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DECEMBER 2019, JANUARY-FEBRUARY 2020 1
Page 11
Page 9
2019
DECEMBER
2020
JANUARY
FEBRUARY
9Newyear
Celebration 2020
IMA Kozhikode
Branch Bagged Many
National Awards
4
DECEASED DONOR
ORGAN DONATION &
TRANSPLANTATION
15Kozhikode IMA
in MEDIA
The Glittering Welcome
Accorded to State Leaders
Dr. Venugopalan
Dr. Sandhya Kurup
Dr. Vijayaram Rajendran
DECEMBER 2019, JANUARY-FEBRUARY 20202
JANUARY
01/01/2020: New Year Celebrations
03/01/2020: Executive committee meeting.
05/01/2020: WDW officials attended
Official Launch of Activities Women Doctors
Wing in Periyar house Aluva.
05/01/2020: Observation of Human
Rights Day -WDW Conducted awareness
Programme at OISCA International hall.
05/01/2020: Attended the palliative care
stalls in Curios exhibition in IPM.
05/01/2020: Conducted Awareness
Programme (Doctorod Chothikkam) in
association with Moideen Veedu Family meet
at Pallikandi, Kozhikode.
07/01/2020: State IMA Sports Committee
meeting at IMA Hall.
09/01/2020: Neuro Otology Conference
organized byAOI 11/01/2020: IMACGPCME.
1 5 / 0 1 / 2 0 2 0 : A M S m o n t h l y
meeting.15/01/2020: IMA Membership
Campaign at General Hospital Kozhikode.
15/01/2020: Cultural wing State Convenor
Dr. Dhanya PG performed in connection with
Palliative care day and family meet at General
Hospital, Kozhikode.
15/01/2019: Pulse polio activities planning
meeting in Collectorate with Deputy collector.
17/01/2020: District Committee meeting.
26/01/2020: Observation of Republic Day.
State President hoisted flag at IMA premises
26/01/2020: Observation of Community
serviceday-WDWKozhikodeConductedmedical
camp in association with Lions Club International
at GLP School Velliparamba.
26/01/2020: Managing committee meeting
of Schemes IMAKSB at IMAHall Kozhikode.
26/01/2020: Reception of State leaders of
IMAand Family meet at IMAHall Kozhikode.
28/01/2020: AMS Special Programme &
CME at IMA Hall Kozhikode.
30/01/2020: Observation of Leprosy week–
MorningWalkathon &Awareness programme in
association with IADVL Kerala & JCI Calicut
at Kozhikode beach.
30/01/2020: General body meeting and
CME.
Activities at a Glance
DECEMBER
01/12/2019: Observation of  World  Aids
day - IMA Conducted Morning Walkathon
at Kozhikode Beach.IMA Conducted Public
medical camp (SOPHIYA) at Kozhikode Beach.
Conducted Public awareness Programme at S.K
Pottekkatt Square. 
01/12/2019: IMA Kerala Health Scheme
Office Inauguration at Kozhikode.
03/12/2019: Observation   of  International
Day for Disabled Persons atAshakiran School,
Devagiri.
04/12/2019: ConductedAdolescent Health
education MISSION PINK HEALTH at Govt.
Ganapath Girls HSS Chalappuram.
05/12/2019: Observation   of  World 
Aids day – Conducted an awareness
talk to Students  at Achuthan Girls HSS
Chalappuram.05/12/2019: Discussion
with District Collector regarding Ultra Sound
Scan issue at District Homeo Hospital.
05/12/2019: Observation of Domestic
Violence day at College of Applied Science.
06/12/2019: Executive committee meeting
and Releasing 1st issue of IMA news letter.
08/12/2019: Branch Presidents &
Secretaries Meet at HQ, Trivandrum.
10/12/2019: IMA CGP CME.
11/12/2019: Observation of World Unicef
day – IMA Conducted Quiz Competition at
IMA Hall.
14/12/2019: Conducted premarital
counselling for the registered candidates at
CSI Retreat center. 
15/12/2019: State Scheme meeting at
Periyar house, Aluva.
15/12/2019: Observation of Human Rights
Day at Oisca international Hall.
16/12/2019: State IMASports Committee meeting
at IMA Hall.
18/12/2019: AMS monthly meeting.
19/12/2019: Dr. Roy R Chandran took the
Class for Govt. Medical Officers of Kozhikode
District. 
23/12/2019: General body meeting and
CME.
27/12/2019 to 28/12/2019: National
Conference at Kolkata.
28/12/2019:  Celebrated Christmas at
Home of Love Kottooli.
31/12/2019:  New Year Celebrations
FEBRUARY
04/02/2020: Observation of Cancer Day –
Panel discussion on Cancer care at IMA Hall
Kozhikode.
04/02/2020: IMA District Committee
Conducted Corona virus awareness CME at
Malabar Medical College, Kozhikode.
04/02/2020: Conducted awareness class
about Corona Virus, junk food and Mission
mukthi to student’s parent’s at CSI Cathedral
L P School Mananchira.
05/02/2020: IMA Kozhikode Conducted
Corona virus awareness Class to Meitra Hospital
Staffs at Meitra Hospital, Kozhikode.
05/02/2020: IMAKozhikode in association
with Health Dept. & Iqraa Hospital Conducted
Corona prevention programme at Iqraa Hospital.
05/02/2020: IMA Kozhikode & IMA
District Committee Conducted Corona virus
awareness Class to Students at St. Josephs
College, Devagiri, Kozhikode.
05/02/2020: IMA Kozhikode Conducted
Corona prevention programme at National
Hospital Kozhikode.
05/02/2020: IMA Kozhikode Conducted
Corona prevention programme at Co-Operative
Hospital Kozhikode.
06/02/2020: IMA Kozhikode Conducted
Corona prevention programme at Kozhikode
Railway Station.
06/02/2020: IMAKozhikode in association
with Health Dept. & BMH Hospital, Kozhikode
Conducted Corona prevention programme at
BMH Hospital, Kozhikode.
06/02/2020: IMA Kozhikode & IMA
District Committee Conducted Corona virus
awareness CME at ShreeAnjaneya Para medical
Institute, Atholi, Kozhikode.
08/02/2020: Conducted Corona virus
awareness and Premarital counselling at CSI
retreat center.
09/02/2020: SWC meeting at Cochin.
09/02/2020: IMA Cultural wing Film
festival at IMA hall Kozhikode.
10/02/2020: Conducted Mental Health
Workshop in association with IIM Kozhikode
at IMA hall Kozhikode.
11/02/2020: IMA Kozhikode Conducted
Awaken India programme in association with
MSN at medical college Kozhikode.
12/02/2020: IMAKozhikode team meeting.
12/02/2020: Observation of Sexual and
reproductive awareness day and Corona Virus
awareness at Rajendra Hospital.
14/02/2020: IMA CGP CME.
16/02/2020: Junior Doctors Meet 2020 at
IMA Hall Kozhikode.
19/02/2020: AMS monthly meeting.
19/02/2020: District Committee meeting.
23/02/2020: Calicut half Marathon 2020.
23/02/2020: TOT workshop on Emergency
Life support at IMA Periyar House.  
24/02/2020: District Committee meeting.
26/02/2020: Preliminary discussion
about World hearing day at MCH
Kozhikode. 26/02/2020: IMA Cultural wing
Organised by ‘Narthanam’at Govt Dermatology
hospital Kozhikode.
27/02/2020: General body meeting and
CME.
DECEMBER 2019, JANUARY-FEBRUARY 2020 3
Dr Aneen N Kutty
President
Dr B Venugopalan
Secretary
Dr Sheela Noone
Chairperson WDW
Dr Rumlath
Secretary WDW
2019 DECEMBER, 2020 JANUARY-FEBRUARY
Iam delighted to welcome you to our second issue of IMA Kozhikode
newsletter.
We had welcomed New Year not only in awe and with immense pride,
but in abundant happiness also. It was soothing for the eyes, ears and
minds the festival joyous atmosphere that accompanied the New Year
celebrations. Big contingents of IMA families were present to welcome
the New Year. The glittering welcome accorded to the state officers
and the IMA health office inauguration  were splendid functions.
Our branch bagged many national awards for the exceptional works
done during last year.  Dr.Vijayaram Rajendran and Dr.Venugopalan
received the Best IMA Local Branch Rotating Trophy of Gujarat
State Branch (for Major Branches) & Presidents Appreciation
Award as best Branch for membership enrolment activities. Dr.
VG Pradeep Kumar received IMA CGP Silver jubilee Oration
Award & Award for Community Services. Dr. Sandhya Kurup
received the Presidents Appreciation Award for WDW activities. 
Various important days were celebrated with programmes and
community services conducted under the auspices ofIMA and WDW
during the reporting period and it made great impact on people’s mind
which is a testimony to the leadership abilities  of our present leaders. 
The Covid19 epidemic which created fear throughout the world,
which had the potential to become a global epidemic, was controlled
by the timely appropriate preventive measures  by all countries and
the threat is being dissipated fast.  But in the meantime through
social medias various misinformation is spreading ‘ virally’ leading
to fear and panic among the people and
our organization has joined hands with the
public health authorities to intervene to stop
this by conducting awareness classes, radio
programs, TV shows and press release.
Dr. S.K. Suresh Kumar
Editor
DECEMBER 2019, JANUARY-FEBRUARY 20204
ORGAN
TRANSPLANTATION
Q. Can a person survive if organs fail?
A. Vital organs like heart, kidney and
liver are important in sustaining life.
Irreversible and advanced failure of
these organs due to diseases from
various causes can cause death. Failure
of some organs (eg pancreas, eye,
intestine) may not be life threatening
but can result in significant ill health
and morbidity.
Q. Which all organs can be transplanted?
A. Cornea, Kidney, liver, heart and
pancreas are organs commonly
transplanted. Transplantation of
intestines and limbs can also be done in
specialized centers. Though not a solid
organ, bone marrow transplantation can
be done from a living donor.
Q. Why do we say that there is a shortage
of organs to help patients in organ
failure?
A. Kidney and liver are the only solid
organs that can be transplanted from
a living donor. To find a healthy
compatible living donor is not easy
and the number of patients in need is
overwhelming. Heart, pancreas and
cornea cannot be taken from a living
donor. Hence there is real shortage of
organs to transplant relative the needy
population. A reliable deceased donor
program is the only viable solution to
this problem.
ORGAN DONATION
Q. Why should we advocate brain death
organ donation ?
A. Please see the response to the previous
question
Q. How many organs can be transplanted
from a deceased donor ?
A.Atleastsevenorganscanbetransplanted
from a deceased donor. Two kidneys,
two corneas , one liver, one heart and
one pancreas. As mentioned above
intestine transplantation and bone graft
could also be done.
Q. How will I benefit if my kin donates
an organ?
A. Donating an organ is considered equal
to donating a life. In many instances
a person with organ failure will die
if not transplanted soon enough.
Saving and protecting a fellow human
being’s life whenever we can, is one
of our fundamental responsibilities.
By helping a needy person with
organ transplantation you are not just
giving someone a gift of life but also
are improving the lives and destinies
of an entire family and perhaps even
generations to come. The benefit on
offer is clearly beyond anything that
money can buy. There are no monetary
incentives at any level to any person
involved in brain death organ donation.
Q. Who decides on which all organs
could be donated ?
A. It is the prerogative of the donor family
to decide on which all organs are to be
donated. The family can consent for
the donation of one organ or multiple
organs.
BRAIN DEATH AND
ORGAN DONATION
Q. Do the terms "Brain death donor","
Cadaver donor" and "Deceased donor"
mean the same?
A.Yes, all the three terms are conceptually
thesame.Themostacceptedandsuitable
terminology is “deceased donor”. The
term “cadaver donor” should be avoided
as cadaver denotes a dead body.
Q. What is brain death?
A. Brain death happens in patients who
had the misfortune of suffering from
non treatable, irreversible brain damage
due to injury or disease. Brain dead
patients would not have any meaningful
function of the brain and would not be
able to breathe by self, but they would
have a functioning heart which would
FREQUENTLY ASKED QUESTIONS ABOUT
DECEASED DONOR ORGAN
DONATION & TRANSPLANTATION
Dr. FEROZ AZIZ DM
CONSULTANT
NEPHROLOGIST
Iqraa International Hospital
and Research Centre
Kozhikode
Combiled by
DECEMBER 2019, JANUARY-FEBRUARY 2020 5
Q. Can organ donation cause procedural delay?
A. Confirmatory tests for brain death have
to done twice with an interval of six hours
between the tests. Once consent for donation
has been obtained, coordinating the process
of organ retrieval takes time. Organ retrieval
from deceased donors involves many hospitals
and transplant teams to ensure that the organs
donated match as perfectly as possible with
the recipient. If it is a medico-legal case, a
post- mortem has to be performed and this
involves both the police and Forensic Medicine
departments.
Q. Who can legally give consent for organ
donation when a patient is brain-dead ?
A.Aperson legally in possession of the deceased
person can sign the consent form. This is
usually done by a parent, spouse, son/daughter
or brother/sister. By signing a consent form the
family says that they do not have any objection
to the removal of organs from the body of their
loved one. It is a legal document. This form is
kept with the hospital.
Q. How is a potential recipient identified? If my
organs are donated, who decides who receives
them? Can the donor family get involved in
recipient selection process?
A. The patients who have organ failure and want
a transplant are listed in a waitlist according
to their seniority based on the duration of
illness and other clinical criteria depending
on the organ involved. The waitlist and organ
allocation is supervised by the supervising
state authority.
The family of donor can definitely recommend
a relative or acquaintance with organ failure
as potential recipient, but his or her candidacy
can be accepted based on medical fitness of
the patient and ideally should be enlisted in
the waitlist.
Q. Is commercial dealing of organs forbidden
by law?
A. Report of submission of false records
and other misdemeanors should be sent
to the Appropriate Authority in the State
Government’s Department of Health. The
AppropriateAuthority can file a criminal case
against the party. A hospital, authorization
committee, or a person can approach the
appropriate authority with the information.
The 2011 Amendment of the THO Act gives
the following offenses:
'LEGAL' AND 'ETHICAL' ISSUES OF DECEASED
DONOR ORGAN TRANSPLANTATION
Removal of organs without
authority
Removal of organs without
authority - Penalty for RMP
Commercial dealing in
organs, falsification of
documents
Any violation of THOA
Offence
( THO Act 2011 Amendment)
Imprisonment Fine
10 years
1st offence: de
-registration for
3 years
5 – 10 years
5 years
Rs. 20 Lakh
2nd offence:
permanent de
-registration
Rs. 20 Lakh – 1 crore
Rs. 20 Lakh
be pumping blood to all organs. Their
"life" would be supported on ventilator.
A brain dead patient's heart would stop
eventually within 2-3 days of him/her
becoming brain-dead and the patient
would be pronounced clinically dead.
Q. How common is brain - death ? In
what situation does brain death usually
happen ?
A. Statistics have shown that in 5%
of patients clinical death happens
subsequent to brain death. Brain
death usually happens in the
setting of traumatic head injuries
or Cerebrovascular accidents (like
intracranial hemorrhage or infarcts).
Rarely, infection of brain can cause
brain death.
Q. Will the agenda of organ donation
influence the treatment offered?
A. Whether organs have been pledged
for donation or not, there will be no
difference in the medical treatment, care
and support given. No doctor or facility
will deviate from this principle. Organ
donation can only happen after brain
death has been declared and certified
by physicians (expert panel) who are
not connected in any way with organ
retrieval or the transplant teams.
Q. How is that "Brain-death" state
facilitate organ donation ?
A. The window of 2-3 days between
brain death and clinical death gives an
opportunity for the bereaved family to
donate vital organs from a humanitarian
standpoint. All transplantable organs
can be procured for transplantation
from a brain dead donor. Once brain
dead, there are only two reasons to
maintain life on life support system like
ventilator, first being to consider organ
donation and secondly for allowing time
for the bereaved family to arrange for
last rites of the patient.
Q. Is Brain-death reversible ?
Brain death is not reversible. Please see
previous question for details.
Q. Are brain death and coma the same?
A. Brain death and coma are not the same.
Somecomastatesarereversiblewhereas
brain-death is always irreversible. Brain
death has been clearly defined. There
are objective tests and unequivocal
criteria for its confirmation.
Q. Is the brain death accepted globally
? Has Indian government approved
this ?
A. Medical community had accepted
the entity of brain death across the
globe in 1960s. It was in 1968 that
the Harvard Medical School came
up with objective criteria to diagnose
brain death. Through the years some
clarification and amendments have
been done. The existing guidelines have
been in place for almost two decades
though some updates have been done.
Indian government has accepted brain-
death for organ donation in 1994.
(Transplantation of Human Organs Act
(THO) 8th July 1994.
Q. Who is supervising the organ donation
program ?
A. Brain death as a death criteria was
accepted by Indian Parliament in
1994. All states have transplant
authorities responsible for transplant
activities. In Kerala there is a dedicated
government body to supervise the
Brain- dead organ donation program
called Mrithasanjeevani. Any organ
donation in Kerala takes place under
their permission and supervision only.
DECEMBER 2019, JANUARY-FEBRUARY 20206
RELIGIONS AND ORGAN DONATION
HINDUISM
Believe in transmigration of
the soul and reincarnation,
whereby the deeds of an
individual in this life will
eventually determine its fate
in the next.An important tenet
of Hinduism is to help those
who are suffering, and Daan,
or selfless giving, ranks third
among its Niyamas (virtuous
acts). Physical integrity of
the dead body is not seen as
crucial to reincarnation of the
soul.
ISLAM
Altruism is also an important
principle of Islam, and saving
a life is placed very highly
in the Qur'an— 'Whosoever
saves the life of one person
it would be as if he saved the
life of all mankind' (Holy
Quran ; chapter 5:32). In
Kingdom of Saudi Arabia -
25% of the transplantation is
from brain-dead donors.
CHRISTIANITY
Most Anglican, Catholic
and Protestant scholars seem
to agree that organ donation
is an act of selflessness and
endorse transplantation. Popes
Benedict XVI and John Paul
II has publicly endorsed organ
donation.
JUDAISM
Saving a life is a fundamental
value in Judaism (pikuach
nefesh). In fact, Jewish law
demands that one should
violate almost all other
commandments to save a life
(except for the prohibitions
of murder, idolatry and illicit
sexual relations).
SIKHISM
Sikhs believe in life after
death, and a continuous cycle
of rebirth. In Sikhism, the
physical body is not crucial
to the cycle of rebirth, as the
soul of a person is eternal
while the body is simply
flesh.
BUDHISM
Giving is the greatest of
Buddhist virtues. The Buddha
in a previous life gave his body
to a starving tigress who could
not feed her cubs. There are
many such Jataka tales some in
which he even gave his eyes to
someone who wanted them.
Sources of information: Kerala Network for Organ Sharing: www.knos.org.in, Jeevaldanam: www.snehasparsham.com/jeevaldanam
It comprises of government officials ,
doctors and responsible individuals from
different sections of the society. In Malabar
region Kozhikode Jilla panchayat has
been involved in mobilizing resources to
facilitate deceased donor program. Jilla
panchayat has a special program called to
Jeevaldanam and a dedicated Transplant
coordinator to facilitate this program.
Q. Is diagnosis of brain death difficult?
Who establishes (certifies) the diagnosis
of brain death?
A. Brain death is mainly a clinical diagnosis
supported by some objective tests. No
expensive tests are needed to diagnose
brain-death.
The panel consists of:
a) Doctor in charge of the hospital (medical
superintendent)
b) Doctor nominated from a panel of Doctors
appointed by the Appropriate authority
c) Neurologist/neurosurgeon nominated
from a panel appointed by the appropriate
authority
d) Doctor treating the patient.
These four doctors carry out the tests
together to certify brain death.
Q. Is brain death declaration different even
if we are not doing organ donation?
A. Brain death declaration is as per criteria
and it is same and standardized irrespective
of organ donation.
MISCONCEPTIONS
ABOUT DECEASED
DONOR
ORGAN DONATION
Q. Does anyone get any monetary benefit?
A. There is no monetary benefit at any level
to any person involved in brain death organ
donation. This is an act of the society for
the society.
Q. Will I have to spend any money if I agree
for my kin's organ donation?
A. The relatives of donating patient's family
would not have to pay anything with regard
to organ donation. Any expenses after the
family consents for organ donation would
be borne by hospitals, recipient families
and government.
Q. Does organ donation surgery / procedure
cause any disfigurement to patient's
body?
A. Not at all. All organs are procured by
standard surgical techniques worldwide.
Eye donation also does not produce any
disfigurement.
Q. Is my religion against organ donation ?
A. Virtually no major religion is against organ
donation. Two fundamental principles on
which all religious thoughts converge are -
monitory benefit should not be the motive
or end result of organ donation program
and the deserving patients should get the
benefit of the whole exercise.
WHAT WE CAN DO?
Spread the awareness among all sections
of the society. There would be situations or
gatherings where you as an individual can exert
your influence and create awareness about organ
donation and try to utilize those opportunities for
this noble purpose .
Volunteer to be a registered organ donor by
signing a donor card online(link- http://knos.
org.in/donorcard.asp). You can also register
as a donor with your identification number (
Adhaar card) through Snehasparsham office. If
you need any information about deceased donor
organ donation -please contact Snehasparsham
through our contact information given below.
We can provide all technical help in facilitating
all aspects of deceased donor organ donation
and transplantation. If you need to conduct an
awareness class at any forum- please contact
Snehasparsham through contact details mentioned
below. We can conduct onsite classes as per your
requirement and target audience.Appreciate and
acknowledge any donor family member that we
come across.Any philanthropic help towards this
program is welcome.
Important Contact
Phone Numbers
for Deceased Donor
Transplantation:
Mr. SREERAJ N
(Transplant coordinator
Kozhikode Jilla Panchayat)
Phone: 9400310100
Dr. SREELATHA
(Professor and HOD, Nephrology,
MCH-CLT)
Phone: 9446338109
Dr. FEROZ AZIZ
(Consultant Nephrologist, Calicut)
Phone: 9446519919
CONTACT DETAILS OF JEEVALDANAM
(Project by Kozhikode Jilla Panchayat)
Jilla Panchayat, Civil station, Calicut, Pin 673020 Kerala,India Ph: 0495-3104994
email: snehasparshamkidney@gmail.com, jeevaldanam@gmail.com
Dr. BYJU KUNDIL
(Consultant Nephrologist,
Periyaram, Kannur) Phone: 9846090874
Ms. ANU
(Transplant coordinator Kozhikode Medical
College)
Phone: 9567179342
Mr. NIDHIN RAJ KP
(Transplant coordinator Baby
Memorial Hospital, Calicut)
Phone: 9946043563
Ms. SHAHANA PA
(Transplant coordinator, MIMS Calicut)
Phone: 9846146259
Toll Free Organ Donation Helpline
(KNOS): 1800-4193737
DECEMBER 2019, JANUARY-FEBRUARY 2020 7
01/12/2019
Observation of World Aids Day
The theme of this year’s world AIDS Day is “Communities make
the difference”. To aise awareness and show support for people
living with HIV, IMA Kozhikode conducted many programs for
the community.An early Morning Walkathon at Kozhikode Beach
was flagged off by Dr. Ajith Bhaskar, North Zone Joint Secretary
. Dr. Aneen N Kutty, President, IMA Kozhikode, address the
gathering. ates. Dr. Prasanna kumar, Dr. Sandhya Kurup, Dr.
Sasidhasran and Dr Venugopalan B, secetary IMA Kozhikode
addressed the gathering. IMA Conducted Public medical camp
(SOPHIYA) at Kozhikode Beach.
WDW Kozhikode Conducted a public awareness programme
in association with Malabar cultural Forum at the S.K Pottekkatt
Square. Participants lighted candles in the shape of a ribbon in the
eve of the World AIDS Day.
05/12/2019
Observation of International
Domestic Violence Day
In connection with International Domestic Violence day WDW
Conducted Debate on Domestic Violence at College of Applied
Science Kozhikode. Programme Inaugurated by Dr. Sheela Noone,
Chairperson, WDW Kozhikode. Moderate by Dr. Varsha,Asst. Prof.
Psychiatry, Judged by Dr. Dr.Rumlath, Secretary, WDW Kozhikode,
Dr. Lakshmi and Mrs. Sreelatha.
04/12/2019
Pink Health Mission
WDW Kozhikode ConductedAdolescent Health education, as part of
'PINK HEALTH MISSION' at Govt. Ganapath Girls HSS Chalappuram,
to empower them by ensuring good health and education.
03.12.2019
international Day for
Disabled Persons
In Connection with international Day for Disabled Persons WDW
conducted an awareness program at Ashakiran school Kozhikode .
Function was inaugurated by WDW Chairperson Dr Sheela Noon, Dr
Roy Chandran, Asso: Prof: of PMR & honorary secretory of Kerala
Health Scheme delivered a talk to parents & teachers of the school.
Distributed cakes to children & there was street play about the rights
of disabled children.To extend a helping hand INR10,000 was handed
over to the management of school by Dr : Sheela Noon
06/12/2019
Executive committee meeting and Releasing 1st issue
of IMA News Letter
DECEMBER 2019, JANUARY-FEBRUARY 20208
15/12/2019
State Scheme Meeting
at Periyar House Aluva
IMA Kozhikode President Dr. Aneen N Kutty, Secretary Dr. B
Venugopalan, Dr. Ajith Bhaskar, North Zone Joint Secretary, Dr.
Roy R Chandran. Dr. Raghavan, Dr.Hareendranath, and Dr.Abdul
Khadar attended the meeting.
16/12/2019
State IMA Sports
Committee
Meeting at IMA
Hall Kozhikode.
14.12.2019
WDW Conducted premarital counselling for the registered candidates at
CSI Retreat center. Dr. Sheela Noon & Dr Rumlath took classes.
15.12.2019
WDW organized an essay competition for students at Oisca international
Hall as part of Human Rights Day celebration. Topic was “ Never too
young to change the world Stand Up For Human Rights” .
18/12/2019
AMS Monthly Meeting
The topic for the CME were “Back pain – Recent advances” by Dr. Vinod,
, Consultant Spine Surgeon, Meitra hospital, Kozhikode & “Present
Trends in Plastic Surgery” by Dr. Abraham Thomas, Consultant Plastic
Surgeon, Meitra hospital, Kozhikode.
11/12/2019
Observation of World Unicef Day
IMAKozhikode Conducted Quiz Competition for Higher Secondary
and High School Students at IMA Hall Kozhikode. Dr.Dayal
Narayan was the Quiz master.
10/12/2019
IMA CGP CME
The topic for this scientific session was Medical Checkups,
Observations and Finding over the last Decade’ by Dr. Bijay Raj,
Consultant in Family Medicine, Meitra Hospital
08/12/2019
Branch Presidents &
Secretaries Meet at HQ,
Trivandrum. IMA Kozhikode
President Dr. Aneen N Kutty,
Secretary Dr. B Venugopalan
attended the meeting.
19/12/2019
Dr. Roy R Chandran
took the Class for Govt.
Medical Officers of
Kozhikode District.
The topic was Managing
obesity in psychiatric
patients.
DECEMBER 2019, JANUARY-FEBRUARY 2020 9
23/12/2019
General body meeting and CME. Topic for the CME was
“Rheumatological complications of Diabetes– Rehab perspective”
by Dr. Roy R Chandran, Associate Professor, Dept. of PMR,
Medical College, Kozhikode.
28/12/2019
WDW Celebrated Christmas at Home of Love Kottooli. Dr. Sheela
Noone, Chairperson, WDW Kozhikode, Dr. Rumlath, Secretary
WDW Kozhikode, Dr. Mini PN, Dr. Sheeba T Joseph and Mrs.
Sreelatha participated the function. Extended some financial aid and
distributed x-mas cakes to inmates.
27/12/2019 to 28/12/2019
National Conference
at Kolkata
IMA Kozhikode branch attended the National conference
at Kolkata. Dr. Vijayaram Rajendran & Dr. B Venugopalan
received the Best IMA Local Branch Rotating Trophy of
Gujarat State Branch ( for Major Branches) & Presidents
Appreciation Award as best Branch for membership
enrolment activities. Dr. V G Pradeep Kumar received IMA
CGPSilver jubilee OrationAward &Award for Community
Services. Dr. Sandhya Kurup received the Presidents
AppreciationAward for WDW activitis at this Conference.
31/12/2019
New Year Celebrations
We bid a befitting farewell to the year 2019 by
organizing fun filled celebrations , Dances, songs,
skits and a gala dinner. Big contingents of IMA
families were present to welcome the New Year.
DECEMBER 2019, JANUARY-FEBRUARY 202010
05/01/2020
WDW Kozhikode Officials attended the Official Launch ofActivities
Women Doctors Wing 2019-2020 in Periyar house Aluva.
05/01/2020
ഡ�ോക്ടറ�ോട് ച�ോദിക്കാം
Conducted Awareness Programme (ഡ�ോക്ടറ�ോട് ച�ോദിക്കാം)
in association with Moideen Veedu Family meet at Pallikandi,
Kozhikode. Dr. B Venugopalan, Secretary IMA Kozhikode, Dr.
Vimalraj, Dr. Sreelesh KP and Dr. Namitha are Participated.
11/01/2020
IMA CGP CME
The main topic was “Common Cosmetic Problems & Solutions” by
Dr. T Salim, Senior Dermatologist and Cosmetic Consultant, CUTIS
Institute, Calicut.
15/01/2020
IMA Membership Campaign
at General Hospital Kozhikode
IMA Kozhikode conducted Membership Campaign at General Hospital,
Kozhikode. Dr. Aneen N Kutty, President IMA Kozhikode, Dr. V G
Pradeep Kumar, Past State President IMA KSB and Dr. Prasanth C V,
State Secretary SSS, led the campaign.
15/01/2020
Cultural wing State Convener Dr. Dhanya
PG performed a dance program in
connection with Palliative care day and
family meet at GH, Kozhikode
26/01/2020
Managing Committee Meeting of
Schemes IMA KSB
We had Managing committee meeting of KHS, PPS,
IMAGE, PDSS, Pension Scheme, HBI and Action
Committee meeting at IMA hall, Kozhikode
DECEMBER 2019, JANUARY-FEBRUARY 2020 11
26/01/2020
Reception of State Leaders
& IMA Family Meet
Reception of State Leaders of IMA and Family
meet at IMA Hall Kozhikode. Glimpse of a
glittering welcome accorded to the state officers
and our family meet.
26/01/2020
Observation of Republic Day
State President  Dr. Abraham Varghese 
hoisted flag at IMA premise.
DECEMBER 2019, JANUARY-FEBRUARY 202012
19/02/2020
AMS Monthly Meeting
The topicfor the CME was “AcuteLiver failure Current concepts”
by Dr. Anishkumar DM, Senior consultant Gastroenterology &
Hepatology & TheSecond Topic for the CME was “Newer horizons
in liver surgery Minimally invasive and Transplant” by Dr.Sajeesh
Sahadevan, Sr.consultant & HOD GISurgery& Liver Transplantation
Sr. Consultant & HOD Gastroenterology &Hepatology.
11/02/2020
IMA Kozhikode Conducted Awaken India programme in
association with IMA MSN at medical college Kozhikode. Dr.
Aneen N Kutty, President, IMA Kozhikode, Dr. Roy R Chandran,
Secretary, Kerala Health Scheme and Dr. Mini PN, Past Chairperson
WDW Kozhikode are addressed the gathering.
12/02/2020
Observation of Sexual and reproductive awareness day and Corona
Virus awareness at Rajendra Hospital. Programme Inaugurated by
Dr. Sheela Noone, Chairperson, WDW Kozhikode. Dr. Rumluth
PM, Secretary, WDW Kozhikode addressed the gathering. Corona
awareness talk by Dr. I Muralidharan, physician, Rajendra Hospital,
Sexual & reproductive awareness talk by Dr Remya, Gynaecologist
Rajendra Hospital, Leprosy awareness talk by Dr. Prathyusha,
Dermatologist Govt. Dermatology Hospital, Chevayoor.
12/02/2020
IMA Kozhikode team meeting regarding district convention.
16/02/2020
Junior Doctors Meet 2020
at Kozhikode
IMA Kozhikode Conducted Junior Doctors Meet at IMAHall
Kozhikode. Programme Inaugurated by Dr. Ajith Bhaskar, North Zone
JointSecretary, IMA KSB. Dr. Roy R Chandran, Secretary, Kerala Health
Schemewelcomed the gathering. Flag Salutation by Dr. B. Venugopalan,
Secretary, IMAKozhikode, Presidential address by Dr. Aneen N Kutty,
President, IMAKozhikode,Felicitation by Dr. K.VRaju, District Committee
Chairman. The topics in the CME were “Ethics inMedical Practice”
by Dr.Sreekumar Vasudevan, Past President, IMA Kerala StateBranch
Convener, IMA National Ethics Committee Chairman, PP Scheme IMA
Kerala.“Instructions to Medical Practitioners of Modern Medicine in Kerala”
by Dr.Mukundan KV, Member, TC Medical Council since 2007-12  and
now from 2017 Vice Chairman, PDSS IMAKerala. “Digital Mutation in
Medicine” by Dr. Dwideep Chandra P, Consultant Anesthesiologist,with
fellowship in onco anesthesia MIART Kozhikode. “How IMA is caring
you” byDr. Ajith Bhaskar, North Zone Joint Secretary IMA KSB and
Treasurer IMAKozhikode.“Communication and avoiding Litigation in
clinical Practice” by Dr.Sajeev Kumar P, Secretary,  PP Scheme of IMA.
14/02/2020
IMA CGP CME
The topic in the scientific
session was “Evaluating and
treating Anemia” by Dr.Shinto
Francis MD DM, Consultant
Hematolgis, BMH, Kozhikode.
DECEMBER 2019, JANUARY-FEBRUARY 2020 13
19/02/2020
District Committee Meeting
IMA Kozhikode District Committee meeting was held on 19th
February 2020 at IMAHall Kozhikode from 8.30 pm onwards. The
Office bearers of the IMAbranches of Kozhikode,Vadakara,Balusse
ry,Thamarassery,Mukkom and Ferok,a total of 27 doctors attended.
The meeting was called to order by the DC Chairman Dr Raju
K.V and in his Presidential address he gave an outline of the main
agenda, which was to plan the programs of the upcoming District
Convention, proposed to be held on March 1st. Dr. Aneen Kutty,
President of IMA Kozhikode welcomed the audience. Dr. Samuel
Koshy, North Zone Vice President appealed to all those present
to make the District Convention a grand program, involving the
doctors as well as the public and leaders. North Zone joint secretary
Dr. Ajith Bhasker gave an outline of the program and Dr. V. G.
Pradeep Kumar suggested various issues to be discussed during
the Convention. Dr. Abdul Kader and Dr. M. Muraleedharan , Dr.
Devadas, Dr. Sushama Anil,Dr. Jyothikumar, Dr. Shaji. C. K, Dr.
Manulal, Dr. Roy Chandran, Dr. Jaleel, Dr. Venugopal and Dr. Raju
Balram spoke and gave their valuable suggestions.
23/02/2020
Calicut Half Marathon 2020
IMA Kozhikode participated Calicut half marathon 2020
26/02/2020
Dr. Neelima & Dr. Dhanya in Narthanam organised
by cultural wing in Govt Dermatology
Hospital Kozhikode.
29/02/2020
Press meeting in connection with World hearing day
Dr.VG Pradeepkumar, honoured by Government Leprosy Hospital
for his support as IMA Patient Care Scheme Chairman during 2019
Dr. Aneen N Kutty , President, IMA Kozhikode at KGMOA
instillation and family meet at IMA hall Kozhikode.
Talk by
Dr. Sandhya
Kurup, about
perimenopausal
problems & other
health issues
related to it.
DECEMBER 2019, JANUARY-FEBRUARY 202014
Other Activities
IMAKozhikode branch President Dr.Aneen N Kutty addressing
the Observation of Programme. District Programme Organised
by Dept. of Health at GVHSS for Girls Nadakkavu.
IMAKerala Health Scheme Office Inauguration at
Kozhikode. State President Dr. Abraham Varghese
Inaugurated the new office of IMAHealth Scheme
at Kozhikode.
IMAKozhikode branch President Dr.Aneen N Kutty addressing
the Empowering Ability Programme at IMA Hall Kozhikode
IPP Dr. Vijayaram Rajendran attended Building Inauguration function of Thanal
Dr Mini as HICC Champion
Award 2020
IMA Kozhikode branch President Dr. Aneen N Kutty addressing
the Installation Ceremony of IMA Mukkam Branch.
IMA Kozhikode branch President Dr. Aneen N Kutty addressing
the Observation of Palliative Care day and Family meet at General
Hospital, Kozhikode.
IMA Kannur District committee inauguration, Dr Ajit Bhaskar
as North Zone Joint secretary
Dr Sandhya Kurup in an awareness programme about food
in Bhavans School
19/12/2019
01/12/2019
IMA Kozhikode attended TOT workshop on Emergency
Life support at IMA Periyar House.
01/12/201907/12/201914/12/201915/01/2020
26/01/2020
23/02/2020
DECEMBER 2019, JANUARY-FEBRUARY 2020 15
DECEMBER 2019, JANUARY-FEBRUARY 202016
IQRAA International Hospital and Research Centre
Malaparamba, Calicut - 673009
0495 2379201, 2379102
Email: mail@iqraahospital.in
www.iqraahospital.in
GENERAL MEDICINE
GENERAL SURGERY
NEONATOLOGY
PEDIATRICS
PEDIATRIC SURGERY
CARDIOLOGY
NEUROLOGY
UROLOGY
NEPHROLOGY
RHEUMATOLOGY
GYNAECOLOGY
INFERTILITY & LAPROSCOPIC SURGERY
ORTHOPAEDICS
DIABETOLOGY & ENDOCRINOLOGY
PHYSICAL MEDICINE & REHABILITATION
PSYCHIATRY AND DE-ADDICTION
ENT
DERMATOLOGY & COSMETOLOGY
PLASTIC & RECONSTRUCTIVE SURGERY
MEDICAL ONCOLOGY
PULMONOLOGY & RESPIRATORY MEDICINE
RADIOLOGY
ANESTHESIOLOGY
PATHOLOGY
CHILD DEVELOPMENT CLINIC
TRANSFUSION MEDICINE
HEAMETOLOGY
DENTAL AND MAXILLO SURGERY
CLINICAL PSYCHOLOGY
CENTRES OF EXCELLENCE

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Ima news letter 2019 20, Vol.2

  • 1. DECEMBER 2019, JANUARY-FEBRUARY 2020 1 Page 11 Page 9 2019 DECEMBER 2020 JANUARY FEBRUARY 9Newyear Celebration 2020 IMA Kozhikode Branch Bagged Many National Awards 4 DECEASED DONOR ORGAN DONATION & TRANSPLANTATION 15Kozhikode IMA in MEDIA The Glittering Welcome Accorded to State Leaders Dr. Venugopalan Dr. Sandhya Kurup Dr. Vijayaram Rajendran
  • 2. DECEMBER 2019, JANUARY-FEBRUARY 20202 JANUARY 01/01/2020: New Year Celebrations 03/01/2020: Executive committee meeting. 05/01/2020: WDW officials attended Official Launch of Activities Women Doctors Wing in Periyar house Aluva. 05/01/2020: Observation of Human Rights Day -WDW Conducted awareness Programme at OISCA International hall. 05/01/2020: Attended the palliative care stalls in Curios exhibition in IPM. 05/01/2020: Conducted Awareness Programme (Doctorod Chothikkam) in association with Moideen Veedu Family meet at Pallikandi, Kozhikode. 07/01/2020: State IMA Sports Committee meeting at IMA Hall. 09/01/2020: Neuro Otology Conference organized byAOI 11/01/2020: IMACGPCME. 1 5 / 0 1 / 2 0 2 0 : A M S m o n t h l y meeting.15/01/2020: IMA Membership Campaign at General Hospital Kozhikode. 15/01/2020: Cultural wing State Convenor Dr. Dhanya PG performed in connection with Palliative care day and family meet at General Hospital, Kozhikode. 15/01/2019: Pulse polio activities planning meeting in Collectorate with Deputy collector. 17/01/2020: District Committee meeting. 26/01/2020: Observation of Republic Day. State President hoisted flag at IMA premises 26/01/2020: Observation of Community serviceday-WDWKozhikodeConductedmedical camp in association with Lions Club International at GLP School Velliparamba. 26/01/2020: Managing committee meeting of Schemes IMAKSB at IMAHall Kozhikode. 26/01/2020: Reception of State leaders of IMAand Family meet at IMAHall Kozhikode. 28/01/2020: AMS Special Programme & CME at IMA Hall Kozhikode. 30/01/2020: Observation of Leprosy week– MorningWalkathon &Awareness programme in association with IADVL Kerala & JCI Calicut at Kozhikode beach. 30/01/2020: General body meeting and CME. Activities at a Glance DECEMBER 01/12/2019: Observation of  World  Aids day - IMA Conducted Morning Walkathon at Kozhikode Beach.IMA Conducted Public medical camp (SOPHIYA) at Kozhikode Beach. Conducted Public awareness Programme at S.K Pottekkatt Square.  01/12/2019: IMA Kerala Health Scheme Office Inauguration at Kozhikode. 03/12/2019: Observation   of  International Day for Disabled Persons atAshakiran School, Devagiri. 04/12/2019: ConductedAdolescent Health education MISSION PINK HEALTH at Govt. Ganapath Girls HSS Chalappuram. 05/12/2019: Observation   of  World  Aids day – Conducted an awareness talk to Students  at Achuthan Girls HSS Chalappuram.05/12/2019: Discussion with District Collector regarding Ultra Sound Scan issue at District Homeo Hospital. 05/12/2019: Observation of Domestic Violence day at College of Applied Science. 06/12/2019: Executive committee meeting and Releasing 1st issue of IMA news letter. 08/12/2019: Branch Presidents & Secretaries Meet at HQ, Trivandrum. 10/12/2019: IMA CGP CME. 11/12/2019: Observation of World Unicef day – IMA Conducted Quiz Competition at IMA Hall. 14/12/2019: Conducted premarital counselling for the registered candidates at CSI Retreat center.  15/12/2019: State Scheme meeting at Periyar house, Aluva. 15/12/2019: Observation of Human Rights Day at Oisca international Hall. 16/12/2019: State IMASports Committee meeting at IMA Hall. 18/12/2019: AMS monthly meeting. 19/12/2019: Dr. Roy R Chandran took the Class for Govt. Medical Officers of Kozhikode District.  23/12/2019: General body meeting and CME. 27/12/2019 to 28/12/2019: National Conference at Kolkata. 28/12/2019:  Celebrated Christmas at Home of Love Kottooli. 31/12/2019:  New Year Celebrations FEBRUARY 04/02/2020: Observation of Cancer Day – Panel discussion on Cancer care at IMA Hall Kozhikode. 04/02/2020: IMA District Committee Conducted Corona virus awareness CME at Malabar Medical College, Kozhikode. 04/02/2020: Conducted awareness class about Corona Virus, junk food and Mission mukthi to student’s parent’s at CSI Cathedral L P School Mananchira. 05/02/2020: IMA Kozhikode Conducted Corona virus awareness Class to Meitra Hospital Staffs at Meitra Hospital, Kozhikode. 05/02/2020: IMAKozhikode in association with Health Dept. & Iqraa Hospital Conducted Corona prevention programme at Iqraa Hospital. 05/02/2020: IMA Kozhikode & IMA District Committee Conducted Corona virus awareness Class to Students at St. Josephs College, Devagiri, Kozhikode. 05/02/2020: IMA Kozhikode Conducted Corona prevention programme at National Hospital Kozhikode. 05/02/2020: IMA Kozhikode Conducted Corona prevention programme at Co-Operative Hospital Kozhikode. 06/02/2020: IMA Kozhikode Conducted Corona prevention programme at Kozhikode Railway Station. 06/02/2020: IMAKozhikode in association with Health Dept. & BMH Hospital, Kozhikode Conducted Corona prevention programme at BMH Hospital, Kozhikode. 06/02/2020: IMA Kozhikode & IMA District Committee Conducted Corona virus awareness CME at ShreeAnjaneya Para medical Institute, Atholi, Kozhikode. 08/02/2020: Conducted Corona virus awareness and Premarital counselling at CSI retreat center. 09/02/2020: SWC meeting at Cochin. 09/02/2020: IMA Cultural wing Film festival at IMA hall Kozhikode. 10/02/2020: Conducted Mental Health Workshop in association with IIM Kozhikode at IMA hall Kozhikode. 11/02/2020: IMA Kozhikode Conducted Awaken India programme in association with MSN at medical college Kozhikode. 12/02/2020: IMAKozhikode team meeting. 12/02/2020: Observation of Sexual and reproductive awareness day and Corona Virus awareness at Rajendra Hospital. 14/02/2020: IMA CGP CME. 16/02/2020: Junior Doctors Meet 2020 at IMA Hall Kozhikode. 19/02/2020: AMS monthly meeting. 19/02/2020: District Committee meeting. 23/02/2020: Calicut half Marathon 2020. 23/02/2020: TOT workshop on Emergency Life support at IMA Periyar House.   24/02/2020: District Committee meeting. 26/02/2020: Preliminary discussion about World hearing day at MCH Kozhikode. 26/02/2020: IMA Cultural wing Organised by ‘Narthanam’at Govt Dermatology hospital Kozhikode. 27/02/2020: General body meeting and CME.
  • 3. DECEMBER 2019, JANUARY-FEBRUARY 2020 3 Dr Aneen N Kutty President Dr B Venugopalan Secretary Dr Sheela Noone Chairperson WDW Dr Rumlath Secretary WDW 2019 DECEMBER, 2020 JANUARY-FEBRUARY Iam delighted to welcome you to our second issue of IMA Kozhikode newsletter. We had welcomed New Year not only in awe and with immense pride, but in abundant happiness also. It was soothing for the eyes, ears and minds the festival joyous atmosphere that accompanied the New Year celebrations. Big contingents of IMA families were present to welcome the New Year. The glittering welcome accorded to the state officers and the IMA health office inauguration  were splendid functions. Our branch bagged many national awards for the exceptional works done during last year.  Dr.Vijayaram Rajendran and Dr.Venugopalan received the Best IMA Local Branch Rotating Trophy of Gujarat State Branch (for Major Branches) & Presidents Appreciation Award as best Branch for membership enrolment activities. Dr. VG Pradeep Kumar received IMA CGP Silver jubilee Oration Award & Award for Community Services. Dr. Sandhya Kurup received the Presidents Appreciation Award for WDW activities.  Various important days were celebrated with programmes and community services conducted under the auspices ofIMA and WDW during the reporting period and it made great impact on people’s mind which is a testimony to the leadership abilities  of our present leaders.  The Covid19 epidemic which created fear throughout the world, which had the potential to become a global epidemic, was controlled by the timely appropriate preventive measures  by all countries and the threat is being dissipated fast.  But in the meantime through social medias various misinformation is spreading ‘ virally’ leading to fear and panic among the people and our organization has joined hands with the public health authorities to intervene to stop this by conducting awareness classes, radio programs, TV shows and press release. Dr. S.K. Suresh Kumar Editor
  • 4. DECEMBER 2019, JANUARY-FEBRUARY 20204 ORGAN TRANSPLANTATION Q. Can a person survive if organs fail? A. Vital organs like heart, kidney and liver are important in sustaining life. Irreversible and advanced failure of these organs due to diseases from various causes can cause death. Failure of some organs (eg pancreas, eye, intestine) may not be life threatening but can result in significant ill health and morbidity. Q. Which all organs can be transplanted? A. Cornea, Kidney, liver, heart and pancreas are organs commonly transplanted. Transplantation of intestines and limbs can also be done in specialized centers. Though not a solid organ, bone marrow transplantation can be done from a living donor. Q. Why do we say that there is a shortage of organs to help patients in organ failure? A. Kidney and liver are the only solid organs that can be transplanted from a living donor. To find a healthy compatible living donor is not easy and the number of patients in need is overwhelming. Heart, pancreas and cornea cannot be taken from a living donor. Hence there is real shortage of organs to transplant relative the needy population. A reliable deceased donor program is the only viable solution to this problem. ORGAN DONATION Q. Why should we advocate brain death organ donation ? A. Please see the response to the previous question Q. How many organs can be transplanted from a deceased donor ? A.Atleastsevenorganscanbetransplanted from a deceased donor. Two kidneys, two corneas , one liver, one heart and one pancreas. As mentioned above intestine transplantation and bone graft could also be done. Q. How will I benefit if my kin donates an organ? A. Donating an organ is considered equal to donating a life. In many instances a person with organ failure will die if not transplanted soon enough. Saving and protecting a fellow human being’s life whenever we can, is one of our fundamental responsibilities. By helping a needy person with organ transplantation you are not just giving someone a gift of life but also are improving the lives and destinies of an entire family and perhaps even generations to come. The benefit on offer is clearly beyond anything that money can buy. There are no monetary incentives at any level to any person involved in brain death organ donation. Q. Who decides on which all organs could be donated ? A. It is the prerogative of the donor family to decide on which all organs are to be donated. The family can consent for the donation of one organ or multiple organs. BRAIN DEATH AND ORGAN DONATION Q. Do the terms "Brain death donor"," Cadaver donor" and "Deceased donor" mean the same? A.Yes, all the three terms are conceptually thesame.Themostacceptedandsuitable terminology is “deceased donor”. The term “cadaver donor” should be avoided as cadaver denotes a dead body. Q. What is brain death? A. Brain death happens in patients who had the misfortune of suffering from non treatable, irreversible brain damage due to injury or disease. Brain dead patients would not have any meaningful function of the brain and would not be able to breathe by self, but they would have a functioning heart which would FREQUENTLY ASKED QUESTIONS ABOUT DECEASED DONOR ORGAN DONATION & TRANSPLANTATION Dr. FEROZ AZIZ DM CONSULTANT NEPHROLOGIST Iqraa International Hospital and Research Centre Kozhikode Combiled by
  • 5. DECEMBER 2019, JANUARY-FEBRUARY 2020 5 Q. Can organ donation cause procedural delay? A. Confirmatory tests for brain death have to done twice with an interval of six hours between the tests. Once consent for donation has been obtained, coordinating the process of organ retrieval takes time. Organ retrieval from deceased donors involves many hospitals and transplant teams to ensure that the organs donated match as perfectly as possible with the recipient. If it is a medico-legal case, a post- mortem has to be performed and this involves both the police and Forensic Medicine departments. Q. Who can legally give consent for organ donation when a patient is brain-dead ? A.Aperson legally in possession of the deceased person can sign the consent form. This is usually done by a parent, spouse, son/daughter or brother/sister. By signing a consent form the family says that they do not have any objection to the removal of organs from the body of their loved one. It is a legal document. This form is kept with the hospital. Q. How is a potential recipient identified? If my organs are donated, who decides who receives them? Can the donor family get involved in recipient selection process? A. The patients who have organ failure and want a transplant are listed in a waitlist according to their seniority based on the duration of illness and other clinical criteria depending on the organ involved. The waitlist and organ allocation is supervised by the supervising state authority. The family of donor can definitely recommend a relative or acquaintance with organ failure as potential recipient, but his or her candidacy can be accepted based on medical fitness of the patient and ideally should be enlisted in the waitlist. Q. Is commercial dealing of organs forbidden by law? A. Report of submission of false records and other misdemeanors should be sent to the Appropriate Authority in the State Government’s Department of Health. The AppropriateAuthority can file a criminal case against the party. A hospital, authorization committee, or a person can approach the appropriate authority with the information. The 2011 Amendment of the THO Act gives the following offenses: 'LEGAL' AND 'ETHICAL' ISSUES OF DECEASED DONOR ORGAN TRANSPLANTATION Removal of organs without authority Removal of organs without authority - Penalty for RMP Commercial dealing in organs, falsification of documents Any violation of THOA Offence ( THO Act 2011 Amendment) Imprisonment Fine 10 years 1st offence: de -registration for 3 years 5 – 10 years 5 years Rs. 20 Lakh 2nd offence: permanent de -registration Rs. 20 Lakh – 1 crore Rs. 20 Lakh be pumping blood to all organs. Their "life" would be supported on ventilator. A brain dead patient's heart would stop eventually within 2-3 days of him/her becoming brain-dead and the patient would be pronounced clinically dead. Q. How common is brain - death ? In what situation does brain death usually happen ? A. Statistics have shown that in 5% of patients clinical death happens subsequent to brain death. Brain death usually happens in the setting of traumatic head injuries or Cerebrovascular accidents (like intracranial hemorrhage or infarcts). Rarely, infection of brain can cause brain death. Q. Will the agenda of organ donation influence the treatment offered? A. Whether organs have been pledged for donation or not, there will be no difference in the medical treatment, care and support given. No doctor or facility will deviate from this principle. Organ donation can only happen after brain death has been declared and certified by physicians (expert panel) who are not connected in any way with organ retrieval or the transplant teams. Q. How is that "Brain-death" state facilitate organ donation ? A. The window of 2-3 days between brain death and clinical death gives an opportunity for the bereaved family to donate vital organs from a humanitarian standpoint. All transplantable organs can be procured for transplantation from a brain dead donor. Once brain dead, there are only two reasons to maintain life on life support system like ventilator, first being to consider organ donation and secondly for allowing time for the bereaved family to arrange for last rites of the patient. Q. Is Brain-death reversible ? Brain death is not reversible. Please see previous question for details. Q. Are brain death and coma the same? A. Brain death and coma are not the same. Somecomastatesarereversiblewhereas brain-death is always irreversible. Brain death has been clearly defined. There are objective tests and unequivocal criteria for its confirmation. Q. Is the brain death accepted globally ? Has Indian government approved this ? A. Medical community had accepted the entity of brain death across the globe in 1960s. It was in 1968 that the Harvard Medical School came up with objective criteria to diagnose brain death. Through the years some clarification and amendments have been done. The existing guidelines have been in place for almost two decades though some updates have been done. Indian government has accepted brain- death for organ donation in 1994. (Transplantation of Human Organs Act (THO) 8th July 1994. Q. Who is supervising the organ donation program ? A. Brain death as a death criteria was accepted by Indian Parliament in 1994. All states have transplant authorities responsible for transplant activities. In Kerala there is a dedicated government body to supervise the Brain- dead organ donation program called Mrithasanjeevani. Any organ donation in Kerala takes place under their permission and supervision only.
  • 6. DECEMBER 2019, JANUARY-FEBRUARY 20206 RELIGIONS AND ORGAN DONATION HINDUISM Believe in transmigration of the soul and reincarnation, whereby the deeds of an individual in this life will eventually determine its fate in the next.An important tenet of Hinduism is to help those who are suffering, and Daan, or selfless giving, ranks third among its Niyamas (virtuous acts). Physical integrity of the dead body is not seen as crucial to reincarnation of the soul. ISLAM Altruism is also an important principle of Islam, and saving a life is placed very highly in the Qur'an— 'Whosoever saves the life of one person it would be as if he saved the life of all mankind' (Holy Quran ; chapter 5:32). In Kingdom of Saudi Arabia - 25% of the transplantation is from brain-dead donors. CHRISTIANITY Most Anglican, Catholic and Protestant scholars seem to agree that organ donation is an act of selflessness and endorse transplantation. Popes Benedict XVI and John Paul II has publicly endorsed organ donation. JUDAISM Saving a life is a fundamental value in Judaism (pikuach nefesh). In fact, Jewish law demands that one should violate almost all other commandments to save a life (except for the prohibitions of murder, idolatry and illicit sexual relations). SIKHISM Sikhs believe in life after death, and a continuous cycle of rebirth. In Sikhism, the physical body is not crucial to the cycle of rebirth, as the soul of a person is eternal while the body is simply flesh. BUDHISM Giving is the greatest of Buddhist virtues. The Buddha in a previous life gave his body to a starving tigress who could not feed her cubs. There are many such Jataka tales some in which he even gave his eyes to someone who wanted them. Sources of information: Kerala Network for Organ Sharing: www.knos.org.in, Jeevaldanam: www.snehasparsham.com/jeevaldanam It comprises of government officials , doctors and responsible individuals from different sections of the society. In Malabar region Kozhikode Jilla panchayat has been involved in mobilizing resources to facilitate deceased donor program. Jilla panchayat has a special program called to Jeevaldanam and a dedicated Transplant coordinator to facilitate this program. Q. Is diagnosis of brain death difficult? Who establishes (certifies) the diagnosis of brain death? A. Brain death is mainly a clinical diagnosis supported by some objective tests. No expensive tests are needed to diagnose brain-death. The panel consists of: a) Doctor in charge of the hospital (medical superintendent) b) Doctor nominated from a panel of Doctors appointed by the Appropriate authority c) Neurologist/neurosurgeon nominated from a panel appointed by the appropriate authority d) Doctor treating the patient. These four doctors carry out the tests together to certify brain death. Q. Is brain death declaration different even if we are not doing organ donation? A. Brain death declaration is as per criteria and it is same and standardized irrespective of organ donation. MISCONCEPTIONS ABOUT DECEASED DONOR ORGAN DONATION Q. Does anyone get any monetary benefit? A. There is no monetary benefit at any level to any person involved in brain death organ donation. This is an act of the society for the society. Q. Will I have to spend any money if I agree for my kin's organ donation? A. The relatives of donating patient's family would not have to pay anything with regard to organ donation. Any expenses after the family consents for organ donation would be borne by hospitals, recipient families and government. Q. Does organ donation surgery / procedure cause any disfigurement to patient's body? A. Not at all. All organs are procured by standard surgical techniques worldwide. Eye donation also does not produce any disfigurement. Q. Is my religion against organ donation ? A. Virtually no major religion is against organ donation. Two fundamental principles on which all religious thoughts converge are - monitory benefit should not be the motive or end result of organ donation program and the deserving patients should get the benefit of the whole exercise. WHAT WE CAN DO? Spread the awareness among all sections of the society. There would be situations or gatherings where you as an individual can exert your influence and create awareness about organ donation and try to utilize those opportunities for this noble purpose . Volunteer to be a registered organ donor by signing a donor card online(link- http://knos. org.in/donorcard.asp). You can also register as a donor with your identification number ( Adhaar card) through Snehasparsham office. If you need any information about deceased donor organ donation -please contact Snehasparsham through our contact information given below. We can provide all technical help in facilitating all aspects of deceased donor organ donation and transplantation. If you need to conduct an awareness class at any forum- please contact Snehasparsham through contact details mentioned below. We can conduct onsite classes as per your requirement and target audience.Appreciate and acknowledge any donor family member that we come across.Any philanthropic help towards this program is welcome. Important Contact Phone Numbers for Deceased Donor Transplantation: Mr. SREERAJ N (Transplant coordinator Kozhikode Jilla Panchayat) Phone: 9400310100 Dr. SREELATHA (Professor and HOD, Nephrology, MCH-CLT) Phone: 9446338109 Dr. FEROZ AZIZ (Consultant Nephrologist, Calicut) Phone: 9446519919 CONTACT DETAILS OF JEEVALDANAM (Project by Kozhikode Jilla Panchayat) Jilla Panchayat, Civil station, Calicut, Pin 673020 Kerala,India Ph: 0495-3104994 email: snehasparshamkidney@gmail.com, jeevaldanam@gmail.com Dr. BYJU KUNDIL (Consultant Nephrologist, Periyaram, Kannur) Phone: 9846090874 Ms. ANU (Transplant coordinator Kozhikode Medical College) Phone: 9567179342 Mr. NIDHIN RAJ KP (Transplant coordinator Baby Memorial Hospital, Calicut) Phone: 9946043563 Ms. SHAHANA PA (Transplant coordinator, MIMS Calicut) Phone: 9846146259 Toll Free Organ Donation Helpline (KNOS): 1800-4193737
  • 7. DECEMBER 2019, JANUARY-FEBRUARY 2020 7 01/12/2019 Observation of World Aids Day The theme of this year’s world AIDS Day is “Communities make the difference”. To aise awareness and show support for people living with HIV, IMA Kozhikode conducted many programs for the community.An early Morning Walkathon at Kozhikode Beach was flagged off by Dr. Ajith Bhaskar, North Zone Joint Secretary . Dr. Aneen N Kutty, President, IMA Kozhikode, address the gathering. ates. Dr. Prasanna kumar, Dr. Sandhya Kurup, Dr. Sasidhasran and Dr Venugopalan B, secetary IMA Kozhikode addressed the gathering. IMA Conducted Public medical camp (SOPHIYA) at Kozhikode Beach. WDW Kozhikode Conducted a public awareness programme in association with Malabar cultural Forum at the S.K Pottekkatt Square. Participants lighted candles in the shape of a ribbon in the eve of the World AIDS Day. 05/12/2019 Observation of International Domestic Violence Day In connection with International Domestic Violence day WDW Conducted Debate on Domestic Violence at College of Applied Science Kozhikode. Programme Inaugurated by Dr. Sheela Noone, Chairperson, WDW Kozhikode. Moderate by Dr. Varsha,Asst. Prof. Psychiatry, Judged by Dr. Dr.Rumlath, Secretary, WDW Kozhikode, Dr. Lakshmi and Mrs. Sreelatha. 04/12/2019 Pink Health Mission WDW Kozhikode ConductedAdolescent Health education, as part of 'PINK HEALTH MISSION' at Govt. Ganapath Girls HSS Chalappuram, to empower them by ensuring good health and education. 03.12.2019 international Day for Disabled Persons In Connection with international Day for Disabled Persons WDW conducted an awareness program at Ashakiran school Kozhikode . Function was inaugurated by WDW Chairperson Dr Sheela Noon, Dr Roy Chandran, Asso: Prof: of PMR & honorary secretory of Kerala Health Scheme delivered a talk to parents & teachers of the school. Distributed cakes to children & there was street play about the rights of disabled children.To extend a helping hand INR10,000 was handed over to the management of school by Dr : Sheela Noon 06/12/2019 Executive committee meeting and Releasing 1st issue of IMA News Letter
  • 8. DECEMBER 2019, JANUARY-FEBRUARY 20208 15/12/2019 State Scheme Meeting at Periyar House Aluva IMA Kozhikode President Dr. Aneen N Kutty, Secretary Dr. B Venugopalan, Dr. Ajith Bhaskar, North Zone Joint Secretary, Dr. Roy R Chandran. Dr. Raghavan, Dr.Hareendranath, and Dr.Abdul Khadar attended the meeting. 16/12/2019 State IMA Sports Committee Meeting at IMA Hall Kozhikode. 14.12.2019 WDW Conducted premarital counselling for the registered candidates at CSI Retreat center. Dr. Sheela Noon & Dr Rumlath took classes. 15.12.2019 WDW organized an essay competition for students at Oisca international Hall as part of Human Rights Day celebration. Topic was “ Never too young to change the world Stand Up For Human Rights” . 18/12/2019 AMS Monthly Meeting The topic for the CME were “Back pain – Recent advances” by Dr. Vinod, , Consultant Spine Surgeon, Meitra hospital, Kozhikode & “Present Trends in Plastic Surgery” by Dr. Abraham Thomas, Consultant Plastic Surgeon, Meitra hospital, Kozhikode. 11/12/2019 Observation of World Unicef Day IMAKozhikode Conducted Quiz Competition for Higher Secondary and High School Students at IMA Hall Kozhikode. Dr.Dayal Narayan was the Quiz master. 10/12/2019 IMA CGP CME The topic for this scientific session was Medical Checkups, Observations and Finding over the last Decade’ by Dr. Bijay Raj, Consultant in Family Medicine, Meitra Hospital 08/12/2019 Branch Presidents & Secretaries Meet at HQ, Trivandrum. IMA Kozhikode President Dr. Aneen N Kutty, Secretary Dr. B Venugopalan attended the meeting. 19/12/2019 Dr. Roy R Chandran took the Class for Govt. Medical Officers of Kozhikode District. The topic was Managing obesity in psychiatric patients.
  • 9. DECEMBER 2019, JANUARY-FEBRUARY 2020 9 23/12/2019 General body meeting and CME. Topic for the CME was “Rheumatological complications of Diabetes– Rehab perspective” by Dr. Roy R Chandran, Associate Professor, Dept. of PMR, Medical College, Kozhikode. 28/12/2019 WDW Celebrated Christmas at Home of Love Kottooli. Dr. Sheela Noone, Chairperson, WDW Kozhikode, Dr. Rumlath, Secretary WDW Kozhikode, Dr. Mini PN, Dr. Sheeba T Joseph and Mrs. Sreelatha participated the function. Extended some financial aid and distributed x-mas cakes to inmates. 27/12/2019 to 28/12/2019 National Conference at Kolkata IMA Kozhikode branch attended the National conference at Kolkata. Dr. Vijayaram Rajendran & Dr. B Venugopalan received the Best IMA Local Branch Rotating Trophy of Gujarat State Branch ( for Major Branches) & Presidents Appreciation Award as best Branch for membership enrolment activities. Dr. V G Pradeep Kumar received IMA CGPSilver jubilee OrationAward &Award for Community Services. Dr. Sandhya Kurup received the Presidents AppreciationAward for WDW activitis at this Conference. 31/12/2019 New Year Celebrations We bid a befitting farewell to the year 2019 by organizing fun filled celebrations , Dances, songs, skits and a gala dinner. Big contingents of IMA families were present to welcome the New Year.
  • 10. DECEMBER 2019, JANUARY-FEBRUARY 202010 05/01/2020 WDW Kozhikode Officials attended the Official Launch ofActivities Women Doctors Wing 2019-2020 in Periyar house Aluva. 05/01/2020 ഡ�ോക്ടറ�ോട് ച�ോദിക്കാം Conducted Awareness Programme (ഡ�ോക്ടറ�ോട് ച�ോദിക്കാം) in association with Moideen Veedu Family meet at Pallikandi, Kozhikode. Dr. B Venugopalan, Secretary IMA Kozhikode, Dr. Vimalraj, Dr. Sreelesh KP and Dr. Namitha are Participated. 11/01/2020 IMA CGP CME The main topic was “Common Cosmetic Problems & Solutions” by Dr. T Salim, Senior Dermatologist and Cosmetic Consultant, CUTIS Institute, Calicut. 15/01/2020 IMA Membership Campaign at General Hospital Kozhikode IMA Kozhikode conducted Membership Campaign at General Hospital, Kozhikode. Dr. Aneen N Kutty, President IMA Kozhikode, Dr. V G Pradeep Kumar, Past State President IMA KSB and Dr. Prasanth C V, State Secretary SSS, led the campaign. 15/01/2020 Cultural wing State Convener Dr. Dhanya PG performed a dance program in connection with Palliative care day and family meet at GH, Kozhikode 26/01/2020 Managing Committee Meeting of Schemes IMA KSB We had Managing committee meeting of KHS, PPS, IMAGE, PDSS, Pension Scheme, HBI and Action Committee meeting at IMA hall, Kozhikode
  • 11. DECEMBER 2019, JANUARY-FEBRUARY 2020 11 26/01/2020 Reception of State Leaders & IMA Family Meet Reception of State Leaders of IMA and Family meet at IMA Hall Kozhikode. Glimpse of a glittering welcome accorded to the state officers and our family meet. 26/01/2020 Observation of Republic Day State President  Dr. Abraham Varghese  hoisted flag at IMA premise.
  • 12. DECEMBER 2019, JANUARY-FEBRUARY 202012 19/02/2020 AMS Monthly Meeting The topicfor the CME was “AcuteLiver failure Current concepts” by Dr. Anishkumar DM, Senior consultant Gastroenterology & Hepatology & TheSecond Topic for the CME was “Newer horizons in liver surgery Minimally invasive and Transplant” by Dr.Sajeesh Sahadevan, Sr.consultant & HOD GISurgery& Liver Transplantation Sr. Consultant & HOD Gastroenterology &Hepatology. 11/02/2020 IMA Kozhikode Conducted Awaken India programme in association with IMA MSN at medical college Kozhikode. Dr. Aneen N Kutty, President, IMA Kozhikode, Dr. Roy R Chandran, Secretary, Kerala Health Scheme and Dr. Mini PN, Past Chairperson WDW Kozhikode are addressed the gathering. 12/02/2020 Observation of Sexual and reproductive awareness day and Corona Virus awareness at Rajendra Hospital. Programme Inaugurated by Dr. Sheela Noone, Chairperson, WDW Kozhikode. Dr. Rumluth PM, Secretary, WDW Kozhikode addressed the gathering. Corona awareness talk by Dr. I Muralidharan, physician, Rajendra Hospital, Sexual & reproductive awareness talk by Dr Remya, Gynaecologist Rajendra Hospital, Leprosy awareness talk by Dr. Prathyusha, Dermatologist Govt. Dermatology Hospital, Chevayoor. 12/02/2020 IMA Kozhikode team meeting regarding district convention. 16/02/2020 Junior Doctors Meet 2020 at Kozhikode IMA Kozhikode Conducted Junior Doctors Meet at IMAHall Kozhikode. Programme Inaugurated by Dr. Ajith Bhaskar, North Zone JointSecretary, IMA KSB. Dr. Roy R Chandran, Secretary, Kerala Health Schemewelcomed the gathering. Flag Salutation by Dr. B. Venugopalan, Secretary, IMAKozhikode, Presidential address by Dr. Aneen N Kutty, President, IMAKozhikode,Felicitation by Dr. K.VRaju, District Committee Chairman. The topics in the CME were “Ethics inMedical Practice” by Dr.Sreekumar Vasudevan, Past President, IMA Kerala StateBranch Convener, IMA National Ethics Committee Chairman, PP Scheme IMA Kerala.“Instructions to Medical Practitioners of Modern Medicine in Kerala” by Dr.Mukundan KV, Member, TC Medical Council since 2007-12  and now from 2017 Vice Chairman, PDSS IMAKerala. “Digital Mutation in Medicine” by Dr. Dwideep Chandra P, Consultant Anesthesiologist,with fellowship in onco anesthesia MIART Kozhikode. “How IMA is caring you” byDr. Ajith Bhaskar, North Zone Joint Secretary IMA KSB and Treasurer IMAKozhikode.“Communication and avoiding Litigation in clinical Practice” by Dr.Sajeev Kumar P, Secretary,  PP Scheme of IMA. 14/02/2020 IMA CGP CME The topic in the scientific session was “Evaluating and treating Anemia” by Dr.Shinto Francis MD DM, Consultant Hematolgis, BMH, Kozhikode.
  • 13. DECEMBER 2019, JANUARY-FEBRUARY 2020 13 19/02/2020 District Committee Meeting IMA Kozhikode District Committee meeting was held on 19th February 2020 at IMAHall Kozhikode from 8.30 pm onwards. The Office bearers of the IMAbranches of Kozhikode,Vadakara,Balusse ry,Thamarassery,Mukkom and Ferok,a total of 27 doctors attended. The meeting was called to order by the DC Chairman Dr Raju K.V and in his Presidential address he gave an outline of the main agenda, which was to plan the programs of the upcoming District Convention, proposed to be held on March 1st. Dr. Aneen Kutty, President of IMA Kozhikode welcomed the audience. Dr. Samuel Koshy, North Zone Vice President appealed to all those present to make the District Convention a grand program, involving the doctors as well as the public and leaders. North Zone joint secretary Dr. Ajith Bhasker gave an outline of the program and Dr. V. G. Pradeep Kumar suggested various issues to be discussed during the Convention. Dr. Abdul Kader and Dr. M. Muraleedharan , Dr. Devadas, Dr. Sushama Anil,Dr. Jyothikumar, Dr. Shaji. C. K, Dr. Manulal, Dr. Roy Chandran, Dr. Jaleel, Dr. Venugopal and Dr. Raju Balram spoke and gave their valuable suggestions. 23/02/2020 Calicut Half Marathon 2020 IMA Kozhikode participated Calicut half marathon 2020 26/02/2020 Dr. Neelima & Dr. Dhanya in Narthanam organised by cultural wing in Govt Dermatology Hospital Kozhikode. 29/02/2020 Press meeting in connection with World hearing day Dr.VG Pradeepkumar, honoured by Government Leprosy Hospital for his support as IMA Patient Care Scheme Chairman during 2019 Dr. Aneen N Kutty , President, IMA Kozhikode at KGMOA instillation and family meet at IMA hall Kozhikode. Talk by Dr. Sandhya Kurup, about perimenopausal problems & other health issues related to it.
  • 14. DECEMBER 2019, JANUARY-FEBRUARY 202014 Other Activities IMAKozhikode branch President Dr.Aneen N Kutty addressing the Observation of Programme. District Programme Organised by Dept. of Health at GVHSS for Girls Nadakkavu. IMAKerala Health Scheme Office Inauguration at Kozhikode. State President Dr. Abraham Varghese Inaugurated the new office of IMAHealth Scheme at Kozhikode. IMAKozhikode branch President Dr.Aneen N Kutty addressing the Empowering Ability Programme at IMA Hall Kozhikode IPP Dr. Vijayaram Rajendran attended Building Inauguration function of Thanal Dr Mini as HICC Champion Award 2020 IMA Kozhikode branch President Dr. Aneen N Kutty addressing the Installation Ceremony of IMA Mukkam Branch. IMA Kozhikode branch President Dr. Aneen N Kutty addressing the Observation of Palliative Care day and Family meet at General Hospital, Kozhikode. IMA Kannur District committee inauguration, Dr Ajit Bhaskar as North Zone Joint secretary Dr Sandhya Kurup in an awareness programme about food in Bhavans School 19/12/2019 01/12/2019 IMA Kozhikode attended TOT workshop on Emergency Life support at IMA Periyar House. 01/12/201907/12/201914/12/201915/01/2020 26/01/2020 23/02/2020
  • 16. DECEMBER 2019, JANUARY-FEBRUARY 202016 IQRAA International Hospital and Research Centre Malaparamba, Calicut - 673009 0495 2379201, 2379102 Email: mail@iqraahospital.in www.iqraahospital.in GENERAL MEDICINE GENERAL SURGERY NEONATOLOGY PEDIATRICS PEDIATRIC SURGERY CARDIOLOGY NEUROLOGY UROLOGY NEPHROLOGY RHEUMATOLOGY GYNAECOLOGY INFERTILITY & LAPROSCOPIC SURGERY ORTHOPAEDICS DIABETOLOGY & ENDOCRINOLOGY PHYSICAL MEDICINE & REHABILITATION PSYCHIATRY AND DE-ADDICTION ENT DERMATOLOGY & COSMETOLOGY PLASTIC & RECONSTRUCTIVE SURGERY MEDICAL ONCOLOGY PULMONOLOGY & RESPIRATORY MEDICINE RADIOLOGY ANESTHESIOLOGY PATHOLOGY CHILD DEVELOPMENT CLINIC TRANSFUSION MEDICINE HEAMETOLOGY DENTAL AND MAXILLO SURGERY CLINICAL PSYCHOLOGY CENTRES OF EXCELLENCE