PMR Outpatient and Inpatient Care

This page gives information about OP appointments or IP admissions to the Physical Medicine and Rehabilitation (PMR) department, CMC, Vellore.

If you need help about another medical problem or need information about another department please go to CMC Departments. For other information for patients, please go to CMC Patient Information.

Multidisciplinary rehabilitation

Following a head injury/stroke/spinal injury most patients require multidisciplinary treatment. Multidisciplinary treatments means seeing lots of different professionals! This will often including physiotherapy, occupational therapy, nursing, medical care and sometimes speech therapy and psychology plus social workers. Sometimes the therapy can be given as an outpatient, and sometimes as an inpatient. The treatment time for complex problems like spinal cord injury or brain injury can be 6 weeks to 6 months or more. team diagram md

If you have questions about other medical problems or need another department, please write to pro@cmcvellore.ac.in

PMR Outpatient or Inpatient treatment

Most patients need to book an OP appointment. Most patients we see in Outpatients do not need to be admitted as an inpatient and can have therap+y, if needed, as an outpatient.

Some patients do need inpatient treatment and rehabilitation. Nearly all of our inpatients are seen in Outpatients first. The doctors will assess you and advice the best treatment for you – outpatient or inpatient.

If you want or need inpatient care you need to come to an OP appointment first to discuss treatment with the doctors.

Some very sick patients may be transferred by their doctors to CMC and may not come to OPD first – only these patients need not book for OP.

PMR Outpatient (OP) appointments

PMR outpatients are separate from main outpatients. Physio is in this builiding and OT is in the building behind
PMR outpatients in here. There is a ramp on the left side

Patients can be assessed by a doctor by making a Physical Medicine and Rehabilitation Outpatient appointment. You can see the doctor for assessment, for advise, for medical treatments eg starting tablets and to plan outpatient or inpatient therapy and treatments.

Please bring all medical reports, xrays, scans and test results about the patient.

See below on how to book an appointment:

Booking an Outpatient appointment with PMR

You can book an appointment online, come into the hospital and book or book by post. You need to pay when you book. (You can send a Demand Draft by post or courier if you do not have a credit card.)

You can Use Chris card or a credit card for repeat appointments booked online.

Please go to http://clin.cmcvellore.ac.in/webapt/ to book an appointment

You can no longer phone for an appointment.

Appointment Information

You need this information when you book:

– Which doctors in PMR do you want to see/consult?

If you do not know please tell us briefly your problem eg spinal cord injury

– What kind of appointment do do you want? General / Private

– What is the earliest date for an admission?

Don’t forget you will need to get transport here.

– Address & phone number to send appointment to if different from the address given when you registered at CMC eg you have moved

Out-patient Tariff: the Rates/Costs for an OP clinic appointment

New Registration – first time at CMC. Paid ONCE only

General Rs 150/-

Private Rs 650/-

Repeat appointments – Consultation in OPD: Within 3 months

General Rs 80/-

Private Rs 220/-

Repeat appointments – Consultation in OPD: After 3 months

General Rs 80/-

Private Rs 550/-

Referral for any NEW Consultation on the same day, to a different department or within the same department.

General —

Private Rs 550/-

Accident and Emergency Initial assessment excludes tests, medicines etc

Casualty Rs 230/-

For more information on the rates, what is a private and what is a general appointment etc see

Appointments for non-Indian Citizens or Foreigner

You can read information about making an appointment as a non-Indian citizen by going to this page . This will help you book the appointment.

http://clin.cmcvellore.ac.in/onlineipo/

If you need any more information write to webappointment@cmcvellore.ac.in.

They will be able to help you.

PMR Inpatient beds – Admissions

Inpatient beds are not usually available immediately. So there is often a wait for both private beds and general beds. All patients are usually admitted to the main hospital in Q3 or A2 first and therapy can be started there. Transfer to the rehabilitation Institute will occur when the patient is ready and a bed is available. Outpatient treatment can sometimes be started immediately while you wait for an inpatient admission. Unfortunately, patients often have to wait a few months for an inpatient bed.

You can ring Dr Judy, PMR 1, to get information about admissions, on Tuesdays and Fridays after 10am on 0416 2283022. Please read the information below first.

Arranging an Admission / Inpatient treatment

For most outpatient appointments the patient MUST attend. There are times when we will see just the family member if we are planning an admission: more details here.

If you are planning for admission (inpatient care) we ask you to make an OPD appointment in the patients name with PMR 1 or PMR 2. The patient with complex disabilities does not need to come to the OP appointment IF this is to plan for admission. We know it is hard for patients to travel after an injury or illness. A relative may come to the appointment instead. It is best if the relative comes who will stay with the patient during their admission.

During the appointment the doctors can find out about your relative. You can find out what rehabilitation (often just called rehab) is all about. You can visit the wards and the Rehabilitation Institute. You can ask questions and the doctors can also explain the costs to you.

Inpatient treatment can be sorted out from the OPD if appropriate. Some patients in OPD are admitted straight into the ward BUT most need to be put on the waiting list.

Waiting list patients will be admitted to the ward only when a bed is available which may be a few months away from the first visit to outpatients (OP)

Booking a private inpatient bed at the main hospital

The patient is admitted onto the private ward as an inpatient for treatment / therapy. You still need to book an OP appointment – you may be admitted from OP but usually there is a wait for a bed to become available. So it is best to book the PMR bed BEFORE you come to CMC (if you can).

Email us on pmrcmcv@gmail.com to discuss this.

Before Admission – General AND Private patients

We will need information including:

Patient’s Full Name:

Has the patient ever visited CMC for treatment before?

If yes – please let us know the Hospital Number:

Treatment received so far (if any)

Any Complications present?

Pressure sores? Please note where they are

Any Contractures of joints / muscles? Where are they?

Urinary complications

Chest or breathing problems etc

We can help with these problems but your inpatient stay will be longer.

Please bring a letter from your attending doctor (if there is one) AND all reports, scans discharge letters etc.

  • An advance deposit of Rs 50,000 – 100,000 depending on bed type. This is paid before you are admitted.

  • A female relative needs to stay with the patient night and day while they are an inpatient.

Cost of Inpatient Treatment

The cost of care is approximately Rs 35,000 per month for general beds and Rs 1 lakh or more per month for private beds in the hospital.

If the patient has any complications then rehabilitation is longer. It is about one month for each complication present before coming to hospital or for any complication that occurs during the inpatient stay.

Some Complications are:

  • Pressure sores, also called bed sores: these are holes in the skin showing fat or muscle or bone or black scabs

  • Contractures of the joints or muscles: these mean the patient is unable to bend and straighten joints fully eg left knee, right ankle

  • Urinary / waterworks problems/complications can include infections, bladder or kidney stones, incontinence, having a catheter in the bladder and leaking urine.

    • Chest, respiratory, lung or breathing problems; this may include chest infections, pneumonia, bronchitis, asthma, short of breath, fluid in the lung, collapsed lung and ventilation (attached to a machine which helps the patient breath)

Questions about PMR

If you have any questions you can write to pmrcmcv@gmail.com.

Outpatient or Inpatient treatment

Most patients need to book an OP appointment. Nearly all of our inpatients are seen in Outpatients first. If you do not know if you need outpatient or inpatient treatment then book an outpatient appointment. The doctors will assess you and advice the best treatment for you.

Some very sick patients may be transferred by their doctors to CMC and may not come to OPD first – only these patients need not book for OP.

Booking an Outpatient (OP) appointment

Patients can be assessed by a doctor by making a Physical Medicine and Rehabilitation Outpatient appointment. You can see the doctor for assessment, advise and to plan outpatient or inpatient treatments.

If you are planning for admission we ask you to make an OPD appointment with PMR 1 or PMR 2. The patient does not need to come to the OP appointment. We know it is hard for patients to travel after an injury or illness. A relative may come to the appointment instead. It is best if the relative comes who will stay with the patient during their admission.

During the appointment the doctors can find out about your relative. You can find out what rehabilitation (often just called rehab) is all about. You can visit the wards and the rehabilitation institute. You can ask questions and the doctors can explain the costs to you.

Please bring all medical reports, xrays, scans and test results about the patient.

Making the Appointment

Go to http://clin.cmcvellore.ac.in/webapt/ to book an appointment.

The way to book an appointment changed in April – May 2016. You can NOT make an appointment by phoning the call centre any more. You can book online or send the information and a demand draft by post or courier to the hospital or you can book at the hospital. Details below.

Sorry, You cannot book by email as you need to pay when you book, and you cannot book by phone.

When you book you need to tell us:

1. After what date should do you want the appointment? (you will need to make travel arrangements to get here)

2. Would you like a general appointment or private appointment?

3. What department do you want to see?

Inpatient Care

Inpatient beds are not always available immediately. So there is often a wait for both private beds and general beds. All patients are usually admitted to the main hospital first and therapy can be started there. Transfer to the rehabilitation Institute will occur when the patient is ready and a bed is available. Outpatient treatment can sometimes be started immediately while you wait for an inpatient admission. However, patients often have to wait a few months for inpatient beds.

Patient will need admission in Q3 or A2 in the main hospital before transfer to the Rehabilitation Institute. Please read the information below first.

Arranging an Admission / Inpatient treatment

A family member can book an OP appointment in the patients name. The patient need not attend if you wish to discuss admission. We understand it is hard to travel for someone who is disabled and not yet rehabilitated. The family member can discuss admission with the doctor. The patient does not need to be at that visit if they cannot travel.

Admissions can be arranged by either:

      • An outpatient appointment so the doctors can assess him/her and discuss the best treatment.
        • Inpatient treatment can be sorted out from the OPD if appropriate. Some patients in OPD are admitted straight into the ward BUT most need to be put on the waiting list. Waiting list patients will not be admitted to the ward on the day they first come to OP.
          OR
      • Booking a private inpatient bed at the main hospital: The patient is admitted onto the ward as an inpatient for treatment / therapy. You still need to book an OP appointment – you should be admitted from OP. But it is best to book the PMR bed BEFORE you come to CMC (if you can)

We will need information including: Your age, address, date of injury, type of injury, treatment received so far (if any), any complications present and a letter from your attending doctor (if there is one) (see below for re information). Also the first date you can reach Vellore for admission.

An advance deposit of Rs 50,000 – 100,000 depending on bed type. This is paid before you are admitted.

A female relative needs to stay with the patient night and day while they are an inpatient.

Cost of Inpatient Treatment

The cost of care is approximately Rs 12,000 per month for general beds and Rs 30,000 or more per month for private beds. Detailed costs are given below.

If the patient has any complications then rehab is longer. It is about one month for each complication present before coming to hospital or for any complication that occurs during the inpatient stay.

Some Complications are:
      • Pressure sores, also called bed sores: these are holes in the skin showing fat or muscle or bone or black scabs
      • Contractures of the joints or muscles: these mean the patient is unable to bend and straighten joints fully eg left knee, right ankle
      • Urinary / waterworks problems/complications can include infections, bladder or kidney stones, incontinence, catheter into bladder and leaking of urine.
      • Chest, respiratory, lung or breathing problems; this may include chest infections, pneumonia, bronchitis, asthma, short of breath, fluid in the lung, collapsed lung and ventilation (attached to a machine which helps the patient breath)

Summary:

You want an Outpatient appointment with PMR

Book an appointment online or book by post. You cannot book by phone.

You need to pay when you book. You can Use Chris card or a credit card for online bookings. (You can send a Demand Draft by post or courier if you do not have a card.)

You want to be admitted for treatment with PMR

Most people come to an OP appointment to discuss treatment with the doctors first. Sometimes a relative comes alone without the patient as travel can be difficult.

Or Write to us with your details. We can then tell you when a bed is available and what else you need to do.

Then book an appointment with PMR for the date of admission – see above on how to do this.

You can come to an OP without writing to us first – but you may have to wait for a bed to be available. Sometimes this means going home for weeks or months until the bed is available.

Very sick patients may come to the wards without coming to OP first – usually your doctors will arrange this.

PMR Patients: Information that we need

If you wish to arrange an admission to PMR for assessment or rehabilitation we need this information about you and the kind of admission you want.:

Have this information ready if you come to the hospital without the patient:

Patient’s Information

Patient’s Full Name:

Has the patient ever visited CMC for treatment before?
If yes – please let us know the Hospital Number:

Treatment received so far (if any),

Any Complications present?

      • Pressure sores? Please note where they are
      • Any Contractures of joints / muscles? Where are they?
      • Urinary or waterworks problems
      • Chest or breathing problems

We can help with these problems but your inpatient stay will be longer.

When you come to CMC:

Please bring a copy of all the results from tests that have been done, plus a copy of any xrays or scans. You can tell us about any complications if your relative is not with you on the first visit.

Booking Outpatient Appointments

MOST patients need an outpatient appointment before they are admitted for a PMR inpatient stay. You can book the appointment by going online. You NEED TO PAY by Indian credit card when you book online. Go here to book: http://clin.cmcvellore.ac.in/webapt/

Contact pro@cmcvellore.ac.in if you need help.

Do not live in India?

See “Appointments for non-Indian Citizens or Foreigners” below.

Appointment Information

Which doctors in PMR do you want to see/consult?

If you do not know please tell us briefly your problem eg spinal cord injury

What is the earliest date for an admission?
Don’t forget you will need to get transport here.

What kind of bed do do you want for admission? General / Private

Address to send appointment to if different from the address given when you registered at CMC or if you have moved.

Out-patient Tariff: the Rates/Costs for an OP clinic appointment

New Registration – first time at CMC. Paid ONCE only

General Rs 120
Private Rs 630

Repeat appointments – Consultation in OPD

General

Within 3 months Rs 65
After 3 months Rs 65

Private

Within 3 months Rs 175
After 3 months Rs 540

Referral for any NEW Private Consultation on the same day, to a different department or within the same department, is Rs 540

First Visit – Registration

New patients need to register. You can register on line or by phoning the call centre. The website to register is http://clin.cmcvellore.ac.in/webapt/.

Inpatient Tariff From 1st January 2015:

An advance deposit of Rs 50,000 – 100,000 depending on bed type. This is paid before you are admitted.

A female relative MUST stay with the patient night and day while they are an inpatient.

Cost of Inpatient Treatment

The cost of care is approximately:

Rs 12,000 per month for general beds

Rs 30,000 or more per month for private beds.

Appointments for non-Indian Citizens or Foreigners

You can read information about making an appointment as a non-Indian citizen by going to this page

http://clin.cmcvellore.ac.in/onlineipo/

If you need any more information about booking please write to Webappointment@cmcvellore.ac.in. They will be able to help you.