Prabhakar Bhurke Clinic

Just one phrase to describe myself ... Multi System Systemic Lupus Nephritis . My name is Karishma Shaikh. In Paris City in European Union in Oct 2020, I developed swelling of my face. All Paris Hospitals were overflowing with Covid-19 patients, and, I got an Appointment for Paris Doctor, for three months later on, for Dec 2020. I browsed the internet and learnt about this being possibly kidney issue, and , contacted Dr Sandip Bhurke in Andheri, Mumbai, India. He suggested a video call. Within 5 seconds of the video call, looking at my swollen face with Butterfly rash on my cheeks, Dr Bhurke suggested that I may be having Lupus Nephritis Kidney problem. I flew back urgently to Mumbai, and, Dr Bhurke attended to me in OPD of Prabhakar Bhurke Nephrology Urology and Gynaecology Infertility Clinic Mumbai at 3 AM in the night. I got admitted thereafter. My list of problems is too long, but, here goes ...

These medical words are reproduced from my discharge card and give a summary of my medical problems ...

1 SLE Systemic Lupus Erythematosus

2 ANA and dsDNA strong positive

3 Pulsed with Methyl Prednisolone and Second Line MMF Mycophenolate Mofetil started

4 Multi System Involvement

A Skin, Face, Fingers, Hairs

B Hematological Duocytopenia

C Vasculitic Lower Abdominal Pain and Vasculitic Pancreatitis

D Eye Corneal oedema

E Hypotension

F Generalised Vasculitic Lymphadenitis

5 Kidney Biopsy postponed in view of Minimal Proteinuria

6 Vaccinated against Hepatitis B, Influenza and Pneumococcus.

Dr Bhurke has explained to my Family that Lupus never leaves the body and cannot be cured. Lupus can wake up again , which , is called as Flares. Lupus can quieten down for long time, is called as Remission.

After discharge, special Lupus medicines of Steroids Prednisolone were tapered slowly, but unfortunately again my disease activity increased. My medicines were again increased and slowly tapered. I have now normal life and am back to Europe. I am currently near last step of stoppage of special Lupus Medicines. Currently there is no disease activity as of February 2022. I still do video call consultation from Paris with Dr Sandip Prabhakar Bhurke.

My mother Sunaina Mishra is 50 years old. In May 2019 she developed severe urine infection with effect on urinary bladder and kidneys i.e. cystitis and pyelonephritis. We met Sandip Bhurke at Prabhakar Bhurke Clinic in Andheri. CT scan and sonography confirmed the disease. Dr. Bhurke gave antibiotics and advise to check for woman infection. Gynecologist did PAP smear test of vagina which showed infection of vagintis. CT scan of stomach also showed scarring of kidney. Urologist Doctor opinion was also referred. My mother despite cure, would get repeated urine infections. Hence Dr Bhurke started special antibiotics course for urinary antisepsis for 6 months. Since then the frequency and intensity of my mother's urinary infection has reduced. She sometimes get abdominal pain but urine infection is absent in reports. Hence, Dr Bhurke had advise OGDscopy of stomach and intestine if required. Now my mother is on supportive urinary alkalinizer syrup. We are doing urine report once every month and contacting Dr Bhurke in OPD.

My 80 year old father Vithoba Bane, was already Diabetic and Hypertensive and had weak Kidneys on both sides. His creatinine was high 1.7 in 2019. Last month, in July 2022, he fainted and had low sugar. Testing Sonography showed small kidneys and Creatinine risen to 4.0. Our neighbour referred us to Prabhakar Bhurke Clinic. Due to Blood issue of low platelets, Dr Sandip Bhurke did special test of M Band for blood cancer multiple myeloma. Unfortunately, it came positive. Dr Bhurke sent us to Blood Cancer Doctor Oncologist. Bone Marrow Biopsy test showed 3% plasma cells. PET-CT Test showed no bone lytic lesion. Hence low grade blood cancer of MGUS was diagnosed. MGUS was explained to us as Chemotherapy treatment not required and requiring careful frequent testing. Due to supportive medicines and nutritional supplements given by Dr Bhurke, my fathers creatinine is slowly reducing. Once a month Kidney testing has been advised to us, on his Yellow Paper.

In March 2018, my 6 year old son, Ali Attar developed cough. Testing showed urine protein and urine red blood cells present. We met Kidney Doctor Dr Sandip Bhurke. Special blood test of ANA anti nuclear antibody was negative. Despite supportive medicines, protein in urine continued. Then, in November 2018, we went ahead with Kidney biopsy. Report was Minimal Change Nephrotic Syndrome MCNS. Slowly urine protein reduced. Hence, heavy drug of steroid was cancelled. Now my son is on single Kidney helping medicine Enalapril. Urine protein continues in very small amount. We check reports every three months. As per Dr Bhurke, only supportive medicine to continue.