Professional Documents
Culture Documents
Erode Branch 0 th
OUR TEAM
Dear Members,
Dr. V. Madhavan A warm hello to all of you from your president. Hope
Imm. Past President you’ll are in a relaxed mood since your Children’s Exam are over.
98427 55802 Moreover, hope you’ll exercised your franchise on April 13th by
Casting your votes.
Dr.(Mrs.) Nancy Thanu EIMA celebrated ‘WORLD HEALTH DAY’ from 1-7th
Vice President April. A blood screening programme was conducted for our
94430 22764
members in Association with ThyroCare. About 138 members
and their families were benefitted. In keeping with our social
commitments, members of IMA Erode also took part in the
Dr. M.S. Suseendhar
‘ C A M PA I G N A G A I N S T C O R R U P T I O N ’ b y
Hons. Secretary taking part in a pro test meet in association with other social
98427 52434 organiations.
98429 54074 Dear Members, some of our members have been
cheated by UNSCRUPULOUS COMPANIES by delivering
Dr. K.Rajasekaran substandard equipments, make sure before you purchase the
Finance Secretary equipment, you must check the bonafide of the company, its
98430 88544 representative and have all your deals written down and signed
by both parties. We have received a notice from the TN-
Dr. Anuradha Medical Council requesting doctors to refrain from Advertising
Joint Secretary - I i n
93641 27181 public media. kindly adhere to it
ASI Erode branch is conducting a one day CME
Dr. S. Chenniappan
EROASICON 2011, members do participate and take part in
the academics activities. There will be a cultural programme in
Joint. Secretary - II
the evening, members join us and make this a great event
98430 27287
LONG LIVE IMA
Dr. M.Prabhakar Yours Affectionately,
Asst. Secretary Dr. V.L. GUHANATHAN
98429 26126 President EIMA
Cell : 94430 35090
Dear Doctors,
Greetings. This Month with all your support we organized family health checkup and we
made it grand Success. Our District Collector Mr. Kamaraj invited us to give Voters Awareness.
We Celebrated world Health Day at Government ITI & Rotary Club of Erode. We gave our
Solidarity forAnti Corruption by Lighting the Candle. Honda City made us Brand Ambassador
for Green Honda Prioject. Life style Modification for Public was conducted.
Last month meeting came out very well because of all our Speakers Dr. Sivakami,
Dr.Nandha Kunar, Dr. Ranganathan, Dr. Arulchelvan We thank All Of them for giving the
Excellent Presentation. New Members were Inducted by our State Office Bearers .
This month One day CME, EROASICON - 2011 will be a Medical Knowledge feast for our
members. Evening we have a Grand Show of Cultural Programs and Erode melody Orchestra.
Kindly attend the whole day programme. Our State IMA Secretary Dr. J.A.Jayalal & Vice-
President Dr. K. Balasundaram are visiting our branch on that day. Kindly note EROASICON
Registration fees 300 Rs/- on spot 500 Rs/- Evening No Registration. Send your Update form
Immediately. Central New Plastic IMA Life Membership ID Card Application Form is enclosed.
Kindly send it to the IMA Headquarters New Delhi.
Long Live IMA
Thanking you
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ASI Tamil Nadu & Pondicherry Chapter Midterm Conference
EROASICON 2011
PROGRAMME
Theme: Fine Tuning of Surgical skills and Updating Our Knowledge
Coffee Break
Lunch Break
Tea break
Dinner
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ZONAL COMPETITIONS - 2011
FINE- ARTS & SPORTS
IMA- TNSB
We are happy to inform you about the Zonal level Fine-arts & Sports
competitions organized by IMA-TNSB to bring-out the forgotten / hidden talents of
our Doctors' community.
Four zonal meets are planned , the first one will be in North Zone @ Vellore
on 19.6.2011 with the auspicious inauguration by our State President
Dr.T.Sadagopan.
All the IMA members of North Zone are invited to take part in it to show their
talents. Presidents and Secretaries of IMA- North Zone are requested to motivate
their members to participate in huge numbers.
Contact your Zonal representatives for further Guidance
( D r. P r e m k u m a r S a t h y a - 9 9 4 1 9 9 3 7 3 9 & D r. G . S . K a i l a s h -
9380938271@chennai
Dr.C.S.Palani-9345303565 & Dr.Suresh Kumar@ vellore ).
Enroll through proper channel ( Branch Secretary/President) to the
organizing Chairman on or before 12th June for better planning .Expecting your
esteemed co-operation and participation.
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Few Myths and Facts about Your Diathermy Machine!
Diathermy is the most preferred energy source (vide infra) used in more than 75% of
operations as it is versatile and cost effective. But as we know, in monopolar diathermy,
the current has to traverse through the patient's body to complete the electrical circuit
and hence potential complications could occur unless we thoroughly understand the
basic electrophysiology and mechanisms of various complications.
Types of Energy sources used during surgery Let us discuss the following misconceptions
v Electrical Energy and facts to understand the effective way of
• Diathermy using monopolar diathermy during surgeries
• Monopolar
• Bipolar
v Mechanical Energy
• Harmonic Scalpel
v Light Energy
• Laser
Myth I: Principles of electro cautery and electro surgery are essentially same
Fact: Electro cautery and electro surgery are totally different. In cautery, we use direct
current from a battery and the current passes through a resistance wire which gets heated up
and hence used to cauterize bleeding site as in skin and ENT conditions. But in electro surgery
the alternating current( AC) is used and it has to travel through the patient's body in order to
cause the desired tissue effects.
Myth II: Patient should avoid Contact with any metal objects during surgery
E.g.: Drip stand/metal bar/ECG leads. Also patient should not be sent to theatre with metal
ornaments.
Fact: Not necessary! In the early days the diathermy units are ground referenced and hence
if the patient has any contact with things like drip stand, the current could travel through this
line of least resistance to reach for the ground there by causing what we call 'Alternate site
burns' at the points of contact. But recent upgraded diathermy units are 'Isolated Units' and
hence no risk of such complications. But still it is a good practice to send the patient with our
any ornaments like ear ring or necklace so on.
Myth III: Having a return pad(patient plate) kept under the patient And attached to the ESU
will avoid any thermal damage.
Fact: Not really! The electrical current passes from the unit to the tissue through the active
electrode. After causing the desired effects in the tissue, the current has to complete the
circuit by passing through the body of the patient and through the return
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electrode(patient plate) pad back to the diathermy unit. To be effective, the return pad
/patient plate should be kept under a large muscular area. In view of the large surface
area at the return electrode site, the current density is negligible and hence no risk of any
burns. But there should be a method to confirm that the quality of contact of return
electrode is satifactory. This is now done with what we call 'Split pad'as used in Valley lab
or ERBE. This pad has its own 'interrogation circuit' to ensure good quality of contact or
else the unit will not work.
Myth IV: It is so simple! Cut with Cut mode/Coagulate with Coagulation Mode
Fact: In fact it is not so simple. We tend to think that by activating the blue pedal, we could
coagulate the tissue and by activating the yellow pedal, we could cut or divide any tissue. But
really there are several factors determine the type of tissue effects,
Namely
v Wave form
v Size of active electrode
v Power setting
v Duration of exposure
v Tissue Impedance
Hence all the above 5 factors determine why and how we see any given tissue effect.
Fact: It is not really so. Following are the few of the advances made in the last two decades.
v Tissue Response Generator Eg: ERBE
v Argon Plasma coagulator
v Ligasure Vessel Seal system
v Voice Command System
9
Facts & Figures
Government of India has decided to period of five years. At the end of the fifth year
introduce a short 3 years course in modern of service in the rural area,the graduate will be
medicine called BRHC(Bachelor of Rural given permanent license to practice. Such
Health and Care) exclusively to serve the graduates will also be given an option to
villages. Originally it was named BRMS undergo a bridge course so as to enable them
(Bachelor of Rural Medicine and Surgery) to obtain the regular M.B.B.S degree.
This decision is under the pretext that The value of human life in all areas is one
doctors are not available in villages and with the and the same. Life of persons living in rural
full connivance of MCI (Medical Council of areas is as important as the life of persons
India), purportedly follows a questionable Delhi living in the urban areas .There is no disease
High Court directive. confined exclusively to the rural orthe urban
IMA strongly opposes and questions area either.
the wisdom behind such a ill advised move and There are better ways to overcome the
decision. shortage of modern medicine professionals
The full 5 years M.B.B.S course inthe rural area. Lowering the standard of
equips the medical graduates to function as medical education and producing low quality
competent practitioners of modern medicine. professionals is not the solution.
Any deviation from the exacting standards and · In the process of introducing separate
schedules will certainly pose danger to the set of medical professionals exclusively for the
society. rural India, the Government is infact resorting
It is understood that for this purpose to discrimination against rural citizens treating
medical schools will be started in District them as second- class citizens. The same will be
Hospitals. The recruitment of the students will in flagrant violation of the fundamental
be from rural areas and on completion of the right of the rural citizens of India to have quality
course they will be obliged to serve in the native health care. The discrimination could sow the
rural areas for five years. It is also proposed to seeds of discon "ent.
give license to practice for one year which is Instead of rendering medical service
liable to be renewed every year for a to the rural population in a manner equivalent
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to that is available to the urban population, the The Bhore Committee way back in 1946
Government itself is bringing out an inequality and recommended the abolition of LMP, to lay the
irrational discrimination. This is violative of Article foundation for the present day health care delivery
14 of the Constitution of India. system. The objective was to ensure same standard
Since the matter relates to the life and of health care to all citizens of India. The move to
healthy living of a human being, this infraction of the start three year short term BRHC course puts the
basic feature is also bringing about a violation of Art clock back by sixty years.
21 of the Constitution of India. The responsibility of district health
Any legislation in this regard which will authorities is preventive and curative health care.
be brought by the Union of India will be a colorable Burdening them with training and teaching
exercise of power and will be vitiated by lack of programme will lead to collapse of the existing
legislative competence. Any such course will be system.
against the mandate of Sec 15(2) (b) of the Indian The notion that over 20-30% of PHCs do
Medical Council Act. not have a MBBS qualified doctor is not supported by
Any legislation that may be brought will statistics provided by Government of India. Only 5.3
not be in consonance with the directive principles of percent of PHCs went without a qualified doctor.
State policy enshrined under Art 38(2) and 47 of the Even this is due to administrative inefficiency and
Constitution of India. exigencies. Efficient administrative practices by
Public health being a state subject under concerned Health department should suffice.
Entry 6 List II of the Constitution of India, To say that none of the 1,46,000 sub
Government of India have no right to take any such centers have a qualified MBBS doctor is
policy decision to employ the BRHC professionals in a misrepresentation of fact to create a false case. The
the sub-centers, PHCs and District Hospitals sub centers have been programmed to be staffed
situated in the rural part of India. It is for the state with oneANM and one male health worker only.
Governments to take decision in this regard. The For whatever small shortfall that exists
decision taken by the Govt of India to introduce the compulsory rural health posting of MBBS graduates
course named Bachelor of Rural Health Care, which for one year after internship as practiced in Kerala
will enable the graduates of the said course to would make available 30,000 MBBS graduates every
practice modern medicine in the rural areas is year.
beyond the competence of Govt of India. It is It may be noted that none of the health
unconstitutional, illegal and unenforce- able. documents of the country have asked for or planned
New medical colleges can be started with a short term medical undergraduate course(Health
the same effort of establishing medical schools for policy 2002, Report of the national commission
introducing BRHC course.The existing medical on macroeconomics and health 2005,National Rural
colleges are hamstrung due to paucity of qualified Health Mission document 2005).
faculty. Certainly it will be a difficult task to find One has to have a holistic view of the
trained faculty for the new course in medicine situation rather than making scape goat of MBBS
attached to the District Hospitals. doctors. Poverty, Illiteracy, demography and good
It will dissuade regular doctors from governance play a crucial role in the disparity and
serving in rural areas. If the service of qualified inequity in health care between urban and rural
doctors is denied to the rural population, early areas.
detection of complicated diseases and providing In National Family Health survey-3, 84.5%
appropriate treatment will be impacted. of women in rural areas said institutional delivery
Suboptimal impact on disease burden in was not necessary or customary or the family did not
rural areas is not due to shortage in human resources permit and only 1.1 % complained about lack of
alone. Vacillation of policy makers and their inability female attendant in facility. This points to lack of
to choose between primary health care health awareness rather than lack of MBBS doctors.
and vertical programmes is a serious flaw. More over National Human Rights commission has
inadequate strength- ening of referral mechanism come out strongly against such a course and has
has resulted in a system failure. termed it as discrimination.
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IMA strongly contends that there is any 10% of the marks obtained for each year in service in
credible shortage of MBBS doctors to serve in PHCs. remote or difficult areas upto the maximum of 30%
This has not been substantiated by data. There is no of the marks obtained.
rationale need for creation of a short term course in MCI has already approved the decision
modern medicine. This will only lead onto dilution of of its postgraduate committee with regard to
medical standards and will endanger patient reservation of 25% of the seats in postgraduate
safety. degree courses being filled through all India
A qualified and practicing doctor is not examination for doctors who have served for at least
the only person responsible for health care delivery. 3 years in remote and difficult areas with a rider that
The role of the nursing staff,paramedical staff,health after acquiring the postgraduate qualification they
workers, laboratory technicians, pharmacists and shall serve for 3 more years in remote and difficult
other catagories of health workers is equally areas.
important. Producing substandard doctors in large Adequate allowances and facilities like
numbers will only create mismatch of human rural service allowances, proper free
resources. It is not the panacea for large shortfall in accommodation, education allowances for children,
health workers, paramedics and laboratory vehicle or vehicle allowances, appropriate
technicians. reservation for education and employment for their
· Safe drinking water, sanitary toilets, c h i l d re n , s a b b at i ca l l e ave fo r a ca d e m i c
environmental cleanliness, shelter, nutrition, enhancement of Doctors, allowances for attending
personal hygiene, basic educational status of the academic conferences for updating their knowledge,
public, social customs and habits and disease facility for interest free personal loans should be
preventive measures are also major factors in provided to doctors serving in rural areas.
improving the health conditions of the citizens of Full utilization of the private medical
rural India. sector including out sourcing of investigative!
15 (2) (b) of the Indian Medical Council Diagnostic facilities and part time service in Primary!
Act, 1956 is the most decisive clause as far as setting Rural Health Centers.
standards for the practice of modern medicine. It is Encourage private participation in Rural
also pertinent to mention here that the requirement Health care by offering free land, interest free loan,
under Section 15(2) (b) of the IMC Act is similar to preference in water, electricity and other support
the requirement of medical qualification world over. facilities at concessional rates.
Section 15(2) (b) of the IMC Act actually protects the Increasing the number of seats for
fundamental rights of every citizen by ensuring MBBS and Post Graduate Courses in the existing
adequate access to quality health care. Medical Colleges is also an option.
· Registered practitioners under other Enhance budgetary allotment for Health
systems of medicine and the modern medical care from the present 2.1 % to 12% of GDP. If the
practitioners in the private sector have not been funds are adequately allotted and effectively utilized
taken into consideration. manpower deficiency can be overcome and better
50% of the seats in postgraduates health care can be provided. Wherever NRHM
diploma courses are being reserved for medical isworking efficiently there is no dearth of manpower
officers in the Government Health services in all the even now and health care delivery in the rural area
states, who have served for at least three years in has improved remarkably.
remote and difficult areas. After acquiring the PG So for tackling the problem of rural
diploma of two years duration, the medical officers healthcare by definitive corrective steps in the form
shall serve for two more years in remote and or of improving infrastructure, better manpower and
difficult areas. facilities, the Goverment. with some hidden ulterior
In determining the merit and the entrance motive wants to introduce BRHC course which again
test for postgraduate admissions, weightage in the is not going to take care of the shortfall of the
marks may be given as an incentive at the rate of qualified paramedical and supportive staff.
Couple Members
Dr. Sivakami kangayappan from United States Dr. Nandha kumar - WHO Slogan
4 SATHYA SAI
Sri Sathya Sai Seva Samithi Erode Conducted General Camp. Total Number 135 Patients.
Our members participated in it.
4 ERODE GH
146 Free Dialysis were done at Govt. Head Quarters Hospital, Erode. 20
Free Endoscopic examination were done.
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IMAYAM
Rice Sponsor
Dr. T. Sadagopan Vellore
(Life Time)
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