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CGPSL NEWSLETTER OF THE COLLEGE OF GENERAL PRACTITIONERS OF SRI LANKA No.6, “Wijerama House”, Wijerama Mawatha, Colombo 7. AUGUST 2007 Tele: 2698894 Fax: 2695188 E-mail: [email protected] / [email protected] Website: www.cgp.lk 33RD ANNUAL ACADEMIC OYATA SESSIONS Programme Highlights Pre-Congress – Joint symposium with the National Stroke Association Registration & Fellow ship Breakfast A role for the GP in the medical management of thyroid diseases, Noel Somasundaram Evaluation of a patient with headache in family practice, A T Alibhoy Symposium – Gastro-intestinal disease, Janaka de Silva, Kemal Deen, Arjuna de Silva Symposium – Living with Disaster * Chemical weapons of mass destruction, Asiri Fernando *Role of the GP at site of disaster, Narme Wickremasinghe Symposium – Health Care Waste Management in Practice, D Gopinath, M R Haniffa Prodrome of Alzheimer’s Disease, Asitha de Silva FREE PAPERS NSAIDS – Use, Abuse and Iatrogenic Disease, Priyadharshani Galappaththi Early bird– before 15th September 2007 : Members & Associates Rs.1500.00 Non-members Rs.1750.00 Late and onsite registration : Members & Associates Rs.2000.00 Non-members Rs.2250.00 Students & pre interns Rs.500.00 Free for Registrants: CD of presentations at session Book “Essentials of Family Practice” Dates: 6th – 7th October 2007 Venue: Lionel Memorial Auditorium 6, Wijerama Mawatha, Colombo 7 In this issue *33rd Annual Academic Sessions – p1 *Percy proposes œ p4 *Feel Proud – p2 *Elakiri from Pani – p4 *College CPD Programmes – p2 *The responsibility of the family doctor in a *Lady thanks TFDM for gift of two mice! – p2 commercialised health system riddled with *Spiders in the web – p3 technology – p5 *B anned – p3 *Come to Karachi – p4 *Nice Referrals – p6 *DVT in Outpatients – p8 1 My College œ August 2007 COUNCIL & COMMITTEE NEWS FROM US FEEL PROUD It’s all from you It is not everyday that an editor has the luxury of over fifty contributions We failed to take you up on your from members for inclusion in a publication. For a lowly editor of a offer when you responded to a Newsletter such a situation should be unforgettable. It is. This issue of the questionnaire last year. Newsletter is truly your voice dear readers. It also carries our response Hopefully we will not make the (like the programme highlights) to your requests. same mistake this time around – editorial COLLEGE CPD PROGRAMMES September 2007 – February 2008 Discussion of interesting practice experience Sunday, 9th September 2007 from 4.00pm to 5.30pm M ale presenting with urethral discharge Sunday, 11th November 2007 from 4.00pm to 5.30pm The potential of a ten minute consultation – an interactive session Sunday, 9th December 2007 from 4.00pm to 5.30pm Symposium on Diabetes M ellitus Sunday, 13th January 2008 from 9.00am to 12.00noon W ound care in family practice Sunday, 10th February 2008 from 4.00pm to 5.30pm K P Piyasena Convenor, Medical Education Committee LADY THANKS TFDM FOR GIFT OF TWO MICE! TFDMs Library Project According to conventional wisdom, ladies are terrified of Neat Lanka (Pvt) Ltd. Purna Information Services mice. So when a lady expressed her thanks to the TFDM provided the software and conducted a one-day training for two mice among other things it became newsworthy. workshop in the TFDM office. The staff of the school, But this was no ordinary lady the circumstances were Sekher, Pathmanathan and Udari did a magnificent job. extraordinary and the mice were kind of mechanical. Funds for the project came from the IMPA (Rs.150,000/-) Mrs. Velaudapillai is the Principal of Kallady and the College’s Tsunami Disaster Fund (Rs.267,751.30). Muhathuwaran Vipulananda Vidyalaya in Batticaloa. On 26.12.2004 when the tsunami struck the school the Vice This project included the provision of furniture, two Principal Mrs. Gnanarajah and fifty four students lost their computers with accessories (two monitors, two central lives. The school was devastated. processing units (CPU) two ultra power saving units (UPS), one printer, two mice, library software, books for The TFDM undertook a library rehabilitation project for the library worth hundred thousand rupees and the training the school. The project coordinators were our own Sekher of a member of staff in regard to library software which and C Pathmanathan our Batticaloa TFDM member, was carried out in the TFDM office by the vender who helped by Udari the TFDMs office coordinator, sold the software. Ramakrishna mission - Colombo (helped with the transport of the items donated). The computers were bought from Mrs. Vellaudapillai expressed her sincere appreciation for all the items provided (mice included) by the TFDM. 2 My College œ August 2007 COUNCIL & COMMITTEE NEWS FROM YOU SPIDERS IN THE WEB Requests received from the membership for inclusion in the web-site • All CPD Programmes • Journal Updates • Distant Learning module of DFM • Online BMJ columns • College – latest news • Make it similar to WONCA Website • Peak Expiratory flow rate • CME lectures – to charge 100/= so • Problems faced in practice chart(PEFR) that college can identify those who situations- questions to be answered • Daily update of new medical used it and CME points can be by any member findings (new drugs and new given. • College Newsletter treatments modalities) •Courses available at College and • Link to other websites • Children’s’ drug doses for relevant details(examination/ course • Ability to access bnf.org reference (BNF for children if fee) clinicalevidence.com (this website possible) •News of members was accessible earlier to developing • Medico legal aspects regarding FP • Out breaks in the country countries and gives valuable • Government Policy decisions in •MCQ on the management of knowledge to practicing doctors regard to G.P- hot-hot common and relevant diseases in • Access to websites like that of • Consultant details in private GP practice Lancet, BMJ, America Family hospitals • Member details – Physician, etc. • Drug side effects / Drug Professional qualification information Place of practice • MCGP lectures / ideally MCGP Extra curricular activities lectures live for outstation members.-Teleconferencing Those who responded - R.D.M.Lionel, P.Senanayake, D.P.Weliwitiya, R.R.R.Rakapaksha, Joel Fernando, A.S.Kellapatha, Lakshmi Jayasekara, B G D Bujawansa , G.C.R.Auwardt, R G Bulathsinhala, M K Muruganandan, W.V.S.R.Nanayakkara, V.Yoganathan, M.R.Haniffa, P Amarasooriya, D P S Jayasekera, T B Kaduwela, K T H B.T.A.Munasinghe, G.A.J.Tilak.N.Silva, W.A.Ferdinand N A Peeris, M I Qurehieth, G M Heenilame, Leela De A S.R.Ratnapala, S.B.S.Serasinghe, W.B.M.Wijegunarathne, Karunaratne, D N D K Weeraman, G D Fonseka, S N H.D.Wijesinghe, D.G.A.Abeygunaratne, B.D.J.S. Mauroof, M G J Fernando, P Mark S Perera, Walter Fernando, S.Samaranayake, L.W.Sriyani Liyanage, Gooneratne and Ranjith Peiris S.Seneviratne Epa, C.R.D.T.Sugathapala, A.T. Pinidiyapathirage, S.M.F. Sikkander, S.C.J.Nelson, If you have not responded as yet but wish to do so S.P.Kumarasinghe, A Arunachalam, S.N.Samarasena, please send in your suggestions / requests / demands P.V.K.G.Navaratne, Wasantha Rupasinghe, M.I.Jahufer, to K Chandrasekher, Convenor, Web-site Committee, Sunil Jayatileke, G Ketheeswaran, K.Thandayuthapany, H.J.P.K.Jayathillake, A H Mullegama, S.S.Jayasundera, C/o. the College. Failing snail mail, e-mail would do. FROM US BANNED Diclofenac Sodium Injections The Gazette notification issued by the Drug Regulatory PROHIBITION OF WESTERN DRUGS FROM Authority banning Diclofenac Sodium Injections is given MANUFACTURE, IMPORT, SALE, DISTRIBUTION below. Some of the reasons presumably are its reported AND USE side effects like intrafascial necrosis and a perception that I, Dr. U A Mendis, Acting Director General of Health there are better medicines for pain relief. There also seems Services and Cosmetics Devices and Drugs Authority to be a misconception about the management of acute under powers vested in me under Section 10 of the conditions by GP (ie that we do not manage them) and Regulations arising out of the Cosmetic, Devices and hence we do not need diclofenac sodium injections. What Drugs Act, No. 27 of 1980 (Published in Government are your views on this? Can the Colleges Gazette Extraordinary No. 378/3 of 2nd December, 1985 representatives on the Technical Advisory Committee and amended by Drug Regulation No.722/2 of 06.07.92) of the CDD Committee look into it? Gazette have prohibited the Manufacture, Import, Sale, Notification:- Distribution and Usage of under mentioned Western Drug. Name of the Drug – Diclofenac Sodium Injection Generic or Proprietary / branded products 3 My College œ August 2007 COUNCIL & COMMITTEE NEWS FOR YOU COME TO KARACHI 3rd International Family Medicine Conference at Aga Khan University (AKU) Karachi Pakistan Dear Colleagues, ° Challenges in Primary Care Research Greetings from AKU As Chairman of the programme committee of the above Looking forward to welcoming you in January 2008, when conference, I have great pleasure in inviting you and your the weather in Karachi is pleasant. Kindly note the relevant colleagues to attend the above conference to debate ideas, dates in your diary and inform us by email as soon as share experiences with colleagues from the neighboring possible. countries and meet leaders in the field of Family Medicine. Apart from the scientific programme, there will be Please do not hesitate to contact Saniya Subzwari or Fouad meetings of WONCA, South Asia, Middle East, & East Majeed, Joint Coordinators of the conference at their email Africa regions on the sidelines. address if you have any further queries. [email protected] & [email protected]. The Conference would be held from25th to 27th January 2008. The themes for this conference are: Best regards, ° Assessment Drives Learning Riaz Qureshi - Professor & Chair, Department of Family ° Recent advances in Clinical Family Practice Medicine, AKU DEBATE FROM YOU PERCY PROPOSES Membership Criteria In my opinion the following constitute the eligibility over the age of 6o yrs (retirement age) could continue as a criteria for full membership in the College.