For referring doctors
A direct line, a straight answer about whether the case is suitable, and your patient back in your care with a written note. If you want to discuss a case before deciding, call — a discussion costs nothing and is not a referral.
How I work with your patient
- I answer the phone myself. Not a reception desk, not a coordinator. If I am scrubbed, I call back.
- You get a written note within 48 hours of the procedure — what was found, what was done, what to watch for, and what medication to continue.
- The patient goes back to you. I do not take over the patient's general care, and I do not refer them onward to anyone else without telling you first.
- I will tell you when the answer is no. If an interventional procedure is not the right option, or surgery is clearly better, you will hear that rather than a scheduled date.
What to send
For most cases, this is enough to give you an answer on the phone:
- One-line clinical summary and the specific question
- Relevant imaging — CD, films, or photographs of the screen sent on WhatsApp
- Creatinine, haemoglobin, platelets, INR
- Whether the patient is on antiplatelets or anticoagulants
- Whether this is an emergency or an elective problem
For emergencies — stroke, active bleeding, a septic obstructed kidney, an obstructed biliary system with cholangitis — call first and send the images afterwards. Do not wait to assemble a complete packet.
[CONFIRM: the hours you actually want emergency calls, and whether there is cover when you are unavailable. Do not publish 24/7 unless it is true.]
What I can take
Problems that are difficult to place elsewhere
- Bleeding after surgery, biopsy or trauma — angiography and embolisation
- Gastrointestinal bleeding when endoscopy has failed
- Postpartum haemorrhage
- Haemoptysis — bronchial artery embolisation
- Obstructive jaundice after failed or impossible ERCP
- The obstructed, infected kidney needing nephrostomy at odd hours
- Deep collections and abscesses in a sick ICU patient
- A dialysis access that has just clotted or is failing
- Central venous access in a patient whose veins are all blocked
Procedures that make an existing plan easier
- Chemoport, PICC and tunnelled catheter insertion
- Image-guided biopsy of any organ, including difficult targets
- Portal vein embolisation before major hepatectomy
- Pre-operative tumour embolisation to reduce blood loss
- Percutaneous drainage instead of a second operation
Definitive interventional alternatives
- Peripheral arterial disease, critical limb ischaemia, diabetic foot
- Varicose veins — laser, radiofrequency or glue closure
- Uterine fibroids and adenomyosis — embolisation
- Benign prostatic enlargement — prostatic artery embolisation
- Varicocele and pelvic congestion
- Liver tumours — TACE, TARE, ablation
Neurointervention
- Acute stroke thrombectomy
- Aneurysm coiling, stent-assisted coiling, flow diverters
- AVM, dural fistula and carotid-cavernous fistula embolisation
- Carotid and intracranial angioplasty and stenting
- Vertebroplasty
If your hospital is not in the city
Moving an unwell patient across Ahmedabad is often the real obstacle, not the procedure. Where your hospital has the equipment, I can come to you instead.
Needs ultrasound or CT only:
- Biopsy of any organ
- Abscess and collection drainage
- Nephrostomy
- Chemoport, PICC, tunnelled dialysis catheter
- Ascitic and pleural drainage
Needs a cath lab:
- Peripheral angioplasty and stenting
- Fistuloplasty and access salvage
- Embolisation for bleeding
- Biliary drainage and stenting
Call to discuss what your setup can support.
Teaching and case discussion
I am happy to do departmental sessions, join a tumour board or unit meeting, or run a short session for your postgraduates on what imaging findings are worth an interventional opinion. No charge.