Sima March 11

8/6/2019 Sima March 11

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SIMAProgrammes Held By IMAFrom 1stApril 2010 to 31march 2011Date Time Programmes4/4/2010 9AMto 1PM Dr. Satish Pataki11/4/2010 Full Day IMADay16/4/2010 4PM IMAAGM5/5/2010 9PM IMA Excusive12/5/2010 11AM to 2 PM Nurse Day16/5/2010 Hash Pharmacy & IMA23/5/2010 6PM IMA &Hospital Owner Associations13/6/2010 8AMto 1PM IMA & Ruby cancer Hospital20/6/2010 6 PM to 9 PM IMA&SPHOA25/6/2010 6PMto 8PM IMA &Ashbins shah - Runaways27/6/2010 4 PM to 6 PM IMA (Rain water Harvesting.)4/7/2010 9.00 AM Blood Donation Camp31/7/2010 7.30 to 10 PM Rafi Ki Yaden01/8/2010 9.00 AM Guru Portia15/8/2010 7.30 PM Flag Hoisting22/8/2010 4.00 PM Medical Non-medical Program25/8/2010 5.30 AM Bird Watching (Dr. Metan)29/8/2010 7.00 AM IMA &NIMA MR Association22/10/2010 9.00 PM Kojagiri Purnima4/11/2010 5.30 AM Dewily Milan14/11 to 18/11/010 6.30 AM to 7.30 AM Yoga Camp5/12/2010 9.00 AM Professional Program14/12 to 19/12/010 6.00 AM to 8.30 AM Art of Living26/12/2010 9.00 AM to 1.00 PM Medico-legal update CME (IMA & Gynaec.)16/01/2011 9.00 AM to 1.30 PM Hurda party with RNTCP22/01/2011 10.00 AM Going to collector office26/01/2011 7.30 AM Flag Hoisting26/01/2011 9.00 PM Musical houssie Quiz06/02/2011 9.00 AM to 12.00 AM Personal Financial Management

Mohit Pradeep SinghalSon of Dr. Pradeep Singhal & Mrs. Jyoti Singhal secured 175/200marks in MH-CET and got admission in Dr. V.M. Medical College, Solapur.He secured 13th rank at State level in MTS in Std. VIII. He was alsoawarded National Talent Scholarship in Std. X.


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On 22nd December 2010 "Navneet Hospital", Eye Institute conducted VideoConferencing ofPhaco Surgery.Total Seven cases of different variety of Cataract i.e. Hard, Soft, Mature cases hasbeen performed by Dr. Navneet Toshniwal. There was live telecast of thesesurgeries from Navneet Hospital, Solapur to Sunrich Eye Hospital, Vancouver,'----------' Canada.

All cases has been done by new technique called "Phaco without Chopping" by Alcon infinitywith Ozil Phaco Machine wihich is most latest machine today. These surgeries catched by Dr.Woods, Dr. Poy & Dr. Mantosh & their colleagues from Canada.

Dr. S. H. Lee who was in Solapur has taken great efforts for this Video Conferencing.This deomonstration has been done via Skypee & teamviewer software.Such type of Video Conferencing will be helpful for all medical practitioners for shearingtheir work.This was unique activity "Navneet Hospital", Eye Institute, Solapur which was appreciatedby Canadian Surgeons.


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SIMAStone Deaf

....----------, I don't remember the lasttime I slept well. Anuninterrupted six or sevenhour sleep has become ararity. Mywhole body longedfor one. When I mentioned

L...- ----I this to the doctor at Bombayhospital today, he reluctantlywrote down a prescription for some pills thatwould put me to sleep. He looked pleased withhimself because the cochlear implant surgerythat he did on me had apparently gone verywell. He expected me to thank him but insteadI complained about disturbed sleep and thatirritated him.

Nevertheless, I was looking forward to a soundsleep tonight. I had another good reason forthat. My visit to the city of Bombay fromMuscat this time was a success. Ithad achievedtwin objectives. The surgery on my stone-deafear had gone very well and the much awaitedbusiness deal had at last come, through.There was a small hitch though. I was not yetaccustomed to plugging into my ear thehearing device. Itwas a bit cumbersome and Ioften forgot to put it on. The doctor had told meto unplug the device when I retired for sleepbut he warned me to put it on soon after gettingup.At around quarter past eight that night I wentto the famous restaurant in first floor. Myfriend was already there, seated at a table in aremote corner. It was his maiden visit to theTaj Mahal Hotel and I could see he was awe-struck. I understood because I felt the samewhen I stayed in Taj some twenty years backduring my first business trip. Itwas a typicalcase of 'love at first sight' for me.Both of us ate dinner leisurely and lingered inthe lobby for awhile after that. He wished me agood night sleep and departed. He had no ideawhat a sleep it was going to be!I came up to my suite in third floor. I looked at

my wrist watch as I inserted the card key in itsslot. It was ten minutes past nine. I quicklyslipped on the pajamas, popped up an extrapill and collapsed on the huge double bed. Iclumsily un-plugged the hearing aid andplaced it on a side table.Iwas stone-deaf again.Howweirdthe world appeared whenyour organ ofhearing is decommissioned! Itwas like watchinganactionpacked' bond' moviein silentmode.The pill had already started working. Soon I slidinto a deep slumber -mydeepest ever.I felt rested when I woke up next morning. Iglanced into my wrist watch. Itwas ten 'o'clock.That means I slept for almost twelvehours withoutinterruption. Mymouth was dry and I longed for acup oftea. I dialed room servicewithout getting upfromthe bed.There was no response. I realized my hearingcrutchwas onthe table. I plugged it intomyear anddialed room service again. No response again.Intrigued, I dialed the main reception. This time Iheard a crackling noise but no one answered. Thatwas highly unusual. Whatever happened to thefamoushospitality oftheTajMahalHotel?I pulled myselfup into a sitting position onthe bedand wondered. Why is no one answering thephone? Iwalkedup to the main door and opened ithoping to see someone on the corridor and order acup of tea. When I opened the door a peculiarsilence stared at me. Itwas not the familiar silenceof a quietly efficient hotel but an eerie kind ofsilence.There was something sinister about it andthere was something odd about the way air smelt.Wassomethingburning?I started walking towards the other end of thecorridor. Not a single soul there too. Suddenly, amassive black figure appeared in front of me. Ithad the shape of a man but was wrapped in jetblack cloth fromhead to toe.A pair ofintense blackeyesstared atme frombehind that cloth. From thelook of those eyes, it appeared as if he was asstartled as I was to see him there. I then noticedthat he was pointing something - that looked likeagun, atme.Mygoodness!Itwas indeed agun!What was going on? Was I being robbed at a gun


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SIMApoint in broad day light at the corridor of a busyhotel of international repute? Was I dreaming orsleep-walking? Had it got anything to do with thatextra pill I swallowed the previous night?I slowly raised both my hands above my headexpecting to be frisked for a wallet or something.He then appeared to ease a bit and no longerpointed the gun at me. He tttlen did the mostunthinkable. Without uttering a single word hetossed the gun like a sling around his massiveshoulder, walked up to me and in a flash, picked meup as one picks up a one year old baby for a stroll ina park. My seventy year old frail figure was nomatch for him. He put me on his other shoulder asone puts a towel or a shawl and strode withdetermined steps towards the other end of thecorridor. In that commotion, my hearing -aidslipped and fell on the floor. Even if that man saidsomething during that piggy-ride, there was noway I could hear it.Some more shock was in store for me. This hugeblack figure, with me on his shoulder, did not usethe staircase or the lift - but instead, climbed onone ofthe windows where an aluminum ladder wasleaning. He swiftly began climbing down theladder. I was facing the wall and could not seemuch, He deposited me on the floor, ratherunceremoniously I thought, climbed up the ladderwith the same swiftness and in a flash disappearedin to the same window.I looked up from where I was standing. I saw dark,thick smoke bellowing from the heritage wing ofthe hotel. I saw occasional flashes of fire from someof the rooms facing the sea. A couple of fire-fighting trucks were furiously pumping water on tothe heritage wing.I began walking towards the 'Gateway of India'building. There were scores of TV crews. Thecameramen were lying on the ground while thereporters were excitedly talking into theirmicrophones as if they were reporting live theArmageddon itself.Everything looked weird. Nothing made any sense.I looked around for a taxi to go to the suburbs. Butno taxi was insight. In fact there was not a singleprivate vehicle on the road in front of the hotel. Idecided to walk up to the hotel where my friendhad checked in. This hotel was located in a nearbylane behind the Taj. I was surprised when he

welcomed me with open arms and hugged me as ifwewere meeting after half a century of separation.We had dined together just the previous night!Tears were rolling down his cheeks. As we sat onthe sofa, I happened to glance at the front page of anewspaper lying on a table. The headlinesscreamed in bold, big letters:TERROR ARRIVES ATMUMBAI DOORSTEP.I picked up the newspaper and continued reading."At least 200 people were killed and another 200injured in the worst terror attack India has everfaced. At least ten heavily armed terrorists enteredthe famous TajMahal Hotel last night and firedindiscriminately at the guests. Many more peopleare still feared trapped inside the hotel and takenas hostages by the terrorists. The National securityguard (NSG) has a launched a rescue operationinvolving the elite black-cat commandos. Fiercegun battle was still going on when the last reportscame in".-VirupakshaJoshi

After a great pain, a formal feeling comes,The nerve sit ceremonium, like TombsItis such a little thing to weepSo short a thing to sighAnd yet by trade the size of thesewe men & women die?

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SIMA

Review of'Shikshnachya Aycha Gho'Ever since my ten-year-olddaughter came back fromschool one day, with tears inher eyes, for having securedsecond rank instead of herusual first rank, I have been

L...- _ _ _ _ ~ thinking with concern aboutthe milieu in which children study and grow upthese days. Do these children enjoy going toschool or is it drudgery? What are their fearsand concerns? What motivates them and whatis it that discourages? When a friend told methat this Marathi film, "Shikshnachya AychaGho" deals with present state of primary andsecondary education system, I was among thefirst few who bought tickets - standing in aserpentine queue. Believe me; it was worth theeffort.Through some of the most poignant scenes,rarely witnessed in Marathi films these days,and hard-hitting dialogues, this movie tellsyou exactly what is it like to be school- goingchild in this age ofbreak-neck competition andparental pressure to be at the top of academicladder. Every child is forced to learn quicklythat he has to be at the top or else he is useless,just an also ran. Many a child at the lowerrungs receives such ajolt to his selfesteem thathe prefers death, as the alarming stats aboutsuicide among children suggest. Being good atmusic, sports or arts is not enough - you haveto get good marks and be among top five or topten orwhatever."Shikshanachya Ayacha Gho" , written anddirected by Mahesh Manjrekar, paints thisscenario with telling effect. One has to a have aheart of stone not to cry at the plight of theclerk in Municipality and a widower,Madhukar Rane (BharatJadhav) or the cricketintoxicated teenager, Srinivas (SakshamKulkarni). Rane is convinced that his son'sdream to be a cricketer comes in the way ofprocuring good marks and becoming

'successful' in life. His idea of success is to be amunicipality clerk like himself. The boy,Srinivas is at a loss to understand why does hisfather not recognize his talent and passion andlet him to be himself. He does not see any pointin memorizing multiplication tables when allthat he wants to do is to hit fours and sixers onthe cricket field. Stage is thus set for a bitterconfrontation between father and son duo,ultimately leading to a verbal and physicaldual that culminates in a disaster. In a fit ofanger and sheer frustration, Rane breaks hisson's cricket bat into pieces and pushes him sohard that he falls flat on his head, sustains ahead injury and slips into coma.What happens next? Does Srinivas come outof coma and walk out of the Intensive CareUnit in his cricket outfit and belts a ton? DoesMr.Rane experience a change of heart? Doeshe repent? Well, that is a moot point. What isimportant is the take-home message. And, themessage is; do not push your child too hard toexcel in school. Allow him or her free space - aspace where they can recognize who they areand what they can do. Let going to school befun, perhaps like how it used to be in not sodistant past.Bharat Jadhav as Madhukar Rane, has givenperhaps the most memorable performance ofhis career so far. He makes you feel his painand his frustration. The scene where Ranetries talking to his comatose son, humors himwith tales of a cricket match, and finally pleadswith him to come home has remained etchedin my memory. Through the corner of my eye,I saw a middle-aged man sitting by my side,crying over that scene. Saksham Kulkarni asSrinivas, though a little too plump to be awannabe cricketer, has given a refreshinglymature performance. In what is perhaps thepivotal scene, his transformation from a"-playfully adamant but respectfully


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SIMAsubservient son to a defiant young man hasbeen portrayed to perfection. Miss GouriVaidya as Rane's daughter Durga andSidharth Jadhav as a tough but at times a littletoo friendly moneylender have done their bitwith panache. Sachin Khedkar as clean-shaven, double graduate Chief Minister andMahesh Manjrekar as a beardedNeurosurgeon are as usual very convincing -no prize for guessing that. After all, these arethe veterans ofMar athi cinema.I wonder whether the character of Nalini(Kranti Redkar) serves any purpose other thanto fulfill the mandatory need for a female lead.Nalmi, a good looking, fashionably dressedneighbor of Rane manages to elicit a fewwhistles from the frontbenchers. The directorknows that the nuanced message of the filmwill anyway be lost on the front row audiencebecause they are least likely to have schoolgoing children at home. Even if they have, theyare least likely to nurture an ambitions futurefor them. Therefore, the director thought it fitto throw in a little masala to keep everyonehappy.Madhukar Rane's buddies with whom heshares an occasional drink at night, at theirexpense of course, warm your heart throughthe simplicity of their character andmagnanimity of their approach to a friend indistress. You will really like them and I knowthese characters exist in flesh and blood in thechawls of Mumbai suburbs. Talking ofMumbai suburbs, this movie is unmistakablyset in Shivaji park, Dadar. The film begins witha breathtaking aerial view of Dadar. Thehospital scenes are enacted in Shushrusha andHinduja hospital. Anyone who has walked inthis Marathi heartland will tell you that thesetwo hospitals are the most famous landmarksofShivaji Park.Mahesh Manjrekar deserves a pat on his backfor a well crafted storyline and opting to makea movie that is relevant. Itis such a refreshingchange from the scores of meaninglessfilms(with a few exceptions like "Shwas,Dombivali Fast, ") that we have witnessed

during the last decade. I am sure; this film willinstigate the parents, teachers and policymakers to ask the right kind of questions aboutpresent education system. Let us hope thatsome constructive ideas and solutions willemerge from the churning that is bound to takeplace.Ifyou are a parent of a school going child, headfor the cinema halls to watch this movie. Donot forget to take your child along.-VirupakshaJoshi

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SIMA

For Us and ForFuture Generationsto ComeAn Idea to StickAlways &Forever .....

Dear Colleagues,Since ancient days gone by, and by longtradition, we as doctors are led to believe thatwe are not just representatives of God but God

himself. But we are a mere tribe of healers andwe also got infatuated with this idea so much sothat we began to play God and this has led toserious and adverse repercussions. We simplyforgot the simple fact that we are also humansand the false and pains of being human arewith us always. The following two Sanskritshlokas throw light and represent thesorrowful plight we are in: ????????????Shloka not given.The first shloka represents ridiculing by thepublic and the second is rebuking the self byself i.e. doctor to himself. So it is not surprisingthat we are reigned down by harsh legal actswhich have now come into being heavily on usand thus we are forced to spending more timein fighting the law than healing the people.Pharmaceutical companies and drug shopsand insurance agents are busy competingpampering us with sweet talks and costly giftsto make us their permanent commercialpartner. In this maze we have lost our bearingsand are in virtual wilderness. Can we returnback to the safety of homes and houses ofcomfort? Or are we in catch 22position?What is the solution?According to me the solution is simple. Ifyouconsider the simple plain idea that life issimply an adventure in partnership and let usgo even many exhaustive hundred miles to

achieve it. Doctors and patients are partnersthrough thick and thin. Both should cultivatesympathy and understanding about eachother. Notwithstanding the laws and medico-legal act, we should strive for the above goalonly. The way to achieve this goal and this goalonly. There is no doubt in my mind that this isthe only goal i.e. keeping the factor of mutualpartnership in our brain, mind and body.Many unexpected good things will come out ofit. Countless benefits will come in the way ofour professional practice and also a feeling ofeverlasting peace will be the treasure for us inthe golden days of retirement. I humblysuggest putting on your signboard thefollowing lines:We are lifetime partners,Let us bear with each other always,There will be no mandate on either side,Let us play each other's part with equalresponsibility,We assist you and when you assist us,Best of the healing powers are addressed inyou,Bythe governing grace,Which is the product of adventure inpartnership.Not out of mere attitude of conciliation, but bythe help of an oath ofhonesty and promise andfaith, let us go ahead. JaiHo!***


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SIMASolapur DOC"Awarded MchinSurgical oncology.- The First Super-specialist' Onco-Surgeon FromSolapurDr. Parag Kumthekar from Solapur recentlypassed his 'MCh'in Surgical

Oncology from Tata MemorialCancer Hospital Mumbai.With this achievement hebecomes the first medicalprofessional to acquire such ahigh super specialty degree inCancer Surgery in & around

several districts ofSolapur.

\

Till to date Dr. Parag had an illustriousacademic career, he did his graduation fromDr.V.M.Medical College Solapur. He then didhis Post graduation in General SurgeryCM.S.General Surgery) from Grant MedicalCollege & Sir J.J. Group of Hospitals atMumbai. He topped the merit list of All IndiaEntrance test for Super specialty admissions in2007 & was thus admitted to Tata MemorialHospital at Mumbai for three years Superspecialty course in Surgical Oncology.Dr. Parag happens to be the son of Dr. ShirishKumthekar a renowned senior CancerSurgeon from Solapur & his mother Dr. Ashatoo is a renowned Pathologist. Dr. Parag,s wifeDr.Amruta is a highly qualified Gynecologist &is presently undergoing training inLaparoscopic Surgery in Mumbai. DR. Paragintends to pursue &5 learn; latest techniquesinoncosurgery, before he starts hisprofessional career.

Dr. Sachin Baldawa passedMCh Neurosurgery withHonourDr. Sachin Sampat Baldawa passed MChNeurosurgery with honour from ShrichitraTirunala University for Medical & NeuroScience & Technology from Trivendrum. Thisis Central Govt. Institute.

Dr. Sachin Baldawa alsostood is' in MBBS fromMumbni University. Hepassed Ms General Surgeryfrom KEM Hospital (MumbaiUniversity) getting 1St rankwith Gold Medal.His high school education was from LittleFlower Convent School, Solapur.He is Son of Mrs. Rekha & Dr. SampatBaldawa.

BecauseI couldnot stop forDeathHekindlystopped formeThecarriageheld just ourselves& ImmortalityPoetess - SilviaPlath

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SIMA

Recommendations for use ofTopical CorticosteroidsDosing: -- Monotherapy once / twicedaily- In combination with othertopical/systemic agents andUVLight.__ ----'

Potency:-- Steroids classified into 7 classes as perStoughton - Cornell classification.Duration of Dosing :-- Gradual reduction in dosage.- Less potent agents - optimal end pointunknown.- For C lobetasol & Halobetasol - maximumweekly use should be 50 gm or less.Pregnancy:--CategoryCNursing:-- Unknown safetyPaediatric Use:-- Risks to infants & children may be higher forsystemis effects secondary to enhancedabsorption.Choice of appropriateCorticosteroid :-- Depends on disease severity, location beingtreated. patient preference & age of patient- Lower potency steriods used for limitedperiod on face, interfriginous areas, areas withthin skin & in infants.- Mid or high-potency steroids used as initialtherapy in other areas & adults.Precaustions forCorticosteroid use: --Watch for local & systemic side-effects.

- Topical Corticosteroids may cause orexacerbate (previously existing) localconditions like skin atrophy, telangiectasia,striae, purpura, contact dermatitis, rosacea.- Systemic side effects such as HPA axissuppression, Unilateral/bilateral avascularnecrosis of femoral head, i lOP, glaucomacataracts (when used around eyes) Cubtring;sSyndrome, growth retardation, occurinfrequently. They occur due to use of ultra-high-potency or high potency steroids over alarge surface area for a prolonged period orused under occlusion.- Recurrence following suddendiscontinuation is common, so should begradually tapered.

- Dr.Narendra Joshi

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