Di medicina si guarisce ma anche si perisce o quasi. Lotronex, Apofin, Flexiban, Mylicin, Maalox Plus, Novantrone, Malarone, Zecovir, Zelitrex, Ponderal, Adipex, Periactin, Cardioaspirin. Non t'aregghe più, canterebbe Rino Gaetano. Perduti nell'oceano delle medicine, qualche volta ci manca il fiato. E ci viene pure alle labbra la fastidiosa domanda: ma tutte 'ste medicine non mi faranno male?Dom
Ima newsletterDOCTORS DAY
be before this Newsletter reaches you.
Dr. Augustine Thomas Mampilly
Dr. V. Benny Thomas
The Doctors’ Day was celebrated on Saturday, 1st July, 2006 at the IMA Hall. The meeting was called to order at 8.00 p.m. with Dr. V. Benny Thomas, President of IMA MONTHLY MEETING
Cochin in chair. After prayer and flag salutation, the : 26.7.2006 (Wed.)
President welcomed the gathering. The chief guest Dr.
Beena Vijayan IAS, Regional Director, Institute of : 8.00 p.m.
Management, Govt. Regional Centre, Kakkanad Venue : Hotel Renaissance
inaugurated the function. Dr. Augustine Thomas Mampilly, Palarivattom
Secretary, IMA Cochin introduced Dr. George Mampilly who was honoured in the meeting. He was adorned with S C I E N T I F IC S E S S I O N
ponnada by the President. Dr. John K. Vettath gave the Doctors Day message. The function concluded with vote RECENT ADVANCES IN
of thanks by Dr. Derena Mendez and National anthem.
MANAGEMENT OF ACUTE
S A N D E S H A Y A T H R A
Dr. Rony Mathew Kadvail MD, DM
Dr. M.K. Moosa Kunhi MS, MCh
Dr. Jacob Joseph MD, DM
Dr. Jabir A. MD, DM
Lisie Heart Institute
Lisie Hospital, Kochi
Meeting sponsored by
Dr.Junaid Rehman M.I.
Address for correspondence: IMA House, Warriam Road, Cochin-16 Ph: 2354886 Email: firstname.lastname@example.org Website: www.imacochin.org Printed & published by IMA Cochin for circulation among IMA members only. Printed by Pixel Studio, Cochin-28 ! 2806301 REPORT ON SCIENTIFIC SESSION - JUNE 2006
RECENT ADVANCES IN THE MANAGEMENT OF ASTHMA
WOMENS WING ACTIVITIES JUNE 2006
Dr. Gracy Thomas was invited to attend a meeting on “Growing up” programme organized by The talks by Dr. T.U. Sukumaran, Prof.
FOGSI and Johnson & Johnson company at Mumbai. She was the only representative from Kerala; She conducted Premarital counseling at Renewal Centre Kaloor, Article on ‘Sex Education Programmes in School’ published in Arogyam magazine of Indian Express Malayalam , an article on “Sex Education Dr. Chandrika 94477-45105
Monteluicast, Anti – IgEAntibody Omalizumab, in Schools” published in ‘Malayalam Weekly of Indian Express” Talk on Adolescent Health at Vidyodaya, Dr. Gracy Thomas 98471-93596
Long Acting B2 – Agonists – Combination of Thevakkal ! Pre marital councelling at Kaloor Renewal Centre by Dr. Shirly John ! Dr. Rani vinod gave a or Ms. Meera Bhatt
and an academic feast to IMA Cochin.
talk on HIV in All India Radio ! 15-06-2006 Dr. Lisamma gave a talk on blood donation at Cochin Toast Mestus Club ! 21-06-2006 Ms. Remani Johnson organized a get together of Savika Sangam at Vazhakkala & a talk revolutionary newer drugs in Asthma in detail on “First Aid & Emergency management was given by Dr. Chandrika ! 17-06-2006 Geneal Body meeting - “Chocolate revealing how innovative pharmacological and Making” demonstration by Nestle. ! 22-06-2006 Dr. Chandrika was instrumental to mobilize the Inner Wheel Club Cochin to donate Rs:3000/- for buying furniture for the paediatric & maternity ward at Government Hospital, Tripunithura ! A paediatric weighing machine was donated to Asthma”. Simple guidelines in the clinical delineation of Immunological pathways in the Government Hospital, Tripunithura by Dr. Chandrika ! 24-06-2006 Talk on menstrual problems, cancer breast & cancer cervix was done by Dr.
pathogenesis of asthma have yielded diveroe Neena Thomas, Dr. Derena Mendez & Dr. Valsalakumari for the women of Unichira Church. 60 members attended.
clarification of intermittent and persistant therapeutic targets, providing new agents in the July 29th, 2.30 p.m. IMA Hall - Corn Oil Preparations
revolutionary treatment of asthma. Dr. Ramesh Women’s Wing meetings -
severity into four steps were illustrated August 26th, 2.30 p.m. IMA Hall - Handicrafts by Dr. Sobha K. Pillai
Dr. V. Benny Thomas, President, IMA Cochin inaugurating Nair‘s talk was equally fascinating as all were Seminar on Recent Advances in Management of Asthma.
spell hound by the presentation, eager to have Lt. to Rt. : Dr. T.U. Sukumaran, Dr. Augustine Thomas the wonder newer drugs in Asthma which are DOCTORS’ DAY MESSAGE BY DR JOHN VETT
Y MESSAGE BY DR JOHN VETT T
Mampilly, Dr. K.M. Ramesh Nair, Dr.M. Venugopal and more effective and with minimum side effects Subsequent to a week of heavy work, I wonder whether a somewhat lighter pro- road are full of curves and climbs. The bus broke down in that logue to your weekend pleasures would be more suitable rather than a philosophical area. We were all asked to get down, and when the next bus of ashma in children was stressed. Dr.
exposition or a romantic exhortation. So relax with me for a while as I talk about life’s came, it was stopped and all of us were pushed into it. Need- Sukumaran drove home the message that cortico steroids (inhaled) is The newer drugs discussed were : Ciclesonide – onsite activated banalities, and meander through sweet nothings.
less to say that the bus was by then jampacked with hardly aplace to stand. I was standing next to the driver. I watched his the drug of choice in persistent asthma of childhood. Early intervention steroid, Anti – IgE Antibody , Soluble cylokine receptors, Interleukin - 5 I am indeed greatly privileged to be giving a message on this auspicious day, TheDoctor’s day. The very fact that the govt. has set apart one day to honour us is drive, negotiating the curves and the bends safely, with such with inhaled steroids after the diagnosis or initial onset of symptoms Antagonists, Phosphodecisterase 4 inhibitators, Leukotriene Inhibitors, mollifying, to say the least, for all the other 364 days in the year set apart for doctor meticulous ease, and I said to myself this man is an expert. When of Asthma results in better response to treatment as this can prevent Montelukast, Prolukast, Zafir Lukast, Methyl Xanthines, bashing, for crimes imagined and imaginary, set apart to elevate the misdeeds of we reached Kottayam, after getting out of the bus, I went up to him and told uncontrolled inflammation and airways remodeling.
Combination of long acting & agonists and leukotriene inhibitors.
a few of us to the level of a national crime wave.
him I appreciated his driving and how good he was. A look of surprise and abroad smile dawned on his face. He said to me…. SIR…. nobody has told me The concern with the use of long term steroid inhalation on growth Drugs in the horizar for treatment of Asthma – Rasons – Respirable I am also extremely glad that I can be here when Dr. George Mampilly is being like this before since the last 25 years I have been driving. He then insisted of children could be overcome by the optimal and proper use of spacer on having tea with him. And all the time he was smiling.
and mouth rinsing after inhalation which will lower the risk of systemic During the discussion time it was concluded that the successful in friends, it means that we have been friends When I was doing my residency in surgery, I used to listen to the VOA the mangement of Asthma, education of patient, parents and relatives for a long long time, and not that we are breakfast show every morning over the radio. There was no TV then. The both old. For certainly neither of us has anchor of that show was a lady by name Pat Gate. I fell in love with her voice.
The discussion on the use of newer classes of drugs in childhood about the nature of the disease, all aspects of the drugs used and the She would end her show every day with the remark “if you see someone asthma drew the attention of all. Mention was made about the latest steps required to avoid acute exacerbations and triggers of asthma is without a smile, give him one of yours”. What a beautiful thought. She likes to preventor ciclesonide – onsite activated steroid for children above the put a smile on other people faces. Years later I saw a picture of her in Maga-zine, and I fell out of love with her. But I still love her beautiful thought. If you age of 8 to 10 years. The other drugs discussed were : single – Isomer Dr. Pratap Kini, President, IAP Cochin
see someone without a smile give him one of yours.
Ours is the science of healing, the greatest of all sciences. Can we add a JUNE 2006 :
In the last Executive Committee, co-operation floccinoccinihiliphilipication. I am told that touch of art to the science. A touch that soothes, consoles, and comforts. Can between Medicine Bank, Rotary Club and Lions Club the meaning of that word is ‘IF’. But for we put a smile on our patients faces. We are healers. I looked up the meaning of the word heal, and it says to heal is to make whole, to make healthy, to get rid of was discussed. A sub-committee meeing of IMA the lighthearted the longest word may be Supercalifragilisticlipadocious, from thepopular musical ‘Mary Poppins’. But for me the longest word in the English is disease, to make free from grief and troubles. Good health and wholeness is the Charitable Medicine Bank was held for a thorough well being of all the elements consisting the human person. The science of heal- study of the proposal with Lions Club and Dr.
‘SMILES’. S M I L E S. A mile between two S’s SMILES. A smile is not a gift of the mind, it is a gift of the heart. It has a magical quality that defrosts, disarms, delights ing has therefore complex dimensions. The healing methods we offer cater only and fascinates. A smile, it starts slowly in the corners of the mouth, spreads gradu- to the partial, physical part of the illness, quite often leaning unattended, many The Lions Club has promised to consider providing ally to illuminate the whole face, stays there long enough to be recognized, and unmet needs to bring wholeness into their lives. Hence the new term that is being a full-time staff for Medicine Bank and Dr. Ajaykumar then fades away with a secret slowness to leave behind a cherished memory. heard about more and more ‘wholistic medicine’. Cure for the person as a whole.
Dr. P.M. Subhash
We doctors are in a good position to find out what ails our patient in total, other has agreed to consider transportation for medicine Mother Teresa said “let us all greet each other with a smile, because a smile is thebeginning of love”. Three things are real in this world. God, human folly and a than just their physical ailments. In our one to one relationship with our patients collected from various hospitals and doctors.
smile. The first two are beyond our comprehension, so let do the best about the we are well placed to be able to listen to all their problems and ailments, which by D BANK NEWS donation camps were
There was this neurotic man, who visited doctors one after another, not being for comfort. It is beyond our time, abil- Dr. Sujith Vasudevan, Dr. Varghese Cherian, satisfied with the treatment he got. He went to a retired practitioner and com- Dr. K. Narayanan Kutty
plained that the younger doctors these days are not good. The aged practitioner WELCOME NEW MEMBERS
IMA MEDICINE BANK
then told him “I will tell you a cure for your troubles, smile and laugh three times a Dr. N. Gopalakrishnan, Convenor
PPS & SSS NEWS Join PPS, SSS I, II & National For enrollment call Ph: 2803033, 5510709, Clinic 2204158
day one hour before food, and you will be cured”. We can fence against the infirmi- ties and evils of this world by laughter. For I believe that every rime a man smiles and more so when he laughs, it adds something the fragment of his life.
There are famous smiles about which much has been bantered about. In the O B I T U A R Y
Dr. Abraham K. Paul and Dr. S.
Louvre, the art museum in Paris, down a corridor and on the left wall hangs a Sachidananda Kamath were
portrait, the picture of a neopolitan women painted by Leonardo da Vinci. The that little extra time to provide solace, Man to Doctor.
Mona Lisa. Does she smile or does she not smile, much has been talked about her and Secretary of IAP Childhood Disability ‘Is there any way to long life’
enigmatic smile. If you stand in front of that portrait and keep looking at it for a ments. I am sure that the extra time spent will be full in content and rich in satis- while, you can catch that smile, so ethereal, so evanescent, so tantalizing, that it faction. We can put a smile on their faces.
Doctor : ‘Get married’
can reach into the innermost part of your brain where memories are stored and I am still frequently asked why I retired. My answer is, to have a good time.
Dr. I.S. Menon
held at Delhi. Dr. M. Venugopal was
Man : ‘Will it help?’
All of you should retire, retire at al time of your choice, so that having fulfilled Then there are smiles which are treasured. Not the smiles from holywood, your obligations to society, you can sit back and enjoy the fruits of your labour.
Doctor : ‘No, but the thought to long life
bolywood or kolywood, but real treasures. In a hospital where I worked, a long I must confess that the last 10 years has been one the best parts of my life, Dr. Maria Varghese
time ago, I used to notice an elderly gentleman who would come into the ward even though some days when I wake up in the morning, I remember there is will never come to your mind again.’
every Sunday, and taking out his electric shaver, would shave patients. Once I nothing for me to do this day, no places to go, no patients to see, no rushing to asked him “Sir, who are you, and why do you do this” With a smile he tells me, “I the operation theatre for surgery. One day you were a young surgical trainee, am a retired engineer. I do this because, after I have shaved a patient, I hold out and before you know it, your life has gone in a flash, and you are sailing towards a mirror in front of his face. And he looking at his clean-shaven face, breaks into a the sunset of your life. It is then that Naomi walks in with a steaming cup of hot broad happy smile. I love to see that smile” He loved to see people smile and tea. And she tells me ‘the vegetables are over do get some, the curtains need washing remove them, the light bulb in the kitchen has fused change it’. It is There are smiles which are an expression of thanks, particularly in Kerala, then that I really wake up and realization dawns, I have a roof over my head, I where we don’t have an appropriate word for thank you in Malayalam. I was once have substance to live, my children are around, my wife is still beautiful, I have worthy Acts, as the show goes on and on.
traveling by a KSRTC bus from Moovattupuzha to Kottayam. Some parts of that retired from work, but not from life. Praise God on high.
en application de la Loi réglementant certaines drogues et Règlement sur les précurseurs (RP) Domestique PRÉCURSEURS DE CATÉGORIE A Acide N -acétylanthranilique et ses sels Noréphédrine (phénylpropanolamine) et ses sels Phényl-1Éphédrine, ses sels et les plantes qui en contiennent Acide phénylacétique et ses sels Pseudoéphédrine et ses sels Safrole et