INTRODUCTION OF MEDANTA

An Overview

Medanta – The Medicity is one of India's largest multi-super specialty institutes located in

Gurgaon, a bustling town in the National Capital Region. Founded by eminent cardiac surgeon,

Dr. Naresh Trehan, the institution has been envisioned with the aim of bringing to India the

highest standards of medical care along with clinical research, education and training. Medanta is

governed under the guiding principles of providing medical services to patients with care,

compassion, commitment. 

Spread across 43 acres, the institute includes a research center, medical and nursing school. It has

1250 beds and over 350 critical care beds with 45 operation theatres catering to over 20

specialties. Medanta houses six centers of excellence which will provide medical intelligentsia,

1

cutting-edge technology and state-of-the-art infrastructure with a well-integrated and

comprehensive information system.

Medanta – The Medicity brings together an outstanding pool of doctors, scientists and clinical

researchers to foster collaborative, multidisciplinary investigation, inspiring new ideas and

discoveries; and translating scientific advances more swiftly into new ways of diagnosing and

treating patientsand preventing diseases. A one-of-its-kind facility across the world, Medanta

through its research integrates modern and traditional forms of medicine to provide accessible

and affordable healthcare. 

Vision & Values

"Institute is governed under the guiding principles of providing affordable medical

services to patient with care, compassion & commitment."

Chairman's Message

THIS IS INDIA'S MOMENT IN MEDICAL HISTORY.

We have built an institution which matches the highest standards of healthcare delivery across

the world, where care is provided to patients at an affordable cost. Medanta - The Medicity will

offer not only the best technical facilities, but also clinical research, education and training.  

Medanta is a conglomeration of multi-super specialties institutes which are led by exceptional

medical practitioners who are leaders in their respective fields. Attracted from all over the world

2

with the vision to reach the highest levels, these medical leaders are determined to push hard for

excellence in medical care and research.

Medanta brings together state-of-the-art infrastructure, cutting edge technology, and a highly

integrated and comprehensive information system, along with a quest for exploring and

developing newer therapies in medicine. A one-of-its-kind facility in this part of the world,

through research Medanta will integrate modern and traditional forms of medicine to provide

accessible and affordable healthcare.

An Overview

Medanta Mediclinic is a multi- super speciality clinic and day-care facility set up by Medanta –

The Medicity as an extension of our flagship hospital in Gurgaon. The Mediclinic is the outcome

of our desire to extend Medanta's commitment to excellence in healthcare and will serve as an

alternative location for patients to access Medanta’s world renowned doctors. Set up as a

‘Daycare only’ facility , Mediclinic will offer outpatient consultancy, wellness programs,

dialysis, endoscopy, diagnostic testing and day care related surgeries across all specialties. The

Clinic is conveniently located in Defence Colony on Delhi’s main 'ring road'.

3

Medanta - The Medicity, founded by eminent cardiac surgeon, Dr. Naresh Trehan, brings

together an outstanding pool of doctors , scientists and clinical researchers. Together they foster

an environment, inspiring new ideas and discoveries, translating scientific advances more swiftly

into new ways of diagnosing , treating patients and preventing diseases. A one of its kind facility

Medanta- The Medicity is spread across 43 acres, includes a research centre , medical and

nursing school. It has 1250 beds and over 350 critical care beds with 45 operation theatres

catering to over 20 specialties.

Our Vision

Medanta exists to provide the highest quality of accessible and affordable medical services with

care, compassion & commitment

4

Highlights & Technology

Highlights 

Medanta-The Medicity spread across 43 acres has 45 operating theatres, 1250 beds with

over 350 critical care beds

Medanta is a multi-super specialty Institute located in Gurgaon and is 10 minutes from

the International Airport

Medanta offers the widest spectrum of clinical care, education and research

Medanta is led and managed by world renowned doctors committed to care with

compassion.

Medanta offers cutting edge technology and state-ofthe- art treatment facilities designed

to deliver healthcare at an affordable cost.

Medanta is driven by patient needs, comfort and trust.

5

Technology 

256 Slice CT

Brain Suite, Intra-Operative Imaging Operating Theater

Da Vinci Robot for Minimal Invasive Surgery

Artis- Zeego Endovascular Surgical Cath Lab

4 Linear Accelerators (provision for IGRT/ IMRT) (radiation surgery)

Tomotherapy

Integrated Brachytherapy Unit with remote controlled HDR

3.0 Tesla MRI

PET CT

Gamma Camera

Digital X-Ray, Fluoroscopy, Bone

6

Densitometry

3D and 4D Ultra Sound

Digital Mammography

An Overview

Medanta Mediclinic is a multi- super speciality clinic and day-care facility set up by Medanta –

The Medicity as an extension of our flagship hospital in Gurgaon. The Mediclinic is the outcome

of our desire to extend Medanta's commitment to excellence in healthcare and will serve as an

alternative location for patients to access Medanta’s world renowned doctors. Set up as a

‘Daycare only’ facility , Mediclinic will offer outpatient consultancy, wellness programs,

dialysis, endoscopy, diagnostic testing and day care related surgeries across all specialties. The

Clinic is conveniently located in Defence Colony on Delhi’s main 'ring road'.

Medanta - The Medicity, founded by eminent cardiac surgeon, Dr. Naresh Trehan, brings

together an outstanding pool of doctors , scientists and clinical researchers. Together they foster

an environment, inspiring new ideas and discoveries, translating scientific advances more swiftly

into new ways of diagnosing , treating patients and preventing diseases. A one of its kind facility

Medanta- The Medicity is spread across 43 acres, includes a research centre , medical and

nursing school. It has 1250 beds and over 350 critical care beds with 45 operation theatres

catering to over 20 specialties.

7

Medanta Institutes

Heart Institutes

Division of Cardio Thoracic & Vascular Surgery

An Overview

At Medanta Heart Institute (Division of Cardio Thoracic & Vascular Surgery) we aim to reduce

the devastating toll of cardiovascular diseases through innovative programs in patient care. Our

doctors, nurses, technicians and heart experts bring the promise of unparalleled excellence in

patient care, education and research. In addition to latest technology and treatment options the

Medanta Heart Institute (Division of Division of Cardio Thoracic & Vascular Surgery) is patient-

focused, academic department whose aim is to serve the patient and advance the science through

education and research. 

Medanta Heart Institute (Division of Division of Cardio Thoracic & Vascular Surgery) is

performing cardiac surgery using:

8

State-of-the-art technology including Hybrid Operating Suit,

Robotic Heart Surgery

Minimally Invasive Valve and Coronary Heart Bypass techniques.

At Medanta - The Medicity we have the state of the art Hybrid Operating Suit, which is one of

it's kind in this part of the world, houses all the equipment and monitoring devices necessary to

perform percutaneous valve surgeries, Complex hybrid aortic aneurysm interventions and

minimally invasive cardiac operations. It takes a "before" and "after" picture of the procedure

that will catch the rare but very important technical error (if it arises).

Dr. Naresh Trehan 

Chairman

Medanta Heart Institute

At Medanta Heart Institute, we have a dedicated team of doctors along

with state of the art infrastructure, cutting edge technology...

Dr. Ramesh Kumar Bapna 

Director

Cardiac Surgery

9

Dr. Vijay Kohli 

Director

Cardiac Surgery

Dr. Anil Bhan 

Director

Cardiac Surgery

Dr. Rajneesh Malhotra 

Associate Director 

Cardiac Surgery

10

Dr. Surinder Bazaz 

Associate Director 

Cardiac Surgery

Specialised Programmes

Robotic heart surgery

Minimally invasive valve and coronary surgery

Off-pump coronary artery bypass(OPCAB)

Heart failure surgery- Ventricular restoration and ventricular assist devices

Percutaneous valve therapies

Re-do operations

Aneurysm surgery

Stem cell therapy

Transmyocardial laser revascularization

Congenital and Pediatric heart surgery

Aortic dissection surgery

Carotid endarterectomy

Peripheral vascular procedures

11

Technology

256 Slice CT

Angiography

Electrophysiology

Echo 3D

(I) 2D Echo

(II) T.E.E

(III) Stress Echo

(IV) IMT

(V) Vascular Doppler

(VI) 3D Echo

Cardiac MRI

NOGA

Cardiac Resynchronization Therapy

EECP

PET Scan

SPECT Thallium

12

Medanta Heart Institute

Division of Cardiology

At Medanta Heart Institute (Division of Cardiology) we have an integrated healthcare centre

with a dedicated team of Cardiac surgeons and cardiologists who work in tandem to provide

comprehensive, multidisciplinary care to patients suffering from heart ailments. Our team of

doctors, nurses, technicians and other heart experts are there to ensure unparalleled excellence in

patient care, education and research. 

Thw Division of Cardiology at Medanta Heart Institute is determined to provide compassionate,

state of the art, proficient care to heart patients at an affordable cost. Our highly qualified team of

cardiologists along with the latest technology ensures best possible care for a wide spectrum of

heart diseases. 

13

Our Interventional team is available round the clock to help patients with cardiac emergencies

with primary and complex coronary angioplasties and Stinting. Percutaneous Valvular

interventions including aortic valve replacement need a special mention. 

Our dedicated Electrophysiology team has enormous experience in all kinds of electrophysiology

studies, radiofrequency ablations, pacemaker and device implantations and resynchronization

therapy. Three dimensional cardiac mapping using Carto technique and myocardial scar

identification by NOGA enable our electrophysiologists to perform the most complicated RF

ablations with ease. 

Our Clinical Cardiology team consists of dedicated cardiologists capable to handle any cardiac

emergency in the Heart command centre. Besides, early heart disease detection program and

community outreach program have been designed to catch the disease before it can harm the

individual. The Heart Failure clinic is the first of it's kind in this part of the world. 

At Medanta - The Medicity we have the 256 slice CT scan which is the first in this part of the

world and provides high resolution images of the coronary arteries enabling in early detection of

heart disease. Cardiac MRI, PET scan, SPECT thallium, 3D echocardiography, contrast

echocardiography are some of the advanced diagnostic imaging technologies at Medanta heart

Institute. Our mobile CCUs are fully equipped to save the "Golden Hour" for the patients having

heart attack. 

At Medanta heart institute we dedicate our efforts, time and expertise to people suffering with

14

heart disease in order to enable them continue the journey of life with the healthiest possible

heart.

Chairman's Message

Dr. R.R.Kasliwal

Chairman

Division of Clinical & Preventive Cardiology 

Division of Cardiology at Medanta Heart Institute is determined to provide compassionate, state

of the art, proficient care to people suffering from heart ailment while keeping the affordability

issue in mind.

If you need an appointment with Dr. R.R.Kasliwal, Please call on the following Phone

numbers: 

COORDINATOR CONTACT

Archana Mirgan 9971698197

15

Dr Balbir Singh 

Chairman

Division of Electrophysiology 

Heart rhythm disorders could lead to problems ranging from simple palpitations to sudden death

but now with proper treatment is available for these patients at each step.

If you need an appointment with Dr. Balbir Singh, Please call on the following Phone

numbers: 

COORDINATOR CONTACT

Anjali 9810842890

Dr. Praveen Chandra 

Chairman

Division of Interventional Cardiology 

Interventional Cardiology has revolutionized the treatment of cardiovascular diseases starting

from heart and now expended to Vascular treatment from head to toe. At Medanta- The

16

Medicity, which is one of the most equipped labs in the world will strive hard to bring the best

care to patients at all times, with ethics, passion, love and care.

If you need an appointment with Dr. Praveen Chandra, Please call on the following Phone

numbers: 

COORDINATOR CONTACT

Tejinder Singh 9958872855

Specialised Programmes

  Interventional Cardiology

Angiography/Cardiac Cath

Angioplasty Including Complex Angioplasties like chronic total Occlusion

Percutaneous Valvular interventions including 

- Balloon Mitral Valvulotomy

- Aortic Valvulotomy

- Percutaneous Aortic valve replacement

Percutaneous Aortic aneurysm repair by stent grafts.

Renal Angioplasty & Carotid Angioplasty

Peripheral angioplasty including Sub-intimal angioplasty

IVC filter &Pulmonary Embolectomy

17

Septal ablation for HOCM

Device closure of Congenital cardiac defects.

   Electrophysiology 

Electrophysiology studies

Radio Frequency Ablation for supra ventricular and ventricular

tachyarrhythmia

3D Electrical Cardiac Mapping using Carto

Pacemaker Implantation

ICDs & Combo device implantation

Resynchronization therapy

Myocardial scar Identification by NOGA

  

Clinical Cardiology 

Heart Command centre: Managing Critically ill Heart patient.

Nuclear Cardiology

- Cardiac MRI

- Myocardial Perfusion Scintigraphy

- PET Scan

Non-Invasive Diagnostic Cardiology

- 2D Echo, 3D Echo

18

- TMT, Stress Echo

- Vascular Doppler

Early detection Program for Heart disease

- Executive Health Check up

- IMT

- 256 Slice CT Coronary Angiography

Specialised Cardiac Clinics

- Heart failure Clinic

- Pacemaker Clinic

- Hypertension Clinic

Community Outreach Program

Enhanced External Counter Pulsation therapy

Technology

256 Slice CT

Angiography

Electrophysiology

Echo 3D

(I) 2D Echo

(II) T.E.E

(III) Stress Echo

(IV) IMT

19

(V) Vascular Doppler

(VI) 3D Echo

Cardiac MRI

NOGA

Cardiac Resynchronization Therapy

EECP

PET Scan

SPECT Thallium

Team of Doctors

Team 

Dr. Naresh Trehan

Dr. R.R. Kasliwal

Dr. Praveen Chandra

Dr. V.K Chopra

Dr. Sanjay Mittal

Dr. Rajneesh Kapoor

Dr. Balbir Singh

Dr. Madhukar Shahi

Dr. Chandan Kumar Ghosh

Dr. Jitender Fotedar

Dr. Nagendra S. Chouhan

Dr. Niraj Gupta

Dr. siddharth mukherjee

20

Dr. Vinayak Aggarwal

Dr. Hari Raj Tomar

Dr. Pankaj Gupta

Dr. Rahul Mehrotra

Dr. Manish Bansal

Dr. Gagandeep S. Wander

Dr. Sushil Azad

Dr. Amit Misri

Dr. Kartikeya Bhargava

Medanta Institute of

NeurosciencesMedanta Institute of Neurosciences is an integrated Institute with a dedicated

team of doctors with the latest technology which provides a comprehensive and multi-

disciplinary care for disorders of brain and spine. Led by team of highly qualified neurologists,

neurosurgeons, intervention neuro-radiologist and other disciplines provide the best possible care

for patients. 

21

Among the innovative technologies being introduced by Medanta Institute of Neurosciences

include "Brain Suite" (with Miyabi Intra-operative MR), Biplane neuro-intervention laboratory,

endoscopic neurosurgery theatre, Spine Surgery theatre with image guidance, and Elekta Radio

surgery suite. 

The philosophy of "patient first" treatment is based on protocols of transparent evaluation of

outcomes which will not only ensure appropriate patient management but will also pave the way

for an academic environment. The institute has facilities for emergency services for the

management of acute neurological disorders, advanced neuro-imaging techniques (a 3 Tesla

MRI, 256 slice CT scan, PET scan), dedicated neurosurgery and neurology ICUs. 

The availability of technology which is being introduced for the first time in this part of the

world is an important salient feature of the institute. Establishment of dedicated centers for brain

tumors, spinal disorders, stroke, epilepsy, movement disorders and headache with involvement

of committed multispecialty teams backed by truly world class technology will ensure treatment

outcomes which did not seem to be possible in this part of the world till now. 

22

Chairman's Message

Dr Ajaya Nand Jha 

Chairman

Institute of Neurosciences 

Our Institute is dedicated to the "patient first" with a team of specialists working together, along

with the best technology available today to optimize patient outcome. 

If you need an appointment with Dr. Ajay Nand Jha, Please call on the following Phone

numbers: 

COORDINATOR CONTACT

Marion 9818113566

23

Specialised Centres & Programmes

NEURO-ONCOLOGY CENTRE

Focus is on treatment of brain tumors b a dedicated team of neurosurgeons, radiosurgeon,

neuroradiologist radiotherapist and medical oncologist who focus on diagnosis and treatment

tumors such as glioma, meningiomas, pituitary adenomas and other brain tumors. The centre has

facilities such as intra-operative MRI (brain suite) for MR guided surgery, LINCC radiosurgery

system, endoscopic neurosurgery for minimally invasive tumor removal. Centre also has

advanced diagnostic facilities such as 3T MRI, CT and PET.

SPINE CENTRE

Includes team of spine surgeon, minimally invasive spine surgeon, interventional

neuroradiologist, physiotherapist and pain specialist to treat the whole gamut of spinal disorders

by appropriate methods. facilities include C arm for image guided surgery, advanced

computerized image guidance system to prevent injury, minimally access unit to do endoscopic

surgery for most disorders. Advanced imaging helps in precise diagnosis and dedicated spinal

rehabilitation program helps in recovery from disabilities

EPILEPSY

Epilepsy is a common disorder which carries important implications for the patient and their

families. Most patients with epilepsy respond very well to adequate medications. In about 5% of

cases the patients do not show response to treatment and have to be taken up for surgery for

epilepsy The surgery for epilepsy requires an immense teamwork of dedicated epileptologists,

epilepsy surgeons, neuroimaging techniques and a neurophysiologist. The neurosciences institute

24

at Medanta has one such dedicated team which has members who have been pioneers for

epilepsy surgery in the country. The centre has the back up of modern investigations like a 3T

MRI, Video EEG, invasive cortical recordings and grid recording for lesion localization.. The

centre will offer a comprehensive epilepsy management program which will match with some of

the best centres of the world.

MOVEMENT DISORDERS

Most common movement disorders are Parkinson's disease, hemifacial spasms, Blepharospasm,

Dystonias, Writer's cramp, and torticollis etc. The very experienced movement disorders team at

Medanta will be backed by the most advanced investigation equipment in the world which

includes a Diffusion 256 slice double exposure CT scanner, a 3T MRI, SPECT, PET CT Scanner

and the most advanced molecular diagnosis facility in the country. There will be facilities for the

management of dystonia and dyskinesia using botulinium toxin. Deep brain stimulation has been

proposed as the treatment of choice for patients with Parkinson's disease, and some dystonias and

the team of doctors at Medanta is one of the pioneers in this field in India. The patients who

require deep brain stimulation surgery will have an additional advantage of an intraoperative

MRI as well, which can accurately detect the position of the leads of the DBS surgery. The

institute has a team based approach for the therapy and rehabilitation of patients with movement

disorders and neurodegenerative disorders.

HEADACHE

Headache is one of the commonest diseases to afflict mankind. They are also the most difficult to

eradicate despite their common occurrence. At Medanta we have a single stop facility to take

25

care of the entire spectrum of headache disorders The investigative modalities at the centre are

one of the most advanced in this part of the globe and the team of headache specialists have a

long experience in management of headache disorders. There will be facilities for advanced

management of headaches using botulinium toxin, nerve blocks, trigger point blocks, and

occipital nerve stimulation.

STROKE CENTRE

A stroke occurs when blood vessels carrying oxygen and other nutrients to a specific part of the

brain suddenly burst or become blocked. When blood fails to get through to the affected parts of

the brain, the oxygen supply is cut off and brain cells begin to die. The Stroke programme

focuses on disorders such as paralytic attacks, brain hemorrhage and treatment of disorders such

as brain aneurysms, carotid stenosis. Facilities included brain rescue program to perform

emergency reopening of occluded blood vessels to reverse paralysis, endovascular program to

treat many disorders of brain without performing open surgery, rehabilitation and advanced

diagnostic facilities such as 3T MRI and CT. A dedicated Brain Rescue team and a network of

ambulances along with a time bound protocol ensure that we treat stroke like a Brain Attack (just

like a Heart Attack) in a time bound fashion and use clot busting drugs as well as endovascular

therapy including clot retrieval to open up blockages in the brain circulation.

REHABILITATION

The ultimate goal of rehabilitation is to return the patient to an independent lifestyle as soon as

possible. Successful stroke rehabilitation is dependent on many factors, including the severity of

brain damage and the cooperation of family and friends. Not surprisingly, the attitude of the

26

patient is a key factor in speed and recovery. A positive outlook and high level of determination

may facilitate recovery. Depending on the area of the brain affected by the stroke, physical and

mental damage may be mild or severe, ranging from dizziness and confusion, to sensory loss, to

paralysis and even death. Patients with mild strokes or those who obtained successful medical

therapy may need little or no rehabilitation. Because of the tremendous advances in stroke

treatment, along with the ever-increasing sophistication of rehabilitation techniques, the outlook

for stroke patients has never been more hopeful.

Specialised Surgical Programmes

MRI GUIDED SURGERY

MRI guided surgery is done with detailed preoperative planning, intraoperative realtime imaging

in brain suite, colouring the tumour tissue differently from normal brain by tumor luminescence

and physiological functions monitoring. This allows for removal of tumor more completely and

thus reducing the tumor burden to the maximum extent. Also the removal of tumor tissue is not

at expense of damaging the normal brain tissue. This improves the outcomes and quality of life.

DEEP BRAIN STIMULATION

Deep Brain Stimulation is done by localizing a site of subthalamic nucleus by putting a

stereotactic frame and MRI. The surgery involves putting in microelectrodes inside the brain and

recording the activity. After deciding the site, the electrical stimulation of the brain is done and

the response of the patient observed. All during this time the patient remains conscious. The

electrodes are then left inside the brain at the specified.

27

ENDOVASCULAR SURGERY

Endovascular Neurosurgery Surgery

.EPILEPSY SURGERY

A small percentage of people with epilepsy do not respond to even highest doses of 3 or 4 drugs,

which needs evaluation to find out the cause, and also whether surgery would be of benefit. At

our centre, we have an expert team that can evaluate and perform the entire range of epilepsy

surgery procedures that may be required in any patient. Our facilities include EEG, video EEG,

SPECT, PET, advanced MRI and Neuronavigation, including the Brain Suite.

MOVEMENT DISORDER SURGERY

At times, when medications do not give relief in Parkinson's disease, surgery can be considered a

good option in selected patients. The surgery preferred is Deep Brain Stimulation (DBS), in

which electrodes are placed in certain special nuclei in the brain, and connected to a pacemaker

placed (typically) below the left collar bone. This surgery usually results in significant benefit in

all symptoms, such as tremors, stiffness and slowness of movements. Patients with Dystonias are

also good candidates for surgical procedures, especially because these do not respond very

favourably to medications. Apart from DBS, there are other options including other types of

surgery, lesioning and also Botulinum Toxin (BoTox) injection.

MINIMALLY INVASIVE SPINE SURGERY

Minimally invasive spine techniques preserve the normal musculoskeletal structures as much as

possible while completely addressing the disease pathology. The Minimally invasive spine

surgery and Endoscopic spine surgery involves placement of operating ports (forming the

28

operating channel) separating the muscle fibers and thus preserving their blood and nerve supply.

Now with union of advanced technology and skill sets the scars have become small almost to the

size of a Rupee coin, hospital stay is in days and return to normal activities in few weeks.

ENDOSCOPIC NEUROSURGERY

The concept of Endoneurosurgical treatment of brain disorders has been made possible by

advances in telescopes (endoscopes), instrumentation, real time navigational and imaging ability,

development of endoscopic skill sets and fresh anatomical detailing of the endoscopic corridors

and the surrounding structures. 

The Endoscopic Brain surgery programme has four components.

1. Endoscopic Ventricular and Periventricular Surgery

2. Endoscopic Endoportal Brain Surgery for deep seated intrinsic brain tumors

3. Endoscopic assisted Microneurosurgery

4. Endoscopic Skull Base Surgery

The advantages offered by Endoneurosurgery are better visualization of normal anatomy and the

disease process allowing for preservation of normal anatomical structures and completeness of

removal of the disease. This translates into faster recovery of patients and lessens the morbidity

and complications of the procedure, while preventing large and disfiguring scars and trauma to

underlying brain tissue.

29

Team of Doctors

Neurologists - who diagnose and treat conditions of the nervous system. There are specialists

focusing on specific area such as stroke, epilepsy, headache, movement disorders and other

diseases.

Neurosurgeons having specific areas of interest such as brain tumor, spine surgery, endoscopic

surgery, endovascular surgery, epilepsy surgery, Deep Brain Stimulation (DBS) and other such

diseases.

Intervention Neuroradiologists - who use a no surgical, catheter-based approach - similar to

cardiac catheterization for heart disease - to treat vascular (blood vessel) diseases that affect the

nervous system

Neuroradiologists - who use imaging - X-rays, CT scans, MRIs - to help diagnose the disease or

disorder

Radiation oncologists - who treat tumors and certain other disorders with radiation Intensivists

and hospitalists - full-time, hospital-based physicians who treat intensive care and hospitalized

patients respectively

A qualified neurophysician and neurosurgeon is physically present 24 hrs in the hospital Critical

care nurses, Physical and occupational therapists 

Team 

Dr. Ajaya Nand Jha

Dr. Aditya Gupta

Dr. Sudhir Dubey

30

Dr. Karanjit Singh Narang

Dr. Vipul Gupta

Dr. Sumit Singh

Dr. Arun Garg

Dr. Manvir Bhatia

Dr. Atma Ram Bansal

Dr. Nitin Maheshwari

Dr. Harsh Sapra

Dr. Raj Kumar

Technology

BRAIN SUITE

Is an advanced operating theatre with capability of intra-operative MR imaging and MR guided

surgery. Surgeon can perform a high resolution MRI during the surgery to assess the degree of

tumor removal as well as to avoid normal brain tissues. The safety of the surgeries performed is

helped by special techniques to visualize tumor during the surgery (tumor luminescence).

Image guidance help in performing precise surgery and prevents damage to normal brain tissues

helping in preservation of normal brain functions

31

Intra-operative MRI helps in performing immediate assessment of degree of tumor removal. This

ensures that adequate tumor removal is performed.

MRI guidance helps in immediate detection of complications.

BIPLANE NEUROENDOVASCULAR ANGIOGRAPHY

Latest flat panel Biplane DSA (digital subtraction laboratory) provides ultrahigh resolution (2048

matrix) of cranial and spinal blood vessels. This unit is one of the most advanced units installed

in this part of the world. The features include. 

Biplane technology: having two C arms help in visualization in two planes simultaneously. Flat-

panel technology- using digital technology helps in achieving high-resolution images with

markedly decreased radiation exposure.

3D technology: 3d imaging of blood vessel helps in precise assessment of the vascular anatomy

and pathology,

Advanced DynaCT: the angiographic suite has a built in CT scan like facility for early detection

of any complication

SYNERGY S LINAC SYSTEM 

This is a top-end highly versatile Linear accelerator designed for use in critical areas, such the

brain and spine. The high accuracy, combined with a robotic couch capable of finely calibrated

32

movements, make this a highly effective tool for Radiosurgery of the Brain, spine and other

organs apart from use for fractionated treatments. 

S - 7 NAVIGATION SYSTEM 

Latest generation of Navigational equipment with integrated minimal access capabilities allows

surgery to be performed in real time with navigational support. In addition it comes with array of

instrumentation to perform minimally invasive procedures.

ENDOSCOPIC NEUROSURGERY THEATRE

Endoscopic neurosurgery is done with state-of-art operation theatre for endoscopic brain and

spinal surgery

Endoscopic systems dedicated for advanced brain and spine surgery

Intraoperative imaging capabilities with MRI & O-arm

Intraoperative Navigation capabilities

High definition monitors

Intra-operative neurophysiological monitoring

33

Medanta Institute of

Bone and Joint

Medanta Bone and Joint Institute is a super-specialty Institute which aims to provide world-class,

evidence-based treatment for various orthopedic disorders and sports injuries. At Medanta-The

Medicity we combine our expertise in the areas of patient-care, clinical research, and academics

in order to provide the highest level of specialized services to our patients.

Our team of highly skilled and dedicated orthopedic surgeons who have trained extensively in

their respective fields are led by Dr Ashok Rajgopal, an internationally acclaimed knee and joint

replacement surgeon. 

At Medanta Bone and Joint Institute we are equipped with advanced cutting edge technology,

like: 

34

Computer Navigation System,

o High Definition Cameras,

o Arthroscopic Equipment for performing technically challenging procedures,

o State-of-the-Art "Bone Bank" for difficult cases like revision arthroplasty and bone loss

following tumour resection (Facilities for chondrocyte culture and meniscal transplant also exist

for young arthritic individuals)

o Alpha Operation Theatre which can be accessed from anywhere in the world via satellite linkage

for continuing medical education

We have a modern rehabilitation department with gait analysis lab, hydrotherapy pool,

electrotherapy equipment and state of art gym for rehabilitation. There is a dedicated team of

musculo-skeletal anesthesiologists that provides excellent pre, intra and post-operative care. We

have experienced and dedicated rheumatologist for managing arthritis patients. Our team of

doctors is supported by highly experienced physiotherapists and occupational therapist that

provide out-patient, in-patient as well as domiciliary care to the patients. 

Chairman's Message

Dr Ashok Rajgopal 

Chairman

Medanta Bone & Joint Institute 

35

Medanta Bone and Joint institute offers a one-stop option for all patients with musculoskeletal

problems. Manned by very experienced consultants we offers a comprehensive, humane &

patient oriented treatment to all patients. We also offer advanced treatment options backed by

cutting edge technology.

If you need an appointment with Dr Ashok Rajgopal, Please call on the following Phone

numbers: 

COORDINATOR CONTACT

Puneet Puri 9810590150

Specialised Clinics

Knee Clinic Hip Clinic Foot and ankle clinic Shoulder Clinic Hand Clinic Pain Clinic Gait Analysis Clinic Sports Injuries Clinic Paediatric Orthopaedic Clinic Spine and scoliosis clinic Complex fracture clinic Rheumatology Clinic Rehabilitation Clinic

Divisions

Primary and Revision Joint Replacements (Knee, hip, ankle, shoulder, elbow, wrist, hand)

Adult Reconstruction (Complex fractures-pelvis, acetabuum, spine, limb salvage)

Paediatric Orthopaedic (Deformity correction, fractures)

36

Sports Injuries (Knee ligaments and meniscal transplants, shoulder instability and cuff tears,

Wrist and Ankle injuries)

Rheumatic Disorders

Rehabilitation

Team of Doctors

Team 

Dr. Ashok Rajgopal

Dr. Vikas Gupta

Dr. Ramankant Aggarwal

Dr. Sanjay Sarup

Dr. Attique Vasdev

Dr. Vineesh Mathur

Dr. Balvinder Rana

Dr. Ashish Mittal

Dr. Vivek Sharma

37

Medanta Institute of

Kidney & Urology

Medanta Institute of Kidney and Urology is a unique resource for those with the diseases of the

urinary system, including the kidneys, bladder and prostate gland. As the major tertiary care

centre, our goal is to deliver the highest level patient care, consistent with the Medanta - The

Medicity philosophy of 'Patient-First'. We are proud to offer some of the region's finest experts

covering every major urology and nephrology specialty. 

At Medanta Kidney and Urology Institute we provide patient oriented management of cancer and

benign urological diseases by integrating and leveraging our combined expertise. The Institute

works as a cohesive team with interdisciplinary interactions between urologists, nephrologists,

medical and radiation oncologists. 

Medanta Institute of Kidney and Urology is one of the premier centers in the world using

minimally invasive surgical techniques including the state-of-the-art da Vinci robotic surgery to

38

correct prostate, bladder and kidney problems. The Medanta Institute of Kidney and Urology

provides cutting edge care in all areas of nephrology with round the clock delivery of care for

dialysis, transplant and chronic kidney disease. 

Chairman's Message

Dr Rajesh Ahlawat 

Chairman

Medanta Kidney & Urology Institute 

Medanta Institute of Kidney and Urology is a leading center for innovative treatments. Our

center is dedicated to highest standards of patient care with human touch, offering pioneering

procedures that minimize risk and hasten recovery. We aim to provide cutting edge research and

training in partnership with the best centers in the world.

If you need an appointment with Dr. Rajesh Ahlawat, Please call on the following Phone

numbers: 

COORDINATOR CONTACT

Surender 9910176796

39

Dr Vijay Kher 

Chairman

Division Of Nephrology and Renal Transplant Medicine 

I strongly believe that research enhances the ability of teaching and teaching lifts the standards of

patient care. The institute will strive to knit together – patient care, research & teaching in a

manner to provide the highest standards of care for all patients with various kidney & urinary

diseases.

If you need an appointment with Dr. Vijay Kher, Please call on the following Phone

numbers: 

COORDINATOR CONTACT

Anjana Kataria 9871996229

Dr N P Gupta 

Chairman, Academic & Research

Medanta Kidney and Urology Institute 

40

Excellent urological care is provided with latest technology including Robotic surgery for

diseases of urogenital system like stone disease, Benign enlargement of the Prostate ,Cancers of

the Prostate, bladder, Kidney, congenital diseases, infections, Male infertility, Erectile

dysfunction, Urinary incontinence, renal failure etc

Specialized Clinics

Nephrology

Chronic Kidney Disease clinic

Hypertension clinic

Transplant clinic – Pre transplant & post transplant

Comprehensive diabetic clinic

Patient education programmes & preventive nephrology

   Urology 

Kidney, Prostate & Bladder Cancer Clinic 

Prostate Health Clinic

Stone Clinic

Female urology & Neurology clinic

Sexual function & Infertility clinic

Pediatric Urology Clinic

41

Procedures

Medanta Institute of Kidney and Urology is a modern facility delivering a full range of

diagnostic, management and operative services. We are pleased to offer you the most advanced

care available within the field.

Nephrology

o Out patient dialysis

o In patient dialysis

o CRRT (continuous renal replacement treatment)

o SLEDD / (PIRRT also called SLEDD)

o Plasmapheresis

o Interventional Nephrology & Vascular access

o Critical Care Nephrology

o Kidney Transplant programme

o Home dialysis programme (home hemodialysis + CAPD)

Urology

o da Vinci Robotic Surgery

o Laparoscopic Urologic surgery

o Kidney Transplant

o Complex Kidney and Urinary tract stone management

42

o Flexible Endoscopy

o Laser surgery for Prostate & Stone diseases

o Extracorporeal shock wave lithotripsy

o Comprehensive Urodynamic evaluation

Team of Doctors

Urology team

Dr Rajesh Ahlawat

Dr NP Gupta

Dr Sanjay Gogoi

Dr Rakesh Khera

Dr Gagan Gautam

Dr Prasun Ghosh

Dr Manav Suryavanshi

Dr Rajiv Yadav

Nephrology team

Dr Vijay Kher

Dr Saurabh Pokhariyal

Dr Salil Jain

Dr Vishal Saxena

Dr Shyam Bansal

43

Medanta Cancer Institute

Division of Radiation Oncology

Medanta Cancer Institute (Division of Radiation Oncology) is a comprehensive Institute with a

mission to provide ‘Holistic Care' to patients. A team of highly qualified and dedicated doctors is

supported by a cutting edge technology to add years with a good Quality of Life (QOL). At

Medanta Cancer Institute (Division of Radiation Oncology) we have the following technology: 

The VMAT (volumetric arc therapy) or Infinity Linear accelerator which is a first installation

across India. It reduces the radiation delivery time to 2 minutes even for the most complex

Intensity Modulated Radio Therapy (IMRT). The frameless Stereotactic Body Radiotherapy

(SBRT) from Elekta is being established for the first time in the country and is capable of

treating Lung and Liver tumors in less than 20 minutes.

44

An Integrated Brachytherapy Unit (IBU) for intra operative and post operative treatments along

with prostate seed implants to extend the ultimate conformal radiation for early tumors or as a

boost along with external beam treatment.

At Medanta – The Medicity we provide innovative techniques such as Image Guided

Radiotherapy (IGRT) with X-Ray Volume Imaging(XVI)giving a virtual CT scan on the Linear

accelerator in real time. The availability of molecular imaging in the form of PET-CT for fusion

with MRI(3.0 Tesla) ,CT Scan(256 slice) and CT –Simulation (32 slice) will reduce the chances

of a geographic miss as well as optimize the tumor coverage.

A protocol based approach for management of Brain tumors, Head and Neck cancers, Breast

cancer, Gynecological cancers, Urological malignancies, Soft tissue sarcomas, Lymphomas,

Pediatric tumors, Gastro intestinal and Lung cancer is being established to ensure an

international standard of care. The philosophy of ‘Holistic Care’ and protocol based management

will ensure a transparent evaluation of treatment outcomes and will transpire into an academic

milieu to build bridges across internationally renowned Health Care Institutions. 

Chairman's Message

Dr. Tejinder Kataria 

Chairperson

Division of Radiation Oncology 

45

Medanta Cancer Institute is committed to provide best -in- class precision radiation therapy. The

technology and equipment being commissioned is comparable to that available in the most

advanced centres across the globe. A meticulous planning with accurate delivery is aimed to

ensure optimal patient treatment with a human touch.

If you need an appointment with Dr. Tejinder Kataria, Please call on the following Phone

numbers: 

COORDINATOR CONTACT

Mahendra Sadana 9910969413

Technology

o Elekta Infinity VMAT Linear Accelerator

o Elekta Synergy S Linear Accelerator

o Hexapod table for Stereotaxy

o Lekbell G-frame and Stereotactic System

o iView GT Megavoltage Imaging System

o XVI (X-Ray Volume Imaging) 3D

o MLCi 2 Head

o Las Vegas Calibration Phantom

o Blue Phantom

46

o iMatrixx and Compass for patient QA

o Integrated Brachytherapy Unit

o Soft PRO – Prostate seed brachytherapy

o Intra Operative Brachytherapy

o Molecular Scan with Anatomical localization (PET-CT)

o 3 Tesla MRI

o 4D CT-Simulator (32–Slice)

o 256–Slice Helical CT Scanner

o ERGO ++ Treatment Planning System for SRS

o CMS X10 3D RTP System

o Monaco Treatment Planning System

o Focal Sim / Focal Pro

Procedures

+ Volumetric Modulated Arc Therapy (VMAT)

+ Stereotactic Body Radiotherapy (SBRT)

+ Frameless Stereotactic Radiosurgery (SRS)

+ Intensity Modulated Radiotherapy(IMRT)

Active Breathing Co-ordinator (ABC)

Impedence pH Monitoring

6D Patient Correction in Real Time

Dynamic and Segmental IG/IMRT

47

High Dose Rate Brachytherapy (HDR)

Seed Implants

Multi Modality Cancer Care

Fusion Imaging and Integrated Dosimetry

Team of Doctors

Dr. Tejinder Kataria

Dr. Sandeep Kumar Jain

Medanta Cancer Intitute

Division of Medical Oncology & Haematology

At Medanta Heart Institute (Division of Cardiology) we have an integrated healthcare centre

with a dedicated team of Cardiac surgeons and cardiologists who work in tandem to provide

comprehensive, multidisciplinary care to patients suffering from heart ailments. Our team of

doctors, nurses, technicians and other heart experts are there to ensure unparalleled excellence in

patient care, education and research. 

48

Thw Division of Cardiology at Medanta Heart Institute is determined to provide compassionate,

state of the art, proficient care to heart patients at an affordable cost. Our highly qualified team of

cardiologists along with the latest technology ensures best possible care for a wide spectrum of

heart diseases. 

Our Interventional team is available round the clock to help patients with cardiac emergencies

with primary and complex coronary angioplasties and Stinting. Percutaneous Valvular

interventions including aortic valve replacement need a special mention. 

Our dedicated Electrophysiology team has enormous experience in all kinds of electrophysiology

studies, radiofrequency ablations, pacemaker and device implantations and resynchronization

therapy. Three dimensional cardiac mapping using Carto technique and myocardial scar

identification by NOGA enable our electrophysiologists to perform the most complicated RF

ablations with ease. 

Our Clinical Cardiology team consists of dedicated cardiologists capable to handle any cardiac

emergency in the Heart command centre. Besides, early heart disease detection program and

community outreach program have been designed to catch the disease before it can harm the

49

individual. The Heart Failure clinic is the first of it's kind in this part of the world. 

At Medanta - The Medicity we have the 256 slice CT scan which is the first in this part of the

world and provides high resolution images of the coronary arteries enabling in early detection of

heart disease. Cardiac MRI, PET scan, SPECT thallium, 3D echocardiography, contrast

echocardiography are some of the advanced diagnostic imaging technologies at Medanta heart

Institute. Our mobile CCUs are fully equipped to save the "Golden Hour" for the patients having

heart attack. 

At Medanta heart institute we dedicate our efforts, time and expertise to people suffering with

heart disease in order to enable them continue the journey of life with the healthiest possible

heart.

Chairman's Message

Dr. Ashok K. Vaid 

Chairman

Division of Medical Oncology & Haematology 

Delivery of highest quality cancer care in a safe environment and based on the latest advances in

diagnostic and therapeutic research shall remain a lasting goal of the Deptt. of Medical Oncology

50

& Haematology. Together we shall create a multifaceted department which promotes oncology

education and cutting edge research in partnership with institutes of reputed.

If you need an appointment with Dr. Ashok Kr. Vaid, Please call on the following Phone

numbers: 

COORDINATOR CONTACT

Nihal Chand 9810089312

Technology

The Solid Tumour Group: 

Head and Neck Cancers

Breast cancer

Thoracic cancers

Gastro-intestinal cancers

Hepato-biliary Cancers

Neurological cancers

Urological cancers

Gynaecological cancers

51

Bone and Soft Tissue Sarcomas

Regional Chemotherapies

Palliative Care

   Haemato Oncology 

Haematological Malignancies 

Haematopoietic Stem Cell Transplantation

   Paediatric Oncology

   Psycho social Oncology

   Genetic Counselling

   Clinical Research Secretariat

Team of Doctors

Team 

Dr. Ashok Vaid

Dr. Sachin Gupta

52

Medanta Institute of

Critical Care and Anesthesiology

Medanta Institute of Critical Care and Anesthesiology is dedicated to management of critically

ill patients and anesthetic management of complex surgeries. It is a team of qualified and

experienced specialists working together with the same motto and uniform approach.

Critical care / Intensive Care Unit (ICU) has 200 beds with isolation cubicles with positive /

negative filtered fresh air flow and 1:1 nursing round the clock. Each bed (huntleigh with bed

sore preventing air mattresses) has a window with a view to reduce ICU disorientation, vertical

power columns for easy Physician / Nurse access, hand washing to reduce hospital acquired

infections, high end monitoring (Philips colour), advanced GE mechanical ventilators for

Invasive / Non invasive artificial respiration, Dialysis, IABP, LVAD etc. It is manned round the

clock by in house dedicated team of highly qualified intensivists to provide world class care to

very sick patients of all age groups of varying illnesses. 

53

Chairman's Message

Dr Yatin Mehta 

Chairman

Institute of Critical Care & Anaesthesiology 

Medanta Institute of Critical Care and Anesthesiology is dedicated to management of critically

ill patients and anesthetic management of complex surgeries. It is a team of qualified and

experienced specialists working together with the same motto and uniform approach.

If you need an appointment with Dr. Yatin Mehta, Please call on the following Phone numbers: 

COORDINATOR CONTACT

Regi Mathew 9971698204

54

Specialised Treatments

ICU: 

Round the clock bed side, Ultrasonography (FAST), transthoracic echo, transesophageal

echo (TEE), Doppler examination and supervision by experienced and qualified intensivist

1:1 Patient Nurse ratio

Centralised monitoring

Advanced hemodynamic, ICP, IAP monitoring

Advanced invasive / non invasive ventilation

Pneumatic schute for rapid transport of sample, pharmaceuticals & blood

Dedicated ICU for different subspecialties ( Neuro, cardiac, gastro, trauma, general surgery

and transplants)

Bedside hemodialysis and CRRT

Controlled hypothermia

Trauma ICU attached with trauma OT

Ultrasonography guided cannulation

Anesthesiology: 

Advanced anesthetic management for on pump and off pump cardiac surgeries

Total circulatory arrest for aortic surgeries

Specialised anesthetic management for robotic and minimally invasive surgeries

Specialised anesthesia technique for Liver, kidney, knee and hip transplant

Dedicated neuroanesthesia team for advanced neuro surgery (Brain suite) and neuro radio

interventions

Ultrasonography guided cannulation and regional anesthesia

55

Patient Controlled analgesia (PCA)

Team of Doctors

Team 

Dr. Yatin Mehta

Dr. S.M. Sharma

Dr. Rashmi Chauhan Mehta

Dr. Manisha Mishra

Dr. Rajesh Kumar Chand

Dr. Annu Sarin Jolly

Dr. Nikunj Gupta

Dr. G.V.Prem Kumar

Dr. Nikunj Gupta

Dr. Mohd Tariq Ali

Dr. Pravin Saxena

Dr. Rajiv Juneja

Dr. Sangeeta Khanna

Dr. Sarven K. Singh Rawat

Dr. Ravindra Sawhney

Dr. Rajeev Ranjan

Dr. Deepak Govil

Dr. Munish Sharma

Dr. Pawan Kumar Kapoor

Dr. Abhinav Gupta

Dr. Anil Kumar

56

Dr. Chitra Mehta

Dr. Dheeraj Arora

Dr. Harsh Sapra

Dr. Jeetendra Sharma

Dr. Rajinder Singh Rawat

Dr. Shaleen Bhatnagar

57

Medanta Departments & Divisions

Medanta Division of

Endocrinology and Diabetes

Endocrinology is the science of hormones. It is one of the most rapidly evolving disciplines of

medicine and encompasses a wide array of clinical conditions. Our facility provides the latest in

diagnosis and treatment of widely prevalent disorders like diabetes, obesity, thyroid, PCOS,

osteoporosis, as well as less common, highly complex hormonal disorders. State of the art

radiology, nuclear medicine and laboratory facilities, as well as our team of highly skilled

surgeons from all disciplines enable us to provide comprehensive care for all endocrine disorders

under one roof. 

Realizing the importance of individualized care, the philosophy of our centre is "PATIENT

EMPOWERMENT". To achieve the same the MEND clinic has a team of experts which include

58

renowned endocrinologists, obesity experts, paediatric endocrinologists and certified diabetes

and bone educators. We believe that lifestyle disorders warrant customized care, and 'one size

does not fit all'. We therefore provide individualized, pragmatic management plans for these

disorders. Our ultimate goal is to empower all patients to manage their condition without

compromising on quality of life. The team is also actively involved in clinical research and drug

trials. Particular areas of interest include: Diabetes and heart disease, Transplant endocrinology

and secondary prevention of fractures.

Chairman's Message

Dr Ambrish Mithal 

Chairman

Division of Endocrinology and Diabetes 

At Medanta, we bring you the best in clinical service for diabetes and endocrine disorders.

From prevention and lifestyle management to cutting edge technology for advanced

complications, it is all in one integrated setup. Our dedicated and highly qualified team of

specialists and counselors has designed structured programs and packages to suit your

individual needs. 

We believe we know who is the best qualified to take care of your diabetes. It is YOU. And

my team will help you do it, with care and compassion...

Specialised clinics

Diabetes Clinic

59

Obesity Clinic

Paediatric endocrinology clinic

Bone health and osteoporosis clinic

Thyroid clinic

Services Offered

Diabetes

Obesity

Thyroid disorders

Bone and mineral disorders including osteoporosis, vitamin D deficiency and parathyroid disorders

Pituitary, adrenal and gonadal disorders

Menstrual irregularities e.g. polycystic ovary syndrome

Early and delayed puberty

Short stature

Treatments

Basic Patient Enpowerment program (PEP) for Diabetes Care

Advanced Patient Enpowerment program (PEP) for Diabetes Care

Adult Obesity Management Package

Childhood & Adolescent obesity Management Package

Team of Doctors

60

Team 

Dr. Sunil Mishra

Dr. Ambrish Mithal

Dr. Ganesh Jevalikar

Dr. Beena Bansal

Medanta Division of

ENT & Head Neck Surgery

Department of ENT and Head Neck surgery is equipped with the finest technology and the best

manpower to provide the best possible facilities for the patients. It has state-of-the-art facilities

for voice disorders, phonosurgery and laryngology and is one of the few exclusive centres in the

country and abroad doing so. 

61

It is carrying on treatment of Head and Neck Cancer along with the radiation medicine and

medical oncology teams. There is collaboration with neurosurgeons for the treatment of skull

base lesions. 

The latest generation Lumenis Acupulse (Surgitouch) CO2 Laser System will provide latest and

cutting edge technology for treatment of Juvenile papillomas, Bilateral abductor cord paralysis,

vascular lesions, premalignant lesions, cancer of larynx, oral cavity, oropharynx and

hypopharynx, and Laryngotracheal stenosis.

Sialoendoscopy and sialology is another new speciality being developed by the Department.

Endoscopic sinus and nasal surgery for diseases of the nose and paranasal sinuses, chronic

dacrocystitis, malignant exopthalmos and optic nerve decompression is also carried out.

The Department is well-equipped to take care of all Ear, Nose and Throat emergencies and has

teams available round the clock to do so. The Department also provides audiology, voice and

speech therapy as allied services. 

The Department plans to further strengthen itself by launching teaching and research

programmes including fellowships in specialised areas so that speciality colleagues from all over

can take advantage of the available facilities

Technology

Surgitouch Co2 Lumenis laser

Surgitouch Co2 Lumenis laser is one of the latest generation laser and is the international

standard for ENT surgery . ENT & Head Neck Surgery Department of Medanta - The Medicity

is one of the very few Departments in the country to have this cutting edge technology. This laser

can be used for benign or malignant laryngeal lesions, laryngotracheal stenosis, oral cavity ,

nasal and ear lesions.

62

Videostroboscop

Department has acquired Xion ( German ) Videostroboscope . Videostroboscope is the latest

generation equipment to study the free edge of the vocal cord and identify subtle vocal cord

lesions

BERA phone

It is the gold standard screening tool for hearing loss in infants and children and can do very

rapid screening with a sensitivity of 98 percent and helps in picking early onset hearing loss. The

Department has acquired this with a prespective to start Universal hearing screening programme 

Audiology

Audiology Department is equipped with latest generation audiometery and impedence equipment

from GSI.

Specialised Programmes & Clinics

Specialised Programmes 

Laser surgery for Ear Nose and Throat problems

Head and Neck cancer surgery for cancer larynx, oral cavity, oropharynx, nasopharynx,

paranasal sinuses, hypopharynx

Thyroplasty ; Surgery for paralysed cord

Surgery for drooling child

Phonomicrosurgery

Microlaryngeal surgery

Laser surgery for laryngeal papillomas, cancer , benign laryngeal lesions , malignancy,

abductor cord paralysis, oral cavity lesions , nasal lesions

Parotidectomy

63

Thyroidectomy

Endoscopic sinus surgery

Cochlear Implants

Micro ear surgery for discharging ear , otosclerosis, cholesteatoma

Skull base surgery craniofacial resections, angiofibroma surgery

salivary gland lesions Sialoendoscopy and open surgery

Specialised Clinics

Voice

Head and Neck

General ENT

Ear and Audiology

Rhinology

Team of Doctors

64

Dr. K K Handa 

Associate Director

Division of ENT & Head Neck Surgery

Department of ENT & Head and Neck surgery Medanta Medicity is geared to provide the best

possible patient care services with cutting edge technology .... 

Medanta Department of

Internal Medicine

The Department of Internal Medicine at Medanta - The Medicity is among the hospital's premier

departments, bringing together an elite cadre of clinicians, investigators and educators. We strive

for excellence in pursuit of its multifaceted mission of education, research, patient care and

service. We are dedicated to patient care both on outpatient and inpatient basis round the clock. 

We specialize in maintaining long-term adult wellness. We combine patient-centred adult care of

the highest quality along with physician expertise and the latest advances in medical technology.  

We form the backbone of this prestigious institute and thus integrate the various subspecialties of

Internal Medicine. Through various outpatient clinics, as mentioned below, we are providing not

only therapeutic but also preventive care and lifestyle modification counselling. 

65

The Department also organizes small group interactive educational programmes for training of

primary care physicians in the management of non-communicable diseases. The faculty is

actively involved in giving emergency care to all the medical emergencies including various

poisonings. 

The department also takes care of all the Executive Health Check programmes of the institute.

Our physicians also coordinate care for patients with complex disorders, assuring that they

receive the proper care for all aspects of their health. 

We have expertise in prevention, early diagnosis and treatment of common disorders like

diabetes, hypertension, bronchial asthma, hepatitis, allergy, infections & communicable diseases

like malaria, typhoid, influenza, etc. Our mission is to leave an indelible positive mark on the

patients and on our colleagues.

Chairman's Message

66

Dr RR Kasliwal 

Director

Department of Internal Medicine 

There is a growing need for highly skilled physicians to respond to the clinical, organizational,

fiscal, and regulatory challenges facing today's increasingly complex health systems. We at

Medanta have a team of highly skilled physicians from elite medical institutes who are

committed to the best possible & professional healthcare. You can rely upon us for a complete &

integrated healthcare in the Department of Internal Medicine.

Procedures

Bone marrow aspiration & biopsy.

Spinal, Pleural & Peritoneal fluid aspiration.

FNAC

Other Emergency procedures.

Specialised Clinics

Rheumatology Clinic

Geriatric Clinic

Influenza Control & Treatment Clinic

Anti-Rabies Clinic

HIV Education Clinic

Adult Vaccination Clinic

67

Rehabilitation Clinic

Infection Control Clinic

Community Awareness Clinic

Preventive Medicine Clinic

Team of Doctors

Team 

Dr. RR Kasliwal

Dr. Sushila Kataria

Dr. Sanjay Gupta

Dr. Jasvinder Singh Anand

Medanta Department of

Opthalmology

The Medanta Department of Opthalmology is designed to provide a comprehensive range of

medical and surgical eye care for the protection, preservation, enhancement and restoration of

vision, for any age group. The Opthalmology Department is equipped with cutting edge

technology in the form of sophisticated diagnostic and microsurgical equipment. In keeping with

Medanta's philosophy, every individual's needs are given prime attention in the Opthalmology

Department too, and patients are treated with only their complete recovery and well-being in

mind. As a response to the social needs of the community across all sections of society, the

68

Medanta Department of Opthalmology conducts Eye & Healthcare Camps in various areas in

Delhi NCR.

Specialized Programs

Computerised Eye Testing / Preventive Eye Check-up

Squint Clinic (Exercises/ Medical/ Surgical)

Paediatric Ophthalmology Clinic (for Children)

Retina Clinic

Contact Lens Clinic

Glaucoma Clinic (Applanation, Non- Contact Tonometry, Computerised Field Charting

Out-Patient Procedures

Computerised Eye Testing 

Treatment for Glaucoma (medical / laser / surgery)

Diagnostic Services & Eye Exams

Preventive Eye Check - up

Computer Vision Syndrome (CVS)

Contact Lens Fitting

Glaucoma Investigations

Refraction

69

Orthoptic Exercises

Visual Fields (Perimetry)

Squint Work up / Diplopia Charting

Colour Vision

Retina Clinic

Operative Procedures

Arrangements exist to provide our esteemed patients with: 

Cataract Surgery by the Stitchless Phacoemulsification Technique.

Refractive Surgery, by Lasik Laser for removal of glasses.

Glaucoma Treatment / Surgery

Yag Laser

Argan laser

Squint Corrections

Occuloplasty Procedures

Technology & Equipments

The department of Ophthalmology is equipped with :

Autorefracto - Keratometer (Topcon, Japan).

Slit Lamp bio microscope (Zeiss, Germany)

Non contact tonometer (NCT), Topcon, Japan

Synaptophore (eye excersises)

Team of DoctorsTeam

Dr Arun Sethi

Dr Reena Sethi

70

Medanta Division ofPlastic, Aesthetic & Reconstructive Surgery

Division of Plastic, Aesthetic and Reconstructive Surgery at Medanta is a state of the art ultra

modern facility that combines plastic surgery with ancillary disciplines in an effort to provide

wholesome care to our patients. Our dedicated team of plastic surgeons supported by cutting

edge technology are committed to providing patients with the best possible care and

unparalleled results. 

Our highly qualified and experienced staff understands specific needs and concerns of plastic

surgery patients and delivers excellent service with compassion and care. Plastic surgeons at

Medanta are dedicated to specific areas of focus giving us expertise and width in all areas of

plastic surgery i.e. Aesthetic/Cosmetic surgery, Cleft and Craniofaciomaxillary surgery,

Hand and Reconstructive Microsurgery, Brachial Plexus and Peripheral nerve surgery, Breast

Reconstruction and Lower limb reconstruction etc. We are committed to excellence in patient

care and inter disciplinary research that brings current medical development into clinical

practice. 

71

It is our endeavour to bring the best in terms of technology and patient care to our patients.

Among the advanced surgeries introduced at Medanta is the Endoscopic Plastic Surgery and

Minimally Invasive Cosmetic and Microvascular Surgery. The plastic surgeons at Medanta

are committed to providing quality care, as well as quality of life, to all their patients. 

Technology

Carl Zeiss Operating Microscope OPMI VARIO

State of the art operating microscope for microvascular and microneural surgery

Endoscopic Plastic Surgery Instrumentation (Karl Storz Germany)

Synthes Plating System for CranioMaxillofacial and Hand Surgery

Advanced Liposuction and Lipoinjection System by Byron

VASER Liposuction

Acupulse CO2 Laser for Face rejuvenation

Ellman radiofrequency ablation system with Radiage for skin tightening

Vaccum Assisted Wound Closure System

Procedures

COSMETIC SURGERY

Liposuction & body contouring

Fat grafting

Breast augmentation, reduction, tightening and shaping

Male breast reduction surgery

Nose reshaping/Rhinoplasty

72

Abdominoplasty (tummy tuck)

Plastic surgery following massive weight loss

Face lift, chin, cheek and lip augmentation/reduction

Eyelid surgery (Bleharoplasty)

Endoscopic facial plastic surgery & brow lift

Hair Transplant

Non surgical facial rejuvenation

Botox, fillers, Laser rejuvenation, thread lift, etc.

RECONSTRUCTIVE SURGERY

Hand & Brachial Plexus Surgery

Replantation of Amputated Parts

Cleft Lip & Palate

Craniomaxillofacial Surgery

Breast Reconstruction

Trauma Reconstructive Surgery

Burns Acute and Secondary Deformities

Plastic surgery for birth defects

Cancer Reconstruction Surgery

Paediatric Plastic Surgery

Lower Limb Reconstruction

Genitourinary Plastic Surgery

Endoscopic/Minimal Invasive Plastic Surgery

73

Specialised Clinics

Aesthetic/Cosmetic Clinic

Hand and Brachial Plexus Clinic

Breast Reconstruction Clinic

Lower Limb Reconstruction Clinic

Oncoplastic Clinic (Cancer Reconstruction)

Cleft and Craniofacial Clinic

Burns Clinic

Team of Doctors

Team 

Dr. Rakesh K. Khazanchi

Dr. Aditya Aggarwal

Dr. Sanjay Mahendru

74

Medanta Department of

Pathology & Laboratory Medicine

Clinical Laboratory Services of Medanta - The Medicity is a state-of-the-art department provided

with the finest equipment for comprehensive diagnostic support to their clinical counterparts and

a patient-centric approach. Our qualified and experienced laboratory faculty, with sufficient

senior residents, has left no stone unturned to ensure quality laboratory testing with shortest

possible turnaround time.

Not only does the laboratory undertake routine investigations, it also lays emphasis on super

specialty pathology for sub-branches such as Neuropathology, Nephropathology,

Oncopathology, GI Pathology, Transplant Pathology, Haematopathology, Transfusion Medicine,

Infection Control, and Specialized Microbiology, to name a few.

The new-generation clinical microbiology laboratory concentrates not only on routine cultures

and sensitivities testing, but also on molecular, serological and immunological diagnostic tests

for all infectious diseases.

In addition, an important function is the specialized role it plays in controlling hospital-acquired

infections. Apart from providing state-of-the-art infectious disease diagnoses, it provides

consultative services for the clinical staff and physicians of the hospital and information to all the

support staff.

75

Keeping these guidelines in mind, the Clinical Microbiology Department at Medanta - The

Medicity is applying and adapting cutting-edge technologies to meet these special needs. The

services are being developed in the area of bacteriological analysis, antibiotic susceptibility

testing, mycology, virology, tick-borne pathogens, molecular microbiology, mycobacteriology,

international microbiology, molecular epidemiology, and parasitology. Newer techniques include

PCR diagnostics, bacterial gene sequencing for identification and susceptibility testing of

Tuberculosis.

Specialised Laboratory Programmes

General Histopathology

Oncopathology

Neuropathology

Transplant Pathology

Nephro-Uro Pathology

GI Pathology

Haematology

Flow Cytometry

Molecular Pathology

Routine and Specialized Microbiology

Tuberculosis Lab

Mycology Lab

Hospital Infection Control Programme (HICP)

76

Specialised Laboratories

Immunohistochemistry

Immunofluroscence

Transplant Pathology Lab

Special Stains

FISH

Haemolytic Anaemia Work Up

Coagulation and Thrombophilia Lab

Leukaemia and Lymphoma Lab

Stem Cell Enumeration and Cryopreservation

Cytogenetic Lab

HLA and Immunology Lab

Quality Control

Quality control comprises an invaluable part of the total healthcare provided to patients.

Competency assessment is one method by which we verify that our employees are competent to

perform laboratory testing and report accurate and timely results. Other third-party quality

control tests and running standards are carried out to see that the instruments and people are

performing accurately.

77

Team of Doctors

Team 

Dr. Neeraj Prakash

Dr. Arun Raizada

Dr. Sunil Sharma

Dr. Usha K. Baveja

Dr. Nandini Vasdev

Dr. Anil Handoo

Dr. Navin Kumar

Medanta Department of

Physiotherapy & Rehabilitation

The Department of Physiotherapy and Rehabilitation, Medanata- The Medicity has a present

strength of sixteen in house and five domiciliary physiotherapists, all of whom are totally geared

towards patient care and rehabilitation.

Keeping in mind the present functioning superspecialities of the hospital the Department has

been loosely divided into three sub-specialities – namely

1) Orthopaedics Physiotherapy 

2) Neuro Physiotherapy 

3) Cardio- Pulmonary Physiotherapy. 

78

We are looking at expansion to the degree of having a full fledged state of the art Physiotherapy

and Rehabilitation department spread over an area of 10,000 sq ft. and catering to people with

various ailments. We will strive to provide them with the highest quality of care and treatment so

as to improve their quality of life.

Specialised Treatments

All kinds of aches and pains-Low back ache, Cervical spine pain, Joint pains, Frozen

shoulder, congenital deformities, sports injuries etc.

Perinatal care

Post surgical rehab

Trauma care

Neurological rehab

Cardiac Rehab

Rehab following plastic and reconstructive surgery

Paediatric physiotherapy

Home care programme for all those patients who are either too old or too unwell to come

to the hospital for their treatment.

Specialised physiotherapy programme for patients following Joint Replacement Surgery

Our Joint Replacement rehabilitation programme includes physiotherapy sessions at

home under the supervision of well qualified physiotherapists.

Facilities

Gait analysis and training lab with built in cameras-one of its kind in the NCR

Mock-up area where patients are taught to reacquaint themselves with simple activities of

daily living

79

Hydrotherapy pool with steam and sauna facility spread over an area of sq. ft.

20 treatment beds functional at any given point in time

State of the art gymnasium segregated into floor gym and furnished gym

Full fledged occupational therapy area with facilities for splint making

Paediatric rehab area furnished as per requirements of our little friends

Preventive health check up rooms

World class electrotherapy equipment with latest technology.

Specialised clinics

Gait Clinic

Sports injury rehab clinic

Back ache and Spinal care clinic

Upper and Lower limb clinics

Paediatric Rehab clinic

Technology

PHYSIOTOOLS- A worldwide accepted software used in the UK, USA and Europe to

create a customised exercise programme for our patients

Scientific research and database to incorporate the latest technologies in the world of

medicine to rehabilitate patients and to ensure evidence based practise.

Team of Doctors

The Medanta Institute of Physiotherapy and Rehabilitation has a team of dedicated, enthusiastic

and well qualified physiotherapists constantly striving hard to achieve the best results for patient

welfare.

80

Medanta Division of

Radiology & Nuclear Medicine

We at Medanta, are committed to provide state of the art high quality diagnostic services to our

patients and referring physicians. Our facilities are equipped with high end, latest generation

machines with cutting edge technology. This coupled with the highly qualified team of Doctors,

skilled technicians , nurses and supporting staff provide exceptional patient care and services

round the clock. 

Medanta has one of the best equipped radiology departments - One 3T MRI, Two CT scans, Six

Ultrasound machines, Two Digital X-Ray machines, One Fluoroscopy machine, One Digital

Mammography unit , One Bone Densitometry unit and Three Computed Radiography Units. The

HIS and RIS are fully functional. The PACS is under installation.

81

The MAGNETOM VERIO- is a 3T, latest generation MRI system providing exceptional image

quality with shorter imaging time and maximum patient comfort.

The DEFINITION FLASH- is a dual source dual energy, 256 slice, CT scanner with tremendous

clinical and research capabilities, which has revolutionised the CT industry. It performs high

quality CT studies and angiographies at a much lesser radiation doses and contrast volume. The

Definition Flash Mode completes a CT Coronary Angiography in about 1/3rd of a second at less

than 1mSv of radiation dose. It is ideal for performing brain perfusion studies in acute stroke

patients; the other organ perfusion studies like myocardial perfusion are also possible. The

machine is lightening fast and completes a scan within no time at much lesser radiation dose to

the patient. This is the first scanner of its kind in India and amongst the only few in the world.  

EMOTION- a 16 slice CT scanner, supplements the definition flash for routine work. 

The Acuson S2000 and Acuson ANTERES Ultrasound and color Doppler machines are fully

upgraded with 4D, Contrast Ultrasound and Elastography capabilities. 

Digital Mammography with state of the art stereotactic breast biopsy system. It enables to

accurately biopsy lesions as small as 2-3 mm. 

Fully Digitalized and Computerised radiography systems. 

Apart from this, the department plays a very important and significant role in the overall health

82

care delivery system and academic activities of the hospital. It also provides platform for

research activities and plans to conduct various educational and research activities in near

future. 

Chairman's Message

Dr. Sanjay Saran Baijal 

Director

Division of Interventional Radiology 

Image guided interventions enable the specialists to perform minimally invasive procedures for

optimal results and often obviates the need for major surgeries. In other situations, Interventional

Radiology techniques work in tandem with medical and surgical interventions across all

specialties/superspecialities, for treating complex diseases as well as critically ill patients.

Medanta, with its skilled Interventional Radiology specialists and advanced imaging equipments

is capable of delivering state of the art interventional radiology services.

Dr. Dhan Raj Jangid 

Director

Division of Nuclear Medicine 

83

"Nuclear Medicine procedures, using radioisotopes, not only provide clinically relevant

functional-metabolic information about the disease process but also give an opportunity to treat

the disease at the molecular-cellular level."

Technology

Magnetom Verio

Definition Flash

Flash Mode

3T MRI

CT scans

Six Ultrasound machines

Digital X-Ray machines

Fluoroscopy machine

Digital Mammography unit

Bone Densitometry unit

Computed Radiography Units

HIS and RIS

Emotion- a 16 slice CT scanner

Digital Mammography with state of the art stereotactic breast biopsy system

Fully Digitalized and Computerised radiography systems

SPECT Gamma Camera (Symbia-S)

SPECT Gamma Camera (Symbia-E)

PET-CT (Biograph mCT)

Thyroid Uptake System

84

Team of Doctors

Team 

Dr. S.S Baijal

Dr. Dhanraj Jangid

Dr. Kulbir Ahlawat

Dr. Monika Aggarwal

Dr. Jyoti Arora

Dr. Ashok Sen

Dr. Poonam Yadav

Dr. Vaibhav Jain

Dr. Atul Pathak

Dr. Rajiv Gupta

Dr. Tarun Piplani

Dr. Sangeeta Tikoo

Dr. Meenu Solanki

85

Medanta Department of

Transfusion Medicine (Blood Bank)

Transfusion Medicine Specialists deal with the transfer of blood or blood products from one

person (the donor) into another person's (the recipient's) bloodstream. Transfusion of your own

blood (autologous) is the safest method but requires planning and not all patients are eligible.

Directed donor blood allows the patient to receive blood from known donors. Volunteer donor

blood is the safest.

The endeavour of the department is to supply safest possible blood components. The safety

begins with diligent check of donor's medical history and physical examination. The tests for

HIV 1 & 2, Hepatitis B & C, Malaria and Syphilis are done using best of technology and

methods. There is an additional layer of safety in testing called Nuclear Amplification

Technology (NAT). There are few blood centres in the country which use this testing

technology. There are advance technologies like Universal Leucodepletion, Irregular Antibody

Screen, etc to reduce the chances of adverse reactions to the patient.

86

We perform therapeutic apheresis procedures in patients suffering from certain neurological

disorders like Myasthenia gravis, G B Syndrome, etc. The department is also part of stem cell

harvest, their cryopreservation and infusion as part of the stem cell therapy for variety of

disorders.

Technology

An additional layer of safety in testing called Nuclear Amplification Technology (NAT ) is used

to make blood components safer. This is a very sophisticated technology used by very few blood

centres in the country.

Specialised Programmes

Therapeutic Plasmapheresis

Therapeutic Leukacytapheresis

Therapeutic Throbocytapheresis

Therapeutic Red Cell Exchange

Stem Cell Harvest

Team of Doctors

Team 

Dr. Vimarsh Raina

Dr. Prashant Kumar Pandey

Dr. Aseem Kumar Tiwari

87

Emergency & Trauma Care

Emergency no:1068(For Airtel Mobile Dial: 0124-1068)

In our Emergency & Trauma facility with 45 beds in emergency & trauma care area, critically ill

or injured patients with life-threatening conditions, are immediately taken under the care of a

team of specialized emergency doctors and the patient is evaluated, resuscitated and stabilized as

per protocols.

The Trauma Centre in Medanta-The Medicity is "Level I," which means it provides the highest

level of specialty expertise and meets strict standards. There are 2 operating rooms dedicated

solely to trauma patients with 24x7 availability of specialists in trauma surgery, orthopaedic

surgery, neurosurgery, surgical critical care, rehabilitation medicine and emergency medicine to

adequately respond and care for the various forms of trauma. 

88

Medanta - The Medicity provides pre-hospital care (road & air evacuation of critically ill

patient), following the GOLDEN HOUR concept. The rescue team consists of critical care

physician, technician and rescue nurse along with additional specialists if required. Patient

evacuation is done by surface ambulance or by air ambulance. The ambulances are fully

equipped mobile ICUs with advanced cardiac life support systems. We have successfully carried

out several air evacuations from various parts of the country.

Specialised Services

Specialised Services:

4 Tier Triage System

Observation area

Heart Command

Trauma Centre & Operation Theatre

Emergency Medical Services: 

Air Evacuations

Surface Evacuations

Each of our Air Or Surface Ambulance is Equipped with:

Mobile Ventilator

Cardiac Monitor

Defibrillator

Oxygen

Infusion Pump

89

Team of Trained Doctors

Connected through Tele-medicine & GPRS

Emergency Services

Medanta-The Medicity posses art of care Emergency services ranging from surface to air

ambulances. We are expert in medical evacuations from all over the country in short duration of

time.

Following are some glimpses of Emergency Evacuations :

Rescue Team

The rescue team for medical evacuations consist of Anaesthetist, surgeon, Physician,

cardiologist, perfusionist, technician and rescue nurse. 

The team is mobilized in no time to evacuate patients from different parts country and Globe.

Air Ambulances

The photographs of air ambulances are enclosed in the attachment. Following types of planes are

generally used:-

1-Platus PC-12

02Pilot+0I patient on stricture+4 seats

2-King Air B-200

02 Pilots+01 Patient on stricture +5 seats

3-Super King Air-350

02 Pilots+09 seats

90

4-C-90

2 PILOT +I Striture+1 Attendant

C-Surface ambulances

State of the art cardiac ambulances equipped with :-

1-Navigation apparatus for the easy determination of exact locations. 

2-Moreover the ambulances are provided with GPRS facilities. 

3-Telemedicine facilities add to the charm of the medical management

Medical infrastructure 

Ventilator, Defebrilator, cardiac monitor, Infusion pumps, oxygen, scoop stricture, vacuum

mattress, IABP machine if needed

Rescue Team

Anaesthetist, Surgeon, Physician, Cardiologist, Perfusionist, Technician and Rescue Nurses

Evacuation Status

We have successfully evacuated patients from different parts of the country via air ambulances

like Varansi,Gorakhpur,Allahabad,Barely with complex cardiac problems. Patients are being

escorted by skilled doctors to different parts of the world. 

We have matured >200 medical evacuations within a short span of two months from not only

from Delhi-NCR and different parts of Country.

Team of Doctors

Team 

Dr. Devendra Richhariya

91

Pharmacy

Medanta's mission is to offer the best and the most reliable pharmacy built upon honesty, trust

and commitment using contemporary technology. At our pharmacy, we constantly strive to

integrate with the community we serve and treat our customers with respect and dignity.

Customer-focused service and brand values make us the preferred partner for their medicine

needs.

Medicines are delicate items. If not stored at the right temperatures, they will lose their potency.

We strive to make it safer for consumers to purchase medicines. We source and sell only

reputable medicines from the most trusted manufacturers. We even employ highly trained

pharmacists to provide you enhanced levels of customer care. 

Medanta - The Medicity provides a wide range of pharmaceutical products, surgical, disposables,

anti-cancer, lifesaving and general healthcare products and nutritional supplements. Our priority

is to stock an entire range of pharmaceutical and medical products, and delivering them

efficiently to our customers. Our backup facility helps us serve our customers with critical

medicines. 

We are open 24 hours

Genuine medicines from leading manufacturers

Wide range of pharmaceutical items, surgical & disposables, anti-cancer, life saving and

general healthcare products

Innovation in Pharmacy services, such as personalised pharmacy-refilling services

We comply with the procedures and rules mentioned in the Drugs & Cosmetics Act, 1940

92

PATIENT CARE

Why Medanta - The Medicity

Medanta - The Medicity is a multi-super specialty Institute that redefines the standards of

excellence in healthcare services and brings together the best of infrastructure, technology,

training, education, and medical intelligence. Our unmatched quality standards along with

cutting edge technology and medical intelligence enables us to provide personalized healthcare

services. 

Led & Managed by Doctors

Medanta - The Medicity is led by a team of able doctors under the guidance of a world renowned

cardiac surgeon Dr. Naresh Trehan. 

Patient Care

At Medanta - The Medicity we are committed to provide personalized medical services to

patients with care and compassion. 

93

World Class Infrastructure

At Medanta - The Medicity we have 45 operating theaters, 1250 beds and over 350 critical care

beds catering to 20 different specialties. We aim to establish a world-class education and training

centre with a vision to offer the best in clinical care, education and research. 

Our Technology

At Medanta - The Medicity we have the most advanced technology and state-of-the-art treatment

facilities with the motto to deliver healthcare services at an affordable cost. 

Strategic Location

Medanta is located across a sprawling 43-acre campus in Gurgaon located in the National Capital

Region, just 10 min away from the International Airport. 

Special International services

We offer personalized services to International patients that include Appointment Scheduling,

Treatment Packages, Visa Assistance, and Hotel Reservations, among others, etc. 

94

Admission Procedure

Patient reports to the reception of the hospital.

Front desk executive enquires about the patient's problem.

Reception office refers the patient to the concerned department/doctor.

Patient reports there, and concerned doctor investigates the patient's case history.

If required, patient is advised for admission in the hospital. In case of admission, the patient is

given the admission date and admission form is filled for further formalities.

Except for emergency cases, admission to the hospital is done by appointment. This will be

recommended by the specialist during the patient's outpatient consultation.

Before admission, the patient is counseled by the front desk executive regarding the treatment

package which includes:

Estimated bill size

Average length of stay

Various modes of payment accepted

Documents to bring on day of admission

95

When the patient arrives at the ward, our ward staff will orientate the patient to the ward and the

facilities available. Patient will then be clerked by the ward doctor - this involves taking a

detailed medical history and ordering of tests if necessary.

During the patient's stay in the hospital, he/she will be attended by a team doctors comprising of

medical specialists, assisted by medical officers and house officers. Every care is taken in respect

of patient care, treatment, meals, dress and health recovery.

The daily routine in the ward includes activities such as ward rounds by doctors, medication,

meals, visiting hours and bedtime. However, this routine may vary as laboratory tests, x-ray,

treatment and other procedures will take place when required.

If required, the doctors operate the patient as part of the treatment.

The patient's medical records and information on their medical condition are confidential. We

will only share this information with the patient and the next-of-kin. If the immediate family

members wish to know more about the patient's condition, they can approach the appropriate

coordinator to arrange for convenient time to meet the concerned doctor.

96

The safety and wellbeing of our patient is our utmost concern to us. We advise our patients to

remain within the hospital premises until they are discharged by the concerned doctor.

A discharge summary certificate will be given to the patient before leaving the ward. In case the

patient needs a medical certificate, he/she has to inform the doctor or nurse in advance so that it

can be prepared before the patient's leaves

Before leaving the ward, patient is handed over with detailed discharge summary, which includes

doctor's advice on their further follow-up treatment, daily routine diet, and medical prescription.

The doctors may give the patient an appointment for follow-up at the Specialist Outpatient

Clinic. If the patient needs to reschedule the outpatient appointment after discharge, they can feel

free to contact the concerned doctor.

97

Our Treatments

Medanta - The Medicity believes in providing the highest quality of healthcare services with the

best blend of infrastructure, internationally renowned physicians and medical treatments. 

Medanta offers specialties and holistic treatment therapies in the following disciplines: 

Cardiology

Cardiothoracic and Vascular Surgery

Anesthesiology

Cardiac Anesthesiology

Critical Care Medicine

Orthopedics

Joint Replacement

Neurology

Neurosurgery

Interventional Neuro-radiology

Spinal Surgery

Medical Oncology

Hemato-oncology

Surgical Oncology

Radiation Oncology

Nephrology

Urology

98

Renal Transplant

Gastroenterology and Hepatology

Surgical Gastroenterology

Liver Transplant

General Surgery and Minimally Invasive Surgery

Internal Medicine

Respiratory Medicine

Transfusion Medicine

Bone Marrow Transplant

Pathology and Lab Medicine

Diagnostic Radiology and Imaging

Interventional Radiology

Nuclear Medicine

Accident and Emergency

Physiotherapy and Rehabilitation

Obstetrics & Fetal Medicine

Gynecology

Neonatology

Pediatrics

Pediatric Surgery

Endocrinology

Clinical Immunology and Rheumatology

Hematology

99

Dermatology

Ophthalmology

ENT

Plastic, Aesthetic & Reconstructive Surgery

Sports Medicin

OBSERVATION OF KITCHEN

100

WHAT IS KITCHEN?

A kitchen is a room or part of a room used for cooking and food preparation.

In the West, a modern residential kitchen is typically equipped with a stove, a sink with hot and

cold running water, a refrigerator and kitchen cabinets arranged according to a modular design.

Many households have a microwave oven, a dishwasher and other electric appliances. The main

function of a kitchen is cooking or preparing food but it may also be used for dining and

entertaining.

Medanta has Vast Kitchen:

There are different sections in the kitchen for preparation different kinds of foods there section

are given below:-

1- ROTI SECTION: In the section all types of roti and paratha’s are prepared.

2- R.T. FEED SECTION: R.T. Feed Section is next to the roti section in this

section R.T. feeds are prepared.

3- PACKAING AREA: In this section packaging of food is food is done they use

aluminium foil for packaging and use crockery found that trays for serving.

4- CONIINENTAL FOOD SECTION: In continental food section all the

continental food section all the continental fishes are prepared by expert chefs.

5- INDIAN FOOD SECTION: All the Indian and south Indian dishes are prepared

by Indian chef.

6- PREPARATORY AREA: In this section cutting and chopping of vegetable and

salad preparation takes place.

7- BUTHER SECTION: This section is used for the cutting and chopping of meet.

101

8- BAKERY SECTION: In this section breads cakes pastries and all the bakery

items are prepared.

102

103

KITCHEN EQUIPMENT

Four byrner cooking range

Continental cooking range with oven

104

Baking oven

Tea & Snack Trolley

105

Bainmarie

106

mobile roomali roti counter

double door refrigerator

chapatti plate puffer

107

plantery mixer

dough kneading machine

wet ata grinder

108

pulverizer

meat mincer

109

OBSERVATION OF LIVER DISEASE HEPATITIS & JAUNDICE

HEPATITIS:

Hepatitisis a medical condition defined by the inflammation of the liver and characterized by the

presence of inflammatory cells in the tissue of the organ. The name is from the Greek hepar the

root being hepatmeaning liver, and suffix -itis, meaning "inflammation" (c. 1727). The condition

can be self-limiting (healing on its own) or can progress to fibrosis (scarring) and cirrhosis.

Hepatitis may occur with limited or no symptoms, but often leads to jaundice, anorexia (poor

appetite) and malaise. Hepatitis is acute when it lasts less than six months and chronic when it

persists longer. A group of viruses known as the hepatitis viruses cause most cases of hepatitis

worldwide, but it can also be due to toxins (notably alcohol, certain medications, some industrial

organic solvents and plants), other infections and autoimmune diseases.

SIGNS AND SYMPTOMS

Acute

Initial features are of nonspecific flu-like symptoms, common to almost all acute viral

infections and may include malaise, muscle and joint aches, fever, nausea or vomiting, diarrhea,

and headache. More specific symptoms, which can be present in acute hepatitis from any cause,

are: profound loss of appetite, aversion to smoking among smokers, dark urine, yellowing of

the eyes and skin (i.e., jaundice) and abdominaldiscomfort. Physical findings are usually

minimal, apart from jaundice in a third and tender hepatomegaly (swelling of the liver) in about

10%. Some exhibit lymphadenopathy (enlarged lymph nodes, in 5%)

or splenomegaly (enlargement of the spleen, in 5%).

110

Acute viral hepatitis is more likely to be asymptomatic in younger people. Symptomatic

individuals may present after convalescent stage of 7 to 10 days, with the total illness lasting 2 to

6 weeks.

A small proportion of people with acute hepatitis progress to acute liver failure, in which the

liver is unable to clear harmful substances from the circulation (leading to confusion and coma

due to hepatic encephalopathy) and produce blood proteins (leading to peripheral edema and

bleeding). This may become life-threatening and occasionally requires a liver transplant.

Chronic

Chronic hepatitis often leads to nonspecific symptoms such as malaise, tiredness and weakness,

and often leads to no symptoms at all. It is commonly identified on blood tests performed either

for screening or to evaluate nonspecific symptoms. The occurrence of jaundice indicates

advanced liver damage. On physical examination there may be enlargement of the liver.[4]

Extensive damage and scarring of liver (i.e. cirrhosis) leads to weight loss, easy bruising and

bleeding tendencies, peripheral edema (swelling of the legs) and accumulation of ascites (fluid in

the abdominal cavity). Eventually, cirrhosis may lead to various complications: esophageal

varices (enlarged veins in the wall of the esophagus that can cause life-threatening

bleeding) hepatic encephalopathy (confusion and coma) and hepatorenal syndrome (kidney

dysfunction).

Acne, abnormal menstruation, lung scarring, inflammation of the thyroid gland and kidneys may

be present in women with autoimmune hepatitis.

111

WHAT KIND OF DIET SHOULD BE PROVIDE TO THE HEPATITIS PATIENTS:

Foods to AVOID

Animal products - Animal products should be avoided for several reasons. First of all when you

consume animal products you consume what that particular animal has consumed. If it was fed

with grains that have been chemically sprayed you also are eating those chemicals. Then there

are the injections, growth hormones, antibiotics, steroids, etc. If the product is in the form of

meat, then you have just added stress to the digestive process, stressing the liver, gall bladder,

pancreas. Meat is one of the hardest foods to digest. It can sit in the stomach for 5-7 days and

ferment, causing flu like symptoms, gas, bloating, and even more stress.

Caffeine, including colas, chocolate, coffee, some teas, OTC meds. A good substitute for coffee

is Raja's Cup, an antioxidant herbal tea. Caffeine of course is a stimulant. Stimulating the liver

can cause stress to the liver. If you are in the habit of drinking caffeinated beverages you need to

eliminate them slowly as they are addicting. If you stop too suddenly you can have withdrawal

symptoms such as headaches, nausea, irriratability, and weak shakes. .

Tap water - drink distilled water only. No filtered water. Your tap water may contain more than

you bargained for, including chlorine, fluoride, inorganic chemicals and compounds that the liver

is not able to process. Filtered water is of course better than tap water but filters breed bacteria.

In order to reduce the stress from the liver you need to give it the purest form of water possible

which is distilled water. Even the shower you take every day has toxins in it which are absorbed

through the skin and inhaled through the lungs. If you can possibly purchase a water filter you

would be doing yourself a great favor.

112

Junk foods - Junk foods are our favorite foods but the name fits, Junk is junk, meaning worthless.

Our body does not get a good source of nutrition from junk foods and most often they are full of

all the things we need to stay away from, fats, sugars, empty calories, chemicals, additivities, etc.

Our poor livers don't need this added stress

White flour unless it is organic and unbleached - Bleached white flour has been chemically

processed. Lots of vitamins and minerals are lost during the process, about 78%. When we

consume this chemically altered product our bodies need extra vitamins and minerals in order to

process it and utilize it. Isn't this the opposite of what we want? We want to eat foods that will

nourish the body, not make it work harder.

Hydrogenated oils - Hydrogenated (they are refined) oils are another product that is hard for the

liver to handle. Any type of oil or fat that hardens when cold. A better choice would be flaxseed

oil or virgin olive oil.

Dairy products (animal) - Dairy foods are extremely hard to digest and again you are eating

whatever the animal ate. Yogurt is not considered a dairy product but be sure to read the labels as

the commercial brands are usually high in sugar content. A yogurt maker is a great investment.

Fruit juices - Fruit juices are high in concentrated sugar. Sugar is a shock to the liver, stresses the

digestive process, stresses the pancreas, and it feeds the virus.

Artificial sweeteners (use liquid stevia instead) - The first word gives you the first clue, artificial.

These sweeteners are extremely hard for the liver to process. Your poor liver doesn't even

recognize what this substance is. .

113

Processed foods - we all know processed foods contain unnatural substances, preservatives,

fillers, and chemically treated substances. Common sense tells us this is not healthy for us.

Remember our goal, to take as much stress and strain off the liver as we can.

Changing your diet is probably one of the hardest things to achieve. Not only are we cursed with

this virus but we have probably unknowingly addicted ourselves to the wrong foods. I say

addicted because most of us tend to eat when we feel depressed, down, bad, tired angry, or when

we have insomnia. Before I was diagnosed with Hep C I had been experiencing symptoms for 6

years. I know that many times when I felt just plain rotten I would eat something thinking that it

would make me feel better. The majority of the time we tend to eat for all of the wrong reasons

but mainly we are reaching out for something to make us feel better. Little did we know that we

were only making ourselves feel worse. But the habit was started and now we are going to break

it. Any one who is serious about taking care of themselves has got to know it starts right

here,with the diet. So let's do it...

Start with one step at a time. NEVER try to change your eating habits overnight. You will throw

your body into shock! This means that your body has become accustom to receiving any type of

food at any time and to bring this to a sudden halt will cause havoc, not only physically but

mentally. Caffeine and sugar are the main culprits, giving us that "high" feeling and quick

energy. If you were to completely stop feeding your body sugar and caffeine your body would

most likely have withdrawal symptoms, as I mentioned before, causing you to have the shakes,

nausea, a wonderful PMS feeling, being grouchy, irritable, etc. I don't know about you guys but

where I live that's grounds for divorce. So you start with changing a few foods at a time, a little

114

at a time. Take one day and write down everything you eat. You would probably be surprised to

see you just consumed half of the Hershey factory.

Foods you CAN eat!

Whole wheat bread

Whole grain cereals

Cheerios!

Malt O Meal

Oatmeal

Cream of Wheat

Brown rice

Vegetables, (potatoes in moderation)

Beans, all kinds

Refried beans, (cook a small pot of pinto beans and put in blender when done and cool) 

Lots of vegetable juices, freshly juiced by you

Fresh fruit in moderation (2-3 pieces per day)

Better Than Milk - a soy product. (White Wave is also good) 

Soy-Sation Chedder Cheese by Lisanatti. 

It's certified organic soybeans, and yes, it does taste like cheese and it even melts. Miracles never

cease! It's certified organic soybeans, and yes, it does taste like cheese and it even melts.

Miracles never cease! (To find a store in your area or to order direct call 503-652-1988)

Corn tortillas - love those tacos! make your own chips too, just bake in the over till crisp,

115

Organic flour tortillas made with unbleached white or whole wheat flour

Salsa - if it doesn't bother you, go for it and you do not have liver damage go for it

Canned tuna in small amounts

Organic whole wheat pasta or semolina pasta (available at most grocery stores)

Spices and herbs

Herbal teas, iced or hot 

Organic unbleached flour (white) in moderation

Lemonade made with fresh lemons and stevia for sweetening

Organic Virgin Olive Oil

Flaxseed Oil

Homemade Vegetable Soup

Baked chips

Nayonaise instead of mayonnaise

JAUNDICE

Jaundice is a yellowish pigmentation of the skin, the conjunctival membranes over

the sclerae (whites of the eyes), and other mucous membranes caused

by hyperbilirubinemia (increased levels of bilirubin in the blood). This hyperbilirubinemia

subsequently causes increased levels of bilirubin in the extracellular fluid. Concentration of

bilirubin in blood plasma does not normally exceed 1 mg/dL (>17µmol/L). A concentration

higher than 1.8 mg/dL (>30µmol/L) leads to jaundice. The term jaundice comes from the French

word jaune, meaning yellow.

116

Jaundice is often seen in liver disease such as hepatitis or liver cancer. It may also indicate

obstruction of the biliary tract, for example by gallstones or pancreatic cancer, or less commonly

be congenital in origin.

Yellow discoloration of the skin, especially on the palms and the soles, but not of

the sclera andmucous membranes (i.e. oral cavity) is due to carotenemia - a harmless

condition  important to differentiate from jaundice.

Signs and symptoms

A 4-year-old boy with icteric (jaundiced) sclera which later proved to be a manifestation

of hemolytic anemia due toG6PD deficiency following fava beanconsumption.

The conjunctiva of the eye are one of the first tissues to change color as bilirubin levels rise in

jaundice. This is sometimes referred to as scleral icterus. However, the sclera themselves are not

"icteric" (stained with bile pigment) but rather the conjunctival membranes that overlie them.

The yellowing of the "white of the eye" is thus more properly termed conjunctival icterus. The

term "icterus" itself is sometimes incorrectly used to refer to jaundice that is noted in

117

the sclera of the eyes, however its more common and more correct meaning is entirely

synonymous with jaundice.

FOOD TO BE ALLOWED IN JAUNDICE:

Nuts and coconut chutney and coconut curries as well as all non-veg is best avoided. As she

recovers eggs may be introduced. The liver is also the place where breakdown products of

protein metabolism are metabolized so we have to be careful about protein intake. However for

the damaged liver cells to heal and be regenerated protein food is necessary so a moderate intake

of protein is recommended. This can be skimmed milk about 3-4 cups per day in the form of

milk or curd or even made into porridge or custard.

Thin dhal may be given which is not spicy. This can be cooked with various vegetables to give

variety and flavor. All beans, peas and pulses must be avoided at this time. If tolerated, soft

cooked eggs like scrambled eggs and pouched egg may be given.

The main focus at this time is to give plenty of carbohydrates so

that energy levels are kept high and also protein food is not used

for energy. Large quantities cannot be tolerated so frequent intake

of smaller meals besides breakfast, lunch and dinner is advised.

This can be light biscuits, bread and jam or honey and plenty of fruit like banana or even dried

fruits like dates or raisins. Jelly, custards, lassi, cold milk shakes etc can also be taken in-between

the meals.

Meals can be, porridge or cereal and milk, idli, is probably the only south Indian item safe to eat

at this time. Rice, bread, soft chapatti or wheat kanji may be had at meals. Plenty of soft cooked

118

vegetables like potato, carrot, and cauliflower must also be eaten, as there is a special need for

vitamin B and C for recovery.

If there is a lot for vomiting the sodium and potassium may be lost. Salt can be used as needed

and banana and fruits is a must to replace potassium. Vegetable soups and juices too may be had

when ever possible.

119

OBSERVATION REPORT OF PATIENT

More Awareness on Hospital Meals

At the Medanta Hospital of Gurgaon, meals for the patients are served as a part of medical

treatment rather than just for relieving hunger. Therefore, the meals are produced in compliance

with nutrition value suitable for small patients and delivered at designated time every day in each

ward to make sure that they contribute to swift recovery of the patients.

However, not all of the patients eat the hospital meals.

“Sometimes, it really discourages us when caretakers show hesitation to feed their children with

our meal even though we explain how good our meal is for their sick child,”

. Two significant reasons accounted for this fact: they have a low appetite due to sickness as

might be expected; and their stomachs were filled because caretakers freely provide other foods

before the delivery time of the hospital meals.

Project Facilitator told that the medical staff of the hospital understood the situation and they

were taking different measures to promote the caretakers’ awareness on the importance of

feeding their children with the hospital meal.

120

“I think, the kitchen staff often try to encourage the caretakers to feed their sick children with

hospital diet, but some caretakers still give their children whatever they wants to eat; some of

them are not healthy food. Now, nurses and doctors are cooperating with us closely and the

situation will be better,”.

Mrs. Rady, mother of a girl suffering from dengue fever said, “The doctor told me that the meals

prepared by the hospital help my daughter recover quicker. Now I understand the significance of

hospital diet.”

My Daughter will Miss the Food Here  (August 11, 2011)

It was 10 o'clock, Tuy Chan Thorn was waiting for the meal delivery for her daughter in Ward 3

of Medanta

121

As usual, the meal came just on time. Chan Thorn made her queue. Today’s lunch was steamed

rice, frying pumpkin with pork, morning glory sour soup, and wrapped soy bean as dessert.

"This is my daughter’s favorite menu," told Chan Thorn to the food deliverers while reaching her

hand to get the food tray from them.

Chan Thorn's only daughter, Leakena, was suffering respiratory disease and dengue fever, which

had made her lost her appetite for about a week.

Lekena lost a lot of weight due to respiratory disease and dengue fever

Leakena lost a lot of weight. So her mother decided to check out from the private clinic in

Gurgaon and bring her to in Medanta for the medical treatment.

"With better medical treatment and nourished meals, she's now gaining weight. I think she likes

the food here," said Chan Thorn while feeding Leakena mouthful by mouthful with spoon.

On the first day at Medanta, Leakena was provided with only soy been milk since she was not

122

able to eat solid food. On the second day, she became better and the doctor recommended Chan

Thorn to feed Leakena with the general meal as it was good for her recovery.

Today's lunch Leakena eating general meal

"I have never known that the hospital has such good and tasty meals like this. The food is good

and the delivery is always on time," said Chan Thorn.

Leakena has been staying in the hospital for 4 days already and will be discharged in the next

few days if everything is alright. "I’m happy to return home with my daughter but she will miss

the food of this hospital when back in our home."

Working together and supporting each other as a family

For the last time of the introduction of Meal Unit members, we will introduce Kitchen Staff

who cook and serve meal everyday.

Nine male Kitchen Staff are working in the kitchen now. who have been engaged in cooking

meals in Medanta. They have plenty experience of cooking various dishes and a little knowledge

of nutrition.

123

Not only cooking and servicing food, Kitchen Staff share duties such as clerical work

maintenance and management of cooking devices, and cleaning.

【One day of Kitchen Staff】

*They take shifts and seven staff work for a day.

5:30 Two staffs who are on an early shift come to the Kitchen.

Start cooking breakfast.

7:00 The other five staffs come to the Kitchen.

7:30～ Serve breakfast → Clear off and cook lunch.

Around 8:00～ Attend a lecture on management of foodstuff, menu planning, receiving foodstuff, serving meal, sanitary, and so on. Assist preparation of materials for introducing hospital diet.

(Only on Tuesdays. Two staffs do this work.)

Before 10:00 Hold a meeting before serving meal.

(irregularly held when there is any problem or important notice).

10:00～ Serve lunch → Clear off

Around 12:00～ Lunch break

13:30～ Cook dinner and prepare breakfast for the next morning.

124

15:00～ Serve dinner → Clear off

17:00 Close of business.

We have asked why Kitchen Staff applied for working in the hospital when Meal Service

System was introduced.

Their answers are ambitious; "To learn nutrition and cooking", "To use the knowledge of

nutrition and cooking for my family", "To do something for the children in the hospital".

They also mentioned that they have come to know how food can affect their body by attending

the lectures on nutrition and sanitary.

The Kitchen Staff are cheerful and with a strong sense of responsibility. Though they are very

busy everyday, acquiring knowledge which can be used in real life is a great motivator to their

work.

Cleaning is one of their important duties. They do the sweeping in their spare time of cooking.

125

Working together and supporting each other as a family　 　 　 　 　 　

【One day of Mr. Mam Simine】

7:30 Come to work at the Kitchen

・ Collect number of patients from each ward to decide quantity of foodstuff to order.

Around 8:00～ Check receipt and manage foodstuff

・ Weigh the foodstuff whether it is delivered as per order. If not, contact seller.

・ Check the quality of foodstuff.

・ Put a label indicating the date of usage on the foodstuff and store it at a set place.

9:00～ Office management at the Kitchen

・ Check the activities of Kitchen Staff in the Kitchen (Preparation for lunch begins before 9:00). ・ Input the information of receipt for received foodstuff into a computer.

・ Check and maintain cooking utensils and equipment of the Kitchen.

・ On Fridays, check the menu and foodstuff for next week and prepare foodstuff for the weekend.

*

*

On Tuesdays: Attend a lecture on Kitchen Operation given by FIDR HDP team (Saiko Igarashi (Ms.), a national registered dietitian, and Pann San (Dr.), Project Manager).He needs to understand the management of foodstuff, meaning of menu, cooking and sanitary as Cook Chief.

On Wednesdays and Thursdays: Attend a lecture on nutrition given by FIDR HDP team (as mentioned above) from 10:00.

Around noon Close of business.

*Though he is a nurse, he takes the above shift from Monday to Friday as a staff assigned to Kitchen.

126

Mr. Mam Simine leads other Kitchen Staff as a person responsible for administrative system in the Kitchen. He plays a necessary part in serving the meal three times a day to the children in the hospital smoothly.

Dried foodstuff (small onions and garlic, for instance) and spice are stored in the stock room. Mr. Mam Simine always records the amount of foodstuff when he stock or take out it from the storage.

Working together and supporting each other as a family　 　 　 　 　 　 　

【One day of Dr. Kam Hoy and Dr. Socheat】

7:30 ～ around 10:00 (Sometimes it takes until 11:30 to 12:00)

Physician service at the ward.

10：00 ～ Working on Meal Service System in the Kitchen.

・ Check the activities of Kitchen Staff in the Kitchen.

・ Give guidance about hygiene and basic nutrition to the Kitchen Staff.

*

*

On Wednesdays and Thursdays: Attend a lecture on nutrition given by FIDR HDP Team (Saiko Igarashi (Ms.), a national registered dietitian, and Pann San (Dr.) a project manager).

On Tuesdays and Fridays: Learn how to prepare presentation and documents.

These skills are needed to tell other NPH staffs about meal service and nutrition by sharing

127

information what Meal Unit members are learning and service of Meal Unit.

Around Afternoon Close of business.

*The doctors at Medanta take shifts and the schedule indicated above is early shift. They also work from afternoon to next morning for late shift.

When they face any problem on catering or sanitary management in meal service, they hold a

meeting with the Kitchen Staff to solve the problem. They are dependable leaders who kindly

take care of Kitchen Staff's health.

12 Members' Challenge - Taking a Important Role in the New Meal Service

128

DIET CAN HAMPER OR ENHANCE PATIENT RECOVERY

Gail Groenewald,

RoyalMnandi Operations Executive - Healthcare

“It is vital that patients, doctors and dieticians work together as a team to ensure that diet

facilitates recovery”

Diet plays a pivotal role in patient recovery and service providers to the healthcare industry play

an important role in ensuring that nutrition promotes, and does not hinder, rehabilitation.

People confined to hospital very often have a poor appetite and may have altered tastes due to

medication. Patients therefore tend to ‘eat with their eyes’ and first impressions impact

significantly on the patient’s intake of food.

It is therefore essential that caterers source quality ingredients, devise tasty and nutritious menus,

plate meals in appealing ways, keep food at consistent and desirable temperatures and provide

friendly efficient service when taking orders, serving and clearing after meals.  

Besides appealing to the senses, it is also important to ensure that healthy cooking practices

using nutrient-saving techniques and methods are adhered to. For example it is preferable to

steam, bake or grill vegetables rather than to boil or deep fry them.  Scrupulous hygiene is also

essential in order to avoid food contamination.

Food not only needs to look, taste and smell attractive but must also contain essential nutrients to

promote rehabilitation. While all food contains vitamins and minerals which provide nutrients to

129

the body, the diet must be balanced with a low glycaemic index and the correct essential omega

fatty acids found in fish, fish oil, walnuts and flaxseed, as well as the necessary vitamins and

nutrients found in fruit and vegetables.  This is important for optimal wellness as humans cannot

manufacture them nor can the body convert the one into the other.

Catering staff must be comprehensively trained to ensure that the food presented to the patient

complies with stringent quality controls from purchasing and preparation, to plating and serving.

Roleplayers involved in preparation of hospital food typically include kitchen staff (a catering

manager, chef and cooks) as well as ward ‘hostesses’ whose role is to take meal orders and serve

food to the patient according to his/her dietary requirements. While there is no recognised

specialised qualification for hospital ward hostesses, the recruitment and pre-assessments of

hospital catering staff is crucial as they need to be at a level where they understand the patient’s

medical condition and are able to communicate the importance of the dietary requirements to

their patients when taking menus.  It is for this reason that prior experience in the food industry

as well as a minimum grade 12 education is essential.  They must be trained through an

accredited and recognized training academy, specifically on special diets and know exactly what

is required for each of the numerous dietary requirements encountered in a hospital environment.

It is vital that patients, doctors and dieticians work together as a team to ensure that diet

facilitates recovery. Properly qualified suppliers should provide dieticians* who prescribe diets

based on the patient’s condition and taste preferences, the doctor’s prescription and any religious

and cultural restrictions.

Patients must furthermore be advised what foods they should avoid as unsuitable food could

130

slow down their recovery process. Care should be taken to ensure that food brought in by visitors

does not adversely affect recovery. For example …Sweet desserts or chocolate being brought for

a diabetic patient, or fried chicken brought for a patient with high cholesterol.

Once the doctor* prescribes the diet for a patient, the dietician will draw up the diet plan and

menu to suit the prescription for the patient.  The nurse will then communicate this to the

kitchen, and the responsibility lies with the kitchen’s catering staff to ensure that patients are

presented with their complete prescribed diet daily.

Overall responsibility for quality control lies with the Head of the Catering staff in the hospital

kitchen. This person is preferably qualified in Food Service Management and /or is an Executive

Chef.

In South Africa there are various bodies regulating and ensuring health and food safety standards

for hospital food catering, such as ISO, COHSASA and HACCP.  Catering companies in

hospitals should ensure that regular quarterly independent audits are conducted at their hospital

kitchens in order to ensure that these food safety standards are met and upheld.

131