EAST MEDICAL WARD
Prof. Mumtaz Hasan (Sitara-i-Imtiaz) MBBS, FCPS (Pak), FRCP (Edin), FRCP (Glasgow), FRCP (London) FRCP (Ireland), FACP (USA), FCCP (USA), FACIP (USA), DTM & H (eng). Professor Medicine / Vice Chancellor

Brief History & Introduction

As old as Mayo Hospital itself, East Medical Ward is the unit I of department of medicine being headed by Vice Chancellor of King Edward Medical University & Allied Hospitals, Lahore, Prof. Mumtaz Hasan (S.I). It hosts state of the art academic facilities at both undergraduate and postgraduate levels. At present, 29 postgraduate doctors are completing their training in this unit.

The unit handles medical emergency patients 36 hours a week and offers outpatient services twice a week.

The ward has 44 beds extendable up to 65. The ward offers multiple services, most of which are run on self help basis as follows:

1. Laboratory providing routine investigations for admitted patients

2. Endoscopy section providing facilities for:
a. Bronchoscopy
b. Gastroscopy
c. Colonoscopy
d. Sigmoidoscopy
e. ERCP

Being the official unit for endoscopy, these services are available for all patients coming to Mayo Hospital on minimal charges.

3. Ultrasonography & echocardiography are available for admitted patients of this ward free of cost.

4. Hemodialysis unit hosts four hemodialysis machines and shares the major part of the load on Mayo Hospital. These services are provided free of cost with the support of Hope Kidney Foundation.

5. Diabetic Clinic is a prestigious outpatient outlet of our department and deals with major bulk of diabetic patients visiting Mayo Hospital.

6. Hypertension clinic is also run by our department for the benefit of hypertensive patients visiting Mayo Hospital, Lahore.

The research and academic setup of this ward is well reputed. We host our own LAN (local area network) with internet facility. All possible services are available related to data collection and interpretation. Out doctors are well versed with computers and make maximum use of the available services.

We are one of the few departments who have a fully equipped class room with all possible teaching aids including multimedia projector, overhead projector and slide projector. Our library/reading room hosts access to maximum number of books and review articles on computer and internet.

East Medical Ward contributes to postgraduate education directly by organizing multiple intensive courses on yearly basis e.g. Annual Course on Diabetes Mellitus & Postgraduate Training Course on the diseases of chest and heart.

East Medical Ward Early 2006

Faculty List

S.NO. NAME DESIGNATION QUALIFICATION

1. Prof. Mumtaz Hasan, (Sitara-i-Imtiaz)
Professor / Vice Chancellor MBBS, FCPS (Pak), FRCP (Edin), FRCP (Glasgow), FRCP (London) FRCP (Ireland), FACP (USA), FCCP (USA), FACIP (USA), DTM & H (Eng).

2. Dr. Jawad Zaheer Associate professor MBBS, MRCP (UK)

3. Dr. Sajid Abaid Ullah Assistant Professor MBBS, FCPS (Medicine)

4. Dr. Ali Jawa Assistant Professor MBBS, MD(USA), MPH(USA),
DABIM (USA), DABIM – ENDOC (USA)

5. Dr. Munir Iqbal Senior Registrar MBBS, MCPS

Teaching Programme

Undergraduate

• 3rd year MBBS
• 4th year MBBS
• Final year MBBS

Postgraduate

• FCPS (Medicine)
• MD (Internal Medicine, Nephrology, Gastroenterology, Cardiology)
• MRCP

Research Project

1. Lahore Epidemiological Adult Population Depression Screening (LEAP-DEEP) Study.

2. Lahore Epidemiological Adult Population Erectile Dysfunction (LEAD-ED) Study.

3. Lahore Epidemiological Adult Population Diabetic Foot (LEAP-DF) Study.

4. Lahore Epidemiological Adult Population Hypertension (LEAP-HTN) Study.

5. Lahore Epidemiological Adult Population Brachial Artery Reactivity (LEAP-BAR) Study.

LIST OF PUBLICATIONS TILL DECEMBER 2005

1. Sajid Abaidullah, Faisal Masud, Mumtaz Hasan: “Serological markers of C virus infection in patients with Chronic Active Hepatitis. Pakistan Journal of Gastroenterology”. 1992, 6(1) 35-37.

2. Sajid Abaidullah, Faisal Masud, Mumtaz Hasan: “Assessment of Metabolic Profile and Body Mass Index (BMI) in Type-II Diabetics treated with Metformin and Insulin-Specialist. Pakistan J. Med. Sci, Oct-Dec. 1992 Vol. 9 No.1: 29-34 ISSN 1017-4699.

3. Sajid Abaidullah, Faisal Masud, Mumtaz Hasan: “Insulin Sparing Effect of Glibenclamide in Poorly Controlled Type-II Diabetics and its Effects on the Body Mass Index(BMI) Specialist. Pakistan J. Med Sci. Jan-Mar 1993 Vol. 2: No.2: 105-108 OSSM 1017-4699.

4. Sajid Abaidullah, Faisal Masud, Mumtaz Hasan: “Efficacy of Alpha Interferon in the Treatment of Hepatitis C Virus Positive Chronic Active Hepatitis (CAH)”. Pakistan Journal of Gastroenterology, 1993, 7(1) 12-18.

5. Sajid Abaidullah, Aziz-ur-Rehman, Faisal Masud, Mumtaz Hasan. “Autonomic Dysfunction of GI System in Diabetic Population” Pakistan Journal of Gastroenterology 1994, 8(1) 2-4.

6. Consensus Workshop on Management of IDDM held at Athens. March 1994. University of New Castle Upon Tyne NE2 4HH, UK.

7. Mumtaz Hasan “Diabetes Mellitus” Acta Medica, Jan-March 1999, 2(1) 2.

8. Aziz-ur-Rehman, Sajid Abaidullah, Faisal Masud, Azra Parveen, Mumtaz Hasan “Role of Diabetic Autonomic Neuropathy in the Pathogenesis of Dyspepsia and Gastritis”. Pakistan Journal of Gastroenterology 1996. Volume 10, No. 1, 12-16.

9. Aziz-ur-Rehman, Sajjad Ahmad, Javed Akbar Khan, Sajid Abaidullah, Mumtaz Hasan “Albuminuria and Cardiovascular Complications in Diabetic Patients”. Annals of KEMC, Vol No. June-December 1996, 6-8.

10. A. A. Baplos, Mumtaz Hasan et al “Efficacy of twice daily Amoxycillin/Clavulanate in Lower Respiratory Tract Infections” International Journal of Clinical Practice, July-August 1999, Vol. 53, No.5, 325-330.

11. Aziz-ur-Rehman, Sajid Abaidullah, Faisal Masud, Mumtaz Hasan. “Incidence of Pulmonary Hypertension in Chronic Liver Disease”. Pakistan Journal of Gastroenterology.

12. Muhammad Abbas Raza, Sajid Abaidullah, Aziz-ur-Rehman, Faisal Masud, Mumtaz Hasan. “Insulin Resistance and Hyperinsulinemia in Patients with Ischaemic Heart Disease”.
13. Aziz-ur-Rehman, Sajid Abaid Ullah, Faisal Masud, Mumtaz Hasan. “Characteristics of diabetic patients and pattern of diabetic complications in Pakistani population” Submitted for publication in a foreign journal.

14. Sajid Abaidullah, Aziz-ur-Rehman, Faisal Masud, Mumtaz Hasan. “Acarbose: New trends in the management of NIDDM”. Submitted in a foreign journal, acceptance awaited.

15. Aziz-ur-Rehman, Nasir Raza, Sajid Abaidullah, Jawad Zaheer, Javed Akbar Khan, Mumtaz Hasan. “Role of ambulatory blood pressure monitoring in diagnosing white coat hypertension”. Annals of KEMC, Vol. 5, 1999

16. Aziz-ur-Rehman, Javed Akbar Khan, Sajid Abaidullah, Mumtaz Hasan. Characteristics of diabetic patients and pattern of diabetic complications. Annals of KEMC, Page 196, April-June 2000.

17. Tanveer Bhatti, Ahsan Rauf, Sajid Abaidullah, Jawad Zaheer, Aziz-ur-Rehman, Mumtaz Hasan. Prospective study of patients with Guillian Barre Syndrome treated with positive pressure ventilation. Pakistan Journal of Neurology. Page 18, Vol. 17, Number 1. Jan.-June 2001.

18. Rizwan Iqbal, Iffat Shabbir, M. Nazir Mirza, Mumtaz Hasan. TB drug resistance an alarming challenge – answer DOTS.

19. Zafar Niaz, Tahira Murtaza Cheema, Zahid Hussain Shah, Nabeel Ahmed Aman, Anjum Razzaq, Aziz-ur-Rehman, Mumtaz Hasan. The incidence of first dose hypotension with angiotensin converting enzyme inhibitor (captopril) in patients with cardiac failure: Ann. KEMC (1) 2005.

20. Zafar Niaz, Anjum Razzaq, Muhammad Latif, Bilal Aziz, Tazeen Nazar, Shoaib Luqman, Mir Jalal-ud-Din, Sajid Abaidullah, Mumtaz Hasan. Atrial fibrillation in mitral stenosis and its correlation with age, sex & clinical symptoms. Annals of KEMC. July 2005. 210-212.

21. Anjum Razzaq, Zafar Niaz, Bilal Aziz, Asim Saleem, Tazeen Nazar, Ahmed Ali, Mir Jalal-ud-Din, Aziz-ur-Rehman, Sajid Abaidullah, Mumtaz Hasan. Frequency of atrial fibrillation in mitral stenosis and its correlation with left atrial size. Annals of KEMC, July 2005; 268-270.

22. Rizwan Iqbal, Iffat Shabbir, M. Nazir Mirza, Saulat Ullah Khan, Shamshad R. Awan, Mumtaz Hasan. Is drug resistance in tuberculosis on the increase in Pakistan? A follow up study. The International Journal of Tuberculosis and lung diseases. Paris, France. IJTLD-05-04-0180.
23. Danish Ghani, Zafar Niaz, Ehtisham-ul-Haq, Fatima Hashmi, Mumtaz Hasan. A study of socio-economic factors effecting the health of house maids in Lahore urban community. Annals of KEMC. July 2005, 326-328.

24. Umair Javaid Ch, Jawad Zaheer, Sajid Abaidullah, Anjum Razzaq, Khurram Saleem, Zafar Niaz, Mumtaz Hasan. Early Aspirin administration in patients of acute myocardial infarction, who received thrombolytic/fibrinolytic therapy later on in emergency department-a clinical audit. Annals of KEMC. July 2005. 339-341.

25. Zafar Niaz, Anjum Razzaq, Khurram Saleem, Bilal Aziz, Tazeen Nazar, Usman, Mir Jalal-ud-Din, Sajid Abaidullah, Mumtaz Hasan. Atrial fibrillation in mitral stenosis and its correlation with mitral valve area and left atrial thrombus. (Bio-Medica-Issue-II, 2005).
26. Zafar Niaz, Anjum Razzaq, Umair Javaid Chaudhary, Mehrin Awais, Ali Yaseen, Imran Naseer, Usman Ghani, Sajid Abaidullah, Mumtaz Hasan. Mortality review of diabetic ketoacidosis in East Medical Ward. (Bio-Medica-Issue-II, 2005).

27. Zafar Niaz, Anjum Razzaq, Nabeel Ahmed Aman, Bilal Aziz, Khurram Saleem, Zahid Hussain Shah, Aziz-ur-Rehman, Mumtaz Hasan, Sajid Abaidullah. Randomized comparative study of oral ofloxacin versus intravenous cefotaxime in spontaneous bacterial peritonitis. Pakistan Journal of Gastroenterology. Vol. 19, No. 2. Oct. 2005

28. Umair Javaid Chaudhary, Sajid Abaidullah, Jawad Zaheer, Anjum Razzaq, Mehrin Awais, Zafar Niaz, Khurram Saleem, Mumtaz Hasan. A Medical Audit on Management Protocol of Diabetic Ketoacidosis in East Medical Ward (Annals of KEMC 2005).
29. Fonseca V, Jawa A. Endothelial and erectile dysfunction, diabetes mellitus, and the metabolic syndrome: common pathways and treatments? Am J Cardiol. 2005 Dec 26;96(12 Suppl 2):13-8. Epub 2005 Dec 1. PMID: 16387560 [PubMed - in process]

30. Vivian Fonseca, Ali Jawa, and Sunil Asnani. THE PROACTIVE STUDY: The Glass is Half Full. Journal of Clinical Endocrinology and Metabolism, 2005 Nov 22; [Epub ahead of print] PMID: 16303829
31. A. Jawa, S. Nachimuthu, M. Pendergrass, S. Asnani, and V. Fonseca
Impaired Vascular Reactivity In African-American Patients With Type 2 Diabetes Mellitus And Microalbuminuria or Proteinuria Despite Angiotensin Converting Enzyme Inhibitor Therapy. Journal of Clinical Endocrinology and Metabolism. Oct 11; [Epub ahead of print] PMID: 16219712

32. Fonseca V, Jawa A. Endothelial/Erectile Dysfunction in Diabetes and The Metabolic Syndrome: Implications for Cardiovascular Disease and Patient Management. (Submitted for publication in American Journal of Cardiology)

33. Sunil Asnani, MD, Biju Kunhiraman, MD, Ali Jawa, MD, MPH, Donald Akers, MD, David Lumpkin, Vivian Fonseca, MD. Pioglitazone restores endothelial function in patients with type 2 diabetes treated with insulin (Submitted to “Metabolic Syndrome and Related Disorders” for publication)
34. Vivian Fonseca, Ali Jawa. Intensive Treatment and Complications of Diabetes – Can they be effectively reduced? Editor Derek Leroith Mt Sinai Medical Center, New York, USA (Manuscript submitted for publication)

35. Matfin G., Jawa A., Fonseca V. Book Chapter titled “13: Erectile dysfunction in diabetes – an endothelial disorder” for book Clinical Diabetes”. February 2006[Submitted; W.B. Saunders (publisher)]

36. Jawa A., Lessnau K. Eosinophilic Pneumonia. eMedicine Journal [Book Chapter]. http://www.emedicine.com. Last March July 2006, Volume 5, Number 12

37. Fonseca V., Jawa A. Book Chapter 3: titled “The Metabolic Syndrome and Diabetes” for Taylor and Francis' Metabolic Syndrome and Cardiovascular Disease edited by Andrew Krentz and Nathan Wong. Published in February 2006.

RESEARCH WORK IN PROGRESS

1. Causes of upper GI bleeding other than esophageal varices in chronic liver disease patients. Zafar Niaz, Anjum Razzaq, Bilal Aziz, Mumtaz Hasan

2. Statistical analysis of patients suffering from diabetic ketoacidosis admitted in East Medical Ward: an internal audit. Anjum Razzaq, Zafar Niaz, Mehrin Awais, Mumtaz Hasan

3. Precipitating factors of diabetic ketoacidosis in patients on regular treatment for diabetes mellitus. Mehrin Awais, Zafar Niaz, Anjum Razzaq, Mumtaz Hasan

4. Frequency of diabetic ketoacidosis as the first presentation in patients not previously known to be suffering from diabetes mellitus. Imran Naseer, Usman Ghani, Zafar Niaz, Anjum Razzaq, Mumtaz Hasan

5. Jawa A. Lahore Epidemiological Adult Population (LEAP) study. A proposed cross-sectional study to estimate the burden of diagnosed and undiagnosed metabolic syndrome, hypertension, thyroid disorders, calcium deficiency, Vitamin D deficiency and Diabetes Mellitus in general adult population in urban setting of Lahore, Pakistan.

6. Lahore Epidemiological Adult Population-Depression screening (LEAP-DEEP) Study
In this sub study, subjects will be asked screening questions to detect major depressions. Those meeting the DSM-IVR criteria will be referred for psychiatric evaluation.

7. Lahore Epidemiological Adult Population-Erectile Dysfunction (LEAP-ED) Study
In this sub study, subjects will be asked screening questions to detect erectile dysfunction. Standardized Sexual Health Inventory in Males (SHIM) will be conducted. Those meeting the criteria will be referred for tests to diagnose secondary causes of erectile dysfunction as well as medical care.

8. Lahore Epidemiological Adult Population-Diabetic Foot (LEAP-DF) Study
In this sub study, newly diagnosed or known diabetic subjects will be asked questions regarding natural history, pathogenesis and complications of diabetes. In addition, specific physical examination will be conducted to elicit signs of diabetes complications.

9. Lahore Epidemiological Adult Population-Hypertension (LEAP-HTN) Study
In this sub study, newly diagnosed or known hypertensive subjects will be asked questions regarding natural history, pathogenesis and complications of hypertension. In addition, specific physical examination will be conducted to elicit signs of hypertension complications.

10. Lahore Epidemiological Adult Population-Brachial Artery Reactivity (LEAP-BAR) Study
All subjects participating in the LEAP main study will be offered enrollment in LEAP-BAR study. Subjects will undergo non invasive measurement of brachial artery reactivity with the help of Doppler ultrasound.