Management Team

Acute Medicine

Overview

Sir H. N. Reliance Foundation Hospital is proud to introduce the country’s first dedicated Department of Acute Medicine, led by Dr. Mukesh Thakur (Director of Acute Medicine). The department is centered on offering a transformative model designed to treat complex and overlapping medical conditions - all in one place, at the right time, the first time.

At the heart of Acute Medicine are three defining pillars:

  • Same Day Medical Care & Cure
  • Getting it right the first time.............Everytime!
  • Integrated Care

Acute Medicine specializes in an “Integrated Model of Care,” treating a wide range of serious health issues promptly and with precision. Instead of referring patients to multiple specialists for each problem, one “super-specialist” coordinates all aspects of care and manages overlapping, complex, multi-organ medical conditions at once - whether it’s breathing difficulties combined with heart, kidney, or diabetes problems.

Through our Same Day Medical Care & Cure, we manage and provide advanced care for serious urgent medical conditions - all on the same day, without requiring overnight hospitalization - helping you recover swiftly.

Led by Dr. Thakur, our team ensures seamless, coordinated 360-degree care with a patient-first approach from the moment you arrive - eliminating the need for second opinions, minimizing the delays, reducing misdiagnoses, and avoiding unnecessary tests.

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FAQs

Acute Medicine specializes in the “Integrated Model of Care” treating a wide range of serious health issues quickly and effectively. Instead of referring patients to multiple specialists for each problem, an acute medicine physician is trained to assess, diagnose, and manage complex, multi-organ medical conditions all at once.

This means if you or your loved one has several overlapping health concerns – for example, breathing difficulty complicated by heart, kidney, or diabetic issues – one “super-specialist” can coordinate all aspects of care. Under Dr. Thakur’s leadership, our Acute Medicine team streamlines treatment from the moment you arrive, ensuring that critical decisions and therapies are not delayed. This approach helps reduce misdiagnoses, avoid unnecessary tests, and minimize the delays that often occur when patients are sent to multiple departments. In short, Acute Medicine offers a one-stop solution for complex medical problems, delivered with speed and precision in a fully coordinated manner.

  • Better Outcomes with Coordinated Acute Care: Choosing Acute Medicine means choosing better, safer care – and the results are measurable. Internationally, hospitals that adopted acute medicine models have seen significant improvements in patient outcomes. Studies have found that having a dedicated acute medical unit can shorten hospital stays by up to a couple of days on average, meaning patients get well and return home sooner. More importantly, mortality (death rates) drops when patients receive acute care from specialized teams – research shows that acute medicine units have reduced mortality by several percentage points compared to traditional care. In fact, one large study reported an absolute mortality reduction of up to 8.8% after introducing acute medical specialists. These are not just numbers – they translate to lives saved.
  • Lower Mortality Rates: Timely, expert intervention for acute illnesses has been proven to significantly reduce patient mortality. With Dr. Thakur’s methods, the focus is on preventing deaths by eliminating delays and errors – striving towards a goal of zero preventable deaths in our hospital.
  • Shorter Hospital Stays: Efficient management and quick decision-making mean you spend less time in a hospital bed. International acute care models show patients treated in an acute medical unit go home up to 0.5–2 days sooner on average without compromising care. A shorter stay is not only more convenient for you, but it also lowers the risk of hospital-acquired complications.
  • Fewer Readmissions: Because our team emphasizes proper recovery and close follow-up, patients are less likely to bounce back to the hospital with the same problem. By addressing all aspects of your health and ensuring a safe transition home, we aim to reduce repeat hospital visits. This means greater peace of mind for you and your family after discharge.
  • Safe, Coordinated Care (No Conflicting Treatments): Having a single supervising physician like Dr. Thakur means that all your treatments are harmonized. The Acute Medicine team will prioritize the most effective interventions for your situation and avoid any medication overlaps or contradictory therapies. This coordination boosts safety and effectiveness – every test or treatment is deliberate and necessary, focused on what benefits you the most.

These outcome-focused improvements demonstrate why an Acute Medicine department can be life-changing for patients. Our mission is to bring those same benefits to every patient at Sir H. N. Reliance Foundation Hospital. When you choose our Acute Medicine department, you are choosing a higher standard of care that has been shown to save lives, speed recovery, and reduce complications.

From the moment you walk into the Acute Medicine department, our focus is on you – your concerns, your comfort, and your health goals. We understand that dealing with multiple health problems or an undiagnosed illness can be stressful. Our team is here to make your experience as smooth and reassuring as possible.

During your first visit, you can expect the following:

  • A Warm, Thorough Welcome: Our nursing staff will greet you and gather preliminary information about your health history. Unlike in rushed clinic settings, we encourage you to share all your health concerns – even if they seem unrelated – because our aim is to get a complete picture of your health. This holistic understanding is the first step to effective acute medicine care.
  • Comprehensive Evaluation by Dr. Thakur and his team: You will meet Dr. Mukesh Thakur and his team, who will personally spend time to listen to your symptoms and medical history in detail. As a compassionate physician, he ensures patients and families feel heard and understood. He will perform a thorough physical examination. Because of his broad expertise, Dr. Thakur and his team knows exactly what to look for in complex cases. For example, he might use on-spot tools like a POCUS ultrasound during the exam to immediately check an organ function, if needed. By the end of this evaluation, he will have a working plan of what the likely issues are.
  • Immediate Diagnostic Plan: If further tests (like blood tests, X-rays, scans, etc.) are needed, we strive to arrange many of them the same day through our rapid access service. Our department coordinates with the hospital’s labs and imaging centers to fast-track urgent investigations. This means that instead of scheduling tests days or weeks apart, you may get answers within hours. We know that waiting for results can be anxiety-provoking, so we minimize that wait whenever safely possible.
  • Clear Communication and Discussion: Once initial results are in (or after the exam if no further tests are needed), Dr. Thakur and his team will explain the diagnosis and treatment plan in clear, simple language. We avoid medical jargon – our goal is that you and your family completely understand what is happening with your health. Dr. Thakur and his team will outline the next steps, whether it’s starting a treatment immediately, referring you for a specific procedure, or admitting you to the hospital for close monitoring. Throughout this discussion, you are encouraged to ask questions. We believe an informed patient is an empowered patient, so we take the time to address any doubts or fears you may have. By the end of the visit, you will know exactly what to expect in the coming days and whom to contact if any issues arise.
  • Coordinated Follow-Up and Support: Before you leave, our team will provide instructions for follow-up. If you require a follow-up appointment in our Acute Medicine clinic or with any other specialist, we will help schedule those and coordinate the information handover. You will also receive advice on symptoms to watch for and guidelines on medications or home care. Our department makes it easy for you to reach out – you’ll have contact information to report any new concerns. We often schedule a post-discharge or post-visit phone call to check on high-risk patients, ensuring that you are recovering well at home. This level of attentive follow-up is part of our patient-centric promise.

Comprehensive Services for Complex Medical Needs

Same-Day Medical Care n Cure Clinics

For urgent medical issues that are serious but may not require overnight hospitalization, our department runs rapid access clinics and same-day medical care n cure services. Here, patients can be evaluated, treated, and observed for a few hours under medical supervision, and often go home the same day. These clinics allow prompt attention by an acute medicine specialist without the delays of admission, ensuring faster relief and convenience for patients. (For example, if you have a sudden health concern that needs immediate attention, our team can arrange investigations and start treatment within a single day’s visit.)

Acute Decompensation of Complex Chronic Diseases

We provide comprehensive care for patients with multiple chronic illnesses or complicated medical histories. Dr. Thakur and his team carefully balances all underlying conditions – from diabetes to heart failure to autoimmune diseases – crafting an integrated treatment plan so that managing one problem does not worsen another. This holistic oversight helps stabilize patients with complicated needs and prevents treatment conflicts between different conditions.

Emergency and Urgent Care Coordination

Our acute medicine specialists work hand-in-hand with the Emergency Department to care for critically ill or acutely deteriorating patients. Whenever a patient with a complex medical emergency arrives – such as a severe infection on top of existing chronic illness – Dr. Thakur’s team is ready to take charge after initial stabilization. We provide round-the-clock expert coverage for acute medical admissions, ensuring that from the ER to the ward, care is seamless. This means even in emergencies, you have an internal medicine expert immediately managing your case to avoid complications or missteps.

Post-Surgery Complication Management

If a patient develops medical complications after a surgery (for instance, an infection, unexpected fever, breathing difficulty, or organ dysfunction), our Acute Medicine department steps in to manage these post-operative medical issues promptly. Dr. Thakur and his team liaises with the surgical teams to address problems like uncontrolled blood pressure, lung issues, or kidney problems following surgery. By having a medical super-specialist co-manage post-surgery patients, we help ensure a smoother recovery and prevent small issues from becoming life-threatening. Patients and families have added reassurance that there’s an expert focused on overall health even as surgical wounds heal.

Post-Discharge Follow-Up Clinics

Our care doesn’t end when you leave the hospital. Acute Medicine runs dedicated follow-up clinics for patients recently discharged after a serious illness or hospital stay. In these clinics, Dr. Thakur and his team will review your progress, adjust medications if needed, and make sure that your recovery is on track. This proactive follow-up helps catch any early signs of trouble and has been shown to reduce hospital readmissions by addressing issues before they worsen. It also gives patients and families a direct line for concerns after going home, providing continuity of care during the recovery phase.

Our Acute Medicine team leverages the latest medical technology and innovative practices to provide fast and accurate care. Dr. Thakur is a firm believer in using advanced tools to improve patient outcomes. For example, he incorporates artificial intelligence (AI)-driven decision support in his practice – these are smart computer systems that can analyze complex medical data (like your test results and history) to assist in diagnosing conditions or predicting risks. By using AI in appropriate ways, Dr. Thakur and his team can gain deeper insights quickly and ensure no detail is overlooked in complex cases.

Another cutting-edge tool in our department is Point-of-Care Ultrasound (POCUS). This is a portable, bedside ultrasound technique that Dr. Thakur and his team are highly skilled in. POCUS allows immediate imaging right at the patient’s bedside, so he can literally “see inside” the body in real time during an examination. This is incredibly useful for acute cases – for instance, a quick ultrasound of the lungs can help confirm heart failure or pneumonia within minutes, guiding prompt treatment. Studies have noted that POCUS is becoming an essential part of acute medical care, enhancing diagnostics and aiding rapid decision-making for acutely ill patients with POCUS, Dr. Thakur and his team can often avoid delays waiting for formal scans and can start interventions sooner, improving patient comfort and outcomes.

At the Department of Acute Medicine, we treat a wide range of conditions, from common concerns to complex, multi organ conditions, with expertise and compassion, supporting patients through every stage of their health journey.

  • Abnormal liver function: When the liver isn't working properly, which may be found through blood tests and can be caused by infections, alcohol, or medications.
  • Acute headache: A sudden headache that can range from mild to severe and may be caused by stress, dehydration, or other health issues.
  • Anaemia: A condition where your body doesn’t have enough healthy red blood cells, often making you feel tired, weak, or short of breath.
  • Asthma: A long-term condition that makes it harder to breathe because the airways in your lungs become swollen and narrow.
  • Cellulitis of limb: A skin infection in the arm or leg that causes redness, swelling, warmth, and pain, and usually needs antibiotic treatment.
  • Chronic obstructive pulmonary disease (COPD): A progressive lung disease often arising due to smoking or long-term exposure to harmful pollutants.
  • Community-acquired Pneumonia: Lung infection is often caused by bacteria, viruses, or aspiration.
  • Congestive cardiac failure: A condition where the heart doesn't pump blood as well as it should, leading to tiredness, swelling, and shortness of breath.
  • Deep vein thrombosis: A blood clot that forms in a deep vein, usually in the leg, which can cause pain, swelling, and serious complications if not treated.
  • Diabetes: A long-term condition impacting blood sugar control that can lead to organ damage without proper care.
  • Electrolyte disturbance: An imbalance of minerals like sodium or potassium in the body, which can affect how your muscles, nerves, and heart work.
  • End of life care: Support and medical care given to someone in the final stages of life to help manage symptoms and improve comfort.
  • Enteral feeding tube complications: Problems related to feeding tubes (like blockages or infections) that deliver nutrition directly to the stomach or intestines.
  • Falls including syncope or collapse: A sudden fall or loss of consciousness, often caused by a drop in blood pressure, heart issues, or other medical conditions.
  • First seizure: First episode of unusual movements or loss of awareness caused by abnormal electrical activity in the brain.
  • Gastroenteritis: An infection of the stomach and intestines that causes diarrhea, vomiting, and stomach cramps.
  • Hypoglycaemia: A drop in blood sugar levels that can cause shakiness, sweating, confusion, or fainting, especially in people with diabetes.
  • Inflammatory bowel disease: A long-term condition where the digestive tract becomes inflamed, causing symptoms like stomach pain, diarrhea, and fatigue.
  • Known oesophageal stenosis (stented/unstented): A narrowing of the food pipe that can make swallowing difficult, sometimes treated with a tube (stent) to keep it open.
  • Low risk acute kidney injury: A mild and often short-term problem where the kidneys don’t work properly, usually caused by dehydration or certain medications.
  • Low risk chest pain: Chest discomfort that isn’t likely to be caused by a serious heart condition but still needs checking to be sure.
  • Lower gastro-intestinal haemorrhage: Bleeding from the lower part of the digestive system, often seen as blood in the stool.
  • Lower respiratory tract infections without COPD: Infections like bronchitis or pneumonia that affect the lungs but not related to chronic lung conditions.
  • Painless obstructive jaundice: Yellowing of the skin and eyes caused by a blockage in the bile ducts, without any pain.
  • Pleural effusions: A build-up of fluid around the lungs that can cause chest discomfort and difficulty breathing.
  • Pneumothorax: A collapsed lung caused by air leaking into the space between the lung and chest wall, leading to sudden chest pain and breathlessness.
  • Pulmonary embolism: A blood clot in the lungs that can cause sudden chest pain, difficulty breathing, and can be life-threatening if not treated quickly.
  • Seizure in known epileptic: A seizure episode in someone who has a known diagnosis of epilepsy, usually triggered by missed medication, stress, or illness.
  • Self-harm and accidental overdose: When someone intentionally or unintentionally takes too much medication or harms themselves and needs medical and emotional support.
  • Supraventricular tachycardias and other unspecified tachycardias: Abnormally fast heart rhythms that start in the upper part of the heart, causing palpitations, dizziness, or shortness of breath.
  • Transient ischaemic attack: A temporary blockage of blood flow to the brain causing stroke-like symptoms that go away within 24 hours.
  • Upper gastro-intestinal haemorrhage: Bleeding from the upper part of the digestive system (like the stomach or esophagus), which may cause vomiting blood or black stools.
  • Urinary tract infections: Infections in the bladder or urinary system that cause burning when peeing, frequent urination, and lower abdominal discomfort.

At the Acute Medicine department of Sir H. N. Reliance Foundation Hospital, our commitment is simple: to treat every patient as we would our own family. This means you will receive unparalleled medical expertise along with warmth, respect, and individualized attention. We are excited to lead the way in India with this innovative acute care model and invite you to experience the difference it makes.

If you have any questions or wish to learn more about our services, please do not hesitate to contact us. We are here for you 24/7, prepared to handle any medical challenge – big or small – with a smile, compassion, and unwavering dedication. In your moment of need, trust India’s first Acute Medicine department to be by your side, every step of the way, delivering world-class care when it matters most.

Partners In Care

Mukesh Thakur
Mukesh Thakur
Director - Internal Medicine, Acute Medicine & Clinical Transformation
Internal Medicine and Geriatrics
Sub-speciality: All Internal organs, Health, Lifestyle & Longevity
  • M.B.B.S., MRCP (UK), Dual CCST (UK) in General & Acute Internal Medicine, FRCP (UK), IA (USA), SELPi HBS (USA)
  • 24+ years