TOP 7 BUSINESS NEWS IN THIS DECADE :::

1.Tata Tea's buyout of Tetley Tea, UK, for $431.3 million on February 27, 2000, was by far the largest cross-border acquisition of an international brand by India Inc.

2.The Golden Quadrilateral (GQ) project, which entailed four-laning of the highways connecting New Delhi, Mumbai, Chennai and Kolkata, was unique in its sheer scale 5,846 kilometres at a project cost (at 1999 prices) of Rs 24,000 crore. It has dramatically reduced travel time for goods and helped save Rs 8,000 crore a year through fuel consumption savings and lesser wear and tear of vehicles.

3.Deccan Airlines: Starts Ops and Makes Aviation 'Non-elite'
Low-cost airlines not only gave wings to millions of Indians who had not flown before, but also captured the attention of the government and investors, thanks to the critical mass of air travellers they created.

4.Introduction of VAT: India's Most Under-Celebrated Reform
When value-added tax (VAT) replaced sales tax across most Indian states on April 1, 2005, it represented the biggest indirect tax reform in the country. It made doing business easy by rationalising taxes (from 60-70 different tax rates, to just six) and tax revenues increased by 20 to 27 per cent,"

5.Indo-US Civilian Nuclear Deal: Set to Power India's Future Growth. India wants to increase nuclear power generation from the current 4,000 MW to 20,000 MW over the next decade in order to meet its soaring energy needs. This agreement, signed on October 10, 2008.

6.Satyam Scandal: Showed Corporate Governance Can Be Skin-deep
It was dubbed 'India's Enron.' The Rs 7,000-crore fraud (it is now over Rs 10,000 crore and rising), the biggest in India's history, wiped off $2-billion worth shareholder wealth in the week that followed Ramalinga Raju's confession on January 7 this year.

7.Tata Nano, with its frugal, out-of-thebox engineering, created automotive history, established India's credentials as a leader in technology and innovation, and sent almost all the global car makers scurrying to their drawing boards.
It took 500-odd engineers four years to translate Tata's vision an ultra low-cost car (costing just Rs 1 lakh) which adhered to regulatory norms into a reality. It was by no means easy.

H A P P Y N E W Y E A R - 2 0 1 0

IMA-A.P. STATE wishes every doctor ,

every person in the health care system,

every authority in health care ---

"a healthy & peaceful new year"

PRESIDENTIAL ADDRESS by Dr.G. SAMARAM

Dr G Samaram
National President, Indian Medical Association
Presidential Address
My Greetings:
Immediate Past President Dr. Ashok Adhao, Hon’ble Chief Guest, Guests of Honour, Office Bearers and members of IMA, Ladies & Gentlemen!
I am honored to stand before you as a National President of IMA and I am deeply grateful to all the members of IMA for unanimously electing me as the National President.
It’s my heartfelt wish to extend my namaskars to all of you, on this wonderful occasion and it’s a proud privilege to share my thoughts with you on the occasion of my oath taking ceremony as national president of IMA.
My salutes to stalwarts of IMA:
Whenever I think of IMA, I felt the overwhelming emotional wave, a wave so mighty that engulf my whole continuum of my mind.
The great stalwarts —
Dr. B.C. Roy who is excelled as humanitarian politician involving in freedom movement, not only liberated our country but also play a major role in alleviation of pain & poverty of the common man.
Dr.AKN Sinha, the moderator who pioneered the functionality of the IMA in a more scientific manner and transformed the entire image of our association as the best scientific body.
Dr.Ketan Desai : We are extremely happy to have the leadership of Dr. Ketan Desai, Past National President of IMA and President of Medical Council of India. The entire medical profession congratulates Dr. Ketan Desai on being elected as the President of the World Medical Association. His inspiration and leadership will guide me during the next one year.
Dr.N.Appa Rao : A man with Simplicity personified and having deeds of humbleness and having his presence felt nation-wide as national coordinator is none other than our Dr. N.Appa Rao. He has been extending his helping hand to every member and he is such a great person who never opts for any post.
Late Dr.Y.S.Rajasekhar Reddy, dynamic leader and having concern for medical fraternity, by whom the historical medical protection act was promulgated.
My predecessors - Dr.Ashok Adhao, Dr.Ajay Kumar, Dr.Abbas, Dr.Sudipto Roy And Other Stalwarts like –Dr.Dharam Prakash, Dr.Velayudhan Pillai, Dr.Vinay Agarwal, Dr.N.K.Grover, Dr.S.N.Misra,Dr.Jayachandra Reddy and other dedicated soldiers of IMA who relentlessly dedicated their wisdom &expertise for the betterment of our association.
*I am also grateful to the Organizing Committee of this National Conference under the leadership of Dr. N. Appa Rao and I compliment the Organizing Committee for the excellent arrangements.
OUR ENDEAVORS
Everybody knows that our Association has became one of the largest service organizations by doing and participating in a number of projects which have been benefiting the common man.
Many plans have been implemented successfully by my predecessors, doing great benefit to both our fraternity and to the common man.
I warmly salute for their faithful commitment & dedication and my sincere heartfelt thanks to all the senior leaders, dedicated workers for making successful of the projects we have envisioned.
IMA’S PRESTIGEOUS PROJECTS
1. REVISED NATIONAL TB CONTROL PROGRAM:
The GFATM has sponsored the IMA – GFATM – RNTCP – PPM – Project since 2007 in 5 states and one union territory with an objective of involving private practitioners and RNTCP. IMA is involved in extending this project to 10 more states to involve 1.5 lakh members in RNTCP. Apart from this, the Eli-lily project is covering some more states in the RNTCP – PPM Project, I would urge all the members of the IMA to be actively involved in this project and participate as DOTs practitioners.
2. STOP SEX SELECTION :
The gender discrimination by use of pre-natal sex determination is strongly opposed by IMA and we are committed to eradication of this evil. IMA would not support or defend any doctor who either directly or indirectly participate in sex determination test and termination of pregnancy on the basis of the gender of the foetes. The importance of gender balance is vital for the socioeconomic growth of the country and the Medical Profession should not be involved in any discriminative practice. IMA has organized a project “STOP SEX SELECTION” and will be vigorously counseling all the members against sex selection. We are also happy that UNPA and ART of LIVING FOUNDATION have come forward to join hands with us to make this project a grand success.
3. ANEMIA FREE INDIA:
It is sad that in our country, millions of children and adolescence girls are anemic which is
detrimental to their physical health and intellectual development. IMA has taken the initiative to organize health camps whereby the detection and correction of Anemia will be done.
Similarly “Aaon, Gaon Chale” is a social responsibility of IMA and it is in the continued interest of the poor in the rural areas that each IMA branch adopts at least one village and provides comprehensive health and medical care to that village. Anemia Free India campaign can also be incorporated in the “Aaon, Gaon Chele” program.
4. HIV / AIDS SENSITIZATION AND TRAINING:
The prevalence of HIV / AIDS is a matter of deep concern to the Medical Profession and the changing trends in the disease would necessitate constant updating of knowledge of the doctors. I propose to initiate sensitization and training of doctors on HIV / AIDS which would includeknowledge of counseling of the patients. I suggest that the IMA branches having their own buildings can have counseling centers for HIV / AIDS patients.
5. THE H1N1 FLU (SWINE FLU) :
I am glad that IMA has launched the training program for our members on H1N1 Flu and I am confident that the members of our association will rise to the occasion and contribute to combating this dreadful pandemic.
Malaria and other vector borne diseases have been epidemic form in most states on a recurrent basis. It has been causing immense loss of life and also enormous strain on the health resources.
I strongly call on the govt. to invest heavily in supply of safe drinking water and effective sanitation methods as it will yield rich health and economic rewards to the society.
6. PHARMACOVIGILENCE:
IMA has started a separate cell for Pharmacovigilence and had conducted a National Seminar in Hyderabad in the year 2008. I would seek the cooperation of all the members in enhancing Pharmacovigilence activities so that the evil of spurious drugs and side effects of other drugs are documented.
WE APPRECIATE
1. “MEDICAL PROTECTION ACT”
An act that is historical which has been inculcating mental peace in our minds and promoting the
peaceful ambience to our fraternity from the attacks of anti-social elements. IMA is very grateful to Dr Y S Rajasekhara Reddy for promulgating this historical, medical protection act.
2. APEX COURT JUDGMENT:
“no doctor be arrested”
No doctor can be arrested under section 304, 304-A, even if there is some negligence. According to apex court in the criminal appeal nos : 144 & 45 of 2005 — To arrest a doctor, high degree of negligence is necessary. Simple lack of care or error cannot form the basis for criminal prosecution.
So, if police arrests any doctor, the doctor can initiate “contempt of court” against those police.
My Theme of the Year
“BE IN HEALTH. BE ACTIVE IN PUBLIC HEALTH.”
Unless we the doctors are hale & healthy, how can we deliver our services to the
humanity? It’s the fundamental requisite, that all of us should keep our health fit.
For this, my advice to all local branches is- organize half yearly free health screening
camps by eminent specialist doctor’s panel for all local branch members.
So, please take care of your health & take care of public health.
MY AIMS AND OBJECTIVES
The confluence of many cultures, traditions, thoughts making our association as one of the greatest service organization in the world. Our association’s administration is sticking strictly to democratic norms and it has no parallel in its way of functioning.
My dear friends, I have five aims & objectives for our association
1. STRENGTHENING THE ORGANIZATION :
IMA one way is Non-governmental service organization providing health care to the citizens of India. On another way it is a trade union to protect the interests of the doctors.
Our membership is nearly two lakhs. Still there are many more doctors who didn’t join the
revolution of the IMA.Unless all the qualified, modern medicine doctors join under one umbrella, we don’t have effective weightage to our voice.
To protect our interest we should be in a position to demand the Government to achieve our aims & objectives
2. STRENGTHENING THE FINANCIAL POSITION :
Any organization to thrive successfully needs sound finance position. For this to happen, I invite suggestions from the learned members and I promise you that I will try to implement those suggestions positively.
3. BETTERMENT OF MEDICAL FRATERNITY:
Our concern to young doctors - Single window system: Individual guidance on professional, employment, ethical and financial issues — Single window system for all new doctors those want to join as members, starting practice, higher education, research, employment, equipment purchases, study material etc.. It’s an opportunity for our IMA to extend our expertise to safe guard the interests of younger fraternity. It will attract the young doctors in to our fold with in no time.
Employment handbooks : Our association will get the all information about vacancy
posts all over India in health sector and publish it in the IMA news or can come out with quarterly hand book.
Pension scheme : All the government employees have pension facility. But the doctors
in private sector have no such facility and everybody knows the value of the benefits of pension in the old age. Many insurance companies have pension plans. Our association in collaboration with insurance companies can facilitate the pension policy to our members as like mediclaim policy which we have felicitated to our members successfully. IMA is a true saviour of the medical fraternity aiming that, every doctor should be in peace of mind.
Discounted medical supplies service:
Supply of equipment and other costly drugs to our members at subsidized prices by negotiating with manufacturers.
What our association can do to our brothers in government service ? National and local negotiation on terms and conditions of doctors in service. We can negotiate the terms, working conditions, wages, emoluments and other monitory issues with government and private employers, if the situation demands. Any association if works in unison with other sister organizations, it will give lot of goodwill mileagein long run.
Personal benefits
Co-branded credit card exclusively for IMA members: Our association is endorsing some products. Like that, We can negotiate the terms and conditions with bank authorities in issuing of credit cards to our IMA members with monitory concessions on transactions and discounted tariffs for accident insurance and Mediclaim policies.Cashless health insurance and group term insurance policies, Home, hospital, motor vehicle and travel insurance can also club with this card.
Strengthening of the media wing : Small organizations getting lot of mileage for their small contribution to the society. But, our IMA is not in the limelight and is not getting its due respect and coverage in the public, even though our contribution is in mammoth scale. We should allocate funding to print and electronic media and the channel usage should be maximum.
So, its foremost on my agenda, that we have to made our media wing more aggressive and the political and social lobbying is prime duty of my tenure.
4. BETTERMENT OF MEDICAL EDUCATION :
Quality medical education and sufficient faculty in medical institutions : Uniform quality medical education in compliance world medical education standards. All decisions regarding revamping of medical schools, curriculum should be in compliance with Indian Medical Degrees Act.
An integrated curriculum provides a meaningful learning experience, as learning takes place in a context (contextual learning). It also promotes a holistic approach to patients and their problems.
The MCI has recommended both horizontal (e.g., anatomy, physiology- biochemistry) and vertical integration (e.g., anatomy with surgery) to be introduced throughout the curriculum. Close to the concept of integration is the philosophy of problem based learning (PBL), introduced in many medical schools outside India.Problem based learning (PBL) or modular approach has been found to be a useful and effective educational strategy to produce graduates who are good problem solvers.
Everybody is appreciating the efforts of IMA, in continuing education programs under the flag of IMA-A.K.N. SINHA institute. My sincere congratulations to all the people behind this institute, and the teams committed to CGP & AMS faculties.
To extend our reach for better medical education, I have some plans.
* IMA Representative in Every Medical School.
* Student IMA News And Student JIMA : Two Editions Shall Allocate Exclusively To
The Medicos And PG Students.
* IMA Library, Including Free Access To E - Journals.
* Online Coaching Centers For UG & PG Entrance and Online MOCK Examination To UG,PG, MCI Screening – TESTS (Essential Exam Revision Resources From Online Examination).
* Provision and Facilitation of Medical Education Distance Mode, Class Room Mode
and other Clinical Training Modes.
* Provision of Distance Education Certificate & Diploma Courses, in Joint Collaboration With Recognized Universities. We have to negotiate with Indira Gandhi National Open University (IGNOU), Jawaharlal Nehru Technological Univeristy (JNTU) and other deemed universities in different regions to facilitate various courses relevant to health care – Clinical Radiology, Sonology, Cardiology, Emergency Care and other in demand vocational courses to our MBBS Graduates.
* Liaison with Biotech Institutions, Management Institutions, and Health Universities
to provide alternate education to MBBS graduates.
* Encouraging doctors to join in research.
* Publishing bulletins and magazines to provide doctors and patients unbiased and objective information on drugs and rational therapy or having tie-up with the Bulletin on Drug and Health Information (BODHI). Since 1994, BODHI has been published every two months to inform general practitioners all over India on rational drug therapy.
5. BETTERMENT OF PUBLIC HEALTH :
“Where the health authorities fail – IMA be there to safeguard the health
of common people”. This should be the slogan of our IMA.
Our IMA has to extend cooperation to the government at every needy step, especially in the following health parameters
*Sanitation
*Safe water supply
*Awareness about communicable and contagious diseases
*Safer Sex
*Immunization
*Antenatal, Postnatal and Neonatal Care
*Nutritional Supplementation.
WE STRONGLY OPPOSE
Quackery & quacks - The primary care can not be sustained unless we control the
quacks and quackery. The so called RMP & PMP’s spoiling the health in the guise of providing first aid. The ACTs, regulations, court judgments doesn’t modify our govt.’s mindset.

• The A.P.GOVT. G.O. 429–which facilitates to impart training to the RMP & PMPs to make them as community paramedics,when there are so many Nurses and paramedics are suffering with unemployment. what is the role and value of paramedic and nursing council? Its mere backdoor entry of quacks in to the main health care system. Even our Constitution and apex courts are proclaiming that quacks are
  to be prohibited, why the A.P. State Government taken this hasty decision? So, IMA strongly urges immediate withdrawal of G.O. No.429
  OUR DEMANDS
  Our demands are genuine and has the backing of almost 2 lakh doctors
  WE DEMAND THE GOVERNMENT TO :
  1. Increase Budgetary allocation for health : The average health status
  for the country as a whole is poor and the per capita spending on health is also low by international standards. Public health spending is indeed among the lowest in the world, both as a share of the gross domestic product and per capita. Public Health Expenditure in India has declined from 1.3% of GDP in 1990 to 0.9% of GDP in 1999. The Union Budgetary allocation for health is 1.3% while the State’s Budgetary allocation in average is 5.5%
  2. More Medical Colleges in economically backward states :
  Even medical colleges are unevenly spread: the four southern states have 63 per cent of the colleges and 67 per cent of the seats. The states with the biggest shortfalls in medical personnel are predictably - Bihar, Madhya Pradesh, Rajasthan, Uttar Pradesh, Jharkhand and Chattisgarh along with the North Eastern states, Orissa and Haryana.
  3. Strict implementation of the safe injection practice, biowaste
  management, and control of the low and irregular
  dosing of medicines which is leading to drug resistance.
  4. Addressing the problems of geriatric population : By the year
  2020 our country’s population of above 60 years would reach 60% of the total population, which means our country has to allocate more funding to meet the welfare of the geriatric population.
  And our country is going to face economical drain to address the psychological, psychiatric and social problems of old people.
  5. Implementation of e-technology across departments for easier, faster and
  transparent activities.
  
  OUR PROPOSALS TO GOVERNMENT
  1. RECRUIT ALL DIPLOMA HOLDERS AS SPECIALISTS IN TEACHING
  AND NON TEACHING HOSPITALS : What our IMA can do to P.G. Diploma holders
  who have no MCI permission to enroll as teaching faculty, even though they are trained for two years in their respective fields?
  The dearth of the teaching faculty plaguing the medical colleges, leading to substandard training of our medicos. So, these two problems can be addressed by allowing the PG Diploma holders to promote as teaching faculty in their respective subjects after certain stint (say 5 years) of tutorship.
  2. WAIVER OF PHARMACIST LICENSE TO THE DOCTOR MANAGED
  DISPENSARIES : Our doctors are well versed with Indian pharmacopeia. When these doctors manage the dispensaries, is it rationale to ask them to secure pharmacist license to dispense drugs?
  3. APPOINTING COUNSELING PSYCHOLOGISTS in all higher secondary
  schools, colleges, juvenile homes to address the aggravating mental disturbances in the today’s scenario.
  4. HELPING THE RURAL DOCTORS : What can we do to our rural fraternity? The
  rural doctors, who in spite of lack of proper infrastructure, still delivering their committed services. Good UGC scale salary, better emoluments, allowances and free TA to seminars to govt. sector employees.
  5. SOFT LOANS TO PURCHASE EQUIPMENT
  6. DOMESTIC ELECTRIC TARIFF TO THE PRIVATE MEDICAL
  ESTABLISHMENTS
  7. SEZ”-SPECIAL ECONOMIC ZONES FOR HEALTH CARE SECTOR.
  8. UNIFORM DRUG QUALITY CONTROL.
  9. IMA & NATIONAL RURAL HEALTH MISSION : The IMA is appreciating the
  efforts of govt. in framing such a nice useful policy--national rural health mission— NRHM
  envisages bringing up the CHC (Community Health Centre) services to the level of Indian Public Health Standards. CHC (Community Health Centre) will function as peripheral surveillance unit and collate, analyze and report information to District Surveillance Unit. Let be our IMA in Public private mix with NRHM.
  I M A must be included in Institutional arrangement at national, state and district levels like – village health samiti, rogi kalian samiti, district & state & national health mission task groups.
  N C H R H (N a t i o n a l C o u n c i l f o r H u m a n R e s o u r c e s for health): The apex body going to monitor all branches of health education and medical practice. IMA should be included in the council.
  
  OUR VOYAGE
  We should move forward along with other specialty organizations and NGO associations to
  make our country free of ailments and diseases. Public private mix is one of the tried strategies which have been giving some fruitful results.
  NACO, GFATM, CLINTON FOUNDATION, UNPF, PATH, ART OF LIVING FOUNDATION, RED CROSS SOCIETY are some of the organizations we have been proceeding further along the path to our common goal - HEALTH FOR ALL.
  OUR COMMITMENT
  1. TOWARDS THE BETTERMENT OF HEALTH CARE IN HEALTH
  CARE DEPRIVED STATES :
  Today there are 28 States and 7 Union Territories in India. But all these states are not similar in terms of level of development.
  Punjab, Maharashtra, Haryana, Gujarat, Andhra Pradesh, Tamil Nadu, Kerala, Himachal Pradesh are undoubtedly developed states. And Bihar, Madhya Pradesh, Assam, Rajasthan, Uttar Pradesh etc. are backward states. They are called backward, as not only their per capita income is low, but also the rate of economic growth is also very low.
  To achieve the basic threshold level of Rs. 500 per capita public health spending,where are we now?
  In the economically backward states it is only at Rs. 85/-.
  The regional disparities also extend to the availability of medical personnel.
  2. ROLE PLAY IN REDUCING THE GLOBAL WARMING :
  Global warming, alternate droughts & floods, soil erosion, deprived food and water, more diseases …
  A vicious cycle, which has to be stopped by every citizen of the earth.
  
  3. MEETING THE CHALLENGES IN INDIAN HEALTH CARE SYSTEM :
  We found few challenges in our health care system
  Indian healthcare system is witnessing three major challenges :
  A. CHALLENGE POSED BY DISEASES :
  i) Conventional Communicable Disease Burden Along with Resurgence Of Old Diseases
  and Threat By Global Climate Change.
  ii) The Rise of Degenerative Lifestyle Diseases like Cancer and Cardiovascular Diseases;
  iii) Emergence of New Diseases Like HIV/AIDS, Bird Flue, Swine flu
  iv) The response by the modern private health care system in the rural areas, where disease
  burden is mounting, is still negligible.
  B. SECOND CHALLENGE IS, FINANCIAL AND BUDGETARY
  CONSTRAINTS under the economic restructuring regime. The Public Private Partnership
  that was initiated to inject some funding in the public healthcare has never been fruitful.
  Health sector financial allocation is still much lower than comparable economies like China.
  C. SEGREGATION OF DOCTORS ONLY IN URBAN REGIONS. That the
  estimated density of all doctors and health workers in India is about 20% less than the
  WHO norm of 2.5 health care personnel (doctors, nurses and midwifes) per 1000
  population, meaning that there are substantial shortage of qualified health workers in the
  country.
  IMA HAS TO THINK OF
  1. IMA MEDICAL COLLEGES
  In the backdrop of recent relaxation of structural stipulations, adapting of district hospitals as teaching institutes, it’s a golden chance for our IMA to start a role model medical colleges in deficit areas of our country.
  2. IMA HEALTH INSURANCE PVT. LTD. :
  Clearly there is an urgent need to expand the health insurance net in India.
  Why not our IMA enter into the most profitable health insurance sector?
  We can jointly operate with any private company who needs assistance in expertise in like-data base of health care providers and hospitals, standardization of treatment protocols, reach of the private health sector, etc. One reason is that insurance companies lack the data they need to assess health risks accurately. Here our IMA can enter to provide that needy data).
  3. IMA DRUG TESTING LABS :
  At least 11 Indian states do not have laboratories for testing drugs, and more than half of existing laboratories are not properly equipped or staffed.
  IMA can establish such type of labs which will bring lot of proximity with pharma companies and it gives lot of mileage for our Association.
  MY DREAM
  IMA- The Saviour
  The WHO defines health as “the state of complete physical, mental and social well being and not merely an absence of disease and infirmity.”Where are we? At what stage we can proclaim that we are a healthy nation? How much time it takes for us to achieve that goal? What, we as the largest Association, have to do?
  Health for all by 2000 –that has gone and merged in the cycle of the time.
  Better late than never. We have to reach that goal by 2020 by the vision and commitment. We have tremendous power of people. We have intellectuality. We have wisdom. But what we lack is direction, focus and will to excel.
  At this juncture, our association has to take active role to assist our Government health machinery and be in active health care.
  *IMA in forefront of the activity ;
• IMA in the proximity to the common man.
• IMA in the class room of medical institutions.
• IMA in the eyes of every doctor.
• IMA in the hearts of every organization — This is
  my dream. A dream that has to be fulfilled by sheer hard work and faithful participation of our fraternity.
  MY PLEDGE
  I, Dr. G. SAMARAM, taking the oath in the name of my conscience and the commitment and dedication of our IMA soldiers and I will abide to the rules and regulations of our Association and will be faithful to our traditions. And I promise to serve for betterment of public health care, for better amenities to the medical fraternity and for better medical education.
  I feel privileged and proud to serve an Association of highly qualified and intelligent people like you.
  I am grateful to you all for giving me this opportunity to serve you. I really feel humbled. I hope and seek and expect full cooperation from whole IMA family. I am sure together we shall do it. In my endeavor to achieve goals, I request my seniors to guide me whenever, I am faltering.

Thanks to one and all,
LONG LIVE IMA
LONG LIVE INDIA
J A I H I N D.

Dr G SAMARAM
Cell : 8008 39 39 69
28th December, 2009

e-mail: drsamaram@hotmail.com

letter sent to IMA head quarters in protest of MCI proposed BRMS COURSE

From
Dr.srinivasa raju.c
JOINT SECRETARY-IMA H.Q.
CWC member ®
IMA-A.P. state.

To
The secretary general
IMA-H.Q.
DELHI.
SUB: suggestion regarding GOVT. Proposed “BRMS” course.

Respected sir,
Namaste.
These are my few observations and my humble suggestions regarding above subject.

Why we are opposing the GOVT. proposal of starting the rural BRMS Course?
What are the other viable alternatives to increase the skilled doctors to serve in the rural areas?
Why the allopathic medical education should comply with IMC act?
Is there any violation of Indian medical degrees act?
Is there any violation of right to quality health?
Is there any violation of human rights?
Is it serving the purpose?

The proposal in discussion:

Out of 2100 medical colleges in the world (71 countries) India has 300 (14%). In the last decade while the number of medical seats has doubled there has been no change in the PHC and CHC postings with 70% of them still lying vacant. Even if we increase the medical colleges to 1000 the PHC will not have doctors. So, we need a separate system” told by Dr.ketan Desai, chairman of the MCI.

A NEWLY DESIGNED MEDICAL COURSE TITLED "BACHELOR OF RURAL MEDICINE & SURGERY" HAVING THE SYLLABUS OF 13 MEDICAL SUBJECTS IN THE SPAN OF THREE AND HALF YEAR MODULAR STUDY & SIX MONTHS INTERNSHIP.
AIM:To Cater The Needs Of Basic Health Services Of Rural India,Where 70% Of Poplulation Resides and groping With Viral , Tropical , Vector Borne Diseases.
MODALITY :
1.Adapting The Existing District Hospitals Which Have 150 To 300 Bed Capacity.Enrolment Is 25 Students For 150 Beds And 50 Students For 300 Beds.
2.Enrolling The Inter / +2 Students Studied In Notified Rural Regions As Minimum Eligibility.
3.Restricting These "BRMS" Graduates To Work In Notified Rural Regions Only.
4. They Can’t Enroll In Regular Medical Registers. They Are Not Called As Doctors. They Can't Practice In Non Rural Areas. They Can’t Conduct Surgeries.
5. They will not be registered under "regular IMC register" but under a "separate register" and will need to get a yearly certification for the first five years after which they will be entitled for a permanent registration "under the rural register". For life they can only practice in a certified rural area only.
Some of the points raised in opposing this proposal are-
1. How can a doctor’s course be shorter than nurse’s course.
2. How can they be called “doctor” with a condensed course.
3. Who will be able to stop their migration to other countries.
4. How can one stop them from migrating to urban areas.
5. When the country can not check quacks how will they check migration of rural doctors to urban areas.
6. Why discriminate between rural and urban patients and give them doctors with condensed course.
7. Would it not amount to producing more quacks?
8. Will the govt. also think of bringing condensed crash degree courses for pilots, lawyers, charted accountants?
What we need to provide basic health care in rural areas apart from doctors?
Adequate infrastructure, including good roads, transport, schools, water,power supply, adequate medicines, and all types of trained nursing & paramedical staff.
What are the challenges crippling our rural health care?
1. Challenge Posed By Diseases:
2. Second challenge is financial and budgetary constraints under the economic constraints:
India Per capita health expenditure: 5000/- in 2009
and Public healthcare as percentage of GDP: 1.2 %
3. Segregation of doctors only in urban regions.-------- that the estimated density of all health workers (qualified and unqualified) in India is about 20% less than the WHO norm of 2.5 workers (doctors, nurses and midwifes) per 1000 population, meaning that there are substantial shortage of qualified health workers in the country.
4. Poverty and ill-health: The majority of illnesses Indians suffer - such as tuberculosis, respiratory infections, malaria and diarrhoeas -- are linked to poverty and poor living conditions.
5. The doctors are not interested to do service in rural areas. – Because lack of infrastructure, medicines, schools, trained nursing & paramedical staff.
The statistics on health manpower throughout India in the rural areas as published by the Ministry of Health and Family Welfare.
1. Only in 4 States - Uttar Pradesh, Maharashtra, Punjab and Assam the number of doctors are less in the PHCs and sub centers. In all other States there is surplus of doctors at the PHC level. 2. There is gross deficiency of Specialists at the Community Health Centers.
3. There is very gross deficiency of Health workers, Pharmacists and Lab Technicians.
VIOLATIONS : ITS BLATANT VIOLATION TO PROPOSE THIS TYPE OF MEDIOCRE ALLOPATHIC COURSE, as follows :
1. Violation of Article 21 of Indian Constitution which guarantees right for life for all people as serious threats would be posed upon the hapless patients of Indian villages

2. Violation of the mandatory provision in the “Medical Council Act” that no person other than a doctor having qualifications recognized by the MCI is allowed to practice Modern system of Medicine or Surgery anywhere in India;
3. Violation of the Article 14 of Indian Constitution that guarantees rights for equal treatment for all citizens of India;
· complications arise if we allow this BRMS course as follows :
The basic skill necessary for diagnosis of disease and provide minimal necessary treatment to an ailing patient cannot be compartmentalized or taught in a piece meal method. There can be no dispute that the proposed BRMS bill for a medical course of only three and half years would produce “half-baked” doctors who would be no more competent than the unlicensed “quacks” who are already practicing medicine illegally and causing needless deaths and injuries to countless number of innocent patients.

Ironically, the BRMS proposal has claimed that the medical practitioners from this abbreviated medical course would be treating patients only in the rural areas. One has to wonder how the Government would assure the new medical practitioners would be confined only in the villages and not relocate to practice medicine outside the rural India?. In any event, it is an atrocious claim by the authorities, that the half-baked medical practitioners would be utilized to treat only those patients who live in the rural areas. Such obnoxious reasoning in order to justify the substandard medical course as proposed brazenly tramples over the basic dignity for humanity and shock the conscience of ordinary people.
Do the lives of the poor villagers worth less than the lives of the city dwellers? Article 14 of the Indian Constitution provides fundamental rights for equal treatment of all citizens of India. This is clearly discriminatory against the patients in the rural areas and it violates the rights for equal protection under the law as guaranteed by the Constitution.

· The Hon’ble Supreme Court has made compelling observations as follows :
“A medical student requires grueling study and that can be done only if proper facilities are available in a medical college and the hospital attached to it has to be well equipped and the teaching faculty and doctors have to be competent enough that when a medical student comes out, he is perfect in the science of treatment of human beings and is not found wanting in any way. The country does not want half-baked medical professionals coming out of medical colleges when they did not have full facilities of teaching and were not exposed to the patients and their ailments during the course of their study…..”
Alternative suggestion to improve rural health care.
I. Raising the MBBS and PG seats by 25 % in existing medical colleges and allocating these seats exclusively to the students of notified rural regions.
Modality:
1. For the students studied in rural region with intermediate qualification through common PMT.
2. These students must work in rural areas for 10 yrs after completion of the course.
3. If they want to study higher education or research, they will be allowed only after completing 3 yrs.rural services. After completion of post graduation or research, they must have to work in rural areas for minimum 12 yrs.
4. They are not allowed to go out of the country. Not allowed to do practice/ employment in urban areas for 10 to 15 yrs.
ADVANTAGES of new suggestion:
· NO EXTRA INFRASTRUCTURE: when compared to establishing or strengthening the district hospitals with 60000 crores, it’s very much less expensive to raise the infrastructure of existing medical colleges to accommodate raised 25% seats.
· No violation of Indian medical degrees act.
· No dilution of quality health care.
· No violation of human rights- Freedom of migration to urban areas after 10 to 15 yrs. of rural service.
Suggestion II: increasing the salary and other emoluments to rural doctors from the existing Rs.25000/- to 50000/ -per month for MBBS doctors and 70000/- to specialist doctors.
Around 34,000 medical students are enrolled every year in India.
We need 1 lac basic MBBS doctors in 50000 PHC CENTERS.
We need MBBS doctors 10000 in 4000 CHC + 10000 in district hospitals + 20000 in 300 medical colleges.
* Total MBBS requirement : 140 000.
We need 25 000 specialist doctors in 4000 CHC centers.
We need another 20000 specialist doctors in 600 district hospitals.
We need 75000 clinical specialist doctors in 300 medical colleges.
We need 10000 pre & para clinical specialist doctors in 300 medical colleges.
*Total postgraduate degree doctors we need: 1 30 000.
AS PER THE IMC REGISTER WE HAVE 6 LAC DOCTORS IN INDIA.
WE NEED 1.3 LAC MBBS doctors and 1.4 PG doctors in public sector. Here we can use postgraduate diploma doctors as specialist doctors after fulfillment of certain stipulations.
So, we have to distribute the doctors evenly through the entire demographic area of our country by raising the salary and other emoluments to rural doctors.
Suggestion III : BRMS is not a solution to the need of the villagers. ASHA's and other trained nurses, midwifes, can do much more, can be trained in much more numbers to make primary healthcare more effective!
All in all, the Govt. needs to start a PINK REVOLUTION in healthcare by injecting a massive 12% of GDP in Govt healthcare system(from the measly 2% GDP)
With best regards
Dr.srinivasa raju.c
09490172569

MEDI NEWS :

1.SODIUM META SILICATE - AN IMMUNITY BOOSTER :It is Known to Increase the CD4 and CD8 Counts. Apart from this Unique Property, Sodium Meta Silicate is also Useful in helping Prevention of Plaque Formation in the Blood Vessels and Strengthening the Tunica Intima. It has a Direct Lipid Lowering Effect, especially on LDL and VLDL. Sodium Meta Silicate helps in Weight Reduction and has proved to be a Useful Adjunct to the Therapy in Obese Persons.

2.The length of time that cold or flu germs can survive outside the body on an environmental surface, varies greatly. But the suspected range is from a few seconds to 48 hours. Flu viruses tend to live longer on surfaces than cold viruses do. Cold and flu viruses live longer on nonporous surfaces such as plastic, metal or wood than they do on porous surfaces such as fabrics, skin or paper.

IMA CONFERENCE HIGHLIGHTS :

HIGH LIGHTS OF 84TH. ALL INDIA IMA CONFERENCE-2009 CONDUCTED ON 27TH.& 28TH. OF DECEMBER-2009 AT HYDERABAD.

1.CHIEF JUSTICE SRI. SUDARSHANREDDY SPOKE, "THAT THE JUDICIAL OUTCOME OF MEDICO-LEGAL DISPUTES IS ENTIRELY DEPENDS UP ON THE COLEAGUE DOCTORS BY THEIR EXPRESSION OF EXPERT OPINION".
SO, ITS UPTO OUR COLEAGUES TO USE THEIR DISCRIMINATION AND EXTEND THE COURTESY TOWARDS COLEAGUE DOCTORS.

2. CHIEF MINISTER SRI.K.ROSAIAH SPEAKS, "THAT THE MEDICAL FRATERNITY MUST CONTRIBUTE THEIR EXPERTISE AND SERVICE TO THE COMMON MAN IN RURAL AREAS".

3.DR.G.SAMARAM, THE NEW ALL INDIA IMA PRESIDENT SPOKE, "THAT HE WILL LEAD FROM THE FRONT TO MOULD IMA TO REDEDICATE TO THE PUBLIC HEALTH IN A BIG WAY ALONG WITH BETTERMENT OF MEDICAL FRATERNITY" DURING HIS OATH TAKING CEREMONY. HE ALSO DELIVERED HIS MESSAGE COMPRISING OF ,HIS DEMANDS AND PROPOSALS TO THE GOVT.OF INDIA AND HIS FUTURE PROJECTS TO SERVE THE COMMON MAN IN A BETTER WAY.

4. DR.KETAN DESAI-CHAIRMAN , MEDICAL COUNCIL OF INDIA, REVEALED HIS PROPOSAL TO GOVT. ABOUT THE BRMS-COURSE IN DISTRICT HEADQUARTERS HOSPITALS. BUT THE CENTRAL COUNCIL OF IMA OPPOSED THIS PROPOSAL BY EXPRESSING THEIR APPHRENSIONS OF DILUTING THE INDIAN MEDICAL DEGREES ACT.
Compulsory CME credit hours : the medical council of India will make it compulsory for every doctor to enroll for 30 CME credit hours on a yearly basis for re-registration to the council. These credit hours will be required to be earned on yearly basis and will not be allowed to be cumulated over years.
Talking to IMA gathering at Hyderabad Dr Ketan Desai President MCI said that MCI is making CME and research compulsory in the medical profession. MCI has already made it compulsory to have minimum 5 research papers for any promotion in the medical college.
5. DR.K.V.P. RAMACHANDRA RAO PAID HOMAGE TO LATE DR.Y.S.RAJASEKHAR REDDY AND REMEMBERED HIS CONTRIBUTION TO THE MEDICAL FRATERNITY BY PROMULGATING THE HISTORICAL "MEDICAL PROTECTION ACT".
6.THE ENTIRE ORGANIZING COMMITTE HEADED BY DR.N.APPA RAO WERE APPRECIATED AND THANKED PROFUSELY BY ALL DELEGATES FOR THE EXCELLENT ARRANGMENTS AND GREAT GRAND GALA SUCCESS OF THE CONFERENCE.
7. DR.N.APPA RAO,ON BEHALF OF ORGANISING COMMITTEE EXPRESSED HIS CONCERN AND GRATITUDE TO - ALL DELEGATES, SPEAKERS, SPONSORERS, TRADE EXHIBITION PERSONEL, AUDIO-VISUAL TECHNICIANS, HOTEL TAJ KRISHNA&DECCAN STAFF, OFFICE ASSISTANTS OF IMA HEAD QUARTERS & A.P. STATE, PRINT&ELECTRONIC MEDIA. HE ALSO SAID, THAT ANY MISTAKES OR DEFICIENCIES ON THE PART OF ORGANIZERS BE BEAR WITH GOOD HEART.

8. EVERYDELEGATE IS SURPRISED BY THE DEDICATION AND SINGLE HANDED COMMITMENT OF DR.N.APPA RAO at this age , ALONG WITH DR.JAYACHANDRA REDDY & DR.G.SAMARAM IN RAISING FINANCES.

9.DR.VASUDEV-THE CHIEF ORGANISING SECRETARY, DR.PRABHAVATI, DR.NARENDER REDDY , DR.JAGANMOHAN RAO,DR.K.SRINIVAS, DR.G.SURESH, DR.SHYAMSUNDAR,DR.B.S.YADAV,DR.SRILATHA REDDY,DR.SIVARAMAKRISHNA, DR.VIJAYENDER REDDY, DR.SURENDRANATH, DR.DWARAKANATH REDDY, DR.BALRAJ,DR.SRI HARI,DR.GOPALKRISHNA, DR.YADAGIRI RAO,DR.SALUJA,DR.SAI SUDHAKAR,DR.G.SAMPATH,DR.DE'SOUJA,DR.ANANDAKBARI,DR.RAVIKUMAR,DR.LAKSHMAN,DR.LINGAMURTY,DR.DR.SAIKUMAR,DR.KODALI VIJAY KUMAR,DR.NANDRAJ SINGH,DR.SABOO,DR.GURUBACHAN SINGH AND DR.S.P.SINGH - are few doctors behind this success and on behalf of IMA-A.P. STATE ,I SINCERELY & HEARTILY, EXTENDING MY CONGRATULATORY THANKS TO ONE & ALL.

A NEW MCI PROPOSAL TO THE GOVT.!

A NEWLY DESIGNED MEDICAL COURSE TITLED "BACHELOR OF RURAL MEDICINE & SURGERY" HAVING THE SYLLABUS OF 13 MEDICAL SUBJECTS IN THE SPAN OF THREE AND HALF YEAR MODULAR STUDY & SIX MONTHS INTERNSHIP.
AIM:
TO CATER THE NEEDS OF BASIC HEALTH SERVICES OF RURAL INDIA,WHERE 70% OF POPLULATION RESIDES AND GROPING WITH VIRAL , TROPICAL VECTOR BORNE DISEASES.
TO PROVIDE THE FIRST AID TREATMENT AND PARENTERAL THERAPY IF NECESSARY.
MODALITY :
1.ADAPTING THE EXISTING DISTRICT HOSPITALS WHICH HAVE 150 TO 300 BED CAPACITY.ENROLMENT IS 25 STUDENTS FOR 150 BEDS AND 50 STUDENTS FOR 300 BEDS.
2.ENROLLING THE INTER / +2 STUDENTS STUDIED IN NOTIFIED RURAL REGIONS AS MINIMUM ELIGIBILITY.
3.RESTRICTING THESE "BRMS" GRADUATES TO WORK IN NOTIFIED RURAL REGIONS ONLY.
4. THEY CANT ENROLL IN REGULAR MEDICAL REGISTERS. THEY ARE NOT CALLED AS DOCTORS. THEY CAN'T PRACTISE IN NON RURAL AREAS. THEY CANT CONDUCT SURGERIES.
5.They will not be registered under "regular IMC register" but under a "separate register" and will need to get a yearly certification for the first five years after which they will be entitled for a permanent registration "under the rural register". For life they can only practice in a certified rural area only.

DEAR FRIENDS,
LOT OF DELIBERATIONS HAVE BEEN DONE IN CENTRAL COUNCIL MEET AFTER APT PRESENTATION OF THE CONCEPT BY NONE OTHER THAN DR.KETAN DESAI . MAJORITY OF COUNCIL MEMBERS ARE AGAINST THIS CONCEPT.
Some of the points raised were
1. How can a doctors course be shorter than nurses cours
2. How can they be called doctor with a condensed course
3. Who will be able to stop their migration to other countries
4. How can one stop them from migrating to urban areas
5. When the country can not check quacks how will they check migration of rural doctors to urban areas
6. Why discriminate between rural and urban patients and give then doctors with condensed course.
7. Would it not amount to producing more quacks?8. Will the govt. also think of bringing condensed crash degree courses for pilots, lawyers, charted accountants?
I REQUEST YOUR VALUABLE OPINION ON THIS MATTER AND MAIL YOUR OPINION to --- CSRAJUENT@GMAIL.COM

I M A C O N - H Y D 2 0 0 9 INVITATION :

DEAR DELEGATE,
PLEASE ACCEPT THE INVITATION AND GRACE THE OCCASSION AND MAKE THIS CONFERENCE A GRAND SUCCESS.

PLEASE CLICK THE SMALL IMAGE TO ENLARGED VIEW.

84th IMA NATIONAL CONFERENCE 2009, HYDERABAD

dear delegate of IMACON-2009 ,
namaste & welcome to the hyderabad .

the following is the tentative program outline for the two and half days of grand gala show of our IMA.
apart from busy business and brain storming scientific feast, food & fun always be there waiting for you sir.

1ST.DAY - 27-12-09 - after finishing the the formality of registrations, the program is as follows :
Inauguration of Scientific Sessions. 27-12-2009 (9:30 AM )

CULTURAL PROGRAM 27-12-2009 (7:00 PM )

PADMA AWARDEE FUNCTION 27-12-2009 (7:15 PM )

IMA AWARD FUNCTION 27-12-09 (08:00 - 09:00 PM )-followed by cultural program

second day- 28-12-09 -program. Inaugural Function 6 P.M. Taj Deccan Lawns

Cultural Programme follows Taj Deccan Lawns

84TH. IMACON SCIENTIFIC SESSIONS.

Dear delegate,

welcome to the great grand show of IMA and participate in its feast of scientific deliberations and heartily & artily enjoy our cultural events . aao naa dost !

84th IMACON 2009 - SCIENTIFIC SESSIONS
Venue: Hotel Taj Krishna, Late Dr. Y. S. Rajasekhara Reddy Nagar, Hyderabad
Scientific Committee Chairperson - Dr. E. Prabhavathi (09848053978)
Day 1 (27-12-2009) HALL 1 (EMRALD I I )
Time Topics Speakers Sponsored Chairpersons
09:30 to 10:30 Inauguration EMERALD I by
SESSION 1
10:30 to 10:50 Practical Management of VERTIGO Dr. Subhash Kaul NIMS Dr. R. M. Saboo
10:50 to 11:10 Bariatric Surgery Dr. Mahidhar Valeti Dr. Sudhakar Reddy (Warangal)
11:10 to 11:30 Early detection of Common Cancers Dr. Mohan Vamsy Indo American Dr. Vijaya Bhaskar Noori
SESSION 2
11:30 to 11:50 Non-Surgical Intervention for Congenital Heart Disease Dr. Anil S. R Apollo Dr. Gopi Chand Mannem
11:50 to 12:10 Paediatric Cardiac Surgery Changing Trends & Outcomes Dr. Anil Kumar Star Dr. R. K. Gupta
SESSION 3
12.10 to12.30 Endoscopic Neurosurgery & Spine Dr. Subodh Raju Kamineni Dr. Kantha Reddy
12:30 to 12:50 Surgery of Epilepsy Dr. Manas Panigrahi KIMS Dr. Sridhar (Krishna Sai Hosp)
12:50 to 01:10 Epilepsy in Women Dr. G. V. S. Chowdhary Star Dr. Dhairyavan
01:10 to 02:00 GRAND LUNCH IN BALL ROOM
02.00 to 03.00 CPA - SESSION 3
02.00 to 02.15 Medical Negligence & Role of Expert Opinion Hon'ble Justice D Appa Rao AP
02.15 to 02.30 Vicarious Liability Sri K Satyanand Medical
02.30 to 02.45 Contributory negligence Sri R L Narasimha Rao Council
02.45 to 03.00 Question and Answers
SESSION 4
03.00 to 03.20 Key Hole Spine Surgery Dr. Alok Ranjan Apollo Dr. Purohit (NIMS)
03:20 to 03:40 Cadever Transplant Dr. Srinivas Kamineni Dr. Saharia (Nephrologist)
03.40 to 04.00 Advanced Laparoscopic Surgery Dr. K. Ravindranath Global Dr. A. Ram Mohan (North)
SESSION 5
04:00 to 04:20 Carotid artery Surgery Indications Dr. Ratnam Usha Mallapudi Dr. Alla Gopala Krishna Gokle
04:20 to 04:40 Advances in Coronary Interventions Dr. Ramesh Gudapati Dr. Sampath - Cardiologist (Osm)
04:40 to 05:00 Vector Born Diseases Spons. S. C. Johnson Dr. M. Narsing Rao (Gandhi)
07:00 pm Welcome Dance & PADMA AWARDEE Function Taj Deccan
08:00 pm IMA AWARD FUNCTION, Cultural Prog follows Taj Deccan
84th IMACON 2009 - SCIENTIFIC SESSIONS
Venue: Hotel Taj Krishna, Late Dr. Y. S. Rajasekhara Reddy Nagar, Hyderabad
Scientific Committee Chairperson - Dr. E. Prabhavathi (09848053978)
Day 2 (28-12-2009) HALL 1 (EMRALD I I)
Time Topics Speakers Sponsored by Chairpersons
SESSION 1
09:00 to 10:00 Free Papers & Poster Presentations
10:00 to 10:20 Cardiac Surgery present & future Dr. Alla Gopala Krishna Gokhle Global Dr. Daya Sagar
10:20 to 10:40 Management of ischemic Stroke Dr. Sreekanth Reddy Kamineni Dr. T. Madan
10:40 to 11:00 Viral Infections, Epidemic 2009 Dr. T. Radha Kumari (Osmania, HOD) Dr. Subhakar
SESSION 2
11:00 to 11:20 Recent advances in Oncology Dr. Vijayananda Reddy Apollo Dr. Anand Abkari
11:20 to 11:40 Recent advances in Medical Oncology Dr. Sreenivas Kamineni Dr. Srinivas (Konark)
11:40 to 12:00 Role of Radiotherapy in Ca Cx Dr. Ramakrishna Prasad Yasodha Dr. N. L. N. Moorthy
SESSION 3
12:00 to 12:20 The Scope of Jt. Replacement Surgery Dr. I. V. Reddy KIMS Dr. Vijaya Chander (Ortho HOD)
12:20 to 12:40 Recent advances in Management of Knee pain Dr. K. J. Reddy Apollo Dr. A. V. Guruva Reddy
12:40 to 01:00 Thyroid Disorders in Pregnancy Dr. Shanta Kumari Dr. B. K. Sahay
01:00 to 02:00 GRAND LUNCH IN BALL ROOM
SESSION 4
OBSTETRICS Dr. C. Ambuja AP
02:00 to 03:00 Panel Discussion on Post Partum Haemorrhage Dr. K. Satyavathi Medical
Moderator, Dr. P. Balamba Dr. P. Indira Devi Council
Dr. Vidyadhari
SESSION 5
03:00 to 03:20 Current Concepts in minimally invasive Cardiac Surgery Dr. Gopichand Mannem Star Dr. Shailender Singh
03.20 to 03.40 Paediatric Cardiac Interventions Scope & Promises Dr. Nitin K. Rao Star Dr. E. Ravinder Reddy
03.40 to 03.55 Diagnosis or Discovery Physician as Scientist Dr. Srinivas Pentyala Dr. V. K. Bhargava
03:55 to 04:10 Hospital Management Mr. Ravi Shakamuri Dr. Satyanarayana
SESSION 6
04:10 to 04:30 Recents Trends in Liver Surgeroy Dr. R. V. Raghavendra Global Dr. B. S. Yadav
04:30 to 04:45 Pharmacovigilence on adverse drug reactions Dr. S. C. L. Gupta (Delhi) Delhi Dr. G. Shyam Sunder
04:45 to 05:00 Drugs and Kidney Diseases How to prevent Dr. G. Jyothsna Star Dr. Vasantha Krishna
06:00 pm Inaugural Function Taj Deccan Lawns
07:00 pm Cultural Programme follows Taj Deccan Lawns

Father of Modern Medicine- Sir William Osler's famous quotes :

• Sir William Osler, Father of Modern Medicine

His book, 'The Principles and Practice of Medicine' has been a bible to both medical students and clinicians.

1. He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients ,does not go to sea at all.

2. It is much simpler to buy books than to read them and easier to read them than to absorb their contents.

3. Soap and water and common sense are the best disinfectants.

4. The young physician starts life with 20 drugs for each disease, and the old physician ends life with one drug for 20 diseases.

5. There are, in truth, no specialties in medicine, since to know fully many of the most important diseases a man must be familiar with their manifestations in many organs.

6. The good physician treats the disease; the great physician treats the patient who has the disease.

7. Observe, record, tabulate, communicate. Use your five senses. Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice alone you can become expert.

Dr.k.k.aggarwal's courtesy ----- Lessons in life

1. Life is too short to waste time hating anyone.

2. You don't have to win every argument. Agree to disagree.

3. No one is in charge of your happiness except you.

4. Bad officials are elected by good citizens who do not vote.

5. Remember, Life isn't tied with a bow, but it's still a gift.

KNOW ABOUT OUR IMA NATIONAL PRESIDENT-ELECT

Know about our IMA National president- DR.Goparaju. Samaram.

Dr G Samaram, the National President Elect, Indian Medical Association hails from the family of social reformers, freedom fighters and well known atheists. His parents late Sri Gora & late Smt Saraswathi Gora not only were social reformers, freedom fighters but also close associates of Mahatma Gandhi.
Dr G Samaram is very popular doctor and prolific writer in Andhra Pradesh. He is very well known to the people of Andhra Pradesh through TV channels, Radio, News Papers and periodicals. His columns in periodicals and programs in TV are very famous. He acted in five popular movies and also in few documentary films. The Charisma of his personality is now beyond the boundaries of Andhra Pradesh spreading its fragrance in every nook and corner of India as the leader of IMA.
India Today Magazine in 2006 adjudged Dr Samaram as one of the 25 persons with Outstanding Achievements. India Today described him as a shining example of Telugu people, a revolutionary intellectual and an embodiment of voluntary effort.
More than 200 books on popular medical science of Dr Samaram were published and well received by readers. Some of his books were translated into Tamil, Kannada, Malayalam, English and other languages. .Dr.Samaram is the champion of sex education. He believes in imparting the knowledge about sex at the right age for a healthier and happier life. One of his best seller book is “Sex Science”. It is received well from all the sections of the society.
Dr.Samaram is a practising doctor on one hand and a social activist fighting against superstitions and social evils on another.
He was instrumental in conducting hundreds of medical camps and extended medical aid to the needy and poor people. He had also conducted hundreds of free polio corrective surgeries in his hospital and had given new life to the physically challenged children. Other health initiatives of Dr.Samaram include eye camps, blood donation camps, family planning operations etc.
For the promotion of scientific knowledge and scientific temper Dr.Samaram, has established a Medical & Science Exhibition wing' in his hospital.
Dr G Samaram is the Executive Director of Swetcha Gora Eye Bank, through which eyesight was gifted to more than 600 corneal blind people.
Dr. Samaram holds different key positions in different service organizations like Red Cross and Rotary International.. He is the Chairman of Gora Blood Donation & Medical Services, Managing Committee Chairman of Rotary Red Cross Blood Bank in Vijayawada, and a very active Rotarian since last 30years serving in various capacities in Rotary District.
Dr. Samaram had received Gold Medals consecutively four times from the hands of the then Governors of Andhra Pradesh, for motivating maximum number of voluntary blood donors.
Dr. Samaram was honoured with the prestigious award of "Commitment to Service" for his outstanding efforts and commitment to community by the Rotary International president and the IMA, AP State Branch bestowed on him the awards like, “Best Medical Science Writer” and “Best Popular Medical Science Books”.
Dr. Samaram was also honoured with a number of awards and recognitions like the Life Time Achievement awards by Government, Non-Government and other social and Cultural organisations.
Dr Samaram after graduating from Rangaraya Medical College, Kakinada in 1970, established his own Nursing Home in Vijayawada and started practicing ever since.
Dr.Samaram is the member of IMA Vijayawada Branch since 1969. He has served IMA Vijayawada Branch in various capacities. During his President ship, IMA Vijayawada Branch was adjudged as the Best Branch in the state and has also received a number of awards.
Dr Samaram served IMA AP State also in various capacities. He was the President of IMA AP State in the year 1989-90. IMA Head Quarters in appreciation of his contribution conferred on him the “Best State President” Award.
Dr.Samaram has been holding different key responsibilities in IMA, since the last 15years he was the Central Working Committee Member of IMA. He was the Organising Secretary for the 74th All India Medical Conference held at Vijayawada. He served as the Standing Committee Chairman for IMA at National level for the committees of Medical Equipment, Blood Donation & Blood Banks. He was also the Chairman for the Professional Protection and Welfare Scheme of IMA AP State and the Editor for the IMA Magazine "Mana Arogyam" of IMA AP State.
He was elected as the National Vice President for the year 1996-97 and has received the All Round Service Award from the National President.
Dr.Samaram as the master trainer in HIV/AIDS, has conducted several workshops in various IMA Branches. He has chaired a number of scientific sessions of IMA and also delivered scientific orations.
Dr Samaram is indeed honoured by being elected unanimously as the National President of Indian Medical Association.
He toured extensively Japan, Australia, America, Germany, Hong Kong, Thailand, Philippines, Singapore, Srilanka, South Africa, U.K. Italy, Switzerland, France, Belgium, Vaticon and West Indies.
His wife Mrs. Rashmi is actively involved in social service activities with keen interest in women empowerment programs. Dr.Samaram is a proud father of two daughters, Jagathi and Rajatha. Jagathi, a General Surgeon is married to Dr. Hariharan, Consultant Anesthesiologist in the University of West Indies. Rajatha, a post graduate in English Literature is married to Mr. Nageswara Rao, a senior project manager in IT industry. Dr.Samaram and Rashmi are proud grand parents of four grand children Sanketh, Dwithi, Nishwal and Sankalp.

YOU TUBE CHANNELS FOR DOCTORS.

Some of the useful youtube channels for doctors.

British Journal of Sports medicine Channel ( BJSMVideo ) – ( Link )
British Medical Association Channel (BMAtv) – ( Link )
Dr Fabian’s Human Anatomy Lectures (Lochness128) – ( Link )
Department of Health UK channel (departmentofhealth) – ( Link )
European Society of Cardiology (escardiodotorg) – ( Link )
Mayo Clinic Channel (mayoclinic) – ( Link )
Medscape Journal Channel (medscapejournal) – ( Link )
Multimedia in Medical Education channel (medicaleducation) – ( Link )
Natural Health Videos channel (iHealthTube) – ( Link )
Nucleus Medical Media Channel (nucleusanimation) – ( Link )
ORLive Channel (orlivedotcom) – ( Link )
PreOpCom Channel (preopcom) – ( Link )
Procedures Consult Channel (ProceduresConsult) – ( Link )
UCSF/SFGH Orthopaedic Trauma Institute Channel (orthosurgery) – ( Link )
UNC school of medicine Channel (uncmedicine) – ( Link )
Wellcome Film – Digitising Medical History (WellcomeFilm) – ( Link )
Youtube Medical School Channel (surgicalgown) – ( Link )

Medi tit-bits .

1.A new urine test technique: simultaneously screens for hundred of proteins, several of which have been linked to obstructive sleep apnea (OSA) or habitual snoring. These findings open up the possibility of developing a relatively simple urine test that could detect OSA in snoring children. "This would alleviate the need for costly and inconvenient sleep studies in children who snore, only about 20 to 30 percent of whom actually have OSA."

2. pay attention to A1C .Make Sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

3.Bell's Palsy which is a form of paralysis caused by a malfunction of a facial nerve can be helped by the injection of botox combined with facial exercises.

4.A new wound dressing can be loaded with antibiotics to eradicate infection-causing bacteria, helping to speed up the healing process, and then dissolve when the wound has healed. new and more effective platform for treating burns and bedsores

Appeal to all local branches ...

KIND ATTENTION : BRANCHES NEAR MEDICAL COLLEGES ----
Local branches who have medical colleges within their jurisdiction can conduct career orientation Programme and appraisal about our association -IMA, to medicos, P.G. Students. WE have to enlighten them about our IMA and its benefits.
Topics such as Post Graduate Opportunity in India & Abroad, Choosing your specialty, Communication Skills, Business prospects in Medical Industry, Professional attitude can be organised for them.
Please distribute pamphlets about IMA and their schemes and also about the new Membership Application form.
every branch secretary should motivate them to join IMA when they reach the A.P. Medical Council for registration.
Local branches may take effort and get the parents address of the junior doctors , so that the State Office can communicate to them directly to motivate the parents to finance their kids joining IMA when theycome for registration to A.P. MEDICAL COUNCIL.

REQUEST TO LOCAL BRANCH SECRETARY :

Please furnish the details of nursing homes in your purview, having more than 3 bed strength INCLUDING their postal address, mobile number and e mail Id immidiately to the IMA state office.

202nd CENTRAL WORKING COMMITTEE MEETING - NAGPUR

SALIENT RESOLUTIONS :
1. HFC is increased with effect from April 1st 2010 Single Rs. 4,695, Couple Rs.7,035
2. Protocol for Branch letter pad, Local Branch meeting, State Branch meeting was
passed.
3. New format for Membership Application forms, membership certificate and ID card was approved
4.Patients Grievance Redressal mechanism was discussed. IMA Nagpur model was
enlightened and requested to be given a trial at various levels.- all local branches are advised to constitute patient grievence committee" -to act as a liasion between greived patients and the doctor.
5. IMA RNTCP-GFATM-RCC-PPM – for 2009-2015 was passed.

MEDI NEWS.

1.Make Sure that all children receive alfacalcidol who are unresponsive to calcium/vitamin D therapy. Alfacalcidol, has been found to be effective in refractory cases of rickets in numerous studies.

2. Stress and Depression Could Worsen Childhood Asthma .

3.Vitamin C is necessary for collagen formation, proper immune function and as a tissue antioxidant.

4. Happy news- - - According to an announcement on World AIDS Day, the National AIDS Control Organization (NACO) says the number of new infections in the country is down by one lakh every year. The number of people living with AIDS in 2002 was 27 lakh, but that was reduced to 23 lakh in 2007, showing a decline by 400,000 in the past five years. This was due to extensive AIDS campaign and use of condoms.

5.Hepatitis C curable, soon a trial drug called SPC3649 has been introduced by the Danish researchers to treat hepatitis C.

medical & other utility gadgets ....

dear friends,

after toiling day in day out with your daily routine, here are some futuristic gadgets one should procure and enjoy and some gadgets - glucometer,prosthetic leg- you may advise for your patients.










glucose wristband monitor : With the widespread of diabetics among almost all range of people around, medical equipment manufacturers are introducing various products everyday. The Gluco(M) Wristband is a concept medical device that offers three major functions to diabetics: non-invasive and instant glucose reading, storing previous readings history with averages, and an extremely useful insulin chamber with loaded syringe cartridge.
This innovative product is featured with ‘Reverse Iontophoresis’ technology and collects glucose samples from body fluids by using an electric current flowing throughout the sensors. The readings are shown on the back-lit LED display and different required buttons for operating this device are placed at the edge of this device.
prosthetic leg :The C-Leg is an innovative, completely microprocessor-controlled leg prosthesis system that helps people who have undergone transfemoral amputation to achieve a new degree of safety and dynamics. The new C-Leg has been upgraded and expanded with many innovative features. It combines both years of experience and the intelligent use of modern technologies with a clear design of elegant appearance. The C-Leg features a wireless remote control that lets users easily switch between different settings, e.g. for walking, bicycling or inline-skating, as well as make individual fine adjustments to the hydraulic system. No matter at what speed and on what ground the user is walking, the C-Leg reacts in real time to the gait circumstances, ensuring not only natural movements but also offering a high amount of mobility and independence with every step. With its aesthetic and clear language of form, the C-Leg contributes to the well being of its wearers ? thus allowing them to bear their disability with greater self-confidence.

the roll top flexible notebook computer :

The RollTop is a flexible notebook concept that can be folded like a roll of paper allowing the user ultimate convenience of carrying and storing it even in a congested place. It features a 17” flat-screen OLED display when fully rolled out with the multi-touch facility that will offer the ease and functionality of that of an iPhone. Also, when required, it can be folded into a 13” smart tablet pc. Aside from the touch-screen controlling, it features full fledged keyboard like conventional notebooks with which convenient typing can be performed. When folded, this compact notebook takes the size of a water carrier and can easily be hanged over the shoulder with a hanging belt.



The Moving Kitchen concept has been designed to move anywhere, even in a tiny sized kitchen, and allows easy cooking as well as eating outside the house. There are many hidden functions of the product that will surely amaze the users, and the same time will prove very much functional. Under the tabletop dish, an induction has been placed that is meant to be used for cooking. There are folded tables on both side of the moving kitchen on which users can put dishes and other ingredients of cooking. There are trays to move food from one place to another and contains storage space for cooking materials along with wheels on the bottom for easier movement.


The Thermodynamic Cooler concept has been designed to optimize the high-tech kitchens of the emerging countries. The system incorporates evaporating water cooling effect for preserving foods and requires no electricity which reduces the consumption of domestic energy without compromising comfort. Its stackable design allows it to be used as a substitute of a second fridge, pantry or a sophisticated fruit bowl. The cooler has two pots, one inside another. The space in between is filled with glass-foam, a waste element of the glass recycling procedure, which has made the entire cooler lighter. The inner pot is enclosed with a damp cloth stretched over the lid and the water of the wet glass-foam start evaporating, resulting a radical drop of temperature. This cooler can destroy injurious micro-organisms and preserves the freshness of the inside food. To keep the cooling method active, you need to add water time to time though.

what is telengana ?

It literally means "land of telugus. Telangana region was mentioned in the Mahabharata as the Telinga Kingdom, which said to be inhabited by the tribe known as Telavana and said to have fought on the Pandava side.

Of the three regions of the state, Telangana has the largest area, with 1,14,800 km2.

A plateau of land in Andhra Pradesh state, Comprising the northeastern part of the Deccan plateau, has an area of about 148,000 square km, a north-south length of about 770 km, and an east-west width of about 515 km. Mentioned in one of the Mauryan emperor Ashoka’s edicts, the region was successively ruled by the Satavahanas, Pallavas, Eastern Chalukyas, and Kakatiyas and the Vijayanagar kings until it became part of the Qutub Shāhī kingdom of Golconda. It later came under the rule of the Nizam Shāhī dynasty of Hyderabad. Geologically, the plateau is chiefly composed of ancient Precambrian gneiss. The plateau is drained by the Godavari River taking a southeasterly course; by the Krishna River, which divides the peneplain into two regions; and by the Penneru River flowing in a northerly direction. The plateau’s forests are moist deciduous, dry deciduous, and tropical thorn.

Most of the population of the region is engaged in agriculture; cereal grains, oilseeds, cotton, and pulses (legumes) are the major crops. There are multipurpose irrigation and hydroelectric power projects, Industries produce cotton textiles, sugar, foodstuffs, tobacco, paper, machine tools, and pharmaceuticals. Cottage industries are forest-based (timber, firewood, charcoal, bamboo products) and mineral-based (asbestos, coal, chromite, iron ore, mica, and kyanite). There is a dense network of roads, as well as railways and waterways; The language of the plateau is Telugu of the Dravidian language family. The plateau’s important cities and towns are Warangal, karimnagar and Nizamabad.

The Telangana Telugus suffered a lot in muslim rule, where Urdu was taught forcefully at schools( though they are very few schools as such), Islam was the state religion and Muslims were considered as masters over the other religions, religious freedom was almost nil, worst form of feudalism being prominent in Nizam state and literally no efforts in social and cultural reformation as in Rest of India. Under these antipathetic and violent conditions ,the people were defensive and were Ignorant when compared to the outside world, but now, they are well educated and there are great educationists,poets, political visionaries who served the country very well .

In December 1953, Prime Minister Jawaharlal Nehru appointed the States Reorganization Commission to prepare for the creation of states on linguistic lines- known as the Fazal Ali Commission. unified Andhra Pradesh was established on November 1, 1956. However, a "Gentlemen's agreement" provided reassurances to the Telangana people as well to Andhra people in terms of power sharing as well as administrative domicile rules and distribution of expenses of various regions.

famous traditional telengana food :ethnic food such as jonna rottelu (jowar pulkas), jonna ghatka, bomme chapalu (traditional bomme fish curry), and the desi kodi (country chicken curry).
parkalu (small fish curry), royyala vepudu (prawns fry), ghatka ambali, jellala pulusu (small fish gravy), gudalu (the boiled grams) and pachi pulusu (tamarind mix gravy) .

get your hospitals registered with district registering authorities...

dear doctors,

its mandatory to get register your respective clinic / hospital / laboratory with your respective district registering authority ( DRA ) under the A.P. PRIVATE MEDICAL ESTABLISHMENT REG.&REGULATION ACT-2002.

WITHOUT REGISTRATION OF OUR HOSPITAL, WE SHOULD NOT DELIVER THE TREATMENT. ITS AN OFFENCE.

MANY DOCTORS ARE HAVING DOUBTS REGARDING STRINGENT RULES WE HAVE TO COMPLY ACCORDING TO THIS ACT. BUT, OUR STATE IMA HAD GOT THE ASSURANCE FROM PRINCIPAL HEALTH SECRETARY FOR RELAXATION OF those RULES FOR BELOW 20 BED HOSPITALS,CLINICS ( SMALL HOSPITAL CATEGORY ).

THESE SMALL HOSPITAL OWNERS SHOULD FOLLOW THE BELOW GUIDEL INES-

1. GET THE APPLICATION FROM YOUR DISTRICT DMHO OFFICE AND FILL IT AND APPLY along with your degree, reg.certificate, hospital photo, names of the nursing staff, TO THE DMHO OFFICE.

2.make one flex banner of the size of 5feet * 6 feet displaying your hospital service charges-fees,room rent, cost of proceedures ,etc.. and hang it in your reception area.

thats all. so make it fast.

if you doesn't register your hospital, consumer courts pointing it as an deficency on your part.

law to prevent government doctors from receiving gifts and cash from pharmaceutical companies.

The Centre is considering a bill to prohibit doctors from accepting gifts from pharmaceutical companies in return for “unnecessary favours”, Union health minister Ghulam Nabi Azad said today.

It is not clear how the government plans to verify if doctors or their relatives are receiving gifts or not and if companies are footing their travel bills — a favour some medical practitioners accept.

MEDI NEWS ( COURTESY:DR.K.K.AGGARWAL )

1.Smoking while pregnant can damage thyroid function of both the mother and the foetus.

2.All patients of heart failure should be evaluated for Anemia.

3. pylori regimen is now four drug regimen. The new 4 drugs treatment LOAD comprised of Levofloxacin, omiprazole, nitazoxanide and doxicycline.

4.Snoring at night or sleepy during the day may be a symptom of obstructive sleep apnea.

5.Nitrates rich diet is good for the heart: Do not heat leafy vegetables twice. Nitrates in foods such as spinach, beet root and lettuce spur production in the body of nitric oxide, a molecule that relaxes blood vessels

6.Calorie restriction boosts memory and cognition .

MEDI-NEWS ...

1.Cox 2 inhibitors induce greater hypertension than NSAIDS.
2. 10 gm of alcohol per day increases overall risk of cancer by 6%.

3. Drinking 10 gm of alcohol per day increases the risk of cancers of oropharynx, esophagus, larynx, rectum, liver and breasts.

4.Rabeprazole and pantoprazole may increase the risk of death for patients undergoing PTCA a study has found

HAPPY ENDING . . . CONGRATS TO APJUDA.... THANKS TO GOVT...

At last every body is happy regarding the demands fulfillment of junior doctors.

JUNIOR DOCTORS ARE MORE ACTIVE AND WE SHOULD APPRECIATE THEM FOR SECURING THE REASONABLE STIPEND FOR THEIR HARD WORK.

I REQUEST ALL JUNIOR DOCTORS TO GET ENROLLED IN OUR MOTHER ASSOCIATION- IMA .

IMA IS ALSO THINKING & ACTING TO BE MORE PROACTIVE AND TO BECOME AS THE MOST ACTIVE BODY WHICH CAN MOULD THE OPINIONS OF POLICY MAKERS.
IN THIS PROCESS, EVERY MEMBER OF IMA SHOULD CONTRIBUTE AND SHARE THEIR THOUGHTS FOR THE BETTERMENT OF IMA.

TOP 10 MEDICAL INVENTIONS TO BE COMING IN 2010

The Top 10 Medical Innovations for 2010
10. Whole Slide Imaging for Management of Digital Data In Pathology: A technology for creating digital pathology slides with excellent image quality that can be viewed, stored, streamed over the Internet, and analyzed on a computer.
9. Devices for Occluding Left Atrial Appendage to Reduce Stroke Risk: Device alternatives to long term warfarin use that can prevent clots from developing in patients with atrial fibrillation.
8. Oral Thrombopoeitin (TPO) Receptor Agonist That Stimulates Platelet Production: A recently approved drug that stimulates production of cells in bone marrow that form platelet cells in the blood.
7. Outpatient Diagnosis of Sleep Related Breathing Disorders: Self contained, reliable, at home sleep monitoring devices for screening, diagnosing, and treatment assessment of sleep related breathing disorders.
6. Forced Exercise To Improve Motor Function in Patients With Parkinson's: Pedaling at 90 RPMs on a tandem bike to dramatically improve motor functioning of patients with Parkinson's disease.
5. Fertility Preservation Through Oocyte Cryopreservation: A rapidly improving technology that allows eggs of a healthy woman to be safely frozen and stored, ready to be thawed and fertilized at a later date.
4. Non Vitamin K Antagonist Oral Anticoagulants: Predictable and well tolerated alternatives to the oral anticoagulant warfarin that provide a more convenient and safe way for patients to dose themselves and prevent blood clot formation.
3. Continuous Flow Ventricular Assist Devices: Tiny 3 ounce devices surgically attached alongside the heart that quietly and effectively take over the pumping ability of the heart.
2. Low Volume, Low Pressure Tracheal Tube Cuff To Reduce Ventilator Associated Pneumonia: A device that dramatically reduces the risk of ventilator associated pneumonia and death in the hospital ICU by providing continuous effective airway seals.
1. Bone Conduction of Sound For Single Sided Deafness: A new non surgical, removable hearing and communication device designed to imperceptibly transmit sound via the teeth to help people with single sided deafness.
COURTESY :Dr K K Aggarwal

let our IMA act as coordinator between the govt. and junior doctors.

APJUDAS -THE JUNIOR DOCTORS OF A.P. STATE ARE FIGHTING FOR BETTER EMOLUMENTS AND BETTER WORKING CONDITIONS.

They sought payscales for them in line with the Sudharamani Committee report.the junior doctors maintained that the enhancement of stipend should be on par with the UGC scales or as per the recommendations of an expert committee on residential system in 2006,

house surgeons,post graduate students are deprived of minimum facilities in our state.

As a parental organization our IMA has three important agenda to accomplish :

1. welfare of the common man- the patient has to get proper & timely treatment.

2.welfare of the junior doctors.- the govt.should consider the important demands and implement those issues on warfooting.“It is not just the issue of stipend. Doctors went on strike demanding better facilities and availability of drugs in government hospitals,”

Sufferings of junior doctors .

*Post-graduate students do not get a weekly off, they work seven days a week.

*Post-graduate students get only 12 leaves in a year.

*Stipend gets deducted if any post-graduate student goes on unsanctioned leave.

*Post-graduate students are made to work 36 hours at a stretch.

*PG students have to constantly switch between ICU, Emergency and General Wards on a daily basis.

3.the credit should goes to govt.:----the prestige and accountability and concern& care of the govt.should be elevated and it should appease both the doctors and the common man.

MEDI NEWS

Following is the list of some drugs which need to be given slowly over a given time as infusion: theophyllin,Calcium gluconate (1 cc/mt); Isoprenaline; Oxytocin; KCI{10mEq/hr); Dopamine and Dobutamine.

world diabetes day --- let us enrich with some more knowledge and let us stop this diabetic juggernaut...

14th November -THE WORLD DIABETES DAY.
in fighting against this diabetis epidemic, We have compiled some basic rough easy to learn formulae to memorise easily.
Formula of 80

Keep fasting blood sugar <80>Keep the lower BP <80>Keep LDL cholesterol <80>Keep abdominal girth <80

Keep resting pulse <80/minute

Keep HDL cholesterol >40 (half of eighty)

Keep TriGlycerides <160>

If fasting sugar is between 80 and 160 (80x2), try lifestyle change and/or metformin.

If blood sugar is between 160 (80x2) and 240 (80x3), you may need two drugs

If blood sugar is between 240 (80x 3) and 320 (80x 4), you may need three drugs or two drugs with insulin.

If blood sugar is >320 mg% (80x4 ), you may need insulin with or without oral drugs.

Formula of 3

For insulin start 0.3 units/kg body weight.

For moderate cases you can start 0.6 units/kg body weight (0.3 x 2).

For obesity one can start with 0.9 units/kg body weight (0.3 x 3).

Increase by three units every third day.

Do A1C every three months.

Start insulin if three drugs fail.

1500 formula
Dividing 1500 with the total daily insulin dose will provide the change in blood sugar levels with one unit of insulin.

500 formula
Dividing 500 with total daily dose of insulin will give the grams of carbohydrates required to neutralize one unit of insulin.
(courtesy :Dr K K Aggarwal )

STATE SWINE-FLU WORKSHOP.

TODAY- 8-11-09,SUNDAY, THE IMA-A.P. STATE IS ORGANISING STATE LEVEL TRAINING WORKSHOP ON " SWINE-FLU" FOR ALL DISTRICT TRAINERS AT HYDERABAD IMA BUILDING.

in turn, these trainers has to train 50 doctors in each district. so, i request all local IMA branch secretaries to utilise this oppurtunity by sending minimum 3 doctors from their branches to the upcoming district level swine-flu sensitization program.

even though this swine flu pandemic seems to be waning, second wave of swine flu may strike at any time. to fight any disease, knowledge is prime most important. i wish all our doctors may allot sufficient time to get acquinted with management of the swine flu pandemic.

MEDI NEWS ...

• HOW TO GET Accurate blood pressure readings :
  Measuring diastolic blood pressure is difficult in patients in whom the fifth Korotkoff sound is indistinct because of poor arterial turbulent blood flow. Try this. Have the patient lift up his or her arm and clench the fist about 10 times. This drains the blood from the forearm. Keeping the arm raised, inflate the occlusion cuff until the pressure rises above the systolic point. Now have the patient lower the arm, and take the pressure as one would normally do. This makes the fifth Korotkoff sound much more distinct. (Dr Rajiv Garg UP)
  
• Simple Test Identifies Patients at High Risk of Sudden Cardiac Death :

The Vicor point correlation dimension algorithm (PD2i) Cardiac Analyzer (CA) test is an inexpensive, noninvasive procedure that requires no active patient participation.The test is based on research that established that sudden cardiac death is caused by abnormal neurological communication between the brain and heart. By analyzing fifteen minutes of electrocardiogram (ECG) data, the PD2i CA can detect if the communication between the multiple neurologic centers that normally work in semi-coordination to control the heart rhythm are being “overly-coordinated.

• A new study claims that a simple intravenous (IV) administration of dextrose following surgery significantly reduces the occurrence of postoperative nausea and vomiting
• Formula to know :
  If you wheeze more than twice a month in night or more than twice a week in day time or consume more than 2 canisters of inhalers a year you have persistent asthma and need continuous inhalers.
• CNS conditions include Schizophrenia, Depression, Alzheimer’s, Parkinson’s disease, Autistic Spectrum Disorder, Multiple Sclerosis, and Bipolar Disorder can be diagnosed by a new technique called electrovestibulography (EVestG), which measures and compares different patterns of electrovestibular activity against distinct response patterns.
• A leading surgical lighting company evolved its medical examination lamp to use LEDs (Light Emitting Diodes).Called the STARLED1 EVO, the examination lamp is manufactured incorporating LED technology to produce a cold clean light, free of ultraviolet (UV) or infrared rays (IR).
• that low adiponectin levels might predispose individuals to develop sepsis and sepsis-related problems, due to recent research that suggested the hormone might be a common link between inflammation, diabetes, and metabolic syndrome.

RESEARCH HAS SHOWN THAT a calorie-restriction diet ( 20 to 30 percent fewer calories than usual) is the best option for anti aging: