🏥 Liver Transplant Services Update | Dr. Chetan Kalal, DM Hepatology & Transplant Physician, Mumbai Transforming Liver Transplant Care with Cutting Edge Protocols and Patient Centered Support ________________________________________ 1. Why Choose Dr. Chetan Kalal for Your Liver Transplant? • First DM Hepatologist of Maharashtra Dr. Kalal combines over 12 years of focused liver disease expertise with advanced transplant experience at Gleneagles Hospital, Mumbai. • Internationally Trusted Serving patients from UAE, UK, USA, Singapore, and East Africa, with dedicated virtual second opinion and evaluation services. • Multidisciplinary Team Approach Seamless coordination among hepatologists, transplant surgeons, interventional radiologists, nutritionists, and mental health counselors ensures an all encompassing care plan. • Robust Outcomes Over 1, 500 complex liver disease referrals managed, with a transplant success rate above national benchmarks. ________________________________________ 2. New & Enhanced Transplant Protocols 2.1 Accelerated Evaluation & Listing • Rapid Pre Transplant Workup (7–10 business days) – Comprehensive labs: MELD, INR, hepatic panel, viral serologies – Cross sectional imaging (triphasic CT/MRI) for tumor and vascular assessment – Cardio pulmonary stress test and anesthesia clearance – Donor evaluation – live donor counseling, compatibility workup, and psychosocial assessment 2.2 Personalized Recipient Optimization • Prehabilitation Clinic – Exercise physiologist–guided regimen to build muscle mass and improve cardiopulmonary reserve – Tailored nutritional plan to correct malnutrition, vitamin deficiencies, and sarcopenia – Psychosocial counseling for patient and family to set realistic transplant expectations • Advanced Medical Management – Aggressive ascites control with diuretics ± paracentesis protocols – Hepatic encephalopathy surveillance using standardized cognitive scoring – Early management of portal hypertension (endoscopic variceal ligation or TIPS where indicated) 2.3 Cutting Edge Transplant Techniques • Minimally Invasive Donor Hepatectomy – Laparoscopic or robotic resection, reducing postoperative pain and hospital stay for donors • Normothermic Machine Perfusion (NMP) – Ex vivo liver preservation in select cases, improving graft viability and expanding donor pool • Split Liver & Extended Criteria Grafts – Offering transplant options for pediatric and small adults using left lateral segment grafts – Utilization of donors with mild steatosis or aged grafts after rigorous quality assessment ________________________________________ 3. Post Transplant Continuum of Care 3.1 Hybrid Follow Up Model • In Person Visits (First 1.5 to 3 Months) – Weekly clinical assessments: liver function tests, immunosuppressant dose adjustment, Doppler ultrasound of graft vasculature – FibroScan® to monitor early graft fibrosis or rejection • Telemedicine & Remote Patient Monitoring –virtual consultations for stable patients, especially international and out of state individuals – Digital prescription refill and lab report review via secure patient portal 3.2 Immunosuppression Protocols • Tailored Regimens – Tacrolimus based primary immunosuppression with steroid sparing approach whenever feasible – mTOR inhibitors (Everolimus) in cases of calcineurin inhibitor nephrotoxicity or de novo malignancy risk • Therapeutic Drug Monitoring (TDM) – Point of care immunosuppression e.g tacrolimus level etc checks in clinic – Dose adjustments guided by trough levels, kidney function, and infection risk profile 3.3 Ongoing Support Services • Nutritional Counseling & Exercise Coaching – Post transplant weight management to prevent metabolic syndrome – Bone health assessment and vitamin D supplementation to mitigate osteoporosis • Psychosocial & Pharmacy Support – Access to transplant support groups for mental well being – Dedicated transplant pharmacist for medication side effect management and drug drug interaction review ________________________________________ 4. Expanded International & Virtual Services • Virtual Second Opinion Clinic – Reports reviewed by Dr. Kalal within 24 hours via secure telehealth platform – Customized transplant feasibility report, risk benefit analysis, and facility recommendations • International Patient Concierge – Assistance with medical visas, local accommodation, interpreter services, and logistics – Dedicated care coordinator for seamless scheduling of tests, procedures, and follow up visits • Hybrid Pre Transplant Workshops – Live Webinar Series: “Understanding Liver Transplant: Step by Step” – open to global audience – Digital Resource Kit: Pre transplant diet plan, exercise guide, and medication compliance tools ________________________________________ 5. Local & Pan India Outreach • Satellite Evaluation Centers – Monthly transplant screening camps in Nashik, Nagpur, Aurangabad, Goa, Indore – On site MELD scoring, FibroScan® assessment, and transplant counseling • Community Awareness & Early Referral Network – Partnerships with primary care physicians, gastroenterologists, and hepatologists across Maharashtra – CME programs on “Recognizing Decompensation & Urgent Transplant Referral” • Tele Multidisciplinary Tumor Board – Weekly virtual case discussions with oncologists, pathologists, radiologists, and transplant team to identify transplant eligible hepatocellular carcinoma (HCC) patients ________________________________________ 6. Patient Success Stories & Outcomes • Case Highlight 1: – 28 year old with decompensated cirrhosis (MELD Na 32), successful living donor transplant; returned to work in 3 months; graft function normal at 2 year follow-up. • Case Highlight 2: – 45 year old from Dubai with alcohol related liver disease; underwent liver transplant; resumed normal life with stable graft for 18 months. • Case Highlight 3: – 12 year old with Wilson’s disease (acute on chronic liver failure); urgent transplant doing well at 5 year check. ________________________________________ 7. How to Get Started 1. Step 1: Inquiry & Online Consultation – Fill out our Virtual Transplant Evaluation Form on www.drchetankalal.com – Send recent labs, imaging, and medical history via secure email or WhatsApp 2. Step 2: Pre Transplant Workup – Schedule in person or local satellite center appointment for labs, FibroScan®, and screening tests – Virtual meeting with transplant coordinator to review findings and plan next steps 3. Step 3: Transplant Procedure & Follow Up – Admit under Dr. Kalal’s care at Gleneagles Hospital, Mumbai – Continuous post operative monitoring and discharge planning tailored to each patient’s needs ________________________________________ Dr. Chetan Kalal remains committed to delivering evidence based, patient first liver transplant care under evolving global standards. Whether you are in Mumbai or on the other side of the globe, our modernized transplant program is designed to guide you step by step—ensuring the highest chance of long term success. 📞 Contact Us: www.drchetankalal.com 📍 Gleneagles Hospital, Mumbai Opening Hours: Mon–Sat, 9 AM–5 PM IST ________________________________________ Ready for a second chance at life? Reach out today to learn how we’re rewriting liver transplant care.