubaneswar has added another feature to its cap by performing Spinal Surgery using VITOM.

A 60 yrs old lady presented with low back pain, left sided leg pain and difficulty in walking long distance (Neurogenic Claudication) for the last one year which was worsened for the last two months in spite of all conservative treatment. Clinical evaluation revealed weakness and sensory impairment on the left foot and this was corroborated by MRI Lumbo Sacral Spine which was suggestive of Lumber canal stenosis at the level of LV4 and Prolapse Inter-vertebral disc L5-S1 compressing the left side S1 nerve root.

She was taken for surgery with a small skin incision in lumber area and the Video Integrated Telescopic Operating Microscope (VITOM) was used for the first time in Odisha for this surgery. Brig (Retd) Prof P. K. Sahoo says VITOM represents a revolutionary new way of full high density image quality with contrast, magnification, excellent colour, outstanding depth perception and large working distance in a small skin incision.

The patient recovered well and was discharged within 24 hours with full recovery of her symptoms.

A team of doctors headed by Dr. Pankaj Mankad had successfuly performed a rare heart surgery on a three-month-old baby boy. Ayush has become the first case in the history on Odisha to be operated upon in the state for this rare condition. The surgery was performed on 17th March and he was discharged on 21st March 2010.

"After a month of his birth, we were informed by the doctors about the problem. Our doctor advised us to take Ayush to New Delhi and get him treated at All India Institute of Medical Sciences. Similar cases from Odisha were earlier referred to Delhi as treatment was not available in the state." informs Mr. Manoj Kumar Samal, Ayush’s father who hails from the district of Keonjhar.

As they were planning to move to Delhi, they came to know about the Apollo Hospitals in Bhubaneswar. "We were fortunate to have brought Ayush to Apollo hospitals. We are deeply thankful to our surgeons and his team as Ayush has got a new lease of life".

Explaining about the challenging surgery, our operating surgeon said, "We usually treat congenital heart defects with medicines, special procedures using catheters, surgery or heart transplants. The treatment receives depends on the type and severity of the defect, but in this case the most challenging part was the child's age, and his deteriorating health condition".

Ayush had congenital heart problem wherein there was a defect in his heart's structure since birth. The defect had changed the normal flow of blood through his heart. A baby's heart begins to develop shortly after conception. During development, structural defects can occur which may be due to a genetic predisposition or an environmental exposure during the pregnancy. The Apollo Hospitals, Bhubaneswar was inaugurated on 5th March 2010 and just after 12 days of its formal launch; this feat has been achieved in the state of Odisha.

Apollo Hospitals, Bhubaneswar’s Ophthalmology Department operated on a patient, Mr. Durga Madhav Mohanty, a known case of high myopia with complicated cataract using the newer technique of Microcoaxial Phacoemulsification with a 2.2mm incision size under topical anesthesia.

According to Dr Rita Dash, Ophthalmologist of Apollo Hospitals, Bhubaneswar until recently, Phacoemulsification has been performed using coaxial method. One of the major driving forces behind improving techniques in cataract surgery is the reduced incision size. This is because a smaller incision results in less induced astigmatism, faster visual rehabilitation, and improved wound security.

Until recently, phacoemulsification has been performed using coaxial fluid infusion delivered by a flexible sleeve around the phacoemulsification needle. Adequate fluid infusion is required to replace fluid removed from the eye by aspiration and wound leakage. The coaxial infusion also cools the needle, reducing the chance of thermal injury to the surrounding cornea or sclera.

Speaking in details of development of micro incision cataract surgery Dr. Dash informed that the introduction of ultrasonic energy modulation using pulse and burst modes reduced heat generated by the phaco needle and allowed surgeons to consider using a sleeveless needle with an irrigating cannula or chopper as an alternative to coaxial phacoemulsification.

This technique, often termed Bimanual or Micro-Incision Cataract Surgery (MICS), further reduces the incision size from the 3 mm incision to two 1.5 mm incisions, continuing the trend of reduced incision size with modern cataract surgery.

Despite the enthusiasm for Bimanual Phacoemulsification, surgeons performing this technique face new issues, including sub-optimal infusion and wound leakage. . Surgeons who have performed bimanual phacoemulsification were drawn initially to the technique, in the hope that the smaller incision size would address the wound sealing characteristics of corneal incisions. But, it has been disappointing, to find that small incisions used in bimanual phacoemulsification do not seal as effectively as larger corneal incisions routinely used with conventional coaxial phacoemulsification.

But in Microcoaxial Phacoemulsification by using specially designed phaco tip& infusion sleeve with an outer diameter of 1.4 mm phacoemulsification can be done successfully through 2.2 mm incision. It is estimated that an incision length less than 2.5 mm will be effectively neutral with respect to induced astigmatism, and therefore the technique fulfils the criteria for micro-incision surgery can be done successfully & moreover newer generation of micro-incision lenses that are being developed will be better suited to a 2.2 mm rather than 1.5-mm incision.

Apollo Hospitals, Bhubaneswar is going to introduce Super specialty Telemedicine Center facility in all the rural areas of Odisha. This involves healthcare applications of telecommunication technologies (through Broadband connection). In other words, Telemedicine is the application of telecommunication technology to deliver health care and education to patients and providers at a distance.

The concept of Telemedicine is implemented, to connect Apollo Hospitals, Bhubaneswar which is a tertiary care Hospital to other hospitals or any Private or Government Hospital situated in remote corner or to our own clinical center in rural pockets of Odisha.

Also, several Apollo Super Specialty hospitals located at Chennai, Hyderabad, Delhi, Ahmadabad, Bengaluru, Madurai and Kolkata are also getting connected to consult Specialist Doctors for better treatment and facilities, consequently avoiding expensive visit to these super specialty hospitals. The doctor then consolidates the relevant clinical data into the patient's Electronic Medical Record (EMR) and then seeks an opinion of the specialist using Apollo’s live Tele-Consultation Application (Medintegra).

In a unique move forward to manage patients with diabetes, Apollo Hospitals Bhubaneswar has launched its comprehensive diabetes clinic called "Sugar Clinic" on 23rd November 2011. Apart from expert consultation from Endocrinologist and Ophthalmologist this clinic will provide advice by a dedicated diabetes educator and dietician apart from all investigations pertaining to diabetes. A foot lab will access foot at risk and advice will be provided to patients and their attendants at affordable price.