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Hospital : 
Max Super Speciality Hospital, Saket
Description: 
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  • Radiology Case of The Month 
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Date: 
October, 2015 :15
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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Radiology

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Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

Role of Communication in Radiology

March 5, 2019 0 2 minutes, 10 seconds read

Communication is an act of sharing or exchanging of information, ideas or feelings.

Effective and clear communication is one of the prerequisites for getting good quality diagnostic images from any investigation.

This is necessary right from the point of obtaining an appointment to actually conducting and reporting the tests. This minimizes patient waiting time as patient comes appropriately prepared. It also helps alleviating anxiety and putting the patient at ease which helps get his/ her complete co-operation during the test so that optimal images are obtained without repetition of procedure and test resulting in maximum and accurate information for the benefit of the patient.

During pretest interaction, if the technician or doctor spends a few seconds explaining what is expected during the test and the body language as well as words are laced with empathy, the patient’s anxiety is reduced.

Communication should be both ways. The patient should be forthcoming in describing his/ her ailment and fears as accurately as possible. The referring doctor should also be clear in communicating the questions that are required to be addressed by doing the investigation.

This way, the test can be modified to “tailor” the patient problem without over or under investigating and/ or repeating tests unnecessarily.

Lastly, the radiology test reports should be crisp, clear and comprehensive while clearly stating any areas of uncertainty or ambiguity so that the referring doctor can suggest a follow-up or additional investigations if required.

Our patients are well informed now and have a certain expectation from us. It is our duty to deliver medical care in a quick, safe and effective way bearing in mind the inconvenience of expenses and time consumed in conducting multiple, sometimes inconclusive/ inappropriate investigations as well as unnecessary exposure to radiation due to some of these tests.

Our endeavor at radiology department in Max Healthcare is to put a patient through appropriate investigations in a timely and safe manner with least discomfort and inconvenience to the patient in an empathetic environment helping the patient and clinician quickly arrive at an accurate diagnosis so that he/ she can be managed and followed up appropriately.

We have doctors and technicians taking history, cross-checking with referring doctor for clarifications if necessary, following checklists and taking second opinions from colleagues in complicated cases.

We have an integrated RIS PACS in the department so that previous test results and images are available for comparisons even if they are done at another hub in the Max Healthcare system.

We take feedback for improvement positively and hope to continue to improve and evolve with the environment and requirements which are constantly changing.

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BoneXpert

December 31, 2018 0 2 minutes, 0 seconds read

What is BoneXpert:

BoneXpert is a type of softwarewhich helps in determining a child’s skeletal maturation,which is the measurement of bone age taken from a child's hand X-ray; that helps in conveying an accurate and standardizedreading unlike the standardmanual rating with its substantial reader variability. Majority of pediatric clinics incorporate this tool flawlessly in their workflow for adult height prediction, better diagnosis, and incorporation of better treatmentoptions. TheBoneXpert has been formalized on normal children and children who are diagnosed with the typical type of pediatric endocrinology disorder.

Bone age is an explanation of skeletal maturity, which is typically based on radiographs of the left hand and wrist that helps in providing a piece of useful information in different clinical settings. It may be possible that a child’s bone age may or may not imprecise his or her chronological age. Chronological age of an individual or child can be calculated in days, months and years from the time the individual or child was born, it is frequently used in psychometrics.

BoneXpert is worthwhile from day one. It also releases the doctors from the tedious job such as manual rating and allows the doctor to spend more time onthe patient care.

Benefits:

  • It has adequate accuracy, precision, efficiency and higher objectivity of the exam
  • It can also recognize patients who have abnormally thin bones for additional follow-up for suspected low bone mineral density
  • These analysis can be also used to give the most accurate prediction of the expected adult height and timing of the pubertal growth spurt
  • It is time-saving for doctors and is used efficiently in clinics.

The outcome of the BoneXpert analysis will be:

  • Bone age according to the Greulich and Pyle (GP) method. The GP method is an atlas method in which bone age is judged by differentiating the radiograph of the patient with the closest standard radiograph in the atlas.
  • Standard deviation score, expressing how many standard deviations the child’s GP bone age is above or below the mean for age-matched normal children*
  • Bone age according to the Tanner-Whitehouse-2 and 3 method which is optional
  • Prediction of the child’s adult height is very important in pediatric endocrinology and important source of error is the lack of ability to forecast the timing of the pubertal growth spurt.
  • BoneXpert performed excellently (SD, 0.17 years; 95% CI, 0.15 to 0.19)

* Measurement of the child’s bone thickness, expressing the bone health

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Dr. Meghna Barmase

Dr. Meghna Barmase
Consultant
Meghna Barmase
Memberships: 
  • Lifetime membership of IRIA
  • Registered with Haryana medical council
  • Registered with Delhi medical council
  • Registered with Medical council of India
     
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PROFESSIONAL JOURNEY

Work Experience: 
  • Senior Resident (Radiodiagnosis) - PGIMER, Chandigarh (Jul’09-Mar’10).
  • Consultant (Radiodiagnosis) - Star Imaging & Path Lab centre, Tilak Nagar, New Delhi ( May’10- Nov’15)
  • Consultant (Radiodiagnosis) - Max Hospital, Gurugram ( Nov’15-Till now)
Education & Training: 
  • MBBS - GMC Nagpur, 2005
  • MD - Radiodiagnosis - PGIMER, Chandigarh, 2009
     
Awards Information: 
  • Paper Publication: Role of multidetector CT angiography in the evaluation of suspected mesenteric ischemia. Eur J Radiol. 2011 Dec; 80(3):e582-7. Epub 2011 Oct 10
  • Certificate of competence in 11- 13 weeks scan by Fetal Medicine Foundation
  • Certificate of attendance for the theoretical course of fetal medicine foundation on pregnancy doppler ultrasound
  • Diagnosed multiple congenital anomalies in first and second trimester
     
Speciality Interest: 
  • Women’s imaging including gynaecological emergencies
  • Antenatal Obstretric ultrasound
  • Mammography interpretation
  • Mammography and ultrasound breast interpretation for malignant and non-malignant breast pathologies
  • Actively performing routine cross-section CT/MRI interpretation
     
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