+977-1-4512505
[email protected]
त्रिभुवन विश्वविद्यालय शिक्षण अस्पताल

Tribhuvan University Teaching Hospital

Maharagunj, Kathmandu, Bagmati Pradesh, Nepal
OPD Hours: Sun to Thu: 8AM - 2:30PM, Fri 8AM - 11:30AM
+977-1-4512505
[email protected]
त्रिभुवन विश्वविद्यालय शिक्षण अस्पताल

Tribhuvan University Teaching Hospital

Maharagunj, Kathmandu, Bagmati Pradesh, Nepal
OPD Hours: Sun to Thu: 8AM - 2:30PM, Fri 8AM - 11:30AM

Internal Medicine

Teaching Hospital
Internal Medicine
HomeDoctorEducationCoursesTrainingResearchPresentationPublication

Department of Internal Medicine

Faculty

  1. Prof. Dr Bikash Dali
  2. Prof. Dr Mahesh Raj Sigdel
  3. Dr. Matina Sayami
  4. Dr. Rakshya Shrestha
  5. Dr. Naresh Parajuli
  6. Dr. Saket Jha
  7. Dr. Bishal Paudel
  8. Dr. Sabin Thapaliya
  9. Dr. Sanjay Bhusal

Head of the Department

Prof. Dr. Mahesh Raj Sigdel, MD, DM (Nephrology), FRCP Edin
Department of Internal Medicine

Publication

  1. Maharjan S, Chhetri S, Khatri B, Sapkota N, Sigdel MR. Post-Transplant Erythrocytosis in Live Donor Kidney Transplant Recipients: A Retrospective Single Center Study. JIOM Nepal. 2020 Dec;42(3):62-66
  2. Pradhan RR, Sigdel MR. Prevalence, Clinical Presentation, and Outcome of Tuberculosis in Patients with Chronic Kidney Disease at a Tertiary Care Hospital in Nepal. International Journal of Nephrology, 2020, https://doi.org/10.1155/2020/7401541
  3. Ranabhat K, Khanal P , Mishra SR , Khanal A, Tripathi S, Sigdel MR. Health related quality of life among haemodialysis and kidney transplant recipients from Nepal: a cross sectional study using WHOQOL-BREF. BMC Nephrology (2020) 21:433
  4. Upadhaya P, Thapa P, Gajurel RM, Sigdel MR. Incidence of Contrast Induced Acute Kidney Injury, Its Risk Factors and In-Hospital Outcomes in Patients Undergoing Coronary Angiography and Angioplasty. JIOM Nepal. 2020 Aug;42(2):59-63
  5. Shrestha G S, Paneur H R, Acharya S P, Shrestha S K, Sigdel MR, Tiwari S, et al. Preparedness for Coronavirus Disease in Hospitals of Nepal: A Nationwide Survey. J Nepal Med Assoc 2020;58(224):248-51
  6. Rawal S, Paudyal P, Sigdel MR. Systemic lupus erythematosus and pregnancy outcome in tertiary level hospital of Nepal. Nep Med J 2019;2(1):167-72. DOI 10.3126/nmj.v2i1.24496
  7. Sigdel MR, Pradhan RR. Chronic Kidney Disease in a Tertiary Care Hospital in Nepal. Journal of Institute of Medicine, August, 2018, 40:2
  8. Timalsina S, Sigdel MR, Baniya S, Subedee S. Status of vitamin D and parameters of calcium homeostasis in renal transplant recipients in Nepal: a cross sectional study. BMC Nephrology (2018) 19:290
  9. Kafle MP, Sigdel MR, Shrestha M, Nepali R, Chhetri S, Shah DS. Tuberculosis in Living Donor Kidney Transplant Recipients. Transplantation, July 2018 – Volume 102 – Issue – p S664
  10. Shrestha M, Singh D, Sigdel MR, Kafle MP. Abnormalities in Protocol Graft Kidney Biopsy 6 Months Posttransplantation in a Tertiary Care Center Hospital of Nepal. Transplantation Proceedings, 50, 2377e2381 (2018)
  11. Kafle MP, Sigdel MR, Shrestha M, Shah DS. Spectrum of Infections in Living Donor Kidney Transplant Recipients: An Experience From a Tertiary Center in Nepal, Transplantation Proceedings, 50, 2493e2495 (2018)
  12. Joshi U, Subedi R, Poudel P, Ghimire PR, Panta S, Sigdel MR. Assessment of quality of life in patients undergoing hemodialysis using WHOQOL-BREF questionnaire: a multicenter study. International Journal of Nephrology and Renovascular Disease 2017:10 195–203
  13. Nepali R, Sigdel MR, Shah DS. Rhabdomyolysis in Earthquake Victims in Nepal. Kidney Int Rep (2017) 2, 127–129
  14. Sigdel MR, Kafle MP, Shah DS. Outcome of low dose cyclophosphamide for induction phase treatment of lupus nephritis, a single center study BMC Nephrology (2016) 17:145
  15. Nepali R, Shah DS, Sigdel MR. Hepatitis E induced severe myositis. Journal of Institute of Medicine, April 2016, 38:1
  16. Mishra SR, Adhikari S, Sigdel MR, Nedkoff N, Briffa TG. Chronic kidney disease in south Asia, Lancet, Vol 4 August 2016
  17. Khanal S, Bhusal M, Sigdel MR, Bajracharya SR. Acquisition of history taking, physical examination and communication skills through early clinical exposure among pre-clinical students, Journal of Institute of Medicine, December, 2015, 37:3.
  18. Sharma AK, Sitaula S, Thapa M, Gautam P, Shrestha GS, Gajurel BP, Sigdel MR. Systemic lupus erythematosus with antiphospholipid syndrome presenting as seizure disorder and retinopathy, Journal of Institute of Medicine, December, 2014, 36:3.
  19. Kafle MP, Shah DS, Shrestha S, Sigdel MR, Raut KB. Prevalence of specific types of kidney disease in patients undergoing kidney bopsy:a single centre experience. Journal of Advances in Internal Medicine 2014;03(01):5-10.
  20. Sigdel MR. Systemic Lupus Erythematosus presenting with Bullous lesion, Lupus Nephritis and Seizure. Journal of Advances in Internal Medicine 2013;02(01):17-20.
  21. Shrestha S, Raut KB, Sigdel MR, Kafle MP, Shah DS. Renal transplant in Nepal: medical complications in first three months, Journal of Institute of Medicine, August, 2013, 36:2.
  22. Sigdel MR, Shah D S, Raut K B. Lupus Nephritis: A comprehensive review, Journal of Institute of Medicine, April, 2013; 35:1.
  23. Sigdel MR, Raut KB. Wasp bite in a referral hospital in Nepal. J Nepal Health Res Counc 2013 Sep;11(25):244-50.
  24. Sigdel MR. Femoral artery pseudoaneurysm, an avoidable complication of femoral catheterization for hemodialysis, Journal of Advances in Internal Medicine 2013;02(02):65-6.
  25. Kattel HP, Mishra SK, Acharya J, Sigdel MR, Shah NP, Shah AS, Rijal BP, Sherchand JB, Pokhrel BM. Antibiotic sensitivity profile of different uropathogens in a tertiary care center in Nepal. Journal of Nepal Association for Medical Laboratory Sciences, Vol 11, No 1. December, 2012
  26. Sigdel MR, Shah DS, Kafle MP, Raut KB. A case of Severe Immune Thrombocytopenic Purpura Treated with Plasma Exchange. Kathmandu Univ Med J 2012;37(1):87-9.
  27. Sigdel MR, Kafle MP, Raut K B. Distal Renal Tubular Acidosis in Adolescence with Severe Growth Retardation and Nephrocalcinosis. J Nepal Med Assoc 2012; 52(187):135-7
  28. Bharati L, Sigdel M, Shakya R. Prescribing medication in patients with impaired renal function, Journal of Institute of Medicine. 2011 April;33.
  29. Chalise P R, Shah DS, Sharma UK, Gyawali PR, Shrestha GK, Joshi BR, Kafle MP, Sigdel M, Raut KB, Francis DMA. Renal Transplantation in Nepal – the first Years’ experience, Saudi J of Kidney Dis Transpl 2010; 21(3): 559-564.
  30. Chalise PR, Sharma UT, Gyawali PR, Shrestha GN, Joshi BR, Gurung GS, Ghimire RK, Kafle MP, Sigdel MR, Shah DS, Raut KB, Sidharth. Urological complications after Kidney transplantation, Kathmandu Univ Med J 2010;8(31):299-304.
  31. Rawal S, Sigdel MR, Singh M, Baral J. Immune Thrombocytopenic Purpura in Pregnant women, Journal of Institute of Medicine, Vol 29, No 3 (2007)

Dr. Sanjay Bhusal, MD (Internal Medicine)
Department of Internal Medicine
Activities

  1. OPD and inpatient care
    OPD schedule
  2. Internal Medicine – Monday (AM), Tuesday (PM), Friday (AM)
    Publication
  3. Rauniyar NK, Joshi K, Bhusal S. Acute Ischemic Stroke with Entire Internal Carotid Artery Thrombosis as an Initial Presentation of Polycythemia Vera: A Case Report. Post-Graduate Medical Journal of NAMS. 2019;19(1):57-9.
    Future Plans
  4. More clinical researches
  5. Training/fellowships in critical care medicine

Endocrine Services

Dr Matina Sayami, MD (Internal Medicine, Fellowship in Endocrinology)
Department of Internal Medicine

Dr Naresh Parajuli MD (Endocrinology & Metabolism)
Department of Internal Medicine

The Endocrine services at TUTH were started under the Department of Medicine from the day of its establishment. After decades of successful services, Endocrine Unit was established in Poush 28th 2067. The Out-patient Clinics in Endocrinology provides services to nearly 200 patients on Mondays, Tuesdays and Fridays.

Activities

  1. Endocrine OPD and Inpatient care
  2. Academic activities-lectures/bedside teaching
    Undergraduate level- MBBS, BDS
    Postgraduate level- MD
  3. Research/ Thesis related Activities
    Undergraduate level- BMLT/B Pharma
    Post graduate level– MD
  4. Regular CME and awareness program

OPD Schedule
Endocrine OPD -Monday (AM), Tuesday (PM), Friday (AM)
Future Plan

  1. Conduct Sub-specialty course in Endocrinology-Fellowship/ DM in Endocrinology
  2. Provide separate specialized OPD services like Pituitary Clinic, Growth and puberty disorder clinic, diabesity clinic.
  3. Conduct community-oriented Awareness and research activities

Publications

  1. Sayami M, Tamrakar J. Needle Sticks Injuries among Health Care Professionals in Tertiary Hospital. JIOM.2013; 35:3.
  2. Bhandari S, Sayami JT, Sayami M, Kandel BP, Banjara MR.General Health Status of Women of Reproductive Age in Nepal. J Nepal Health Res Counc 2014 Jan;12(26):8-13
  3. Sayami M, Bhandari S,Tamrakar J, Banjara MR. Maternal health seeking behaviour among pregnant women in Nepal. JIOM.2014 Aug ; 36:2.
  4. Bhandari S, Sayami JT,Thapa P, Sayami M, Kandel BP, Banjara MR.Dietary intake patterns and nutritional status of women of reproductive age in Nepal:findings from a health survey. Arch Public Health.2016
  5. Shrestha R, Sharma S, Khadga P, Sayami M, Chitrakar U, Dhungana GP.Post exposure prophylaxis for occupational and non occupational exposure to HIV in a tertiary care hospital in central Nepal. Journal of Advances in Internal Medicine. 2018; 7(2), 34-37.
  6. Shrestha PK, Basukala P, Yadav BK, Baral S, Sayami M. Better approach to type 2 diabetes mellitus. Journal of diabetic complications and medicine.2018; 3:2. Sayami M, Baral S, Shrestha R, Karki DB. Prevalence of chronic cor pulmonale in chronic obstructive pulmonary disease patients in a teaching hospital in Nepal. JIOM.2019;41(1),15-19.
  7. Kharel S, Ojha R, Parajuli N, Bhattarai S, Parajulee G, Karn R, Gajurel BP, Rajbhandari R, Gautam N, Shrestha A. Thyrotoxic periodic paralysis in a patient with Graves’ disease: A case report. Ann Med Surg (Lond). 2022 Aug19;81:104447doi:10.1016/j.amsu.2022.104447. PMID: 36147095; PMCID: PMC9486651.
  8. Yadav SK, Ojha R, Parajuli N, et al. Occurrence of osmotic demyelination syndrome in diabetes mellitus:A case report and literature review of various etiologies for osmotic demyelination syndrome. SAGE Open Medical Case Reports. 2022 ;10:2050313X221135595. DOI: 10.1177/2050313×221135595. PMID: 36337162;
  9. Parajuli, Naresh & Jahan, Sharmin & Hasanat, Muhammad. (2018). Relationship between variants of menstrual disturbance and insulin resistance in patients with polycystic ovary syndrome in Bangladesh. Journal of Clinical and Molecular Endocrinology. 03. 10.21767/2572-5432-C1-002.
  10. 4. Panta OB, Bhattarai D, Parajuli N. Medical Abortion Versus Manual Vacuum Aspiration in a Hilly District Hospital of Eastern Nepal: A Comparative study. Kathmandu Univ Med J 2013; 43(3):206-209

Clinical Immunology and Rheumatology Services

Dr Saket Jha, MD, DM (Clinical Immunology and Rheumatology)
Department of Internal Medicine
Activities

  1. Rheumatology OPD and Inpatient Services
  2. Daycare services (Intraarticular injections, Drug infusions etc.)
  3. Rheumatological disease awareness

OPD Schedule

  1. Rheumatology OPD – Monday (9 AM), Tuesday (2PM), Friday (9 AM)
  2. Emergency/On call – 24 X 7 Future Plan
  3. Train manpower to extend OPD and inpatient services
  4. Rheumatology Nursing for tailored patient care
  5. Electronic data record and collaborative research
  6. To extend immunological diagnostic services

Publication

  1. Singh J, Sharma A, Rani L, Kaur N, Anand S, Saikia B, Jha S, et al. Distinct HLA and non-HLA associations in different subtypes of ANCA-associated vasculitides in North India. Int J Rheum Dis. 2020 Apr 16;
  2. Jha S, Basnet A, Ranjan Kumar R, Dhooria A, Krishnaraju VS, Jain S, et al. Phenobarbital rheumatism-A fresh look at an old malady: Case report and systematic review of literature. Int J Rheum Dis. 2020 Feb 25
  3. Kumar RR, Youron P, Jha S, Singh AK, Sinha SK, Dhir V. Arthritis with nodular skin lesions. Lancet Rheumatol. 2020 Feb 25
  4. Kumar RR, Jha S, Sharma A. Dagger sign of ankylosing spondylitis. Oxford Medical Case Reports. 2020 Jan 1:502-503; doi: 10.1093/omcr/omz117
  5. Kumar RR, Jha S, Dhooria A, Naidu GSRSNK, Minz RW, Kumar S, et al. Anti–Jo-1 Syndrome Often Misdiagnosed as Rheumatoid Arthritis (for Many Years): A Single-Center Experience. JCR J Clin Rheumatol 2019 Dec 31;Publish Ahead of Print.
  6. Kumar RR, Jha S, Jain S, Sharma A. Classical Mucocutaneous Involvement in Behçet Disease. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2019 Nov 8; doi: 10.1097/RHU.0000000000001178
  7. Kumar RR, Jha S, Dhooria A, Kapatia G, Dhir V. A Case of Leprosy Misdiagnosed as Lupus. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2019 Oct 23; doi: 10.1097/RHU.0000000000001154
  8. Kumar RR, Jha S, Dhooria A, Dhir V, Jain S. Telescoping of Fingers. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2019 Sep 12; doi: 10.1097/RHU.0000000000001142
  9. Jha S, Mittal S, Kumar RR, Dhooria A, Rawat A, Dhir V. An unusual cause of deforming erosive arthritis in an adult. Rheumatol Oxf Engl. 2019 Aug 4; doi: 10.1093/rheumatology/kez312
  10. Kumar RR, Jha S, Jain S, Sharma A. Mechanic’s hand: is it a marker of disease relapse? Rheumatol Oxf Engl. 2019 Jun 25; doi: 10.1093/rheumatology/kez246
  11. Kumar RR, Jha S, Dhir V, Jain S. Diffuse Idiopathic Skeletal Hyperostosis With Peripheral Joint Involvement. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2019 Jul 9; doi: 10.1097/RHU.0000000000001098
  12. Kumar RR, Jha S, Jain S, Dhir V. Martel Sign: A Characteristic Sign of Gouty Arthritis. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2019 Jun 18. doi: 10.1097/RHU.0000000000001086.
  13. Jha S, Kumar RR, Dhooria A, Sharma A. Nail pitting: a key clinical sign of psoriatic arthritis. Rheumatology. 2019 May 06. kez183, https://doi.org/10.1093/rheumatology/kez183.
  14. Kumar RR, Jha S, Dhooria A, Dhir V. Butterfly rash: the hallmark of lupus. QJM Mon J Assoc Physicians. 2019 Apr 26.
  15. M B A, Jha S, Dwivedi P, Jain S. A Mistaken Identity-Alkaptonuria. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2019 Apr 22.
  16. Jha S, Naidu G, Sharma A. Is rituximab “The Wonder Drug” for antineutrophil cytoplasmic antibody-associated vasculitis?. Indian J Rheumatol 2019:14:4-6.
  17. Kumar RR, Sharma V, Jha S, Sharma A. Secondary Osteoarthropathy: An Unusual Cause of Polyarthralgia. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2019 Feb 1; doi: 10.1097/RHU.0000000000000972.
  18. Kumar RR, Jha S, Sharma A. Strawberry gingivitis: a rare manifestation of granulomatosis with polyangiitis. QJM Int J Med. 2019 Jan 1;112 (1):53–53.
  19. Jha S, Dhooria A, Jain S. Tuberculous Dactylitis : A Rare Form of Skeletal Tuberculosis. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2018 October 23; doi: 10.1097/RHU.0000000000000925.
  20. Acharya N, Dhooria A, Jha S, Sharma A. Hemorrhagic Myositis: Fatal Presentation of a Common Muscle Disease. J Clin Rheumatol Pract Rep Rheum Musculoskelet Dis. 2018 Dec 21; doi: 10.1097/RHU.0000000000000978.
  21. Sharma A, Naidu GSRSNK, Chattopadhyay A, Acharya N, Jha S, Jain S. Novel CECR1 gene mutations causing deficiency of adenosine deaminase 2, mimicking antiphospholipid syndrome. Rheumatol Oxf Engl. 2019 Jan 1;58(1):181–2.
  22. Pawar S, Ganakumar V, Jha S, Ragesh R, Ray A, Kakkar A, et al. Pulmonary Cryptococcoma Masquerading as Lung Cancer. J Assoc Physicians India. 2016;64(5):66–8.
  23. Sharma SK, Jha S. Directly observed treatment is not the only solution for poor adherence and low cure of tuberculosis. Evid Based Med. 2015 Oct;20(5):180.
  24. Pawar S, Sharma A, Ragesh R, Nischal N, Jha S, Das CJ, et al. An Interesting Case of Bilateral Lung Consolidation. J Assoc Physicians India. 2015 Jul;63(7):54–7.
  25. Sharma SK, Jha S. Do Sleep Disorders Predispose to the Development of Type 2 Diabetes Mellitus? Indian J Chest Dis Allied Sci. 2015 Jun;57(2):77–9.

Other Research Work

  1. Worked as an expert group members in the development of Consensus & evidence-based INOSA Guidelines 2014
    Sharma SK, Katoch VM, Mohan A, Kadhiravan T, Elavarasi A, Ragesh R, et al. Consensus & evidence-based INOSA Guidelines 2014 (first edition). Indian J Med Res. 2014 Sep;140 (3):451–68.
  2. Worked as a member of lymph node tuberculosis group, in the development of INDEX-TB guidelines: WHO 2016 Book Chapters
  3. Sharma SK et al. In book: INDEX-TB guidelines, Guidelines on extra-pulmonary tuberculosis for India Edition: 1 Chapter: 12 Publisher: WHO 2016 Editors: Dept of Medicine AIIMS New Delhi, CTD New Delhi, WHO
  4. Jha S, Sharma A. Systemic Vasculitis and Relapsing Polychondritis. In: Sharma A, Handa R, editor. Urgencies and emergencies in Rheumatology. 2018.
  5. Joseph S, Jha S, Shenoy P. Scleroderma In: Sharma A, Handa R, editor. Urgencies and emergencies in Rheumatology. 2018.

Infectious Disease Services

Dr. Sabin Thapaliya, MD (Internal Medicine)
Department of Internal Medicine (Infectious Diseases)

Activities

  1. Infectious Diseases OPD and Inpatient care
  2. ART clinic and post-exposure prophylaxis services
  3. Infection Prevention and Control
  4. Surveillance of SARS-CoV-2, Influenza, and Cholera

OPD schedule

  1. Internal Medicine/Infectious Diseases – Monday (AM), Tuesday (PM), Friday (AM)
  2. ART Clinic and PEP – Sunday to Friday

Future plan

  1. AMR surveillance and Antibiogram development
  2. Antimicrobial stewardship program
  3. Electronic data record and collaborative research
    Publications
  4. Pathak R, Thapaliya S. Use of Granulocyte colony-stimulating factor among patients of chronic liver disease in a tertiary hospital in Nepal: a pilot study. MJSBH. 2019;18(2):53-9. http://dx.doi.org/10.3126/mjsbh.v18i2.23038
  5. Thapaliya, S. Granulocyte colony stimulating factor in decompensated liver disease – Our experience in a tertiary hospital in Nepal. United European Gastroenterology Journal 2017; 5 (Supplement 1) https://journals.sagepub.com/doi/full/10.1177/2050640617725676
  6. Thapaliya, S., Nepal, M., Nepal, B., & Pathak, R. (2019). A Case Report on Scalp edema in a case of HSP in a young adult. Journal of Advances in Internal Medicine, 8(2), 35-37. https://doi.org/10.3126/jaim.v8i2.28006
  7. Pathak, R., Sherpa, T., Jha, A., Hamal, R., & Thapaliya, S. (2019). Socio-demographic and Clinical Characteristics of Patients with Ulcerative Colitis at a Tertiary Care Centre in Nepal. Journal of Advances in Internal Medicine, 8(2), 26-29. https://doi.org/10.3126/jaim.v8i2.28003
  8. Pathak, R., Ghimire, P., Thapaliya, S., Sharma, S., & Khadga, P. (2020). Prevalence of Covert Hepatic Encephalopathy in A Tertiary Care Centre . Journal of Nepal Medical Association, 58(221). https://doi.org/10.31729/jnma.4809
  9. Basnet N, Thapaliya S, Shrotriya S, Kar P, Mitra S. Extraintestinal Clostridium difficile infection: Scrotal abscess. Anaerobe. 2020;61:102147. https://doi.org/10.1016/j.anaerobe.2019.102147
  10. Pathak, R., Yadav, A. K., Thapaliya, S., Kafle, B., Jha, A., & Khadga, P. (2020). Comparative Study of Slow Infusion versus Bolus Doses of Albumin and Furosemide Infusion to Mobilize Refractory Ascites in Decompensated Chronic Liver Disease. Journal of Nepal Health Research Council, 18(2), 233-237. https://doi.org/10.33314/jnhrc.v18i2.2116
  11. Thapaliya S, Basnet BK, Das SK, Thapa R. A Case Report on Deliberate Self-poisoning with Imidacloprid in a Young Female – Overview of a Newer Insecticide Poisoning. Journal of Institute of Medicine Nepal. 2021 Apr; 43(1): 60-62
  12. Shrestha DB, Budhathoki P, Sedhai YR, Shrestha LB, Awal S, Upadhaya Regmi B, et al. Prevalence of Hepatitis B and C among HIV Infected Patients in Nepal over 1990-2020. Kathmandu Univ Med J. Online First
  13. Shrestha DB, Budhathoki P, Raut S, Adhikari S, Ghimire P, Thapaliya S, Rabaan AA, Karki BJ. New-onset diabetes in COVID-19 and clinical outcomes: A systematic review and meta-analysis. World J Virol 2021; 10(5): 275-287 [DOI: 10.5501/wjv.v10.i5.275]
  14. Shrestha, GS, Basnet, B, Nepal, G, et al. EDTA-dependent pseudo thrombocytopenia mimicking dengue fever-associated persistent thrombocytopenia: A case report. Clin Case Rep. 2021; 9:e04999. https://doi.org/10.1002/ccr3.4999
  15. Sah, S. K., Shah, S., Tiwari, S. B., Poudel, B. S., Singh, B. ., Sharma, P., Acharya, S. S., Murarka, H. ., Thapaliya, S. ., & Shrestha, A. . (2022). Essential Thrombocythemia among Patients with Myeloproliferative Neoplasms in Haematology Unit of a Tertiary Care Centre: A Descriptive Cross-sectional Study. Journal of Nepal Medical Association, 60(248), 369–373. https://doi.org/10.31729/jnma.7359
  16. Lamsal, M., Thapaliya, S., Thapa, P., Bhandari, R., Sangroula, R. K., Sayami, M., & Shrestha, P. K. (2021). Fasting Serum Magnesium Level and its Association with Type 2 Diabetes Mellitus and its Chronic Complications. Journal of Institute of Medicine Nepal, 43(3), 97–101. https://www.jiomnepal.com.np/index.php/jiomnepal/article/view/196

Medical Oncology Services

Dr Rakshya Shrestha, MD (Internal Medicine, Fellowship in Medical Oncology)
Department of Internal Medicine (Medical Oncology)

Dr. Bishal Paudel, MD, DM (Medical Oncology)
Department of Internal Medicine (Medical Oncology)

Activities

  1. Medical Oncology OPD and Inpatient care
  2. Day Care services and cancer screening
  3. Immunotherapy, targeted therapy and chemotherapy services
  4. Multidisciplinary Tumor Board services

OPD schedule (Suresh Wagle Memorial Cancer Center)

  1. Medical Oncology – Monday (AM) , Wednesday, Friday
    Publications
  2. Paudel B, Paudel BD, Mishra R, Karki O, Shahi R, Poudyal BS. Distress Screening among Patients with Hematological Malignancies: A Descriptive Cross-sectional Study. JNMA: Journal of the Nepal Medical Association. 2020 Aug;58(228):560.
  3. KC A, Poudel BD, Shilpakar R, Thapa S, Sharma R, Acharya B, Chapagain S, Karn A, Poudel S, Paudel B. Malnutrition among Cancer Patients in a Tertiary Care Centre: A Descriptive Cross-sectional Study. Journal of the Nepal Medical Association. 2022 Nov 1;60(255).
  4. Sharma R, Shilpakar R, Thapa S, Anuj KC, Dulal S, Prajapati R, Acharya B, Chapagain S, Paudel S, Paudel B, Pokhrel S. Comparison of Short Acting versus Long Acting Filgrastim for Reduction of Chemotherapy Induced Febrile Neutropenia. Annapurna Journal of Health Sciences. 2022 Aug 8;2(2):22-6.
  5. Poudyal BS, Poudel B, Tuladhar S, Rijal SS, Shrestha GS, Joshi U. Hemophagocytic Lymphohistiocytosis: an Under-recognized and Life-threatening Condition.
  6. Poudyal BS, Paudel B, Bista B, Shrestha GS, Pudasaini P. Clinical, Laboratory and Radiological Features of Paragonimiasis Misdiagnosed as Pulmonary Tuberculosis. Iranian Journal of Parasitology. 2022 Sep 12.
  7. Poudyal BS, Tuladhar S, Neupane S, Sapkota S, Pandit S, Shrestha PR, Poudel B, Bajaracharya M, Sweiss K, Patel P, Mahmud N. Transplantation and Cellular Therapy.
  8. Dulal S, Paudel BD, Neupane PC, Acharya B, Acharya SC, Shilpakar R, Paudel B, Acharya A, Thapa RR, Martin MG. Time delay barriers in diagnosis and treatment of gastrointestinal cancer in Nepal.
  9. Poudyal BS, Tuladhar S, Neupane S, Sapkota S, Pandit S, Shrestha PR, Poudel B, Bajaracharya M, Sweiss K, Patel P, Mahmud N. Hematopoietic Stem Cell Transplantation in Nepal: International Partnership, Implementation Steps, and Clinical Outcomes. Transplantation and Cellular Therapy. 2022 May 1;28(5):268-75.
  10. Poudyal BS, Marahatta S, Solimeno L, Forsyth A, Tuladhar S, Prajapati V, Rayamajhi S, Poudel B, Bajrachrya M, Neupane S, Rayamajhi A. Arthroplasty in haemophilia: Double-edged sword in low/middle-income countries. Haemophilia: the official journal of the World Federation of Hemophilia. 2020 Nov;26(6):e344-5.
  11. Dulal S, Paudel BD, Wood LA, Neupane P, Shah A, Acharya B, Shilpakar R, Acharya SC, Karn A, Poudel B, Thapa RR. Reliance on self-medication increase delays in diagnosis and management of GI cancers: results from Nepal. JCO Global Oncology. 2020 Aug;6:1258-63.

Future plan

  1. Comprehensive cancer care service
  2. Commencing and collaborating clinical trial in oncology
  3. Electronic data record and collaborative research
  4. Conduct Subspecialty-DM program in medical oncology

Hematology Services

Dr Anjan Shrestha, MD Pathology, Fellowship in Hemato- Oncology and Bone Marrow Transplant)
Activities

  1. Hematology OPD and Inpatient care
  2. Day Care services and cancer screening
  3. Immunotherapy, targeted therapy and chemotherapy services
  4. Multidisciplinary Tumor Board services

OPD schedule (Suresh Wagle Memorial Cancer Center)

  1. Hematology OPD: Sunday (PM), Tuesday (PM), Thursday (PM)