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
Blood Sugar Weekly
INR As required
Albumin As required
24 hour Urine Protein As required
Alkaline Phosphatase As required
CRP As required
Platelet As required
Blood Urea Nitrogen As required
Cholesterol once in 6 months
Calcium As required
Thyroid As required
Total Protein As required
Sodium As required
Uric Acid in Blood As required
Potassium As required
SGOT As required
Creatinine Once weekly
Urea Once weekly
Bilirubin As required
SGPT As required
Blood Pressure Weekly
Bicarbonate As required
HbA1c As required
Haemoglobin As required
WBC As required
Phosphate As required
Pulse once a week
Weight Weekly
GGT 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
Sleep As appropriate
Platelet As required
Total Protein As required
Phosphate As required
Blood Urea Nitrogen As required
Pulse Same as for BP
Weight Monthly
Creatinine As appropriate
Albumin As required
Chloride As required
HbA1c As appropriate
WBC As required
Blood Pressure Bi-monthly if BP was high initially otherwise monthly
Haemoglobin Every 4 months
GGT As required
Calcium As required
Alkaline Phosphatase As required
Uric Acid in Blood As required
Thyroid As appropriate
Potassium As required
SGPT As required
UPC Ratio As required
Bicarbonate As required
Urea As appropriate
Sodium As required
Blood Sugar As appropriate
24 hour Urine Protein As required
Bilirubin As required
SGOT As required
Cholesterol As appropriate
**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
Calcium As appropriate
Sodium Once in 6 - 8 weeks
HbA1c As appropriate
Pulse Every 2 weeks
Cholesterol Every 6 months
WBC Once in 6 - 8 weeks
Albumin As appropriate
Skin Condition Every 6 weeks
UPC Ratio Once in 4 -6 months
24 hour Urine Protein Once a year
Potassium Once in 6 - 8 weeks
Thyroid As appropriate
Sleep Every 3 months
Haemoglobin Every 3 months
SGPT As appropriate
Blood Pressure Every 2 weeks
Blood Sugar As appropriate
GGT As appropriate
Blood Urea Nitrogen Once in 6 - 8 weeks
Food Every 3 months
Bicarbonate Once in 6 - 8 weeks
Creatinine As required
Total Protein As appropriate
Weight EVERY MONTH
Platelet Once in 6 - 8 weeks
Uric Acid in Blood As appropriate
Alkaline Phosphatase As appropriate
Urea As required
SGOT As appropriate
Chloride Once in 6 - 8 weeks
Phosphate As appropriate
Bilirubin 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
Haemoglobin Once a week
Weight Once a week
Alkaline Phosphatase Once a month
UPC Ratio Once a month
Sleep As required
24 hour Urine Protein At 3 months
Blood Sugar Once a week
WBC Once a week
Blood Urea Nitrogen Once a week
Phosphate Once a month
HbA1c Once a month
CRP As required
Skin Condition As required
Platelet Once a month
Sodium Once a month
Albumin Once a month
SGOT Once a month
Temperature Once a month
Creatinine Once a week
Bicarbonate Once a month
Uric Acid in Blood Once a month
Calcium Once a month
Cholesterol At 3 months post transplant
Food As required
GGT Once a month
SGPT Once a month
Total Protein Once a month
Potassium Once a week
Bilirubin Once a month
Thyroid At 3 months
Urea Once a week
Pulse Once weekly
Blood Pressure Once a week
**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
Sodium Once a month
Blood Urea Nitrogen Once a month
HbA1c Every 4 months
Creatinine Once a month
Potassium Once a month
Blood Pressure Once a week
Haemoglobin Once a month
Pulse Once a month
Uric Acid in Blood
Phosphate Once in 3 months
Albumin once in 3 months
Calcium Once in 3 months
Urea Once a month
Bicarbonate 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
Urea As appropriate
HbA1c As appropriate
Blood Pressure Every 2 weeks
Cholesterol 3 monthly
Thyroid As appropriate
Weight Monthly
Creatinine As appropriate
Sleep 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
GGT As soon as results uploaded
CRP As appropriate
Haemoglobin Every two weeks
Calcium As soon as results uploaded
Creatinine When results are updated
Alkaline Phosphatase As soon as results uploaded
Blood Sugar Every month
SGPT As soon as results uploaded
Platelet As soon as results uploaded
Blood Pressure Every two weeks
Chloride As soon as results uploaded
Uric Acid in Blood As soon as results uploaded
SGOT As soon as results uploaded
Cholesterol Once in 3 months
Blood Urea Nitrogen As soon as results uploaded
Weight Every two weeks
HbA1c Every 3 months
Potassium As soon as results uploaded
24 hour Urine Protein As soon as results uploaded
Bicarbonate As soon as results uploaded
Sodium As soon as results uploaded
Albumin As soon as results uploaded
UPC Ratio As soon as results uploaded
Total Protein As soon as results uploaded
WBC As soon as results uploaded
ESR As appropriate
Pulse Every two weeks
Bilirubin As soon as results uploaded
Thyroid As required
**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
Total Protein Every month
Blood Sugar Once monthly
Blood Urea Nitrogen Every 2 weeks
Sodium Every 2 weeks
Thyroid As required
Cholesterol As required
Weight Once monthly
Albumin Every month
Creatinine Once monthly
Urea Once monthly
Pulse Once monthly
HbA1c As required
Potassium Every 2 weeks
Calcium Every month
SGOT Every month
SGPT Every month
UPC Ratio Every month
24 hour Urine Protein Every 3 months
GGT Every month
WBC Every 2 weeks
ESR As required
Haemoglobin Once monthly
Blood Pressure Once monthly
Platelet Every 2 weeks
CRP As required
Alkaline Phosphatase 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
Blood Sugar Once a month
Cholesterol Once a year
**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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