Kurukulaaratchy, Dr Ramesh

Ramesh KurukulaaratchyBM, DM, MRCP

Specialty

Respiratory and general medicine

Sub-specialty

Difficult asthma and allergy

Training and education

  • Medicine at the University of Southampton, 1989 to 1994
  • MRCP, London, 1997
  • Yorkshire Deanery respiratory and general medicine specialist registrar training rotation, 2001 to 2006
  • Certificate of Completion of Training, 2006.

Experience

Dr Kurukulaaratchy has a particular interest in difficult asthma, allergy, COPD and intermediate respiratory care. As part of this, he provides an outreach allergy and asthma service to the Isle of the Wight on one day per week.

He leads one of the three inpatient respiratory teams on a rotational basis, and supports the respiratory outreach service, seeing patients referred to other departments and the intermediate care service.

Dr Kurukulaaratchy is also on the respiratory on-call rota, covering respiratory admissions and inpatients, cystic fibrosis patients and the high dependency unit.

Difficult asthma

Dr Kurukulaaratchy runs half of the regional difficult asthma service at Southampton, which takes referrals from a large catchment area covering Hampshire, Dorset, Wiltshire, the Isle of Wight, West Sussex and Berkshire. He holds a weekly clinic, and well as seeing asthmatic patients who are in hospital in Southampton. 

Allergy

The tertiary referral allergy clinics run in Southampton and on the Isle of Wight, and Dr Kurukulaaratchy holds one clinic at each location per week.

COPD and intermediate respiratory care

Dr Kurukulaaratchy was previously the clinical lead for the respiratory centre, providing an innovative form of intermediate care for COPD and other respiratory conditions. The team provides early assisted discharge, hospital at home, in-reach from the community, locality clinics, chronic disease management clinics, domiciliary non-invasive ventilation, and respiratory physiotherapy services.

Key achievements

  • Putting forward a successful proposal for two new specialist nurses to work within an evolving asthma and allergy team.
  • Lead author of new local guidelines for adult asthma management.
  • Active role in the development of services for allergy.
  • Governance and extensive reorganisation and development of the respiratory centre during time as clinical lead, aimed at providing a better quality and more cost-effective service.

Awards and prizes

The respiratory centre won the Hospital Heroes 'Going for Gold' award in 2008.

Research

Dr Kurukulaaratchy is actively involved in the Isle of Wight asthma and allergy research programme, linked to the academic respiratory unit at Southampton, and has been a co-investigator in several projects.

Publications

  1. Ogbuanu IU, Karmaus W, Arshad SH, Kurukulaaratchy RJ, Ewart S. Effect of breastfeeding duration on lung function at age 10 years: a prospective birth cohort study.Thorax 2009: 64 (1); 62-6.
  2. Arshad SH, Karmaus W, Kurukulaaratchy R, Sadeghnejad A, Huebner M, Ewart S. Polymorphisms in Interleukin-13 and GATA3 genes and the development of eczema during childhood. Br J Dermatol 2008: 158 (6):1315-22.
  3. Sadeghnejad A, Karmaus W, Arshad SH, Kurukulaaratchy R, Huebner M, Ewart S. IL-13 gene polymorphisms modify the effect of exposure to tobacco smoke on persistent wheeze and asthma of childhood. A longitudinal study. Respiratory Research 2008: 9:2.
  4. Kurukulaaratchy RJ, Matthews SM, Arshad SH. The natural history of fatal childhood asthma – a case from the Isle of Wight Birth Cohort. J Asthma 2008; 45 (10) 944-7.
  5. Scott M, Kurukulaaratchy RJ, Raza A, Arshad SH. Understanding the nature and outcome of childhood wheezing. Eur Respir J 2009; In Press.
  6. Iwuji C, Rosich-Medina A, Swaminathan N, Baguley D, Kirwin C, Austin K, Kurukulaaratchy RJ. The potential for patient-led COPD admission avoidance schemes. Eur Respir J 2008; 32 (4) 1128-9.
  7. Raza A, Kurukulaaratchy RJ, Arshad SH. Predicting risk of asthma in wheezing infants. Thorax 2008;63 (9): 842.