I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

Dr. Yogendra S. Modi Dr. Kamlesh B. Saini Ahmedabad (M) 98240 21444 (M) 96019 49252

Dr. Atul D. Pandya Rajkot (M) 98242 84947

Dr. Pankaj K. Sheth Ahmedabad Zone Dr. Dhiren R. Mehta Ahmedabad Zone Dr. M. K. Korvadia West Zone Dr. Deepak Mehta West Zone Dr. Pradip Bhavsar Central Zone Dr. Mukund B. Patel Central Zone Dr. Vinod K. Mehta Vadodara Zone Dr. Paresh Majmudar Vadodara Zone Dr. Navin D. Patel Surat Zone Dr. Brijesh Patel Surat Zone Dr. S. S. Vaishya South Zone Dr. Bhaskar Mahajan South Zone

Dr. Anil D. Patel Mehsana

Dr. Bipin M. Patel Ahmedabad

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WHY NO TO EXIT (NEXT) EXAM? STATE PRESIDENT 1. This appears not justified on the basis as to why the uniform entrance examination (NEET) provided for postgraduate medical study as AND provided in section 10-D is now being substituted by uniform national exit test (NEXT). HON. STATE SECRETARY’S 2. There is further no purpose and object to achieve by introducing NEXT exam MESSAGE at undergraduate level when the students who have already qualified MBBS course and they are compelled to clear NEXT exam for the purpose of their registration in MCI register and eligibility to practice. This amounts to Dear Members, duplicity and conflict of interest. Season's Greetings! All of you might have enjoyed happily the Kite festival 3. What will be the future of those students who fail to pass the NEXT exam? 'Makarshakranti' with your Friends and Family members. 4.5 years of medical student has spent in medical college will be a waste. There is already paucity of doctors in India. Failed medical students will be We convey our best wishes as India has celebrated its Republic Day on thrown out of pool of doctors. 26th January 2017. 4. How it will be provided that the same exam NEXT shall be for undergraduate IMA NATION-2016 - National conference of IMA was held at Amritsar, Punjab on 27th & and postgraduate level both when NEET is already there for both 28th December 2016 and New team of IMA (HQ) was installed under the leadership of undergraduate and postgraduate levels?. Dr.K.K.Agarwal. 5. The proposed amendment in section 13 to forgo the screening test for Proud of and Our Beloved IMA Leader Dr. Ketanbhai Desai, President, those students who possess medical qualifications from foreign country. This World Medical Association (WMA) was Chief Guest of Installation ceremony. Large is in sharp contradiction to Indian students who are required to pass NEXT number of members of GSB IMA have attended and enjoyed the hospitality of Punjab. even after having qualified MBBS and foreign qualified students who are not even required to go through the process of screening test as was always A Memorable GSB IMA State Working Committee Meeting was held at Amargarh provided in the main Act. Resort, Udaipur on 7th January 2017, It was well organized and followed by wonderful musical evening by Dr. Gurudatt Thakkar and his team. 6. On one side, some State Governments are allowing AYUSH doctors to practice modern medicine after 1 year of bridge course and on the other In this month we lost our very active member and close friend Dr. Ashok D. Kanodia hand, the same Government, is compelling MBBS passed students to clear who was Hon. Secretary of Ahmedabad Medical Association. He also remained as a one more exam to get license to practice. Past Hon. Secretary of G.S.B.I.M.A. and also Past Hon. Joint Secretary of IMA (HQ). All over India, Medical Students of 462 Medical Colleges will join in protest This is an immense loss to the whole GSB IMA. He has always actively contributed in all against this on 1st February 2017, Wednesday. the activities of the IMA. Our GSB IMA is also sensitizing and involving medical students of 20 medical We also lost our State Working Committee member & Zonal Representative colleges of Gujarat , to show our unity and strength. Dr. Mangalam Rathod. All the local branches of IMA concerned with medical colleges are requested to On behalf of all the members of GSB IMA, we pray to the Almighty to give eternal peace galvanize in to the action. to the departed souls and courage to the family to bear this irreparable loss. Let us make 1st February as our date with determination. Ministry of Health and Family Welfare, Government of India, has prepared a draft Indian Long Live IMA. Medical Council (Amendment) Bill, 2016 to introduce amongst others, Exit Examination for MBBS level, combined counseling for admission in UG level and PG level and reservation of upto 50% of the seats of Post Graduate Course for Medical Officers. IMA oppose this proposed draft on basis : Dr. Yogendra S. Modi Dr. Kamlesh B. Saini (President, G.S.B.,I.M.A.) (Hon. State Secy., G.S.B.,I.M.A.) (20) (21) OBITUARY • Member of the Occupation Health & Safety Association (OSHA) from 2004 (2004-2010) • Elected I.M.A. standing Committee Member for “National Plan” of Indian Medical Association for 3 years 2004-2006 at Bangkok. • Elected Member of Indian Federation for Sports Medicine, New Delhi. • Best Coordinaor for Health Mela by Honoured by Deputy Prime Minister Shri L. K. Advani in the year 2004. • External Monitor – WHO – National Polio Surveillance Project.(NPSO) – India • Organizing Secretary, Medical Association Annual Conference • Best State Branch Secretary Award • I.M.A. President Appreciated Award • I.M.A. News Bulletin Award Dr. Ashok D. Kanodia • Dr. R.K. Menda Community Service Award. (15/12/1962 - 16/01/2017) • I.M.A. Medical Education & Research Award • Dr. M.G. Bhide Memorial Award for paper on prevention of MDR-TB-Role of Age : 55 years I.M.A Qualification : M.B.B.S., L.L.B., A.F.I.H., • Outstanding Achievement Award”–2003 by Ahmedabad Medical Association Name of Branch : Ahmedabad • Distinguished Service Award on Doctor's Day by Delhi Medical Association • Hon. Secretary – Ahmedabad Medical Association – 2015-2016, 2016-2017 • Appreciation Certificate” from Commissioner of Labour, Govt. of Gujarat • Hon. State Secretary – IMA Gujarat State Branch, - 2008-2009 & 2009-2010 • Appreciation Certificate” from Principal Secretary, Health & Family Welfare, • I.M.A. H.Q. Hon. Joint Secretary -2014 Govt. of Gujarat • Unite Co-ordinator – IMA GFATM RNTCP • Appreciation Certificate” from Minister of Health & Family Welfare, Govt. of • Convener - Family Planning Committee Gujarat. • P.P.S. Zonal Director – 2011 onwards. • Excellent Service Certificate” from Dy. Director, ESIS, Govt. of Gujarat • Hon. Secretary – Gujarat State T. B. Association • Certificate for Services in Academicy. • Central Working Committee Member since many years • Prashashti Patra from Add. Suprintendent, ESIC Model Hospital, , • President – Maninagar Medical Association Ahmedabad • • President - E.S.I.S IMO Class II Association . Dr. R.K. Nanavaty Essay Prize 2003 on subject: “Role of Family Physician in Preventive Medicine about Change of Life Style”. • Hon. Treasurer – Indian Association of Occupational Health, Ahmedabad • Attended “Indo-Us Health Care summit - 2007 “ from 13-15 December, 2007 • Hon. Treasurer, Gujarat State T.B. Association at New Delhi • Hon. Treasurer – Health Scheme, I.M.A. G.S.B. • Regular talk on “Kamdarona Vyavsayik Rogo” on ALL INDIA RADIO, • President – Doctors Samiti, All Gujarat H.V. Parishad Ahmedabad Station.

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©æÄkMkw{Lk (Tribute)

Brain does not imagine - Eyes do not accept that physical presence of Dr. Ashok Kanodia is absent from this planet - but it is unacceptable reality - no way but to accept it. "Hanuman" of our organisation has started his one way long journey to serve God in heaven - great injustice by god to all of us. The philosophy of Dale Carnegie "How to win friends and influence the people " was his motto of life. His untimely demise is irreparable loss to his family, friends and organisation - No substitute is visible in horizon. Dr Ashok D Kanodia ©l}¢ïÝñ² ç„Š²ç‹¼ ÜU}¢¢ü燢 Ý }¢Ý¢ïÚƒñ:

RESOLUTION Hard working soldier is no more with us. With immense grief we inform demise of Dr Ashok D Kanodia, Past Honorary Joint Secretary, IMA HQs. and Past Honorary Secretary, Gujarat State Branch, Acquiring many positions in life in different organisations he strived IMA on Monday, January 16, 2017. hard to do his duty as a small committed and dedicated worker which is the secret of his success in all organisations. This is an immense loss to the whole Team IMA. Much credit goes to Dr. Kanodia for successful implementation of Dr Kanodia has always actively contributed in all national activities of the many community endeavours of our association due to his stupendous Association. He has been a very active member of the Central Working efforts and rectitude. Committee of IMA from the State. Fragrance of his good work will be experienced by society for many On behalf of the entire membership of Indian Medical Association, we resolve years. to pay our heartiest condolences to the bereaved family. His sad demise is great personal loss to me We pray to the Almighty to give peace to the departed soul and courage to the His departure has created a void which can never be filled. family to bear the irreparable loss. We shall miss him forever. Dr Kanodia will always remain alive in our hearts and will always keep on Although words may sound hollow in consoling his family, I pray guiding us with standards setup by him. almighty from the bottom of my heart to rest his soul in peace and give them Dr Kanodia, we will always miss you and salute you! strength to bear the void created. My respectful tributes to our beloved Dr. Ashok Kanodia. Dr. K. K. Aggarwal Dr. R. N. Tandon - Dr. Jitrendra B. Patel National President, IMA Honorary Secretary General, IMA (Past National President) IMA HQ (22) (23) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS ©æÄkst÷e -: þkuf MktËuþ :-

SðLkLke fzðe ðkMíkrðfíkk - ykÃkýk r{ºk, IMA Lkk ÃkkÞkLkk fkÞofh H þktrík zkp. yþkuf¼kE fLkkurzÞk ykÃkýe ðå[u LkÚke. {Lkw»ÞLke Sð Úke rþð MkwÄeLke Þkºkk{kt íku fux÷wt SÔÞku íku {níðLkwt LkÚke Ãký fuðwt IMA «íÞuLke - r{ºkku «íÞuLke - ðVkËkhe yLku Mk{ŠÃkíkíkk yòuz, çkuLk{qqLk yLku SÔÞku íku {níðLkwt Au. zkp. fLkkuzeÞk yu íku{Lke SðLk Þkºkk rððufkLktË íku{s þtfhk[kÞoLke su{ yðýoLkeÞ níke. IMA Lkk fkuEÃký fkÞo¢{{kt «Úk{ s nksh nkuÞ yLku nt{uþkt AuÕ÷k s síkk níkk. MkkÚkof fhe Au. IMA Lkk Headquarter Úke {ktzeLku GSB íku{s AMA Lkk Wå[ nkuËTkyku Ãkh zkp. yþkuf fLkkuzeÞkLkk Lkk{ ykøk¤ MðøkoMÚk Lkku ‘‘Mð’’ Lkne Ãký ykÃkýk çkÄkLkk hneLku Mkíkík ÂM{ík ðuhíkk ðuhíkk sðkçkËkhe rLk¼kðe níke. MðsLkLkku ‘‘Mð’’ Au. {nuMkkýk SÕ÷kLkk fLkkuzk suðk LkkLkk økk{{kt sL{ ÷E y{ËkðkËLku Eïh Ãkh y¾qx ©Øk Ähkðíkk níkk. ÃkhkuÃkfkhe, Ãkhøksw yLku rLk¼oÞ ÔÞÂõík¥ð - ÃkkuíkkLke f{o¼q{e çkLkkðe Mk{økú íkçkeçke yk÷{{kt íkuLke yuf ykøkðe AkÃk AkuzeLku LkesÄk{ ‘Family Value’ Lku yu{Lkk SðLk{kt yøkú¢{u hk¾íkk níkk. þkherhf QòoLkku y¾qx †kuík níkku. Ãknkut[e økÞk Au. ®sËøke SððkLke rV÷MkqVe yu{ýu Mk{S ÷eÄe níke. su ¾wþe SðLk{kt ykðíke níke, MkËkÞ nMk{w¾k, A.M.A., I.M.A. G.S.B. & HQ, E.S.I.S, íkÚkk TB yuLku yk¾he s Mk{S ÷uíkk níkk. çkeòLke ¼q÷kuLku Lksh ytËks fhe Ëuíkk níkk. ¼q÷e òyku yLku Association suðe N.G.O. {kt yËLkk fkÞofhÚke ÷E Wå[ MÚkkLkku Ãkh ÃkkuíkkLke Mkuðkyku {kV fhe Ëku - yu rMkØktíkLku ðhu÷k níkk. fkuEÃký fkÞo yÃkuûkk ðøkh s fhíkk níkk. ykÃkðk Aíkkt MkËkÞ fkÞofh hneLku ÷kufkuLkk rË÷ Síke ÷eÄk. ykÃkýk r{÷LkMkkh r{ºkLku ¼khu ÓËÞu yk¾he Mk÷k{. íku{Lke yrðM{hýeÞ ÞkËku ÷¾íkk þçËku ¾qxu Au...... çkMk yux÷wt s fneþ ...... - zkp. {nuLÿ ËuMkkE ‘‘yku òLkuðk÷u nku þfu íkku ÷kix fu ykLkk...... ’’ Ãkqðo «{w¾ y÷rðËk ...... MkuLkkÃkíke...... y÷rðËk...... zkp. yþkuf fLkkuzeÞkLku yÃkoý - zkp. yrLk÷ su. LkkÞf Ãkqðo «{w¾ yk{ ¼h{æÞknLku ykÚk{e sðwt yþkuf ík{kÁt Lku y[kLkf {eXe SðLkMkrhíkkLkwt ÚkE sðwt ¾kÁt ! zkp. yþkuf fLkkuzeÞk yux÷u WòoLkwt Ãkkðh nkWMk fËe Úkkf fu ftxk¤ku òuðk Lk {¤u. su fk{ fu{ Shðþu MðsLk r{ºkku yk ½k fkh{ku ? {w~fu÷ nkuÞ, yþõÞ ÷køkíkwt nkuÞ, yuLku yux÷e Mkkhe heíku, Mkk[e heíku fhe ykðu fu ykÃkýLku íkku íku sýkððkLkwt fu ík{u çknw ÞkË ykðþku. ykMkÃkkMk yíkhtøk ðíkwo¤{kt òuW yLku, fe{eÞkøkh s ÷køku. Lkk þçË yu{Lke zeõþLkuhe{kt Lknª nkuÞ. su{Lkk {kxu MLkunkËh nkuÞ yu{Lke ík{u çknw ÞkË ykðþku. fk¤S ¾qçk Mðk¼krðfíkk yLku ¼kðÚke hk¾u. ÷ezhkuLke ÷ezhþeÃk nkE÷kEx fhu, rðMíkkhu yLku r{ºkkuLke Mktøkík{kt nðu yuf ¾kux hnuþu yLku, yLÞku{kt ÷ezhþeÃk søkðu íkuðe íkuLke ¾krMkÞík, yLku yk yuf íku{Lkk{kt AqÃkkÞu÷, hnu÷ ¾kMk ík{u çknw ÞkË ykðþku. ÷ezhþeÃk..... nt{uþk «MkLLkðËLk hnuíkku, Mkðo MknkÞf, çkÄks «fkhLkk «&™kuLkk Wfu÷ {kxu fkuE {ËËLke sYh W¼e Úkþu yLku, íkíÃkh hnuLkkh Lkezh, {Äwh yLku MÃküðõíkk yuðk zkp. yþkuf fLkkuzeÞkLkk rLkÄLkÚke {Lku ÃkzLkkh ík{u çknw ÞkË ykðþku. ytøkík ¾kux íkku fËk[ fËe Lkne ÃkqhkÞ Ãký MktMÚkk, íkuykuLkk ËËeoykufu ònuhSðLk{kt ÃkzLkkh ¾kux fíkoÔÞ ÃkhkÞýíkk, ðVkËkheLkku rðfÕÃk Mkki þkuÄþu yLku, Ãký Ãkqhkþu fu fu{ íku Þûk «&™ Au. ík{u çknw ÞkË ykðþku. zkp. ÞkuøkuLÿ {kuËe zkp. f{÷uþ MkiLke fux÷ku Mk{Þ ÷køkþu ½k YÍkíkk...... ? «{w¾ (S.yuMk.çke.-ykE.yu{.yu.) {kLkËT {tºke (S.yuMk.çke.-ykE.yu{.yu.) - zkp. LkeíkeLk ðkuhk (24) (25) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

I am greed on hearing on sad demise of our very Dynamic & enthusiastic I am shocked to hear about Ashok is sudden death. Since 2001 I came colleague Dr. Ashok D. Kanodia. May his soul rest in peace he was a Active in his contact and can remember many a interactions with him . May he worker of our Gujarat IMA rest in piece. - Dr. K. M. Gandhi, Godhra - Dr. Suresh Amin, Vadodara Speechless, IMA lost a rising star..loss to his family-unbelievable...may I pray to Almighty to rest his soul in eternal peace and give strength to his almighty give him eternal peace . family to bear this pain and sorrow. - Dr. C. K. Shah, Godhra Om Shanti Very much shocked to hear about sad demise of Dr. Ashok Kanodia. No - Dr Kirtibhai M. Patel, Ahmedabad words are enough to express our sorrow and feeling of helplessness in On 16-01-2017, I lost a very good friend and a nice human being. I know this time of tragedy. It is difficult to console his family members , still we Dr. Ashok Kanodia since many years. He was very hard working person pray to Almighty God to give them courage and strength to bear this and always ready to help anyone in need. untimely and unimaginable loss . Pray to Almighty God to give the departed soul eternal peace. Om Shanti. I am fortunate to work with him. He has served IMA for many years. He has served IMA on many posts. He was Honorary Secretary of AMA when he - Dr. Praful Desai, Navsari left all of us. I am shocked to learn sad demise of our beloved dearest Dr. Ashok He was active member of National TB Programme. Kanodia. No expression of sympathy, however sincere, can can lessen the He was always smiling and when any work is assigned to him he was grief that must be to our IMA and his family. Death is an unwelcome visitor always ready to do it. He was very sciencer in his work. and often comes unnoticed, and it is painful and sudden. Lord Krishna says in Bhagwat Geeta - "for the soul, there is neither birth nor death, nor having Lastly we were together at Chennai in CWC meeting. That trip I will never ones been, died he ever cease to be. He is unborn, eterna, ever existing, forget. undying and primeval. He is not slain when body is slain." with deeply I pray to the almity to give strength to his family members to bear the loss. grieved , also joins in prayers to the almighty to grant eternal peace to the Om Shanti. departed soul. Om Shanti.....Om Shanti....Om Shanti.... - Dr. Bipin M. Patel, Ahmedabad Dr. Mansukh Kanani, Bhavnagar l Lightening struk on Kanodia family and IMA GSB & AMA on16th and took Dr.Ashok Kanodia, a very active and real dedicated worker of IMA is now no away the life of our dearest, enthusiastic, down to earth, but Star.: more. It is really very painful and shocking for me to believe it. I lost a very Dr.Ashok Kanodia. We are shocked by his sudden exit. God must be in close associate for more than 15 years. A person with a charming need of such an angel and brilliant person. We pray to almighty God to give personality and always ready to share the responsibility will always remain his soul eternal peace. We also pray for strength and courage to the alive in our hearts. I pray to the Almighty to give peace to the departed soul. bereaved family members of Ashok. - Dr. Chetan N. Patel, Vadodara - Dr. Bharat Trivedi, Bhavnagar (26) (27) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

I am sending you my most sincere condolence for the sudden and untimely Shocking to know that Kanodia is no more My heartfelt condolences to death of our colleague and friend Dr. Ashok Kanodia. We are still shocked by the family and the members of AMA the news of Dr Kanodia's death. This is a big loss to the society and personal loss as a friend.Dr. Ashok had been not only an excellent & dedicated worker - Dr. Vinay Agarwal of Indian Medical Association but also and above all a good human being with It's shocking . Can't believe. Ashok was a great friend . My heartfelt a big heart which never failed when it came to sharing it with others. I also condolences. May his soul rest in peace. Pray to Almighty to give extend my sincere sympathy to the bereaved family and pray almighty God to give them enough strength to bear this sudden blow on them He will be greatly strength to his family to bear this tragic loss. missed May his soul rest in eternal peace With deep regards - Dr. Narender Saini - Dr. Vinod Shah, Surat

Very painful. I am shocked to hear about sad demise of Dr Ashok Deeply grieved to hear about the sad demise of Dr.Kanodia. It is really Kanodia. Om shanty shocking. Please convey my condolences to the bereaved family and to - Dr. Mahendra Chaudhari Bardoli IMA Gujarat state......

Can't believe...... - Dr. Gutta Suresh (Hydrabad) Absolute shocker...... No words to express grief. .... RIP...... - Dr Pragnesh Joshi, Surat

zkp. yþkuf¼kE fLkkuzeÞkLke fMk{ÞLke ðMk{e rðËkÞu ÓËÞ Lku n[{[kðe LkkÏÞwt. íku{Lkku nh nt{uþ hnuíkku nMkíkku [nuhku, r{ºkíkkÃkqýo ðíkoLk, yLku yLÞLkk fk{ fhðk{kt íku{Lke íkíÃkhíkk Lku rðMkhe þfkÞ íku{ LkÚke. rðþk¤ rË÷Lkku {kLkðe yLku ÔÞkÃkf r{ºkðíkwo¤ {kt yøkBÞ [knLkk yu yu{Lke ykøkðe rðrþüíkk níke. yux÷u s Mkðo Lkk ‘÷kzfk’ hÌkk. E.yuMk.ykE. yuMkkurMkyuþLk nkuÞ, AMA, GSB fu IMA National H.Q. nkuÞ nhnt{uþ Äøkþ, r[ðx yLku Ãkqhk Mk{Ãkoý ¼kðÚke fkÞoLku Ãkqýo fhðkLke ¾uðLkk yËT¼qík s fne þfkÞ. «Mktøk nkuÞ fu Ãkzfkh íku{Lkku Ãkrh©{ yLku «ÞíLk Ãkhkfkckyu hnuíkku. íku{Lkk ykÃkýk ðå[uÚke [kÕÞk sðkÚke Ãkzu÷ ‘yðfkþ’ ÃkqhkÞ íku{ LkÚke. ‘yku{ þktrík’ - zkp. þi÷uLÿ ðkuhk , y{ËkðkË (28) (29) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

STATE PRESIDENT, HON. SECRETARY & OFFICE BEARERS TOURS AND VISIT Heartiest Congratulations

12-11-2016 Dr. Kamlesh B. Saini; Hon. State Secretary IMA GSB and Dr. Parth M. Desai; Joint Director, PPS. IMA GSB. Attended meeting CIMS Hospital, Ahmedabad achieved one of the rare feats regarding Pradhan Mantri Jan Aushadhi in presence of Collector, by performing the 1st heart transplant surgery of Gujarat. The Ahmedabad. heart was shifted from Bhavnagar to Ahmedabad in a record time 14-11-2016 Dr. Yogendra S. Modi; President IMA GSB attended launching of Pradhan Mantri Jan Aushadhi store at Civil Hospital, Ahmedabad of 82 minutes. in presence of Chief Minister Shri Vijaybhai Ruapani. The surgery was performed by a team lead by Dr. Dhiren Dr. Kamlesh B. Saini; Hon. State Secretary IMA GSB attended launching of Pradhan Mantri Jan Aushadhi store at L.G. Hospital, Shah, Manan Desai, Dr. Milan Chag, Dr. Chintan Sheth, Dr. Dhaval Ahmedabad in presence of Smt. Nirmala Vadhwani, State Naik, Dr. Shaunak Shah along with a team of medical experts at Minister of Female & Child Welfare.

Dr. Bipin M. Patel; Managing Director PPS IMA GSB attended CIMS Hospital, Ahmedabad. launching of Pradhan Mantri Jan Aushadhi store at Sola Civil Hospital, Ahmedabad in presence of Shri Vallabhbhai G. We congratulate the entire team of CIMS Hospital, Sir Kakadiya, Minister of State Transportation (independent Takhasinhji General Hospital (Bhavnagar), Dr. Rajendra Kabariya charge), (Neurosurgeon, Bhavnagar) and Dr. Sameer Shah (Surgeon, Dr. Parth M. Desai; Joint Director, PPS IMA GSB attended launching of Pradhan Mantri Jan Aushadhi store at V.S. Hospital, Bhavnagar). Ahmedabad in presence of Shri Pradeepsinh B. Jadeja, Minister of Home & Law & Shri Gautam Shah, Mayor, Ahmedabad.

06-12-2016 Dr. Kamlesh B. Saini; Hon. State Secretary IMA GSB attended Dr. Yogendra S. Modi Dr. Kamlesh B. Saini (President, G.S.B.,I.M.A.) (Hon. State Secy., G.S.B.,I.M.A.) Pradhan Mantri Saurakshit Matrutva Abhiyan seminar at Bhopal.

14-12-2016 Dr. Kamlesh B. Saini; Hon. State Secretary IMA GSB attended Vaccine Immunization Task meeting at Sachivalay, Gandhinagar. Hurry up 07-01-2017 Dr. Yogendra S. Modi; President IMA GSB,d Dr. Kamlesh B. Saini; Hon. State Secretary IMA GSB, other Office Bearers and Last Chance to join in Family Welfare Scheme, GSB-IMA State Working Committee members were attended State for Members of Social Security Scheme, GSB-IMA Working Committee meeting at Amirgadh, Udaipur.

16-01-2017 Dr. Yogendra S. Modi; President IMA GSB, Dr. Kamlesh B. Saini; Above the age of 50 years only up to 1st April, 2017 Hon. State Secretary IMA GSB attended Installation Ceremony This is the unique brotherhood fraternity scheme. of IMA Kadi Branch. (30) (31) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS CENTRAL COUNCIL MEETING 21. Dr. Atul D. Pandya Rajkot 22. Dr. Darshana A. Pandya Rajkot The 91st Annual National Conference of I.M.A. IMACON-2016 23. Dr. Ketan Bharthi Rajkot was held at Hotel Radisson Blu, Amritsar, Punjab on 27th & 28th 24. Dr. Chetan N. Patel Vadodara December, 2016. 25. Dr. Smita C. Patel Vadodara Following members from our state attended the conference / Meeting 26. Dr. Kailashben Parikh Vadodara 27. Dr. R.S. Patidar Vadodara 1. Dr. Ketan D. Desai Ahmedabad 28. Dr. Vinod C. Shah Surat 2. Dr. Jitendra B. Patel Ahmedabad 29. Dr. Parul Vadgama Surat 3. Dr. Mahendra B. Desai Ahmedabad 30. Dr. V.T. Parmar Bhavnagar 4. Dr. Yogendra S. Modi Ahmedabad 31. Dr. Kashyap C. Dave Bhavnagar 5. Dr. Kamlesh B. Saini Ahmedabad 32. Dr. Tushar Adesara Bhavnagar 6. Dr. Bipin M. Patel Ahmedabad 33. Dr. Kishor Solanki Bhavnagar 7. Dr. Dhanesh A. Patel Ahmedabad 34. Dr. P.P. Vagh Bhavnagar 8. Dr. Alka K. Desai Ahmedabad 35. Dr. Shailesh Vaja Junagadh 9. Dr. Mahesh B. Patel Ahmedabad 10. Dr. Gargi M. Patel Ahmedabad 11. Dr. Haresh P. Bhalodia Ahmedabad CONGRATULATIONS 12. Dr. Neena H. Bhalodia Ahmedabad Dr. O.P. Gupta, Ahmedabad 13. Dr. Divyeshkumar Panchal Ahmedabad Received RAI international award of Excellence-2016 on 15-10-2016 at 14. Dr. Deval D. Panchal Ahmedabad New Delhi. 15. Dr. Maitryi J. Patel Ahmedabad Dr. Nupur Hemant Pandya daughter of Dr. Hemant N. Pandya; 16. Dr. Mansi J. Patel Ahmedabad Anand 17. Dr. Anil J. Nayak Mehsana Being awarded “Bhaikaka Gold Plated Medal” for securing highest 18. Dr. Praful R. Desai Navsari number of marks in external theory & practical examination at first 19. Dr. Mahendra Chaudhari Bardoli attempt FY/SY & Third M.B.B.S examination on 15th December, 2016 by Sardar Patel University, Vallabh Vidyanagar. 20. Dr. Bhupendra M. Shah Himatnagar

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LM/25707 Dr. Sharma Tushar Rajendra Ahmedabad NEW LIFE MEMBERS LM/25708 Dr. Sharma Aruna Tushar Ahmedabad LM/25709 Dr. Kanabar Vishwa Giteshbhai Bhavnagar I.M.A. GUJARAT STATE BRANCH LM/25710 Dr. Kanani Manthan Mansukhbhai Bhavnagar We welcome our new members LM/25711 Dr. Patel Kaushal Hiteshkumar Anand L_M_No. NAME BRANCH LM/25712 Dr. Patel Himani Jitendrakumar Anand LM/25678 Dr. Prajapati Sumegh Narsinhbhai Ahmedabad LM/25713 Dr. Rangarajan Vithal Bhavnagar LM/25679 Dr. Bhavsar Preyansh Rohitbhai Ahmedabad LM/25714 Dr. Desai Nachiketa Jaydev Navsari LM/25680 Dr. Patel Kuntal Revabhai Ahmedabad LM/25715 Dr. Patel Divyesh Vasantbhai Navsari LM/25681 Dr. Prajapati Kalpesh Keshavla Ahmedabad LM/25716 Dr. Patel Vaibhavi Ranjitbhai Navsari LM/25682 Dr. Gajjar Nilesh Babubhai Ahmedabad LM/25717 Dr. Parkeh Arohi Purnendu Bhavnagar LM/25683 Dr. Panchal Pradip Rambhai Ahmedabad LM/25718 Dr. Solanki Jitendra Jagdish Gandhidham LM/25684 Dr. Dhotre Sanjay Vinayakbhai Ahmedabad LM/25719 Dr. Thakkar Vishal Jagdishbhai Gandhidham LM/25685 Dr. Shah Mansi Rajeshkumar Ahmedabad LM/25720 Dr. Navaria Rajeev R. Vadodara LM/25686 Dr. Shah Kunjan Pareshkumar Ahmedabad LM/25721 Dr. Patel Vaibhav Ghanshyambhai Vadodara LM/25687 Dr. Palkhiwala Neil Binoy Ahmedabad LM/25722 Dr. Patel Tejas Rajendrakumar Vadodara LM/25688 Dr. Palkhiwala Atisha Neil Ahmedabad LM/25723 Dr. Ghetia Vilyesh Rasikbhai Vadodara LM/25689 Dr. Patel Ravi Ghanshyambhai Ahmedabad LM/25724 Dr. Ghetia Manali Vilyeshbhai Vadodara LM/25690 Dr. Patel Heena Ravikumar Ahmedabad LM/25725 Dr. Bhandari Jainish Kailesh Vadodara LM/25691 Dr. Patel Dhaval Dineshbhai Ahmedabad LM/25726 Dr. Gandhi Dhwani Akshaykumar Vadodara LM/25692 Dr. Patel Hiren Dasharathbhai Ahmedabad LM/25727 Dr. Patel Himanshu Rameshbhai Valsad LM/25693 Dr. Shah Vaidehi Chinmaybhai Ahmedabad LM/25728 Dr. Pande Trupti Kantilal Valsad LM/25694 Dr. Patel Chinmay Chaitanya Ahmedabad LM/25729 Dr. Patel Shailesh Jayantilal Surat LM/25695 Dr. Patel Arpit Maheshbhai Ahmedabad LM/25730 Dr. Sathvara Jayshree Mukesh Surat LM/25696 Dr. Patel Mittal Arpitbhai Ahmedabad LM/25731 Dr. Dadu Zakirhusen Ibrahim Kheralu LM/25697 Dr. Chaudhari Vipul Dineshbhai Ahmedabad LM/25732 Dr. Mansuri Benazeer M. Kheralu LM/25698 Dr. Patel Keyur Krishnakant Ahmedabad LM/25733 Dr. Gamit Kavita Surjibhai Bharuch LM/25699 Dr. Kothari Vatsal Narendra Ahmedabad LM/25734 Dr. Vasava Smit Pravinchandra Bharuch LM/25700 Dr. Kothari Pooja Vatsal Ahmedabad LM/25735 Dr. Vikram Premkumar Bharuch LM/25701 Dr. Patel Rahil Bharatbhai Ahmedabad LM/25736 Dr. Kapadia Palak Ashokkumar Bharuch LM/25702 Dr. Patel Mainank Kaushikbhai Ahmedabad LM/25737 Dr. Jadav Pravin Ambaram Ahmedabad LM/25703 Dr. Panchal Gaurav Rameshkumar Ahmedabad LM/25738 Dr. Patel Maulik Tulsibhai Ahmedabad LM/25704 Dr. Panchal Bijal Gauravbhai Ahmedabad LM/25739 Dr. Nayak Maunil Rajendrakumar Ahmedabad LM/25705 Dr. Shah Vaibhav Sameerbhai Ahmedabad LM/25740 Dr. Shah Tapan Shailbhadra Ahmedabad LM/25706 Dr. Shah Ruta Vaibhavbhai Ahmedabad LM/25741 Dr. Soni Jay Janakkumar Ahmedabad (34) (35) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS LM/25742 Dr. Mehta Deval Rajendrabhai Ahmedabad LM/25777 Dr. Raval Abhishek Pravinchand Rajkot LM/25743 Dr. Modi Jwalant Chandramauli Ahmedabad LM/25778 Dr. Bhatt Apeksha Kamleshbhai Rajkot LM/25744 Dr. Bhuriya Sweety Gayasbhai Ahmedabad LM/25779 Dr. Raval Gaurang Pradipkumar Rajkot LM/25745 Dr. Sanghavi Yash Narendrabhai Ahmedabad LM/25780 Dr. Gohil Bhargavi Sajubha Rajkot LM/25746 Dr. Sanghavi Nirali Yash Ahmedabad LM/25781 Dr. Patel Manthan Kantibhai Himatnagar LM/25747 Dr. Shah Pritish Shrenikbhai Ahmedabad LM/25782 Dr. Pansuria Shikha Laljibhai Himatnagar LM/25748 Dr. Shah Parth Shrenikbhai Ahmedabad LM/25783 Dr. Suthar Pooja Rameshbhai Himatnagar LM/25749 Dr. Jalan Rahul Kamal Ahmedabad LM/25784 Dr. Dave Vinayak Hitendrabhai Vadodara LM/25750 Dr. Rajpara Sanjay Mansukhbhai Ahmedabad LM/25785 Dr. Jain Anjali Kartikeya Vadodara LM/25751 Dr. Modi Hiren Mukeshkumar Ahmedabad LM/25786 Dr. Agrawal Dipen Maheshkumar Vadodara LM/25752 Dr. Pandya Kedarnath Alkesh Ahmedabad LM/25787 Dr. Phadke Kedar Dhananjay Vadodara LM/25753 Dr. Pandya Reema Kedarnath Ahmedabad LM/25788 Dr. Chiplonkar Sandhya Girish Vadodara LM/25754 Dr. Modi Tejas Kanaiyalal Ahmedabad LM/25789 Dr. Damor Raman Dhanabhai Vadodara LM/25755 Dr. Modi Rutvi Tejas Ahmedabad LM/25790 Dr. Maliwad Jyotsna Fulabhai Vadodara LM/25756 Dr. Rathod Ajay Mangalsinh Ahmedabad LM/25791 Dr. Shah Harsh Jayeshbhai Vadodara LM/25757 Dr. Rathod Gayatri Ajaykumar Ahmedabad LM/25792 Dr. Shah Swati Harshbhai Vadodara LM/25758 Dr. Panchal Asvin Ramnlal Ahmedabad LM/25793 Dr. Chaudhari Nitin Devjibhai Mehsana LM/25759 Dr. Bhalani Niyati Vinodray Ahmedabad LM/25794 Dr. Choudhary Bhooraram A. Mehsana LM/25760 Dr. Patil Kalpesh Sharadbhai Ahmedabad LM/25796 Dr. Solanki Chirag Natwarbhai Gandhidham LM/25761 Dr. Panchal Dharmendra T. Ahmedabad LM/25796 Dr. Shah Abhishek Balkrushna Gandhidham LM/25762 Dr. Patel Jay Manharlal Ahmedabad LM/25797 Dr. Maheshwari Amit Virjibhai Gandhidham LM/25763 Dr. Mehta Kalpesh Ashok Ahmedabad LM/25798 Dr. Prajapati Suresh Bijalbhai Gandhidham LM/25764 Dr. Taneja Pooja Kundanlal Ahmedabad LM/25799 Dr. Pael Maulik Pramodbhai Gandhidham LM/25765 Dr. Trivedi Kandarp Kishore Gandhinagar LM/25800 Dr. Gandhi Creamy Maulikbhai Gandhidham LM/25766 Dr. Thanky Het Bankimchandra Gandhinagar LM/25801 Dr. Gadhavi Kailashdan Vijdan Bhavnagar LM/25767 Dr. Mehta Payal Rajeshkumar Gandhinagar LM/25802 Dr. Ladumor Jitu Najabhai Bhavnagar LM/25768 Dr. Chaudhari Ketan Bharatbhai Gandhinagar LM/25803 Dr. Raj Pragnesh Kishorsinh Bharuch LM/25769 Dr. Prajapati Vipul Chelabhai Gandhinagar LM/25804 Dr. Mehta Urvin Nikunjkumar Bharuch LM/25770 Dr. Yagnik Hardik Baldevbhai Gandhinagar LM/25805 Dr. Ramani Jignesh Jayantibhai Surat LM/25771 Dr. Algotar Priyank Dineshbhai Gandhinagar LM/25806 Dr. Mavani Pratik Jivrajbhai Surat LM/25772 Dr. Patel Hippal Jitendrakumar Gandhinagar LM/25807 Dr. Bhatu Vijayeta Prashant Surat LM/25773 Dr. Patel Hiren Laxmanbhai Gandhinagar LM/25808 Dr. Patel Krunal Hasmukhbahi Bharuch LM/25774 Dr. Pimpale Dipesh Prakashbhai Rajkot LM/25809 Dr. Patel Tejas Kiritkumar Vadodara LM/25775 Dr. Patel Parth Rameshbhai Rajkot LM/25810 Dr. Trivedi Snehal Yagneshbhai Vadodara LM/25776 Dr. Patel Urmil Vibhakarbhai Rajkot (36) (37) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

LM/25811 Dr. Brahmbhatt Vihang G. Vadodara OBITUARY LM/25812 Dr. Brahmbhatt Shruti V. Vadodara LM/25813 Dr. Malvi Ketan Dhirajlal Anand We send our sympathy & condolence to the bereaved family LM/25814 Dr. Dholariya Darshnil D. Surat LM/25815 Dr. Choudhary Karan Rajivraj Surat Dr. Mahesh M. Tandel LM/25816 Dr. Choudhary Esha Karan Surat (09/06/1950 - 05/10/2016) LM/25817 Dr. Gatiwala Dinky Jyotindra Surat Age : 66 years LM/25818 Dr. Singh Amrendra Narayan Surat Qualification : M.B.B.S., M.D. LM/25819 Dr. Vaghani Ashwin Apragjibhai Botad Name of Branch : Surat LM/25820 Dr. Sheth Mahipal Tulsibhai Ahmedabad LM/25821 Dr. Shroff Vishal Heminbhai Ahmedabad LM/25822 Dr. Patel Hitesh Shivrambhai Ahmedabad Dr. Manubhai H. Joshi LM/25823 Dr. Patel Rutul Girishbhai Ahmedabad (18/02/1932 - 25/12/2016) LM/25824 Dr. Rane Hemant Ramchandra Ahmedabad Age : 84 years LM/25825 Dr. Joshi Mauli Manojbhai Ahmedabad Qualification : M.B.B.S. LM/25826 Dr. Gargiya Agam Jawaharlal Ahmedabad LM/25827 Dr. Gargiya Shweta Agam Ahmedabad Name of Branch : Bhiloda LM/25828 Dr. Patel Devanshi Vikrambhai Ahmedabad

LM/25829 Dr. Prajapati Rina Ambarambhai Ahmedabad Dr. Bhupendra D. Vyas 06-08-2016 Surat LM/25830 Dr. Chhipa Tausif Yakubbhai Ahmedabad Dr. Devraj L. Ghevaria 21-08-2016 Surat LM/25831 Dr. Patel Ritesh Jayantilal Ahmedabad Dr. Nitin C. Vasava 01-10-2016 Ahmedabad LM/25832 Dr. Jain Prathmesh Vijaysingh Ahmedabad LM/25833 Dr. Jain Dipti Anilkumar Ahmedabad Dr. Bhupendra K. Shah 03-10-2016 Vadodara LM/25834 Dr. Shah Sankit Dineshkumar Ahmedabad Dr. Mahesh M. Tandel 05-10-2016 Surat LM/25835 Dr. Shah Vidisha Sankitkumar Ahmedabad We pray almighty God that their souls may rest in eternal peace. LM/25836 Dr. Patel Ravi Ashokbhai Ahmedabad LM/25837 Dr. Gupta Dhaval Vinaykumar Ahmedabad LM/25838 Dr. Pathak Niramya Jagdish Ahmedabad LM/25839 Dr. Pathak Jui Niramya Ahmedabad LM/25840 Dr. Jain Mayank Surendrabhai Ahmedabad LM/25841 Dr. Chudasama Falguni Ashok Ahmedabad LM/25842 Dr. Panchal Richa Karnav Ahmedabad LM/25843 Dr. Maheshwari Nandlal Mahadev Ahmedabad LM/25844 Dr. Kanabar Nebi Arunbhai Ahmedabad

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BRANCH ACTIVITY 16-11-2016 “Management of Diabetic dyslipidemia” by Dr. Hasit Joshi. DAMAN “Management of diabetes” by Dr. Navneet Shah. 04-12-2016 “Medico legal expert” total 150 doctors attended. “Diabetes and lipid management”. GANDHIDHAM MORBI Gave free service total 425 patients were examined. Blood Donation camp with “helpage mission” and “Parshuram 11-11-2016 “Stem cell banking & therapy-medico legal Q & A” by seva samiti”. Total 184 donors donated blood. Dr. Vijay Shah. “Newer SGLT2 inhibitor empagliflozin” by Dr. Chirag Aghara. JETPUR Generic Medical Store of benefit for poor patients. 10-12-2016 “Acute ischemic stroke” by Dr. Jigar Parekh 14-11-2016 “World diabetes day” 10000 pamphlets about Diabetes and “Intervention in stroke” by Dr. Vikas Jain. Total 30 delegates eye problems were distributed in public for awareness. participated for the full duration and were given one Credit Hour certificate. “World diabetes day” Medical camp Total 55 diabetic patients screened for renal function. KALOL 20-11-2016 “Sarv Rog Nidam Camp” to benefit poor people in recent 08-11-2016 Executive meeting at Mundra Imaging Centre. Executive economical crisis , total 230 patients were benefitted. members remained present and discussed about IMA 19-11-2016 “Approaching Rhenumatoid Arthritis and Spondyloarthritis” Satyagrah 2016. by Dr. Mitul Kotecha. “Blood Cancer Disorder” by Dr. Rahul Jaiswal. “Role of Coblation in ENT” by Dr. Preyas Pandya. “Solid Tumour Disorder” by Dr. Abhishek Kakroo. 01-12-2016 World AIDS Day. Total 500 college girls were present and 800 “Robotic Surgery in G.I. & Gynec Oncology” by Dr. Jagdish pamphlets for awareness about AIDS and prevention was Kothari. distributed in local public on AIDS Day. Meeting at CDHO office about reporting of congenital and “Practice changing updates in Head & Neck Onco” by developmental disease and disease notification. Dr. Kaustubh Patel 16-12-2016 “Atal Sneh Yojana” by Dr. Satishbhai Patel. 06-12-2016 “Ischemic stroke management related issues” by Dr. Kamal Kumar Nagar. “Judicious use of antibiotics” by Dr. Dipak Kadivar. “Vertigo overview and management” by Dr. Bhavesh Solanki. 18-12-2016 Diagnostic camp (ENT CAMP) for cleft lip and cleft palate to benefit children and total 21 patients were benefited. 20-12-2016 “Infectious disease HIV/TB (double trouble) by Dr. Vipul Shah. Arrangement for free transportation and operation by Medlife “Infectious disease PEP (Post Exposure Prophylaxis). Foundation. MEHSANA 30-12-2016 “Love. Laugh & Live, HPV vaccination at a glance” by Dr. Yagnesh Popat. 10-11-2016 IMA Mehsana branch organized general body meeting. “International of Lab.Test” by Dr. Lalit Charola

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PALANPUR 10-11-2016 “Guideline about increasing case of A.F.P.” by Dr. Aniket Rana. “Management of Common liver problems” by Dr. Shravan Bohra. LM/08856 Dr. Derasari Sohan S. Ahmedabad “Management of Common Gynec problems” by LM/02296 Dr . Gupta B.M. Ahmedabad LM/19812 Dr. Kabra Chandrashekhar A. Ahmedabad Dr. Usha Bohra. LM/19813 Dr. Kabra Ruchi C. Ahmedabad LM/07128 Dr. Kotak Chelaram T. Ahmedabad PALITANA LM/02414 Dr. Maharaja Amal H. Ahmedabad LM/09653 Dr. Parghi Pathik H. Ahmedabad 27-12-2016 My clinical experience by various members. LM/03716 Dr. Parkar Mitul M. Ahmedabad LM/03233 Dr. Patel Natwarlal Kanjibhai Ahmedabad LM/13802 Dr. Patel Vipul Hariprasadbhai Ahmedabad RAJKOT LM/13803 Dr. Patel Smita Vipulbhai Ahmedabad LM/05585 Dr. Sharma Murlidhar R. Ahmedabad 27-11-2016 "Robotic Surgery" by Dr Janak Desai. LM/21034 Dr. Parvadiya Rajesh Dhirajlal Amreli LM/12418 Dr. Shah Shefali Niranjanbhai Anand “Bariatric Surgery” by Dr. Apurva Vyas and LM/02182 Dr. Mehta Rashmikant C. Bharuch LM/24913 Dr. Solanki Ramesh Mavabhai Deesa “Oncosurgery” by Dr. Somesh Chandra. LM/19584 Dr. Patel Mahesh Ranchhodbhai Gandhinagar LM/21206 Dr. Patel Divyesh Manharbhai Himatnagar Lucid presentation was given by all speakers about LM/04327 Dr. Billore O.P. Navsari LM/04328 Dr. Billore S.O. Navsari advances in robotic surgery. LM/22498 Dr. Patil Kirit Arunbhai Navsari LM/22499 Dr. Narkhede Gunjan Anilbhai Navsari 01-12-2016 Indian Medical Association, Rajkot with IMA Medical LM/18884 Dr. Barot Vivek Prakashkumar Patan LM/02664 Dr. Dixit A.N. Patan Students Wing organised "Cycle Rally" on the occasion of LM/13641 Dr. Patel Ashwin Devjibhai Patan "World AIDS Day”. Medical Students & IMA Members LM/16281 Dr. Aghera Parth Virenbhai Rajkot LM25560 Dr. Ghonia Ashok Narsinhbhai Rajkot exhibited posters for HIV prevention through the rally of LM/22608 Dr. Patel Pankaj Maheshbhai Rajkot LM/13833 Dr. Patolia Sanjay Muljibhai Rajkot students for creating awareness. LM/13834 Dr. Patolia Hetal Sanjaybhai Rajkot LM/11792 Dr. Kavad Danabhai Dahyabhai Rajula(J) 11-12-2016 Indian Medical Association, Rajkot and Sterling Hospital, LM/19854 Dr. Anavadia Jagruti Kalyanbhai Surat Rajkot jointly organised "Neuro Update 2016: Stroke LM/01176 Dr. Desai Bharat Harilal Surat LM/04441 Dr. Kulkarni Prabhakar Sitaram Surat Commandments”. LM/14122 Dr. Mehta Malvika Ketankumar Surat LM/05419 Dr. Patel Hirabhai Chhitabhai Surat THANGADH LM/16306 Dr. Purohit Nitin Tarunkumar Surat LM/24723 Dr. Sudani Chandresh Rameshbhai Surat 25-12-2016 Mega medical camp. Specialists did free checkup of the LM/13952 Dr. Bhide Praveen M. Vadodara LM/13953 Dr. Bhide Shubhada P. Vadodara following patients. LM/04469 Dr. Desai Ravindra P. Vadodara LM/22879 Dr. Mavani Sandip Bavchandbhai Vadodara EYE Patient 130, Orthopedic Patient 20, Dentist Patient 30, LM/25464 Dr. Notani Mira Lachhman Vadodara LM/13291 Dr. Thaker Darshit Arunbhai Vadodara Urosurgeon Patient 12, and General Patient 522. Total 1500 LM/02189 Dr. Desai Janak R. Valsad blankets were distributed, 350-school dress full lunch. LM/02190 Dr. Desai A.J. Valsad LM/05753 Dr. Joshi B.N. Valsad LM/12938 Dr. Joshi Kalpesh Bipinchandra Valsad LM/01530 Dr. Nayak Satyavan K. Vijapur (42) (43) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

Family Planning Centre, I.M.A. Gujarat State Branch November-December- 2016

Respected Members, No. Name of Center Female Male Copper-T Condoms Ocpills Sterilisation Sterilisation Indian Medical Association, Gujarat State Branch runs 9 Urban (PCS) Health Centers in the different wards of Ahmedabad City. (1) Ambawadi 78 — 135 31170 1471 These Centres performed various activities during the month of (Jamalpur Ward) November-December 2016 in addition to their routine work. These are as under : (2) 55 — 95 20450 2635 Nanpura - Surat : Mother - Iron 3500 & Calcium : 2500 tablets were distributed ( Ward)

Rander - Surat : Mother - Iron 4500 & Calcium : 3500 tablets were distributed (3) Bapunagar 70 — 85 24080 545 (Potalia Ward)

The total number of patients registered in the OPD & Family planning (4) Dariyapur 133 — 135 22275 2473 activities of Various Centers are as Follows : ( Ward)

November-December- 2016 (5) 61 — 78 92475 3831 (Saijpur Ward) No. Name of Center New Case Old Case Total Case

(1) Ambawadi (Jamalpur Ward) (6) 100 2 148 23850 547 1654 821 2475 ( Ward) (2) Behrampura (Sardarnagar Ward) 5558 1508 7066 (7) New Mental 39 2 67 41730 1297 (3) Bapunagar (Potalia Ward) 4682 1227 5909 (Kubernagar Ward) (4) Dariyapur (Isanpur Ward) 4177 1062 5239 (8) Raikhad 59 --- 79 42140 3980 (5) Gomtipur (Saijpur Ward) 5400 1451 6851 (Stadium Ward)

(6) Khokhra (Amraiwadi Ward) 5743 1351 7058 (9) Wadaj 41 1 126 27000 3975 (7) New Mental (Kubernagar Ward) 2223 387 2610 (Junawadaj Ward)

(8) Raikhad (Stadium Ward) 1526 2110 3636 (10) Junagadh 92 — 82 9800 480

(9) Wadaj (Junawadaj Ward) 2531 481 3012 (11) Rander-Surat 46 — 105 3800 122 p (10) Junagadh — — — (12) Nanpura-Surat 41 — 103 3120 220 p (11) Rander-Surat ------(13) Rajkot 99 --- 132 5600 454 (12) Nanpura-Surat ------

(13) Rajkot 3009 2007 5016 (44) (45) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

PROFESSIONAL PROTECTION SCHEME; G.S.B. I.M.A. PROFESSIONAL PROTECTION SCHEME; G.S.B. I.M.A.

Website : www. ppsgsbima.com Website : www. ppsgsbima.com Attention Please !! - ALL THE MEMBERS OF P.P.S. Coverage : Per Case Aggregate Per Year Sub.: Organisation of Educative Zonal Seminar by Up to 31-03-2016 ` 10 lacs ` 21 lacs Local Branch and Financial Assistance by P.P.S. GSB-IMA. From 01-04-2016 ` 20 lacs ` 42 lacs

Professional Protection Scheme has arranged successfully Educational Professional Protection Scheme has already sent a notice Seminars since many years. The last one was held at Ahmedabad alongwith a Renewal Application form for renewing the membership Branch. before 31st March, 2017 for the year 2017-2018 "By Registered Post January 2017 to all the members. Looking to the success of these Seminars in educating and awakening We request you to draw kind attention towards the constitution of our members in prevention and defence of litigations arising as a result P.P.S.G.S.B.I.M.A. of professional negligence or deficiency of service, PPS has decided to have two such Zonal Educative Seminars in each zone of Gujarat State Branch of I.M.A.

The subject of such Educational Programme shall be in relation to

1. Consumer Protection Act

2. Professional Negligence and Deficiency in service

3. Prevention and Defence of such litigation and other related Topics

4. Laws Governing the Medical Practice.

If any branch wishes to have such Zonal Seminar then please, apply to st the P.P.S. Office through branch Secretary before 31 March. The member who has not sent the Renewal Application form duly filled in alongwith required amount is requested to send it immediately.

Dr. Bipin M. Patel Dr.Bipin M. Patel Managing Director Managing Director (46) (47) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

BMJ Reports IMA Satyagraha : Doctors Protest cumbersome requirements for single doctor hospitals such as the Against Bill to Dissolve the Medical Council of India maintenance of electronic

BMJ 2016; 355 doi: http://dx.doi.org/10.1136/bmj. 16259 (Published 22 health records and minimum staff numbers; and for the introduction of a November 2016)Cite this as: BMJ 2016;355:i6259 cap on the amount of compensation paid to victims of malpractice. But the association has been frustrated with the slow progress in meeting these Priyanka Pulla demands and is calling for the health minister, J P Nadda, to intervene. Around 270 000 doctors across India took to the streets on 16 November to "Nadda has been saying for the last two years that he agreed with our protest against the newly proposed National Medical Commission bill which demands in principle, but we want results," Aggarwal told The BMJ. seeks to dissolve the Medical Council of India (MCI) and replace it with a Aggarwal said that corruption in the Medical Council of India was just a body of 20 members who would be nominated by the government.' KK matter of perception and that the current council had taken steps to quell Aggarwal, the president elect of the Indian Medical Association, told The this notion, including implementing a common entrance exam for medical BMJ that the association was strongly opposed to the idea of a regulatory colleges across India, tackling the issue of capitation fees, and introducing body with no elected members, and with members from fields other than biometric identification cards for medical college faculties to ensure that medicine.2 they met their teaching commitments. He said that the association was In March this year a parliamentary panel urged the government to planning to submit to the government a list of amendments to the act to dismantle the Medical Council of India, saying that it could no longer be ensure more transparent working of the council. trusted with its responsibilities in view of its "massive failures."3 It also said that the council had not done enough to tackle corruption in the medical profession. It recommended that a new regulatory agency be established and a draft bill creating a 20 member National Medical Commission, a new apex body for medical education, was published in August.' The Indian Medical Association wants to retain the current structure of the MCI—with two thirds of the body elected and one third nominated—Aggarwal said. They can't replace a 130 member body with a 20 member body that is completely nominated," he said, equating the action with dissolving the Indian parliament and replacing it with a group of nominated members. The association postponed countrywide protests against the proposed bill last year after the government agreed to meet leaders to discuss their demands.2 The Indian Medical Association is calling for a new law to protect doctors against violence; for the enforcement of existing laws that stop alternative medicine practitioners, from prescribing modern drugs; for changes to laws to exempt doctors from penalties for clerical mistakes, for the end to Courtesy IMA NEWS (48) (49) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS IMA One Voice : Stop NMC 8. The Bill in its present format will also do injustice to people of Jammu and Kashmir as the present bill does not talk about its applicability to Jammu Team IMA 2017 and Kashmir when the existing IMC Act specifically mentions about it. Niti Aayog has recently put the proposed National Medical Commission Bill - 9. All the powers in NMC are vested with the Chairperson who will also be the 2016 on the public domain and had invited observations and comments from ex-officio chairperson of medical advisory council. The Chairperson will be the stake holders. Over 9000 stake holders sent their comments and appointed or nominated by the Central Government. Loop holes have been observations on the said Bill. kept in the criteria for selection: any one with over 20 years of experience in In a stake holder's meeting, IMA has come out with the following points and IMA profession out of which 10 years shall be in a leadership role. The word feels that if the said bill is passed by the government in the forthcoming winter leadership role has not been defined and probably kept to suit the session, it will not be in the interest of the society. nominators. The term of the chairperson also has been limited for 1. There is nothing new in the proposed bill, instead the Niti Aaygo should maximum 2 terms of 4 years each and retirement age also has been kept at have asked for suggestions to amend the existing IMC act 1956 and its 70 years. subsequent amendments. 10. There are further ambiguities in the bill also. Sec. 12 (3) prohibits 2. In the present bill the representative character, which is a must for any Chairperson after retirement for accepting employment in private medical regulatory body, a fine balance between the elected and nominated college for1 year but Sec. 12(5) allows central government to permit members, has been completely given go by. In fact in the proposed bill, Chairperson to accept such appointments. there is total exclusion of elected members. It will have 100% nominated 11. The Chairperson will always be on the mercy of the government as the members. government can remove the Chairperson on flimsy grounds such as 3. The present MCI under the IMC act has representations from all State physical, mentally incapable of performing duties, abusing position, making Medical Councils, health science universities and registered medical persistent defaults, not performing or not complying with actions of the practitioners. The same will be lost with the new bill. Government. 4. Health is a state subject and the state doctors are regulated by the state 12. The medical assessment and rating boards like the under graduate and post medical councils. How can one justify no representation of state medical graduate education boards, although are designated to be autonomous yet councils in NMC? Also the state Medical Councils are autonomous they would be seeking directions from the Government through the independent bodies but under Sec. 14(5) NMC can take action against state commission in regard to its tasks dispensation. medical councils to ensure for compliance. 13. Under Section 19(4) NMC may allow and sanction locally designed courses 5. Also it is likely that the autonomy vested with the State Medical Councils by individual institutions which will open the medical education beyond which are independent creation of respective state legislation will go in the standards. next phase. All State Medical councils are likely to be replaced by nominated 14. Under Sec. 20(1) and 23(1) President of the under graduate or the post councils in future. graduate board is empowered to take all decisions on behalf of the board 6. The bill stipulates the denial of legitimate right of the medical education that means that all the powers are vested with the President and not with conferring universities in terms of their representation in the composition of the board. the regulatory body in spite of they being the exclusive key player. 15. The said Boards under Section 25(2) would be entitled to hire 3rd party 7. It is possible that in near future Niti Aayog may suggest similar bills to agencies for accreditation including empanelling the same which would be replace Dental Council of India, Nursing Council of India, Pharmacy Council opening flood gates for the various private rating agencies. of India etc. and it is possible to take similar steps even to non-medicals like 16. Under Section 23 (3) the said Board would be evaluating the scheme for Bar Council of India or Chartered Accountants of India. opening new medical colleges and make recommendation in regard to (50) (51) I.M.A.G.S.B. 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approval or disapproval without any necessity on onsite inspection and on Sec 17 of the proposed Bill. This discretionary power is open for misuse the basis of paper assurances. Further by a provision to Sec 27(4), the resulting in manipulation and corruption. Board is entitled to make relaxation for opening of a medical college in 24. Under Sec. 32, governing recognition of qualifications no provision is made unserved area without defining the same and therefore opening an avenue for renewal of the same. for discretionary authority. As such the entire process would end up in 25. Sec. 33(3) provides an opportunity to appeal to central government in dilution of the desired standards and resultant production of comprised respect of medical institutions outside India trying to set up institutions in graduates. India but no such provision is made for medical institutions in the country 17. The Sec. 28(3) provides for a board of medical registration that would have a which brings out the grossest medical discrimination. President and 2'Part time members which is different from the other boards 26. Sec. 35 makes the provision for “other medical qualifications granted by any namely, under graduate and post graduate rating board respectively. other bodies which is opening Pandora's Box in this regard. This would 18. There is no clarity proposed in the Bill pertaining to who will be the primary provide a back door entry for non MBBS doctors to enter in the register. The registering authority. said provision gives absolute authority to the central government to include 19. Under Sec. 29(2) (ii), all the professionalorganisations and associations of said other qualifications in schedule 4 which has not been defined. doctors have been brought under the Disciplinary jurisdiction of NMC 27. Under Sec. 42(3) merger of National Board of Examinations is brought out without realising that the Association/ organisations of doctors are not with the PG Education Board which is solely aimed at a back door validation registered under the State Medical Register or the National Medical of qualifications granted by DNB and upon merger they would be included Register, as the case may be. in schedule 1 of the IMC act. 20. Under Sec. 29(2) (v) it is contemplated that the States or Union Territories 28. Under Sec. 44, rules can be made by the central government but no where there is no State Councils, the same has to be put into place within 3 modality is providing as to how regulations would be made and what will be years from the date of the said Bill coming into force which is a direction the matters on which they would be made. contrary to the spirit of federalism. It has also been provided that during the 29. Sec. 45 provides central government with an overriding authority to not transitory period the board of medical registration would have the trial only direct the commission to amend the regulations but also direct them to jurisdiction for registered medical practitioners of the State/UT where there make or revoke regulations amounting to usurpation of the authority of is no State Medical Council without bringing out as to what authority would making even subordinate legislation which is un heard of. have appellate jurisdiction. 30. Further in case the said direction is not implemented by the Commission the 21. The said Board under Sec. 30(2) would be administered by the President or Government will Sue-motu can dispense the same on its own. That cannot a Part Time member in singular or a combination of both which is different be a more vulgar way of trampling upon the autonomy in such a high from the other boards without indicating who would be assigning the said handed manner. The net result would be that theNMC powers which stands onus to the part time member. centralized in the hands of handpicked President would ultimately will be 22. Under Sec. 31(1) the Board has the requisite of the licentiate examination under the total dictates of the Government resulting in the Commission which in reality puts a question mark on the credibility of the universities getting transformed into an extended Babudom of the government of India. conferring MBBS qualification. IMA RESOLUTIONS 23. NMC has proposed an Exit Exam but has simultaneously proposed that if the For State Councils : person does not clear the exam, he can be allowed to practice on the basis of mercy appeal. Under Sec. 31 (3) (d), exemption can be granted by the Resolved that the National Medical Commission Bill Commission to practice without clearing the national licentiate 2016 explicitly takes away the total autonomy vested examination. This negates what is provided for under Sec. 31(1) read with with State Medical Councils which are independent creation of the respective (52) (53) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

State legislation and makes them subordinate including sub servient, hence, the For Member of Parliamentarians : State Medical Councils need to oppose the same tooth and nail in their own Resolved that the National Medical Commission Bill 2016, in view of the intrinsic interest in conformity with the subtle principles of Federalism. anomalies, contradiction, inconsistencies, poor syntaxing and being For General Public : inconsistent with inclusive dispensation of the desired public good and Resolved that the National Medical Bill 2016 talks of prescribing of the standardizing quality based medical education, thereby generating effectively chargeable tuition claimable by the private medical colleges for a % of seats trained health man power for an effective medical health care delivery system there at from 0 up to 40% and leaving the rest outside the ambit of prescription catering to the mandate of ushering in Welfare State needs to be abrogated. resulting in fleecing of the poor and meritorious students in a brazen manner at For Youth : the hands of exploitative private/ corporate sector and resultantly opening free Resolved that the National Medical Bill 2016 ultimately would add not only to the vista for the open ended exploitation, and thereby adding to the cost of the ever increasing cost of medical education, but also would end up in dilution of medical education beyond the reach of the ordinary and poor. Hence the Bill desired standard of the medical education which would not be commensurate needs to be abrogated forthwith in larger public interest. with rightful and legitimate expectations of young generation of the country, For Media : hence for their insulation of the interests, the youth in general should insist of abrogation of the said ill intended Bill. Resolved that the National Medical Commission Bill 2016, Intends to centralize the power and authority of prescribing the public good in a manner which For the Congress Party in Opposition : operationally turns out to be 'anti poor' and exclusively catering to rich and Resolved that the National Medical Bill 2016 which has been piloted by the thereby adds to the ever widening social divide needs to be opposed by the present Govt, is exclusively intended to cater to and provide the coziest cushion society at large. to private and corporate players in enhancing their own capital interests and gains at the cost of sacrificing the legitimate right and interest of deserving For Universities and Health Sciences Universities : young and meritorious generation of the country. Hence, the same needs to be Resolved that the National Medical Commission Bill 2016, stipulates denial of abrogated unconditionally.. legitimate right of the medical education conferring universities in terms of their Proposed line of action : representation in the composition of the regulatory body in-spite of they being Resolved that the National Medical Bill 2016 which intends to replace IMC Act the exclusive key player, hence the universities & health sciences universities 1956 with amendments from time to time in reality is expected to cater to the need to oppose the same tooth & nail. very objectives which existingly are dealt with by the said Act, could be achieved For Professionals : better by updating the same in terms of vesting the MCI with the authority for Resolved that the National Medical Bill 2016 in its present form liberally, accreditation of medical institutions, prescribing the national perspective calculatedly and explicitly provides for the entry of persons without valid development plan for establishment and geographical location of medical modern medicine registering qualification to be included in the State Medical colleges, to tide over the mal distribution, being vested with the authority for Register and National Medical Register respectively, thereby getting them prescribing service conditions and pay scales for medical teachers and invoking entitlement and legitimacy to practice modern medicine, negates the statutory developmental grants vide 5 years planed period for medical education, hence purport of the modern medicine and tramples upon the same. Hence, this gross the proposed bill needs to be abrogated. liberalization of indiscriminate in permissible broadening ending up in free For State Governments : flowing licensing to practice modern medicine by the undeserving at the cost of Resolved that the National Medical Commission Bill 2016, is a gross attempt professional sanctity mandates abrogation of the said Bill. towards usurping the legitimate authority of the State Government vested with it on the matter included in the concurrent list appended to the Constitution of

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India, therefore needs to pick up the emanating signals there from in the interest of upholding their rightful authority should insist on abrogation of the same, For Professional & Specialty Associations : Resolved that the National Medical Bill 2016 in its present form brings explicitly professional & specialty association under its ambit of disciplinary and ethical jurisdiction in spite of the fact that they are not registered under the State Medical Register or the National Medical Register, as the case may be, as an association, the same therefore amounts to annihilation of their statutory authority. As such the said Bill is required to be abrogated in order the uphold the honor, dignity and authority of the specialty/professions respectively. For State Governments : Resolved that the National Medical Bill 2016 in its present form is trampling upon principle of federalism, equity, equitability and explicit single meaning of the specific inclusion under it leaving open the area of ambiguity providing for lenient scope for wide varied & convenient interpretation which does not fit in to construing the same as an ideal peace of legislation in larger public good, hence, needs to be abrogated. For other Professional Councils : Resolved that the National Medical Bill 2016 at the cost of annihilation of even the vestiges of autonomy of a regulatory council with reference to MCI as of now would widen the same to devour the health professional councils created wider appropriate parliamentary enactments and also other professional councils need to get alarmed vide the said signal to nip the generated evil in bud by seeking its abrogation. For Society at large : Resolved that the National Medical Bill 2016 in spite of making laudable claim to achieve public good in reality is ending up in centralizing in the entire power and authority in the hands of the handpicked nominees nominated by the government in an autocratic manner and imposing the un required condition of the licentiate examination which defy the set out the democratic and constitutional norms ending up in catering to the cause of the rich and corporate at the cost of negating the claims and expectations of the deserving and the meritorious poor, and thereby bring out its ugly human face needs to be abrogated forthwith. Courtesy IMA NEWS (56) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

World Medical Association - 22 October 2016 democratic process in respect of human rights, other procedures could be adopted when strict rules on data protection are implemented.

NEW GUIDELINES WILL HELP PEOPLE CONTROL USE OF THEIR `Although these guidelines are addressed primarily to physicians, we HEALTH DATA would encourage others who are involved in using data or biological Ethical guidelines for physicians involved in the collection and use of material in databases and biobanks to adopt these principles.' identifiable health data and biological material in health databases and The guidelines state that the collection, storage and use of data and biobanks have been approved by the World Medical Association. biological material from individuals capable of giving consent must be They set out the rights to autonomy, privacy and confidentiality that the voluntary. Individuals should have the right to ask for and be given WMA believes individuals should be entitled to in order to exercise information about their data and its use as well as to ask for mistakes control over the secondary use of their personal data and biological and omissions to be corrected. Individuals should also have the right to material, also beyond specific use in research. alter their consent or to ask for their identifiable data or material to be withdrawn from databases and biobanks which would prevent future Delegates at the WMA's annual Assembly in Taiwan approved the use. Where there is an immediate threat from data remaining guidelines, to be named The Declaration of Taipei, stating that health anonymous, the requirements for consent may be waived to protect the research represents a common good that is in the interest of individual health of the population. An independent ethics committee should patients, as well as society. Research using health databases and confirm that each exceptional case is justifiable. biobanks can significantly accelerate the improvement in the understanding of diseases, and the effectiveness, efficiency, safety and Dr. Ketan Desai, the newly elected President of the WMA, said that all quality of preventive, diagnostic and therapeutic interventions. national medical associations should adopt the guidelines and recommend them their members and establishments. Dr. Jon Snaedal, chair of the WMA workgroup that produced the guidelines, said: 'During the revision process we have received advice Courtesy IMA NEWS from many outside expert organisations through two rounds of consultation. What we have tried to achieve is a balance between the rights of individuals giving their tissue or data for research and other purposes based on confidentiality and privacy rules while at the same time recognizing that health data has become a very powerful tool for increasing knowledge.

`These guidelines are based on the perspective of individuals and the need to increase transparency. People quite rightly want to know what happens to their data. We believe that informed consent, although not perfect, is the strongest instrument for protecting personal autonomy, and with it self-determination and dignity. However, we recognize that when use of data is authorized by a national law adopted through a

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IMA NATCON-2016 at Amritsar IMA NATCON-2016 at Amritsar

Wel come our Beloved Leader and WMA president Dr. Ketanbhai Desai by Rajkot Branch

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“World AIDS Day” - Cycel Rally Rajkot Branch IMA N.S.S.S. meeting at Amritsar

Diagnostic Camp - Morbi Branch

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CONGRATULATIONS CONGRATULATIONS Dr. B. C. ROY AWARDEES Dr. B. C. ROY AWARDEES

DR. JITENDRA B. PATEL DR. H. P. BHALODIYA For “To recognize outstanding service in the field of For “To recognize the best talents in encouraging the Socio Medical Relief” Development of specialities in different branches in Medicine”

DR. PARIMAL M. DESAI DR. JANAK D. DESAI For “To recognize the best talents in encouraging the For “To recognize the best talents in encouraging the Development of specialities in different branches in Medicine” Development of specialities in different branches in Medicine”

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CME - Daman & Vapi Branch Gujarat State Working Committee meeting, Amargarh Resort, Udaipur

Mega Medical Camp - Kutchh Branch

(66) (67) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

AIDS DAY - Morbi Branch Inaugration Ceremony DIACON-2016

CME - Morbi Branch

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CME - Mehsana Branch Installation Ceremony - Kadi Branch

CME - Kalol Branch

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IMA Stand on Rational Use of Antibiotics that minimum 2 antibiotics are require for fever; 80% co-relate cough with necessity of antibiotics; 90% use Levofloxacin for Respiratory Tract March 3 in the Morbidity and Mortality Weekly CDC Report Clostridium difficile infections and SO% are not aware about the term healthcare associated infection E. 6 antibiotic- resistant bacteria of "highest concernll in hospital infections. 70% of them feel that it is cheaper to give an antibiotic than to acquired infections list. They are carbapenem-resistant Enterobacteriaceae, investigate a patient in an overcrowded OPD. methicillin-resistant Staphylococcus aureus, extended-spectrum p-lactamase- producing Enterobacteriaceae, vancomycin-resistant Enterococcus, multidrug- • Most practitioners are also afraid of legal and Consumer Protection Act resistant Pseudomonas aeruginosa and multidrug-resistant Acinetobacter. implications. Chance that an hospital acquired infection is caused by one of these 6 antibiotic- • Recently a case was filed against a Paediatrician under IPC 269 Sr 270 resistant bacteria is 1 in 7 in short-term acute care hospitals and 1 in 4 in long where he was charged criminally negligent as the neonate development term care hospitals. In US half of inpatients receive antibiotics with 25% as hospital acquired septicaemia [ 269: Negligent act likely to spread infection prophylaxis. Most common antibiotics prescribed are IV vancomycin, of disease dangerous to life.— Whoever unlawfully or negligently does any ceftriaxone, piperacillin- tazobactam, and levofloxacin. [[October 8, 2014, issue act which is, and which he knows or has reason to believe to be, likely to of JAMA], [May 3 issue of JAMA ] During 2010. to 2011, antibiotics were spread the infection of any disease dangerous to life, shall be punished with prescribed for outpatients across all conditions at a rate of 506 per 1000 imprisonment of either description for a term which may extend to six population. Only an estimated 353 of these, however, were likely appropriate, months, or with fine, or with both AND 270. Malignant act likely to spread suggesting that 30% of these antibiotics may have been unnecessary. infection of disease dangerous to life.—Whoever malignantly does any act IMA STAND which is, and which he knows or has reason to believe to be, likely to spread the infection of any disease dangerous to life, shall be punished with • Door to antibiotic time in community acquired pneumonia is the time to start imprisonment of either description for a term which may extend to two antibiotics. All such hospitalized pateints should receive antibiotics within 4 h years, or with fine, or with both. of admission. • MCI Ethics Regulations 2.4 talks about that a patient 3 should not be • Door to antibiotic time in meningitis (infection of the brain) of more than 6 neglected. Also MCI Regulation 3.1.2 warns not to do investigations in a hour is linked to high mortality (8.64 times). routine manner. [2.4 The Patient must not be neglected: A physician is free • Viral illnesses do not need bacterial antibiotics. Presence of cough with cold to choose whom he will serve. He should, however, respond to any request and fever indicated viral aetiology and needs no antibiotics but sore throat for his assistance in an emergency. Once having undertaken a case, the without cough can be due to strepto infection and needs timely antibiotics physician should not neglect the patient, nor should he withdraw from the • Combination of antibiotics should be given carefully case without giving adequate notice to the patient and his family. Provisionally or fully registered medical practitioner shall not willfully • Before giving any injectable antibiotic ask is it necessary. Shift from IV to oral commit an act of negligence that may deprive his patient or patients from antibiotics as early as possible and so not carry on oral antibiotics for a necessary medical care AND 1.1.2 Consulting pathologists/ radiologists or duration longer than it is indicated asking for any other diagnostic Lab 3 investigation should be done • Even irrational use of topical antibiotics can harm judiciously and not in a routine manner • Antibiotic Cotrimoxazole when Combined with ACE Inhibitor or ARB can end • On the contrary, a 2002 Judgement of Supreme Court by Justice M. Kartzoo up with Sudden Death. Trimethoprim-Sulfamethoxazole May Increase Risk said that one should not rely only on clinical history but also go for for Hyperkalemia in the Elderly investigations when indicated. [A doctor should not merely go by the • 50% of the healthcare providers feel that costlier medicines are stronger version of the patient regarding his symptoms, but should also make his and better; 70% feel that newer drugs are better and stronger; 87% feel own analysis including 3 tests and investigations where necessary SCI: (75) (76) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

3541 of 2002, dated 17.02.2009, Martin F. D'Souza vs Mohd. Ishfaq: MOLECULE OF THE MONTH Markandcy Katzu and G S Singhvi,]].] Fenticonazole • We have not come across on any legal case against a doctor for using Antibiotics. In most of the cases, cases for filed for not using antibiotics. Fenticonazole is an azole antifungal drug, used locally as the nitrate in the treatment of vulvovaginal candidiasis. • Most doctors in India work in adverse situations. Drug General Controller of India does not inform the introduction of newer drugs or banning of a drug Mechanism of action: to each &c every doctor on a regular basis. Just putting the information in a Fenticonazole exerts its unique antimycotic mechanism of action in the newspaper or on the website is not the answer. following three ways: (i) inhibition of the secretion of protease acid by • As per MCI 1.2.3 Regulation, medical graduates needs to update their Candida albicans; (ii) damage to the cytoplasmic membrane; and (iii) by knowledge on a regular basis but the Council has not made it mandatory for the medical colleges to hold annual review programme on a yearly basis. blocking cytochrome oxidases and peroxidises. Most of the medical updates are pharma sponsored and the information, a Spectrum: practitioner gets, is often biased. [[1.2.3 A Physician should participate in professional meetings as part of Continuing Medical Education It is active against a range of organisms including dermatophyte programmes, for at least 30 hours every five years, organized by reputed pathogens, Malassezia furfur, and Candida albicans. professional academic bodies or any other authorized organisations. The Fenticonazole has also been shown to exhibit antibacterial action, with a compliance of this requirement shall be informed regularly to Medical spectrum of activity that includes bacteria commonly associated with Council of India or the State Medical Councils as the case may be.] superinfected fungal skin and vaginal infections, and antiparasitic action • Drug price variations are allowed in the country. In a recent IMA Survey, it against the protozoan Trichomonas vaginalis. was found that the drug Meropanam (with equivalent salt) can be available at Rs. 500/- as well as at Rs.2,800/-. Multiple brands in the country with Pharmacokinetics: huge prize variations will invariably allow practices to lure doctors. The list of It is not absorbed into the systemic circulation. The degree of absorption in drug prices is also not available on a centralized Govt. website. the mucous membranes is also negligible. • A General practitioner has no access to antibiogram or recommendations from Infection Control committee. Even NABH does not enlist that Adverse drug reactions (ADRs): information for general use. The most frequent adverse events are burning sensation and cutaneous • Most of the doctors fear prescribing Penicillin though penicillin still has no irritation. Allergic reactions are not frequent. resistance to any antibiotics. Pregnancy & lactation : • No regulation against quacks, AYUSH doctors, chemists and Nurses to prescribe allopathics antibiotics also ends up in over and irrational The use of fenticonazole during pregnancy is not recommended. prescriptions. Safety in lactation has not been established. • UN-checked use of antibiotics in animal husbandry & agriculture adds to the Precautions and contraindications: existing problems. It is contra-indicated in patients hypersensitive to imidazoles. Courtesy IMA NEWS (77) (78) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

Its safety in pregnancy and lactation has not been established. It is also not recommended for children. Dosage schedule and Indications: 1. It is a suitable first-line treatment of vulvovaginitis as 600mg vaginal capsule with acceptable broad-spectrum efficacy against the most commonly involved pathogens and with a low rate of early relapse, reserving antibiotics for patients with treatment failure or relapse of infection. 2. Fenticonazole may be an ideal topical alternative to multi-agent treatment of mixed infections involving mycotic, bacterial, dermatophyte and/or Trichomonas spp. Open-label clinical studies show that fenticonazole, in different pharmaceutical preparations administered once or twice daily, is effective in the treatment of superficial mycoses of the skin. In particular, fenticonazole is very effective (often with 100% of patients achieving a negative mycological assay) in pityriasis versicolor and candidiasis. 3. Comparative clinical studies show fenticonazole once or twice daily to be at least as effective as six different topical antimycotics (miconazole, clotrimazole, econazole, bifonazole, naftifine and cyclopyroxolamine) in the treatment of superficial mycoses of the skin. Intravaginal administration of fenticonazole is associated with a high rate of microbiological efficacy in patients with vaginal candidiasis, trichomoniasis, mixed infection and bacterial vaginosis. Intravaginal fenticonazole is at least as effective as clotrimazole and shows similar efficacy to miconazole in patients with vaginal candidiasis. Approved by CDSCO on 27 th May 2016

Dr Prakruti Patel Dr Anuradha Gandhi Dr Chetna Desai Co ordinators, B. J. Medical College, Ahmedabad (79) (80) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

World Health Day 2017 - Depression-Let's talk

Key Messages : Depression is a common mental disorder that affects all. The risk is increased by poverty, unemployment, Life events such as the death of a loved one or a relationship break-up, physical illness and problems caused by alcohol and drug use. Depression causes mental anguish and can impact people's ability to carry out even the simplest everyday tasks, with sometimes devastating consequences for relationships with family and friends. Untreated depression can prevent people from working and participating in family and community life. At worst, depression can lead to suicide, now the second leading cause of death among 15-29-year olds globally. Depression can be effectively prevented and treated. Treatment usually involves either psychotherapy or antidepressant medication or a combination of these. Overcoming the stigma often associated with depression will lead to more people seeking help. Flooring Specialists for Hospitals-Operation Theatres, Critical Areas & Other Areas. World Health Day, Celebrated on 7 April every year to mark the anniversary of Gerflor-The Flooring Multispecialist & World Leader in Resilent Flooring Solutions. the founding of the World Health Organization, Provides a unique opportunity to mobilize action around a specific health topic of concern to people all over the USP Some of our Esteemed Clients world. The theme of 2017 World Health Day campaign is depression. Antibacterial. (1) Shalby Hospital Antifungus. (2) Apex Heart Institute. What is Depression ? Antistatic. (3) CIMS Hospital. Depression is and illness characterized by persistent sadness and a loss of 100% Recyclable (4) Sterling Hospital interest in activities that you normally enjoy, accompanied by an inability to carry Best Abrasion Resistence-T Group. (5) HCG-Medisurge Hospital Floorscore Certificate (6) Muljibhai Kidney Hospital out daily activities, for at least two weeks. LEED Complaint. (7) Raghudeep Eye Clinic. In addition, people with depression normally have several of the following Revolutionary & Patented Evercare Treatment- (8) Welcare Hospital. symptoms : Resistant to Betadine, Iodine, Blood etc. there by (9) CUH Hospital. • Loss of energy; • Indecisiveness; Making it perfect for Healthcare Sector. (10) Global Hospital …..any many more. • Change in appetite; • Restlessness; ·We also also do Designing, PMC of Hospitals. • Sleeping more or less; • Feelings of worthlessness, guilt, ·We also do Modular O.T. • Anxiety; or hopelessness;, ·We have Special Window Blinds for Hospitals-Antibacterial & • Reduced concentration; • Thoughts of self-harm or suicide. Antifungus (Three Years Warranty) What is the burden of depression ? For Enquiries, Demo or any other Technical queries, please contact Mr Ronak Patel at +91-9879380141 or Email:[email protected] • Globally : Website:- atozworks.in - WHO estimates that one in four people in the world will be affected by (81) (82) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

mental or neurological disorders at some point in their lives. Around Introduction to Interventional Radiology 450 million people currently suffer from such conditions. - An estimated 350 million people are affected with depression. At its worst, it can lead to suicide, over 800,000 people die due to suicide every year. • In India : - In India, the National Mental Health Survey 2015-16 data reveals that nearly 15% Indian adults need active intervention for one or more mental health issues. - One in 20 Indians suffers from depression. It is estimated that in 2012, India had over 258,000 suicides, with the age-group of 15-29 years being most affected. What is the campaign ? The overall goal of this one year campaign is that more people with depression, in all countries, seek and get help. Interventional Radiology (IR) is a form of image guided surgery where we use X More specifically, It is aimed at creating a better informed general public on rays, Ultrasound, CT scanners and sometimes even MRI to guide the equipments depression, its causes and possible consequences, including suicide, and help into parts of the body that surgeons could not reach without an open operation. IR available for prevention and treatment: encouraging people with depression to procedures could be described as a form of pin hole surgeries, where we guide seek help; and facilitating family, friends and colleagues of people living with wires and catheters into the blood vessels through a pin hole entry to reach any part depression, to provide support. of the body where we need to a particular treatment. Vascular procedures are At the core of the campaign is the importance of talking about depression as a typically done under X-ray guidance (Fluoroscopy). For vascular procedures a vital component of recovery. The stigma surrounding mental illness, including percutaneous access is gained through the femoral artery or vein in the groin after depression, remains a barrier to people seeking help throughout the world. giving local anesthesia. Through the access sheath into the femoral artery various Talking about depression, whether with a family member, friend or medical catheters and guide wires are passed into the vessels. Radio-opaque contrast dye is professional; in larger groups, for example in schools, the workplace and social settings; or in the public domain, in the news media, blogs of on social media, injected through the catheter and by capturing the flow of contrast the artery of helps break down this stigma, ultimately leading 10 more people seeking help. interest is identified. IR has a large scope of services to offer right from diagnosing What is the slogan ? to offering therapeutic procedures to patients across all subspecialties. The campaign slogan is : Depression : Let's talk. Advantages of IR procedures over open surgery: Who are we reaching out ? • Most of the procedures performed under local anesthetic Depression can affect anyone. This campaign is for everyone, whatever your age, sex, or social status. • Very accurate and minimally invasive way of treatment While the World Health Day 2017 campaign will be broad-based, the focus will • Minimal blood loss be on vulnerable population, including demographic vulnerability (young people, women, elderly), geographical and financial vulnerability etc. • Faster recovery Further details can be accessed at • Shorter hospital stay http://www.searo.who.int/india/mediacentre/events/world health day/whd • Minimal morbidity 2017/en/ (83) (84) I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JANUARY-2017 / MONTHLY NEWS

Scope of services: • IVC Filter Placement

• VASCULAR • Transjugular Liver Biopsy

• Varicose vein Laser/RF Ablation. • Angioplasty and stenting for peripheral arterial or venous disease • EMBOLIZATION: Blocking abnormal vessels or organs using various embolic (IVC/Hepatic vein angioplasty, SVC stenting in cases of superior mediastinal agents including alcohol, glue, PVA particles, metallic coils, gelfoam or syndrome, etc.) embospheres. • Venous samplings for endocrine tumors (Inferior petrosal venous sinus • Gastrointestinal or genitourinary bleeds: eg. Hepatic/splenic/renal artery sampling, adrenal vein sampling, etc.) pseudoaneurysms. • NON VASCULAR • Uterine Artery Embolization (UAE): For uncontrolled bleeding due to uterine fibroids, adenomyosis and post partum hemorrhage as an • Percutaneous USG/CT guided Biopsies. alternative to hysterectomy. • USG guided Intra-articular / tendon sheath injection of steroids. • Bronchial artery embolization for hemoptysis. • USG guided nerve blocks. • Splenic embolization for hypersplenism. • USG/CT guided drainage (placement of tube) of pleural/peritoneal • Trans Arterial Chemo Embolization (TACE): For non operable collections or abscesses. intermediate stage Hepatocellular Carcinoma. Treatment is done by injecting chemotherapy loaded beads selectively within the tumor • Radio Frequency Ablation (RFA) (destroying the tumor tissue by localized through a catheter placed selectively into the artery supplying the tumor heating): For small liver tumors, Lung tumors and Osteoid Osteoma. to minimize damage to rest of the normal liver parenchyma and reduce • Percutaneous Transhepatic Billiary Drainage (PTBD) and Billiary Stenting: the systemic toxicity of chemotherapy drugs. For obstructive Jaundice. • Trans Arterial Radio Embolization (TARE): For non operable advanced stage Hepatocellular Carcinoma. Treatment is done by injecting radio • Percutaneous gastrostomy (In cases where normal intake of food labeled microspheres (glass/resin) selectively within the tumor through a through oral route is obstructed)/nephrostomy (In cases where normal catheter placed selectively into the artery supplying the tumor to flow of urine is obstructed). minimize damage to rest of the normal liver parenchyma. • Vertebroplasty: Relieves back pain caused by vertebral compression • Pre Operative embolization: For vascular tumors which minimize blood fracture by injecting bone cement into the fractured vertebral body. loss during surgery. The range of conditions which could be treated by IR is enormous and continually • Embolization of Arterio-Venous Malformations (AVM): Low flow expanding and thus, IR procedures have become an integral part of medical care. malformations are usually treated with percutaneous sclerotherapy, while high flow malformations are treated through endovascular route using Dr. Aakash Patel glue. Interventional Radiologist • Transjugular Intrahepatic Porto-systemic Shunt (TIPS) Shalby Hospital - Ahmedabad

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Amreli Amreli Bayad Bayad Dr. Govind. J. Gajera Dr. Haresh D. Yadav Dr. Jignesh P. Patel Dr. Palak R. Shah Gajera Hospital, 10, Sukhnath Society, Street Jay Shivalik Hospital, Vision Eye Hospital, Station Road, No.3, Chakkargadh Road, Dehgam Road, Nr.Petrol Pump, Amreli-365601 Amreli-365601. Bayad - 383325 Bayad - 383325 Phone : (02792) (C) 223454 Phone : (02792) (C) 220602 Phone : (02779) (C) 220477 Phone : (02779) (C) (R) 222114 (R) (R) (R) Mobile : 94262 08254 Mobile : 94260 28009 Mobile : 9662719077 Mobile : 9427699233 E-mail : [email protected], E-mail : [email protected] E-mail : [email protected] E-mail : [email protected]

Balasinor Balasinor Bhanvad-Jam Jodhpur Bhanvad-Jam Jodhpur Dr. Girish K. Talati Dr. Narendra R. Patel Dr. M. H. Rabadia Dr. Ukabhai Chandravadiya 9, Ashish Society, Balasinor Road, At Sevalia, Rabadia Hospital, Community Health Centre, Bazar, Dist Kheda, Ta. Thasara, Dist. Kheda, Vasant Nagar, Dist. Jamnagar, Dist. Jamnagar, Sevalia-388245 Sevalia-388245. Bhanvad-Jodhpur - 360510. Bhanwad-Jodhpur-360510. Phone : (02699) (C) 233251 Phone : (02699) (C) 233234 Phone : (02896) (C) 232392 Phone : (02896) (C) (R) (R) (R) (R) Mobile : 94273 88735 Mobile : 97232 99335 Mobile : 99250 32292 Mobile : 94269 46935 E-mail : E-mail : E-mail : [email protected] E-mail : [email protected]

Barwala Barwala Bilimora Bilimora Dr. Dahyabhai J. Patel Dr. M. J. Vithalani Dr. Janak c. Patel Dr. Hiren B. Naik Krishna Housing Society, Krishna Housing Society, New Atrik Hospital Jay, Opp. Gautam Opp. S.T. Stand, Opp. S.T. Stand, Bilimora-396321 Apartment-A, Gohar Baug, Barwala - 382450. Barwala - 382450. Bilimora-396321 Phone : (02711) (C) Phone : (02711) (C) 237267 Phone : (02634) (C) Phone : (02634) (C) 284541 (R) 237408 (R) 237147 (R) (R) 284678 Mobile : 99791 27908 Mobile : 97122 73047 Mobile : 98241 13961 Mobile : 98251 23929 E-mail : E-mail : [email protected] E-mail : E-mail : [email protected]

Bavla Bavla Chhotaudepur Chhotaudepur Dr. Vinodbhai C. Doshi Dr. Haresh M. Patel Dr. Gunvant R. Shah Dr. Kanubhai R. Shah 35, Shantikalash Society, Tower Chowk, Mahavir Clinic, 6, Vrindavan Park, Co.Op. Bavala-382220. Bavla-382220. Club Road, HSG Society, Chhotaudepur-391165. Chhotaudepur-391165. Phone : (02704) (C) Phone : (02714) (C) 232010 Phone : (02669) (C) 232043 Phone : (02669) (C) 232015 (R) (R) (R) 232443 (R) 232276 Mobile : 98250 11800 Mobile : 98792 66500 Mobile : 94260 33014 Mobile : 94273 44222 E-mail : E-mail : [email protected] E-mail : E-mail : [email protected]

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