TRANSPLANT UPDATE – A REPORT

 

A unique programme to highlight the concept,  need & methods of Organ Donation were was conducted with the help of Apollo Hospitals, Ahmedabad on SUNDAY, 28^TH AUGUST 2011 at       IMA Premises. The programme started with Dr. Shamik Shah, Kidney Transplant Physician who with his amazing slide presentation on Patho Physiology of Chronic Kidney Disease & need for Transplant, made the audience spell bound.

 

Next to follow was Dr. Chirag Shah, who being a Haemato-Oncologist, highlighted the concepts of Stem Cell Transplant & its relevance to the Family Physician. In the end, Dr. Chirag Desai spoke on Liver Transplant as a viable alternative to end stage Liver Disease.

 

This was flowed by a panel discussion which was moderated by Dr. Parthiv Sanghvi.

 

All those present appreciated the programme. This programme was accredited with one credit hour by MMC.

 

Dr. Parthiv Sanghvi

Hon. Secretary

 

 

 

 

 

 

 

TEACHER’S DAY 2011 – A REPORT

 

A programme sans CME. After a long time, here was a programme which did not have any elaborate didactic lectures. Teacher’s Day Celebrations took place at our branch on 4^th September 2011. The felicities were eminent Doctor Teachers, namely Dr. Sushil Munshi – Interventional cardiologist from Jaslok Hospital, Dr. A. D. Dias – Ex. HOD of Plastic Surgery Dept. of Sion Hospital, Dr. Shanta Motwane – Ophthalmologist & Dr. H. G. Desai – Consultant Gastro-Enterologist at Jaslok, Bhatia & Jagjeevan Ram Hospitals.

 

What was unique about this programme was the introduction of each teacher by his / her student.

 

This programme then culminated in the Medical Students Scholarship programme where the donors, namely Dr. Pramila Gandhi was felicitated together with Dr. Sanjay Dudhat & Dr.Priti Bhargava. Dr. Subhash L. Shah expressed his wish to donate Rs. 3 lacs for a scholarship.

 

The entire programme was conducted by Hon. Secretary, Dr. Parthiv Sanghvi.  The Medical Education Scholarship programme was co-ordinated by Dr. Sanjay Dudhat – Chairperson of Medical Education Sub Committee.

 

The programme they culminated in a Ghazal evening by Mr. Arnav Chatterjee & his group with sumptuous dinner.

 

Dr. Parthiv Sanghvi

Hon. Secretary

 

 

Update on the ‘IMA MUMBAI WEST- IWD Health Initiative for Women’

Third  camp under the initiative was held on 15^th of September. 65 candidates, mostly young girls, were examined  and their blood collected for CBC examination. Haematinics  to those who had already been evaluated in the initial two camps were also distributed the same day. Analysis of the reports and subsequent follow up will  be  done  by 27^th of September 2011.

 

Following  are the  participants of this camp :

Mrs. Sangita ( Social Worker from YWCA),IMA – MW members – Dr. Rajani Desai, Dr. Anjana Shah, Dr. Sujata Bhure, Dr. Sushma Jawdekar, Dr. Namrata Tejwani, Dr. Shobha Dasgupta, Dr. Rita Khar.

CBC estimation  was done by Dr. Shashank Inamdar at  highly concessional rates  . Technicians from                             ‘Diagno Laboratory’- Mr. Pravin  and  Miss. Bharati  performed their job meticulously.

 

The subsequent camps will  be   follow up camps.

 

We are thankful to Haematologist  Dr. Abhay Bhave for his assistance.

 

Dr. B.C. Mehta is our mentor and guide for this activity.

By Dr. Priti Bhargava

(Activity under Public Health and Welfare Sub Committee-Chairperson-Dr. Subodh Kedia)

 

 

 

 

“PULMONARY REHABILITATION” – A Report

Date: – 9^th September 2011

Speakers: – * Dr. Agam Vora,* Dr.Sanjiv Mehta,* Dr.Dennise Mc Cool* & others

Moderator: – Dr. Akil Contractor repeats stroke of his magic wand to give us an international update

equal to his last moderated Monsoon update.

v  Dr. Agam Vora initiated the conference by giving an over view of  pulmonary rehabilitation and he  specifically craved to create awareness amongst delegates  for prevention and to  begin Preventive care and rehabilitation as early as feasible. (Including cessation of Smoking- Both Active and Passive).

v   Dr.Sanjiv Mehta gave an elaborate introduction with definitions of COPD and Pulmonary Rehabilitation. He stressed the necessity for a mandatory regular peak flow meter reading as a routine for  all patients who complain of breathlessness and also of  those without breathlessness but with SPO2 of > 90 % (subclinical Breathlessness). He even insisted that just like regular Temp. , Pulse and Respiration checking every practioner must get in to habit of regularly using peak flow meter and Pulse oxymeter.

He pointed out that Normally FEV1 reaches a lifetime peak at around the age of 25 years, then it enters the plateau phase  And then declines gradually. The COPD may affect at any phase of FEV1 and leads to altered  stages of peak flow graph.

v   Dr.Dennise Mc Cool defined COPD as a disease state characterized by chronic airflow obstruction. The Pulmonary function tests determines its  severity as recorded by  reduced ratio of FEV1/FVC

The stages of Obstruction are

• Gold Stage I     (Mild)   …………  The FEV1 / FVC ratio is between  90 and  80%
• Gold Stage II    (Moderate) …… The FEV1 / FVC ratio is between  80% to 50%
• Gold Stage III   ( Severe)  ………..The FEV1 / FVC ratio is between  50 %  to 30 %
• Gold Stage IV   ( Very Severe) …The FEV1 / FVC ratio is between  is less than 30 %

COPD common causes are as follows

1. Active Smoking (the risk is quantified as Pack smoked per day- COPD patients >20 Packs/year.
2. Air pollution and Industrial gases also contribute to  Pulmonary diseases including COPD
3. The Chronic Bronchitis, Recurrent Pulmonary infections may lead to COPD.

In COPD Symptoms may be insidious in Gold Stage I but may become conspicuous only after exaggeration of COPD.

Rehabilitation of COPD patients was painstakingly explained by international teachers including Dr. Dennise McCool. The Rehabilitation of COPD patients are divided in two parts essentially Pharmacological and Non pharmacological.

1. The Non pharmacological part includes life style modifications like giving up smoking or change of Climate or Profession along with diet and hygienic care.
2. The active cycle of Breathing techniques, Breath Control techniques and forced Exhaling techniques  etc. All chest exercises are the main stay of Rehabilitation
3. Pharmacological Treatment consists of
   1. Inhalation therapy with short acting B adrenergic  agonists alone or in
   2. combination with anticholenergic  like ipratropium  and
   3. Steroid by inhalation  and
   4. Oral bronchodilators  / Steroids /other supportive  Medication and
   5. Oxygen therapy.
   6. It may need ventilator support as the disease progresses.

It is to be noted that once the COPD starts no therapy can completely arrest or reverse the disease. We can only decrease the pace of progress of disease.