Services Hospital

Services Hospital, located on Jail Road Lahore, Punjab, Pakistan, is the teaching hospital of Services Institute of Medical Sciences(SIMS). It is recognized by the Pakistan Medical and Dental Council[1] for its undergraduate program as well as by College of Physicians and Surgeons for its postgraduate training.[2]

Services Hospital
Government of Punjab
Under construction Outpatient Department of Services Hospital of Lahore
Outpatient department of the hospital
Services Hospital is located in Pakistan
Services Hospital
Geography
LocationMain Jail Road, Opposite Race Course Park, Lahore., Lahore, Punjab, Pakistan
Coordinates31°32′29″N 74°19′59″E / 31.541275°N 74.333054°E / 31.541275; 74.333054Coordinates: 31°32′29″N 74°19′59″E / 31.541275°N 74.333054°E / 31.541275; 74.333054
Organisation
FundingPublic
TypeTeaching Hospital (Government)
Affiliated universityServices Institute of Medical Sciences, UHS and CPSP
PatronProfessor Dr Mahmood Ayaz
Services
Emergency departmentYes
HelipadNo
Links
WebsiteOfficial website
ListsHospitals in Pakistan

HistoryEdit

  • 1958: A separate outdoor mini hospital for government employees, as a satellite clinic of Mayo Hospital.
  • 1960: Clinic named as Wahdat Hospital, subsequently renamed as Services Hospital.
  • 1977: Services Hospital becomes the teaching hospital for the newly formed Allama Iqbal Medical College(AIMC).
  • 1995: Teaching hospital for Postgraduate Medical Institute(PGMI).
  • 1999: Declared as autonomous medical Institute with a management board to oversee affairs and give policy guidelines.
  • 2002: Services Hospital declared as the teaching hospital for the newly formed Services Institute of Medical Sciences(SIMS).

ServicesEdit

 
Services Hospital, Accident & Emergency

Initially established in 1958 with 60 beds to provide basic health facilities to government employees, the hospital has expanded considerably and has been totally transformed over the years. This change started when it was declared as a teaching hospital attached to AIMC in 1977. Today its 1,196 beds are located in 31 departments, with 27 major and 8 minor operation theaters and an out-patient attendance of 700 patients on average per day. Fiscal constraints have led the hospital leadership to seek out alternative avenues of funding including philanthropic support.

Recent developmentsEdit

  • Renovation of Ophthalmology Department
  • Renovation of ENT Department with modern purpose-built operation theaters suitable for fiber-optic sinus surgery.
  • Renovation & up-gradation of four teaching medical units and one non-teaching medical ward
  • Renovation of the surgical-gynecology blocks
  • A purpose-built OPD Block
  • A purpose-built Radiology and specialties block (under construction)
  • Development of Paeds Emergency Department
  • Establishment of Endocrine & Diabetic Unit, Medical ICU, and Critical Care Units
  • Upgrading of main Operation Theaters, Neurosurgery Operation Theatres, Private Rooms, and General Wards
  • Construction of a new residential block for doctors of SIMS/SH
  • Improvement of the employees' residential colony
  • Establishment of the first public sector Assisted Conception Unit in Pakistan.
  • Upgrading of pathology department with improved quality control and ISO 9002 and ISO 15142 certifications for all four segments of pathology.
  • Development of a protocol for the diagnostic services – Pathology, Radiology – defining the workflow, time lag for each stage, Quality Control and reporting of results within specified time spans.
  • Improved and secure parking facilities for the doctors and staff.
  • Construction of a purpose-built Maintenance and Repair department with computerized complaint management.
  • Establishing the first minimally invasive surgical suite and training center that is recognized by CPSP for training in the field – a follow-up training course has already been conducted where national as well as Indian, Nepalese, Siri-Lankan doctors were trained.
  • Establishment of a state of art Library with integrated e-library, e-journals, Wi-Fi access for students, and in-house cache server for SIMS/SH.
  • Construction of a comprehensive stormwater and sewage disposal system to prevent the annual risk of inundation during the rainy season
  • Upgrading / Operationalizing of Central Surgical Sterilization Department (CSSD) for provision of germ-free surgical environments for operation theaters and casualty department, with instruments and linen sterilized to the internationally accepted standard.

Aging infra-structure remains severely overstretched resulting in electrical overload and fire accidents.[3]

Medical Examination Department (MED)Edit

Services hospital provides a service of medical examination and declaration of fitness prior to recruitment. Dr. Ahtisham ul Haq (MBBS, MPH, FRSPH) served here as in-charge for about ten years.

Maintenance and Repair Department (M&R)Edit

The M&R department is housed in a newly constructed three-story building with purpose-built workbenches and machinery for maintenance and repair. It is connected to each unit through Hospital Information Management System (HIMS) for online complaint recording and redressal.

Endocrine Unit and Diabetes Management Center (EU & DMC)Edit

EU & DMC is a purpose-built facility to cater to the needs of patients with diabetes and endocrine disorders. It was established in 2002 by Prof. Faisal Masud as a diabetes clinic and later shifted to its present dual-purpose built site. The project was conceived, planned, and executed entirely by him. It was completed in two years at a cost of 30 million, contributed as a donation, by him, his family, and his philanthropic friends. The creation of the center was a revolutionary concept in the public health sector, as it was envisaged to be a self-sustaining autonomous project under the umbrella of a public sector organization. Over the years the center has managed to sustain this economic model by increasing the turn-over of patients and improving turnaround time per patient seen. The current turnover at DMC is around 200 patients daily.

Endocrinology ServicesEdit

The Endocrinology Unit is committed to providing the highest level of care for the full spectrum of endocrine disorders. It has started a number of multi-disciplinary and sub-specialty clinics offering comprehensive outpatient and inpatient services for a wide range of endocrine and metabolic diseases including:

 
Thyroid Clinic plan
  • Pituitary disorders.
  • Thyroid diseases.
  • Androgen disorders- testosterone deficiency and erectile dysfunction.
  • Growth disorders and growth hormone replacement therapy.
  • Obesity and weight management programs.
  • Post-bariatric surgery clinic.
  • Osteoporosis and metabolic bone disorders.
  • Full endocrine testing.
  • Fine needle aspiration of thyroid nodules.
  • Full range of dynamic endocrine tests such as insulin tolerance test, water deprivation test, Euglycemic Clamp, OGTT, etc.

Endocrinology clinicsEdit

To ensure proper care and follow-up of our patients, specialized endocrine clinics are held daily.

 
BMD measurement

THYROID CLINIC A multidisciplinary clinic for the diagnosis and management of all thyroid disorders was initially started on a weekly basis but as the number of thyroid patients has increased steadily, thyroid clinic is now held thrice weekly to accommodate them. A total of 550 patients with thyroid problems are currently registered with the unit. It operates in collaboration with the Nuclear Medicine department of INMOL and CENUM. Several procedures are undertaken including ultrasound of the neck and FNAC thyroid in collaboration with the Radiology department.

VIRILISATION AND REPRODUCTIVE HEALTH CLINIC The weekly clinic provides guidance and support to patients with reproductive health and currently has 200 patients enrolled. It offers diagnostic and treatment facilities like induction of puberty in hypogonadotropic hypogonadism, evaluation of infertility, workup of Polycystic ovarian syndrome.

OBESITY AND METABOLIC CLINIC The clinic is held on Friday every week and evaluates patients with varying degrees of obesity, provides expert dietary advice and appropriate psychological support and counseling as well as patient education. 300 patients so far are registered with the clinic. We liaise with the Bariatric surgery Unit, Surgical Unit 4 for the management of patients with morbid obesity. The clinic offers a number of facilities like nutrition evaluation with computer-based software Indirect calorimeter, fully furnished metabolic kitchen for diet and menu planning, analysis, and demonstration.

PITUITARY AND GROWTH CLINIC Patients with pituitary gland problems, adenoma, growth retardation, etc. are seen on Saturday every week with 140 patients registered with this clinic so far. Dynamic pituitary tests including insulin tolerance test, water deprivation test are conducted with full protocol. It works in collaboration with the eye department and neurosurgery for treatment, e.g., of pituitary adenomas and with the Radiology department for imaging interpretation.

ADRENAL CLINIC Patients with adrenal-related disorders like Addison's disease, Cushing’s syndrome, pheochromocytoma, Conn's syndrome are also assessed weekly. To date, 50 patients of adrenal disorders are enrolled with the clinic. The procedure undertaken includes CRH testing, dexamethasone suppression test, Synacthen test. Research Project: Cortisol hypersensitivity syndrome in collaboration with a Dutch team.

PARATHYROID AND BONE CLINIC The clinic is held every Wednesday to assess patients with conditions like parathyroid adenoma, primary and secondary hyperparathyroidism, hypoparathyroidism. A number of patients with various parathyroid disorders are registered so far with the clinic. Procedures undertaken include Heel densitometry, VAS scoring for shin tenderness, DEXA scan in collaboration with CENUM. The ongoing research project is an estimation of bone mineral density (BMD) in vitamin D deficient patients

Department of MedicineEdit

Department of Internal medicine is geared to provide a foundation on which allied medical specialties can be built upon. As the first point of contact for any patient who seeks medical advice as an out-patient or an accident & emergency department, the internist is trained to have a holistic approach towards a patient, analyzing various health-related issues and seek advice from their supervisors and other colleagues with highly specialized skills, to offer a comprehensive and the best possible management plan for the patient. The internal medicine department comprises five medical units including four postgraduate teaching units and one specialist medical unit. Each unit has its independent working team of consultants with their own special interests including gastroenterology, nephrology, and rheumatology, etc. They are assisted by senior registrars and postgraduate trainee registrars and house officers. Each medical unit has a capacity of 40 beds with 36 hours of emergency and 12 hours of outpatient working rota per week. Although it is a nominal capacity, the occupancy rate is often more than 100% by the addition of beds. Huge patient turnover in the A&E department often forces a rapid patient turnover compromising the ability of the teacher to demonstrate disease evolution to the patient.

Department of SurgeryEdit

There are four teaching departments

Department of Obstetrics and Gynaecology (O&G)Edit

 
Demonstration on a model - Services Institute of Medical Sciences

The department of O&G consists of three teaching and one non-teaching unit of 50 beds each. Demand for services provided often far exceeds the supply resulting in a long waiting list for elective procedures.

Department of Paediatric MedicineEdit

 
Vital Sign monitoring

This department has two teaching units and a dedicated nursery to cater for babies in need of intensive treatment. The nursery is often over-crowded and also suffered a fire accident resulting in death of numerous new-born babies.[4]

Department of OrthopaedicEdit

Is a professorial unit with 50 beds.

Department of Diagnostic RadiologyEdit

This department has a professorial unit and a specialist unit. Together they provide diagnostic facilities ranging from CT scan, ultrasound, Doppler studies, fluoroscopy as well as routine radiological services.

School of Nursing at Services Hospital LahoreEdit

School of Nursing is situated just next to the hospital and has dedicated teaching staff, some of them are with BSc and MSc degrees in nursing. It takes on students every year[5] for a three-year training program leading to a diploma in nursing.

The objective is to produce dedicated healthcare professionals focused on the care of individuals, families, and communities. This school is supervised by Pakistan Nursing Council. PNC provides registration (license) to Nurses, Midwives, Lady Health Visitors (LHVs) and Nursing Auxiliaries to practice in Pakistan. The PNC is an autonomous, regulatory body to register (license) Nurses, Midwives, Lady Health Visitors (LHVs), and Nursing Auxiliaries to practice in Pakistan. PNC was established in 1948.

Planned future developments

  • BScN 4 yrs Program
  • Diploma in Midwifery
  • Diploma in General Nursing and Midwifery
  • Diploma in Post Basic Nursing

Death of Suneel SaleemEdit

On March 26, 2018 Suneel Saleem died after a fight with Services Hospital guards and doctors over the family's objection to treatment of his sister. The hospital denies religious bias.[6][7][8]

GalleryEdit

NotesEdit

  1. ^ Pakistan Medical & Dental Council's List of Recognized Institutions at "Archived copy". Archived from the original on 2008-07-14. Retrieved 2008-07-13.CS1 maint: archived copy as title (link)
  2. ^ "Archived copy". Archived from the original on 2012-12-14. Retrieved 2012-12-09.CS1 maint: archived copy as title (link)
  3. ^ "Archived copy". Archived from the original on 2012-06-10. Retrieved 2012-12-09.CS1 maint: archived copy as title (link)
  4. ^ "Archived copy". Archived from the original on 2013-01-08. Retrieved 2012-12-09.CS1 maint: archived copy as title (link)
  5. ^ "Archived copy". Archived from the original on 2016-03-04. Retrieved 2012-12-09.CS1 maint: archived copy as title (link)
  6. ^ Millar, Joey (5 May 2018). "Christian persecution: Horror as concerned brother 'beaten to death by DOCTORS'". Retrieved 25 January 2019.
  7. ^ Bahksh, Madeeha (27 March 2018). "Lahore: Doctors & hospital's security guards brutally beat to death". Retrieved 25 January 2019.
  8. ^ Chaudhry, Kamran (29 March 2018). "man beaten to death by doctors in Lahore for defending his pregnant sister". Retrieved 25 January 2019.

External linksEdit