General Medicine

THE PAST: It was the efforts of the Dr. Bhagwat Sahai, M.D. and Dr. N.F. Lilauwala, M.B.B.S., M.R.C.P. (London),  F.R.C.P. ( Edin.), D.C.H. ( Lond.) and their colleagues the department was taken to the new horizons. Department of Medicine in a Medical College has two major assignments. They are:

(A.) Training and Research, and
(B.) Professional Service

(A.) Organisation of Teaching and Research:
(I) At the undergraduate level didactic form of teaching was modified with a shift of emphasis from the teacher to the students. Instead of monodirectional it was made bi-directional to a large extent. In sum, the teaching was more a dialogue between the students and the teacher than a monologue and from the teacher. The teaching was made cogitative and cognitive from the students’ point of view. A random analysis of this methodology showed fruitful results.
(i) Postgraduate Training – At the postgraduate level, it was more a training than teaching.  They were trained to acquire a keen sense of observation and were gradually inculcated into the methodology of research.The department had plenty of research activities. It had to its credit a large number of papers published in different medical journals, in addition to those presented before medical conference. The postgraduates took part at the weekly meetings of the Staff Scientific Society of the college.

Intensive Care Unit begins on 10th September 1971. It was a humble beginning with 5 beds in a room a verandah, equipped with a cardioscope, an alarm unit, external pacemaker, defibrillator, and a Bird’s respirator.Later, with a view to rendering the best possible service in the shortest possible time at the doorstep of the patient in need, an ambulatory wing of the unit was installed on 26th March 1976.   The sub-unit, housed in a specially designed van, is ipso facto a mini intensive care unit in itself, equipped with cardioscope, defibrillator, external pacemaker, in addition to facilities for the administration of required drugs and oxygen. It also contains transmitting end of telemetry unit and receiving end of wireless set.

Unit was shifted to the newly constructed, air-conditioned block on 15th November 1976. The teletransmission too was commissioned on this date. This block now consists of 14 beds, 6 of them are in main coronary care unit which are meant for the management of acute cases of myocardial infarction, 4 beds are meant for the patients who are shifted after the acute phase is over (Intermediate beds) and remaining four beds are for respiratory & other emergencies.   The Intensive Care Unit is equipped with an indigenously designed tele transmitter capable of both voice transmission as well as electrocardiographic teletransmission using wireless or telephone systems.    Teletransmission  of  ECG  and telecommunications are capable of being operated in an area with a radius of 40 km.  This is the first well quipped  with facilities for teletransmission of ECG & voice in our country.

When a call is made through telephone  or on personal request of the private practitioner, or the patient himself, the mobile wing is set into action.  The van is sent at once with a doctor to fetch the patient.  After the patient is put in the van, information and details about the patient are given to intensive care unit by wireless. When there is a problem in making the diagnosis, the E.C.G.  is relayed to the intensive care unit by telemetry, where it is interpreted by a senior physician, who gives the needful advice about the treatment.  This facility is available not only to citizens of Gwalior but also to people of other towns, at times more than 200 Kms., from the intensive care unit.
Still the unit is in its infancy and has its teething troubles; to make it grow to bloom it has to be well fed and well clad.
This department has Skin VD section, Infectious disease ward near the Tuberculosis Hospital & an allergy clinic for various allergy tests.
The stalwarts of this department who brought it to the new heights with enthusiasm and sprit to do something include.

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