Kurukulaaratchy, Dr Ramesh J

Ramesh KurukulaaratchyBM, DM, MRCP

Specialty

Respiratory and general medicine

Sub-specialty

Difficult asthma and allergy

Training and education

University of Southampton 1989-1994 (BM)
MRCP (London) 1997
DM (Soton) 2003
Yorkshire Deanery Respiratory & General Medicine Specialist Registrar Training Rotation 2001-2006
CCT April 7 2006

Experience

Dr Kurukulaaratchy has worked for the Trust since May 2006. 

I have 21/2 years experience as a Consultant in Respiratory and General Medicine in a busy Teaching Hospital environment at Southampton. There, as well as contributing to the General Respiratory and Medical Services I have developed particular areas of subspecialty interest including “Difficult Asthma”, “Allergy”, “COPD” and “Intermediate Respiratory Care”. As part of this I provide an Outreach Allergy/Asthma Service to the Isle of Wight one day per week.

Aspects of my experience in this post are listed below:

Inpatient work:
I have led one of the 3 inpatient Respiratory Teams on a rotational basis (average 7-8 months per year). The case-mix is General Medical but with a large Respiratory component. When off the wards I contribute to a Respiratory “Outreach” Service that sees referrals in other Departments and to the Intermediate Care Service.

On-call work:
I contribute to a “Respiratory on-call rota” (1 in 10) that covers Respiratory admissions and inpatients, Cystic Fibrosis patients and the General Medical HDU.

Subspecialty work:
1. Difficult Asthma:
I run half of the Regional “Difficult Asthma” service at Southampton. This involves a weekly clinic and takes Tertiary referrals from a large catchment area covering Hampshire, Dorset, Wiltshire, Isle of Wight, West Sussex and Berkshire. I also provide the majority of the inpatient cover for asthmatic patients at Southampton.
2. Allergy:
I contribute to the Tertiary referral Allergy clinics that run at Southampton and on the Isle of Wight, doing one clinic at each location per week. These take referrals from a wide catchment area as outlined above.
3. COPD & Intermediate Respiratory Care:
I have also been the Clinical Lead for The Respiratory Centre (TRC) at Southampton for the past 2 years. This provides an innovative form of Intermediate Respiratory Care for COPD and other Respiratory conditions. This multidisciplinary team provides “Early Assisted Discharge”, “Hospital at Home”, “In-reach from the Community”, “Locality Clinics”, “Chronic Disease Management Clinics”, “Domiciliary NIV”, and Respiratory Physiotherapy Services.

Key achievements

As part of my involvement in the “asthma & allergy” Service I put forward successful proposals for 2 new specialist nurses to work within an evolving “Asthma and Allergy Team” (previously there were none). In addition I was the lead author of new local Guidelines for adult asthma management this year. In the past 2 years, the Allergy Service has developed considerably in available Services and I have played a fully active role in that process.

 As the Clinical Lead for TRC I have not only provided governance to that Service but also led an extensive Service re-organization and development process aimed at providing a better quality and more cost-effective Service. As part of this process I have written new operational policy documents, led the development of new guidelines for management of both COPD and asthma and been involved in the development of integrated care pathways with Primary Care. I believe that this is one of the leading Respiratory Intermediate Care Services in the Country now.

Awards and prizes

The Respiratory Centre won the Hospital heroes “Going for Gold” award in 2008.

Research

I am actively involved in the Isle of Wight Asthma & Allergy Research programme that is linked to the Academic Respiratory Unit at Southampton. Currently I am involved as a Co-investigator in several projects:
1. 17-year follow-up of Isle of Wight 1989 Whole Population Birth Cohort.
2. 17-year follow-up of Isle of Wight 1990 Prevention Birth Cohort.
3. Oral Nutrition Supplements in COPD Study.

Publications in the past 12 months include:
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.