Dr. E. ThangaveluVice President99945 22822

Dr. P. Jayanth KumarHon. Secretary94426 46960

Dr. V. Sachitanandam Finance Secretary

94437 20831

Dr. K. Soundara Raj President

94439 07085

APRIL2017

www.erodeima.com

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INTERNATIONAL WOMEN’S DAY CELEBRATIONINAUGURATION OF IMA FAMILY CLUB, CULTURAL’S & CME 19 MARCH 2017 @ EIMA HALL

World TB day – Human chain by IMA doctors atErode GH on 24 march 2017

th thEIMA FAMILY TOUR - HONG KONG & MACAU 14 -19 May 2017

th thEIMA FAMILY TOUR - HONG KONG & MACAU 14 -19 May 2017

th thEIMA FAMILY TOUR - HONG KONG & MACAU 14 -19 May 2017

MMCH–“StateofArtCentre”For

AdvancedTraumaandPelvi–AcetabularInjuries

JointReplacement(primary,ComplexandRevision)

ArthroscopyandSportsInjuries

SpineSurgeriesandSpinalTumourSurgeries

HeadInjury

FacioMaxillarySurgeries

FlapCover

MicrovascularSurgeries

PaediatricOrthopaedics–CTEV

SupportiveFacilities

FullyEquippedICU

24HrsEmergencyandTraumaCare

Physiotherapy

24HrsAmbulanceServices

AllInsuranceFacilities

AlliedSpecialities

MAARUTHI MEDICAL CENTER AND HOSPITALS300 Bed Multispeciality Hospital

564, Perundurai road, Erode. 638011. 0424- 2264949, 2250517, 99 42 52 9990

Dr.T.PREMRAJPRABHUM.S(Ortho),M.Ch(0rth)

MMCH ORTHO

DearColleagues,

Kindly Attend and Grace the occasion Dr. V. SachithanandamDr. P. Jayanth Kumar

Finance SecretaryDr. K. Soundara Raj

President Hon. Secretary

INDIAN MEDICAL ASSOCIATIONINDIAN MEDICAL ASSOCIATIONINDIAN MEDICAL ASSOCIATIONErode BranchErode BranchErode Branch

AcademicGrantBySunPharma

YouarecordiallyinvitedforIMA-AMS&CGPmonthlyCMEmeetingwithEIMAFamilyClubActivity

ProgrammeataGlance:

Date : 16-04-2017Sunday

Time : 5.00pm-9.00pm

Venue IMATRUSTA/CHall,SampathNagar,Erode.

:

5.00-6.30pm: ErodeIMAFamilyClubActivity:

HealthforDoctors&theirFamiliesbyDr.V.Marutharaj&

CauveryNatureCureCenter

5.00-6.00pm: ReflexologyandAntiStressHeadandShoulderMassage

6.00-6.15pm: SimpleBreathingYogaTechniquesandMeditation

6.15-6.30pm : HealthyNaturalWholesomeSnacksandDrink

6.30-7.00pm : IMAPrayer

PresidentAddressbyDr.K.SoundaraRaj

SecretaryReportbyDr.P.JayanthKumar

7.00-7.40pm: PanelDiscussion:TacklingViolenceagainstDoctors

Moderator:Dr.S.Easwaramoorthy

Panelist:Dr.K.Soundarajan,Dr.P.JayanthKumar

Dr.S.Karuppannan.Dr.N.Ganapathy,

Dr.NancyThanu,Dr.P.Ranganathan,

7.40-8.10pm: AdvancesinTreatmentofNeurologicalCases–

SomeInterestingCases-Dr.G.Ramkumar,M.D.(Gen-Med).,D.M.(Neuro)

8.10-8.20pm: Discussion

8.30pm : VoteofThanks-Dr.V.Sachithanandam

8.45pm : Dinner

Message fromMessage fromEditorial BoardEditorial BoardMessage from

Editorial Board

Dearfriends,colleagues&respectedseniors,

WarmgreetingsfromEIMAteam

WishingyouallHappyTamilNewYear2017

Last month we inaugurated our IMA family club it was a huge

success and it was joyful to see active participation of our IMA

familiesinculturalevents.Wecelebratedinternationalwomen'sday

andTBawarenessdaythismonth.

Nextmonth IMAplans on 6 days summer holiday tour toHong

KongandMacau,aspecial treat to IMA familiesand theirchildren

triptoDisneyland.Wehopetohaveamemorabletrip.

WealsocareforourfellowDoctorshealth,HenceIMAhasplans

toorganiseyogaandreflexologysessionsforIMAdoctorsandtheir

familiesinournextCME.

NextJunewearewaitingforastatelevelNHBmeeting.

LongLiveIMA,

4

Truly Yours Dr. K. Soundara Raj

President, Erode IMAPublisher, EIMA News

Sweetly Yours Dr. P. Jayanth Kumar

Hon. Secretary, Erode IMAEditor, EIMA News

Address for Correspondence:Dr. P. Jayanth Kumar, Hon. Secretary, EIMA

Lotus & Care 24 HospitalHIG‐1064, Manickampalayam Housing Unit, Erode ‐ 638 011. Tamilnadu. India

Mobile: 94426 46960 / E‐mail: erodeima1949@gmail.com / drjayantheima@gmail.com

EIMA-President EIMA-HonySecretary

www.erodeima.com

5

OUR TEAM 2017

Dr. M.V.Madhan KumarImm. Past President 94432 29321

Dr. P. Jayanth KumarHon. Secretary9442646960

Dr. V. SachithanandamFinance Secretary94437 20831

Dr. S.T. PrasadJoint Secretary II98427 23055

Dr. K. Soundara RajPresident94439 07085

Dr. T. VijayakumarAsst. Secretary98427 29575

Dr. E. ThangaveluVice President99945 22822

CONTENTS

AcuteEmergenciesProtocol 06-07

TalkingViolentAgainstDoctor 08

CMEPhotoGallery 09

InaugurationofIMAFamilyClubPhotoGallery 10

InaugurationofIMAFamilyClubPhotoGallery 11

Care24Ad 12-13

MothilalAswonAd 14

MedinewsPharmaAd 15

AlphaDiagnosticsCenterAd 16

WhatsNewinDiabetes 17-18

InterestingAbstract 19

EIMAFamilyClubActivities,Website&IMACME 20

CommunityActivities 21

Imayam 22

EECHAd 23

SIMSAd 24

Dr. Chakravarthi Mailer RavindranJoint Secretary I96552 19181

New Members

Dr. T. Kannan Dr. S. Kamalaveni Dr. S. Senthil Kumar

SHARE & CARE

LIFE MEMBERS

PPLSSS MEMBER

Dr. S.R. Rahrajaa

Dr. S. Karthick Dr. K.V. RohiniDr. M. Preethi

6

Management of Asthma Exacerbations in Primary Care (Adults, Adolescents, Children 6–11 Years)

ACUTE EMERGENCIES

7

Management of Asthma Exacerbations in Acute Care Facility, e.g. Emergency Department

8

TACKLING VIOLENCE AGAINST DOCTORSPanelDiscussion-07.00-07.40pmon16.04.2017@ErodeIMAHall

Moderator:Dr.S.EaswaramoorthyPanelist:Dr.Soundarajan,Dr.JayanthKumar,Dr.S.Karuppannan. Dr.N.Ganapathy,Dr.NancyThanu,Dr.P.Ranganathan--------------------------------------------------------------------------------------------------------------- Violenceagainstdoctorsisaclearpresentdangerforallofus.Manyofourcolleaguesarealreadyonthestreetsfightingforoursafepractice. Is it due to poor doctor patient relationship or unrealistic expectations from ourpeople? Letusjoinforthispaneldiscussionandunderstandthewaystoavertormanageanyviolenceincidentsagainstus.

Questionsposedtoourpanelistsareasfollows1.Whythereisincreaseinviolenceagainstdoctors?2.Arewetoblame?3.Whythereissomuchaggressionbyourpeopleonus?4.Tacklingriskyscenerios a. This45yrmalehadundergoneIMnailingforfracturerightfemur5daysago.Now

he is ready to go home but the relativeswere unhappywith the bill amount andasking for explanation and concession. They quarel with the hospital front officestaffsandtheywanttotalktothedoctor!

b. 50yearfarmer,admittedinacriticalconditionfollowingpoisonoussnakebite. HowdoyouCounseltherelativesatthetimeofadmission. Patient remains unwell and develops respiratory distress and needs ventilatory

supportanddialysis.Relativesareveryagitated.Howdoyouconviceandconsole? c.18yearBEstudent/RTA/broughtinbyhiscollegefriendsinanUnconsciousstate/

GCS:6/LargeSubduralhematoma/Dismalprognosis5.Suddenunexpecteddeaths.Howtodeclareandaverttrouble? a.DeathintheemergencywardafterfailedACLSinapatientwithacuteMI b. Sick child in Dengue shock syndrome dying at the PICU inspite of aggressive

resuscitation c.DeathonthetableinOTafteremergencysurgery d.DeathofpatientinOT/wardafterelectivesurgery6.Identifythecausesformobviolence?7.StagesofMobviolenceondoctors8.Characteristicsofmobviolenceofhospitals?9.Whatcanwedotominimizethechanceofviolenceondoctorsorattackonhospitals10.ABCDofcrisismanagement Letushave'Zerotolerencepolicy'toanyviolenceactagainstus. Letusstandunitedandfightforourrightsandhaveasafeclinicalpractice. Welookforwardtoseeyouallon16thofAprilduringourmonthlyscientificmeeting.

GooddayDr.Easwaramoorthy,Lotushospital,Erode

PHOTO GALLERY MARCH

Monthly CME 19 March 2017 @ EIMA hall

Monthly CME 19 March 2017 @ EIMA hall

Monthly CME 19 March 2017 @ EIMA hall

CME on Fetal Imaging & Therapy 2017 conducted by EOGS & RAINBOW SCANS on 12 March 2017

EIMA MEMBERS STATE COUNCIL MEETING at Kumbakonam on 27 March 2017

Free DIABETIC detection Camp & MEDICAL CAMP on 19 March 2017

PHOTO GALLERY MARCHINTERNATIONAL WOMEN’S DAY

INAUGURATION OF IMA FAMILY CLUB & CULTURALS

PHOTO GALLERY MARCHINTERNATIONAL WOMEN’S DAY

INAUGURATION OF IMA FAMILY CLUB & CULTURALS

TM

Dr.

TM

I I I I 24Hrs Surgical Oncology Medical Oncology CT Scan

Ultra Sound Laboratory Pharmacy AmbulanceI I I I

Departments

EMERGENCY 0424 2 666 666Hour

ONCOLOGY CAREONCOLOGY CAREONCOLOGY CAREONCOLOGY CARE

No. 139/1, 1st Floor, Sankar Nilayam, Near Club Melange, Perundurai Road, Erode - 638 011. Ph: 0424 - 2214478Mob: 98652 38900, 98652 67766 98652 62629, 99760 65437

FREE DEMAT ACCOUNT

250250mg

WHO - EU - GMP

VILVAM TURMERIC EXTRACTVILVAM TURMERIC EXTRACT WITH WITH VILVAM TURMERIC EXTRACT WITH GINSING, GREEN TEA, LYCOPENE WITHGINSING, GREEN TEA, LYCOPENE WITHGINSING, GREEN TEA, LYCOPENE WITH

MULTIVITAMIN & MINERAL TABLETSMULTIVITAMIN & MINERAL TABLETSMULTIVITAMIN & MINERAL TABLETS

/Reg Office : 49, Patel Street, Erode - 638 .001

IntroducingGummiesIntroducingGummiesIntroducingGummies

17

WHAT’S NEW IN DIABETES?Dr.AjitSwaminath.V.DiabeticFootSurgeon

For:PreciseglycemiccontrolpossibleForHypoglycemiaunawareness-recommendedMultipleneedlepricksavoidedRemote-foradditionalbolusandBGcheckPumpsuspendedononsetofhypoglycemia

Against:CostPumpfailurePagerlikeextensionfrombodyCancauseinadvertenthypoglycemiaSomelearningneededforhandlingdeviceBasicrulesindiabetesstillapply

For:Once-a-weekinjectableGLP1analogueIncreasesbaselineinsulinTargetshighFBSIncreasessatiety,promotesweightlossToconsider,aftertraditionaltherapyfails

Against:CostSE-nausea;vomiting;abd.discomfortCI-pancreatitis,thyroidCaRarelysinustachycardiaNotasubstituteforinsulinNotinDM1andDKA

Insulin Pump

Dulaglutide

18

For:Continuousglucoseprofile-14daysNocalibrationneededGreatforpatienteducationPrecisetherapyadjustmentsLivereportingandinpdfformatNorestrictioninactivity

Against:OnlyInterstitialglucosecheckedCanfalloffMRIcontraindicationCostRarelyinfection

For:AvoidspuncturingskinrepeatedlyMultipledailyinsulininjectionspossibleUsualinjectionsites/devicescanbeusedVerysimpledeploymentlikevenflonOthersubcut.medicationcanbegiven

Against:CancauseinfectionOnlylastsupto3-4daysDifferentinsulinscaninteractCost

For:WorksbysuperficialcoolingNeedle-pricksitenumbedtemporarilyCanbeusedmultipletimesEasytouse

Against:PainsensationnotblockedfullyShouldbekeptinrefrigeratorTechnologystillevolving

Subcutaneous Indwelling Cannula

24hr Glucose Monitoring

Needle-Pain Blocking Device

19

INTERESTING ABSTRACT

A randomizedcontrolled trial ofmindfulness to reduce stressandburnout amonginternmedicalpractitioners.

IrelandMJ1,CloughB2,GillK3,LanganF4,O'ConnorA4,SpencerL5.

MedTeach.2017Apr;39(4):409-414.doi:10.1080/0142159X.2017.1294749.Epub2017Feb28.

Abstract

INTRODUCTION:

Stressandburnoutarehighlyprevalentamongmedicaldoctors,andareassociatedwithnegativeconsequencesfordoctors,patients,andorganizations.Thepurposeofthe current study was to examine the effectiveness of a mindfulness traininginterventioninreducingstressandburnoutamongmedicalpractitioners,bymeansofaRandomisedControlledTrialdesign.

METHODS:

Participantswere44interndoctorscompletinganemergencydepartmentrotationin a major Australian hospital. Participants were randomly assigned to either anactivecontrol(onehourextrabreakperweek)orthe10-weekmindfulnesstrainingintervention. Measures of stress and burnout were taken pre-, mid- and postintervention.

RESULTS:

Participants undergoing the 10-week mindfulness training program reportedgreater improvements in stress andburnout relative toparticipants in the controlcondition.Significantreductioninstressandburnoutwasobservedforparticipantsinthemindfulnesscondition.Nosuchreductionswereobservedforparticipantsinthecontrolcondition.

CONCLUSIONS:

Mindfulness interventions may provide medical practitioners with skills toeffectivelymanage stress and burnout, thereby reducing their experience of thesesymptoms.Itislikelythatdoctorswouldbenefitfromtheinclusionofsuchatrainingprogramasapartoftheirgeneralmedicaleducation.

PMID:28379084

DOI:10.1080/0142159X.2017.1294749

Dr.P.JayanthKumar

20

IMA Family Club ActivitiesHealthforDoctors&theirFamilies

A well planned scientific experiential yoga, stress management and dietarymanagementprogrambyexperiencedteamleadbyDrMarutharaj.

Program consists of simple breathing yoga techniques andmeditation andhomemeditationtopracticeathomeandwork.

This program also enrichedwith reflexology and anti stress Head and Shouldermassagefordoctorstogetde-stress.

Ineachsessionahealthynaturalwholesomesnacksanddrinkwillbeserved.

EIMAFamilyTour

NextmonthErode IMAplanson6dayssummerholiday tour toHongKongandMacau,aspecialtreattoIMAfamiliesandtheirchildrentriptoDisneyland.Wehopetohaveamemorabletrip.ForDetailsContact:Dr.P.JayanthKumar-9442646960

EIMA Website: www.erodeima.comDearEIMAmembers,

Kindly update your details by filling your details inMEMBERSHIP UPDATEFORMUPLOADfromourwebsitewww.erodeima.com.

You can now post us about your camp activities or CME or your personalacademic achievement through our website (www.erodeima.com) by fillingMEMBERSEVENTUPLOAD

NowyoucanaccessmonthlyEIMANews,EIMAphotos&EIMAmonthlyreportfromourwebsite

KnowyourSchemes&Benefitsfromourwebsite(www.erodeima.com)

IMA Academic ActivitiesErodeIMAJoiningErodeAdministration&OlirumEroduFoundationinConducting

CANCERASSESSMENT&PREVENTIVESTRATEGIES

On21stApril2017FridayatClubMelange,Erode

NotedOncologistsacrossthecountryspeak,discussandbuildconsensusontheprevalence of cancer in Erode District and measures to reduce and managecancer.

It's the first of its kind event in erode, all the members are requested toparticipate.

21

Community Activities AAOGAONCHALEN AtSwaminathapuram250PatientsweretreatedinthemonthofMarch2017.

OurIMAMemberstookpart in it.ScreeningCampwasConductedatSKMSevaiMaiyam,Saminathapuram.

SATHYASAI SriSathyaSaiSevaSamithiErodeConductedGeneralCamp.TotalNumber140

Patients.Ourmembersparticipatedinit. ERODEGH PatientWelfareSociety-SpecialityWard,GovtHeadQuartersHospital,Erode

March2017-TotalnoofFreeEndoscopy-60Patients BLOODDONATIONCAMP InMarch2017,90BloodDonationCampswereheld.Totalof3580Unitsof

BloodwereCollected. ARASANEYEHOSPITAL 48Freeeyecamps,3083patientsscreened,703Freesurgeriesperformed,

72pairsofeyescollected. SRIATHISATHYAHOSPITAL 1 FreeUricacidCamp, 1 Free SpirometerCamp, 1 Free LFTCamp, 1 Free

Biothersiometercamp MAARUTHIMEDICALCENTREANDHOSPITALS Erode Diabetes Foundation functioning in Maaruthi Medical Centre and

Hospitals,Conductedfree“DiabetesandpreventionofRenalcomplicationsinDiabetes”on26.03.2017intheAuditoriumofthehospital.Dr.A.S.Senthilvelugave Audio – Visual presentation on Early detection and prevention ofDiabetes.Bloodglucoseestimationdoneforaround250 Diabeticpatientsandforotherpotentialdiabetics.

ForMoreDetails:Contact:Dr.P.JayanthKumar,Hon.Secretary,EIMA.-MobileNo:9442646960or

Mr.T.Arasu,EIMAManager,MobileNo.:9865651083

Todownloadapplicationformlogonto:www.imatn.com/Home/Resourcepage

LifeMembershipforSingle-Rs.12,800/-LifeMembershipforCouple-Rs.21,100/-

IMALIFEMEMBERSHIPFEE

26

Dr.Prabhavathi Devi,Erode - Rs.6000

Thiru.Mansoor,Erode - Rs.2000

Thiru.Ramesh,Erode - Rs.4500

M/s.Nani Agro Foods Private Ltd,Erode - Rs.51000

Mrs.Kalyani Chinnasamy,Erode - Rs.15000

Mr.Vaiapuri Ramasubramaniam,Erode - Rs.50000

Thiru.V.Purushothaman,Shalimar Agencies,Erode - Rs.2000

Thiru.K.S.MahadevanBharani Pattu Centre,Erode - Rs.1000

Dr Thiruganasambantham.A ATS Hospital Erode - Vegitable expenses

Dr T Sadagopan, Vellore - Rice

IMAYAMIMAYAM

Dr. C.N. Raja, SecretarySHARE AND CARE, EIMA

ANNAI ENT & HEAD & NECK CARE CENTRE,12D, Palaniappa st, opp. federal bank, Perundurai Road, Erode ‐ 638 009. Cell: 98427 27277

Join Share & Care to serve our EIMA Member’s Family

Werequestallourmemberstotakeactivepartinthisnoblecausebywayofliberalcontributionstorunthisproject. Rs.2000/-canbecontributedforonedayexpenseonspecialoccasionslikeBirthday,WeddingDay,Hospitalday,etc...OronetimepaymentofRs.15,000/-withaspecifieddatesothatwecanallotthatdayeveryyear. Cheque / DemandDraftmay be drawn in favour of “IMAYAMTRUST” payable at“ERODE”. Cheque/DemandDrafttobeSenttoDr.S.S.Sukumar,Secretary,IMAYAMHome,SriRaghavendra Eye Hospital, 72,Mosuvanna Street, Erode – 638001, Tamil Nadu, India. Ph : 914242262044 , 914242258735 , 919443066111 , 919842766111 , Email:sssukumar@gmail.com "Donationsareexemptedundersection80GoftheIncomeTaxAct1961asperletterNoC.No.227(31)CIT-II/2004-05CBE/11-12IncomeTax-II, Coimbatore-18IMAYAMTRUSTPANNo:AAAT14388K”

SHARE & CARE

Dr.C.N.RajaTreasurer

Dr.S.S.Sukumar Secretary

Dr. K.M. Abul Hasan President

EMERGENCYEMERGENCYH O S P I TA LH O S P I TA LEMERGENCYH O S P I TA L

3/1, Veerappampalayam Pirivu Road, Thindal, Erode - 638012.erodeemergencycarehospital.com

EERROODDE E

ERODE

CCAARRE E

CARE

OBSTETRICS AND GYNAECOLOGY

Dr.SumathiPadmanabhanDGO

Dr.HemalathaArthurDGO

Dr.PrabhavathiDGO,M.D(OG)

Dr.VaniKathiravanDGO,DNB

Dr.NancyThanuDGO

Dr.SudhaMurugavelDGO

Dr.SujathaSenthilveluDGO

Dr.TamilselviMasilamaniDGO,DNB

HIGH RISK ANAESTHETICS &

PAIN MANAGEMENT

Dr.M.PadmanabhanDA

Dr.V.MasilamaniMD.,DNB

Dr.N.SundaravadivelDA,DNB

Dr.J.R.V.EzhilVenthanMD

Dr.A.ArjunasamyDA

Dr.T.KathiravanMD

Besidesthemwehaveagreat teamofspecialistsproviding24*7Emergency&ICUcare.Wewelcomespecialistfromallspecialitiestoutiliseourtertiarycarefacilities&totreatyourpatient

OUR HIGH RISK OBSTETRICS AND NEWBORN CARE TEAM

MAQUET VentilatorMAQUET VentilatorMAQUET Ventilator

3 Modular Theaters 3 Modular Theaters 3 Modular Theaters

For 24 x 7Help

Consultant ICU73730 00255

PICU & NICU73737 23369

2 x Ventilator Ambulance2 x Ventilator Ambulance2 x Ventilator Ambulance

Cath lab for Cardiac & Cath lab for Cardiac & Peripheral InterventionsPeripheral InterventionsCath lab for Cardiac &

Peripheral Interventions

Extreme Preterm Baby (600gm) in NICUExtreme Preterm Baby (600gm) in NICUExtreme Preterm Baby (600gm) in NICU

ICUICUICU

NEONATAL INTENSIVE CARE

Dr.S.Boopathi,MD., DNB., Paediatrics (AIIMS), MRCPCH

(UK)FellowshipinNeonatalintensiveCare

INTENSIVE CARE

Dr.N.GanapathyMD.,DA.,FCCM.,

Dr.GauthamGanapathyMD.,

Dr.S.SaranyaMDPulmo,IDCCM

GENERAL SURGERY

Dr.S.KaaligoundenMS.,

Dr.JohnBaskarArthurMS.,

Dr.A.R.B.JothikumarMS.,

Dr.S.SaranyaMDPulmo,IDCCM

Pulmonologist&IntensiveCareSpecialisthasstartedherregularserviceatEECHandteamEECHwishherallthebestandWelcomeher.