History of Department of Neurology at S.M.S. Medical College, Jaipur
Correspondence Address: Source of Support: None, Conflict of Interest: None DOI: 10.4103/0028-3886.289022
Source of Support: None, Conflict of Interest: None
Neither I wish for kingdom nor heaven nor rebirth,
Wish to relieve the suffering of mortals in pain.
Jaipur was founded in 1727 by Sawai Jai Singh II, the ruler of Amber, hence the name derived. It holds the distinction of being the first planned city of India, full of heritage with flavor of modernity. Noted architect “Vidyadhar Bhattacharya” used the “Vaastu Shastra” to build the city with unique street grid pattern. Well known all over the world as “Pink City,” it was in 1876 that Maharaja Ram Singh painted the entire city pink during the visit of Prince of Wales as pink color was symbolic of hospitality. Pink is still the trademark building color in the walled city and colorful gem stones are the major trade. The city has recently become a UNESCO world heritage site and is only the second Indian city to feature on the prestigious list.
Sawai Man Singh (SMS) hospital was founded by H.H. Sawai Man Singh II, the erstwhile king of Jaipur. Foundation stone was laid on 3rd March1934, and it was inaugurated on 11th March 1936. It was built in L- shape for 300 patients initially. The hospital started with five basic subjects of MBBS and now it has all specialties and superspecialties. New courses including blood transfusion medicine, sports medicine, critical care medicine are being started. Total OPD in the year 2018 was 29,37,249 and IPD was 2,13,271. Total number of beds are 2,292. Further expansion of the hospital has been planned vertically. Newer blocks such as polytrauma and Ayurveda, Yoga, Unani, Siddha and Homeopathy have been started. “Yoga OPD” is first such OPD in India run by well qualified medical doctors of the institution. A new state of the art “State Cancer Centre” will be commissioned shortly followed by a new “Super-specialty Centre” with organ transplantation facility.
SMS medical college is one of the most prestigious medical institution of India. Initially, a medical school was inaugurated on 7th September 1861 but was closed just after 3 years in 1864 due to unavoidable circumstances. Later, in 1945, Late Sir Mirza Ismail, the Prime Minister of Jaipur state started working on the project of SMS Medical College and the foundation stone was laid down on 13th March 1946 by Lord Wavell in an impressive function presided over by H.H. Sawai Man Singh II, the Maharaja of Jaipur. The college started functioning in 1947 within the south wing of main SMS hospital and Jaipur Medical Association buildings. It got recognized by MCI in 1952 with commencement of postgraduate courses. The superspeciality courses were added in 1999.
Prof. Dr. Brij Mohan Sharma was a faculty in medicine. He went to Southern General Hospital, Glasgow in 1974 for 1 year Common Wealth Fellowship. After his return, he started neurology services in addition to medicine in the main building of SMS Hospital. The hospital acquired its first EEG (8-channel German-Schwarzer) and EMG (ECIL) machines in 1979. The technician used to work in pathology lab and attend EEG/EMG machines on part time basis. The only other investigating modality available in those days was conventional carotid angiograms which were performed by neurosurgeons in emergency X-ray room.
Dr. B.M. Sharma remained President of Students Union from 1979 to 1983. The medicine cum neurology ward was shifted to newly constructed building “Bangur Medical Research Centre” (BMRC) in 1987 along with neurosurgery. The “Division of Neurology” came into existence in 1990 along with other divisions like cardiology, gastroenterology, nephrology with the availability of trained faculty from medicine department. Gradually, better versions of EEG and EMG machines were procured. Dr. B.M. Sharma retired in 1991. There is an oration in the name of Prof. Dr. B.M. Sharma in ECON.
Meanwhile, Dr. Ashok Panagariya became faculty in medicine. Subsequently, he went to PGI Chandigarh for DM Neurology and returned in 1982. He was appointed as Head, Division of Neurology after retirement of Dr. B.M. Sharma in 1991. During Dr. Panagariya's tenure, the neurology division was converted into Department of Neurology in 1995. For his tremendous work, Dr. Panagariya was awarded with “Dr. B.C. Roy” award in 2002 and “Padmashri” in 2014.
DNB neurology was started in 1998 with approval for one registration. The DM neurology courses began in August 1999 with two registrations every year which were escalated to eight in 2010. Till now, 67 residents have successfully cleared DM neurology and are providing excellent neurology services all over the country.
The first CT scan machine (Hitachi-16 slice), donated by Japanese government was installed in 1989 in BMRC. The conventional myelograms were used to be done in adjoining room. This CT machine outlived its life and remained functional till 2003. Subsequently, better CT and MRI machines were installed in 2004 on public private partnership (PPP) basis, which were further upgraded after seven years to 128 slice CT and 3 Tesla MRI.
The year 2007 marked a major turning point in neurology. With the joining of Dr. Trilochan Srivastava, the third unit of neurology was created headed by Dr. R.S. Jain and neuro-interventional work started for the first time in Rajasthan.
Dr. Panagariya retired in 2010 as Head of the Department and Principal of SMS Medical College. He was given the designation of Emeritus Professor. He was President of IAN from 2010 to 2011. Prior to his retirement, he had also served as Vice-Chancellor of RUHS (Rajasthan University of Health Sciences).
Dr. C.M. Sharma took over as head of department in 2010. The department was further equipped with upgraded versions of existing machines as well as new machines to create better diagnostic facilities such as conventional/digital/video/ambulatory EEG machines, EMG, NCS, and polysomnography machines. The department acquired a new block, housing third unit of neurology in 2012 and new EEG/NCS labs in 2015.
Current Head of department, Dr. R.S. Jain joined as faculty in 1994 and became head in July, 2016. He possesses bright academic record with four gold medals and honors in Anatomy. He is the recipient of several awards and fellowships at state, national, and international levels. He is the first neurologist from Rajasthan conferred upon the fellowship of IAN. He has 90 peer reviewed publications to his credit in various prestigious national and international journals and has also described new signs including “Reverse hot cross bun” and “Inverse trident” signs. As head of the department, he has strengthened academic activities with EEG and Neurophysiology workshops, visits of international guest faculties, CMEs, national institutes of health stroke scales (NIHSS) certification, etc. New teaching modules for residents are also implemented. Simultaneously, for better patient care, a 10 bedded “Stroke ICU” will be soon functional followed by a separate 10 bedded “Neurology ICU.”
The department is facing tremendous work pressure over last few years following free drug and free investigation policy by the Government of Rajasthan. There are 3 units with 9 faculty members. OPD attendance is nearly 2 lacs per year and inpatient admissions are nearly 6,000 per year. Cardio Neuro Medicine (CNM) emergency is working 24 × 7 especially for thrombolysis of acute ischemic stroke patients reaching in window period. We are also providing daily OPD services in a satellite hospital attached to SMS Medical College.
The department is proud to share that Dr. Tarun Mathur was selected for a prestigious “Fellowship” in interventional neuroradiology from University Hospital Zurich under Professor Anton Valavanis and is performing very well.
Dr. Raghvendra Bakki Sannegowda is directing a film titled “Premam Poojyam” and has also written the script, screenplay and lyrics with music direction of the same film.
Dr. Rahul Handa has been selected as “Consultant” Stroke Medicine in Salisbury – NHS (UK).
Conferences and International Guest Faculties
The department has organized several continuing medical education programmes (CMEs), workshops and conferences like Neurology Updates for Physicians, Brain and Viruses (1997), ECON (1997 and 2005), IANCON (2005), Movement Disorder Update (2012). Public education programs on epilepsy, stroke, Parkinsonism, migraine, etc., are being conducted from time to time.
The department is honored by the visits of international guest faculties from time to time including Dr. Sid Gilman, Dr. Louis R. Caplan, Dr. Simon Shorvon to name a few.
A 10 bedded “Stroke ICU” is going to be functional very soon and a separate 10 bedded “Neurology ICU” is also planned. The department will have a state–of-the-art “Stroke Unit” along with new facilities for neurointervention with the aim of developing a “Centre of Excellence” for training of faculty from all over the country. 'Speciality Clinics' will also start functioning in near future. Stem cell project in stroke is under process. Establishment of autonomic nervous system testing lab is also proposed. We are looking forward to collaborate with our neurosurgery colleagues for epilepsy surgery and deep brain stimulation therapy.
Team work is the key to success. The department is like a family and all members work together round the clock with utmost dedication. Socialization is equally important. Picnics, cricket match, festival get-togethers are regularly organized. Under the leadership of Dr. R.S. Jain, who had been blessed by Mother Teresa, and is inspired by the saying of Swami Vivekanand “Arise, Awake and stop not till the goal is reached,” the department is progressing toward new vistas.
Serving people since pre-independence, from more than eight decades, SMS Hospital has witnessed and played a pivotal role in the development of Jaipur, the pink city. Situated in the heart of the city as a landmark, it continues to grow from bricks to blocks.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.