Dr Pankaj V Deshpande

ajinkyapl@hotmail.com

MRCP (Paediatrics) UK Oct 1997
FCPS (Child Health) India Sept 1995
MD (Paediatrics) India July 1995
DCH India Oct 1994
MBBS India Feb 1991

After completeing MD Pediatrics and with 2 years in Pediatric Nephrology from Bai Jerbai Wadia Hospital for Children, Mumbai in 1995, went to United Kingdom in 1996.

Post MRCP in 1997, worked in Pediatric Nephrology in various centres of excellence in UK.
In 1998, was in University Hospital of Wales, Cardiff as the Specialist Registrar in Pediatric Nephrology. In 1999, moved to Birmingham Childrens Hospital, Birmingham as the specialist/Senior Registrar in Pediatric Nephrology.
In 2000, was in Guys Hospital, London as the senior Registrar in Pediatric Nephrology.

Finally from 2001 to 2005 was appointed as the CONSULTANT IN PEDIATRIC NEPHROLOGY at SOUTHAMPTON GENERAL HOSPITAL, SOUTHAMPTON.
Returned to Mumbai after spending nearly 10 years in UK and have been a Pediatric Nephrology Consultant from July 2005

Present Clinics:

MGM Hospital,
35, Sector 4, Vashi
Tel: 27821659/27822203 Mon/Wed/Fri 7 to 8 pm

Lok Hospital,
Lok Upvan Phase II, Thane
Tel: 25428612/25366856 Monday 10am to 1230 pm

Kidney Speciality Group
Opposite Green City, Vashi
Tel: 65163816 Wednesday 930 to 11 am

Deshpande Child Care Clinic
RH1, Plot F83, Soni CHS,
Sector 12, Kharghar
Tel: 9833091814 Tuesday 10 am-1230
Saturday 10 am-1230

Dr Yewale’s Hospital
Plot 6B, Sector 9, Vashi
Tel: 27661754 Fri 10 am-1230

Sai Child Care Centre
Amrut, Plot 5& 7,
Sector 19, New Panvel
Tel: 27451941/27462011 Thursday 3-6 pm

Dr Ajayan’s Hospital
Sector 9, Koparkhairane
Tel; 27542254 Fri 5-6 pm

Clinical experience:
In about 10 years that were spent in UK, including the last 5 as Consultant Pediatric Nephrologist, there was vast experience gained in all the aspects of Pediatric Nephrology.
• Management of acute renal/kidney failure including dialysis (peritoneal/haemodialysis)
• Management of chronic (long term, irreversible) kidney failure
• Dialysis (Peritoneal/Haemodialysis) in chronic renal failure children
• Preparation of a child with chronic renal failure for renal transplantation
• Management of the renal transplant (pre, during and after the surgery)
• Management of acute glomerular problems like nephrotic syndrome, HUS etc
• Management of nephritis, haematuria (blood in the urine)
• Management of tubular disorders of the kidney like Renal Tubular Acidosis, Bartters Syndrome etc
• Management of Urinary Tract Infections and the complications
• Management of hypertension (high blood pressure in children)
• Management of renal dysplasia (abnormally formed kidneys)
• Management of conditions with cysts in the kidneys (Polycystic kidney disease, Multicystic kidney disease etc)
• Counselling for abnormalities seen in the kidneys in the ultrasound scan done during pregnancy
• Diagnosing and managing conditions with obstruction like posterior urethral valves, pelvi-ureteric junction obstruction etc
• Daytime wetting and bedtime wetting in children
• Kidney biopsies in children for native and transplant kidneys
• Insertion of peritoneal dialysis catheters
• Diagnosis of hormonal effects on the kidneys and management

Services offered:
All the conditions mentioned above are managed here at the various places that are visited (see present clinics)
• Management of conditions like nephrotic syndrome with relapses, nephritis, blood in the urine

• Dialysis for acute kidney failure (Peritoneal, haemodialysis)

• Dialysis for chronic (end stage kidney disease) (Haemodialysis). Prgressing to kidney transplant soon.

• KIDNEY BIOPSIES

• INSERTION OF DIALYSIS CATHETERS

• Detection and management of conditions like Renal tubular acidosis, bartter’s syndrome etc

• Management of kidney function in conditions like posterior urethral valves, cysts in the kidneys

• Daytime/Night wetting

• Counselling and management for kidney abnormalities seen on antenatal ultrasound (ultrasound done in pregnancy)

• Diagnosis, detection of cause and treatment of hypertension (high blood pressure) in children

Presentations:
• DMSA scanning after UTI: Evaluation of the national guidelines at the 33rd annual meeting of the European Society of Paediatric Nephrology, Prague Sept 1999.
• Microscopic polyarteritis with renal and cerebral involvement at the West Midlands Kidney Club, Nov 1999.
• Down's syndrome with hypercalcemia, hypercalciuria, nephrocalcinosis and renal failure at the West Midlands Kidney Club, May 1999.
• Down's syndrome with hypercalcemia, hypercalciuria, nephrocalcinosis and renal failure at the West Midlands Paediatric Society, June 1999.
• Value of DMSA scanning after UTI: Evaluation of the national guidelines at the BAPN chapter of the British Paediatric Association meeting, York April 2000.
• Acute interstitial nephritis secondary to Salmonellosis at the Wessex Paediatric Club, Bath May 2001
• The importance of plasma creatinine at the Wessex Paediatric Club, Southampton, Nov 2001
• Pneumococcal HUS at the Wessex Paediatric Club, Southampton, 2002
• Breathlessness in nephrotic syndrome (Pulmonary thromboembolism) at the Wessex Paediatric Club, Southampton, 2002
• Congenital nephrotic syndrome in congenital disorder of glycosalation at the Wessex Paediatric Club, Southampton, 2003

Conferences in India:
• Indian Pediatric Nephrology Group: Asian Pediatric Nephrology Meet December 1-3, 2006: Antenatal abnormalities on ultrasound: what to do and what not to do
• IAP Conference, Jan 2007: Moderator for the session; Interpretation of renal labs

Publications:
• Primary Fanconi syndrome. Indian Pediatrics 34(6):547-9, 1997 June
• Microscopic polyarteritis with renal and cerebral involvement. Paediatric Nephrology (2000) 15:134-135
• An audit of RCP guidelines on DMSA scanning after urinary tract infection in Archives of Disease in Childhood April 2001, Vol 84, No 4, 324-327
• Hypertension: a cause of growth impairment in Journal of Human Hypertension 2002, 16: 363-366
• Improved efficacy of basiliximab over antilymphocyte globulin induction therapy in paediatric renal transplantation in Nephrology Dialysis Transplantation 2002, 17: 1304-1309
• Acute renal tubular dysfunction in association with salmonella enteritidis in Indian Pediatrics 2004, volume 41: 395-396
• Ondansetron for paediatric uraemic pruritus: a case report in Pediatric Nephrology 2004, 19: 694-696
• Tubulointerstitial nephritis and uveitis in monozygotic twin boys in Pediatric Nephrology 2004, August
• Pulmonary thrombosis in steroid sensitive nephrotic syndrome in Pediatric Nephrology (accepted and published)
• Laparoscopic kidney biopsy in obese children in Pediatric Nephrology (accepted and published)
• Congenital nephrotic syndrome associated with congenital disorder of glycosalation sent to Pediatric Nephrology
• DMSA scanning after UTI: Evaluation of the national guidelines (Abstract) in Pediatric Nephrology 13: C18, 1999
• Value of DMSA scanning after UTI: Evaluation of the national guidelines (Abstract) in the Archives of Disease in Childhood, Vol 82, Supplement 1 Page A23.
• The role of Capnography in monitoring mechanically ventilated children (Abstract) in Abstract of papers of XXXIII National Conference of the Indian Academy of Paediatrics.

Courses:
• Nephrology study meeting, Great Ormond Street Hopspital, March 2004
• Annual Conference of British Renal Society, May 2003
• Wessex Paediatric Meetings (twice a year from 2001- 2004)
• 33rd annual meeting of ESPN, Prague Sept 1999
• British Paediatric Association meeting, York April 1999 and 2000
• Efficiency of dialysis, Manchester Nov 1999
• APLS Sept 1998

Dissertation: Random urinary calcium/creatinine ratios in healthy Indian children submitted to the Bombay University in June 1995

Audit and studies:
• Outcome for children with end stage renal disease: Southampton experience (2004)
• Kidney biopsies, Southampton (2001-2002)
• Outcome of kidney biopsies in children with microscopic haematuria (2001-2004)
• Radiological investigations of urinary tract infections in Cardiff, 1999
• Investigations for urolithiasis (Birmingham, 1999)

Prizes:
• First prize for poster presentation on Capnography at the 33rd annual meeting of the Indian Academy of Paediatrics Jan 1996

Teaching:
• Teaching for MRCPCh Part 1 and 2 in Wessex
• Teaching on the clinical course of MRCP Paediatrics in Birmingham Children's Hospital and University Hospital, Cardiff
• Teaching SHOs on the Wards and in their induction programme
• Teaching undergraduate and postgraduate students, including seminars and tutorials (tutor)
• Organising teaching sessions in the department every week
• Reviewing recent treatment plans in the meetings
• Teaching in Bai Jerbai Wadia Hospital during the MD (Pediatrics) and in the post held after MD (Pediatrics)

Other Activities:
UK
• Official doctor (paediatric) for the Transplant Games, Birmingham 1999

India
• Organisation of DCH examinations in Bombay, Oct 1994.
• Official doctor for the blood donation drive conducted by KEM cardiology unit in Bombay in Nov 1993
• Hostel Secretary for two years at Bai Jerbai Wadia Hospital, Bombay.