diwali and new year prosperous - ahmedabad medical...

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OCTOBER - 2016 6 Vol.11 Imm. Past President - DR. BRIJAN H. CHOKSI DR. ASHOK D. KANODIA Hony. Secretary - AMA DR. HARSHAD C. PATEL President - AMA AHMEDABAD MEDICO NEWS Registered under RNI No. GUJENG/2006/17532 Published on 27th of Every Month and Permitted to Post at without Prepayment No. CPMG/GJ/118/2016-2018 Ahmedabad PSO on 27th Date of every Month under Regd. No. GAMC / 1548 / 2016-2018 issued by SSP Ahmedabad. Valid upto 31-12-2018 DR. ASHOK D. KANODIA, HONY. SECRETARY, ON BEHALF OF 17-11-2016 19-11-2016 26-11-2016 01-12-2016 to 10-12-2016 17-11-2016 19-11-2016 26-11-2016 01-12-2016 to 10-12-2016 Ladies Club Programme Senior Citizen Programme Ladies Club Programme Yoga Shibir Ladies Club Programme Senior Citizen Programme Ladies Club Programme Yoga Shibir Wish and New Year you Happy A Diwali Prosperous þw¼ þw¼ ÷k¼ ÷k¼ 12-11-2016 13-11-2016 13-11-2016 13-11-2016 16-11-2016 12-11-2016 13-11-2016 13-11-2016 13-11-2016 16-11-2016 Scientific Programme Diabetes Walk Diwali Get to Gether Ladies Club Programme IMA Satyagraha Scientific Programme Diabetes Walk Diwali Get to Gether Ladies Club Programme IMA Satyagraha " SERVICE WITH CHARACTER MAKES A TRUE DOCTOR "

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Page 1: Diwali and New Year Prosperous - Ahmedabad Medical …ahmedabadmedicalassociation.com/uploads/October-2016.pdf · Dr. Keyur Shah Dr. Atul J. Gandhi Dr. Pratik J. Shah Dr. B. N. Rathod

OCTOBER - 2016 6Vol.11

Imm. Past President - DR. BRIJAN H. CHOKSI

DR. ASHOK D. KANODIAHony. Secretary - AMA

DR. HARSHAD C. PATELPresident - AMA

AHMEDABAD MEDICO NEWS Registered under RNI No. GUJENG/2006/17532Published on 27th of Every Month and Permitted to Post at without PrepaymentNo. CPMG/GJ/118/2016-2018 Ahmedabad PSO on 27th Date of every Month underRegd. No. GAMC / 1548 / 2016-2018 issued by SSP Ahmedabad. Valid upto 31-12-2018

DR. ASHOK D. KANODIA, HONY. SECRETARY, ON BEHALF OF

17-11-201619-11-201626-11-201601-12-2016 to10-12-2016

17-11-201619-11-201626-11-201601-12-2016 to10-12-2016

Ladies Club ProgrammeSenior Citizen ProgrammeLadies Club ProgrammeYoga Shibir

Ladies Club ProgrammeSenior Citizen ProgrammeLadies Club ProgrammeYoga Shibir

Wish and

New Year

you Happy

A

Diwali

Prosperous

þw¼þw¼ ÷k¼÷k¼

12-11-201613-11-201613-11-201613-11-201616-11-2016

12-11-201613-11-201613-11-201613-11-201616-11-2016

Scientific ProgrammeDiabetes WalkDiwali Get to GetherLadies Club ProgrammeIMA Satyagraha

Scientific ProgrammeDiabetes WalkDiwali Get to GetherLadies Club ProgrammeIMA Satyagraha

" SERVICE WITH CHARACTER MAKES A TRUE DOCTOR "

Page 2: Diwali and New Year Prosperous - Ahmedabad Medical …ahmedabadmedicalassociation.com/uploads/October-2016.pdf · Dr. Keyur Shah Dr. Atul J. Gandhi Dr. Pratik J. Shah Dr. B. N. Rathod

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A.M.A. BULLETIN INDEXContent Page No.

?From President's & Hon. Secretary's Desk.................................4-6

?AMA Photos ................................................................................7-16

?Happy Diwali ..................................................................................21

?AMA Sub Committees-2016-17 ...............................................22-23

?Pujya Mahant Swami - Letter ......................................................24

?Swaminarayan Sanstha-Bochasanwasi - Letter ..........................25

?Scientific Programme .....................................................................26

?Diwali Get to Gether.......................................................................27

?Diabetes Walk..................................................................................28

?Congratulation, AMA Senior Citizen Club, Disclaimer..............29

?IMA Satyagraha, New Life Member .......................................30-31

?Ladies Club Activity Report.....................................................32-33

?Obetuary..........................................................................................34

?AMA Family Benefit Scheme ...................................................43-45

?Article .........................................................................................46-54

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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

MANAGING COMMITTEE MEMBERS

OTHER THAN P.G.P.G.

BULLETIN COMMITTEE

DR. K. R. SANGHAVIDR. PRANAV SHAHDR. SURESH K. ZAVERI

DR. JITENDRA H. PARIKHDR. DEVENDRA PATELDR. MEHUL J. SHAH

DR. JITENDRA N. PATELDR. RAMESH SHAHDR. SUJAL PARIKH

YEAR : 2015-2016

DR. BHOJAK ASHISH ASHOKBHAI

9909904571 GHATLODIA

DR. DESAI HITENDRA KARSHANBHAI

9979889800 THALTEJ

DR. KALYANI AMITKUMAR MOHANLAL

9898244366 SABARMATI

DR. MODI NIRAV VINODCHANDRA

9825887812 MEMNAGAR

DR. PANDYA RUSHI NARESH

9824890747 NAVRANGPURA

DR. PATEL GAURANGKUMAR JAGDISHCHANDRA

9724319934 SOLA CIVIL

DR. PATEL MAULIN BHAKTIBHAI

9925195176 SHAHIBAUG

DR. PATEL MITESH KALIDAS

9426585877 SABARMATI

DR. PATEL RACHIT JAYESHKUMAR

9726657062 NIRNAYANAGAR

DR. PATEL TIRTH NAVINCHANDRA

9913141958 THALTEJ

DR. ROHIT PINAKIN PURUSHOTTAM

9925113323 SHAHIBAUG

DR. VAGHELA SHIVPALSINH DHARMENDRASINH

9879048687 NARANPURA

DR. BHANSALI PIYUSH MAFATLAL

9173475216 AMBAWADI

DR. GADHAVI KIRITKUMAR CHHAGANLAL

9998370353 VASTRAPUR

DR. MEHTA DHIREN RAMNIKLAL

9898854158 MANINAGAR

DR. MISTRY AMIT KALIDAS

9825331266 MANINAGAR

DR. MODI ASHOK BABUBHAI

9825347657 NAVA VADAJ

DR. PANDYA SATISH MADHUSUDAN

9825956928 SHAHIBAUG

DR. PATEL HEMANT B.

9879813741 RANIP

DR. PATEL MAHESHKUMAR RATILAL

9824301332 SOLA ROAD

DR. PATEL SURESH KANTILAL

9824053995 GHATLODIA

DR. RAJGOR JAGDISH BHANABHAI

9998461904 MANINAGAR

DR. RATHOD BALKRISHNA NATHALAL

9879599006 NARANPURA

DR. SAIHGAL RAJESHKANT MANGATRAM

9824361312 BODAKDEV

HONY. SECRETARY

DR. KANODIA ASHOK D.

M.: 9428405746

HON. JT. SECRETARY

DR. SHAH PRATIK JASHWANTLAL

M.: 9825010972

DR. SACHDE JAYESH PRAFULCHANDRA

M.: 9824018848

HON. LIBRARY SECRETARY

DR. DESAI PARTH MAHENDRABHAI

M.: 9898797963

IMM. PAST PRESIDENT

DR. BRIJAN H. CHOKSI

M.: 9824265642

PRESIDENT

DR. PATEL HARSHAD CHIMANLAL

M.: 9824019881

VICE PRESIDENTS

DR. SHAH MANISH GIRISHCHANDRA

M.: 9099962094

DR. GANDHI ATUL JAYANTILAL

M.: 9824047636

HON. FINANCE SEC.

DR. PANCHAL DIVYESHKUMAR N.

M.: 9714632100

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From Hony. Secretary's Desk

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From President's Desk

First, I sincerely congratulate Dr. Brijan Choksi and his team for their outstanding efforts over the past year. They have truly enhanced the unity and reputation of our esteemed Association.

I am honoured and humbled to have been selected to serve you all as the President. With your support we can continue to build upon our glorious past and enjoy a very bright future.

You will notice on the front cover the slogan 'Service with character makes a true doctor'.

This seems to be a pressing need of the present time. Due to the misbehaviour of a small minority, our trusted and distinguished profession has been subject to criticism. It is every doctor's duty to live up to our professional standards, and practice with integrity, humility and loyalty.

You will often hear members of the public and our colleagues commenting, "This person is a good doctor" or "This person is a 'dodgy' doctor." We must introspect to know with label applied to us. We must all continually strive to be good.

Thus, our focus this year is one that will be of use to us for life - to strengthen our unity by becoming stronger, nobler individuals.

As a profession, we have to be united in our efforts to reclaim the respect and trust of our patients, their families and society. Doctors will always be in demand, but we must not abuse our authority for undeserved gain.

I pray to almighty God and all the divine souls who have graced our nation to bless us all with the inner strength to achieve these goals.

DR. HARSHAD C. PATELPRESIDENT

[email protected]

Hello Friends,

As Napoleon Bonaparte said “ABILITY IS NOTHING WITHOUT OPPORTUNITY”

I, myself, feel being Honored to have an opportunity to know my abilities as an individual and give proper justice to the post of Hon. Secretary of Ahmedabad Medical Association.

I am crowned for.

Firstly, I will thank all of you for electing me uncontested as the Hon. Secretary of this prestigious Association which is oldest Medical Association of India which has glorious past, growing present and bright future.

At present Medical Profession is going through lots of changes and challenges, I believe that Indian Medical Association has pivotal role to play in it and as an oldest and one of the largest branch, we can be flag bearers to all.

I would like to request our Respected Senior Leaders – Dr. Ketanbhai Desai, Dr. Jitubhai B. Patel, Dr. Mahendrabhai Desai, Dr. Bipinbhai Patel, Dr. Kirtibhai Patel, Dr. Yogendrabhai Modi, and Dr. Shailendra N. Vora to be on our side as a light house and guide us if we are on off way and bless us with their experienced hands. I am also thankful to all the members who witnessed the Installation Ceremony and bestowed best wishes and to those who were physically not able to attend the function due to some reason but their hearts were with us to convey their best wishes. I am overwhelmed, again heartiest Thanks.

New team has taken charge of Ahmedabad Medical Association under able leadership of Dr. Harshad Patel and let me run through the events happened in this month…

This year’s first scientific program was held on 09-10-2016 at hotel Crown Plaza and on 16-09-2016 there was Navratri Celebration at Sindur Party plot.

Long Live AMAJai AMA

" SERVICE WITH CHARACTER MAKES A TRUE DOCTOR " " SERVICE WITH CHARACTER MAKES A TRUE DOCTOR "

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Installation ceremony of Ladies club was also held at the premises of our association.

Friends, during this month few things happened and few things are going to happen which are significant to all of us.

On 15-10 2016 our own member Dr Yogendra Modi was installed as a thPresident of Gujarat State Branch of Indian Medical Association at 68 State

Conference (GIMACON) which was held at Rajkot and in General Body thMeeting Ahmedabad Medical Association has proposed to host next 69 State

conference (GIMACON) at Ahmedabad which was accepted, so in the year 2017 we will host our annual conference AMACON along with GIMACON. Dates will be declared in bulletin be prepared for it.

When this bulletin reaches you our own beloved leader Dr Ketanbhai Desai stwill have been sworn as President of World Medical Association on 21 October

at Taipei, Taiwan. He is first Indian and first Asian to hold this post. We are proud of him and on behalf of Ahmedabad Medical Association wish him grand success.

Many changes are happening at National level and one is introduction of National Medical Commission Bill 2016 which is undemocratic and not

thacceptable to us and to protest it IMA HQ has call for Satyagraha on 16 November I request all the members to joint Satyagraha and show our solidarity. Other demands are Stop Undemocratic National Medical Commission Bill 2016 and five other demands are (1) Cap on compensation (2) Amend PNDT Act (3) Clinical Establishment Act (4) Central anti violence Act (5) No crosspathty.

Friends, with your support and positive approach. I am sure that Ahmedabad Medical Association will mark new mile stones in year ahead.

On behalf of entire team, I would like to wish Happy Diwali and a Prosperous New Year.

Let’s hope for a sparking, entertaining and fruitful tenure of 2016-2017 for AMA.

Long Live AMAJai AMA

DR. ASHOK D. KANODIAHONY. SECRETARY

[email protected]

" SERVICE WITH CHARACTER MAKES A TRUE DOCTOR "

Wish you Happy Diwali

and

Prosperous New YearTo

All Doctor Members&

Their Family Membersof

Ahmedabad Medical AssociationFrom

Office Bearers&

Managing Committee Members&

AMA Sub Committees&

All Past Presidents&

Office Staffsof

Ahmedabad Medical Association

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INSURANCE COMMITTEE

Dr. Manish G. Shah

Dr. Pratik J. Shah

Dr. Parth N.Patel

Dr. Pragnesh M. Vachharajani

Dr. Jignesh C. Shah (Vadaj)

Dr. Bhargav Zaveri

Dr. Hitendra Parikh

Dr. Shailendra N. Vora

Dr. Abhay S. Dikshit

Dr. K. C. Gadhavi

Dr. Sunil B. Chenwala

A.M.A. SUB - COMMITTEES 2016-2017SCIENTIFIC COMMITTEE SPORTS & ENTERTAINMENT COMMITTEE

Dr. Manish G. ShahDr. Jayesh P. SachdeDr. B. N. RathodDr. Jitendra ParikhDr. Parth M. DesaiDr. Hitesh PatelDr. Tushar PatelDr. Piyush ShastriDr. Vishal SharmaDr. Krupa TrivediDr. Minol AminDr. Keyur Shah

Dr. Atul J. Gandhi

Dr. Pratik J. Shah

Dr. B. N. Rathod

Dr. Dinaben Sutaria

Dr. Mehul Shelat

Dr. Divyesh Panchal

Dr. Monaben P. Desai

Dr. Dipak Patel

Dr. Snehal Shah

Dr. Tushar Soni

Dr. Nimesh Patel

BUILDING COMMITTEE

Dr. Harshad C. Patel

Dr. Ashok D. Kanodia

Dr. Kirtibhai M. Patel

Dr. Parimal M. Desai

Dr. Jitendra B. Patel

Dr. Yogendra S. Modi

Dr. J. P. Darbar

Dr. Devendra R. Patel

Dr. Dhanesh A. Patel

Dr. Bipin M. Patel

Dr. Mahendra B. Desai

RULES COMMITTEE

PUBLIC RELATION COMMITTEE

Dr. Harshad C. Patel

Dr. Ashok D. Kanodia

Dr. Kirtibhai M. Patel

Dr. Jitendra B. Patel

Dr. Mahendra B. Desai

Dr. Bipin M. Patel

Dr. Dhanesh A. Patel

Dr. Jitendra N. Patel

Dr. Mehul J. Shah

Dr. Shailendra N. Vora

Dr. K. R. Sanghavi

Dr. Harshad C. Patel

Dr. Pratik J. Shah

Dr. B. N. Rathod

Dr. Dimpal Patel

Dr. Sureshbhai Patel

Dr. Pravinbhai Patel

Dr. Dipak Limbachiya

Dr. Divyang Barot

Dr. Divyang C. Patel

Dr. Minal Patel

Dr. Hemant Thakkar

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ETHICAL COMMITTEE

Dr. Atul Gandhi

Dr. Jayesh Sachde

Dr. Mehul J. Shah

Dr. Abhay S. Dikshit

Dr. K. R. Sanghavi

Dr. J. P. Darbar

Dr. P. M. Vachharajani

Dr. Sujal U. Parikh

Dr. Jayesh Thakkar

BENEVOLENT FUND COMMITTEE

FAMILY PLANNING COMMITTEE

Dr. Atul Gandhi

Dr. Jayesh P. Sachde

Dr. Belaben T. Patel

Dr. P. B. Patankar

Dr. Vijay Bhavsar

Dr. Varsha M. Patel

Dr. Vandanaben Amin

Dr. Kamini Patel

Dr. Jayshreeben Gandhi

Dr. Dilipbhai Gadhavi

Dr. Kalpita Dave

Dr. Alpaben A. Gandhi

Dr. Harshad C. Patel

Dr. Ashok D. Kanodia

Dr. Divyesh Panchal

Dr. Atulbhai Patel

Dr. Sureshbhai Patel

Dr. Bhumit R. Patel

Dr. Jagdishbhai Patel

LIBRARY COMMITTEE

YOGA SHIBIR

Late Dr. C. C. Raval - Divya Jivan Sangh

For Doctors and their Family Members

Date : 1-12-2016 to 10-12-2016

Time : 7.00 a.m. to 8.00 a.m.

Place : AMA Premises

# Registration fee Rs. 50/- per Person

# This Shibir will be Conducted by

Dr. Puspa P. Multani (Qualified Yoga Teacher)

Dr. Manish G. Shah

Dr. Parth M. Desai

Dr. Vatsal Patel

Dr. Dileep Pratibha

Dr. D. G. Vijay

Dr. Sunil Popat

Dr. Atulbhai Patel

Dr. Dineshbhai Patel

Dr. Nehal Nayak

Dr. Varsha M. Patel

Dr. Rajani Patel

Dr. B. M. Soni

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SCIENTIFIC PROGRAMME NO. 2SCIENTIFIC PROGRAMME NO. 2

Date : 12-11-2016, Saturday

Time : 8:30 p.m. to 11:00 p.m.

Subject : Recent Trends in Diabetes

Venue : Ahmedabad Medical Association

Registration Fee : Rs. 50/-

Please register at AMA office on 26588775.

Limited entries on first come first serve basis.

Speaker : Dr. Vivek Arya, M.D., D.M.

Topic : Recent Trends in Treatment of Diabetes

Panel Discussion on special aspects of Diabetes :

1. Lifestyle changes, how and why

2. Travelling and Diabetes

3. Fasting and Diabetes

4. Peri-operative management of Diabetes

5. Driving and Diabetes

Participants :

Dr. Vivek Arya, MD, DM Dr. Anant Yadav, MD

Dr. Gynendra Singh, MD Dr. Milind Prakshakar, MD

Dr. Smitesh Dutt, MD

Co-ordinators :

Dr. Atul Gandhi, MD Dr. Dinkar Goswami, MD

Programme

N.B. AMA has applied for GMC accredition

Dr. H. G. Jambhekar Scientific Programme

8.30 p.m. to 9.00 p.m. DINNER

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Date : 13-11-2016, SUNDAY

Time : 5.00 p.m. to 8.00 p.m.

Venue : Ahmedabad Medical Association premises.

PROGRAMME

5.00 p.m. to 6.00 p.m. Eating Competition

6.00 p.m. to 7.00 p.m. Entertainment Programme

7.00 p.m. to 7.30 p.m. Housie

7.30 p.m. Heavy Snacks

Pass : Rs. 100/- Per person

Note : Please collect passes from AMA office on first come first basis. Limited passes will be issued. Passes will be issued from 7-11-2016.

Dr. Atul GandhiChairman

Dr. Harshad C. PatelPresident

Dr. Pratik J. ShahSecretary

(Sports & Entertainment Com.)

Dr. Ashok KanodiaHony. Secretary

(Ahmedabad Medical Association)

Co-ordinator

Dr. Parth M. Desai

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Opinions 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.

DISCLAIMER

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CONGRATULATIONS

DR. BIPIN M. PATEL elected as President & DR. BHAVANA RAWAL elected

as Treasurer of Indian Society of Anaesthesiologist West Zone for the year

2016-2017.

DR. MUKESH BAVISHI, Gynec Surgeon & Gynec Oncologist has been given

“GANDHIAN VALUE AWARD 2016 ” at the hands of Shri Paresh Rawal.

This has been given by Gujarat Vidyapeeth and Gandhi Ashram, Kocharab. ndThis was given on 2 October, 2016.

AMA SENIOR CITIZEN CLUB

Date : 19-11-2016, Saturday

Time : 4.00 p.m. onwards

Venue : Ahmedabad Medical Association Premises,

Opp. H. K. College, Ashram Road.

Subject : Kidney Diseases & Awareness

Speaker : Dr. Jigar Shrimali

M.D., D.M. (Nephro) Gold Medalist,

Shalby Hospital

All senior members of the club & their spouse are invited to

attend the programme. Please register your name at AMA office

between 2.00 p.m. to 6.00 p.m.

CO-ORDINATORS

Dr. K. R. Sanghavi Dr. Abhay Dikshit Dr. Ramesh C. Shah

Dr. Harshad C. PatelPresident, A.M.A.

Dr. Ashok D. KanodiaHony. Secretary, A.M.A.

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Dear Colleague,

16th November 2015 was IMA Satyagraha Day which was postponed on the intervention of Hon’ble Health Minister, Shri J P Nadda Ji on the assurance that our main 5 demands will be solved within six weeks:

These demands were: -

1. To stop violence on doctors and hospitals across the country by bringing in Central Hospital Protection Law.

2. Urgent amendments in the PC & PNDT Act to ensure that strict penalties are imposed only on actual act of sex determination or female feticide and not for clerical errors like maintenance of registers etc.

3. Exemption of Single doctor clinics from Clinical Establishments (registration and regulation) Act and registration of NABH entry level hospitals without inspection.

4. Suitable amendments in Consumer Protection Act for capping the compensation amount.

5. Enforcing the law that modern medicine drugs would be prescribed only by modern medicine doctors. No bridge courses to Ayush or others.

Not only has the Government not acted on its promises, but also has brought the NMC bill to bring the medical profession to its knees. The Government not only sat on our demands for a year but also is challenging our existence.

In addition, the Government of India is bringing National Medical Commission Bill 2016. It ushers in all the black issues IMA has been fighting so far.

1. It abolishes Medical Council of India and along with that the section 16.1.b of MCI Act which says that the basic qualification to practise modern medicine is MBBS.

2. It introduces schedule IV to allow Ayurveda Vaidya, Homeopaths, Unani etc. to get registration in Modern Medicine.

3. It brings non-medical people like advocates, charted accountants and social activists in the day to day governance of medical colleges and medical profession.

4. All the members are nominated by Central Government.

5. It takes away the voting right of every doctor in India to elect their medical council.

6. While it allows Ayurvedics and Homeopaths to practice modern medicine, it requires legitimate MBBS students to take an exit exam to practise.

7. It allows private medical colleges to charge at free will nullifying whatever solace NEET brought.

It is clear that this black law takes away all the privileges of doctors. If this anti people legislation is allowed to become a law, it will not only be an injustice to future generation of doctors, but it will also be treason against the people of India. The ulterior motive of this bill is to bring in indigenous medicine in a big way by diluting and controlling modern medicine: All by the back door and deceit. It becomes a bounden duty of IMA to stop the National Medical Commission Bill.

So IMA declares ‘IMA Satyagraha’ on 16th Nov 2016.This will see action across the nation in every district of the country. ‘IMA Satyagraha’ will fight the National Medical Council Bill and also carry forward the five point agitation of 2015.

IMA Satyagraha

NEW LIFE MEMBERS

8912 L DR. PATEL SHREYA VINODCHANDRA8913 L DR. PATEL DHRUV KANTIBHAI8914 L DR. MANIAR PRABODH BALKRISHNA8915 L DR. PANDYA MUNJAL MAHESHBHAI8916 L DR. THAKKER MITA ISHVERBHAI8917 L DR. PATEL MAULIK ARVINDBHAI8918 L DR. DALWADI JAPAN MAHESHKUMAR8919 L DR. PATEL JIGAR RAMESHBHAI8920 L DR. THAKKAR NIRALI CHIRAG8921 L DR. PATEL RAVI HARIBHAI8922 L DR. RUPARELIA DEEPIKA NEEL8923 L DR. TAVIYAD LAXMANSINH K.8924 LC DR. CHANDANA KRUNAL DINESHBHAI8925 LC DR. CHANDANA MAYURI KRUNAL8926 L DR. PATEL DHAVAL ARVINDBHAI8927 LC DR. SHAH DAIVESH PANKAJ8928 LC DR. SHAH SHRUTI DAIVESH8929 L DR. GANDHI KETAN DHIRAJLAL8930 L DR. PATEL ANAND BHAGUBHAI8931 L DR. TOMAR MAUNIL CHANDRAKANT8932 LC DR. VASAVADA DHAIVAT PARIMAL8933 LC DR. MEHTA NAJUK RUSHI8934 L DR. CHANDANA MEHULKUMAR R.

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ACTIVITY REPORT

On 09-10-2016 Scientific Program was held at Hotel Crown Plaza, Opp. Karnavati Club.

Dr. Maharshi Desai delevered the talk on Approach to fever. In which he explained how to differentiate various causes of fever.

Dr. Chirag Shah delevered the talk on Managing Thrombocytopenia. He also suggested to plan a visit to the hospital.

Dr. Sameer Dani delevered the talk on Diagnostic pathway in Chest Pain. He suggested to keep the patient under observation for first few hours as in few cases in initial phase it is difficult to differenciate between cardiac and non cardiac chest pain.

Dr. Manoj Singh delevered the talk on Basics of CPR. He teached the correct way to do CPR and when to use defibrilator.

Dr. Sucheta Mudgeriker delevered the talk on Diagnostic Pathways of Headache. She suggested how to differenciate various types of headache.

Dr. Manish G. Shah and Dr. Jayesh P. Sachde were co-ordinators for the Program.

GMC has given 1 point as accredition.

Scientific program was followed by Lunch.

Program was supported by Apollo Clinical Program.

Scientific Programe No. 1

Dr. Tanumati G. Shah Scientific Programe

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Dr. Mohammediqbal F. Mansuri

Date of Birth : 9-6-1965

Date of Death : 18-7-2016

OBITUARY

We send our sympathy & condolence to the bereaved family.May his/her soul rest in eternal peace.

Dr. Chandrakantaben H. Desai

Date of Birth : 1-10-1933

Date of Death : 20-3-2016

Dr. Sunilkumar B. Soni

Date of Birth : 17-6-1936

Date of Death : 18-9-2016

Dr. Sarojben N. Shah

Date of Death:9-8-2016

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AMA FAMILY BENEFIT SCHEME

FEE SCHEDULE :

Member's AGE AF.C. ADM Total

Up to 35

36 to 40

41 to 45

46 to 50

51 to 55

3000

3000

3000

3000

3000

3850

4400

5500

6600

7700

6850

7400

8500

9600

10700

I Eligibility of the members :

Any Life Member of A.M.A. and his/her spouse are eligible to become member of this

scheme,

Provided that :

(1) A member below the age of 55 years

(2) Life members of A.M.A. will be known as Member of the scheme and their Spouse

will be associate member of the scheme (The couple members will be considered

Members of the Scheme). Spouse cannot join alone.

II. Procedure For enrollment :

A. Member who want s to join the scheme has to apply in the prescribed application form

meant for the purpose along with necessary documents & scheduled fees.

B. Associate member who wants to join has to fill separate form, endorsed by his or her

spouse along with necessary documents & scheduled fees.

C. A member need to submit certified copy of (1) standard age proof (A) Driving

Licence, (B) School Leaving Certificate (C) Valid Passport (D) PAN Card (2) Life-

membership certificate of A.M.A. (3) Valid Photo I.D. (4) 2 Passport Size

Photographs along with application form.

In case of associate member: Additionally Marriage Certificate / Valid Passport /

Election Card is mandatory.

D. All eligible members mentioned above shall submit their application along with

admission fees as per age & AFC by D.D. or cheque in name of A.M.A., Family

Benefit Scheme, payable at Ahmedabad (no cash transaction).

E. Nominee : A member will have to give name of 2 nominees along with their

photograph and specimen signature.

III. Fee Schedule :

A. Any eligible member of A.M.A. willing to become member of this scheme can do so

on payment of admission fees as stated below

AFC : Advanced Fraternity Contribution

ADM : Admission Fee

B. Admission fee is Non-refundable.

C. Advanced Fraternity Contribution (AFC) will remain as security deposit against the death fraternity contribution payable by the member.

IV Benefits to Members :

1. Fraternity Benefits : Rs. 500/ member in event of death of member.

2. Permanent Disability Benefit :

In case of an unfortunate event if a member becomes permanently disabled, can claim Rs. 500/ member as benefit amount, after that he will be retired from the scheme and no longer will avail any benefit.

N.B. : > The disability must not be there at the time of membership and in the next one year after membership.

> In case of claim / dispute the expert panel will decide the admissibility of claim. The decision of executive committee in such case will be final.

> The conditions covered under permanent disability are as per the list mentioned :

1. Loss of both eyes 2. Loss of both either upper limb or lower limb 3. Irrversible Coma 4. Irreversible Hemiplegia 5. Irreversible Paraplegia

3. Voluntary Retirement Benefit :

A. Any member who has completed 21 years in scheme or 70 years of age, which ever is later can withdraw a sum of rupees Rs. 350/member any time after that, then he ceases to be a member of scheme.

B. Any member who has completed 25 years in scheme or 75 years of age whichever is later can withdraw a sum of rupees Rs. 450/member and he ceased to be member of the scheme.

C. Any member who has completed 15 years in scheme or 80 years of age, which ever is later can withdraw a sum of rupees Rs. 150/member any time after that, then he ceases to be a member of scheme.

The Fraternity benefits will be available to members as follows.

Any member who has completed 1 year in scheme will be eligible to make claim in the event of Death or Permanent Disability.

N.B. : In case of Accidental Death no restrictions apply.

V. Claim Procedure :

1. In the event of death of a member the nominee will inform the same to the secretary A.M.A., F.B.S. and will make a claim by submitting prescribed claim forms available with the office with the necessary documents.

2. The claim amount will be paid to first nominee only. In case of death of the first nominee the claim amount will be paid to the second nominee (submission of death certificate of first nominee mandatory)

3. Computation of Fraternity contribution Payment : The fraternity contribution is calculated according the membership strength of the last day of the previous month in which the event has occurred.

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Dear Member,

The Family Benefit Scheme is unique, one of its kind scheme launched

by Ahmedabad Medical Association for its Life Members & their spouse.

Scheme started operation from 1st, July 2013. As per the constitution, the

members nominee can claim after completion of one year of membership.

At present, the membership strength of our scheme is 1965

HIGHLIGHTS of the SCHEME

(1) Life member of Ahmedabad Medical Association & their spouse below

55 years can become the member.

(2) Rs. 500/- per member will be disbursed to the nominee of the member

after the death of the member of scheme.

(3) Member of the scheme can Retire Voluntarily from the scheme after

15,21,25 years of the membership of the scheme.

Rs. 150/-, Rs. 350/- & Rs. 450/- respectively per member will be

disbursed to the member.

(4) It's a unique scheme of its kind. Please enroll with your spouse as early

as possible.

(5) For more details contact our office.

Dr. J. P. DarbarHon. Treasurer

Dr. Mehul J. ShahChairman

Dr. Pragnesh M. VachharajaniHon. Secretary

Dr. Harshad C. PatelPresident - AMA

Dr. Ashok D. KanodiaHony. Secretary - AMA

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DENGUE

INTRODUCTION — Dengue is the most prevalent mosquito-borne viral

disease. In India every year from July to November there is increased

incidence of dengue fever. Symptomatic dengue virus infections can

present with a wide range of clinical manifestations, from mild febrile

illness to a life-threatening shock syndrome or organ dysfunction.

VIROLOGY — there are four closely related but serologically distinct

dengue viruses, called DENV-1, DENV-2, DENV-3, and DENV-4, of the genus

Flavivirus. There is only transient and weak cross-protection among the

four serotypes; therefore, individuals living in an area of endemic dengue

can be infected with up to four dengue serotypes in a lifetime.The

likelihood for development of severe dengue is highest among individuals

who develop a second dengue infection caused by a different virus type

from the first infection (known as secondary or heterotypic infection).

Thus, severe disease occurs primarily among individuals in areas where

multiple serotypes circulate simultaneously. Infection with dengue virus

provides long-term protection against the particular serotype that caused

the disease. However, infection provides only short-lived immunity to the

other three dengue virus serotypes.

CLINICAL MANIFESTATIONS — the typical clinical manifestations of dengue

range from self-limited dengue fever (DF) to dengue haemorrhagic fever

(DHF) with shock syndrome

Classic dengue fever — Classic dengue fever is an acute febrile illness

accompanied by headache, retro-orbital pain, and marked muscle and

joint pains, which evoked the term "break-bone fever". Symptoms typically

develop between 4 and 7 days after the bite of an infected mosquito; the

incubation period may range from 3 to 14 days. Fever typically lasts for five

to seven days. The febrile period may also be followed by a period of

marked fatigue that can last for days to weeks, especially in adults.

NaturalcourseofdengueInfection

Theclinicalcourseofillnesspassesthroughthefollowingthreephases:

• Febrilephase

• Criticalphase

• Convalescentphase

Febrile phase:

The on set of dengue fever is usually with sudden rise in temperature which

last for 2-7 days and commonly associated with headache, bodyache,

flushing and rash. There maybe pain in retro-orbitalarea, muscles, joint or

bone. Rash may be maculopapular or rubelliform and usually appear after 3

or 4 day of fever and commonly seen in face, neck and other part of the

body which generally fades away in the later part of the febrile phase.

Localized cluster of petechiae may appear over upper and lower limbs.

Criticalphase(Leakagephase)

DF/DHF patients usually go to critical phase after 3 to 4 days of onset of

fever. During this critical phase plasma leakage and high

haemoconcentration are documented and patients may develop

hypotension. Abnormal haemostasis and leakage of plasma leads to shock,

bleeding, accumulation of fluid in pleural and abdominal cavity. High

morbidity and mortality in DHF/DSS are commonly associated with various

organ involvements and metabolic derangement. The period of plasma

leakage usually persists for 36-48 hours.

Convalescentphase (recoveryphase)

During the recovery phase the extracellular fluid which was lost due to

capillary leakage returns to the circulatory system. Signs and symptoms

begin to improve.This phase usually occur after 6-7 days of fever and last

for 2-3 days. Longer convalescence may be expected in some of the

patients with severe shock, organ involvement and other complications

which may require specific treatment. Patient may develop pulmonary

oedema due to fluid overload if the fluid replacement is not optimized

carefully.

Hemorrhagic manifestations — Hemorrhagic manifestations occur

commonly in patients with dengue and, in rare cases, can be life

threatening.

Physical examination — The physical examination in patients with DF is

generally nonspecific. Conjunctival injection, pharyngeal erythema,

lymphadenopathy, and hepatomegaly are observed in 20 to 50 percent of

patients. The rash is typically macular or maculopapular and may be

associated with pruritus.

Laboratory findings — Laboratory findings typical of DF include the

following:

? Leukopenia is common in both adults and children with dengue and

is a useful diagnostic feature.

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? Thrombocytopenia is noted in most patients with DF.

? Serum glutamic oxaloacetic transaminase (SGOT) and Serum

aspartate aminotransferase (SGPT) levels are frequently elevated

in both adults and children with DF; the elevations are usually

modest (2 to 5 times the upper limit of normal values), but marked

elevations (5 to 15 times the upper limit of normal) are occasionally

noted. SGOT elevation more than SGPT elevation is noted in dengue.

Dengue hemorrhagic fever — DHF is the most serious manifestation of

dengue virus infection and can be associated with circulatory failure and

shock. DHF is a clinical syndrome defined by four cardinal features:

? Increased vascular permeability (plasma leakage syndrome)

evidenced by hemoconcentration (20 % or greater rise in

hematocrit above baseline value), pleural effusion, or ascites

? Marked thrombocytopenia (100,000 cells/mm3 or lower)

? Fever lasting two to seven days

? A hemorrhagic tendency (as demonstrated by a positive tourniquet

test) or spontaneous bleeding

Dengue shock syndrome

The term dengue shock syndrome (DSS) is used when shock is present along with these four criteria.

Plasma leakage ? Plasma leakage is the most specific and life-threatening feature of DHF. The increase in vascular permeability develops over a period of 24 to 48 hours. Shock may develop in patients with marked plasma leakage, especially if supportive treatment is delayed.

Plasma leakage usually occurs between three and seven days after the onset of illness. This coincides with defervescence, severe thrombocytopenia, and elevation of transaminases. Abdominal pain is also reported to precede the onset of plasma leakage in patients with DHF. The presence of intense abdominal pain, persistent vomiting, and marked restlessness or lethargy, especially coinciding with defervescence, should alert the clinician to possible impending dengue shock syndrome. Plasma leakage was detected by ultrasound as early as three days after the onset of fever. Pleural effusions

are as common as ascites or edema of the gallbladder wall.

CLASSIFICATION OF DENGUE ILLNESS ? For several decades prior to 2009, the World Health Organization (WHO) classified symptomatic dengue virus infections into three categories: undifferentiated fever, classic dengue fever (DF), and dengue hemorrhagic fever (DHF).

A revised classification systems was adopted in 2009 by the WHO. This classification defines two categories of "dengue" and "severe dengue".The classification scheme further divides nonsevere dengue into dengue with or without "warning signs"

The 2009 WHO classification for dengue severity thus includes three categories:

● Dengue infection without warning signs ? A presumptive diagnosis of dengue infection may be made in the setting of residence in or travel to an endemic area, plus fever and two of the following:

• Nausea/vomiting

• Rash

• Headache, eye pain, muscle ache, or joint pain

• Leukopenia

• Positive tourniquet test

● Dengue with warning signs of severe infection ? This category includes dengue infection as defined above, in addition to any of the following warning signs:

• Abdominal pain or tenderness

• Persistent vomiting

• Clinical fluid accumulation (ascites, pleural effusion)

• Mucosal bleeding

• Lethargy or restlessness

• Hepatomegaly >2 cm

• Increase in hematocrit concurrent with rapid decrease in

platelet count

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● Severe dengue infection ? This category includes dengue infection with at least one of the following criteria:

• Severe plasma leakage leading to:

- Shock (dengue shock syndrome)

- Fluid accumulation with respiratory distress

• Severe bleeding (as evaluated by clinician)

• Severe organ involvement:

- SGOT or SGPT ?1000 units/L

- Impaired consciousness

- Organ failure (heart or other organs)

DIFFERENTIAL DIAGNOSIS — Dengue virus infection should be considered in the differential diagnosis of a febrile illness in any patient who has resided in dengue endemic area. Malaria, chikungunya, rickettsial infections and leptospirosis can be mistaken for dengue fever. Other common acute febrile illnesses should be considered, including viral infections, pharyngitis, tonsillitis, urinary tract infection, typhoid and gastroenteritis.

Chikungunya virus, the causative agent of chikungunya fever, is an increasing problem in the differential diagnosis of febrile illness. Chikungunya is also transmitted by Aedesaegypti mosquitoes and has been associated with widespread and often explosive outbreaks in areas infested by this mosquito. Clinical features of chikungunya fever overlap considerably with those of dengue fever. Joint pain was reported somewhat more often by patients with chikungunya, whereas abdominal pain and leukopenia were more common in those with dengue. Joint swelling is highly specific for chikungunya. Conversely, bleeding manifestations and severe thrombocytopenia are relatively specific for dengue.

Laboratory testing

Dengue NS1(non structural protein 1) antigen, a highly conserved glycoprotein is produced in both membrane-associated and secretion forms, is abundant in the serum of patients during the early stages of DENV infection. It has been found to be useful as a tool for the diagnosis of

acutedengueinfections.Itisasimpletestthatismorespecificandshowshighse

nsitivity.

NS1 enables detection of the cases early, i.e. in the viremicstage, The NS1 ELISA-based antigen assay is commercially available and routinely used.

MAC-ELISAisasimpletestthatrequiresvery little sophisticated equipment. MAC-ELISA is based on detecting the dengue-specific IgM antibodies in the test serum.

The anti-dengue IgM antibody develops a little faster than IgG and is usually detectable by day 5 of the illness. However, the rapidity with which IgM develops varies considerably amongpatients. Some patients have

detectableIg Mondays 2 to 4 after the on set of illness, while others may not develop IgM for seven to eight days after the onset. So for patient with suspected dengue fever if initial dengue IgM is negative, test should be repeated after 2-3 days.

TREATMENT APPROACH — there is no direct antiviral therapy available against the dengue viruses. Management is supportive, which largely consists of maintaining adequate intravascular volume and treatment of complications, if it occurs.

For a disease that is complex in its manifestations, management is relatively simple, inexpensive and very effective in saving lives so long as correct and timely interventions are instituted. The key is early recognition and understanding of the clinical problems during the different phases of the disease.

Outpatient management

Outpatient management is appropriate for patients with presumptive diagnosis of dengue infection in the absence of warning signs or coexisting conditions (pregnancy, infancy, old age, diabetes, renal failure, underlying haemolytic disease, obesity, or poor social situation); such patients should be able to tolerate oral fluids, urinate at least once every six hours, and have near normal blood counts.

Managementofdenguefeverissymptomaticandsupportive

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i. Bedrestisadvisableduringtheacutephase.

ii. Usecold/tepid spongingtokeeptemperaturebelow38.5 C.

iii. Antipyretics may be used to lower the body temperature. Aspirin/NSAIDS like Ibuprofen, etc should be avoided since it may cause gastritis, vomiting, acidosis, platelet dysfunction and severe bleeding. Paracetamol is preferable in the doses givenbelow:

• 1-2years:60-120mg/dose

• 3-6years:120mg/dose

• 7-12years:240mg/dose

• Adult:500mg/dose

Note: In children the dose of paracetamol is calculated as per 10 mg/Kg

body weight per dose. Paracetamol dose can be repeated at the intervals of

6hours depending upon fever and body ache.

iv. Oral fluid and electrolyte therapy is recommended for patients

with excessive sweatingorvomiting.

v. Patients should be monitored for 24 to 48 hours after they become

afebrile for developmentofcomplications.

Instructions to patient in Outpatient management

Patients should be instructed regarding the warning signs of severe dengue

infection and the critical phase that follows defervescence (which lasts for

24 to 48 hours; during this period, patients may deteriorate rapidly). During

the febrile phase (lasting two to seven days) and the subsequent critical

phase (lasting one to two days), serial blood counts should be followed

(particularly to evaluate for increase in hematocrit concurrent with rapid

decrease in platelet count), the patient should be evaluated daily from the

third day of illness through the end of the critical phase for signs of

dehydration and other warning signs of severe dengue.

Patients should be instructed to take plenty of fluids and watch for signs of

dehydration (decrease in urination, few or no tears, dry mouth or lips,

sunken eyes, listlessness or confusion, cold or clammy extremities and

sunken fontanel in an infant); these findings warrant prompt clinical

evaluation. As fever declines (three to eight days after onset of symptoms),

patients should be instructed to seek prompt attention for any of the

following: severe abdominal pain, persistent vomiting, skin rash, bleeding

from nose or gums, vomiting blood, dark stools, drowsiness or irritability,

pale or cool skin, and difficulty breathing.

Inpatient management

Inpatient management is warranted for patients with dengue and warning

signs of severe infection, severe dengue infection, or dengue infection with

coexisting conditions(pregnancy, infancy, diabetes, poor social situation,

old age, or renal failure).Dramatic plasma leakage can develop suddenly;

early identification of patients at increased risk for shock and other

complications is critical. The period of maximum risk for shock is between

the third and seventh day of illness, which typically coincides with

resolution of fever. In general, plasma leakage first becomes evident

between 24 hours before and 24 hours after defervescence.

Management of fever — Fever and myalgias should be managed with

paracetamol (maximum 60 mg/kg/day in children; 4 g/day in adults).

Management of plasma leakage — Plasma leakage should be managed with

intravascular volume repletion to prevent or reverse hypovolemic shock .

In mild cases, particularly when medical attention is received early, oral

rehydration may be sufficient. Administration of intravenous fluid is

warranted in patients with established intravascular volume loss. Blood

transfusion is appropriate in patients with significant bleeding or low

hematocrit and failure improve with fluid resuscitation.

Crystalloids

0.9% Saline is a suitable option for initial fluid resuscitation, but repeated

large volumes of 0.9% saline may lead to hyperchloremicacidosis.

Hyperchloraemic acid osis may aggravate or be confused with lactic

acidosis from prolonged shock. Monitoring the chloride and lactate levels

will help to identify this problem. When serum chloride level exceeds the

normal range, it is advisable to change to other alternatives such as Ringer's

Lactate.

Colloids

Colloids have been shown to restore the cardiac index and reduce the level

of haematocrit faster than crystalloids in patients with intractable shock

and pulse pressurelessthan10mmHg. One of the biggest concern sregarding

their use is their impact on coagulation.The oretically, dextrans bind to von

Will e brand factor/Factor VIII complex and impair coagulation the most. Of

all the colloids, gelatine has the least effect on coagulation but the highest

risk of allergic reactions.

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Generally crystalloids are preferred over colloids. Colloids can be give for

short duration during initial resuscitation for severe shock.

Fluid volume replacement

Depending upon the severity of shock and associated symptoms, fluid

replacement can be initiated at the rate of 5-10 ml/kg/hr for DHF grade I

and II (Haemorrhagic (bleeding) tendencies, thrombocytopenia, Hct rise

more than 20%). For DHF grade III (Compensated shock Pulse pressure 20

mmhg, hypotension (SBP 90mmhg), high Hct (>20% rise from baseline)),

initiate IV therapy at the rate of 10-20 ml/kg/hr. For DHF grade IV

(Profound shock Signs of shock, hypotension (BP undetectable), high Hct (

20% rise from baseline)) Immediate rapid volume replacement: give 10–20

ml/kg crystalloid solution as rapid bolus over 15–30 min and repeated as per

clinical condition.

The fluid volumes mentioned are approximate. The fluid replacement

should be just sufficient to maintain effective circulation during the period

of plasma leakage. The recommended intravenous fluids are Normal saline,

Ringers Lactate or 5% DNS. One should keep a watch for Urine output, liver

size and signs of pulmonary oedema. Hypervolumea is a common

complication. Normally intravenous fluids are not required beyond 36 to 48

hours.

Indications of platelet transfusion

In general there is no need to give prophylactic platelets even at < 20,000/

cumm

• Prophylactic platelet transfusion may be given at level of <10,000/

cumm in absence of bleeding manifestations

• Haemorrhage with or without thrombocytopenia

• In case of Systemic massive bleeding, platelet transfusion may be

needed in addition to red cell transfusion.

Packed cell transfusion/FFP along with platelets may be required in cases

of severe bleeding with coagulopathy. Whole fresh blood transfusion

doesn't have any role in managing thrombocytopenia.

Platelets can be classified as random donor platelets (prepared by buffy

coat removal method or by platelet rich plasma method), BCPP (buffy coat

pooled platelet) and single donorplatelets (SDP) oraphaeretic

platelets(AP).- Dr. Maharshi Desai

MD (Medicine), IDCCM, FNB (Critical Care)

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HAPPY DIWALI AND PROSPEROUS NEW YEAR TO ALL COLLEAGUESPRAMUKH NEUROSURGICAL HOSPITAL

DR. DIPAK PATEL DR. NIKHIL MODI

M. S. M. Ch. M. S. M.Ch.

Consultant Neurosurgeon Associate Neurosurgeon

Completion of 28 years of experience in Neurosurgery.

SERVICES AVAILABLE:-

?Treatment of head injury, spine injury, brain and spinal tumours, CNS infections, backache and disc prolapse,Craniovertebral anomalies, brain haemorrhage, aneurysm, AVM, trigeminal neuralgia, congenital CNS lesions, epilepsy, chronic pain, peripheral nerve injury.

?Stereotactic brain surgery- Biopsy, craniotomy, aspiration of intracranial haematoma and functional neurosurgery.

?Microneurosurgery -Brain and spinal tumours, aneurysms and AVM, cervical and lumbar disc, transoral surgery in craniovertebral anomaly, skull base tumours.

?Neuro Endoscopy – Pituitary and Skull base surgery, lumbar discectomy.

?Radiofrequency treatment (RFTC) – Trigeminal neuralgia, Atypical facial pain, Chronic pain.

Hospital and Consultant Neurosurgeon

Resident Address: and Head 45, Hindu Colony,

Department of Neuro-Oncology,

Near Stadium circle, Gujarat Cancer and Research Institute, Navrangpura, Ahmedabad.Ahmedabad 380009

Ph.- 07926568066, 07926464119Mo. - 9824049937

Email [email protected]@rediffmail.comHonorary consultant at SAL Hospital, Nidhi Hospital, Sterling Hospital.

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MATRIMONIALAhmedabad based Vaishnav

doctor couple invites alliance for their

handsome son born Oct, 89/ht.

5'11"/Wt. 68 kgs. B.Tech (Elec.) IIT

Delhi, Master's (Elec.) UCLA, USA

working as an engineer in Qualcomm

at San Diego, California on H-1B Visa.

Girl should be highly educated

studying or preferably

Working on H-1B Visa/Green

Card/Citizenship. Send Bio-data

[email protected] and

[email protected]

Dr. Falguni Shah + 91 8000565700

Dr. Rajesh Shah +91 9327008000

rnhuLk þkn {ku. 99740637249033063724½hLke

þku¼k ðÄkhkurËíÞk fLMxÙõþLk

^÷ux, çktø÷kuÍ, ykurVMk{kt ík{k{ «fkhLkwtheLkkuðuþLkLkwt fk{ ÔÞksçke ¼kðu yLkuMktíkku»kfkhf fhe ykÃkðk{kt ykðþu.

POP, f÷h, E÷uõxÙef, çkkÚkY{, fe[Lk,çkkhe Ëhðkò, ðuÄh Mkuz, MS økúe÷Ëhuf Y{{kt Ã÷kMxef ÃkuELx f÷h MkkÚku çkÄkY{{kt yuf rËðk÷ MxÙõ[h «eLx fhe ykÃkðk{kt ykðþu.økúuLkkExLke £u{{kt çkkhe yLku ËhðkòðwzLk VÕMx zkuhyuÕÞw{eLkeÞ{ MkuõþLk çkkhef{÷ux Lkðk çkkÚkY{ C.P. Vexªøk yLku MkuLkuxhe ykEx{ MkkÚku½hLkk ík{k{ yuheÞkLkwt Lkðwt ^÷kuhªøkôÄELke xÙex{uLx MkkÚku{kuzâw÷h fe[Lk 6 çkkMfux MkkÚku (PVC yLku ðwzLk) 25Sq.feet Lkk {kÃk {wsçkík{khk {fkLkLku (Complete heLkkuðuþLk) fk{ {kxu {¤ku.

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27-10-2016

MATRIMONIALAlliance invited for Harsh K. Parikh, a Canadian Citizen, residing

in Toronto. He's good-looking, Vaishnav, 28 Yrs., 5'-10" non-mangalik,

B.Sc. (honours), working in R & D Product Development Mac

Cosmetics.

Will be available in Ahmedabad from 21st Nov. to 10th Dec.

2016. Looking for educated girl. Those interested please call or email

with photo + biodata.

CONTACT

DR. YOGESH R. PARIKH

:: Tel. No. ::9904500516, 7624020516, 6477735000 (Canada)

:: E-mail ::[email protected], [email protected]

REQUIRED1. A full time Ophthalmologist

(Glaucoma & Catraract Surgeon)

with Minimum 2 years of Clinical

experience.

2. A full time Optometrist, with 1 year

experience, fresher can also apply

Send in your CV by Email or Contact us

at : LIONS KARNAVATI SHANTABEN

VISHNUBHAI PATEL EYE HOSPITAL

Off. : S.P. Ring Road, Gota-Vadsar Road,

At Ognaj Village, Ta. Daskroi,

Ahmedabad-380060.

(02717) 244052/244053

E-mail

[email protected]

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PRESIDENT

DR. CHOKSI BRIJAN H.

HONY. SECRETARY

DR. ASHOK D. KANODIA

HON. FINANCE SECRETARY

DR. DIVYESH PANCHAL

VICE PRESIDENT

DR. MANISH G. SHAH

HON. JT. SECRETARY

DR. PRATIK J. SHAH

HON. LIBRARY SECRETARY

DR. PARTH M. DESAI

VICE PRESIDENT

DR. ATUL G. GANDHI

HON. JT. SECRETARY

DR. JAYESH P. SACHDE

IMM. PAST PRESIDENT

AHMEDABAD MEDICAL ASSOCIATIONOFFICE BEARERS - 2016-2017

27-10-2016 27-10-2016

DR. HARSHAD C. PATEL

INSTALLATION CEREMONY

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INSTALLATION CEREMONY27-10-201627-10-2016

INSTALLATION CEREMONY

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INSTALLATION CEREMONY27-10-201627-10-2016

INSTALLATION CEREMONY

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INSTALLATION CEREMONY27-10-201627-10-2016

INSTALLATION CEREMONY