A.M.A. BULLETIN INDEX AHMEDABAD MEDICO...

Ahmedabad Medical AssociationAMA House, First Floor, Opp. H. K. College, Ashram Road, Ahd-009 Ph : (079) 26588775

Fax : 079-2658 74 98, e-mail : [email protected] website : www.ahmedabadmedicalassociation.com

AHMEDABAD MEDICO NEWS

PRESIDENT

DR. DESAI VIDYUT J.

C.: 6524 7777 M.: 93270 40155

VICE PRESIDENTS

DR. GADHAVI DILIP B.

C.: 2277 4384 M.: 98980 47505

DR. SHELAT MEHUL N.

C.: 2750 5106 M.: 98253 98891

HON. FINANCE SEC.

DR. PATEL KANAIYALAL G.

M.: 98253 23330

AHMEDABAD MEDICO NEWS 27-02-2014

14

MANAGING COMMITTEE MEMBERS

OTHER THAN P.G.P.G.

BULLETIN COMMITTEE

DR. GANDHI CHINTAN K.9979973239 MEMNAGAR

DR. GUPTA MAHESH GOPICHAND 9426499922 SABARMATI

DR. AMIN VISHVAS K.9825556359 USMANPURA

DR. PANCHAL DIVYESHKUMAR N.9714632100 NAVRANGPURA

DR. DHARAIYA CHETANKUMAR M.9099349732 SHAHIBAUG

DR. PATEL PARTH N.9913363762 NAVA VADAJ

DR. MISHRA VINIT V.9426078333 NARANPURA

DR. SHAH MANISH G.9099962094 KANKARIA

DR. SACHDE JAYESH P.9824018848 GANDHINAGAR

DR. SHARMA GEETENDRA B.9825298762 SHAHIBAUG

DR. PATEL RASIK P.9825021869 NARANPURA

DR. PATEL BHAVESH V. 9924740800 SCI.CITY ROAD, SOLA

DR. RATHOD BALKRISHNA N. 9879599006 NARANPURA

DR. BHANSALI PIYUSH M.9327115114 AMBAWADI

DR. MEHTA DHIREN R.9898854158 MANINAGAR

DR. SAIHGAL RAJESH M.9824361312 BODAKDEV

DR. PATEL SURESH K. 9824053995 GHATLODIA

DR. RAJGOR JAGDISH B.9998461904 MANINAGAR

DR. SHETH PANKAJ K.9824195362 SOLA ROAD

DR. GADHAVI KIRITKUMAR C.9998370353 VASTRAPUR

DR. SHAH RAKESH N.9879450450 SOLA ROAD

DR. MODI ASHOK B.9825347657 NAVA VADAJ

DR. KANODIA ASHOK D.9428405746 MANINAGAR

DR. PATEL GIRISHKUMAR K.9327008615 GHATLODIA

HON. SECRETARY

DR. SAINI KAMLESH B. C.: 2274 2681 M.: 96019 49252HON. JT. SEC.

DR. BHAVSAR VIJAY J. C.: 2217 8392 M.: 98793 72468

DR. MERCHANT SAUMIL P. C.: 2541 2101 M.: 98250 12099HON. LIBRARY SEC.

DR. CHOKSI BRIJAN H. C.: 2539 6568 M.: 98242 65642IMM. PAST PRESIDENT

DR. VACHHARAJANI PRAGNESH M.R. 27471463 C.: 2745 6676 M.: 98250 86839

Dr. Geetendra SharmaDr. Jayesh SachdeDr. Ajay Munshi

Dr. Vipul ShahDr. Atul GandhiDr. Shashvat Jani

Dr. Dhiren MehtaDr. Chetna DesaiDr. Mahesh Jariwala

Dr. Urman DhruvDr. Viral D. ShahDr. Ajay B. Shah


A.M.A. BULLETIN INDEX

13

Content Page no.

• Photos 6-11

• President’s & Hon. Secretary’s Desk 12

• Committee of AMA 2013-14 14

FUTURE PROGRAMMES ...................................................................................

• AMACON - 2014 15-16

• AMACON - 2014 Appeal for Sponsorship 17

• Scientific Programme No.9 18

• Scientific Programme No.10 19

• Annual Day Competitions 20

• ÃkheûkkLke Ãkqðo íkiÞkhe YÃku «kuøkúk{ & Obituary 21

• Drama - ytrík{ yÃkhkÄ - ík{Lku Ãkkhfk {kLkwt fu ÃkkuíkkLkk.... 22

• Announcement of AMA Cultural Forum 23

• FAQ : Mandatory Tuberculosis Notification in India 24-29

• Press Release by Dr. Jitendra B. Patel - National President 30-35

• AMA S.C.C. Programme & New Life Members 36

• AMA Telephone Directory Form 53

INFORMATIONS ..................................................................................................

• General Information 54

• Congratulations & Other Information 55

• ÷uzeÍ f÷çk 56

ACADEMICS .........................................................................................................

• Scientific Write Up :

♦ Tumor Board Essential concept for cancer care 57-59

♦ Fractional Flow Reserve 60-61

♦ Heart of Queens : Getting The Facts Right 62

♦ Kidneys Age; just like you! 63-66

• Thankfull to ........ & Humour 67

Past Programme Activity Report 68-71

• Advertisements 72 ....

I object to violence because when it appears to do good, the good is only temporary; the evil it does is permanent. An eye for an eye only ends up making the whole world blind.


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Future ProgrammesFuture ProgrammesFuture Programmes

AMACON - 2014

REGISTRATION Upto Upto Spot 15-3-2014 05-04-2014 R.C. Member 1500 2000 Not AllowedDelegate 500 600 800Spouse 300 500 Not Allowed

N.B : • For Spot Registration Kit is not Guaranted.

th• After 5 April, 2014, Registration may not be accepted• Please pay by Cash / Cheque in the name of “Ahmedabad Medical Association”

th thDate : 12 & 13 April, 2014

AMACON 2014-Pre-Conference Programme TentativeWake up SID (Doctor)

Date : 12th of April, 2014 Saturday

Venue : AMA Hall,Ashram Road

Time : 8.00 pm to 9.00 pm : Dinner

9.00 pm to 9.40 pm : Lecture

9.40 pm to 10.40 pm : Wake up SID (Doctor)

In this era of stress, competition etc we doctors are receiving end and becoming patients them selves. Time has come to wake up and think seriously about this. This programme is a serious attempt to start thinking in this direction the novel way.

Featuring

Dr.Pragnesh Vachharajani Concept & Direction

Dr.Himanshu Desai Becoming “Captain Cool”

Dr.Anish Chandarana “The Fitness Mantra”

Dr.Jitendra Patel Transformation in life-

“Raju Ban Gaya Gentleman”

BANQUETthOn 20 April, 2014 Sunday 6.00 p.m.

Venue will be declared later


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1 SMBG and CGMS

2 Oncology work shop

3 Case Discussion in medicine

4 Selecting I/V fluids

5 Antibiotics: Which and which not?

6 What should I know about rheumatology?

7 Family Physician: How to rejuvenate the fraternity?

8 Clinical case: Hypertension

9 Clinical Case: Cervical spondylosis

10 Clinical case: Managing prostatic enlargement

11 Clinical Case: Dementia

12 Basics of Hepato biliary surgery

13 C O P D and Asthma

14 Ultrasonography: Usefulness and limitations

15 Immunisation in childhood and adults

16 Past and future of CABG

17 Hair transplantation

18 Debate :Stress is the major cause of life style diseases

Stress plays a minor role in life style diseases

19 Debate :We are over investigating our patients

We are not over investigating our patients

20 Debate : In vitro fertilization is commercialization of gynecology IVF is a necessary element of gynecology

21 Bariatric surgery: What lies in future?

22 Technology and medicine: Creative outcome

23 Cataract surgery: The past, the present and the future

24 Sexentertainment: a necessary evil for society

25. Advance Refractive Surgery

-Organizing Committee

TENTATIVE TOPIC FOR AMACON- 2014

A man is but the product of his thoughts what he thinks, he becomes. You must be the change you wish to see in the world.


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AMACON 2014 - Appeal for SponsorshipDear Sir,We are an association of allopathic doctors of Ahmedabad. We have got 8000 members from various specialties. We are known to organize quality scientific seminars, conference for our members for continuous sharing knowledge among our members and to keep pace with advance happening in the vast field of medicine.We are organizing a two days scientific conference on 12th & 13th, Saturday & Sunday, April 2014. This will be attended by more than 1000 doctors of various faculties from Ahmedabad.We solicit your sponsorship for the conference. The details are as follows.

Date : 12th & 13th April, 2014, Saturday and Sunday

Venue :• On 12th April, 2014 Saturday - Ahmedabad Medical Association,

Ashram Road, Ahmedabad• On 13th April, 2014 Sunday - Ahmedabad Management Association,

Atira Campus, Dr. Vikram Sarabhai Marg Ahmedabad-15.Time : (Saturday) : 2.00 pm. to 4.00 pm Workshop 8.00 pm to 9.00 pm Business Dinner 9.00 pm to 11.00 pm Pre Conference C.M.E.Main Conference (Sunday) : 8.30 am to 5.30 pm

Sponsorship Tariff Platinum Sponsorer 5,00,000 Rs.Gold Sponsorer 3,00,000 Rs.Lunch 2,00,000 Rs.Kit 2,500,00 Rs.High tea 50,000 Rs.Entertainment & Banquet Programme 4,00,000 Rs.Scientific Programme (20 minutes) 35,000 Rs.Stall 20,000 Rs.Banner 3000 Rs.Saturday Pre Conference Each 50,000 Rs.Lucky Draw 50,000 Rs.Please pay by Cheque in name of “Ahmedabad Medical Association”

SCIENTIFIC PROGRAMME NO.:9DATE : 09-03-2014, Sunday

TIME : 9.30 am to 1.00 pm

VENUE : A.M.A. premises, Opp. H.K. College,

Ashram Road, Ahmedabad -9.

9.30 am to 9.45 am Registration and Breakfast

9.45 am to 10.15 am Speaker : Dr. Sudhir Chawla

Topic : Current HIV Situation in

India and National AIDS Control

Programme : An Overview

10.15am to 11.25 am Speaker : Dr. Bipin K. Amin

Topic : Management of

Opportunistc Infections

11.25 am to 11.30 am Tea Break

11.30 am to 12.50 pm Speaker : Dr. Asha N. Shah

Topic : National AIDS Control

Programme : Anti Retroviral Therapy

12.50 pm to 01.00 pm Post -test : Valedictory

01.00 pm Lunch

Please register before 7th March, 2014,

Applied for accredition to Gujarat Medical Council

for Credit hours.


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I'm a lover of my own liberty, and so I would do nothing to restrict yours. I simply want to please my own conscience, which is God.

SCIENTIFIC PROGRAMME NO.:10AHMEDABAD MEDICO NEWS 27-02-2014

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Dr. LOVE N. DALAL SCIENTIFIC PROGRAMME

GASTRO – GYNAEC UPDATE

Date : 23-03-2014 - SUNDAY

Time : 9.30 a.m. to 12. 30 p.m.

Venue : Ahmedabad Medical Association's premises,

Opp. H. K. College, Ashram Road, Ahmedabad-9.

9.30 a.m. to 10.00 a.m. Registration and Breakfast

10.00 a.m. to 10.40 a.m. Dr. Shravan Bohra

Topic : GI Endoscopy;

Gold standard for diagnosis

and treatment

10.40 a.m. to 11.20 a.m.� Dr. Ashish Sethi

Topic : Female Genital Cancer

11.20 a.m. to 12.00 noon Dr. Usha Bohra ��

Topic : Management of female

genitals cancer.

12.00 noon to 12.30 p.m. Panel - Discussion

12.30 p.m. LUNCH

Coordinator :

stPlease register before 21 March, 2014.

Registration Fee Rs. 50/-

Applied for accredition to Gujarat Medical Council

for Credit hours.A coward is incapable of exhibiting love; it is the prerogative of the brave.


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ANNUAL DAY COMPETITIONS

(1) INDIAN ASSOCIATION OF OCCUPATIONAL HEALTH ESSAY PRIZE

Subject : Burn out Syndrome in Medical Professionals.

(2) DR. RANJAN K. NANAVATY ESSAY PRIZE

(For Family Physicians Only)

Subject : Scope of Family Medicines in India.

* Each candidates shall have to submit three typed double spaced copies

to the office before 15-3-2014. (Maximum 1500 words).

* Candidates should not write their names or addresses on the essay. They should not reveal their identity in the essay. Candidate should write the name and complete address on a separate piece of paper.

(3) DR. PIYUSH SHAH PAPER PRESENTATION PRIZE

(For Family Physicians only).

* The last date for submission of abstract is 15-3-2014. Complete text of the paper will have to be submitted on the day of presentation.

* All papers accepted by the Scientific Committee will be read few days before our Annual Day function.

* The paper must be original and must not have been published or read previously.

8 minutes will be allowed for presentation and 3 minutes for discussion.

Presentation with slides / over head projector / transparencies / video will be appreciated.

(4) DR. B.C. AMIN MEMBERSHIP DRIVE TROPHY will be awarded to the member who has enrolled the maximum number of members in the year 2012-2013.

Other Trophies : The entry fee is Rs. 100/- only.

(5) Dr. K. K. Shah Trophy for Best Nursing Home.

(6) Dr. P. B. Haribhakti Trophy for Best Consulting Room.

(7) Dr. Dahyabhai Shivram Joshi Trophy for

General Practitioner's best Clinic

Those members who want to take part in these competitions, should send the application on their letter pad.

Last date of entry is 15-3-2014.

Note : The winners of the Trophy in past should not apply again.The weak can never forgive. Forgiveness is the attribute of the strong.


y{ËkðkË {uzef÷ yuMkkuMkeyuþLk Þkusu Au...

ÃkheûkkLke Ãkqðo íkiÞkhe YÃkurðãkÚkeoyku yLku ðk÷eyku MkkÚku

yuf yLkku¾ku ÃkrhMktðkËíkkhe¾ : 02-03-2014, hrððkhMk{Þ : Mkktsu 6 Úke 7.30 f÷kfuMÚk¤ : y{ËkðkË {uzef÷ yuMkkuMkeyuþLk nku÷, y{ËkðkË.

{wÆkyku : ♦ Exam Fear (ÃkheûkkLkku zh) ♦ Exam {kt Top fuðe heíkLkk fhþku ?♦ ðkt[Lk fuðe heíkLkk - fux÷wt ? ♦ {kíkk rÃkíkkLke ¼qr{fk♦ xâwþLk Mkkhk fu ¾hkçk ? ♦xe.ðe./fkuBÃÞwxh / h{íkku Exam ð¾íku fux÷wt ?♦ Medical Fitness ♦yLku ykðk íkku ftE fux÷kÞu {wÆkyku Exam íkÚkk yksLke rþûký ÔÞðMÚkkLku ÷økíkk - su{kt Audience Participation Ãký nþu.Co-Ordinator : Dr. Mehul N. Shelat M.: 98253 98891Expert : Dr. Param Shukla Child & Adolescent Psychiatrist (U.S.A)Pannelist : 1. Dr. Pragnesh Vacharajani Imm. Past President, AMA 2. Mr. K. D. Rawal, Exam helpline Counsellor (økwshkík nkÞh MkufUzhe yußÞwfuþLk çkkuzo) 3. Mr. Rajendrasinh Rajput Rachana School, Shahibaug, Ahmedabad • We are inviting all Parents & Exam going Children of AMA &

Ahmedabad City.• Registration Charge : Rs. 30/-• Snacks & Tea / Coffee will be Served after ProgrammePlease Contact AMA Office Between 2 to 6 pm on Ph.: 079-26588775

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Dr. Pravin Patel

Birth Date : 25-10-1954Heaven Date : 25-01-2014Director, Pulse Women’s Hospital, AhmedabadEx. Vice : President, Federation of Obstetric and Gynecological Societies of India FOGSI.

OBITUARYWe send our sympathy & condolence to the bereaved family

Nobody can hurt me without my permission.


22

íkkhe¾ : 1-3-2014, þrLkðkhMk{Þ : hkºku 9.30 f÷kfuMÚk¤ : sÞþtfh MkwtËhenku÷, hkÞ¾z

Ahmedabad Medical Association and AMA cultural forum organized a drama “ ytrík{ yÃkhkÄ ”on 1-3-2014 Saturday at 9.30 p.m. at Jayshankar Sundari Hall, Raikhad Ahmedabad. Please Collect Your ticket from the AMA OfficeTickets Rate = Rs. 120/- • Rs. 80/- • Rs. 50/-

DRAMA

íkkhe¾ : 27-3-2014, økwÁðkhMk{Þ : hkºku 9.30 f÷kfuMÚk¤ : xkWLk nku÷, yu÷eMkçkúes

To call woman the weaker sex is a libel; it is man's injustice to woman.

ík{Lku Ãkkhfk{kLkwt fu ÃkkuíkkLkk.....

ytrík{ yÃkhkÄ


24It is unwise to be too sure of one's own wisdom.


Ahmedabad Medical Association

CULTURAL FORUMDear Friends,

New membership as well as renewal of membership of stcultural forum is open from 1 . April 2014. We are inviting new

membership on first-cum-first basis.

We are arranging wide variety of programmes throughout

the year. Friends, you all know that we, the doctors, are

getting little time for entertainment & refreshment out of our

busy schedule. Keeping this in mind we have started cultural

forum. We hope that more and more number of our members

must take advantage of it. We appeal you all humbly that

please renew your membership or become new member with

our family members. If at all you are member any such group;

now onwards you can join our forum.

From the next financial year i.e. April 2014, we are forced

to revise & increase our membership amount. Because of the

price hike in every field, the hall rent is increased by 50% than

previous. The cost of drama & musical programmes are also

increased by 25% than previous.

From April 2014, Renewal Membership will be Rs. 1500/- per

person

New Membership will be Rs. 1500/- + Rs. 200

(reg. Fees)/- per person

PLEASE, HURRY UP................. For more details contact AMA

office.

Please Pay at the earliest.......

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I suppose leadership at one time meant muscles; but today it means getting along with people.


26


25

First they ignore you, then they laugh at you, then they fight you, then you win. I look only to the good qualities of men. Not being faultless myself,


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28

I won't presume to probe into the faults of others. It is healthy to be reminded that the strongest might weaken and the wisest might


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30Hate the sin and love the sinner. Religions are different roads converging on the same point.


32


31What is faith worth if it is not translated into action? The best way to find yourself is to lose yourself in the service of others.


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34

The greatness of a nation can be judged by the way its animals are treated. It is better to be violent, if there is violence in our hearts, than to put on the cloak of nonviolence to cover impotence.


35

Even if you are a minority of one, the truth is the truth.


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AMA SENIOR CITIZENS CLUB(S.C.C.)

A programme for A.M.A. Senior Citizen Club is arranged on Date : 22-03-2014, SaturdayTime : 4.00 pmSubject : “Neurological Problems after 61 year ”Venue : AMA House, Ahmedabad.Speaker : Dr. Sudhir Shah M.D., D.M (Neuro)

• All the senior members and their spouse are invited to attend the programme.

• Annual Membership fees will be Rs. 500/- for Couple & Rs. 300/- for Individual Member.

• Please register your name to AMA Office or Co-ordinators

CO-ORDINATORS DR. K.R. SANGHAVI DR. RAMESH C. SHAH 9427409358 9426645118 Dr. Vidyut J. Desai Dr. Kamlesh B. Saini President - AMA Hon. Secretary - AMA

8126 L DR. GANDHI PULIN ANILKUMAR8127 L DR. PATEL PRAKASHCANDRA T.8128 LC DR. SOLANKI VINAY J.8129 LC DR. ANAND VAISHALI H.8130 L DR. PRAJAPATI BHAVIKKUMAR A.8131 L DR. VAKTA ROHAN KIRITBHAI8132 L DR. TAILOR ANANDKUMAR SURESHBH8133 L DR. PATEL RITA LALLUBHAI8134 L DR. PRAJAPATI ASHWINKUMAR B.8135 LC DR. JAIN NITIN JINENDRA8136 LC DR. JAIN MEENAL NITIN8137 L DR. DAVE PURVI RAMESHCHANDRA8138 L DR. GANDHI POOJA RUTUL8139 L DR. PATEL RITESH GUNVANTLAL8140 L DR. BHATT HRUTVIJ RAJENDRA8141 LC DR. GANDHI ROZIL JAYESHBHAI8142 LC DR. GANDHI ADITI ROZIL8143 L DR. SHAH RITESH PRAFULCHANDRA8144 L DR. KHERADIA TARANG NARESHCHANDRA8145 L DR. SHAH KUSH SHAILESHKUMAR8146 LC DR. PARIKH GOPALDAS DIPAKRAY8147 LC DR. PARIKH LOMA GOPAL8148 L DR. PATEL ARPIT PRAHLADBHAI8149 L DR. BHALODIA RUSHAY HARESH

NEW LIFE MEMBERS

An ounce of practice is worth more than tons of preaching.

AMA Life Membership No. : ......................................

Name :

Surname First Name Last Name

Qualification :

Clinic / Hospital Address :

Resi. Address :

Ph. No. (C/H.) : (1) (2)

Phone Resi. : (1) (2)

(Mobile) : (1) (2)

E-mail Address :

Website :

Blood Group : Birth Date :

Signature :

FORM FOR

AMA TELEPHONE DIRECTORY Pl. affixpassport

sizerecent

Photograph

Members are requested to affix their passport size colour photo.

Last date 5th March - 2014


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INFORMATION INFORMATION INFORMATION

◘ Indian Medical Association, Gujarat State Branch, Ahmedabad Medical Association and Sparsh Chest Diseases Centre jointly

rdorganize walk for TB on World TB Day, 23 March, 2014, Sunday at 9.30 a.m. onwards from Ahmedabad Medical Association to Income tax Cross Road.

◘ Ahmedabad Medical Association & Ahmedabad Municipal Corporation , AIDS Control Society jointly organize voluntary blood donation camp organizes & blood donors motivates training on 2nd March, 2014, Sunday 9.00 am onward at AMA Premises.

◘ “ The Department of Immunohematology and Blood Transfusion is model blood bank of Civil Hospital, Ahmedabad. It is the first Blood bank in public sector accredited by NABH. The Blood bank can provide blood and blood component to the patients admitted into private hospital / Nursing home / doctors depend upon availability of blood stock.

We request you to be registered with our blood bank with following information by e-mail .

1. Doctor’s Name : 2. Mobile No of doctor : 3. Hospital Name : 4. Address of Hospital : 5. Contact No. :Please send your detail to E-mail ID : [email protected]

ESIS Doctors’s Association Conference Hosted by : The Gujarat Insurance Medical Officers’ (Cl-II) Association.

Conference Date : 6th April 2014, SundayTime : 8:00 am to 5:00 pmVenue : AMA Hall

Contact Dr. Kalpesh Parikh Dr. Rajesh Dave M. 9879545590 M. 9428405440

In a gentle way, you can shake the world. If I had no sense of humor, I would long ago have committed suicide.


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◘ Ahmedabad Medical Association, Ladies Club of AMA and Sparsh Chest Disease Centre jointly organized Public Awareness

thprogramme on World Sleep Day , 15 March, 2014, Saturday, 6.00 p.m. onward at AHMEDABAD MANAGEMENT ASSOCIATION, Near Atira

◘ Feedbacks are welcome This will give us a chance to improve AMA Bulletin team invites

1. Scientific write - ups. 2. Personal write - ups of members such as poetries etc. from our

members. 3. Information of social service, community service, out standing

medical service sports (State / National / International - level ) & Other achievements.

Please submit the same at the AMA Office if desire to print in bulletin.

◘ Any Member who desires to imprint Personal best Wishes e.g. - Birthday, Marriage Anniversary or Hospital Anniversary may contact AMA Office.

◘ The same will be printed in bulletin at minimum Charges of Rs. 100/- per wish.

◘ Member has to deposit his / her details to be printed on his / her letter head on or before 12th for the month.

08-3-2014 International Women’s Day14-3-2014 World Kidney Day24-3-2014 World TB Eradication Day 31-3-2014 Measles Immunization Day

Important Day

• Miss Kajari D/o, Dr. Piyush & Parul Shah for Giving individual gujarati song performance in Samnvay Kavya Samaroh 2014 February.

• DR. KIRIT M. VAIDYA – won first prize in both 50 meters and 100 meters BACKSTROKE Swimming events in December, 2013 at Kankaria Carnival, 2013 in Senior Citizens Sport Competition.

Congratulations


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r«Þ Mk¾eyku,“ ykøkún Lk nkuÞ, Ãký ykËh nkuÞ....

MktÃkfo Lknª, Ãký MktçktÄ nkuÞ.......yÃkoý Lknª, Ãký Mk{Ãkoý nkuÞ.....

yus Mkk[ku Ãkrhðkh............”fkÞo¢{-16 “ðw{LMk zu” Lkk MktË¼uo íkk. 8 {e {k[ o“ð{w LMk z”u A u ík u rLkr{¥k uykÃkýe f÷çk íkhVÚke ykøk÷k rËðMk uyxu ÷ u f u íkk. 7-3-2014 þ¢w ðkh Lkk hksu {fw çkrÄh Mf÷w Lkk rðãkÚkeyo k u MkkÚk u{÷w kfkík økkXu ðe A.uíkkhe¾ : 7-3-2014, þw¢ðkhMk{Þ : çkÃkkuhu 3-00 ðkøÞuMÚk¤ : fu.yuMk.zurzÞk Mfw÷, Lkðe nkEfkuxo Mkk{u, Mkku÷khkuz, yuMk.S. nkEðu ykÃkýe f÷çk íkhVÚke ykÃkýu yk MktMÚkkLkk çkk¤fku {kxu yLkwËkLk ykÃkðkLkk Aeyu. su çknuLkku Lku yLkwËkLk ykÃkðkLke EåAk nkuÞ íku{ýu «{w¾ yÚkðk {tºkeLkku MktÃkfo fhðku.fkÞo¢{-17 : “þwt ík{Lku LkMkfkuhkt çkku÷kððkLke rçk{khe Au?” “þwt ½hLke yLÞ ÔÞÂõíkyku LkMkfkuhk çkku÷kðu Au íkuLkkÚke ík{khe ô½{kt ¾÷u÷ Ãkzu Au ?” yk yuf ½ýe s ¼Þtfh rçk{khe{kt Ãkrhýk{e þfu Au. ðÄw rðøkík òýðk {kxu....íkkhe¾ : 15-3-2014, þrLkðkhMk{Þ : Mkktsu 5-30 Úke 8-00 MÚk¤ : y{ËkðkË {uLkus{uLx yuMkkuMkeyuþLk, yxehk ÃkkMku, ð†kÃkwh hkuz. WÃkhkuõík fkÞo¢{ ykÃkýe MktMÚkkyu “MÃkþo” [uMx zeMkeÍ MkuLxhLke MkkÚku hk¾u÷ku Au. íku{kt nksh hnuðk MkkiLku yk{tºký Au. hSMxÙuþLk {kxu «{w¾ íkÚkk {tºkeLkku MktÃkfo fhðku.fkÞo¢{-18 : “ ðkze÷k÷ ykEM¢e{ VufxheLke {w÷kfkík” ðkze÷k÷ Vufxhe økktÄeLkøkh {kýMkkLke ðå[u ykðu÷e Au.íkkhe¾ : 22-03-2014, þrLkðkhhSMxÙuþLk Ve : Yk. 100/- «rík ÔÞÂõíkMk{Þ : Mkðkhu 7.30 ðkøÞu y{ËkðkË {urzf÷ yuMkkuMkeyuþLk {kt Mkkiyu nksh Úkðwt çkMkLke ÔÞðMÚkk Võík 50 Mkex {kxu s Au. hSMxÙuþLk fhkðLkkh «Úk{ 50 çknuLkkuLkku Mk{kðuþ fhe þfkþu. òu MktÏÞk çkeS çkMk sux÷e ÚkE sþu íkku çkeòu çku[ íÞkh ÃkAeLke VufxheLke yLkwfw¤ íkkhe¾u {w÷kfkík ÷uþu. hSMxÙuþLk {kxu «{w¾ íkÚkk {tºke Lkku MktÃkfo MkkÄðku. Mkðkhu 7.45 ðkøÞu çkMk WÃkze sþu. y÷fk yu. Ëerûkík {Þwhe Ãke. ðAhkòLke («{w¾) ({kLkËT {tºke) {ku. 9909361954 {ku. 9427022586 ½h : 079 - 25461491 ½h : 079-27471463 zkp. rðãwík ËuMkkE zkp. f{÷uþ MkiLke («{w¾) ({kLkËT {tºke)

íktËwhMík Lkkhe, íktËwhMík Mk{ks

y{ËkðkË {uzef÷ yuMkkuMkeyuþLk

Man can never be a woman's equal in the spirit of selfless service with which nature has endowed her. The real ornament of woman is her character, her purity.


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Tumor BoardEssential concept for cancer care

In this era of advanced research culminating to increased cure rates & better quality of life for cancer patients,it requires a clear obligation on Cancer Specialists to offer all their patients not only an option for cure but an option for possibility for maximum chance for cure at minimum deterioration in quality of life. There are clinical situations that are beyond the realms of standard guidelines or there are situations for which guidelines are not defined as level 1 evidence where a clinician needs consensus from a multi-disciplinary team. World over in leading cancer centers, 'Tumor Board' is such an arrangement which guides the clinicians & ultimately patients to the optimum cure option with minimal morbidities. 1) Basics of Cancer Treatment:There are mainly three types of cancer treatment modalities: surgery, chemotherapy and radiotherapy. Each type of cancer is treated with these three types of treatment as single modalities in early stages & in various combinations in later stages based on evidence based national and international guidelines. 2) Tumor Board Definition (what is Tumor Board?): A cancer treatment planning with multidisciplinary approach, in which a number of expert cancer doctors from different cancer specialties (disciplines) review and discuss the clinical condition and treatment options of a cancer patient. 3) Members: Each tumor board includessurgical oncologist (who provides cancer treatment with surgery), medical oncologist (who provides cancer treatment with medicines) and radiation oncologist (who provides cancer treatment with radiation), pathologist, radiologist, hematologist, nuclear medicine specialist and researchers. Generally, depending upon institute – organization size and expertise available, there may be more or less specialist in tumor board. It is important to understand that all experts have gone through the structured super-specialist training in various oncology disciplines.


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4) Need of Tumor Board (Why Tumor Board is needed?): It should be noted that advancement in diagnostic technology, operative procedures and cancer research has led to exponential evidence growth for clinical management. Just like all specialties in medicine field, It is ever evolving science, thus treatment options for each cancer patient are changing based on available evidence. Generally, based on Tumor, Nodal status and Metastasis (TNM) status of the patient, each cancer patient is treated as per existing national and international guidelines. We also need to consider the patient factors as well as infrastructure facilities & expertise available.However, for few cancer patients (cancer conditions) there is no available evidence in terms of what is the best treatment option. It may also include the preference for treatment option. For example, what should be the preferred treatment for various recurrent tumors, should chemotherapy/radiotherapy given first then surgery option or vice versa. Same is true for various advanced local cancer tumors. All these kinds of cases, where lack of evidence (of treatment options) exist are discussed in tumor boards. Some early cancers are equally curable by two different modalities & guidelines also suggests the use of any one. In these kind of situations tumor board can suggest the best possible modality for that particular patient as there will be unbiased discussion by both modality specialists discussing the pros & cons of the treatment option. E.g. Early vocal cord cancer is equally curable by radiation as well as by endoscopic laser treatment. Which patient should receive what can best be discussed in tumor board and the pros & cons should be presented to the patient for his active participation in choosing the modality for cure.5) Functioning:Generally each tumor board meets once in a week. The tumor board meeting lasts for 1 to 2 hours, depending upon number of clinical cases discussion. The cancer specialist (either of surgeon, medical oncologist, radiotherapist) presents the detailed clinical status of cancer patient. That includes clinical features including specific clinical pictures or endoscopy videos, investigations work up including images of X ray, CT, MRI, PET CT etc, confirmed histo-pathological diagnosis, treatment history and current clinical status and general condition of patient. A through detail of previous patient treatment if given is presented to all members.Thenafter, detailed discussion regarding the further treatment options are discussed by all experts. The advantages and disadvantages of different

A weak man is just by accident. A strong but non-violent man is unjust by accident. A nation's culture resides in the hearts and in the soul of its people.


59

options are discussed.Based on discussion, further treatment plan chalked out and options are given to patient, which is not only the best available option but also multidisciplinary evidence based decision. 6) Advantages: It works best not only for the patients but also for the busy oncology doctors. The tumor board treatment plan is best for patient because it is based on combined clinical expertise of surgical oncologist, medical oncologist and radiation oncologist, radiologist, nuclear medicine specialist,pathologist, hematologist and researchers. It is helpful to doctor also because they can refine and continuously expand their knowledge base, promotes teamwork based on unique expertise of team members. The opinion of second specialist doctor for cancer treatment is advisable and it is standard procedure in many of developed countries. The second opinion is given by one specialist while cases where evidence of best treatment options is not known, are discussed in multidisciplinary tumor board.

Dr. Kaustubh Patel, Onco Surgeon,Dr. Hiren Thanki, Preventive Oncologist


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FRACTIONAL FLOW RESERVE Current imaging modalities for quantification of Coronary Artery Disease have many shortfalls and hence the need for newer modalities like FFR which can cover the grey zonesLimitations of Coronary Angigraphy include :

• Intermediate lesion (40-70%) significance cannot be accurately determined

• Does not provide intraluminal detail or vessel wall details ; • Diffuse disease, angiographic artifacts of contrast streaming,

image foreshortening and calcification often complicates the interpretation ;

• Bifurcation or ostial lesion locations may be obscured by overlapping branch segments.

TMT , SPECT indicate ischemia in patients with MVD but fail to distinguish the specic ischemic territories and responsible stenosesFractional Flow Reserve (FFR) measurement developed by Pijls et al has emerged as a potent tool for overcoming the above limitations

• It is defined as the Ratio of coronary pressure distal to the stenosis to that of aortic pressure as the normal perfusion pressure (distal coronary pressure/aortic pressure) when the microvascular resistance is minimal and assumed to be constant (ie at maximal hyperemia).

• FFR model assumes that under maximum arterial vasodilation, the resistance of the myocardium is minimal and constant across different myocardial vascular beds and thus blood flow to the myocardium is proportional to the driving pressure (myocardial perfusion pressure).

• It is currently considered Gold standard for invasive assessment of physiologic stenosis signicance

Note : • For One year Advertisement 15% Discount • For Six Month Advertisement 10% Discount• Please Send your Advertisement in CDR / JPG Format only at AMA before the Date.• Please Send your Advertisement Before Dt. of 15th each Month.

Man should forget his anger before he lies down to sleep. The spirit of democracy is not a mechanical thing to be adjusted by abolition of forms. It requires change of heart.


61

Interpreting FFR :The ratio determines the physiologic significance of the stenosis and its consequences for the patient, no matter what the stenosis looks like on angiographyFFR is not influenced by changing hemodynamic conditions (heart rate, blood pressure, contractility)

• Normal value = 1.0 for every patient and every artery• An FFR of 0.90 equates to 90% of normal maximum flow.• An FFR of 0.80 equates to 80% of normal maximum flow• Ischemia detection : <0.75• Defer angioplasty : >0.80• End point of angioplasty/stenting : >0.90• FFR < 0.75 suggests inducible myocardial ischemia [ 88%

sensitivity, 100% specificity, 100% positive predictive value and overall accuracy 93%]

• FFR < 0.75 Intervention is appropriate and results in significant improvement.

• FFR > 0.75 No benefit from intervention, neither in terms of functional class nor in terms of adverse events.

Interpreting FFR during Interventions :FFR <0.75 suggestive of unsuccessful PTCAFFR 0.75- 0.89 suggests a moderate result after Balloon AngioplastyFFR >0.90 suggests excellent result post angioplastyFFR >0.94 suggestive of optimal stent deployment

What Does it mean to the treating clinician ?• FFR should be measured before a decision is made either to

perform PCI or send the patient to surgery, in patients who come to the cath lab without a prior functional test and with a stenosis(es) 50-90% by angiography. (Class I recommendation , Level of Evidence A)

• This is regardless of whether the patient has single-vessel disease, multivessel disease, or if the vessel is especially important, eg. proximal LAD or LMCA. By changing the FFR from e.g. 0.50 to 0.95 by stenting the affected lesion then you are increasing blood flow from 50% to 95% of normal maximum flow

Dr. Samir Dani


HEART OF QUEENS : GETTING

THE FACTS RIGHTth

International Women”s Day falls on 8 March 2014. Some facts to make them

aware about taking care of their hearts

Heart disease is the No. 1 killer of women, causing 1 in 3 deaths each year.

That's approximately one woman every minute!

Worldwide, 8.6 million women die from heart disease each year, accounting

for a third of all deaths in women.

42% of women who have heart attacks die within 1 year, compared to 24% of

men.

Under age 50, women's heart attacks are twice as likely as men's to be fatal.

Heart attack kills six times as many women as breast cancer.

Women are twice as likely as men to die within the first few weeks after

suffering a heart attack.

46% of women and 22% of men heart attack survivors will be disabled with

heart failure within six years

Women are two to three times as likely to die following heart bypass surgery.

Younger aged women between the ages of 40-59 are up to 4 times more likely

to die from heart bypass surgery than men the same age.

Hormones or Hormone Replacement Therapy does not work

There are several lifestyle changes women can make to reduce their risk of

heart disease:

· Exercise 30 to 60 minutes a day on most days of the week.

· Maintain a healthy weight.

· Quit or don't start smoking.

· Eat a diet that's low in saturated fat, cholesterol and salt.

You'll also need to take prescribed medications appropriately, such as blood

pressure medications, blood thinners and aspirin. And you'll need to better

manage other conditions that are risk factors for heart disease, such as high

blood pressure, high cholesterol and diabetes. Some women at high risk of

heart disease may also benefit from the use of supplements, such as omega-3

fatty acids

Dr. Sunil Thanvi

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Democracy and violence can ill go together. Evolution of democracy is not possible if we are not prepared to hear the other side. You must not lose faith in humanity. Humanity is an ocean; if a few drops of the ocean are dirty, the ocean does not become dirty.

ndEvery year since 2006 every 2 Thursday of March is celebrated as World thKidney Day. The aim of this 9 world kidney day is to spread awareness in

general population as well in doctors about kidney diseases; the incidence of which are increasing tremendously.Since 2006 WHO with National kidney foundation different themes have been used to spread awareness. So this time the theme is “ KIDNEYS AGE; JUST LIKE YOU!” ; mainly to spread awareness about chronic kidney disease (CKD): so let us get some knowledge about CKD.Instead of just formal discussion; let us discuss this topic in question and answer form.

1. Is chronic renal failure(CRF) and chronic kidney disease(CKD) are same?

No. Terminology of CRF is now outdated and every doctor should use CKD instead of CRF. Any disease is chronic if it is there in the body for > 3 months.

CRF means : fall in GFR (glomerulo filtration rate) to less than 60 ml/min for >3 months. Now if patient is having normal GFR e.g. in diabetic GFR may be >100 ml/min ; but urine is showing persistent protienuria ; then patient is suffering from diabetic nephropathy. So according to definition he/she is not having CRF (normal GFR); but according to CKD definition he/she falls in CKD stage I.

So either or these two criterias ; one would be sufficient to diagnose CKD.1. Is s.creatinine is suffeicient marker for diagnosis of CKD. No. s.creatinine depends on muscle mass of a person. So s.creatinine of

1.5 mg/dl may be normal for musculine patient but it may represent renal dysfunction for thin lean person. That's why always measure kidney function with GFR.

GFR can easily calculated by each and every doctor by using simple calculators with COCKCROFT –GAULT formula ( requies patients age; weight and s.creat).


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i.o.s users can download NEFROCALC application and android users can download GFR CALC for easy calculation of GFR. And that should be the trend now!

2. Can raised s.creat differentiate acute kidney injury from chonic kidney disease?

No. we can differentiate acute from chronic by following means; Absolute indicators : • USG : kidney sizes <8.5-9.0 cm(adults)• High phosphorus with low calcium and high parathyroid in serology.• Fundus showing diabetic ratinopahty in diabetics with protienuria.• Previous report of s.creatinine in last 3 months.• X-ray : wrist / spine showing ostodystrophy• In children growth retardation. All others : including history and physical examination are supportive

evidence but not confirmatory.3. If s.creat is high which kidney is affected right or left ? When s.creat is raised : it means both kidneys are affected . Even if single

kidney is normal s.creat would be normal; and that's why kidney transplantation are successful surgery ; both donor and recipient will have single , normal functioning kidney!

4. What is ESRD : End Stage Renal Diesase? a. Azotemia - elevated blood urea nitrogen (BUN >28mg/dL) and

creatinine (Cr>1.5mg/dL) b. Uremia - azotemia with symptoms or signs of renal failure c. End Stage Renal Disease (ESRD) - uremia requiring transplantation

or dialysis 5. What is most common cause of ESRD in India? a. Azotemia - elevated blood urea nitrogen (BUN >28mg/dL) and

creatinine (Cr>1.5mg/dL) b. Uremia - azotemia with symptoms or signs of renal failure c. End Stage Renal Disease (ESRD) - uremia requiring transplantation

or dialysis

KIDNEYS AGE; JUST LIKE YOU!

Kind words can be short and easy to speak, but their echoes are truly endless. Yesterday is gone. Tomorrow has not yet come. We have only today. Let us begin.


65


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6. What is most common cause of ESRD in India?

DIABETES IS MOST IMPORTANT CAUSE.1. Which is most common symptom of CKD? Most common symptom is patient may be totally asymptomatic ! so;

screening of person at high risk (long standing uncontrolled DM/ Hypertension/analgesic abuse/family history) may be helpful. Multiple symptoms and signs can be there but nothing is specific to this disease!

2. Is chronic kidney disease : reversible ? Numbers of nephrons in each kidneys at birth are 1.0 million. Till age of

30 years it remain same and then decreases. i.e. kidney does not regrow like hair and skin. So world across available treatment for CKD is just for prevention of progression from one stage to other ; treament of complications and preparation for future definitive therapy. There are certain instances in which s.creatinine decreases : that is actually recovery of acute componant on top of chronic kidney disease! CKD patients are prone to get superadded acute kidney injury.

3. When to get tested? Type 1 Diabetes: 5 years after diagnosis, then annually*

Type 2 Diabetes: at diagnosis, then annually* Hypertension: at diagnosis and initiation of therapy, then every 3 years if

eGFR and microalbumin tests are normal Family history of kidney disease: every 3 years, as long as tests are

normal. *KDOQI Guideline 4. What as a doctor we can do at diagnosis of CKD ?· Explain patient about nature of disease· Factors responsible for progression(DM ; Hypertension and proteinuria)· Staging at dianosis by estimating GFR ; rather relying on s.creatinine.· Hepatitis B vaccination ( after polio hepatitis B should be the target for

atleast partial/ complete irradication!) 5. What are recommandation for management of early CKD stage (1-3)· Lifestyle changes

· Smoking: Recommend smoking cessation· Diet : Sodium intake <100 mmol (2·3 g) per dayo Consider oral sodium bicarbonate supplementation if acidotic· Weight: Body-mass index <25 kg/m²; waist circumference <102 cm for

men and <88 cm for women· Exercise: When feasible, 30–60 min of moderate intensity dynamic

exercise (walking, jogging, cycling, or swimming) 4–7 days per week· Hypertension· Treatment goal:• Recent guideline suggest

• Non- Proteinuric : BP goal:≤140/90mm Hg

• Proteinuric CKD:(≥30 mg/24 hours) BP goal: ≤130/80 mm Hg.• Pharmacotherapy: • Proteinuric chronic kidney disease : ACE inhibitoror an angiotensin-

receptor blocker• Non-proteinuric chronic kidney disease : any / combination of

antihypertensive can be used ; depending underlying clinical status.Diabetes mellitus• Treatment goal: HbA1c about 7%.• Pharmacotherapy:• Metformin acceptable for stage 1–2 chronic kidney disease, and stable

stage 3 chronic kidney disease• Repaglinide acceptable with no dose adjustment• Short-acting sulphonylureas (eg, gliclazide) are preferred over long-

acting agents• Sulphonylureas and insulin need dose adjustment To conclude, CKD is a problem of epidemic proportions in India, and with

an increasing diabetes burden, hypertension, and growing elderly population it is going to increase even further. In a country like India, where screening and prevention of CKD still has to take a start, screening of high-risk individuals for CKD and its risk factors is the best bet.

Dr. Siddharth B. Mavani(Nephrology) M.D.D.N.B.

DISCLAIMEROpinions in the various articles are those of the authors and do not reflect the views of Ahmedabad Medical Association. The appearance of advertisement is not a guarantee or endorsement of the product or the claims made for the product by the manufacturer.

God doesn't require you to succeed, he only requires that you try. What can you do to promote world peace? Go home and love your family.


◘ Come like a Racer, Sit Like a Yogi, Go Like a King. Written on door of Toilet.◘ Mandir na pujari ne loose motion thai gaya Medicine lidha pachi doctor

ne Puchhyu, “Any Precaution ?” Doctor, “Shankh jor thi na vagadta”◘ Ladki at one shop, “Is mirror ka kya hai ?” 1000 Rs. Bahut Jyaada hia Koi Khass Baat ? Usko 100 floor se girao to 99 tak nahi tutega, Pack kar do.◘ Beta “Mummy, Aaj Raate Pan Susu Karva gayo to Barnu kholtaj light

enimeta chalu thai gayi.” Mummy “Nalayak aaje pan te Freeze ma susu kari ?◘ Aa kevi mohmaya “Aapnu balak Rade to dilma dard thay ane bijanu Rade

to sir dard thai. Apni Patni rade to sirma darad thai, bijani Patni rade to dilma darda thai.◘ Dad to son Shun kare chhe ? Son, “Balb par tamaru nam lakhu chu ?” Dad Kem ? Son “Baapnu nam Roshan Karva ?”◘ Teacher, Batao, Sacho desh bhakta kone kahesho ? Sardar, English Toilet me seat par india Style me baitha ke kare usko.◘ Teacher, Gadhe ke pas do balti rakhi. Ek daru ki aur ek pani ki. Gadhapani

pi gaya. Kya lession mila.” Student, Jo daru nahi pita woh gadha hai.◘ At last. Speak Speedily. A good Cook Could Cook Good.

Humour

67

Report of the Month


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♦ GFATM - RNTCP - PPM - RCC - PROJECT - UNITI - 1, District level training was held on 16-02-2014 at AMA premises. WHO consultant Dr. Bhavin Vadra & Dr. R. M. Leuva were faculties. Dr. Mahendra Desai (Project Co-ordinator), Dr. Ashok Kanodia, (Project Convener,) remained present.

♦ A Dream project of Ahmedabad Medical Association on Childhood Obesity getting very good acceptance amongst the school authorities. Mr. Kapil Pandya from CVHF organised on more session at Diwan Ballubhai School, Kankaria on 4-1-2014 At the outset the Principal of the school Dr. Kirit joshi welcomed the dignitaries. Dr. Mehul Shah explained the need of such informative sessions. Past President of Ahmedabad Medical Association Dr. Abhay S. Dikshit delievered the lecture. It was attended by more than 50 students and few teachers. They all appreciated the efforts put by AMA to create the awareness.

♦ Republic Day Celebration & Poojan of Bharat Mata done at AMA premises on 26 Jan Dr. Vidyut Desai. AMA President did flag Hoisting and delivered speech on Petriosim. Programme ended with high tea.

♦ GIPS Hospital and AMA had arranged public awareness program, Healthy Mind Healthy Life on 2nd Fed 2014 at Town hall.

Chief guest was Dr. Guruprasad Mohapatra, commissioner Ahmedabad Municipal Corporation.

Psychiatrist form GIPS had presented live demonstration of different Psychiatric Disorders. They had demonstrated live doctor chamber and tried to show real patients their behavior and gave the answers regarding illness to the public.

prorgramme was attended by more than 900 people.

• Dr. Prabhavati A. Panchal for her generous donation of Rs. 20,000/- (Rs. Twenty thousand) to Ahmedabad Medical Association.

The most terrible poverty is loneliness, and the feeling of being unloved. I can do things you cannot, you can do things I cannot; together we can do great


69

♦ On 3rd Feb, eve of world Cancer Day, AMA held cancer Awarness Public Programme at Dr. R. M. Fozdar Hall Dr. Kaustubh Patel (Expert Cancer Specialist) gave useful cancer related information Homeguards were Specially invited. and about 500 homguards remanin present in Programme. A beautiful Presentation on Cancer done by Student of H. B. Kapadia School, and in the end everyone took oath to quite tobacco & Prevent cancer. Programme ended with National Anthem & High tea.

♦ Scientific Programme No. 6 on Cosmetology & Dermatology update was held on 8-2-2014 at AMA Premise. Dr. Ranjan Rawal, Dr. Krina Patel & Dr. Arti Shah were faculties and Dr. J. N. Dave was chairman. Large naumber of delegates attend this programme with interactive Session.

♦ G. Speak was held on 8-2-2014 at AMA premises. Dr. Mukund Mehta was Speaker Mr. Piyush Desai & Dr. Nitin Shah was Co-Speaker, Shri Swami Adhyatmanandji was Chief Guest. Large number of participant remained present in this programme & made it huge success.

♦ Scientife Programme No.7 on Rational use of blood & its components was held on 9-2-2014 at AMA Premises Dr. Cherry Shah, Dr. Vishwas Amin, Dr. Kartik Shah were faculties and Dr. Reema Kusumgar was co-ordinator. Large number of delegates attend this programme with interactive session.

♦ Scientific Programme No.8 on Orthopedic update was held on 16-2-2014 at AMA Premises. Dr. Saishav Bhagat ( U.K.), Dr. Sweta Bhagat (U.K), Dr. Kalpesh Trivedi, Dr. Anjali Bhise were faculties and Dr. Parth Patel was Co-ordinator. Large number of participent remain present in this programme.

♦ 30th January - A Visit to Gandhi Ashram

AMA îkhk økktÄe rLkðkoý rËLk rLkr{¥ku Ãkq.çkkÃkqLku ©æÄktsr÷ yÃkoðk {kxu - A visit to

Gandhi Ashram økkuXððk{kt ykðe yLku økktÄe yk©{Lkk yu rËðMkLkk fkÞo¢{ku{kt

òuzkðkLkwt yk{tºký ykÃkðk{kt ykÔÞwt. Mkktsu «kÚkoLkk Ãknu÷k zkp. rðãwík¼kE ËuMkkE yLku

zkp. {unw÷ þu÷íku {wÏÞ Mkt[k÷f ©e y{]ík¼kE yLku ©e rfþkuh¼kELkwt þk÷ ykuZkze

yu.yu{.yu. ðíke MkL{kLk fÞwO.


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♦ 26th January - A visit to Sardar Patel Smarak & 3D Show «òMk¥kkf rËLk rLkr{¥ku Ãkq. MkhËkh Ãkxu÷Lku ytsr÷ MðYÃku yu.yu{.yu.Lkk yËT¼qík Iniative {kt

100 WÃkhktík Vu{e÷e {uBçkMkuo ¼køk ÷eÄku. çkÃkkuh Lkk 3:30 Úke Mkki Vu{e÷e MkkÚku ykðíkk økÞk.

BÞwÍeÞ{ yLku {Õxer{zeÞk þku {kýíkk hÌkk. Mkktsu 5 ðkøku Mkt[k÷f zkp. Ãkxu÷ MkkÚku MkhËkhLke økkuce

ÞkuS xe xkE{ Lku MkkÚkof fÞkuo. zkp. yïeLk¼kE þknu yu{Lke fkheøkhe Úke yk¾e EðuLxLku fu{uhkLkk

f[fzk{kt Zk¤e ËeÄe. 3-ze þku Ãknu÷k Ëhuf {uBçkhLku Vu{e÷e ËeX zkp. rfrhx økZðe, zkp. rðsÞ

¼kðMkkh, yLku zkp. Mkt½ðe îkhk ‘®nËLkk MkhËkhLkwt ’ ÃkwMíkf ¼ux ykÃkðk{kt ykÔÞwt, yLku Mkki yu MðkrËü

hMkkuELkku hMkÚkk¤ {kýe 9 ðkøÞkLke ykMk ÃkkMk MkhËkhLke ðkíkku fhíkk Awxk Ãkzâk.

◘ ykÃkýk {uBçkMkoLke MkhËkh M{khf rðÍexLkk yLkw¼ðLke ðkíkku.• A very good program arranged by AMA. Thanks to all who has taken

keen interest to organize this - Dr. Govindbhai Patel• Dear Dr. Mehulbhai Shalat, The Programe was great, Thanks for the

invitation - Dr. Sapan Pandya (Rheamatologist)• Congrats for awesome program place & Show , enjoyed, please

recognize it for young medical Student - Dr. Shailesh Desai (Cardiologist)

• Thanks to AMA for arranging Sardar Smarak visit we saw the sincere efforts of Dr. Mehul Shelat to make the programme Successful - Anjuben & Dr. Amit Shah

• It was real excellent Selection & arrangement of Programme we are waiting for many such progrmmes in future wi all feel provided for contribution on our part in needed - Dr. Jay Panchal, Dr. Mukesh Panchal

♦ 16 -2-2014 - A Musical Talent Evening Mkktsu 6:30 Lke ykMkÃkkMk yu.yu{.yu. Lkk òuhËkh f÷kfkh r{ºkku, ©kuíkkøký, ykuVeMk MxkV yLku

nŠ»kík {nuíkk ykuhfuMxÙkyu ÃkkuíkÃkkuíkkLke søÞk Mkt¼k¤e. ¾qçk s MkwtËh çkuLkh MkkÚku Mkwþku¼eík Mxus

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çkË÷u nu{tíkfw{khLku çk¾qçke Mkt¼kÞko íkku yLkku¾k ytËks{kt zkp. y{eíkkçkuLku ykþkSLke ÞkË yÃkkðe.

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fÞkuo. fŠýfu Mkw¼kLkÕ÷knÚke MkkiLku zku÷kÔÞk íkku VkÕøkwLke òu»keyu ÷íkkËeËeLkk ytËks{kt nt{UþLke su{

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Do not wait for leaders; do it alone, person to person. Joy is a net of love in which you can catch souls.


71

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MkkÚku swLkk Lkðk økkÞLkkuLkwt r{©ý fÞwO, su{kt zkp. Ãktfs¼kE yLku Mkki økkÞfkuyu íku{Lku MkkÚk ykÃÞku. yk

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Ãkkt¾ze MðYÃku {ku{uLxku ykÃkðk{kt ykÔÞk.

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• Mkki MkÇÞ çknuLkkuLkk yr¼LktËLkLkk VkuLk ykðu Au. MkkiLku Ëhuf fkÞo¢{{kt ¾qçk s {Ík ykðu Au. ¾kMk

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þu÷íkLkku Ãký yk¼kh.

• íkk. 24-1-2014 Lkk hkus zkp. ÃkkY÷çkuLk þknu økkuXðe ykÃku÷ fkÞo¢{ Ãký ¾qçk MkV¤ hÌkku.

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rðþu Mk{òððk{kt ykÔÞwt. yk ôÃkhktík yuõÞw«uþh rLk»ýktík zkp. LkeíkkçkuLk þuXu {uhezeLkeÞku÷kuS -

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W{¤fk¼uh ¼køk ÷eÄku.

• íkk. 14 {e Vuçkúwykhe yuhkuçkeõMk WÃkh ðfoþkuÃk hk¾u÷wt. su{kt Ãký ÷øk¼øk 50 Úke ðÄkhu çknuLkku

yu ¼køk ÷eÄku yuhkuçkeõMk fMkhík rð»ku ¾qçk s MkwtËh heíku ©e{íke ÃkkÞ÷çkuLk yu{. þknu çkÄkLku

Mk{òÔÞwt. yLku fMkhík fhkðe Ãký ¾he, fMkhíkLkk VkÞËk, fMkhík õÞkhu Lk fhðe, ðku{o yÃk

fMkhík rð. Lke MkwtËh hswykík fhe. fkÞo¢{Lku ytíku Mkkuyu {Äwh LkkMíkku {kÛÞku. yk fkÞo¢{ Lku MkV¤

çkLkkððk {kxu zkp. ytswçkuLk þknLkku yk¼kh.


72

Words which do not give the light of Christ increase the darkness. Jesus said love one another. He didn't say love the whole world.


74

URGENTLY REQUIREDCONSULTANTS

IN

GENERAL SURGERY / ORTHOPEDIC / OPHTHALMOLOGIST /OBSTERTRICS AND GYNAECOLOGY /GENERAL MEDICINE / PAEDIATRICS &

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FRO MEETING / APPOINTMENT


73

There are many people who can do big things, but there are very few people who will do the small things. I prefer you to make mistakes in kindness than work miracles in unkindness.


76

MANALI TREKKING“MOUNTAIN MOVERS’ IS

ORGANIZING A FAMILY TREK OF

BEAS KUND (MANALI)

FROM 17-05-2014 TO 26-05-2014.

LAST YEAR WE SUCCESSFULLY

COMPLETED THE TREK WITH 45

PARTICIPANTS. AGE GROUP 8 TO 60

YRS. ENJOY THE MAGNIFICENT

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ORGANIZED BY HIGHLY QUALIFIED

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FOR DETAILS CONTACT

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Hospital for Rent or Sale

1494 sq. ft. area fully functional OB/ GY hospital

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:::::::: Contact ::::::::Dr. H. M. LadolaM.: 9825353963

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period of One month from 8-4-2014 to 8-5-2014 at Vadaj

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----------: Contact :----------

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ðu[ðkLkwt Au. GynecologistòuEyu Au.M¢eLkªøk {þeLk

xeÃkxkuÃk ftrzþLk{kt

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çkkÃkwLkøkh rðMíkkh {kxu[Female

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Contact : Dr. Hitesh Jirawala

98255 876449898263498

mor : 10 to 1 eve : 6 to 9

HOSPITAL FOR RENT OR SALEMATRIMONIAL A well equipped hospital situated in prime location of Ahmedabad is available on rent or sale. Best opportunity of consultant couple fresh or practicing in peripheri.

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Contact : Dr. K. V. Shah • M.: 98252 49361

Gujarati Vaishnav Vanik Doctor Invites Alliance for his

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75

Be a Member Be a Member

ofof

S.S.S., P.P.S. S.S.S., P.P.S.

Health Scheme,Health Scheme,

N.S.S.S. and N.S.S.S. and

F.B.S.F.B.S.

Be a Member

of

S.S.S., P.P.S.

Health Scheme,

N.S.S.S. and

F.B.S.I alone cannot change the world, but I can cast a stone across the waters to create many ripples. One of the greatest diseases is to be nobody to anybody.

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