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 healthcare provider and you will receive feedback online.

Payments for the services can be made online. Call us 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
Urea Once weekly
Creatinine Once weekly
Blood Pressure Weekly
SGPT As required
Thyroid As required
Potassium As required
Albumin As required
CRP As required
SGOT As required
Total Protein As required
Blood Sugar Weekly
INR As required
Phosphate As required
Sodium As required
Alkaline Phosphatase As required
Bicarbonate As required
Haemoglobin As required
Weight Weekly
Blood Urea Nitrogen As required
Cholesterol once in 6 months
Bilirubin As required
Platelet As required
24 hour Urine Protein As required
Uric Acid in Blood As required
GGT As required
Calcium As required
WBC As required
HbA1c As required
Pulse once a week
**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
Bicarbonate As required
Sodium As required
SGPT As required
Chloride As required
WBC As required
GGT As required
Blood Sugar As appropriate
Urea As appropriate
Phosphate As required
Albumin As required
Pulse Same as for BP
24 hour Urine Protein As required
Creatinine As appropriate
Sleep As appropriate
Platelet As required
Cholesterol As appropriate
Potassium As required
HbA1c As appropriate
Thyroid As appropriate
Bilirubin As required
Haemoglobin Every 4 months
Blood Urea Nitrogen As required
Alkaline Phosphatase As required
Blood Pressure Bi-monthly if BP was high initially otherwise monthly
Total Protein As required
Uric Acid in Blood As required
Weight Monthly
SGOT As required
Calcium As required
UPC Ratio 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
Urea As required
24 hour Urine Protein Once a year
Calcium As appropriate
SGPT As appropriate
Creatinine As required
Weight EVERY MONTH
Blood Pressure Every 2 weeks
Sleep Every 3 months
Food Every 3 months
WBC Once in 6 - 8 weeks
Platelet Once in 6 - 8 weeks
Blood Sugar As appropriate
Bicarbonate Once in 6 - 8 weeks
Skin Condition Every 6 weeks
Albumin As appropriate
Phosphate As appropriate
Total Protein As appropriate
Alkaline Phosphatase As appropriate
Bilirubin As appropriate
Thyroid As appropriate
Uric Acid in Blood As appropriate
Pulse Every 2 weeks
Chloride Once in 6 - 8 weeks
Haemoglobin Every 3 months
UPC Ratio Once in 4 -6 months
HbA1c As appropriate
Potassium Once in 6 - 8 weeks
Blood Urea Nitrogen Once in 6 - 8 weeks
SGOT As appropriate
GGT As appropriate
Sodium Once in 6 - 8 weeks
Cholesterol Every 6 months
**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
Potassium Once a week
Total Protein Once a month
Thyroid At 3 months
Sodium Once a month
Pulse Once weekly
SGPT Once a month
Cholesterol At 3 months post transplant
Sleep As required
Bilirubin Once a month
Alkaline Phosphatase Once a month
Blood Sugar Once a week
24 hour Urine Protein At 3 months
WBC Once a week
Haemoglobin Once a week
Albumin Once a month
Food As required
Skin Condition As required
Creatinine Once a week
SGOT Once a month
Urea Once a week
Calcium Once a month
Uric Acid in Blood Once a month
HbA1c Once a month
Temperature Once a month
Blood Pressure Once a week
GGT Once a month
CRP As required
Bicarbonate Once a month
UPC Ratio Once a month
Platelet Once a month
Blood Urea Nitrogen Once a week
Weight Once a week
Phosphate 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 once a week
Blood Pressure Once a week
Bicarbonate Once a month
Albumin once in 3 months
Calcium Once in 3 months
Uric Acid in Blood
Potassium Once a month
Haemoglobin Once a month
Sodium Once a month
Creatinine Once a month
Urea Once a month
Pulse Once a month
Blood Urea Nitrogen Once a month
Phosphate Once in 3 months
HbA1c Every 4 months
**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
HbA1c As appropriate
Cholesterol 3 monthly
Sleep As appropriate
Blood Pressure Every 2 weeks
Weight Monthly
Creatinine As appropriate
Urea As appropriate
Thyroid As appropriate
Pulse Ever 2 weeks
Blood Sugar As appropriate
**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
Sodium As soon as results uploaded
Platelet As soon as results uploaded
SGOT As soon as results uploaded
Uric Acid in Blood As soon as results uploaded
Haemoglobin Every two weeks
HbA1c Every 3 months
ESR As appropriate
Albumin As soon as results uploaded
SGPT As soon as results uploaded
Weight Every two weeks
Potassium As soon as results uploaded
Blood Sugar Every month
Chloride As soon as results uploaded
Blood Urea Nitrogen As soon as results uploaded
GGT As soon as results uploaded
Thyroid As required
Pulse Every two weeks
Bilirubin As soon as results uploaded
Blood Pressure Every two weeks
UPC Ratio As soon as results uploaded
Total Protein As soon as results uploaded
WBC As soon as results uploaded
CRP As appropriate
Calcium As soon as results uploaded
Cholesterol Once in 3 months
Creatinine When results are updated
Bicarbonate As soon as results uploaded
24 hour Urine Protein As soon as results uploaded
Alkaline Phosphatase As soon as results uploaded
**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
Calcium Every month
Pulse Once monthly
Creatinine Once monthly
Haemoglobin Once monthly
WBC Every 2 weeks
GGT Every month
Total Protein Every month
Urea Once monthly
HbA1c As required
Blood Pressure Once monthly
CRP As required
Thyroid As required
24 hour Urine Protein Every 3 months
SGPT Every month
Potassium Every 2 weeks
SGOT Every month
Cholesterol As required
UPC Ratio Every month
Blood Sugar Once monthly
Weight Once monthly
Blood Urea Nitrogen Every 2 weeks
ESR As required
Alkaline Phosphatase Every month
Platelet Every 2 weeks
Sodium Every 2 weeks
Albumin Every month
**General Instructions to Patients
  1. This package is for those patients who chose to have mycofenolate mofetil (MMF) based induction
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Membranous Glomerulonephritis - Modified Ponticelli Regimen
This service is meant for those who have seen me before and been diagnosed with a condition called Membranous Glomerulonephritis. If they have been started on a treatment called 'Modified Ponticelli Regimen' they should subscribe on to this plan
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
Pulse Once in 2 weeks
Weight Once in 2 weeks
Blood Pressure Once in 2 weeks
Cholesterol Once a year
Blood Sugar Once a month
**General Instructions to Patients
  1. You will be receiving a standard 6 month treatment as explained when you have met me in my OPD
  2. Months 1, 3 and 5 will be steroid months when you will receive 3 injections of steroid the first 3 days and then about 28 days of oral steroid (Prednisolone) therapy
  3. Months 2,4 and 6 will be Cyclophosphamide months when u will receive tablet form of medicine Cyclophosphamide
  4. Blood tests have to be done every 2 weeks and updated (Complete Blood Count, Serum SGOT, Serum SGPT, Serum Creatinine, Serum Sodium, Serum Potassium, Serum BUN, Serum Albumin, Urine Routine Examination, Urine Protein Creatinine Ratio, Fasting Blood Sugar)
  5. I may ask for additional blood tests especially during the cyclophosphamide months
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