Specialty Groups
Private Specialty Nursing Care and Treatment Services
In order to achieve the organizational strategic goals which are continuous improvement of quality through the establishment of patient's safety system and raising patients’ satisfaction, Erfan Hospital has established its Private Specialty Nursing Department to provide more and better nursing, auxiliary nursing, and paraclinical services to patients in the hospital or after discharge from the hospital.
Special Objectives
- Improving the quality of specialty nursing care
- Improving the level of patient safety
- Improving the level of satisfaction of the patients and their relatives
- Continuous communication between the patients and the hospital and its doctors, even after discharge
- Increasing the peace of mind and reducing the stress of the patients and their relatives
- Continuous integrated care of the patient while staying in the hospital and after discharge
All of these services are provided by the personnel of Erfan Hospital
- Types of Private Specialty Nursing Care and Treatment Services
- 24-hour specialty nursing care services in the hospital
- 24-hour specialty nursing care services at home
- 24-hour specialty auxiliary nursing care services in the hospital and at home
- 24-hour home care services for the patients, the elderly and newborns
- All of the paraclinical services such as physiotherapy, laboratory, radiology, speech therapy, etc.
- Medical and nursing visit and consultation at home
- Coordination with the ambulance center for transfer of patients
- Provision of all treatment and care services prescribed by treating doctor (serum therapy, urethral catheter insertion, enteral nutrition, nasogastric tube placement, dressing change, etc.)
The private specialty nursing care unit continuously assesses the performance of its staff in order to improve the patients’ satisfaction, and reports the evaluation to the personnel and takes necessary actions and makes amending interventions with the aim of providing high quality services. This approach can improve the standard service provision.
The Process of Applying for Private Specialty Nursing Care
- A written request from a patient or relatives for receiving private specialty nursing care
- Doctor's agreement on providing specialty treatment and care nursing services to the patient
- The head nurse or the charge nurse informs the patient or relatives
- The head nurse or the charge nurse informs the shift supervisor
- The shift supervisor informs the supervisor in charge
- The supervisor in charge coordinates the necessary actions and provides explanations to the patient and relatives
Neurology
The experienced specialists of the neurology department of Erfan hospital, are active in the fields of diagnosis and treatment of brain disorders such as epilepsy and seizure, MS, headache, Parkinson’s disease, stroke, brain tumors, Alzheimer's disease, and movement disorders. The diagnostic procedures provided by the neurology department include the following:
- Brain Mapping
- Non-invasive intervention in the brain and neck arteries
- Visual and auditory evoked potentials
- Electromyography
- Doppler sonography of the carotid arteries
Neurosurgery Group
The Neurosurgery Group of Erfan Hospital with its prominent neurosurgery specialists and advanced surgical equipment provides the following services:
- Surgical treatment of cerebrovascular disorders such as intracranial aneurysm
- Brain and spinal cord tumors
- Epilepsy
- Neuro-oncology in a variety of malignancies
- Spinal column disorders (spinal cord)
- Different types of injuries and brain hemorrhages caused by crashes and falls (traumatic brain injury)
- Congenital problems
- Maxillofacial problems
- Nerve biopsy
- Intraoperative neurophysiological monitoring (IONM)
- Fixation of the vertebral fractures
- Different types of herniated disks
Stereotactic surgery
In this hospital, deep brain stimulation (DBS) and stereotactic surgeries are performed.
DBS is the implantation of electrodes that send a weak and controlled electrical current to specific nuclei deep in the brain which reduces and sometimes completely improves the symptoms of the disease. This method which is carried out under the guidance of accurate imaging of these deep nuclei and then implantation of electrodes with an accurate routing of computer systems is the latest globally accepted method of the treatment of some serious illnesses. Currently, this surgery is carried out only in advanced countries but it has been carried out in Iran for more than 12 years and the largest number in Iran with over 400 successful surgeries has been performed by Dr. Mansour Parvaresh.
Stereotactic surgery is employed in the treatment of Parkinson's disease, dystonia, tic disorders, Tourette syndrome, and essential tremor. In addition, it has been decided that more applications of this surgery in the management of psychiatric illnesses such as obsession, depression, dementia, and addiction will start in Iran shortly.
Using a stereotactic advanced system, known as the stereotaxy, we can perform surgeries with great precision in deep and inaccessible areas of the brain without damage to the normal tissues of the brain.
In this method, a stereotactic system is first attached to the skull and accurate images are taken from the brain by MRI, and then the calculations of the spatial coordinates of each point of the brain that is intended for surgery are selected. Afterward, the calculated numbers are transferred to the stereotactic device, and from here on, such as navigational systems, without a direct view and simply by guiding the computer, we can access any point of the brain that is intended. In this method, the surgery is possible even without general anesthesia.
The cases that use stereotactic surgery are very diverse. Biopsy of most of the brain tumors, especially in deep, sensitive, and inaccessible areas, implantation of brain shunt, evacuation of cerebral hemorrhages in deep and sensitive areas, placing the radioactive materials into or near the deep brain tumors, drainage of cysts and deep abscesses of the brain, and implantation of electrodes for DBS surgeries can be performed using this technique.
Endocopy Group (Gastroenterology, Pulmonology and Urology)
The Endocopy Group of Erfan Hospital was established in 2006. It is located on the ground floor of the hospital next to IVF and physiotherapy units. The specialties existing in the endoscopy group include gastroenterology, pulmonology, and urology.
Admission of patients by the endoscopy group
The endoscopy group admits patients as both inpatient and outpatient.
- Outpatient Admission: Patients who have a letter from the physician can book an appointment by phone or in person and necessary preparations shall be made based on the type of procedure they need. The admission officer shall prepare the file of the patient in his/her presence and within due time.
- Inpatient admission: After the physician's order and coordination between the related unit and the endoscopy group, the patient shall be admitted.
Discharge process
- Discharge of outpatients: After performing the procedure and implementing of the physician’s instructions, the patient is discharged on the doctor’s order and receives the necessary training.
- Discharge of inpatients: After the end of the procedure, the patient is transferred to the related unit on the physician's order.
Procedures of the Gastroenterology Group
- Invasive diagnostic and therapeutic procedures through upper and lower gastrointestinal endoscopies
- Treatment of GI bleeding by various methods
- Polypectomy (removal of polyps from the different parts of the gastrointestinal tract)
- EMR (mucosectomy) and EST
- Treatment of esophageal stricture and gastric and colon outlet obstruction (dilatation and stenting)
- Treatment of esophageal varices by different methods
- PEG placement for dysphagia patients
- Endoscopic treatment of GERD / Endoscopic fundoplication known as TIF (transoral incisionless fundoplication) with the EsophyX device
- Endoscopic treatment of GERD by the Stretta procedure using the radiofrequency (RF) energy
- Diagnostic and therapeutic ERCP (stone removal, dilatation, and stenting of bile ducts and pancreas)
- Diagnostic and therapeutic endosonography, FNA for diagnosis of pancreatic tumors and cystogastrostomy for the treatment of pancreatic cysts
- Remicade therapy for Crohn's Disease
- Esophageal pH impedance monitoring and high-resolution esophageal manometry
- High-resolution rectal manometry and biofeedback
- Capsule endoscopy
- Liver fibroscan
- Liver biopsy
- Colon hydrotherapy for colonoscopy and colon surgery
- Paracentesis of ascitic fluid
Diagnostic and therapeutic procedures of the Urology Group
- SNM for the treatment of urinary incontinence
- Gel injection for the treatment of vesicoureteral reflux
- PCNL and TUL for treatment of urinary tract stones
- TURT (resection of bladder tumor) for treatment of bladder tumors
- TURP (resection of the prostate tumor) for treatment of enlarged prostate
- BCG injection for the treatment of bladder tumors
- Ureteroscopy
- Urethrotomy for treatment of urethral stricture
- Prostate biopsy
- Diagnostic cystoscopy
- Kidney surgery
- Endourologic procedures
- Female urology
- Nephrolithotomy
- Laparoscopic renal surgery
- Laparoscopic prostate surgery
- Reconstructive surgery for disorders urethra and ureters, penile curvature, and bladder dysfunction
- Evaluation of the performance of nerves, muscles, and sphincters of the bladder, bladder volume and capacity, and ureteral function
Diagnostic and therapeutic procedures of Pulmonology Group
- Bronchoscopy
- Pleurocopy
- Subspecialty procedures for the treatment of respiratory tract stenoses
- Removal of foreign bodies
Thoracic Surgery
The Thoracic Surgery Group of Erfan Hospital is a coherent and strong group and highly expert in modern chest surgery methods.
The important surgeries on the lungs, esophagus, mediastinum, trachea, chest wall and diaphragm are appropriately and sufficiently performed by this group. These procedures can be performed by employing the thoracoscopic or open methods by necessity and with sufficient skill and experience.
Dr. Azizollah Abbasi Dezfouli has a very strong and focused experience in tracheal surgeries, especially post-intubation tracheal or laryngeal stenosis. Other surgeons of the group also have good skills and experience in this field, to such an extent that seldom such focus and experience in the tracheal stenosis surgeries can be found in the whole Middle East region or even in the Europe or US.
The use of endoscopic and thoracoscopic equipment, as well as bronchoscopic interventions, are carried out continuously and skillfully by this group. Advanced thoracoscopic surgeries have also been performed in this center such as single-port and multiport lobectomy, thymectomy, and mediastinal tumors surgeries. In addition, extensive thoracic surgeries such as esophagectomy, resection of chest wall tumors, resection of mediastinal thyroid, pleurectomy, and extrapleural pneumonectomy (EPP) are performed by this group with great skill.
The cost of thoracic surgeries is under the fees determined by the Ministry of Health and Treatment of the Islamic Republic of Iran and is much cheaper and more cost-effective than the costs in the neighboring countries.
Hematology and Oncology Group
This hospital with its experienced hematology and oncology specialists can provide the highest quality services.
This group provides diagnostic, therapeutic, and care services to patients suffering from congenital and acquired hematologic disorders and different cancers and malignancies, some of which are the following:
- Thalassemia
- Anemias
- Congenital enzyme deficiencies such as Favism
- Different types of malignancies such as leukemia, lymphoma, and other malignancies
- Different types of congenital coagulation disorders
- Different types of acquired bleeding diseases
The Specialty Services Provided
- Single-agent and combination chemotherapy
- Different types of bone marrow biopsy
- Pleural or ascitic fluid aspiration, lumbar puncture (LP)
Urology Group
Urology is the study and treatment of diseases and disorders of the male and female urinary system, as well as genital disorders sexual dysfunctions, and infertility in men. The Urology Group of Erfan Hospital enjoying the most advanced devices and experienced physicians and surgeons provides specialty services as follows:
- Kidney surgery
- Endourology procedures
- Female urology
- Nephrolithotomy
- Laparoscopic renal surgery
- Laparoscopic prostate surgery
- Reconstructive surgery for disorders urethra and ureters, penile curvature, and bladder dysfunction
- Evaluation of the performance of nerves, muscles, and sphincters of the bladder, bladder volume and capacity, and ureteral function
Cardiology Group
The Cardiology Department of Erfan Hospital enjoys advanced facilities and well-equipped units including CCU, angiography, electrophysiology, and electrocardiography as well as an active day clinic, that is ready to provide prevention and treatment services to dear customers.
In addition to medical treatments for most cardiovascular diseases, this department can perform specialized complementary evaluations including stress echocardiography, transesophageal echocardiography (TEE), angiography, and electrophysiology, as well as invasive angiographic therapies and if surgery is required, it undertakes the preoperative and postoperative measures together with the cardiovascular surgery group.
The presence of specialists and subspecialist professors from various fields of cardiovascular diseases has provided this department with the capability of performing emergent procedures such as primary angioplasty and even the treatment of non-cardiac and peripheral vascular diseases.
Ultimately, maintenance therapeutic measures are taken for the patients who have not benefited from the measures above.
Anesthesiology and Critical Care Group
Winter 2006, the beginning year of the Erfan Hospital coincided with a busy start for the anesthesiology group. The anesthesiology group of Erfan Hospital consists of retiree university professors, board members, and young doctors and personnel, the aim of whom is to keep up the highest standards of anesthesia and analgesia services.
The most important achievement of the anesthesiology group of Erfan Hospital is the provision of modern services using the latest up-to-date equipment of the world, besides preserving the dignity of the patients to such an extent that it can be clearly heard by other colleagues and patients.
Human Resources
The anesthesiology group staff includes 23 specialists (shareholder and non-shareholder), 33 experienced anesthetists, and 10 recovery nurses working in three shifts, meeting the needs of the surgical group, analgesia services, ICUs, endoscopy unit, painless delivery services, and so on.
The main pillar of the management and organization of the anesthesiology department is Dr. Mohammad Rezvan Nobahar, whose management and tact have always helped to promote the scientific level of the personnel and maintain their human dignity.
Services
The services provided in the anesthesiology department of Erfan Hospital include two types: the operating room anesthesia services and the
non-operating room anesthesia services.
Operating Room Services
The operating room services include anesthesia services in the general operating room (general), anesthesia services in the endoscopy unit (outpatient procedures), anesthesia services in the cardiac operating room, and pain management services. Furthermore, anesthesia for ECT is performed in the operating room and also, and the IVF surgery room is under the control and guidance of the anesthesiologists.
The anesthesiology group constantly strives to provide the highest quality anesthetic services through on-the-job training for the specialists and the personnel of the group and using the latest standard equipment in the world.
Non-operating Room Services
These services are provided specifically and widely in different departments of the hospital, the most important of which include the regular attendance of anesthesiologists in intensive care units. Invasive procedures including mechanical ventilation, different types of catheterization, and invasive and non-invasive monitoring are some of the activities of the anesthesiology group in ICUs.
Another non-operating room service provided by the anesthesiologists is the painless delivery and continuous presence in the delivery room when needed.
Anesthesia in the imaging units (MRI, CT, etc.), permanent presence in the emergency department, providing services in the general wards, and postoperative control and monitoring of analgesia are within the scope of activities of the members of the anesthesiology group.
Equipment
We are proud to use the most modern and commonly used equipment and drugs in our beloved country. But in addition to them, we have up-to-date equipment, machines, and monitoring devices that are seldom available in other health centers in the country, the use of which can significantly improve the quality of services provided to patients. Some of them include the followings:
- Transcranial oximetry
- Monitoring the depth of anesthesia and intraoperative neurophysiological monitoring (IONM)
- Types of equipment for controlling the cardiac output and related parameters
- Transesophageal echocardiography (TEE)
Psychiatric Group
In the psychiatric group, we evaluate and treat mental disorders and behavioral and individual problems. Psychiatric assessment includes assessment of the symptoms and signs of psychiatric disorders according to DSM5, physical examination, psychological tests, and brain imaging. After a diagnosis of the disorder, the patient shall be treated with drug therapy and individual psychotherapy with therapeutic approaches appropriate for the specific conditions of the patient.
Other services provided by the Psychiatric Group of Erfan include the following:
- Treatment of all mental disorders such as depression, anxiety, obsessive-compulsive disorder, bipolar disorder, etc.
- Cognitive-behavioral psychotherapy (CBT)
- Diagnosis and treatment of mobile phone, internet, and cyberspace dependence, and addiction.
- Life Therapy
- Diagnosis and treatment of addiction to psychedelic and stimulant drugs and different types of narcotics.
- Dynamic psychotherapy
- Different types of psychotherapy
- Psychometrics (psychological, intelligence, and personality tests)
- Electroconvulsive therapy (ECT)
Gynecology Group
The Gynecology and Obstetrics Group of Erfan Hospital has been established to provide special care during pregnancy to improve the level of medical care for this group of patients. Using modern equipment, and the up-to-date knowledge of the physicians and experienced personnel, this department tries to provide the medical services needed by pregnant women in the best possible way. In this department, women who are candidates for normal vaginal delivery (in LDR rooms with advanced equipment) or cesarean section and patients with gynecological disease receive the highest quality medical services.
Full implementation of the rooming-in plan to assist mothers to breastfeed their babies has made the Gynecology and Obstetrics Department of this hospital include child-friendly centers. According to this method, if delivered through normal vaginal delivery, the baby is placed next to his/her mother right after birth, and after controlling in the early hours, the baby can be transferred to the ward with his/her mother and enjoy the presence of his/her mother as well as being breastfed while in hospital.
Special features
- Taking care of labor patients as soon as possible
- A short distance from the labor ward to the operation room and NICU
Specialty Services
In the Gynecology and Obstetrics Department, painless delivery using epidural analgesia is performed by an experienced team consisting of anesthetists, gynecologists, and midwives.
Internal medicine group
The internal medicine group of Erfan Hospital enjoys modern diagnostic equipment and specialty and subspecialty doctors provide perfect examinations and complete treatments. Some of the services are diagnosis and treatment of the following diseases:
Infectious Diseases
Urinary tract infections, tuberculous, hepatitis, chicken pox, shingles, common cold, influenza, infectious diarrhea, sexually transmitted diseases, reproductive system infections, measles, mumps, HIV infections, fungal infections, parasitic infections, and skin infections.
Respiratory and Pulmonary Diseases
Asthma, acute and chronic respiratory failure, restrictive lung diseases, chronic bronchitis, pneumonia, lung abscess, and pulmonary thromboembolism.
Gastrointestinal diseases
Inflammatory bowel disease (IBD), colon and anorectal diseases, constipation, peptic ulcer disease, cholecystitis, pancreatitis, dyspepsia, Gastroesophageal reflux disease (GERD), heartburn, duodenal ulcer, gallstone, bile ducts, and liver cirrhosis
Endocrine and Metabolic Diseases
Disorders of the thyroid, adrenal, and pituitary glands, hypothalamic disorders, disorders of lipid metabolism, hypercalcemia, and hypocalcemia, disorders of the female and male reproductive systems, and diabetes mellitus (DM).
Medical Emergencies
Infectious disease emergencies, oncologic emergencies, shock, stroke, carbon monoxide poisoning, intoxication, hyperthermia, hypothermia, and head trauma
Cardiovascular Diseases
Pericardial, aortic diseases, valvular heart diseases, heart failure, acute myocardial infarction, cardiac arrhythmia, Hypertension, varicose veins, aneurysm, hemangioma, stenosis of blood vessels, atherosclerosis, embolism in blood vessels and lymphatic system.
Renal Diseases (Nephrology)
Renal failure, kidney stones, hemodialysis, kidney transplant-related diseases, urinary tract infections (UTI), and urinary tract obstruction
Allergy, Immunology, and Rheumatology
Arthritis, gout, vasculitis, immunodeficiency, degenerative joint diseases, allergy to fungi-derived aeroallergens, seasonal allergy, allergies during pregnancy, and food allergies
Neurology
ParkiParkinson'snson disease, headache, seizure and epilepsy, stroke, MS, Alzheimer's disease, autonomic nervous system dysfunctions, chronic meningitis, nervous system tumors, and neuromuscular disorders
Genetics and Fertility Group
Whenever a couple fails in pregnancy even after enough sexual intercourse within a year (if not using contraceptive methods), it can be said that they are infertile. Today, different methods are employed to treat infertility. One of the amazing advances in infertility science is the Assisted Reproductive Technique (ART).
Depending on the problem of the infertile couples, they will be provided with a variety of services including intra-cytoplasmic sperm injection (ICSI) or microinjection, preimplantation genetic diagnosis (PGD), and intrauterine insemination (IUI).
The causes of infertility that require the aid of the above fertility methods include the following:
- Sperm disorder (sperms do have not the necessary count, motility, or morphology)
- The presence of anti-sperm antibodies in the semen or in the female reproductive system
- The cases that require testicular sperm extraction (testicular biopsy) and extraction of sperm from vas deferens
- Retrograde ejaculation in patients with neurological diseases
- Patients with spinal cord injuries whose sperm samples are taken by electrical stimulation or a vibrator
- In cases where the sperm cannot penetrate the ovum
- Ovulation disorders
- Cervical and uterine problems
- Endometriosis
- Fallopian tubes blockage
- Congenital anomalies and adhesions in the female reproductive system
- In cases where the membrane of the ovum is thick
- In cases where there is a need to identify the gender of the fetus before implantation
- The cases where there is a need to make sure that there are no genetic abnormalities in the fetus before implantation
- Infertility with unknown causes
ENT Group
The ENT (Ear, Nose, and Throat) Group of Erfan Hospital enjoying the experienced specialists and the most advanced clinical, paraclinical, and surgical equipment is ready to provide services to dear patients. In this department, all of the head and neck surgeries are performed by ENT specialists and subspecialty surgeons of head and neck, otology, neurotology, laryngology, and rhinology.
In the paraclinical unit, all necessary tests are performed such as audiometry, OAE Tympanometry, ABR, stroboscopy, etc.
Ophthalmology Group
The Ophthalmology Group of Erfan Hospital is one of the major departments of the hospital under the supervision of the Iran University of Medical Sciences. We are trying to protect the human vision as a jewel. Our doctors are renowned ophthalmologists doctors trained in different fields of various subspecialties.
This year is the 10th year that Erfan Hospital has achieved the Diamond level from Accreditation Canada International (ACI) after brilliant activities. The Department of Ophthalmology of Erfan Hospital is one of the most active specialty groups of the hospital which has provided valuable services to improve the quality and acuity of the patient's eyesight.
The Ophthalmology Group of Erfan Hospital provides up-to-date and efficient services in line with the latest technology to thousands of hospitalized patients.
Advanced Medical Innovations
Our intention and mission are to treat ocular diseases and improve the patient's vision. Our ophthalmologists are progressing toward this goal using their expertise scientific abilities and the latest tools and equipment.
Commitment to research and improving the knowledge
The ophthalmologists of Erfan Hospital have taken major steps to improve the knowledge of ophthalmology and investigate the causes and methods of prevention and treatment of ocular diseases and have provided numerous training sessions on all levels about macular degeneration, glaucoma, diabetic retinopathy, dry eye, and visual impairment.
Today and the Future of the Ophthalmology
We hope the ongoing effort of Erfan Hospital’s Ophthalmology Group toward improving the knowledge of ophthalmology and helping novel therapeutic and surgical ophthalmologic services for the prevention of ocular diseases so that no one suffers from vision loss anymore.