Metro Group of Hospitals

Metro Center for Respiratory diseases

Metro Center for Respiratory Diseases is a unit of Metro Group of Hospitals & Heart Institute, which are already recognized centers of excellence in India, providing international standards of patient care at most affordable cost. Keeping in mind the commitment to provide super specialty care in non cardiac areas too, Dr. Purshotarn Lal, Chairman Metro Group of Hospitals established this 35 bed centrally air conditioned respiratory unit with most advanced facilities for diagnosis as well as treatment of respiratory & allied diseases under Chairmanship of renowned Dr. Deepak Talwar, Senior Consultant in Pulmonary, Sleep & Critical Care, the country's first DM in Pulmonary Medicine & fellow American Collage of Chest Physicians with vast experience of handling respiratory & critical care cases for more than 20 years in India and abroad. Success of this unit in Noida led to development of branches of this at Faridabad, Delhi & Merritt

OUT PATIENT & EMERGENCY FACILITIES

OUT DOOR SERVICES
The center provide out-door patient care services daily including Sundays from morning till evening. Patient education and counseling is done by experts and qualified staff. Breathe Easy, Sleep Disorders, Asthma & Allergy and Pulmonary Rehabilitation Clinics are a regular feature. Patient is completely investigated and managed in a single visit to facilitate management of respiratory cases which come to this visit from ani over North India.

DAY CARE SERVICES
Day Care facilities are extended at nominal cost to patients requiring short term diagnostic or treatment stay. Nebulization, Chemotherapy and minor procedures like pleural aspirations are done here. Patients are observed and stabilized by specialized staff with monitoring facilities.

DIAGNOSTIC FACILITIES

PULMONARY FUNCTIONS LAB
Pulmonary function test lab is equipped with Morgan's Transflow , System and besides routine Spirometry, Lung Volumes and Diffusion Studies, Cardio- Pulmonary Exercise Testing as well as Pre-operative evaluations are being done routinely.

SLEEP LAB
First Sleep Lab of Noida & East Delhi is doing Polysomnographies both for Diagnostic as well as Titration purposes, Patients with Obstructive Sleep Apnoea, Obesity-Hypo ventilation Syndrome, disorders of excessive snoring & day time sleepiness and other sleep related diseases are studied here .

BRONCHOSCOPY LAB
Video Bronchoscopy Lab is equipped with advanced Fujinon (6.3mm) video bronchoscope and used for both diagnostic as well as therapeutic purposes. Diagnosis & Management of non resolving radiological shadows, unexplained respiratory symptoms, foreign body inhalation, hemoptysis and tracheal diseases are managed here.

PREVENTIVE FACILITIES

RESIPORATORY VACCINATIONS
All preventive respiratory vaccines are given wherever needed along with Dietary & Environmental Control advice, counseling & educative sessions in preventing respiratory illnesses.

PULMONARY REHABILITATION
Pulmonary rehabilitation unit offers multi modality approach to help chronic respiratory cripples live independently. It also offers graduated respiratory muscle training to advanced COPD and respiratory failure patients. Yoga and meditation sessions are given on regular basis.

INTENSIVE CARE FACILITIES

RESPIRATORY INTENSIVE CARE SERVICES
Respiratory Intensive Care Unit is an advanced critical care unit providing invasive as well as non-invasive ventilation with non- invasive as well as invasive monitoring (CVP,PAP,PAWP and intra arterial BP). Unit is equipped, with BIPAP's CPAP's, Seimen's 300 and 900C ventilators and HP monitors. Expert Staff & Doctors look after patients round the clock.

HIGH DEPENDENCY SERVICES
Four-bed High Dependency Unit is for step down care of RICU patients and non- invasive ventilated case. Unit 15 equipped with monitoring and other facilities to look after recovering RICU patients.

INTERVENTIONAL FACILITIES

PULMONARY INTERVENTIONAL SERVICES

All pulmonary interventions- bronchoscopic & non-bronchoscopic are done e.g. endobronchial balloon temponade for hemoptysis, electro cautery, bronchial artery embolization, bronchoplasty, bronchial stenting and intrapleural small bore catheter based interventions. Also medical pleuroscopy and throacoscopy for treatment of empyema, malignant effusion, BP fistulas and US guided drainage procedure of chest are done in the unit routinely. There is dedicated portable USG machine in RICU.

RESPIRATORY

THORACIC SURGICAL SERVICES
Thoracic surgery is an integral part of this center and provides expert thoracic surgical care for most difficult lung and chest wall diseases.

Pneumonectomy / Lobectomy, Decortication, Pleurectomy, Mediastinal resection of tumors, chest wall tumors, rib resections etc. are commonly performed surgeies here at most competitive rates.

MINIMALLY INVASIVE THORACIC SURGERY
Thoracoscopy and VATS are done in addition to Mediastinoscopies for diagnosis or tumor removal. Other minimally invasive thoracic surgeries are also doe like bleb resection and BPF closure.

SUPPORTIVE FACILITIES
Excellent laboratory, Biochmemistry, Pathology, Immunology, Microbiology, and Blood Bank Services are available round the clock. Expert specialties in other medical fields are also available.

EDUCATIONAL & RESEARCH FACILITIES

Continuing Medical Education Service
CME lectures are delivered by the staff members of the unit, allover India and across in Asia-pacific region, on various topics in Pulmonary, Sleep and Critical Care Medicine. Workshops and Hands on experience is provided to deserving candidates by arranging regular interactive lesions with various professional & medical bodies like IMA, API, ISCCM etc.

ADVANCED EDUCATIONAL SERVICES

The center has recognition by the College of Critical Care Medicine under joint collaboration with Australian Critical Care Society and conducts its fellowship in critical care programme for four candidates per year .

CLINICAL RESEARCH SERVICES
The institute is recognized and presently being looked upon to conduct multinational trials by more than half a dozen of western pharmaceuticals like Pfizer, Astra Zeneca, Ranbaxy, Aventis Eli Lilly, GSK etc. Over last 2 years, clinical trials in critical care and pulmonary medicine has been conducted and published in international journals from this center.

Asthma is a common chronic respiratory disease affecting 10-15% of the Indian population. Death and disability is common but preventable. The sole aim of World Asthma day is to enlighten and bring about awareness to the asthmatics and the population at large by educational means which would further help reduce the rate of mortality and suffering.

Metro Hospitals & Heart Institute has always promoted and successfully carried out such community-based programmes from time to time, which by and large help in sustaining a better understanding of the nature of the ailment and its treatment. Dr, Purshotam Lal, Chairman, Metro Group of Hospitals and a pioneer in Interventional Cardiology in India has always believed in rendering his sincere services to his fellow countrymen by offering the best possible treatment affordable for all.Under the Chairmanship of Dr. Deepak Talwar, Chairman, Metro Centre for Respiratory Diseases, Dr. Lal has created the 'Metro Breath Club' which will offer comprehensive asthma management to patients at Delhi, Noida,Faridabad, Meerut and the neighboring states. A life time 25% . concession on all asthma related expenses including medications along with a 24 hour respiratory helpline (9868016254) to assist asthmatics in distress are few among many key features of this Programme. Educational programmes on topics related to asthma will also be organized on a bimonthly basis at all its centers.

In the last 5 years in a study conducted during asthma camps at Metro Hospitals & Heart Institute where 1180 new asthmatic patients were seen, revealed that 1/3rd of the patients despite having the symptoms and undergoing the medication for asthma didn't know that they were suffering from the same. Nearly 90% of the patients were labeled asthmatics without ever having undergone a lung function test, which is a standard and a must for diagnosis. The study revealed that among the causes of non- compliance to asthma therapy in our metropolitan lower dass group of patients was primarily ignorance about the disease, diagnosis and treatment along with the cost of therapy.

The aim of our Metro Breath Club is to primarily educate asthmatics providing assistance whenever, wherever required and also to cut down the financial expenses on its total care. 110 asthmatics have already been registered in Noida and further registration in Delhi will be conducted on 8th May, 15th May in Meerut and 29th May in Faridabad to commemorate World Asthma Day 2005. The unique facility offered by the Metro Group to the patients is the lifetime membership card, which will contain their spirometry report absolutely free of cost.

Over the past three years Metro Hospitals & Heart Institute has organized more than 30 educational seminars on asthma management involving more than 500 general and family physicians and others over North India, which has led to a marginal improvement in patients compliance to treatment (from 14 to 18% of such cases were either asthmatic or related to asthma and the regional people had a lot of fear and myths regarding this disease).

Therefore, this indicates that the benefits are not being recognized despite of the fact that serious measures are being taken.

In such cases the Dr. Deepak Talwar, Chairman, Metro Centre for Respiratory Diseases that in patients who attended the camps with target educational programmes, a drastic improvement up to 42% was observed which promises to be the most striking feature of this club. Thereby it is essential to conduct such informative programmes whereby the people may build a better understanding of the disease and its preventive measures says which is an intergal feature of this club.