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