Lady Reading Hospital Peshawar - HEALTH DEPARTMENT by tyndale

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									History of LRH

                     Lady Reading Hospital is one of the oldest and largest Teaching
Institutes of the country which provide state of Art, excellent curative and preventive
services to the ailing humanity of the Frontier Province. It is also called loye (big) huspatal
(hospital) and Gernali Huspatal. It was established in 1924 and it is just 200 meters away in
the south of Grand Trunk Road, behind the famous historical Qila Balahisar. Famous Masjid
Muhabat Khan, Ander Shehr bazaar, Qissa Khawani bazaar and Khyber bazaar is across the
road of LRH. LRH is just outside historical wall in the jurisdiction of cantonment board. The
anecdote of the hospital of its coming into being is that His Excellency Mr. Lord Reading,
viceroy of the subcontinent from 1921 to 1926, happened to visit Peshawar. He was
accompanied by his spouse Lady Reading. She was fascinated by the view of the city from
Balahisar where they had lodged.

in 1928 and in its annals of 76 years prominent doctors have cured the ailing humanity. a.
Dr. Hakeem Ullah Jan and Khan Bahadar Abdus Samad Khan Are the great names to be
mentioned here whose superb character has the aspect that the people who had only heard
Dr. Hakeem Ullah Jan but had not seen them did honor them. The anecdote of the hospital
of its coming into being is that His Excellency                   Mr. Lord Reading, viceroy of
the subcontinent from 1921 to 1926, happened to visit Peshawar. He was accompanied by
his spouse Lady Reading. She was fascinated by the view of the city from Balahisar where
they had lodged. She expressed her desire to see the city. She was provided horse in
compliance            with her desire. She visited the city. As she was returning back to the
fort the horse took the fright causing fall of the Lady from the horse back. This resulted in
some injuries to the Lady Reading. Non-availability of medical aid instantly made her
unconscious. She was rushed to Agerton Hospital              where the facilities were scanty.
Uncomforting to cater for the requirements, she was shifted to the Royal Artillery Hospital
now called CMH Peshawar where she was given proper treatment. The immense impact of
this incidence on her made it imperative to construct a hospital. On retirement of Lord
Reading in 1926 she came to Peshawar from Dehli and campaigned to construct a standard
hospital in place of Agerton Hospital.

This new hospital was subsequently named as Lady Reading Hospital. Later on the hospital
was given into status of District Headquarters hospital with 150 beds and in 1930 it was 200
beded hospital.After partition in 1955 Khyber Medical College Peshawar University was
established and the hospital assumed the status of the teaching hospital. Then it had four
words consisting of Medical, Surgical, ENT and T.B wards. Doctor Khan Bahadur Abdul
Samad Khan had been the first Medical Superintendent of the hospital. Doctor Muhammad
Ayaz Khan was appointed the first Administrator of the hospital in 1973. This hospital
became affiliated to Khyber Medical College in 1955 with medical, surgical, ENT, Eye &
T.B wards. Our O.P.D is going above 2500 patients per day and the casualty attendants of A
& E departments is more than 1500 or 1800 per day. Every machine of this hospital is
running round the clock and so are the doctors and nurses.

Mission Statement
The mission of LRH is to provide highest attainable quality curative, preventive and pro
motive care, which is compassionate, ethical, accessible, acceptable, and affordable,
equitable services. The hospital also provides Training, Teaching, Research opportunities
and the working environment to the             employees where they attain their highest
potentials, improve the professional skills of the staff through continuous education and
research in the areas of Medical services, Management of the patients care and Managerial
innovation.

Vision

The vision of the LRH is to be recognized internationally as integral to the center of
excellence and an international leader in patient health care through Customer satisfaction,
Resource Management, Technological Excellence, Research, Teaching & Training.

Services

IN PATIENT FACILITIES

There are 1450 beds available in the hospital with 26 teaching units, like three surgical,
three medical, two pediatric units, two gynecology and obstetric units, and each of
cardiology, neurology,neurosurgery,cardiovascular,cardiothoracic, orthopedic unit,
urology,dermatology,psychiatry,Eye,ENT,ephrology and pulmonology unit. All inpatients
services are supervised by a professor and in charge of that unit.

Department of Surgery
This department provides comprehensive inpatient services for all elective and emergency
patients in all the general surgery, urology, otolaryngology, head and neck surgery,
ophthalmology, cardiothoracic and cardiovascular surgery, gynecology, orthopedic surgery
and dental surgery under the leadership of Professor Dr. Abdul Samad. The service offers
a total of 56 beds with one 5-bedded Special Care Unit (SCU), two 2-bedded isolation unit,
one 5-bedded cardiothoracic unit, two 5-bedded urology units, four 5-bedded general units
and six 2-bedded semi-private rooms.

General Surgery
The Section of General Surgery provides consultative, diagnostic and therapeutic services
for a wide range of surgical disorders including those of the intestinal tract, hernia’s,
breast, gall stone, biliary tree, liver, pancreas, spleen, rectum, endocrine (including
thyroid), vascular system and trauma. Surgeons in the Section also offer complete
management programmers in diabetic foot care and breast disease (including prosthesis
and reconstruction).

The state-of-the-art operating room suites are equipped for “minimally invasive surgery”
laparoscopic cholecystectomy and hernia repairs allowing patient to return to their daily
activities with a shortened recovery time. The Endoscopy suite has a video capability for
diagnostic and therapeutic endoscope of upper and lower gastrointestinal tract.

The day care surgery theatres offer surgery under local or general anaesthesia on an
outpatient basis through several procedures. Day care outpatient surgery avoids patient’s
hospitalisation reducing their cost and offering them the opportunity to recover in the
comfort of their own home.
Plastic Surgery
The Plastic Surgery service is provided by a full-time consultant plastic surgeon. The
service offers expertise in the areas of cleft lip and palate, cosmetic surgery including
liposuction, head and neck reconstruction in collaboration with ENT, breast reconstruction
in collaboration with general surgery, and full spectrum of reconstructive surgery including
micro vascular surgery and tissue expansion.

Vascular Surgery
The Vascular surgery offers diagnosis and management of disease of the extra-cardiac
aorta and peripheral vascular system, including arterial occlusion and aneurysms and
venous disease.

Trauma and Orthopedics
The world renowned Orthopedic Trauma Service (OTS) at Hospital for Special Surgery
specializes in the treatment of polytraumatized patients with major orthopedic injuries as
well as isolated injuries to the upper and lower extremities, pelvis, spine, and major joints.
Trauma patients arrive through ambulances to trauma unit. Once patients are accepted by
the HSS trauma service, HSS nurse coordinators handle the transfer and all logistics.
Orthopedic Trauma Service provides expert care for patients with severe musculoskeletal
injuries and related complications. The service is a regional resource for physicians
challenged by complex orthopedic cases. In 1995, the Orthopedic Trauma Service treated
or provided consultation for more than 1,700 of the 5,322 patients admitted to Shock in
Trauma in the last year.
Urology

The Section of Urology LRH is equipped with modern armamentarium to deal with a
comprehensive spectrum of urological ailments. The diagnostics and therapeutic services
encompass management of urinary tract infections, urolithiasis, neurogenic bladder
dysfunction urinary incontinence infertility neoplasm’s supra-renal neoplasm urinary
incontinence, infertility, neoplasm’s supra-renal neoplasm’s, urinary reconstruction in both
men and women, alongside providing specialized paediatric urological care. The wide
range of endoscopic service includes percutaneous stone removal. Facilities for stone
management include in Extracorporeal Shock Wave Lithotripter

Department of Medicine
this department provides comprehensive inpatient services for the entire medical, along
with allied specialties of dermatology, cardiology, pediatric, nephrology, psychiatry,
gastroenterology, pulmonology and neurology. The service offers a total of 40-60 beds by
each unit with one 6-bedded intensive Care Unit (ICU), 2o-bedded isolation unit, two 9-
bedded intensive care units for cardiovascular, cardiothoracic and neurosurgery, 8-bedded
unit for coronary care unit

Private rooms
Provides highly specialized private room inpatient services in general surgery, orthopedics,
ophthalmology, otolaryngology, and head and neck surgery, neurosurgery, cardiothoracic
surgery, pediatrics surgery cosmetic surgery and vascular surgery. The service offer a
total of 30 beds with a 3-bedded Cardiothoracic step down unit (CTSDU) for post Coronary
Artery Bypass Graft (CABG) patient twenty six single-bedded private rooms for surgical
services and one VIP room.

Operating Room
The Operating Room provides surgical facilities for 12 specialties including obstetric and
gynecology, pediatrics surgery, urology, oral (maxillofacial) surgery, plastic reconstructive
surgery, cardiothoracic surgery, vascular surgery, orthopedic surgery, neurosurgery and
general surgery. The service offers eight main operating rooms,35 operation tables with
state-of -the-art equipment.


                   OPERATION ROOMS                  NUMBER OF TABLE
                   1. Surgical                      04
                   2. Orthopedic 4                  04
                   3. Peads/urology 4               04
                   4. Neurosurgery 5                05
                   5. Cardiac/ thoracic surgery 2   02
                   6. Casualty 4                    04
                   7. Eye & ENT 8                   08
                   8. Gynae 4                       04
                   Total 35                         35


Surgical Day Care Unit
Located in the casualty on first floor, the surgical Day Care Unit is a specially-designed
healthcare facility for patient undergoing surgical procedures on an emergency basis. The
Surgical Day Care Unit enables patients to receive safe surgical treatment by a team of
surgeons and anesthetists with full diagnostic and treatment resources available. The
service offers a total of 20 beds and three operating rooms.
OUT PATIENT FACILITIES

LRH Outpatient Center is located on the hospital's ground floor, making it easily accessible
to patients and families. A designated outpatient parking area is located just outside the
Center's entrance.
Facilities provided at Out Patient Department in Lady Reading Hospital are as follow:

      Experienced & highly qualified doctors are present from 8:00 a.m till 1:00 p.m in all
       specialties work 6 days a week.
      Welfare activities to poor & unknown patients and also family welfare services loke
       counseling.
      Daily 2000 to 3000 patients are treated in OPD in Lady Reading Hospital.
      All the diagnostics & therapeutics & rehabilitative services like X-rays, Ultra Sound,
       psychotherapy, Physiotherapy, occupational therapy, Laboratory Services, &
       Orthopedic Workshop (prosthesis&orthotics).
      Provision of general medical services to out patients on scheduling and unscheduling
       basis.
      Provision of preventive and pro motive services like health education, immunization,
       screening, antenatal, wellbaby clinic and family planning.
      Curative services like consultation, investigation, therapeutic procedures and
       specialists services
      Follow up services of discharged patients, chronic illnesses, and postnatal cases and
       post operated cases.
      Training and education of doctors, nurses and paramedics.
REFRESHMENTS

The Friends of the LRH sells drinks and snack meals in the canteen and outpatient areas.
Refreshments are also on sale in the restaurant in LRH and Chatters restaurant and coffee
bar.

      Shops
       In LRH there are small shops. It is on the ground floor close to the main entrance,
       canteen and in the emergency. The shop sells sweets; soft drinks, stationery,
       toiletries and magazines. There are two shops to the left and right of the main
       entrance. One sells sweets, soft drinks, stationery, toiletries and magazines.
       The other shop is run by the Pharmacy department. It sells a selection of over-the-
       counter medicines which you would normally buy from a chemist. It is important that
       you let staff in the shop know what treatment, if any, you are expecting to receive at
       the hospital that day. A mobile shop visits each ward regularly, selling tea green tea
       and news papers and magazines.
      Smoking
       The LRH Hospital, in common with all NHS service providers, has a no smoking
       policy. From now this policy will be extended to our grounds, which means that
       smoking will not be permitted on our premises, vehicles and at entrances. The only
       exception will be for authorized inpatients receiving palliative care who will be
       permitted to smoke in designated areas.
      Telephones, Fax and Internet
       There are public phones booths in hospitals at different places to facilitate the public
       to do their required contacts through telephones, fax and E –Mails on internet, which
       take cash and credit cards. If you need to use, please ask a member of staff for
       directions. Please do not use mobile phones in the hospital wards as they may
       interfere with medical equipment or patients are disturbed. There are also
       interconnected telephone facilities between different sections of the hospitals.




Departments of LRH

PSYCHIATRY

It is a 26 bedded unit with psychiatry or mentally ill patients, 12 beds drug abuse treatment
centre. This unit composed of highly qualified psychiatrist, psychologist, social officers,
trainees and house officers. This department providing state of services to mentally ill
patient round the clock to indoor patients, 4 days a week to outpatients, including
psychotherapy and ECTs. This department is running many research programmes. Last year
this department was able to treat 14650 outpatients, with 709 inpatients, in which 303 are
from OPD and 387 from casualty. There were 593 admission of DATC in which 283 were
street addicts. 1013 patients received psychotherapy and 3889 patients received ECTs.
Accident & Emergency

The section of Emergency Medicine is commenced to provide immediate, high quality
emergency care to all the patients regardless of sex, age, cast and financial status. The
section handles all sorts of adult and pediatric emergencies including level Trauma, Surgical,
Medical, Cardiac, Pediatrics & Orthopedics etc Services. This section is equipped with all the
state of the art facilities and equipments.


The section is supervised by Emergency Medicine faculty and well trained Emergency
physicians who look after patients along with a team of interns and Emergency medicine
residents. It operates 24 hours a day seven days a week including public holidays.

The facility includes a total of 100 bedded unit including Casulalty Operations Theaters, X-
ray, ECG, Nebulizations are provided at the spot. There is an established "Triage" and "Fast
track" system through which critically ill patients are directed immediately to the respective
area while patients with minor problems are sent to the Fast Track where they receive
prompt medical attention and are discharged after receiving the treatment within an hour.


Anaesthesia
The Department of Anesthesia is an independent service aiming to provide high standard
of anesthesia care. At present, there are 20 full-time and three part-time faculty members
on board. In addition, there are 30 residents, 6 medical officers and 28 technicians.



Clinical Work
The Department of Anesthesia provides clinical services to all the sub-specialties of
surgery, including General Surgery, Obstetrics, Gynecology, Urology, Neurosurgery,
Pediatric Surgery, ENT, Ophthalmology, Plastic, Fasciomaxillary, Vascular Cardiac and
Orthopedic Surgery where in addition to the elective procedures, it provides anesthesia
cover to all emergency surgeries for 24 hours. The Department is also responsible for all
the 6 bedded Intensive Care Unit and for provision of service to Surgical Day Care,
Psychiatry, Radiology, Obstetric Epidural service, Acute and Chronic Pain Management and
Sedation services. The Department runs a very busy Pre-operative Anesthesia Assessment
Clinic, which is open seven days a week. The Department is actively involved in clinical
research, where it has conducted a number of clinical trials, the results of which have
been published in indexed national and international anesthesia journals. During 2003,
there were three publications in international journals and four in the national journals
while two publications were in the national newspapers. Research interests are the
homodynamic response to tracheal intubation, post-operative pain relief in children,
alternatives to short acting analgesics in intra-operative and post-operative pain relief and
regional anesthesia.
The Department encourages its faculty to enhance their skills and knowledge, and
supports them to attend different medical symposia, seminars and workshops as part of
their continued medical education. Residents are also encouraged to attend national
conferences/meetings and make presentations at different national forums, for which the
Department financially supports them.
BOLTON BLOCK

The Bolton Block is one of the most historical building in Lady Reading Hospital. it was
named after the then Commisioner named Bolton. It is a beatifully archetechtured building
& is located at the center of the hospital.

Bolton Block has 27 clean, well furnished rooms & is 31 beds available for patients. All the
rooms are air conditioned, attach bath rooms, three seater sofa set. Patients are treated
with immense care.


Being the pretigious place therefore all the VIP's "i.e. Ministers, Beurocrates, Land Lords,
Industrialists" of NWFP are admitted in Bolton Block. Here the patients are treated under
the supervison of the most experience & Skill full doctors.


CARDIOLOGY

The Section of Cardiology provides comprehensive diagnostic and therapeutic services
to patients with cardiovascular diseases. Presently, the section has many full-time
consultants/teachers. The PGMI and CPSP-approved cardiology fellowship training
programme ensures a steady production of superbly trained invasive and non-invasive
cardiac specialists. Academic research interests of the Section include clinical outcomes
in coronary angioplasty, coronary artery thrombolysis, complicated and uncomplicated
myocardial infarction, and evaluation of new therapeutic modalities in acute coronary
syndrome. The Section is also coordinating within Pakistan a major multicentre study of
risk factors for acute myocardial infarction being conducted throughout the world.
The Section is equipped with an eight-bed Coronary Care Unit (CCU) for patients
requiring intensive care, an eight-bed Coronary Step-Down Unit (CSDU) designed for
cardiac patients requiring an intermediate level of care, a designated cardiology floor in
the Private Wing with six telemetry units networked to monitor cardiac patients in all
rooms on the floor, and a 30-bed cardiology ward with bedside monitoring for two beds
networked to the central monitoring system in the CCU.
All cardiology outpatient clinics are located in one area, where a full-time cardiologist is
available throughout the week. The angiography suite is a fully-equipped, digital
cardiac catheterization facility providing diagnostic and therapeutic services for both
adults and pediatric patients suffering from various cardiovascular problems.



DERMATOLOGY

Dermatology is the science that is concerned with the diagnosis and treatment of diseases
of the skin, hair and nails. A dermatologist is the medical expert you should consult if you
have any significant problem with your skin.

Trained dermatologists usually combine several activities - seeing patients in public hospital
clinics and/or in private practices, acting as consultants to other specialists, teaching, and
delving into clinical or basic research.

Dermatologists must have expertise in basic sciences including microbiology, pathology,
biochemistry, physics, physiology, and endocrinology. They must be familiar with all the
other medical specialities because of their consultant work and because skin diseases are
often associated with internal conditions.

Dermatologists perform skin surgery in many situations:

      To prevent or provide early control of disease, eg remove skin cancer.
      To improve the skin's appearance by removing growths, discolourations, or damage
       caused by ageing, sunlight or disease.
      To establish a definite diagnosis (biopsy).




ENT (Ear, Nose and Throad)

Ear Nose & Throat and ENT Clinic of the LRH specialists are physicians who provide medical
and surgical care for problems affecting the head and neck. In fact, all areas of the head
and neck are treated by ENT doctors, with the exception of the brain and spine.

ENT is often referred to by other terms, including:

Otolaryngology / Head and Neck Surgery

This is the official name in the United States, frequently shortened to Otolaryngology, or
simply abbreviated to OTO/HNS

Otorhinolaryngology

This is the term more commonly used in Asia

Studies in the field of ENT include: Allergies Facial Plastic Surgery Head and Neck Cancer
Larynology (Throat and Voice) Otology (Ears) Rhinology (Nose and Sinuses)

LABORATORY

The Laboratory at Lady Reading Hospital is committed to accuracy and efficiency in
providing test results for its patients. Lab services are provided for hematology, clinical
chemistry, urinalysis, therapeutic drug monitoring, bacteriology, mycobacteriology,
mycology, parasitology, transfusion medicine, bloodbank, diagnostic serology, syphilis
serology, surgical pathology, autopsy pathology and cytopathology.

MEDICINE

Medicine is the branch of health science and the sector of public life concerned with
maintaining or restoring human health through the study, diagnosis and treatment of
disease and injury. It is both an area of knowledge – a science of body systems, their
diseases and treatment – and the applied practice of that knowledge.

NEPHROLOGY
Nephrology is the study and treatment of kidney disease. Doctors, nurses and technicians
all specialize in treating patients with kidney disorders. Nephrologists treat patients with
kidney disorders and manage transplant protocols in hospitals and for transplant
networks. They also manage dialysis centers and programs. Like other specialists, these
doctors serve an additional residency in their field, beyond the standard training for a
general practitioner. Because kidney disease affects the entire body, a Nephrologist must
also have a good grasp on other aspects of internal medicine, and how renal failure can
cause other body systems to fail.
Kidney disorders may be caused by congenital defects, by disease or by lifestyle.
Nephrology deals with all these disorders, regardless of their origin. The field even
specializes into pediatric nephrology, which deals exclusively with kidney disease or
disorders in children.

NEUROLOGY

The Section of Neurology LRH is one of the largest and the most diverse and
sophisticated in Pakistan in terms of its faculty, ranges of clinical services, and academic
activities. Clinical neurology services comprise comprehensive specialty consultation in
both outpatient and inpatient settings for management of central and peripheral nervous
system disorders. The Neurophysiology Laboratory is equipped with state-of-the-art
equipment to aid in the diagnosis and treatment of diseases of the brain, spinal cord,
nerves, neuromuscular junctions, and muscles. Special procedures offered include nerve
conduction studies, electromyography (EMG), single fiber EMG, autonomic testing,
evoked potentials, electroencephalography (EEG), prolonged EEG monitoring (PEEG),
polysomnography (PSG), multiple sleep latency testing (MSLT), nerve conduction
studies (NCS), and evoked potential studies (EPS) including brainstem auditory evoked
potential (BAEP), visual evoked potential (VEP), somatosensory evoked potential (SSEP)
and electroretinography (ERG). In addition, autonomic testing including sympathetic
skin response (SSR) and R-R interval testing, diaphragmatic EMG, EMG-guided
botulinum toxin injection for dystonia, and intraoperative SSEP monitoring are also
performed. Procedures are performed by well-trained and qualified technologists under
the direct supervision of consultant neurologists. There is a well-equipped sleep
laboratory where sleep studies are conducted in conjunction with the Section of
Pulmonary Medicine. The Stroke Unit, to be headed by Dr.Adnan khan, will be part of a
comprehensive programme of stroke-related services which will include diagnostics such
as transcranial Doppler, a 24-hour stroke emergency triage system, multidisciplinary
stroke rehabilitation, and a stroke fellowship training programme.

OBSTETRICS AND GYNECOLOGY

The Department of Obstetrics and Gynecology LRH has near to a century of experience in
providing leadership in women's healthcare. We offer a wide scope of services that
address every healthcare phase that a woman experiences in a lifetime – from pre-
reproductive to childbearing and menopausal years. Our gynecologists are consistently
rated among the best in the nation and are committed to excellence in patient care,
teaching future leaders and innovative research. It is a 24 hours buisy department
working with two teaching units, teaching staff, consultants, trainees and house officers
serving in this unit dedicatedly in labor rooms and operations units.

PAEDIATRICS
The Department of Paediatrics LRH is committed to providing state-of-the-art clinical
services and quality care to children. It imparts the best possible undergraduate and
postgraduate training and do community oriented research of public health importance.
The Department consists of a group of dedicated full-time faculty to perform the above
task. It has an outpatient clinic, which runs from Monday through Saturday from 8 AM to
8 PM. The inpatient consists of a paediatric ward with two units comprising of 120 beds, a
neonatal unit with facility of admitting 10 neonates along with ventilators support to 8
neonates at a time and a round the clock emergency care looked after by fully trained
paediatric medical officers and nursing staff. In addition, the sick children are admitted to
Private Wing and intensive care unit (ICU) also. Sub-speciality care in neonatology,
paediatric cardiology, paediatric haematology-oncology, paediatric neurology, paediatric
nephrology and paediatric infectious diseases, is also provided by faculty trained in their
subspecialty.

ORTHPAEDIC WORKSHOP

This workshop was established in 1981 with the financial and technical assistance of the
donor agency Caritas. It provided some machines and local material to start with and
trained the technical staff in the orthopedics rehabilitation centre Lahore and ICRC
University Town Peshawar. This workshop was run by the technicians under the
supervision of the then Orthopaedic surgeon Professor Jamil Ahmad Khan. Government
provided staff and building for it while the donor agency provided machinery and technical
assistance plus some raw material for initiation of function. This workshop has not been
funded by the government or some nongovernmental organization for production and
maintenance but is totally self dependent. For financial purposes it was decided that this
workshop will charge the patients for the products at the rate of the price of the material
plus ten percent extra for repair and maintenance of the machinery.
In 1983 SGAA (Sandi Gal Afghanistan Appeal) collaborated with this workshop providing
products to Afghan refugees free of cost till 1989. They provided some machinery, some
imported material and updated technical training to this workshop.In 1989 SGAA
established its separate orthopedics workshop at Hayat Abad Peshawar donating whatever
it had invested in this workshop to it.
In 1989 Dr.Abdul Khaliq was appointed as Medical Officer I/C of this workshop who
supervised it till February 2007 i.e. his retirement.
On 11th October 2001 night this workshop caught fire due to electric short circuiting
damaging all the machines and materials. All the repairable machines were locally
repaired and necessary materials were purchased and the workshop was back on the track
with in a few months through its own financial resources.

MISSION
Prior to the establishment of this workshop the people of this province used to go to
Lahore for orthopaedic prosthesis and orthoses which was a time consuming and
expensive practice. Actually prior to 1970 there was no orthopaedic unit in the LRH and
the general surgeons performed orthopaedic surgery what ever they knew. On dissolution
of one unit Dr.Manzoor Ahmad Khan came from Mayo to the LRH and established an
independent orthopaedic unit.
As orthpaedic prostheses and orthoses can not be made available in the open market like
other goods because every patient needs them according to his own requirements e.g.
age, size and shape of deformity. The people of our province are mostly not rich so it was
decided that local material should be used in the preparation of orthopaedic products to
keep their prices in the reach of the majority of the needy patients. The prices of the
products were proposed to be equal to the actual cost of the material used plus ten
percent for maintenance of the machines. No FOH, labor cost or energy cost were included
to benefit the patients. In a nutshell the mission of this workshop is to provide the
orthopedics’ workshop products to the patients at acceptable terms, accessible distance
and affordable price.

WORK TEAM
The work team of this workshop consists of seven technical and five non technical
members. The technical members include the SMOI/C who has to manage,plan,direct and
control the rest of the work team. For administrative or technical help the LRH
administration and Orthopedics unit are always at hand. Five out of six technical members
are graduates and diploma holders in their respective field of prosthetics and orthotics
namely they are

Mr.Umar Khan. B.Sc Mechanical Engineering.
Mr.Jamil Akhtar. Diploma in Mechanical Engineering.
Mr. Akhtar Munir. Diploma in Mechanical Engineering.
Mr.M.Tariq Khan. B.Sc. Mechanical Engineering.
Mr.Riaz Aziz. Diploma in Mechanical Engineering.
Mr.Maqsood Ali Shah. Machinist.
The non technical staff includes
Mr.Jaohar Shah. Clerk.
Mr.Anwar Zeb. N/Q.Ward Orderly.
Mr.Jihangir. Ward Orderly working as a welder.
Mr.Humayun. Watchman.
Mr.M.Nawaz. Cleaning& Sweeping.

MARKETING
This workshop has been working on noncommercial bases for the benefit of the poor
patients and the products are prepared on demand and payment therefore there is no
need of the formal marketing. However the (4Ps) of marketing are followed in letters and
spirits. Our promotion is done by the product itself, the price and the patient. The patients
are referred by the consultants of various units of the LRH, our dealing, quality and price
of the product makes the patient a missionary for our cause. Though we are in a position
to market some products e.g. cervical collars, lumbosacral corsets and polyslings on
commercial bases but it will be against our policy because the middleman will extract his
share which will be an extra load on the patient.
Resources. All the (4Ms) of resources are fully functional in this workshop i.e. manpower,
machines, material and money. We have well trained manpower sufficient machines,
materials and money for our routine business. The manpower is paid by the government
while the provision of materials and maintenance of machines are met with from the
selling of the products.
SWOT ANALYSIS

1- Strength Our well trained human assets and our running machines are our strength.

2-Weaknesses Scare financial resources for up gradation of the workshop. Similarly
there are no chances of promotion for our technicians. Unlike the other technicians e.g.
laboratory technicians, dental technicians, dispensers and medical technicians they have
no service structure so far. They are recruited in BPS.11 and get retired in the same pay
scale which is a big obstacle in the motivation and satisfaction of our technicians.

3-Opportunities A free of cost building and free energy utilization are provided by the
government. The clients (patients) are referred by various units of the LRH and we don’t
trouble to find and attract them. Good quality and the most economical prices of our
products are a source of attraction of the patients.

4- Threats Actually this workshop has no threat from its competitors because its mission
is different from those working on commercial bases. The main threat to this workshop is
its scare financial resources for its updating and up gradation.
Future vision. We will try to improve the quality and the design of our products to meet
the challenges of the rapidly changing world. I strongly wish that this workshop should
adapt the capability of preparing myoelectric prosthesis in future if the resources and
technology are arranged by the government or some donor agency.

PRICE LIST
This Unit was established in 1981 in LRH and is being run on self-help basis. The
Government has provided building and pays monthly salaries to the concerned staff. The
raw material is being purchased from the net profit of the unit. Similarly the maintenance,
repair and replacement of the machinery are also met with from the same source. The
current rates of the products of this unit were fixed in 1994. Since then the prices of raw
materials used in our products have gone very high due to the passage of time and
various economic reasons and it is very difficult for us to charge these rates with out loss.
To avoid the losses we have only one way i.e. to increase the rates of our products
because we don’t get any grant from the Government or some NGO. In this connection we
don’t have some national guide line to follow and we have to follow the rates of such units
working in our province. There are two such units working in Peshawar one in KTH and the
other in Hayat Abad( PIPOS) near HMC. The PIPOS is purely a private unit dependent on
itself for every thing so its rates are very high and out of reach of the common man so
keeping the purchase power of the peoples in view we can’t follow their rates. On the
other hand the orthpaedic workshop working in KTH gets annual grant from the Social
Welfare department of the NWFP. Keeping all plus & minus points in view our Technical
Committee has decided to amend the current rates and bring them to the level of those of
the KTH. According to the Committee the new rates will get effective since 1st May 2007.


                                       PROSTHESIS

                                                     Old Rate in New Rate in
          S.No   Name
                                                     Rs.         Rs.
          1      Above Knee prosthesis
                                                     5500-       5500-
          2      Through knee prosthesis.
                                                     4050-       4500-
          3      Below knee prosthesis (Adult)
                                                     2300-       3000-
          4      Symes Prosthesis.
                                                     1900-       2100-
          5      Chupart prosthesis.
                                                     800-        1000-
          6      Sach foot.(Local)
                                                     750-        800-
          6a     Below Knee Prosthesis (Child)
                                                     ----------  2500-

                                        ORTHOSES

          S.No Name                                  Old Rate in New Rate in
          7    Long leg caliper (steel)              Rs.         Rs.
          8    Short leg caliper (steel)             1000-       1200-
           9      PTB caliper                         850-           1000-
           10     Non weight bearing caliper.         850-           1000-
           11     AFO with upright (20mm)             1850-          2000-
           12     AFO with upright(17mm)              1465-          1800-
           13     AFO with upright (13mm)             1150-          1500-
           14     Milwaukee Brace.                    950-           1200-
           15     Genu Brace.                         1000-          1200-
           16     Boston Brace. (Adult)               1400-          1600-
           17     Boston Brace (child)                !000-          1200-
           18     Taylor Jacket                       500-           600-
           19     Lumbosacral corset.                 160-           300-
           20     Long leg posterior shell.           160-           300-
                                                      430-           500-

                                  SPLINTS & SUPPORTS

                                                                  New Rate in
           S.No   Name                                Old Rate in
                                                                  Rs.
           21     Drop foot splint.                   Rs. 465-
                                                                  700-
           22     Short leg splint.                   300-
                                                                  400-
           23     Club foot splint.                   140-
                                                                  150-
           24     Cock-up splint.                     250-
                                                                  300-
           25     Lively splint.                      165-
                                                                  200-
           26     T.finger splint.                    40-
                                                                  50-
           27     Mallet finger splint.               20-
                                                                  30-
           28     Cervical collar.                    200-
                                                                  500-
           29     Traction Belt.                      140-
                                                                  200-
           30     Humerus Brace.                      350-
                                                                  400-
           31     Fore arm Brace                      250-
                                                                  300-
           32     MAS Haluxvalgus.                    125-
                                                                  200-
           33     Metatarsal splint.                  40-
                                                                  50-
           34     MAS ( soft)                         75-
                                                                  100-
           35     Scottish Brace (Metallic)           450-
                                                                  600-
           36     Knee Brace without joint.           1315-
                                                                  1500-
           37     Thigh Brace.                        850-
                                                                  1000-
           38     Thumb splint.(Plastic)              120-
                                                                  150
           39     Shoe Lift. ( Per cm)                20-
                                                                  20-




General Surgery

The Section of General Surgery provides consultative, diagnostic and therapeutic services
for a wide range of surgical disorders including those of the intestinal tract, hernia’s, breast,
gall stone, biliary tree, liver, pancreas, spleen, rectum, endocrine (including thyroid),
vascular system and trauma. Surgeons in the Section also offer complete management
programmers in diabetic foot care and breast disease (including prosthesis and
reconstruction).
The state-of-the-art operating room suites are equipped for “minimally invasive surgery”
laparoscopic cholecystectomy and hernia repairs allowing patient to return to their daily
activities with a shortened recovery time. The Endoscope suite has a video capability for
diagnostic and therapeutic endoscopy of upper and lower gastrointestinal tract.

The day care surgery theatres offer surgery under local or general anaesthesia on an
outpatient basis through several procedures. Day care outpatient surgery avoids patient’s
hospitalisation reducing their cost and offering them the opportunity to recover in the
comfort of their own home.

Plastic Surgery
The Plastic Surgery service is provided by a full-time consultant plastic surgeon. The service
offers expertise in the areas of cleft lip and palate, cosmetic surgery including liposuction,
head and neck reconstruction in collaboration with ENT, breast reconstruction in
collaboration with general surgery, and full spectrum of reconstructive surgery including
microvascular surgery and tissue expansion.

Vascular Surgery
The Vascular surgery offers diagnosis and management of disease of the extra-cardiac aorta
and peripheral vascular system, including arterial occlusion and aneurysms and venous
disease.

Urology

The Section of Urology is equipped with modern armamentarium to deal with a
comprehensive spectrum of urological ailments. The diagnostics and therapeutic services
encompass management of urinary tract infections, urolithiasis, neurogenic bladder
dysfunction urinary incontinence infertility neoplasms supra-renal neoplasms urinary
incontinence, infertility, neoplasms supra-renal neoplasms, urinary reconstruction in both
men and women, alongside providing specialized paediatric urological care. The wide range
of endoscopic service includes percutaneous stone removal. Facilities for stone management
include in Extracorporeal Shock Wave Lithotriper.




FAQ’s

QUESTION:- What i do in Emergencey?

ANSWER:- EMERGENCIES The hospital has a 24-hour messaging center and in case of an
emergency the hospital number. The messaging center can direct your call to the Doctor's
pager, provide you with information about the local emergency clinic, or provide routine
information about hours and location. Simply follow the directions you hear when you call
and touch the number keys when prompted. Should an after hours visit become necessary,
there is an emergency fee in addition to the regular charges.

QUESTION:- How to get appointment?

ANSWER:- OUTPATIENT SCHEDULING The office is maintained on an appointment basis for
the best interest and convenience. This assures ample time for proper surgical and medical
care for all patients and conserves valuable time for you. The appointment is also a
reservation of time for you, and if it becomes necessary to rearrange or cancel your
appointment, please notifiy us a soon as possible. Outpatient appointments are scheduled
for whichever doctor is available at the time requested. Requests to see a specific doctor are
accommodated whenever possible and should be made known at the time the appointment
is made.

                  OPD GOVT. LADY READING HOSPITAL PESHAWAR
                     MONDA      TUESDA       WEDNESDA     THURSDA                 SATURDA
SPECIALTY                                                              FRIDAY
                     Y          Y            Y            Y                       Y
                     Surgical                                          Surgical
SURGICAL                        Surgical C Surgical B     Surgical A              Surgical B
                     A                                                 C
                                                                       Medical
MEDICAL              Medical A Medical B Medical C        Medical A               Medical C
                                                                       B
                     Paeds      Children                               Paeds
CHILDREN                                     Children B   Children A              Children B
                     Surgery    A                                      surgery
GYNECOLOGY           Gynae B    Gynae A      Gynae B      Gynae A      Gynae B Gynae A
CARDIOVASCULA
              -                 Specialist -              -            -          Specialist
R
CARDIOTHORACI
                     Specialist -            -            -            -          -
C
CHEST                MO         MO           Specialist   MO           MO         Specialist
NEUROSURGERY         -          -            Specialist   -            -          Specialist
UROLOGY              -          -            Specialist   -            -          Specialist
ORTHOPEDIC           MO         Specialist MO             MO           MO         Specialist
PSYCHIATRY           Specialist -            -            -            -          Specialist
ENT                  Specialist MO           MO           Specialist   MO         MO
EYE                  MO         Specialist MO             MO           MO         OPD
NEPHROLOGY           Specialist -            -            Specialist   -          -
                                             Epilepsy                  Specialis
NEUROLOGY            -          Specialist                Specialist             Specialist
                                             Clinic                    t
                                                                       Specialis
DENTAL               Specialist Specialist Specialist     Specialist             Specialist
                                                                       t


QUESTION:- How to get appointment for surgery?

ANSWER:- SURGERY All surgeries are performed on an appointment basis. Elective
surgeries are done on Mondays, Tuesdays, Thursdays, and Fridays. Patient are generally
admitted to the hospital on the morning of their surgery.

								
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