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1IMA KOZHIKODE NEWSLETTER
February 2017 Volume 1, Issue 1
IMA
KOZHIKODE
What’s New in
Medicine!
Interview with IMA
State President
Reminiscences of
My Dear Friend
INSIDE
5 119
Journal Scan Talking Point Obituary
Cover Story
Quality: Is it a Priority
in the Healthcare
Sector?
IMA KOZHIKODE NEWSLETTER2
Welcoming 2017
3IMA KOZHIKODE NEWSLETTER
Editor-in-chief
Dr Venugopalan P P
Publisher
IMA Kozhikode
Contributers
Dr Pradeep Kumar V G
State President, IMA
Dr Abraham Mammen
Resource Person, PPS
Dr P N Ajitha
President, IMA Kozhikode
Dr S V Rakhesh
Secretary, IMA Kozhikode
IMA
KOZHIKODE
FEATURES
Journal Scan
What’s New in Medicine!
Page 5-6
Obituary
Reminiscences of My Dear Friend
Page 11
News & Events
News & Events
Page 13
Talking Point
IMA to Ensure Equal Access to Healthcare for All
Page 9-10
Cover Story
Quality: Is it a Priority in the Healthcare Sector?
Page 7-8
IMA Kozhikode is the biggest branch in Kerala and is one of the most
vibrant branches in the state. A newsletter depicting the cross section of the
vibrancy and passion of IMA, it certainly is more than just a newsletter. It is
a news magazine with a new appearance, featuring different contents in an
attractive presentation style. It covers the cross section of the initial three
months of the Kozhikode IMA activity year.
Dr Venugopalan PP
DA, DNB, MNAMS, MEM-GWU Director, Emergency Medicine
Aster DM Healthcare Group
drvenugopalpp@gmail.com, +91 9847054747, 9544054747
www.astermedcity.com
EDITOR
SPEAKS
Message from Leaders
Page 4
INDIAN MEDICAL ASSOCIATION
Kozhikode Branch
IMA Hall Complex, IMA Hall Road
Calicut - 673 011
Ph: +91 0495 2368715
Email: calicutima@gmail.com
The rights to reproduce any information published in this
magazine are vested with IMA Kozhikode. This newsletter
will be distributed only among the IMA members, and not
meant for sale.
For any querries, contact: 9847 50 8715
Contact Person: Mr. Biju, Manager, IMA Kozhikode
Designed by
IMA KOZHIKODE NEWSLETTER4
I
feel very happy to know that our bulletin is
getting ready for release. I hope, our bulletin
will be a beacon light for the members to sail
through the troubled water when the profession
face challenges from varied areas.
T
he Kozhikode branch of IMA is one of the
most active IMA branches in the whole country,
buzzing with academic, social and cultural
activities all through the year. All our members may
not be able to actively participate in all the activities
but it is important that they are kept updated on what
is happening in our branch. What else can be a better
tribute to our vibrant members than a newsletter,
acknowledging the noble contributions of our members
and leaders to the society in general and to our medical
fraternity? I am very happy to note that this particular
task has been taken up by a person who has proved his
flair with the ink. The signature style of Dr Venugopal
is reflected in the wonderful presentation format of the
“New” newsletter. I am sure the new editorial team will
take our IMA newsletter to greater heights and will not
only serve as nutshell of activities at our branch but will
prove a wonderful read.
From the Secretary’s Desk
President’s Message
Dr Rakhesh SV
(Skin & VD), Consultant Dermatologist
Iqraa Hospital, Malaparamba, Calicut
Aster MIMS, Govindapuram, Calicut, Kerala
Mob: +919447241627
Dr P N Ajitha
Gynaecologist
IMA Calicut Branch President
Message
5IMA KOZHIKODE NEWSLETTER
The common myth on cholesterol is
still a hot topic. Now the discussion
has become wide with the official
withdrawal of long-standing
warnings on cholesterol by the
US government. This means eggs,
butter, full-fat dairy products, nuts,
coconut oil and meat have now been
classified as safe and have been
officially removed from the nutrients
of concern list. The US Department
of Agriculture, which is responsible
for updating the guidelines every five
years, stated in its findings for 2015,
“Previously, the Dietary Guidelines
for Americans recommended that
cholesterol intake is limited to no
more than 300 mg/day.” Discussions
are still going on whether cholesterol
can be harmful to health or not
and studies also focus on the facts
regarding good and bad cholesterol.
Cholesterol: Good or Bad?
Journal Scan
What’s New in
Medicine!
B
ased on data from almost
7000 out-of-hospital cardiac
arrest patients from two large
registries (Paris, France and King County,
Washington State) and a major multicenter
randomized trial, researchers identified
three criteria (arrest not witnessed by
emergency medical services personnel,
non-shockable initial cardiac rhythm, and
no return of spontaneous circulation
prior to administration of third 1mg
dose of epinephrine), and if all criteria
were met, it had a specificity and positive
predictive value of essentially 100 percent
for death prior to the hospital discharge.
Of 2800 patients evaluated who met all
three criteria, only one survived. Early
identification of patients with no chance of
survival may be helpful in family decisions
about organ donation.
F
or years, no effective therapy was
available to prevent tissue necrosis
and subsequent amputation in
patients with severe frostbite, but an
increasing body of evidence suggests that
treatment with iloprost, a prostacyclin
analog (IV formulation not available
in the United States) can prevent such
injury in appropriately selected patients.
According to an open-label randomized
trial, a growing number of case reports,
and revised management recommendations
from wilderness medicine experts,
treatment with iloprost is effective and safe.
We suggest treatment with iloprost (where
available), with or without tPA, for patients
with severe frostbite (Grade 2-4) if given
within 48 hours of the initial insult.
T
here is no proven benefit from
the rapid reduction of blood
pressure in patients with severe
asymptomatic hypertension (systolic blood
pressure ≥180 mmHg and/or diastolic
blood pressure ≥110 mmHg).
In a retrospective study of over 59,000
patients who presented in the ambulatory
setting with severe asymptomatic
hypertension, there was no difference in
major adverse cardiovascular events, or
prevalence of uncontrolled hypertension
six months later, for patients sent to the
emergency department or sent home from
the office for outpatient blood pressure
management.
Hospitalization rates were higher for those
sent to the emergency department. This
cohort study suggests that most patients
with asymptomatic hypertensive urgency
who are present in the ambulatory setting
can be managed as outpatients.
Determining the Futility of
Resuscitation Following a
Cardiac Arrest
Iloprost Therapy for
Severe Frostbite
Outcomes in Severe
Asymptomatic Hypertension
(Hypertensive Urgency)
IMA KOZHIKODE NEWSLETTER6
Journal Scan
A
bag urine specimen for a
screening urine dipstick and/
or urinalysis may prevent the
need for a catheterized urine culture in
selected patients older than 6 months of
age at low risk for a urinary tract infection
(UTI). In an observational study of over
800 previously healthy, screening of urine
obtained by a bag specimen reduced the
number of subsequent urine cultures
obtained by bladder catheterization from
63 to 30 percent without prolonging the
length of stay or increasing rates of revisits
or missed UTI. Although potentially
helpful for urine screening tests, bag urine
samples should not be routinely used to
obtain urine samples for culture, especially
in situations where contamination of
the specimen will complicate further
management.
T
he British Association of
Dermatologists released new
guidelines for the management
of Stevens-Johnson syndrome/toxic
epidermal necrolysis (SJS/TEN), a severe
and potentially fatal mucocutaneous drug
reaction.
The guidelines provide evidence-based
recommendations for the diagnosis,
severity assessment, and management of
SJS/TEN. Specific areas covered include
initial management, supportive care, and
therapies intended to reduce mortality, such
as intravenous immune globulins, systemic
corticosteroids, and cyclosporine.
The treatment of eye involvement,
including systemic therapies and amniotic
membrane transplantation to prevent
permanent ocular sequelae, as well as the
management of oral, urogenital, and airway
mucosal involvement are also addressed.
T
he risk of recurrent ischemic
stroke is highest in the first days
and weeks after a Transient
Ischemic Attack (TIA) or ischemic stroke,
but the benefit of aspirin in this time
period has not been well studied.
In a recent pooled analysis of data from
over 15,000 subjects in 12 trials evaluating
aspirin for secondary prevention, the
benefit of aspirin was strongest in the early
weeks after TIA or ischemic stroke.
Compared with control (mostly placebo),
aspirin reduced the relative risk of
recurrent ischemic stroke within the first six
weeks by 58 percent (1 versus 2.4 percent,
absolute risk reduction 1.4 percent).
The benefit of aspirin in this time frame
was greatest for the subgroup of patients
with TIA or minor stroke.
Clinical Prediction Rule for
Abusive Head Trauma in
Well-appearing Infants
Bag Urine Specimen Testing
to Determine the Need for
Urine Culture in Children
New Guidelines for the Management
of Stevens-Johnson/Toxic Epidermal Necrolysis Syndrome
Early Benefit of
Aspirin after TIA or
Ischemic Stroke
M
agnetic Resonance Imaging
(MRI) may be used for
diagnostic imaging in pregnancy
when ultrasound examination is inadequate;
however, foetal safety has not been
conclusively established. Recently, the
largest study of MRI in pregnancy reported
that first-trimester MRI was not associated
with significantly increased risk of stillbirth,
neonatal death, congenital anomaly,
neoplasm, or vision or hearing loss in
children followed up to four years when
adjustments were made for differences
between exposure groups.
The study also found that gadolinium
exposure at any time during pregnancy
was associated with an increased risk of
stillbirth and neonatal death. Children
exposed in utero were at an increased
risk of rheumatologic, inflammatory,
or infiltrative skin conditions, but not
congenital anomalies or Nephrogenic
Systemic Fibrosis (NSF). This study
is a major addition to the body of
evidence supporting the safety of MRI
in pregnancy when medically indicated.
It also provides the first data supporting
existing recommendations to avoid the use
of gadolinium-based contrast agents in
pregnant women, when possible.
Safety of Magnetic Resonance
Imaging and Gadolinium in Pregnancy
W
hile Pulmonary Embolus (PE)
has generally been considered
to being a relatively rare cause
of syncope, a recent study reported a 17
percent prevalence of PE among patients
admitted to hospital with syncope and 25
percent prevalence among those without
an alternative aetiology for syncope. Two-
thirds of patients with syncope secondary
to PE had thrombus located in the main
stem or lobar arteries, suggesting that
syncope may indicate a high burden of
thrombus. The study underscores the
importance of syncope as a presenting
manifestation of clinically significant PE.
Syncope and
Pulmonary Embolus
D
etection of Abusive Head
Trauma (AHT) is challenging
in well-appearing infants
who typically present with an unrelated
complaint and no history of trauma. High-
risk complaints include an apnea or acute
life-threatening event, seizure, vomiting
without diarrhoea, soft-tissue scalp
swelling, bruising, lethargy, fussiness, or
poor feeding. In a prospective multicenter
validation of a clinical prediction rule in
over 1000 well-appearing infants younger
than one year of age who presented with
high-risk complaints about possible abuse,
a score of two or more had high sensitivity
for an abnormality on Computed
Tomography (CT) of the head. This
rule has significant potential for assisting
the clinician with decisions about neuro
imaging.
7IMA KOZHIKODE NEWSLETTER
Cover Story
Quality: Is it a priority
in the healthcare sector?
Dr Abraham Mammen
HOD, Dept. of Paediatric and Neonatal Surgery
Head, Quality Assurance Department
ASTER MIMS, Calicut
NABH, Senior Assessor
B
otched surgery results in the
death of the patient.”
“The Wrong patient was taken
for surgery…”
“Wrong Medicine was given…”
“Patient admitted for the treatment of
Diabetes falls in hospital and breaks a leg”
“Doctor and hospital sued…”
We have come across all these and more
in newspaper reports about accidents in
hospitals. Patients come to the hospital for
a relief from their medical conditions. The
primary aim of all personnel involved in
patient management is to do good – i.e.
cure the health problems of the patient and
remove the symptoms.
Hospitals are becoming a dangerous place
these days. A study from the US shows
that medication errors and deaths from
medication errors are more common in the
US than road traffic accidents and cancer.
Why is this happening? There are
a number of reasons for it. With the
improvement in medicine and surgery, the
cure rate is increasing but at the cost of
increased risk of high-risk medications
and morbidity of improper surgery. This
is leading to a very bad situation where
patients are on the lookout to cause
problems for the caregivers. They view all
hospitals as a business centre out to make
a fast buck at the patient’s expense. In
this scenario, if a mishap occurs, then it is
disastrous for the health professional.
Adding to this, Dr Google whose
information is considered more serious
than a doctor’s experience is causing a
clash. No wonder, in this situation, doctors
are more and more resorting to defensive
medicine. Is that the right way forward?
Should doctors be on the back foot always?
Are they always wrong? Should they cringe
and shy away from aggressive patients.
No, the answer is an emphatic “NO.”
We have been taught to practice evidence-
based medicine and that is what doctors
“Accreditation is
only the third part
acknowledgement
of the quality practices and
assures stakeholders that
the healthcare organization
is following such quality
practices as mentioned
IMA KOZHIKODE NEWSLETTER8
should do in their day-to-day practice. To
add to it, ethical practices with diplomacy
and empathy, and the doctor is on the right
pathway. However, accidents do occur
even in such situations. What can be done
in such situations? Practice medicine to
ensure that all such situations are avoided
and this is what “Practice of Quality in
medicine does.” Quality makes sure that the
safety and satisfaction of the stakeholders
are looked after so that this crucial aspect
of medical care is also taken care of.
Accreditation is only the third part
acknowledgement of the quality practices
and assures stakeholders that the health
care organization is following such quality
practices as mentioned.
Various Policies and Protocols enforce
that the patient is best looked after without
any serious consequences. Major hospitals
with busy patient turnover can have
problems of mistaken identity, medication
errors, wrong site, wrong patient surgery or
any other with disastrous consequences.
Quality practices make sure that such
unexpected problems are reduced to the
minimum while at the same time making
sure that the medical practice standards are
raised. They are encouraged at all times to
benchmark the National and International
standards. Audits, both clinical and
nonclinical, let us analyze where we stand
with respect to other institutions and
how our results compare to other similar
centres. This not only helps patients get the
maximum benefit but also helps us as the
health care provider.
Thus, with progress comes greater
responsibility. Health care is expected to
lead from the front by making sure that
quality services are followed in the practice
of modern medicine. Patients with greater
access to the internet are more informed
about their medical condition and are
aware of their rights and condition. All
this demands health care practitioners to
practice quality health care.
The healthcare motto is no longer to “Do
good” but more importantly to “Do no
harm.”
As Albert Einstein, the great visionary
and scientist once said: “The world is not
dangerous because of those who do no
harm but because of those who look at it
without doing anything.” So let us resolve
to practice evidence-based medicine in a
quality setting with diplomacy and empathy
and this will make our profession more
safe, enjoyable and gratifying in the years
to come.
Cover Story
9IMA KOZHIKODE NEWSLETTER
Talking Point
IMA to Ensure Equal Access
to Healthcare for All
Dr. Pradeep Kumar V G
MD, DM, DNB, MNAMS
Dept. of Neurology, Baby Memorial Hospital
What is the current health
scenario of Kerala?
The Government is planning for a new
health policy in 2017. I was also a part
of the health policy committee, being
the President of the Indian Medical
Association. Presently, though we have
good facilities, cutting-edge technologies,
advanced centres for health care, we
are not able to deliver to all the needy,
for example, quality health care is not
delivered to everyone, some are getting it
and some are not. Even though we have
a very strong Government sector, only
30% of the patients are catered to, while
the rest 70% are supported by the private
sector. Many people cannot afford this,
and hence, it is important to strengthen
the small and medium scale hospitals and
improve the rural health clinics and start
the family physician concept. This will
help ensure everyone has equal access to
healthcare. The Government should also
have policies that ensure equal treatment to
all. Lack of money should not be criteria
for not availing treatment. Irrespective
of being rich or poor, everyone should
get treatment. The Government has to
modulate a plan based on this to ensure
improvements in the healthcare sector.
Kerala is a small state, with a population of
3.25 crore population, and as it is, we can
experiment all models in this small number
of population. There are several threats to
be addressed such the as disposable waste,
and as they are not removed properly,
there can be communicable diseases, and
diseases that were not known to Kerala
due to immigrant workers, lifestyle factors
including lack of exercise, poor food
habits leading to hypertension, diabetes,
cancer, stroke and depression. This is a
very different scenario that we have here
and at par with developed countries,
Communicable diseases is a major threat
that Kerala is facing now. Inadequate
disposal of waste is another reason for
diseases. And the lack of immunization
is a problem. Immunization is a key to
preventing many diseases and because of
the negative campaign by certain sections
Kerala has one of
the most vibrant
branches of IMA at
the national level. We are
doing the best activities
when compared to other
branches.
IMA KOZHIKODE NEWSLETTER10
Talking Point
of people, this is being drawn behind,
especially in places like Malappuram,
Wayanad, and Calicut, etc. But with the
excessive campaign by the IMA and health
department of the government, we are able
to achieve a lot. On the whole, the health
sector of Kerala is good. Now we have to
prevent communicable diseases, we should
have a very healthy environment to do that.
How is IMA committed to
the public health?
IMA has been committed to this all
these years, and our motto which I have
put forward is “striving for excellence,”
strengthening the profession of medicine,
not by increasing the number of doctors
or improving the academic content, but by
strengthening the profession, linking it to
the society. Society has to acknowledge the
doctor as a man who cares for them, only
this can bring out the final outcome. So the
link is the profession and the society, and
the bond has to be strengthened by telling
the truth to the patient and revealing the
scientific aspects of the medicine and at the
time same time keeping the professional
values and ethics, only then the link will be
made strong.
What are IMA’s plans?
IMA’s agenda for this year is to strengthen
the profession by increasing the
membership by adding more members. We
have a plenty of member-friendly schemes,
like profession-protection schemes, so in
case of litigation, the association will take
care of the litigation.
Through a social security scheme, when a
doctor passes away through unfortunate
circumstances, his family will be supported.
There will be a health scheme where we
have some pension schemes and insurance
schemes with low premium. We are also
planning for the disabled doctors’ support
system where when a doctor becomes
disabled at a young age and is unable to
make his livelihood, he would be provided
support.
Another scheme known as the Privileged
scheme for Elderly doctors is also
introduced. This is for doctors who are
elderly and are living in old age homes.
Apart from that, we are envisaging
on various activities to strengthen the
profession.
We have a cultural club academic initiatives
like College of General Practitioners and
other academic medical specialities. We
have some social projects, where under
the scheme “Arogyamaithri,” we adopt a
girl’s school and we also adopt a village
for health education and camps. There is
another project called Arogyajalakam where
we empower the local self-government
like Panchayat and Municipality to develop
a project on health. We also have other
projects like Patient Care Fund where we
support the poor patients. We also have
funds for Women’s Health, Children’s
Health, etc.
How strong are IMA’s
activities in Kerala?
Kerala has one of the most vibrant
branches of IMA at the national level. We
are doing the best activities when compared
to other branches.
How both the doctors’
and patients’ interests are
protected?
In order to protect the Doctor’s interest,
we have zero tolerance for hospital attack.
This is in light of all the hospital attacks
everywhere, mostly without reason. If
people have some grievance, then there
is a proper forum where they can submit
the grievance to. In a hospital, there are
patients, their friends and families, so it
would be very unfortunate to disturb them.
How IMA assures quality
in medical care?
IMA has a Quality Assurance Committee
that will ensure that a minimum standard is
ensured not only in hospitals but in small
scale clinics as well.
What is your take on the
IMA newsletter?
I am happy that Kozhikode IMA is
bringing out a newsletter because this
would reveal not only the activities of
the organization, but it would give an
update on the programs, on the medical
profession, on the policies introduced by
the government. The quarterly newsletter
would carry the summary of the activities
of the past 3 months, along with other
healthcare information.
The programmes of
IMA Kozhikode
State-level inauguration of the differently
abled committee’s activities is planned
with a wide participation of differently
abled people. This project was inaugurated
at Kozhikode IMA. We had a state-level
cultural inauguration where cultural
programmes by various doctors from
various branches were performed.
Kozhikode IMA was also the recipient of
many awards for several years in a row.
There are many committed leaders in the
branch and their vision has helped achieve
many good things for the society.
What does the IMA expect
from the State Government?
We take part in most of the state
government activities and IMA has been
invited by the government to various
committees as well. But the government
should ensure that whenever committees
are formed at the district or state level,
(like Hospital Development Management
Committee), it is important that the IMA
should be invited as well and made a
member. I was a member of the Health
Policy Committee and similarly, in all other
committees, IMA should be consulted. I
hope the government will do that.
A message to the doctors…
To be honest to the patients, uphold ethics and update your medical knowledge!
11IMA KOZHIKODE NEWSLETTER
Obituary
I
met Bhagyanathan, whom close
friends fondly called ‘Bhagy’, on 9th
August 1964 when we joined for
M.B.B.S. We were roommates in Block
III men’s hostel along with another close
friend Dr Krishnan Elayath who is also
not with us today. We became close friends
very quickly. Even after we became senior
students and were eligible for single
rooms, we used to take
adjacent rooms so that
we remained virtually
as roommates. His
unique trademark
was his most
charming smile.
During the
“induction”
period, as newly
admitted medical
students, our
seniors were angry,
to begin with, when
he smiled at everything
they asked him. But his
innocent and disarming smile
was accepted by them very
quickly. I am sure that those who came in
contact with this always well-dressed, most
pleasant gentleman would ever forget his
smile and I am sure none would have seen
him angry at any point in time. I, during
my almost 50 years of relationship with
him, have never seen him raising his voice
or being angry at any time. Even when he
was teased by classmates during our college
days he just smiled and never even once
reported. He, as all us of know, was a very
popular physician in Calicut with great
academic interest.
Dr Bhagyanathan and his wife Dr Meera
regularly came for the yearly get-together
of our batch and last time they attended
the get-together was in 2012. The most
heartbreaking incident for me was when he
did not recognize me when brought
to my department for an
MRI.
He just had a vacant
look on his face
when I stood in
front of him
and he was also
choking with
secretions. It
is extremely
difficult to
believe that such
a nice person who
never hurt anyone
or done any harm
to anyone had to suffer
so much during his last days.
During his illness, we did not
have the courage to visit him as we always
wanted to keep in our minds his handsome,
well-groomed figure with the most the
charming smile on his face. With his
departure, I have lost a very dear personal
and family friend. I would like to convey
my family’s heartfelt condolences to his
family and also pray god, the almighty to
give them strength to bear this great loss.
May his soul rest in peace.
Dr. Kesavan T
Senior Consultant Radiologist
Baby Memorial Hospital, Kozhikode
Reminiscences
of My Dear Friend
With his departure,
I have lost a very
dear personal and
family friend. I would like
to convey my family’s
heartfelt condolences to
his family and also pray
god, the almighty to give
them strength to bear this
great loss.
Dr Bhagyanathan
IMA KOZHIKODE NEWSLETTER12
P
rakash Bhai…How do I write a
memoir in your name? I can still
feel your presence. You played
many roles in my life.
It is impossible to quote the degree of
importance you had in my life?
A true friend who loved me greatly.
An elder brother who stood by me through
trials and tribulations.
A father-like figure who
scolded me whenever
I detoured from my
goal.
A magician who
magically wiped
away all the
challenges that I
faced in life.
A saintly
presence who
looked on with
detachment while
in the clutches of
disease.
You were all these to me,
and much more.
I could never figure out
completely the importance you held in my
life.
Friends and family always held an
important place in your life. We had had
many family get-togethers. You played the
perfect host on many beautiful evenings.
You made sure that all our needs were
fulfilled. You were always the ‘no nonsense’
paterfamilias, yet you were thrilled to see
your siblings when they came home from
abroad for vacations. You decided to
remain here and work in India, because you
knew that’s what your parents wanted.
You were a great visionary. You always
lived up to your name, spreading light and
joy in everyone’s lives around you. And
your wife “Prabha” (glow in
Hindi) also added the due
shine to your life.
You gave us
strength and
positivity even
when you were
in pain, and
during the
taxing post
chemo sessions.
You were the
most dependable
& persevering
human we knew, with a
luminous life, I still couldn’t
bring myself to utter a single
word at the condolence meet
organized by the IMA.
These words here reflect my feelings
for you, but they will always be left
unexpressed to some extent, because it
is not possible to write in as many words
what I feel for you, our relationship and
will forever do.
Obituary
Dr. S Prasannakumar
Senior Consultant Dermatologist
Mg. Director, Cutis Institute, Kozhikode
In the Loving Memory
of A Soulmate
You gave us
strength and
positivity even
when you were in pain,
and during the taxing post
chemo sessions.
Dr Prakash
13IMA KOZHIKODE NEWSLETTER
News & Events
Awareness Class on ‘Adolescent Psychology’ at St’
Joseph’s Anglo Indian HSS, Calicut in association
with WIMA Kozhikode on 1st November 2016.
IMA State Conference held at Nedumbassery, Aluva on 12th and
13th of November 2016. Over 250 members registered the State
Conference from Kozhikode IMA. Kozhikode IMA got the Dr SS Rao
Shield for the best local branch in Kerala State.
A Symposium on Violence against Women on the auspices of
“International Day for elimination of violence against Women”
at Malabar Christian College on 25th November, 2016.
Honouring Senior Family Physicians and Qualified
Family Physicians in Calicut City in association with
IMA College of General Practitioners, Kozhikode
Chapter on 2nd November 2016. Worshipful Mayor
Sri. Thottathil Raveendran inaugurated the function.
During the Short Film Festival organised by IMA Film Club
and IMA Kozhikode branch on 29th October 2016.
Topic 1. “Radiology – Past, Present and Future” by
Dr. V.R. Rajendran Prof. & HOD of Radio diagnosis, Govt.
Med. College, Kozhikode
Topic 2. ‘Breast Imaging – Current Concepts”
( It is the theme of the year) by Dr. Della Harigovind,
Senior Consultant Radiologist, BMH, Kozhikode
Special CME in connection with International Radiology
Day 2016 on 10th November.
During the World Elders Day program conducted at Valsalyam
Anganavadi, Chevayur on 1st October 2016.
IMA KOZHIKODE NEWSLETTER14
News & Events
District level ECG workshop,
held on December 18, 2016 at
IMA Hall, Kozhikode began
at 8.30 AM with lighting of
the lamp by Dr K Sugathan
(Senior Cardiologist). As many
as 69 delegates attended the
workshop. Ex-minister and MLA,
Dr. M K Muneer also graced the
occasion. All the participants
were ensured hands-on training
through the eight skill stations
at the venue. 36 scenarios were
discussed during the workshop.
75% of the workshop sessions
were delivered through skill
stations’ tabletop exercises.
Calicut College of General
Practitioners was honoured by
the senior most members to
host such a well-structured and
comprehensive scientific feast
for the first time. TCMC awarded
2 credit hours. The candidates
were assessed pre-test and
post-test and there was an
interactive feedback session
too. 14 faculty members and
10 helpers aided in making the
workshop more vibrant and
successful.
15IMA KOZHIKODE NEWSLETTER
IMA in News
Media Scan
IMA KOZHIKODE NEWSLETTER16
Malabar Institute of Medical Sciences Ltd.
Mini By-pass Road, Govindapuram P O, Calicut - 673 016, Kerala, India,
Phone: + 91-495-3911 400, 2488 000, Fax: + 91-495-2741329
Website: www.astermims.com, Email: mimsclt@mimsindia.com
Pioneer in
Specialty Care
Combining the expertise of highly skilled
professionals backed by state-of-the-art
technologies, Aster MIMS promises the best
possible care, thereby ensuring excellent accuracy
and precision in diagnosing and saving lives.

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Ima newsletter Volume 1

  • 1. 1IMA KOZHIKODE NEWSLETTER February 2017 Volume 1, Issue 1 IMA KOZHIKODE What’s New in Medicine! Interview with IMA State President Reminiscences of My Dear Friend INSIDE 5 119 Journal Scan Talking Point Obituary Cover Story Quality: Is it a Priority in the Healthcare Sector?
  • 3. 3IMA KOZHIKODE NEWSLETTER Editor-in-chief Dr Venugopalan P P Publisher IMA Kozhikode Contributers Dr Pradeep Kumar V G State President, IMA Dr Abraham Mammen Resource Person, PPS Dr P N Ajitha President, IMA Kozhikode Dr S V Rakhesh Secretary, IMA Kozhikode IMA KOZHIKODE FEATURES Journal Scan What’s New in Medicine! Page 5-6 Obituary Reminiscences of My Dear Friend Page 11 News & Events News & Events Page 13 Talking Point IMA to Ensure Equal Access to Healthcare for All Page 9-10 Cover Story Quality: Is it a Priority in the Healthcare Sector? Page 7-8 IMA Kozhikode is the biggest branch in Kerala and is one of the most vibrant branches in the state. A newsletter depicting the cross section of the vibrancy and passion of IMA, it certainly is more than just a newsletter. It is a news magazine with a new appearance, featuring different contents in an attractive presentation style. It covers the cross section of the initial three months of the Kozhikode IMA activity year. Dr Venugopalan PP DA, DNB, MNAMS, MEM-GWU Director, Emergency Medicine Aster DM Healthcare Group drvenugopalpp@gmail.com, +91 9847054747, 9544054747 www.astermedcity.com EDITOR SPEAKS Message from Leaders Page 4 INDIAN MEDICAL ASSOCIATION Kozhikode Branch IMA Hall Complex, IMA Hall Road Calicut - 673 011 Ph: +91 0495 2368715 Email: calicutima@gmail.com The rights to reproduce any information published in this magazine are vested with IMA Kozhikode. This newsletter will be distributed only among the IMA members, and not meant for sale. For any querries, contact: 9847 50 8715 Contact Person: Mr. Biju, Manager, IMA Kozhikode Designed by
  • 4. IMA KOZHIKODE NEWSLETTER4 I feel very happy to know that our bulletin is getting ready for release. I hope, our bulletin will be a beacon light for the members to sail through the troubled water when the profession face challenges from varied areas. T he Kozhikode branch of IMA is one of the most active IMA branches in the whole country, buzzing with academic, social and cultural activities all through the year. All our members may not be able to actively participate in all the activities but it is important that they are kept updated on what is happening in our branch. What else can be a better tribute to our vibrant members than a newsletter, acknowledging the noble contributions of our members and leaders to the society in general and to our medical fraternity? I am very happy to note that this particular task has been taken up by a person who has proved his flair with the ink. The signature style of Dr Venugopal is reflected in the wonderful presentation format of the “New” newsletter. I am sure the new editorial team will take our IMA newsletter to greater heights and will not only serve as nutshell of activities at our branch but will prove a wonderful read. From the Secretary’s Desk President’s Message Dr Rakhesh SV (Skin & VD), Consultant Dermatologist Iqraa Hospital, Malaparamba, Calicut Aster MIMS, Govindapuram, Calicut, Kerala Mob: +919447241627 Dr P N Ajitha Gynaecologist IMA Calicut Branch President Message
  • 5. 5IMA KOZHIKODE NEWSLETTER The common myth on cholesterol is still a hot topic. Now the discussion has become wide with the official withdrawal of long-standing warnings on cholesterol by the US government. This means eggs, butter, full-fat dairy products, nuts, coconut oil and meat have now been classified as safe and have been officially removed from the nutrients of concern list. The US Department of Agriculture, which is responsible for updating the guidelines every five years, stated in its findings for 2015, “Previously, the Dietary Guidelines for Americans recommended that cholesterol intake is limited to no more than 300 mg/day.” Discussions are still going on whether cholesterol can be harmful to health or not and studies also focus on the facts regarding good and bad cholesterol. Cholesterol: Good or Bad? Journal Scan What’s New in Medicine! B ased on data from almost 7000 out-of-hospital cardiac arrest patients from two large registries (Paris, France and King County, Washington State) and a major multicenter randomized trial, researchers identified three criteria (arrest not witnessed by emergency medical services personnel, non-shockable initial cardiac rhythm, and no return of spontaneous circulation prior to administration of third 1mg dose of epinephrine), and if all criteria were met, it had a specificity and positive predictive value of essentially 100 percent for death prior to the hospital discharge. Of 2800 patients evaluated who met all three criteria, only one survived. Early identification of patients with no chance of survival may be helpful in family decisions about organ donation. F or years, no effective therapy was available to prevent tissue necrosis and subsequent amputation in patients with severe frostbite, but an increasing body of evidence suggests that treatment with iloprost, a prostacyclin analog (IV formulation not available in the United States) can prevent such injury in appropriately selected patients. According to an open-label randomized trial, a growing number of case reports, and revised management recommendations from wilderness medicine experts, treatment with iloprost is effective and safe. We suggest treatment with iloprost (where available), with or without tPA, for patients with severe frostbite (Grade 2-4) if given within 48 hours of the initial insult. T here is no proven benefit from the rapid reduction of blood pressure in patients with severe asymptomatic hypertension (systolic blood pressure ≥180 mmHg and/or diastolic blood pressure ≥110 mmHg). In a retrospective study of over 59,000 patients who presented in the ambulatory setting with severe asymptomatic hypertension, there was no difference in major adverse cardiovascular events, or prevalence of uncontrolled hypertension six months later, for patients sent to the emergency department or sent home from the office for outpatient blood pressure management. Hospitalization rates were higher for those sent to the emergency department. This cohort study suggests that most patients with asymptomatic hypertensive urgency who are present in the ambulatory setting can be managed as outpatients. Determining the Futility of Resuscitation Following a Cardiac Arrest Iloprost Therapy for Severe Frostbite Outcomes in Severe Asymptomatic Hypertension (Hypertensive Urgency)
  • 6. IMA KOZHIKODE NEWSLETTER6 Journal Scan A bag urine specimen for a screening urine dipstick and/ or urinalysis may prevent the need for a catheterized urine culture in selected patients older than 6 months of age at low risk for a urinary tract infection (UTI). In an observational study of over 800 previously healthy, screening of urine obtained by a bag specimen reduced the number of subsequent urine cultures obtained by bladder catheterization from 63 to 30 percent without prolonging the length of stay or increasing rates of revisits or missed UTI. Although potentially helpful for urine screening tests, bag urine samples should not be routinely used to obtain urine samples for culture, especially in situations where contamination of the specimen will complicate further management. T he British Association of Dermatologists released new guidelines for the management of Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN), a severe and potentially fatal mucocutaneous drug reaction. The guidelines provide evidence-based recommendations for the diagnosis, severity assessment, and management of SJS/TEN. Specific areas covered include initial management, supportive care, and therapies intended to reduce mortality, such as intravenous immune globulins, systemic corticosteroids, and cyclosporine. The treatment of eye involvement, including systemic therapies and amniotic membrane transplantation to prevent permanent ocular sequelae, as well as the management of oral, urogenital, and airway mucosal involvement are also addressed. T he risk of recurrent ischemic stroke is highest in the first days and weeks after a Transient Ischemic Attack (TIA) or ischemic stroke, but the benefit of aspirin in this time period has not been well studied. In a recent pooled analysis of data from over 15,000 subjects in 12 trials evaluating aspirin for secondary prevention, the benefit of aspirin was strongest in the early weeks after TIA or ischemic stroke. Compared with control (mostly placebo), aspirin reduced the relative risk of recurrent ischemic stroke within the first six weeks by 58 percent (1 versus 2.4 percent, absolute risk reduction 1.4 percent). The benefit of aspirin in this time frame was greatest for the subgroup of patients with TIA or minor stroke. Clinical Prediction Rule for Abusive Head Trauma in Well-appearing Infants Bag Urine Specimen Testing to Determine the Need for Urine Culture in Children New Guidelines for the Management of Stevens-Johnson/Toxic Epidermal Necrolysis Syndrome Early Benefit of Aspirin after TIA or Ischemic Stroke M agnetic Resonance Imaging (MRI) may be used for diagnostic imaging in pregnancy when ultrasound examination is inadequate; however, foetal safety has not been conclusively established. Recently, the largest study of MRI in pregnancy reported that first-trimester MRI was not associated with significantly increased risk of stillbirth, neonatal death, congenital anomaly, neoplasm, or vision or hearing loss in children followed up to four years when adjustments were made for differences between exposure groups. The study also found that gadolinium exposure at any time during pregnancy was associated with an increased risk of stillbirth and neonatal death. Children exposed in utero were at an increased risk of rheumatologic, inflammatory, or infiltrative skin conditions, but not congenital anomalies or Nephrogenic Systemic Fibrosis (NSF). This study is a major addition to the body of evidence supporting the safety of MRI in pregnancy when medically indicated. It also provides the first data supporting existing recommendations to avoid the use of gadolinium-based contrast agents in pregnant women, when possible. Safety of Magnetic Resonance Imaging and Gadolinium in Pregnancy W hile Pulmonary Embolus (PE) has generally been considered to being a relatively rare cause of syncope, a recent study reported a 17 percent prevalence of PE among patients admitted to hospital with syncope and 25 percent prevalence among those without an alternative aetiology for syncope. Two- thirds of patients with syncope secondary to PE had thrombus located in the main stem or lobar arteries, suggesting that syncope may indicate a high burden of thrombus. The study underscores the importance of syncope as a presenting manifestation of clinically significant PE. Syncope and Pulmonary Embolus D etection of Abusive Head Trauma (AHT) is challenging in well-appearing infants who typically present with an unrelated complaint and no history of trauma. High- risk complaints include an apnea or acute life-threatening event, seizure, vomiting without diarrhoea, soft-tissue scalp swelling, bruising, lethargy, fussiness, or poor feeding. In a prospective multicenter validation of a clinical prediction rule in over 1000 well-appearing infants younger than one year of age who presented with high-risk complaints about possible abuse, a score of two or more had high sensitivity for an abnormality on Computed Tomography (CT) of the head. This rule has significant potential for assisting the clinician with decisions about neuro imaging.
  • 7. 7IMA KOZHIKODE NEWSLETTER Cover Story Quality: Is it a priority in the healthcare sector? Dr Abraham Mammen HOD, Dept. of Paediatric and Neonatal Surgery Head, Quality Assurance Department ASTER MIMS, Calicut NABH, Senior Assessor B otched surgery results in the death of the patient.” “The Wrong patient was taken for surgery…” “Wrong Medicine was given…” “Patient admitted for the treatment of Diabetes falls in hospital and breaks a leg” “Doctor and hospital sued…” We have come across all these and more in newspaper reports about accidents in hospitals. Patients come to the hospital for a relief from their medical conditions. The primary aim of all personnel involved in patient management is to do good – i.e. cure the health problems of the patient and remove the symptoms. Hospitals are becoming a dangerous place these days. A study from the US shows that medication errors and deaths from medication errors are more common in the US than road traffic accidents and cancer. Why is this happening? There are a number of reasons for it. With the improvement in medicine and surgery, the cure rate is increasing but at the cost of increased risk of high-risk medications and morbidity of improper surgery. This is leading to a very bad situation where patients are on the lookout to cause problems for the caregivers. They view all hospitals as a business centre out to make a fast buck at the patient’s expense. In this scenario, if a mishap occurs, then it is disastrous for the health professional. Adding to this, Dr Google whose information is considered more serious than a doctor’s experience is causing a clash. No wonder, in this situation, doctors are more and more resorting to defensive medicine. Is that the right way forward? Should doctors be on the back foot always? Are they always wrong? Should they cringe and shy away from aggressive patients. No, the answer is an emphatic “NO.” We have been taught to practice evidence- based medicine and that is what doctors “Accreditation is only the third part acknowledgement of the quality practices and assures stakeholders that the healthcare organization is following such quality practices as mentioned
  • 8. IMA KOZHIKODE NEWSLETTER8 should do in their day-to-day practice. To add to it, ethical practices with diplomacy and empathy, and the doctor is on the right pathway. However, accidents do occur even in such situations. What can be done in such situations? Practice medicine to ensure that all such situations are avoided and this is what “Practice of Quality in medicine does.” Quality makes sure that the safety and satisfaction of the stakeholders are looked after so that this crucial aspect of medical care is also taken care of. Accreditation is only the third part acknowledgement of the quality practices and assures stakeholders that the health care organization is following such quality practices as mentioned. Various Policies and Protocols enforce that the patient is best looked after without any serious consequences. Major hospitals with busy patient turnover can have problems of mistaken identity, medication errors, wrong site, wrong patient surgery or any other with disastrous consequences. Quality practices make sure that such unexpected problems are reduced to the minimum while at the same time making sure that the medical practice standards are raised. They are encouraged at all times to benchmark the National and International standards. Audits, both clinical and nonclinical, let us analyze where we stand with respect to other institutions and how our results compare to other similar centres. This not only helps patients get the maximum benefit but also helps us as the health care provider. Thus, with progress comes greater responsibility. Health care is expected to lead from the front by making sure that quality services are followed in the practice of modern medicine. Patients with greater access to the internet are more informed about their medical condition and are aware of their rights and condition. All this demands health care practitioners to practice quality health care. The healthcare motto is no longer to “Do good” but more importantly to “Do no harm.” As Albert Einstein, the great visionary and scientist once said: “The world is not dangerous because of those who do no harm but because of those who look at it without doing anything.” So let us resolve to practice evidence-based medicine in a quality setting with diplomacy and empathy and this will make our profession more safe, enjoyable and gratifying in the years to come. Cover Story
  • 9. 9IMA KOZHIKODE NEWSLETTER Talking Point IMA to Ensure Equal Access to Healthcare for All Dr. Pradeep Kumar V G MD, DM, DNB, MNAMS Dept. of Neurology, Baby Memorial Hospital What is the current health scenario of Kerala? The Government is planning for a new health policy in 2017. I was also a part of the health policy committee, being the President of the Indian Medical Association. Presently, though we have good facilities, cutting-edge technologies, advanced centres for health care, we are not able to deliver to all the needy, for example, quality health care is not delivered to everyone, some are getting it and some are not. Even though we have a very strong Government sector, only 30% of the patients are catered to, while the rest 70% are supported by the private sector. Many people cannot afford this, and hence, it is important to strengthen the small and medium scale hospitals and improve the rural health clinics and start the family physician concept. This will help ensure everyone has equal access to healthcare. The Government should also have policies that ensure equal treatment to all. Lack of money should not be criteria for not availing treatment. Irrespective of being rich or poor, everyone should get treatment. The Government has to modulate a plan based on this to ensure improvements in the healthcare sector. Kerala is a small state, with a population of 3.25 crore population, and as it is, we can experiment all models in this small number of population. There are several threats to be addressed such the as disposable waste, and as they are not removed properly, there can be communicable diseases, and diseases that were not known to Kerala due to immigrant workers, lifestyle factors including lack of exercise, poor food habits leading to hypertension, diabetes, cancer, stroke and depression. This is a very different scenario that we have here and at par with developed countries, Communicable diseases is a major threat that Kerala is facing now. Inadequate disposal of waste is another reason for diseases. And the lack of immunization is a problem. Immunization is a key to preventing many diseases and because of the negative campaign by certain sections Kerala has one of the most vibrant branches of IMA at the national level. We are doing the best activities when compared to other branches.
  • 10. IMA KOZHIKODE NEWSLETTER10 Talking Point of people, this is being drawn behind, especially in places like Malappuram, Wayanad, and Calicut, etc. But with the excessive campaign by the IMA and health department of the government, we are able to achieve a lot. On the whole, the health sector of Kerala is good. Now we have to prevent communicable diseases, we should have a very healthy environment to do that. How is IMA committed to the public health? IMA has been committed to this all these years, and our motto which I have put forward is “striving for excellence,” strengthening the profession of medicine, not by increasing the number of doctors or improving the academic content, but by strengthening the profession, linking it to the society. Society has to acknowledge the doctor as a man who cares for them, only this can bring out the final outcome. So the link is the profession and the society, and the bond has to be strengthened by telling the truth to the patient and revealing the scientific aspects of the medicine and at the time same time keeping the professional values and ethics, only then the link will be made strong. What are IMA’s plans? IMA’s agenda for this year is to strengthen the profession by increasing the membership by adding more members. We have a plenty of member-friendly schemes, like profession-protection schemes, so in case of litigation, the association will take care of the litigation. Through a social security scheme, when a doctor passes away through unfortunate circumstances, his family will be supported. There will be a health scheme where we have some pension schemes and insurance schemes with low premium. We are also planning for the disabled doctors’ support system where when a doctor becomes disabled at a young age and is unable to make his livelihood, he would be provided support. Another scheme known as the Privileged scheme for Elderly doctors is also introduced. This is for doctors who are elderly and are living in old age homes. Apart from that, we are envisaging on various activities to strengthen the profession. We have a cultural club academic initiatives like College of General Practitioners and other academic medical specialities. We have some social projects, where under the scheme “Arogyamaithri,” we adopt a girl’s school and we also adopt a village for health education and camps. There is another project called Arogyajalakam where we empower the local self-government like Panchayat and Municipality to develop a project on health. We also have other projects like Patient Care Fund where we support the poor patients. We also have funds for Women’s Health, Children’s Health, etc. How strong are IMA’s activities in Kerala? Kerala has one of the most vibrant branches of IMA at the national level. We are doing the best activities when compared to other branches. How both the doctors’ and patients’ interests are protected? In order to protect the Doctor’s interest, we have zero tolerance for hospital attack. This is in light of all the hospital attacks everywhere, mostly without reason. If people have some grievance, then there is a proper forum where they can submit the grievance to. In a hospital, there are patients, their friends and families, so it would be very unfortunate to disturb them. How IMA assures quality in medical care? IMA has a Quality Assurance Committee that will ensure that a minimum standard is ensured not only in hospitals but in small scale clinics as well. What is your take on the IMA newsletter? I am happy that Kozhikode IMA is bringing out a newsletter because this would reveal not only the activities of the organization, but it would give an update on the programs, on the medical profession, on the policies introduced by the government. The quarterly newsletter would carry the summary of the activities of the past 3 months, along with other healthcare information. The programmes of IMA Kozhikode State-level inauguration of the differently abled committee’s activities is planned with a wide participation of differently abled people. This project was inaugurated at Kozhikode IMA. We had a state-level cultural inauguration where cultural programmes by various doctors from various branches were performed. Kozhikode IMA was also the recipient of many awards for several years in a row. There are many committed leaders in the branch and their vision has helped achieve many good things for the society. What does the IMA expect from the State Government? We take part in most of the state government activities and IMA has been invited by the government to various committees as well. But the government should ensure that whenever committees are formed at the district or state level, (like Hospital Development Management Committee), it is important that the IMA should be invited as well and made a member. I was a member of the Health Policy Committee and similarly, in all other committees, IMA should be consulted. I hope the government will do that. A message to the doctors… To be honest to the patients, uphold ethics and update your medical knowledge!
  • 11. 11IMA KOZHIKODE NEWSLETTER Obituary I met Bhagyanathan, whom close friends fondly called ‘Bhagy’, on 9th August 1964 when we joined for M.B.B.S. We were roommates in Block III men’s hostel along with another close friend Dr Krishnan Elayath who is also not with us today. We became close friends very quickly. Even after we became senior students and were eligible for single rooms, we used to take adjacent rooms so that we remained virtually as roommates. His unique trademark was his most charming smile. During the “induction” period, as newly admitted medical students, our seniors were angry, to begin with, when he smiled at everything they asked him. But his innocent and disarming smile was accepted by them very quickly. I am sure that those who came in contact with this always well-dressed, most pleasant gentleman would ever forget his smile and I am sure none would have seen him angry at any point in time. I, during my almost 50 years of relationship with him, have never seen him raising his voice or being angry at any time. Even when he was teased by classmates during our college days he just smiled and never even once reported. He, as all us of know, was a very popular physician in Calicut with great academic interest. Dr Bhagyanathan and his wife Dr Meera regularly came for the yearly get-together of our batch and last time they attended the get-together was in 2012. The most heartbreaking incident for me was when he did not recognize me when brought to my department for an MRI. He just had a vacant look on his face when I stood in front of him and he was also choking with secretions. It is extremely difficult to believe that such a nice person who never hurt anyone or done any harm to anyone had to suffer so much during his last days. During his illness, we did not have the courage to visit him as we always wanted to keep in our minds his handsome, well-groomed figure with the most the charming smile on his face. With his departure, I have lost a very dear personal and family friend. I would like to convey my family’s heartfelt condolences to his family and also pray god, the almighty to give them strength to bear this great loss. May his soul rest in peace. Dr. Kesavan T Senior Consultant Radiologist Baby Memorial Hospital, Kozhikode Reminiscences of My Dear Friend With his departure, I have lost a very dear personal and family friend. I would like to convey my family’s heartfelt condolences to his family and also pray god, the almighty to give them strength to bear this great loss. Dr Bhagyanathan
  • 12. IMA KOZHIKODE NEWSLETTER12 P rakash Bhai…How do I write a memoir in your name? I can still feel your presence. You played many roles in my life. It is impossible to quote the degree of importance you had in my life? A true friend who loved me greatly. An elder brother who stood by me through trials and tribulations. A father-like figure who scolded me whenever I detoured from my goal. A magician who magically wiped away all the challenges that I faced in life. A saintly presence who looked on with detachment while in the clutches of disease. You were all these to me, and much more. I could never figure out completely the importance you held in my life. Friends and family always held an important place in your life. We had had many family get-togethers. You played the perfect host on many beautiful evenings. You made sure that all our needs were fulfilled. You were always the ‘no nonsense’ paterfamilias, yet you were thrilled to see your siblings when they came home from abroad for vacations. You decided to remain here and work in India, because you knew that’s what your parents wanted. You were a great visionary. You always lived up to your name, spreading light and joy in everyone’s lives around you. And your wife “Prabha” (glow in Hindi) also added the due shine to your life. You gave us strength and positivity even when you were in pain, and during the taxing post chemo sessions. You were the most dependable & persevering human we knew, with a luminous life, I still couldn’t bring myself to utter a single word at the condolence meet organized by the IMA. These words here reflect my feelings for you, but they will always be left unexpressed to some extent, because it is not possible to write in as many words what I feel for you, our relationship and will forever do. Obituary Dr. S Prasannakumar Senior Consultant Dermatologist Mg. Director, Cutis Institute, Kozhikode In the Loving Memory of A Soulmate You gave us strength and positivity even when you were in pain, and during the taxing post chemo sessions. Dr Prakash
  • 13. 13IMA KOZHIKODE NEWSLETTER News & Events Awareness Class on ‘Adolescent Psychology’ at St’ Joseph’s Anglo Indian HSS, Calicut in association with WIMA Kozhikode on 1st November 2016. IMA State Conference held at Nedumbassery, Aluva on 12th and 13th of November 2016. Over 250 members registered the State Conference from Kozhikode IMA. Kozhikode IMA got the Dr SS Rao Shield for the best local branch in Kerala State. A Symposium on Violence against Women on the auspices of “International Day for elimination of violence against Women” at Malabar Christian College on 25th November, 2016. Honouring Senior Family Physicians and Qualified Family Physicians in Calicut City in association with IMA College of General Practitioners, Kozhikode Chapter on 2nd November 2016. Worshipful Mayor Sri. Thottathil Raveendran inaugurated the function. During the Short Film Festival organised by IMA Film Club and IMA Kozhikode branch on 29th October 2016. Topic 1. “Radiology – Past, Present and Future” by Dr. V.R. Rajendran Prof. & HOD of Radio diagnosis, Govt. Med. College, Kozhikode Topic 2. ‘Breast Imaging – Current Concepts” ( It is the theme of the year) by Dr. Della Harigovind, Senior Consultant Radiologist, BMH, Kozhikode Special CME in connection with International Radiology Day 2016 on 10th November. During the World Elders Day program conducted at Valsalyam Anganavadi, Chevayur on 1st October 2016.
  • 14. IMA KOZHIKODE NEWSLETTER14 News & Events District level ECG workshop, held on December 18, 2016 at IMA Hall, Kozhikode began at 8.30 AM with lighting of the lamp by Dr K Sugathan (Senior Cardiologist). As many as 69 delegates attended the workshop. Ex-minister and MLA, Dr. M K Muneer also graced the occasion. All the participants were ensured hands-on training through the eight skill stations at the venue. 36 scenarios were discussed during the workshop. 75% of the workshop sessions were delivered through skill stations’ tabletop exercises. Calicut College of General Practitioners was honoured by the senior most members to host such a well-structured and comprehensive scientific feast for the first time. TCMC awarded 2 credit hours. The candidates were assessed pre-test and post-test and there was an interactive feedback session too. 14 faculty members and 10 helpers aided in making the workshop more vibrant and successful.
  • 15. 15IMA KOZHIKODE NEWSLETTER IMA in News Media Scan
  • 16. IMA KOZHIKODE NEWSLETTER16 Malabar Institute of Medical Sciences Ltd. Mini By-pass Road, Govindapuram P O, Calicut - 673 016, Kerala, India, Phone: + 91-495-3911 400, 2488 000, Fax: + 91-495-2741329 Website: www.astermims.com, Email: mimsclt@mimsindia.com Pioneer in Specialty Care Combining the expertise of highly skilled professionals backed by state-of-the-art technologies, Aster MIMS promises the best possible care, thereby ensuring excellent accuracy and precision in diagnosing and saving lives.