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Services

Remote Monitoring Plans

Our remote monitoring services help you to stay on track as you follow our treatment plan, thus improving control over your health over a sustained period.

All you need to do is:

  • Enter your readings in your trackers as instructed.
  • The values will be reviewed by your doctor and you will receive feedback online.

Payments for the services can be made online. Call us at +919731285588 if you have any questions.

Cardio Renal Package - Intense monitoring package
Most patients with a combination of kidney and heart impairment need close monitoring by both cardiologist and nephrologist to continuously optimise the medications. Certain medications, which are essential, can affect these two systems in contradiction. Also, some others which are good when your condition is stable may need stopping during illness unrelated to heart and kidneys (like a chest infection). This service provides you with the much needed early access to my expert advice. "Stitch in time saves nine'
Monitoring health trackers

On subscribing to this package, you will be required to report the test readings for the following trackers.

Trackers Reporting by Patient** Frequency of Monitoring and Review
Uric Acid in Blood As advised As required
Bilirubin As advised As required
Urea Once weekly initially and less frequently later Once weekly
24 hour Urine Protein As advised As required
CRP As advised As required
Total Protein As advised As required
INR As advised As required
Phosphate As advised As required
HbA1c As advised As required
Weight Daily Weekly
Blood Sugar As advised Weekly
Potassium Once a week initially and less frequently later as per advice As required
Platelet As advised As required
Haemoglobin As advised (usually once in 1-3 months) As required
SGPT As advised As required
WBC As advised As required
SGOT As advised As required
GGT As advised As required
Albumin As advised As required
Sodium Once a week initially and less frequently later as per advice As required
Cholesterol once in 6 months once in 6 months
Blood Pressure 3 times weekly Weekly
Alkaline Phosphatase As advised As required
Calcium As advised As required
Blood Urea Nitrogen Once a week initially and less frequently later as per advice As required
Creatinine Once weekly initially and less frequently later Once weekly
Bicarbonate As advised As required
Pulse 3 times a week once a week
Thyroid As advised As required
** General Instructions to Patients
  1. Physical review of patients when there has been a sudden change in condition is very essential
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Chronic Kidney Disease (CKD) Stage 3 monitoring package
Significant Chronic Kidney Disease (CKD) needing dialysis is an emerging epidemic in India. Progression of kidney impairment can be slowed down significantly, and need for dialysis during a person's life time can be delayed or even avoided with appropriate diagnosis, treatment and continued monitoring. This service will enable me to provide a better care for you if you have CKD stage 3a.
Monitoring health trackers

On subscribing to this package, you will be required to report the test readings for the following trackers.

Trackers Reporting by Patient** Frequency of Monitoring and Review
HbA1c If diabetic this needs to be reported every 3 -6 months As appropriate
Total Protein Once a year unless specified As required
UPC Ratio Once in 4 months usually As required
Weight Monthly Monthly
WBC Once in 4 months usually As required
Calcium Once in 4 months As required
Chloride Once in 4 months usually As required
SGOT Once a year unless specified As required
Urea Every 4 months unless advised to check more often As appropriate
Sodium Once in 4 months usually As required
Bicarbonate Once in 4 months usually As required
Albumin Once in 4 months As required
Phosphate Once in 4 months As required
GGT Once a year unless specified As required
Blood Pressure If blood pressure high initially, I expect you to report BP readings 3 times a week. Otherwise once a week BP monitoring is adequate Bi-monthly if BP was high initially otherwise monthly
24 hour Urine Protein Initail screen and then Once a year As required
Haemoglobin Every 4 months Every 4 months
Blood Sugar Only if diabetic. Report once every 2 weeks unless advised to monitor more frequently As appropriate
Sleep Report at the beginning of this monitoring As appropriate
Alkaline Phosphatase Once a year unless specified As required
Bilirubin Once a year unless specified As required
SGPT Once a year unless specified As required
Cholesterol Every 3 - 6 months as advised As appropriate
Pulse Same as for BP Same as for BP
Thyroid Once every 3 - 6 months if any thyroid problems As appropriate
Potassium Once in 4 months usually As required
Uric Acid in Blood Once in 4 months usually As required
Blood Urea Nitrogen Once in 4 months usually As required
Creatinine very 4 months unless advised to check more often As appropriate
Platelet Once in 4 months usually As required
** General Instructions to Patients
  1. In case of emergency please report to the nearest hospital
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Chronic Kidney Disease (CKD) Stage 4 Monitoring Package
CKD Stage 4 signifies significant impairment of kidney function (15 - 29%). In few cases, together we might be able to improve your kidney function with timely treatment and monitoring. In others, progression of the disease can be slowed down, but compliance with medical advice and regular follow up are key.
Monitoring health trackers

On subscribing to this package, you will be required to report the test readings for the following trackers.

Trackers Reporting by Patient** Frequency of Monitoring and Review
SGOT Once in 6 months (unless asked to check more / less frequently) As appropriate
Total Protein Once in 6 months As appropriate
Weight Every 2 weeks unless advised more frequent monitoring EVERY MONTH
Cholesterol Every 6 months Every 6 months
Sodium Usually every 6 weeks or more frequently if specifically advised Once in 6 - 8 weeks
HbA1c Every 3-6 months if diabetic As appropriate
Pulse Along with Blood Pressure Every 2 weeks
GGT Once in 6 months (unless asked to check more / less frequently) As appropriate
Thyroid Every 3 - 6 months if any pre-existing gyroid problem As appropriate
Skin Condition Report any itching Every 6 weeks
Blood Sugar ONLY IF DIALBETIC As appropriate
Albumin Once in 6 months As appropriate
Haemoglobin Every 3 months if above 12.0, more frequently if advised to do so Every 3 months
SGPT Once in 6 months (unless asked to check more / less frequently) As appropriate
Bicarbonate Once in 6 - 8 weeks Once in 6 - 8 weeks
Alkaline Phosphatase Once in 6 months (unless asked to check more / less frequently) As appropriate
Creatinine Usually every 6 weeks or more frequently if specifically advised As required
Platelet Once in 6 - 8 weeks Once in 6 - 8 weeks
Calcium Once in 3 months (unless asked to check more / less frequently) As appropriate
UPC Ratio Once in 4-6 months Once in 4 -6 months
Urea Usually every 6 weeks or more frequently if specifically advised As required
WBC Once in 6 - 8 weeks Once in 6 - 8 weeks
Blood Urea Nitrogen Usually every 6 weeks or more frequently if specifically advised Once in 6 - 8 weeks
Sleep Once in 3 months Every 3 months
24 hour Urine Protein Usually every 6 months or more frequently if specifically advised Once a year
Bilirubin Once in 6 months (unless asked to check more / less frequently) As appropriate
Chloride Once in 6 - 8 weeks Once in 6 - 8 weeks
Blood Pressure 3 times a week initially untill good blood pressure control is achieved, less frequently there after as per advice Every 2 weeks
Phosphate Once in 3 months (unless asked to check more / less frequently) As appropriate
Potassium Usually every 6 weeks or more frequently if specifically advised Once in 6 - 8 weeks
Food Report appetite once in 3 months Every 3 months
Uric Acid in Blood Once in 4 - 6 months (unless asked to check more / less frequently) As appropriate
** General Instructions to Patients
  1. This monitoring is in addition to clinic review by myself or a local nephrologist/ physician. You will ideally need review in clinic atleast every 3 months. Please seek urgent medical attention incase of emergency.
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Early Renal Transplant Package
This service allows me to monitor my renal transplant patients closely immediate post transplant for the first 3 months and is complimentary to regular physical reviews.
Monitoring health trackers

On subscribing to this package, you will be required to report the test readings for the following trackers.

Trackers Reporting by Patient** Frequency of Monitoring and Review
Platelet Once a month Once a month
UPC Ratio Once a month Once a month
WBC Weekly twice in the first 6 weeks then once a week for next 6 weeks Once a week
Bilirubin Once a month Once a month
Creatinine Weekly twice in the first 6 weeks then once a week for next 6 weeks Once a week
Total Protein Once a month Once a month
Skin Condition As required As required
Urea Weekly twice in the first 6 weeks then once a week for next 6 weeks Once a week
Potassium Weekly twice in the first 6 weeks then once a week for next 6 weeks Once a week
Temperature As required Once a month
SGOT Once a month Once a month
Sleep As required As required
Blood Pressure Weekly twice in the first 6 weeks then once a week for next 6 weeks Once a week
Haemoglobin Weekly twice in the first 6 weeks then once a week for next 6 weeks Once a week
Calcium Once a month Once a month
Food As required As required
Cholesterol At 3 months post transplant At 3 months post transplant
Weight Weekly twice in the first 6 weeks then once a week for next 6 weeks Once a week
Blood Urea Nitrogen Weekly twice in the first 6 weeks then once a week for next 6 weeks Once a week
Bicarbonate Once a month Once a month
SGPT Once a month Once a month
Blood Sugar Fasting Blood Sugar once a week for first 6 weeks then once a month Once a week
Alkaline Phosphatase Once a month Once a month
GGT Once a month Once a month
Thyroid At 3 months post transplant At 3 months
Phosphate Once a month Once a month
HbA1c Once a month Once a month
Pulse Weekly twice in the first 6 weeks then once a week for next 6 weeks Once weekly
24 hour Urine Protein At 3 months post transplant unless asked to do it more frequently At 3 months
Albumin Once a month Once a month
CRP As required As required
Uric Acid in Blood Once a month Once a month
Sodium Once a month Once a month
** General Instructions to Patients
  1. Kidney transplant is the best form of treatment for those who have reached Chronic Kidney Disease Stage 5. Follwing the transplant patients will be prescribed 'Immunosuppression' medications so that thier body does not 'Reject' the new kidney. Close monitoring of various parameters is essential after the transplant lifelong. Many a times this might not need a physical review and I will be able to advise based on a set of investigations and other details that my patients can easily provide remotely.
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Haemodialysis monitoring package
This service is meant for all my haemodialysis patients. Regular monitoring of the various parameters is essential to ensure quality of dialysis and pre-empt any problems.
Monitoring health trackers

On subscribing to this package, you will be required to report the test readings for the following trackers.

Trackers Reporting by Patient** Frequency of Monitoring and Review
Weight pre and post dialysis weights once a week
Uric Acid in Blood Once in 6 months
Blood Pressure pre and post dialysis blood pressure Once a week
Potassium Pre dialysis first week every month Once a month
Haemoglobin Report first week of every month Once a month
Phosphate Once in 3 months Once in 3 months
Creatinine Pre dialysis creat first week every month Once a month
Urea Pre and post dialysis urea/ BUN to calculate dialysis adequacy (Urea Reduction Ratio) first mid week dialysis every month Once a month
Albumin Once in 3 months once in 3 months
Calcium Once in 3 months Once in 3 months
Sodium Pre dialysis first week every month Once a month
HbA1c If diabetic - Every 4 months Every 4 months
Blood Urea Nitrogen Pre and post dialysis urea/ BUN to calculate dialysis adequacy (Urea Reduction Ratio) first mid week dialysis every month Once a month
Pulse pre and post dialysis Once a month
Bicarbonate Pre dialysis first week every month Once a month
** General Instructions to Patients
  1. Kindly update your haemodialysis session details after every dialysis
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Hypertension monitoring package
Hypertension is one of the major silent killers of modern era. Appropriate control of blood pressure can prevent complications like heart attacks, strokes, kidney failure, etc. This service helps you get expert advice on control of your blood pressure without making frequent trips to see me in my clinic.
Monitoring health trackers

On subscribing to this package, you will be required to report the test readings for the following trackers.

Trackers Reporting by Patient** Frequency of Monitoring and Review
Blood Pressure Report 3 times a week unless advised to report less frequently Every 2 weeks
HbA1c Only if you are diabetic you will need to report this once in 3 - 6 months As appropriate
Thyroid As advised As appropriate
Blood Sugar As advised As appropriate
Weight Once monthly Monthly
Creatinine Once in 6 months unless advised to monitor more frequently As appropriate
Sleep report sleep problems if any at the start of this monitoring As appropriate
Cholesterol Every 3 months 3 monthly
Urea Once in 6 months unless advised to monitor more frequently As appropriate
Pulse 3 times a week Ever 2 weeks
** General Instructions to Patients
  1. If systolic BP more than 200 mm Hg and/or diastolic BP more than 100 mm Hg you need to see me/ specialist urgently. If this is associated with any other symptoms (headache, nausea, vomiting, blur of vision, weakness in any limb, speech problems, confusion, etc) you need to go to the nearest hospital with out any delay.
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Lupus Nephritis 'EURO-LUPUS' Package
Lupus is an autoimmune disease which can be controlled effectively by appropriate treatment under close monitoring.
Monitoring health trackers

On subscribing to this package, you will be required to report the test readings for the following trackers.

Trackers Reporting by Patient** Frequency of Monitoring and Review
ESR Every 3 - 6 months As appropriate
Blood Pressure Once every week Every two weeks
Albumin Once in a month As soon as results uploaded
Chloride Once a month As soon as results uploaded
SGOT Once in 3 months As soon as results uploaded
GGT Once in 3 months As soon as results uploaded
24 hour Urine Protein Once in 3 months As soon as results uploaded
Total Protein Once in 3 months As soon as results uploaded
CRP When unwell As appropriate
SGPT Once in 3 months As soon as results uploaded
Sodium Once a month As soon as results uploaded
Potassium Once a month As soon as results uploaded
Bilirubin Once in 3 months As soon as results uploaded
Calcium Once in 3 months As soon as results uploaded
UPC Ratio Once a month As soon as results uploaded
Thyroid Every 3 - 6 months if known to have thyroid problem As required
Bicarbonate Once a month As soon as results uploaded
WBC 10days after the dose of cyclophosphamide As soon as results uploaded
Platelet 10days after the dose of cyclophosphamide As soon as results uploaded
Haemoglobin Complete Blood count (Hb, TLC and Platelet count) Once in two weeks Every two weeks
Alkaline Phosphatase Once in 3 months As soon as results uploaded
Cholesterol Once in 3 months Once in 3 months
Blood Sugar Fasting and 2 Hour post prandial Blood sugar once a week if diabetic and Fasting blood sugar once a month if non-dialbetic Every month
Blood Urea Nitrogen Once a month As soon as results uploaded
Pulse Every week Every two weeks
Weight Once a week Every two weeks
HbA1c Once in 3 months for diabetics only Every 3 months
Uric Acid in Blood Once in 3 - 6 months As soon as results uploaded
Creatinine Once a month When results are updated
** General Instructions to Patients
  1. This package is for Lupus Nephritis patients on "EURO LUPUS protocol of injection cyclophosphamide
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Lupus Nephritis MMF induction package
Lupus Nephritis is an autoimmune disorder which can be controlled effectively by way of appropriate treatment and regular monitoring
Monitoring health trackers

On subscribing to this package, you will be required to report the test readings for the following trackers.

Trackers Reporting by Patient** Frequency of Monitoring and Review
Blood Sugar Fasting and 2 hour postprandial blood pressure once a week for diabetics and once a month for non-diabetic Once monthly
Creatinine Once monthly Once monthly
Alkaline Phosphatase Once a month Every month
Blood Urea Nitrogen Once every 2 weeks Every 2 weeks
Haemoglobin Complete Blood Count (Hb, TLC, Platelet count) once in 2 weeks for first 3 months and then once a month Once monthly
GGT Once a month Every month
Cholesterol Fasting cholesterol every 3 months As required
WBC Once in 2 weeks Every 2 weeks
Pulse Once weekly Once monthly
Sodium Once every 2 weeks Every 2 weeks
Total Protein Once a month Every month
UPC Ratio Once every month Every month
SGOT Once a month Every month
Weight Once weekly Once monthly
Thyroid Only for those known to have thyroid problems - Once every 6 months or more frequently if advised As required
Potassium Once every 2 weeks Every 2 weeks
SGPT Once a month Every month
CRP As advised As required
HbA1c Once in 3 - 6 months as advised As required
Calcium Once a month Every month
Platelet Once in 2 weeks Every 2 weeks
24 hour Urine Protein Once every 3 months Every 3 months
Urea Once monthly Once monthly
Blood Pressure Once weekly Once monthly
Albumin Once a month Every month
ESR Once in 3 months As required
** General Instructions to Patients
  1. This package is for those patients who chose to have mycofenolate mofetil (MMF) based induction
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Thank you. A request has been sent to Dr. Rammohan Sripad Bhat to set up the service.