prof. dr. j.a. jayalal · hospitals mission ” is initiated by ima tamilnadu. insurance sector is...

TIMA News LetterApril 2018

Prof. Dr. J.A. JayalalIMA State President

Cell: 9443160026 [email protected]

FromPresident’sDesk...

hearty congratulation to every member of our IMAfamily who stood firm and executed variety ofagitations to thwart the attempt of the CentralGovernment to introduce an ill contented and illintended non-democratic anti -federal NMC Bill. Thevoice echoed in unison vibrating the feelings of everymodern medicine doctor, in the Mahapanchayat aconglomeration of nearly 25000 doctors in thecorridors of Delhi was phenomenal.

We are delighted and gratified today we couldmake formidable impact in the parliament and wedemand any policy on health shall be implemented inthis country only after thorough discussion with ourIndian Medical Association representing 3 lakhsdoctors.

Though the main concerns of IMA on Bridgecourse and Exit exams were dropped in the NMC billwe clamour amendments to be made in MCI (IMC act1956) to make it more transparent but not replace itwith NMC.

As we are chocked with many constrainingissues on smooth functioning of our hospitals, wehave called for a brainstorming session of hospitalowners by the Nursing home Board and taken someconcrete decision.”Save small and medium sizedhospitals mission” is initiated by IMA Tamilnadu.

Insurance sector is creating havoc in our missionto execute health care delivery in an affordable andaccessible way. The tariff for each procedure mainlydone in small and medium sized hospitals are remainedunchanged for many years amidst mounting rise inthe cost of sustaining a hospital. We embark intoscientifically analysing costing procedure for eachevents in hospital using a qualified costingaccountant and will submit the same to Governmentand insurance sectors. We demand to all insurancesectors to raise the package rate and constitute a

Dear Colleagues and Elders,

Warm greetings from your IMA familyHead quarters. I am delighted to convey my

functioning grievance redressal forum. As an interimrelief, we are demanding 50% increase in the rate asthe minimum wage act has increased ouradministrative expenses by more than 200%.

We believe our state Government especially ourfriendly Health Minister and Health Secretary willunderstand our situation and help us. We have issuednotice to the insurance sectors by June 7th if noamicable solution are reached we will be exerted andcompelled to withdraw from the insurance sectors inour hospitals.

IMA is literally shocked to note the steep rise inthe minimum wage act 2018. The revision is mandatedon SC guidance and done after a period of 9 years.We deem it as our duty to enhance the pay of ourclinical staff. However the exorbitant raise in the non-clinical administrative and non-skilled staff inhospitals much higher than the same notified job inother industries are unacceptable. We haverepresented to labour ministry, to introduce this raisein wages for clinical people in phased manner (25%raise each year till the rate is achieved) and reducethe wage for non-clinical people at par with otherindustries. If lobbying couldn’t yield results, IMAplan to approach the court for justice.

I invoke all our members to come out of pettylocal politics, selfish interest and stand firm withaltruistic vision to ensure excellence in our healthcare delivery and patient safety by connecting withpeople and consolidating our fraternity.

Prioritiseand designate IMA as your family. Iadduce you all to come above your safety zone andspare some time for your brothers in our IMA family.I extend this clarion call with the ambition we all canraise in unison and fight for our rights and health ofour community.Together we can win and marchahead.

Regards

Prof. Dr. J.A. Jayalal

03

April 2018 04TIMA News Letter

STATE SECRETARY’s MESSAGE

Dr. B. SridharCell: 9443326427

[email protected]

Dr. B. SRIDHAR, Hony. State Secretary, IMA TNSB

IMA Tamilnadu State Hqrs, Doctors Colony,Via - Bharthi Nagar First Main Road, Off. Mudichur Road,

Tambaram (W), Chennai - 600 045.Cell : 908 718 0123 Email: [email protected]

Dear Friendsand Respected Seniors,

It gives me great pleasure towrite to you as your honorarystate secretary.

Last month saw hectic activityat both State and National Levels.

On 10 &11.03.2018, we had aNational women’s conclave inChennai and was well attended.Our National President Dr.RaviWankhadekar was the ChiefGuest. Our Women Doctors cameout with wonderful program. I takethis opportunity to congratulatethe State Women’s wing led byDrs.Amutha, Yesodha, Maragathamani and KayalSubburam alongwith others for the successfulconduct of the event.

On 18.03.2018, we had our294th State Council Meeting atCudalore well attended by over300 Council Members. Thesession lasted till evening to fullhouse and many usefulresolutions were passed.

Our struggle against NMCreached climax as Mahapanchayaton 25.03.2018 at New Delhi and wesaw nearly 25000 students andpracticing doctors assemble underone roof in Indra Gandhi indoorstadium. The whole atmospherewas charged with high emotions.All the leaders spoke veryemotionally against NMC. Thestudents community was at it’svociferous best. Our State wasrepresented by 112 delegatesWomen equalling men. Our StatePresident Prof. Dr. J. A. Jayalalgave a wonderful speech and hewas appreciated by everyone. Wehad organised protest in all thebranches against NMC.

On 02.04.2018State IMAcoordinated with the variousGovernment doctors associationsto successfully conduct studentsdemonstration in almost all themedical colleges across the state.Your Secretary attended theprotest in SIVAGANGAI.

We sensitised the studentsabout the provisions of NMC andencouraged them to carry the fightuntil we succeeded.

On 07 & 08.04.2018, StateOffice arranged a big

brainstorming session on nursinghome board issues and alsoExecutive committee meeting onvarious sensitive issues.Resolutions were passed oninsurance minimum wages act andother vital issues. The atmospherewas very serious and we werehelped by our senior leaders inarriving at useful decisions. Onbehalf of the state office I thankall the state leaders and membersand Office bearers of NHB formaking the two days session agreat success. IMA Tambaramdeserves our special thanks for thewonderful arrangements.

The MahapanchayatCONCESSION membership drivesaw a record of 1834 new membersenrolling in our state IMA.

I thank not only the newmembers but also the branchoffice bearers who took it up as aChallenge.

Important days to remember

1) 2 & 03.06.2018 – FSS / PPLSSSManagement Committee Meet-ing at Yercaud by IMA Salem

2) 10.06.2018 – NHB Meeting andFSC Meeting at Chennai

3) 24.06.2018 – 295th State Coun-cil Meeting at Tiruchengode

Thanking you!

Address for Correspondence:

State Finance Secretary Message

Dr. S. PALANIVELRAJAN State Finance Secretary9840630770 [email protected]

05TIMA News LetterApril 2018

Dr. S. fdfrghgâCell: 9443130399 [email protected]

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Dr. S. fdfrghgâ

Respected senior members and dear colleagues,

Greetings to all. its time to celebrate once again our success in putting the NMC at stake due tothe immense pressure by our IMA leaders and the result of our huge show at MAHAPANCHAYAT,delhi.

Together IMA has showed and proved its strength in UNITY. I congratulate all the local branchleaders for the effective membership drive undertaken by them, and we expect almost all ourcolleagues who have registered in the medical council to be a part of IMA. Hope we will achievethis in near future, as we know more the numbers, more the powerful we are. I Wish all ourmembers a cool summmer season with family.

LONG LIVE IMA!


World Thalassemia Day Celebration is done onevery year8TH May for making the people to becomeaware of the Thalassemia Disease in the World. Thereare many types of Diseases which are spread in theWorld. Many Doctors are not been able to catch manyof the Diseases after proper checking for the Diseaseto know

In World Thalassemia Day people come togetherto know about all the preventive measures, cure andalso to avoid it’s spread form one people to another.There are almost 19 percent of the people who are theThalassemia carrier in the Country of Saudi Arabia.World Thalassemia Day makes the people to comeacross every idea and plans to remove and cure theThalassemia Disease from the World.

Thalassemia Day is used to make the people todo pre-marriage test for decreasing the issues ofgenetic from the families. It is very special Day on the8th May to celebrate the Thalasemia Day with lots ofpeople to carry many ideas and plans to make thepeople to know the effects of Thalassemia Disease.Thalassemia Disease Day is used to celebrate toremove the Thalassemia Disease from the Society,State or any Country for making the people to live anormal and proper life.

Thalassemia Disease is a type of Blood Disorderwith an autosomal recessive Blood problem by whichpeople suffer a lot from one generation to the nextgeneration. It is type of Disorder by which Blood of

the people gets weak and also destroys the Red BloodCells. It makes the negative effects of the HemoglobinFormation in the body causing mild anemia. It makesthe people to get every type of problems like Boneweakness, illnesses of the Cardiovascular, Ironoverload, Liver, Bones, Forehead, Cheeks and SpleenEnlargement, Jaundice, Puberty delation etc.

There are 3.4 percent of the people are sufferingfrom the Disease of Thalassemia and also almost 7000to 10000 Children every year in India are sufferingfrom the Thalassemia Disease. There are any typesof Thalassemia such as Beta Thalassemia, DeltaThalassemia and Thalassemia of Alpha. There is alsoa Mixture of many Hemoglobinopathies likeHemoglobin S, E, D and C. Thalassemia is found inmany 1 to 2 years of Children’s. There are many MildThalassemia which cannot be diagnose without thehelp of Blood test of the CBC. Thalassemia is alsotreated by the Transfusion of the Blood, VitaminsSupplement of the B Group, Blood as well as Therapyof the Blood Chelation. For maintaining the normalHaemoglobin level and also RBC’s which are Healthy.

Thalassemia is an Hereditary Disease whichcannot be totally prevented, but it can be decreaseby making the parents tests which makes the Doctorsto get the Disease cure or prevent it from spreadingto the Child. It is very necessary to visit the Doctorsto get every possible treatment to prevent their Childbefore Birth of the Child takes place and also before


getting their Child to inherit the genes from the Parentsto their Child. So it is important for the people tocheck the Thalassemia Disease for it’s cure orprevention before they get inherit to their Childs fromthem

Government should be able to improve thepeople’s Health to make them to live better withoutthe Disease of Thalassemia to them. WorldThalassemia Day is also used to celebrate in many ofthe Colleges, Schools, Public areas, various Institutesof the Education etc. There are many eventsorganized by the Government where many peoplelike many Patients and their Family members are usedto participate in the Thalassemia Event to get themprovide every information about the ThalassemiaDisease. TIF which is also known as the ThalassemiaInternational Federation which is a type of Non-Governmental Organization as well as Non-ProfitableOrganization which makes the people to celebratethe Thalassemia Day by Organizing it in a better wayin every Country.

Many Organizations such as World HealthOrganization as well as many other Organizationsfully Concentrates on the Basic rights of theThalassemia Patients to motivate more Patients ofthe Thalassemia. There are many types of activitiesare done on the Thalassemia Day such as Subjectsof the Health Topics by the Government to make thepeople to understand the importance of theprevention from the Thalassemia Disease. Manypeople also discuss about the Thalassemia DiseasePatients to get them every services and facilities ofthe Health care. There are many types of Banners aswell as Posters are stuck on the walls and many otherplaces to get the people aware about the ThalassemiaDisease.

Themes for the celebration of theThalassemia Day

There was a Theme for the World ThalassemiaDay in the year 2016 is “Secure and EffectiveDrugs access in Thalassemia”.

Theme for the World Thalassemia Day in the year2015 is “Developing Great Partnership for Patientswhich are located for Health Systems for betterlife years”.

Theme for the World Thalassemia Day in the year2014 is “Financila Recession : Watch – SecureHealth of the Joint Forces”.

Theme for the World Thalassemia Day in the year2013 is “Beyond and Major : The QualitativeHealth care rights for every Patients withThalassemia”.

Theme for the World Thalassemia Day in the year2012 is “Revisited Patients Rights”.

Theme for the World Thalassemia Day in the year2011 is “Life has an Equal Chance”.

Theme for the World Thalassemia Day in the year2010 is “Knowledge is Power : Thalassemia”.

There was a Theme for the World ThalassemiaDay in the year 2009 is “We Care. Industry withtogether”.

TreatmentThe treatment for thalassemias depend on the

type and severity of the disorder. Thalassemia traitpatients do not require treatment, but it is importantfor them to know that if they marry anotherthalassemia trait individual then they have a risk ofbearing a child who has thalassemia major.

Treatment for thalassemia major patientsincludes regular blood transfusions of packed redcells to keep the hemoglobin more than 10 g/dl, careneeds to be taken to prevent diseases like hepatitisB, C and HIV, through proper blood banking practicesand testing of donors. The frequency of transfusionis dependent on the severity of disease, spleen size,allo- immunization and other factors. Discussrequirement and changes of frequency with yourtreating doctor.

The patient needs regular follow up formeasurement of iron levels, when the iron levels areincreased iron chelation (key-LAY-shun) therapyneeds to be started. This is available in the form ofseveral medicines which must be taken under thesupervision of a qualified doctor to ensure the bestiron removal as well as prevention of toxicity. Ironoverload is important to treat, as the extra iron is toxicto the body and excess iron can damage the liver,heart and affects the endocrine glands leading toshort stature, delayed or even absent puberty,diabetes etc. Bone problems like osteoporosis andincreased risk of fractures are seen in older childrenwith thalassemia. Folic acid supplements arerecommended for all patients with hemolytic anemia,calcium and other supplements are also given to thepatients, as and when they are needed and may betailored to the needs of the patient.


Chelation medicines available in India

Deferasirox is a pill, dissolved in water or juiceand taken once daily, preferably on an emptystomach. Side effects include, nausea, vomiting,diarrhea, and raised liver function tests.

Deferiprone is a pill which as an iron chelator,it can cause cartilage problems in the joints andmay cause decrease in white blood cells in theblood.

Deferoxamine is an injection given slowly underthe skin, usually with a small portable pump usedovernight. This therapy needs to be given overa long period of time in order for it to be effective.

Blood and Marrow Stem Cell Transplant

The only known curative treatment is a bonemarrow or peripheral blood stem cell transplant. Thisprocedure replaces the defective blood forming cellswith healthy blood forming cells from another person(allogeneic / allo-), usually a brother or sister who areHLA matched (genetic match suitable for transplant)and do not have the defective genes. It cannot bedone from the cord blood of the patient, as this alsohas the same defective gene. Cord blood transplantcan be done from a sibling or another person but isnot usually preferred for thalassemia patients, due torisk of rejection, but can tried if no bone marrowmatched donor is available. Even cord blood needsHLA matching. Sometimes a non related HLAmatched transplant BMT may be performed, theresults are not as good as with an HLA matchedsibling, there are more risks and complications andthe cost is more. However, this may be suitable forsome patients without a sibling donor.

The benefit of bone marrow transplant is thatafter this procedure the patient will not need furtherblood transfusions, but in patients with iron overloadthey may still need iron chelation for several years toreduce their iron levels. All transplants do have risks(allo -BMT, PBSCT or cord blood), patients maydevelop complications during and after the procedure,the serious complications include infections, veno-occlusive disease, graft versus host disease, rejectionand even death. Usually the risks are more in olderchildren or those with enlarged liver and spleen andliver fibrosis. Patients with very high iron overloadcan develop heart problems even during thetransplant and liver failure, hence, proper ironchelation is needed before transplant. Proper iron

chelation, right from infancy will help to reduce thechances of complications.

Hydroxyurea is an oral medicine that is a fetalhemoglobin inducer, and most commonly used inthalassemia intermedia and sickle cell disease. It isHydroxyurea is cytotoxic, anti metabolic medicine.The exact mechanisms by which it increases fetalhemoglobin (a normal hemoglobin) is not fullyunderstood. Hydroxyurea treatment increases ã-mRNA expression leads to an improvement in the á/non-á chain imbalance and more effective red cellproduction, thereby increasing the hemoglobin andneed for blood transfusion. Hydroxyurea should beused at a starting dose of 10 mg/kg/day, check forresponse every 3 months. The dose may be increasedto a maximum dose of 20 mg/kg/day. If no response itmay be discontinued 6 months.

Complications of Thalassemias

With better blood transfusion practices andchelation therapy even patient without bone marrowtransplant are surviving longer and many leadproductive lives.

The complications which may occur in olderthalassemia patients include

Heart –including heart failure and arrhythmia(irregular heart beat) and Liver Diseases

Thalassemia patients are prone to certaininfections due to their iron overload status andif the spleen has been removed they are more atrisk.

Many thalassemics have bone problems,including osteoporosis (weakened bones). Thisis a condition in which bones are weak and brittleand can break easily.

Endocrine problems like diabetes, thyroid, parathyroid problems etc can also occur.

Genetic Counseling

If you or your family members have thalassemias,talk to your doctor who can help you before planninga family. This will help you understand the chancesof passing on the defect to your children and helpyou have an unaffected child through prenataltesting.

Prenatal testing involves taking a sample ofamniotic fluid or chorio villus sample (CVS) tissuetests done on the fluid or tissue can show if the babyhas thalassemia.

RESISTANTHYPERTENSION

Dr.A.Kader Sahib MD, MRCP, DNBConsultant interventional cardiologist

Apollo and Ayesha Hospital, Trichy

Definition: Resistant hypertension is defined as persistent high

blood pressure (SBP > 140 and / or DBP > 90mmhg) in spite of lifestyle changes andadministration of three different antihypertensivedrugs, one of them being a diuretic.

Subjects whose blood pressures are controlled onlywith the help of more than three drugs are alsocalled resistant hypertension.Resistant hypertension can be arbitrarily divided

into true resistance and pseudoresistance. It is essentialto identify pseudo resistant causes before labelling thepatient as a truly resistant hypertensive.Causes of trueresistance include increased salt intake, drugs, obesity,excess alcohol consumption, elderly, diabetes,obstructive sleep apnea and secondary causes ofhypertension.Evaluation of a patient with resistant hypertension:

Evaluation should include basic investigations forhypertension and specific work up in identifying asecondary cause.

Basic Studies History taking and physical examination

(with a particular focus on theidentification of cardiac enlargement,abdominal bruits, peripheral pulses, andfunduscope changes)

Urinalysis (for evidence ofmicroalbuminuria)

Blood chemical analysis, includingcreatinine, blood glucose, potassium,uric acid lipids

Electrocardiography Additional studies in patients with

resistant or difficult-to-treat hypertension Repeated measurement of home or

ambulatory blood pressures Echocardiography Consideration of tests for causes of

secondary hypertension.

Specific work up to identify an underlying secondary cause

Secondary cause Prevalence Symptoms & signs Screening testsor findings

Renal parenchymaldisease

1- 8% Nocturia, edema, anemia Proteinuria, urine casts, creatinine



Renal arterydisease

3-4% Recent onset of elevated BP inolder patients, loss ofpreviously good BP control,severe HT in young patients

MRA, Doppler, ‘! increatinine with ACE-I,disparity in kidney size

Primaryaldosteronism

1.5 -15%;higher inrecent series

Fatigue, hypokalemia, lowpotassium inspite of ACE-I

Abnormal ratio ofaldosterone to renin(> 25:1), imagingstudies

Pheochromocytoma < 0.5% Palpitations,headachediaphoresis, paroxysms of HT

urinarycatecholamines, plasmametanephrines, imagingstudies

Cushings syndrome < 0.5% Obesity, glucose, fluidretention

urinary cortisol,dexa suppression test,imaging studies

systolic BP(hyperthyroidism)

diastolic BP

(hypothyroidism)

Echo, imaging studies

Hyper orhypothyroidism

1-3% Tachycardia, weight loss(hyper) or weight gain, fatigue(hypo)

Coarctation ofaorta

< 1% Brachial or femoral pulsedifferential; systolic bruits

MANAGEMENT: General issues

Reinforce dietary restriction of sodium Cessation of smoking, Reduction in alcohol

intake

Weight loss in the obese Exercises, adequate sleep Relief of mental stress Glycemic and lipid control

Treatment of specific secondary causes

Condition

Salt restriction, diuretics, “ add on” drugs

Treatment

Renal parenchymal disease

Renal artery stenosis Renal artery stenting , especially if renal dysfunction worsens

Primary aldosteronism Adrenalectomy for unilateral adenoma Mineralocorticoid receptorantagonist for bilateral adrenal hyperplasia

Pheochromocytoma Surgical resection

Cushings syndrome Surgery (1st line of therapy) Drugs, radiation in select cases

Hyper or hypothyroidism Medicines / surgery

Coarctation of aorta Mechanical relief of coarctation

Obstructive sleep apnea CPAP


Optimization of 3 drug antihypertensivetherapy: ACE-I / ARB + calcium channel blocker +

diuretic is the preferred combination for apatient requiring three antihypertensives

Loop diuretic to be chosen as the diuretic ofchoice if GFR < 40 ml/min; otherwise choosechlorthalidone or hydrochlorothiazide

Optimize the drug timings and dosesChoosing the 4th drug: Substantial evidences point in favour of adding

an aldosterone receptor antagonist as thepreferred 4th drug. This should be especiallyconsidered when serum potassium is in thelower limits even after treatment with ACE-Ior ARB

Newer beta blockers like nebivilol andbisoprolol are currently recommended only inresistant hypertension. However, they can bestarted earlier if patient has associated

tachycardia, CAD, LV dysfunction. Alpha blockers would be an ideal agent for

patients with associated prostate enlargement A combination of hydralazine and nitrate will

benefit resistant hypertensive patients withrenal failure

Newer modalities of treatment:Renal denervation: it involves a minimally

invasive endovascular catheter based approachusing radiofrequency energy to selectively disruptrenal nerves. Though the initial trials werepromising, more data are required to confirm theirefficacy.

Carotid baroreflex activation: stimulatingelectrodes are implanted in the perivascular spacearound the carotid sinuses and reduce sympatheticoutflow from the cardiovascular control centresfrom the brain. The data are however are lessconvincing and there is a concern regarding safetyof this technique.


IMA Nursing Home Board

Dr. M. BalasubramanianChairman, IMA NHB

94440 [email protected]

Dr. R. AnburajanTreasurer, IMA NHB


Dr. S. Karthik PrabuSecretary, IMA NHB


Dear Members

PLEASE FIND THE RESOLUTIONS TAKEN ON07/04/2018 IN “CRISIS MANAGEMENTBRAINSTORMING SESSION” MEETING AT IMAHQTRS TAMBARAM, CHENNAI.

1) CLINICAL ESTABLISHMENT ACT :

We profusely thank the Government of Tamilnadufor bringing in a friendly Clinical EstablishmentAct. Special regards to Health Minister C.VijayaBaskar and Health Secretary J.Radha Krishnan,IAS for being very understanding.

REGARDING THE AMMENDMENTS IN CEA:

The competent authority shall be the DMS inthe state level and JDHS in the district level.

The district advisory committee should alsohave one member from nursing home board.

The word stabilization should be defined as towhat can be done as per the level of hospital(primary,secondary,tertiary).

Health care is an essential & fundamental rightof a person & all small & medium health careorganization (upto 50 beds) shall be classifiedunder Essential Infrastructure category.

All establishments under Clinical EstablishmentAct must be manned or owned by a registeredmedical practitioner.

All hospital/Nursing homes to be classified amicro/small & medium enterprise.

Minimum of one qualified staff per Hospital/Nursing home with less than 30 beds is required.For additional staffs, trained staff shall beaccepted.

For hospitals in remote, rural & difficult areas atime extension of a minimum of one year shouldbe given to comply with the Act.

2) INSURANCES:

Cost analysis to be finished before 7th May underthe guidance of Dr.A.K.Ravikumar.The revisedcosting arrived is to be negotiated with allinsurance companies including CM schemesbefore June 7th.

After June 7th if revised rates are not acceptedcashless service & schemes in all hospitals underNHB shall be withdrawn until further directions.

All hospitals should atleast charge the suggestedrates arrived after cost analysis.They may chargemore based on facilities and expecties, but theminimum charges shall not be decreased than thesuggested rates.

Bio-medical waste charges shall be added topatient’s bill.

Nursing Home Board Accreditation after fixingminimum standards after consultation withvarious specialities to be made available and shallbe tried as an accepted accreditating body for thepurpose of insurances.

3) MINIMUM WAGES:

The revision is promulgating 400% rise in payfrom the last revision in 2009 and alsoexponentially increases the pay structure foradministrative staff in health care in comparisonwith same category of job in other industries.

It has been decided to lobby for change inminimum wages.


Dr. N.R.T.R. ThiagarajanSecretary

IMA Paramedical Wing

Dr. P. VijayarathinamChairman

IMA Paramedical Wing

IMA TNSB PARAMEDICAL

Meetings with Minister and Secretary of Labourare to be planned.

Legal remedy shall be tried if the lobbying fails.

We thank Labour Advocate Sri Anand fromT.S.Gopalan & Co for coming to the meeting &sharing his experience.

4) BAR CODING:

Resolution has been taken that barcoding asinsisted by TNPCB will be done by IMA NHBand shall not employ a 3rd party for this purpose.

All branches President & Secretaries, Head of allNHB wings of branches & NHB district co-ordinators shall periodically (at least once in ayear) visit the common bio medical wastemanagement facility in their respective areas.

Letter to be send to all district collector’s toinclude NHB district co-ordinators in district levelBio-Medical Waste monitoring committee as perthe Bio-Medical waste management Rules 2016.

Awards to be given to branch NHB wings whoconduct maximum programmes regardingimplementation of statutory norms.

5) FIRE & SAFETY/RAMPS:

Time frame for fire safety license to be made oncein 3 years.

We instruct all the member hospitals to haveadequate fire fighting infrastructure and trainingto all staffs to handle fire crisis. When hospitalshave done the fire safety exercise and adequatefire fighting infrastructure is made ramp need notbe insisted.

It has been decided to lobby for acceptance ofthird party fire safety certification for hospitalsbuilt after 2007 where provision of ramp is notpossible.

6) The resolution is passed to employ oneexecutive secretary permanently tofollow up the various proceedings as itwould be helpful in case of change ofoffice bearers subsequently.

7) The resolution is passed to report in ourNHB mobile app (coming shortly) allconcessions and free treatments givenby our member hospitals.

Dear Members, Greetings.

The final exam to the Paramedical students have been scheduled from 04 June to 09 June2018. The hospitals training Paramedicals are encouraged to train the students well to meet thefinal exam.

A review meeting is being organised at IMA Dindigul building on 22 April 2018 to review theperformance of the institutions, also to issue awards to the meritorious students and best performinginstitutions.

As numbers of new institutions have come forward to train Paramedical students underParamedical Wing, necessary inspections are going on to find out the feasibility of the conductingtraining. It is imperative to take maximum care on Curriculum and release text books.

All efforts are being taken to train the students to par with any other best institutions inTamilnadu.

FELLOWSHIP CERTIFICATEIN DIABETOLOGYCourse Coordinator:

Dr. N. BhavatharaniCourse Fee: Rs. 25,000/-

Duration: 6 MonthsTerms: Five Contact Classes (Ea. one

day)4 days in house trainingFinal Exam: Theory, Project & Viva

Eligibility: IMA Life membersContact Class: Erode.

Apply before 31-05-2018

FELLOWSHIP CERTIFICATEIN REPRODUCTIVE HEALTH

Course Coordinator:Dr. Saravanan (ARC)

Course Fee: Rs. 25,000/-Duration: 6 Months

Terms: Contact classes once in a monthFinal Exam: Theory/Viva

Eligibility: IMA Life membersContact Class: Chennai.

Apply before 30-06-2018

FELLOWSHIP CERTIFICATEIN MENTAL HEALTH

Course Coordinator: Dr. AnburajanCourse Fee: Rs. 25,000/-

Duration: 6 MonthsTerms: Contact classes once in a month

Final Exam: Theory/VivaEligibility: IMA Life membersContact Class: Tirunelveli.Apply before 30-06-2018

FELLOWSHIP CERTIFICATEIN SEXUAL MEDICINE

Course Coordinator:Dr. M. Balasubramanian

Course Fee: Rs. 25000/-Duration: 6 Months Final Exam: WrittenTerms: Contact classes Once in a month

Eligibility: IMA Life membersContact Class: Once in a month at IMA

TNSB Bldg, West Tambaram, Ch-45.Apply before 31-05-2018

Note : Passed candidates can enrol in Councilfor Sex Education and Parenthood International

(CEEPI) and Practice Sexual Medicine.

FELLOWSHIP CERTIFICATEIN TOXICOLOGY

Course Coordinator: Dr. N. GanapathyCourse Fee: Rs. 35000/-

Duration: 10 Months. Terms: Handson training/Online examinationFinal Exam: Theory/Viva

Eligibility: IMA Life membersContact Class: Dharmapuri & Critical

care Centre, Erode. Apply before 30-6-18Note: Candidates will be trained in depth inmanagement of: 1. Mechanical Ventilators 2.Airway Management 3. Central venouscatheterization. 4. Beside Echo &Ultrasonograph 5. Decontamination 6.Haemodialyis & Haemoperfusion

For further details contact: Dr. P. MannarMannan, CGP Director of Studies- Cell: 9443263342, Dr. R. Palaniswamy, CGP Faculty Sec.-Cell: 98940 19000. Contact IMA State office videCell # 90871 80123 or email:

FELLOWSHIP CERTIFICATEIN PRACTICAL CARDIOLOGY

Course Coordinator:Prof. Dr. M. Chenniappan

Course Fee: Rs. 25,000/-Duration: 10 Months

Terms: Eight Contact Classes (Ea. oneday) 5 days hands on training, ICU

Final Exam: Theory/VivaEligibility: IMA Life members

Contact Class: Trichy,Apply before 30-04-2018

FELLOWSHIP CERTIFICATE IN LEGAL MEDICINECourse Coordinator: Dr. T.N.Ravisankar

Course Fee: Rs. 25,000/- Duration: 6 MonthsTerms: Contact classes once in a month Final Exam: Theory /Viva

Eligibility: IMA Life membersContact Class: IMA TNSB Building, West Tambaram, Ch-45,

Apply before 30-4-2018. Note: Course fee reduced to15,000/- to the District Coordinators. Balance amount will be borne

by NHB & PPLSSS wings equally

FELLOWSHIP CERTIFICATE IN PALLIATIVE CARECourse Coordinator: Dr. T.Mohanasundaram

Course Fee: Rs. 25,000/- Duration: 6 MonthsTerms: Contact Classes once in a month Final Exam: Theory/Viva

Eligibility: IMA Life membersContact Class: Trichy. Apply before 31-05-2018

[email protected] to get application forms. DD to be drawn in favour of : IMA ACADEMIC CELL, payable at “CHENNAI”.

For further details contact Dr. P. Ramakrishnan, AMS Chairman-Cell:9842491919 & Dr.C.Anbarasu, AMS Secretary-Cell: 9381044766. ContactIMA State office vide Cell No.: 9087180123 or Email:

[email protected] to get application forms. DD to be drawn in favour of : IMA ACADEMIC CELL, payable at “CHENNAI”.

IMA Tamilnadu Academic CellFellowship Courses under IMA Academic Cell - Year 2018

IMA TNSB intends to conduct the following courses for the members of IMA. The registration fee is reducedconsiderably for the interest of the members. Interested and eligible members to apply within the prescribedperiod. Necessary certificates will be issued under Academic Cell of IMA TNSB. This courses are conductedto empower Practitioners to deliver evidence based medicine to the community, also to acquire more knowledge.



Dr. R. PalaniswamyFaculty Secretary,

IMA CGP, 9894019000

Dr. P. MannarmannanDirector of Studies,

IMA CGP, 9443263342

Indian Medical Association

Dr. R PalaniswamyFaculty Secretary

Dr. P MannarmannanDirector of Studies

College of General PractitionersTamilnadu

Dr. P. RamakrishnanChairman,

AMS IMA TNSB9842491919

IMA AMS TNSBDr. C. Anbarasu

Hon. Secretary,AMS IMA TNSB

9381044766

Dear Colleges,

Greetings

We are very much happy to know theinterest shown by the Branches to add moremembers in IMA CGP . In the first three monthswe are able to motivate 50 members to enroll.We are looking forward all the Branches to addminimum 10 members so that we are able toshow good strength in this academic wing ofIMA.

Attended the IMA Dindigul Installationceremony on 11-03-2018 at Dindigul IMA

building. Well organized function As FacultySecretary of IMA CGP, motivated the membersof IMA Dindugal to join IMA CGP. Thanks tothe enthusiasm shown by the Incoming andOutgoing TEAM in their activities . Attendedthe State Council Meeting on 18-03-2018 atCuddalore and reported that we have addednearly 50 IMA CGP members and thanked IMACoimbatore, IMA Sathiyamangalam, IMAPuliangudi and IMA Tirupur for adding members.We request the members to join the coursesconducted by IMA CGP and get benefitted.

Dear Brothers and Sisters,

Chairman and Myself attended the Executive Committee Meeting in Tambaram byState Office. In that meeting, we have requested all members that we will conduct IMANational AMS Conference in Tamilnadu and it was permitted with all your support, we willconduct a good AMS National Conference. We once again request you to start AMSChapter in your Branch.

Long Live IMA!

26April 2018 TIMA News Letter

Family Security Scheme of IMA TNSB

Dr. D. Solomon JeyaTreasurer, FSS of IMA TNSB

Dr. S. Balagan RajaSecretary, FSS of IMA TNSB

Dr. L.V.K. MoorthyChairman, FSS of IMA TNSB

Dear IMA FSS family, Vanakkam.

We have had a tremendous unity and unprecedented activity againstthe NMC, as well to achieve our other demands like exemptingsingle Doctor clinic from CEA, Central Act to protect Violenceagainst Medicos etc, which have been agreed to at the interministerial meetings held last year, but are happily being slept over!

The NMC bill could not be introduced during this session only dueto our unprecedented protest.

All made possible by the committed fighting leadership of NP DrRAVI Wankhedar, ably assisted by our active and dedicated HSGDr Tandon& their commitment to serve our IMA & the societyand not to play to the gallery or get personal glory. TN withenthusiastic participation was a pride of the national movementdirected by Pres Dr. J.A. JAYALAL & SEC Dr. B. SRIDHAR.

The 23rd dues called for in 2018 : - PAID SO FAR --- 6787

STILL TO PAY --- 2658. From April 1styou will have to pay Rs.12,000 plus late fee of 200 - Rs. 12,200 as 23 dues.

From this year onwards, defaulter’s names will be deleted at the endof the year the due is called for. Hence please DO PAY YOUR DUESIN TIME and help us to help our colleagues families in need. Duringthe first Quarter of 2018, 17 of our members have left us to rest withthe creator. On behalf of all of us in the FSS , we have paid ourrespects to them and contributed to the families a total sum of Rs.2,84,50,000.00.

We request all non FSS members below 50 year to join FSS 1 ---and Help us to ACHIEVE THE DREAM FIGURE OF 10,000/-MEMBERSHIP.

PLEASE JOIN FSS 2 - Any one upto 70 years can join till 30/06/2018. For present FSS members, there is no age limit, till the endof JUNE. FROM FIRST JULY the UPPER AGE LIMIT is uniformfor all - 60 years only.

Since many wanted the window period to be SIX MONTHS FORFSS 1members & 1 year for FSS 2 members , it was decided at thelast SCM to respond positively and agree to the demands.

HENCE THE WINDOW PERIOD FOR FSS 2 stands as - SIXmonths from date of joining for FSS 1 member &12 months fornewly joining members. We thank you for the great interaction andinterest shown in the scheme and motivating us to respondpositively to your suggestions.

SO FAR 919 NEW MEMBERS HAVE JOINED FSS 2. WE NEEDMORE MEMBERS TO CONTRIBUTE MORE TO OURCOLLEAGUES FAMILIES on behalf of our IMA FSS 2. Few havebeen asking about the need for starting FSS 2.

For them - THE FSS 2 is in addition to the existing FSS. Theexisting FSS, here in called FSS 1 continues and we have a healthyfinancial situation. FSS 2 provides additional COVER for those

already in FSS. For others, who missed joining FSS, and are abovethe age limit at present, FSS 2 gives a great opportunity to join thisNEW FSS.

From this year onwards, we will be sending a small book, givingdetails of the membership, district wise membership, List of officebearers, income & expenses statement, list of demised members, &our contribution to their families. It will also contain importantamendments in the bye laws introduced so far. This is already beendone by the NATIONAL SOCIAL SECURITY SCHEME.

Wish your children all success in the exams. Enjoy the vacation andspend time with the family and children.

BEST WISHES FOR A VERYHAPPY TAMIL NEW YEAR “VILAMBI”.. with cheer and hope we get enough Water in Cauveryand all other rivers this year.

Best wishes from TEAM IMA FSS - WithSecretary Dr. S. Balagan Raja , Treasurer Dr. D. Solomon Jeya

Dr. L.V.K. MOORTHY. Chairman FSSShri BALAJI Clinic Periyakulam. 625601

8667412352 & 9443164851. drlvkm@gmail .com, [email protected]

Erode Branch President Dr. E. Thangavelu and Hon. Secretary Dr. V. Sachithananthampresenting DD of Rs. 17 Lakhs to the nominee Dr. Rathna Jaganathan W/o Late Dr. C.P.Jaganathan (FSS # 6366) member of IMA Erode Branch. DOD - 01.01.2018.FSS have paid so for (21 deaths) to Erode IMA Branch to the tune of Rs. 2,76,13,470/-. Arrears 22nd due - 6 members pending. Total arrears amount Rs. 73,200/-

CLAIM PAID - ERODE IMA BRANCH

Ch. Tambaram Branch President Dr. G. Murugan and Hon. Secretary Dr. Umaiyal Murugesanpresenting DD of Rs. 17 Lakhs to the nominee Mr. J. Srinivasan S/o Late Dr. Jegarakshagan(FSS # 7673) member of IMA Ch. Tambaram Branch. DOD - 05.12.2017. FSS havepaid so for (11 deaths) to Ch. Tambaram IMA Branch to the tune of Rs. 1,66,09,230.Arrears 22nd due - 6 members pending. Total arrears amount Rs. 73,200/-

CLAIM PAID - CH. TAMBARAM IMA BRANCH


PLEASE SEND YOUR PAYMENTS & COMMUNICATIONS TODr. S. BALAGAN RAJA, Hony. Secretary, Family Security Scheme of IMA TNSB, St. Mary’s Hospital Campus, College Road,

NITHIRAVILAI - 629 154, K.K. Dist. Ph : 04651 - 242345, Cell : 98405 37178. e.mail : [email protected]

Age Group Non Refundable /Deposit Fraternity Contribution Deposit for 23rd Premium - 01.01.2018

Upto 30 Yrs Rs. 3000/- Rs. 12,000/-31 to 40 Yrs Rs. 10,000/- Rs. 12,000/-41 to 51 Yrs Rs. 50,000/- Rs. 12,000/-

S.No Member name Date of Joining Date of Death Amount559. Dr. K. Lalitha, Ch. Velachery 24.03.09 (FSS 8234) 27.08.17 Rs. 17,00,000/-560. Dr. N.C. Elango, Salem 18.10.06 (FSS 5565) 21.01.18 Rs. 16,88,000/-561. Dr. Premila, Salem 13.07.05 (FSS 3410) 24.01.18 Rs. 14,54,000/-562. Dr. R. Perumal, Madurai 04.04.15 (FSS 10619) 20.01.18 Rs. 16,88,000/-563. Dr. T. Subramanian, Thanjavur 06.12.08 (FSS 8014) 13.02.18 Rs. 17,00,000/-564. Dr. A. Jegarakshagan, Ch. Tambaram 22.05.08 (FSS 7673) 11.03.17 Rs. 17,00,000/-565. Dr. R. Gunasekaran, Trichy 28.10.04 (FSS 1794) 02.02.18 Rs. 17,00,000/-566. Dr. M. Usha Rani, Tirunelveli 05.02.17 (FSS 6011) 16.11.17 Rs. 17,00,000/-567. Dr. Y. Sulaiman Khan, Thanjavur 20.04.06 (FSS 4843) 18.02.18 Rs. 15,68,000/-568. Dr. R. Muthukrishnan, T.Kallupatti 25.08.04 (FSS 863) 26.02.18 Rs. 17,00,000/-

Claims Paid - MARCH 2018 (10 Families)

23rd FIXED DEPOSITS - 2018# S.No. TDR No. Date Amount Mat. Value1. 255776 6611710505 01.03.2018 17,00,000 18,13,2232. 255777 6611716777 01.03.2018 17,00,000 18,13,2333. 255778 6611711305 01.03.2018 10,00,000 10,66,6024. 255781 6615759604 16.03.2018 17,00,000 18,13,2335. 255782 6615759014 16.03.2018 10,00,000 10,66,6026. 255774 6611557410 01.03.2018 12,000 12,7997. 255775 6611557919 01.03.2018 2,46,000 2,62,3848. 255783 6615759229 16.03.2018 12,000 12,7999. 255785 6619292501 27.03.2018 1,32,000 1,40,791

NEW MEMBERS MARCH 2018S.#Doctor Name Age IMA Branch FSS #1. Dr. M. Amutha 49 T. Kallupatti 110052. Dr. R. Ravindran 47 Anthiyur 110063. Dr. S.P. Ramanathan 48 Chennai South 110074. Dr. K. Priya 37 Teynampet 110085. Dr. M. Selvakumar 40 Tiruvannamalai 110096. Dr. S. Manibalan 40 Neyveli 110107. Dr. Vijay Vardhan Kilampali49 Ch. Apollo T.L. 110118. Dr. Shanithini Marvin 49 Madurai 110129. Dr. R. Nirmal 29 Courtallam 1101310. Dr. K.P. Padmavathy 39 Sathyamangalam 1101411. Dr. S. Thangachitra 41 Sathyamangalam 1101512. Dr. V. Swetha 28 Tirupur 1101613. Dr. S. Kiruthika 38 Madurai 1101714. Dr. K.S. Jayakumar 46 Coimbatore 1101815. Dr. Chitra Jayakumar 43 Coimbatore 1101916. Dr. G. Praveena 34 Palani 11020

New Members joined in March - 16Claims Received & Paid in MarchTotal membership as on 31.03.2018 - 9433

23rd Premium Demand AccountMembers paid upto 31.03.20182927 members x Rs. 12,000/- Rs. 3,51,24,000Claims paid upto 31st Mar. 18 (10) Rs. 2,84,50,000

*Please Pay 23rd Due (2018) Rs. 12,200/- at the earliestNO CASH / NO NEFT Only Demand Draft or

at par Multicity Cheque ACCEPTEDin favour of “IMA TNSB FSS Advance A/c” payable at Nagercoil & send to FSS Secretary

Office Working Hours : 10.00 a.m to 06.00 p.m. - SUNDAY HOLIDAY

INDIAN MEDICAL ASSOCIATIONTAMILNADU STATE BRANCH

FAMILY SECURITY SCHEME - IIENTRY FEES

(NON- REFUNDABLE DEPOSITS)Entry Fees According To Age

AGE AMOUNTUpto 50 years As in FSS -I

51 Years Rs. 51,00052 Years Rs. 52,00053 Years Rs. 53,00054 Years Rs. 54,00055 Years Rs. 55,00056 Years Rs. 56,00057 Years Rs. 57,00058 Years Rs. 58,00059 Years Rs. 59,00060 Years Rs. 60,00061 Years Rs. 61,00062 Years Rs. 62,00063 Years Rs. 63,00064 Years Rs. 64,00065 Years Rs. 65,00066 Years Rs. 66,00067 Years Rs. 67,00068 Years Rs. 68,00069 Years Rs. 69,00070 Years Rs. 70,000

No age limit for existing FSS members joiningwith Rs.1,00,000/- upto 30.06.18 only. Newmember age limit is 70 years only upto 30.06.18Note:- After 30-06-2018 the upper age limit tojoin in FSS – II is 60 years only. (for both new& existing FSS – I Members)Death Fraternity Contribution Advance AmountRs. 12,000/- per Year - for all age Groups. DDin favour of”IMA TNSB FSS - II” payable atNagercoil.First Payment only by Demand Draft (or) Atpar Cheque in favour of “IMA TNSB FSS - II”Payable at NagercoilFrom second Premium onwards payment canbe done by DD (or) online payment Gateway.

AGE LIMIT FOR FSS – II

Both Existing members of FSS-I and NewMembers can join in this Scheme.

Age denotes the completed age as per theofficial records, (Aadhar / Voter ID / Pancard / Driving License / Passport /School Leaving Certificate)

Existing members of FSS – I can join in thisscheme without age limit till 30-06-2018only.

New Members can join in this scheme uptoage limit of 70 years till 30-06-2018.

After 30-06-2018 the age limit to join inthis scheme is only 60 years for both theExisting FSS – I Members and newmembers.

Defaulters of FSS-I Scheme will not beallowed to join FSS-II, unless they give avalid reason for the default.

The accounting year of the Scheme shall be1st July of each year to 30th June of thefollowing years.

It a member failed to pay within this periodthe membership will be terminated aftergiving a registered notice with 15 days graceperiod.

Management Committee’s decision is finalin case of any dispute regardingmembership, death Claim or deletion ofdefaulters.


Name : Dr.S.SushmithaD.O.B. : 2.05.1994 Time : 04.00 a.m.Rasi : Rishabam Star : RohiniLagnam : Meenam Height : 159cmsComplexion : FairFather : Mr.A.Siva Sundar B.Sc., (Agriculturist)Mother : Mrs.S.Vijaya Lakshmi (Home maker)Sibling : Sister-1

Caste : Hindu-Vokkaliga (Uruvinoru)Location : G.Kallupatti,TheniQualification : M.B.B.S(Shri Sathya Sai MedicalCollege and Research Institute)Preference : 1. Should be a Hindu-Vokkaliga

2. Should have completed MD/MSMobile & Whatsapp : +91 94420 93604

Alternate Mobile : +91 82481 62499

For a good looking fair 35 years old MBBS, DIVORCEE, from a doctor family,

seeks a PG Bridegroom, divorced / unmarried,from a respectable family. Caste no bar.

Contact : 9894374473

On Papermills Road, Peravallur, Chennai - 82,Near Vasan Eye Care Hospital

Running Hospital (Govt. Approved) with 14 Bath Attached Rooms,18 Beds, Operation Theatre, Labour Room and Lab Attached

Contact : Dr. M. Govalan - 98405 49256

1. Consul tan t (Tr ichy Branch) - 1 pos t (Ful l t ime) 2-3 years of exper ience2 . Consu l tan t (Perambalur Branch) -1 pos t (Fu l l t ime) 1 -2 years exper ience3 . 1 Year Tami lnadu Dr.MGR Univers i ty, Jo in t r ep lacement f e l low - 2 pos t

Qual i f i ca t ion : M.S . Or tho / DNB Or tho / D .Or tho (Sa la ry negot iab le )

Contact : ATLAS Hospitals, 34/1 - First Cross, V.N.Nagar Karur Road, Trichy - 620002.Ph: 94433 89894, 94433 49403. E - mail : [email protected]

MATRIMONIAL - DOCTOR BRIDEGROOM WANTED

MATRIMONIAL - BRIDEGROOM WANTED

HOSPITAL FOR RENT

ORTHOPAEDIC HOSPITAL IN TRICHY - REQUIRES FOLLOWING VACANCIES



ProfessionalProtection Linked

Social SecurityScheme of IMA TN

Dr. K. PRAKASAMPPLSSS Chairman.

Dear Members,Greetings from PPLSSS

As per the direction of the National IMA,Bharat Yathra, Cycle Yathra which were startedfrom Kanyakumari to Delhi has got a very goodreponse from all the branches and the MahaPanchayat meeting was held at Delhi with 25000Doctors have attended. And we appreciate theNational President Dr. Ravi S Wankhedkar andother National Leaders for making the IMAunited for the NMC issue.

But it is unfortunate NMC Bill has beenapproved by the cabinet meeting with SOMEfavorable amendments suggested by theStanding Committee. Our struggle has to go forlong way to achieve the goal.

In the last State Council Meeting atCuddalore Thirupur Branch has enrolled 44Members in PPLSS Scheme. Hats off toTirupur branch one of the excellent branch in allactivities of IMA, As we have already discussedeach branch to catch 5 members before the nextManagement Committee. I also request branch

Office Bearers to nominate district coordinatorwhere ever the post is vacant, if no one is willingeither the branch President (or) Secretary maybe nominated for the District Coordinator post.

Regarding the booking for the Guest HousesMembers are requested to book only during theoffice hours. At emergency situations roomswill be allotted, first come first basis andmembers are requested to book in advanceeither advance draft (or) At par Cheque.

Swiping machines are available in both GuestHouses and members requested are to utilizethe swiping machine no cash payment. It is tobe informed once the rooms are booked even ifthey don’t occupy they have to pay the rentunless it is cancelled atleast 2 days in advance.

Dear members I request all of the you toutilize the guest houses and offer suggestionsfor improvement.

Long Live IMA!

PPLSSS NEW MEMBERSSUBSCRIPTION (Block of Five years)

Category Compensation 5 Lakhs Compensation 10 Lakhsper block of 5 years per block of 5 years

GENERAL PRACTITIONER Rs. 6,000 + 1,080 = 7,080/- Rs. 11,000 + 1,980 = 12,980/-NON – SURGICAL Rs. 7,000 + 1,260 = 8,260/- Rs. 13,000 + 2,340 = 15,340/-SURGICAL ANAESTHETIST Rs. 8,000 + 1,440 = 9,440/- Rs. 15,000 + 2,700 = 17,700/-

NOTE : Subscription Amount which includes 18% GSTDD should be send in the name of “PPLSSS of IMA TN” Payable at Nagercoil

Professional Protection LinkedSocial Security Scheme of IMA TN

Dr. K. KuthalingamTreasurer, PPLSSS of IMA TNSB

Cell: 9442077799

Dr. M. Thiraviam MohanSecretary, PPLSSS of IMA TNSB

Cell: 9442123649


Yours in IMA,Dr. M. Thiraviam Mohan,Hony. Secretary PPLSSS of IMA TN

Greetings from PPLSSS OF IMA TN.

I thank all our members for their continuoussupport and guidance for the past one year inoffice , which had helped us in smooth functioningof the office.

Happy to participate in the BRAINSTORMING SESSION OF NHB ANDEXECUTIVE MEET on the 7th and 8th April atIMA TAMBARAM STATE HEADQUARTERS.

Category Compensation 5 Lakhs Rs. 10 Lakhsper block of 3 years per block of 3 years

PRIMARY LEVEL Rs. 4000 + 720 = 4,720 /- Rs. 7000 + 1260 = 8,260/-SECONDARY LEVEL Any One facilities (ICU/Theatre / Labour Room, X-Ray, Scan, Lab) Rs. 6000 + 1080 = 7,080/- Rs. 12000 + 2160 = 14,160/-Any two facilities Rs. 9000 + 1620 = 10,620/- Rs. 18000 + 3240 = 21,240/-All three facilities and More Rs. 15000 + 2700 = 17,700/- Rs. 30000 + 5400 = 35,400/-50 beds and more with all facilitiesand TERTIARY LEVEL ————————— Rs. 50000 + 9000 = 59,000/-

NOTE : Subscription amount which includes 18% GSTDD should be send in the name of “Hospital Protection Scheme of PPLSSS of IMA Tamilnadu” Payable at Nagercoil

PPLSSS RENEWAL MEMBERS - BONUS COMPUTATIONSUBSCRIPTION (Block of Five years)

Category Compensation 5 Lakhs Compensation 10 Lakhsper block of 5 years per block of 5 years

GENERAL PRACTITIONER Rs. 5,000 + 900 = 5,900/- Rs. 10,000 + 1,800 = 11,800/-Less : Bonus Rs. 1,000/- Rs. 4,000 + 720 = 4,720/- Rs. 9,000 + 1,620 = 10,620/-NON – SURGICAL Rs. 6,000 + 1,080 = 7,080/- Rs. 12,000 + 2,160 = 14,160/-Less : Bonus Rs. 1,000/- Rs. 5,000 + 900 = 5,900/- Rs. 11,000 + 1,980 = 12,980/-SURGICAL ANAESTHETIST Rs. 7,000 + 1,260 = 8,260/- Rs. 14,000 + 2,520 = 16,520/-Less Bonus Rs. 1,000/- Rs. 6,000 + 1,080 = 7,080/- Rs. 13,000 + 2,340 = 15,340/-

NOTE : Subscription Amount which includes 18% GSTBONUS APPLICABLE ONLY FOR “NO CLAIM SUBSCRIBER”

DD should be send in the name of “PPLSSS OF IMA TN Renewal A/C “ Payable at Nagercoil

HPS NEW & RENEWAL SUBSCRIPTION (Block of three years)

On this TAMIL NEW YEAR

Wish you be showered with

The Divine blessings....

Of happiness and prosperity

Puthandu Vazhthukal !!!


Greetings to all!Medical records of each and

every patient must be preparedand preserved meticulously andproduced promptly as and whenthe need arises. Preservingmedical records carefully is asimportant as writing them.Missing medical records alwayslead courts to draw an adverseinference against doctors.

Provision in respect ofmedical records has been made inthe Indian Medical Council(professional conduct, Etiquetteand Ethics)

Regulations, 2002,regulations 1.3.1 and 1.3.2 whereofprovide as under;

1.3.1.Every physician shallmaintain the medical recordspertaining to his/her indoorpatients for a period of 3 years fromthe date of commencement of thetreatment in a standard proformalaid down by the Medical Councilof India…………”

“1.3.2 If any request is madefor medical records either by thepatient/authorized attendant orlegal authorities involved, thesame may be duly acknowledgedand documents shall be issuedwithin the period of 72 hours”

Also, it must not be forgottenthat to obtain in writing about hismedical illness, investigations andtreatment given on a prescription/ discharge ticket is the right ofevery patient.

Non-providing of medicalrecords to the patients/attendantsmay amount to deficiency inservice under the consumerprotection Act, 1986.

PRESERVE,PROVIDE AND

PRODUCE MEDICALRECORDS

The National Commission, inPoona Medical foundation RubyHall clinic V Maruti Rao LTitkare, 1995 (1) CPJ 2321; hasheld that there can be no questionof negligence by reason of failureto supply hospital recordspertaining to the surgical operationperformed (unless a legal duty wascast on the hospital to furnishsuch documents to a patient). Itwould be sufficient if a dischargecard wherein the particulars ofdiagnosis and treatmentadministered are mentioned.

In vijaymma V ApolloDiagnostic Centre, 2002 (1) CPJ230 (AP SCDRC) 2-

Non- issue of discharge cardafter death of the patient was heldto be a deficiency in service.

Can medical record be calledfor by the court or police orconsumer Forum / Commission?

It must be remembered thatunder Sec 91 of the code ofcriminal procedure, 1973

it would be necessary to handover the records to the relevantauthorities when asked to do so.

Can withholding from or nonproviding of hospital record to thecourt or consumer forum lead toadverse inference against thehospital?

Yes, withholding of hospitalrecord can lead to adverseinference against the hospital asis evident from the case

Nizam’s Institute of MedicalSciences V prasanth S Dhanaka2009 (2) CPJ 61 3

A special word about handingover X-rays and reports to thepatient – many a time, X-rays andpathological reports are given tothe patient at the time ofdischarge. When a complaint isfiled, the hospital/doctor may nothave the X-rays or Pathologicalreport. So if the X-rays are notretained, it is mandatory that thedoctor must write down name,number and date on every X-rayand enter the findings of every X-ray in the indoor record. He shouldalso obtain the signature of thepatient at the time of handing overthe X-rays and other Reports.Evidentary value of MedicalRecords –

Medical record maintenanceis an important aspect of themanagement of a patient. It isimportant for the doctors andhospitals to properly maintain therecords of patients. It will help thedoctors to prove that the treatmentwas carried out properly, which

Dr. E. PariLegal Committee

Chairman,PPLSSS ofIMA TNSB

September 2016 TIMA News LetterApril 2018 33

will help in analysing the treatment results and to plan treatment protocols. It is wise to remember “POORRECORDS MEAN POOR DEFENCE, NO RECORDS MEAN, NO DEFENCE”

Venkat Vs Dr. Prakash M Bhandari, 2015 (4) CLT 371 (NCDRC)4.Ref: Dr. Jagdish Singh – Medical Negligence & compensation, Fourth Edition. Bharat Law

Publications, 2017, Jaipur. Thanking You Dr. E. Pari, M.Sc., M.B.B.S., D.F.M., PGDMLE., PGDCLP., LL.B.,

105, Gandhi Road, Cheyyar-604 40704182 – 222432, 222532, 94431 36532, 9488129723, [email protected]

NOTE : Subcription Amount which includes 18% GSTBONUS APPLICABLE ONLY FOR “NO CLAIM SUBCRIBERS”

DD should be send in the name of “FBS of PPLSSS of IMA Tamilnadu” Payable at Nagercoil

Address: Sankaralaya, Sankara HeritageApartment, Flat No.11 &12, No.64, Spur tank Road,Chetpet, Chennai-600 031.Contact : 044 28361866, 9444832139 / 9500032139(Reservation only from 10 am to 6 pm)Email: [email protected] [email protected]

A/C Double Bed Room Rs.1200/- per day, inaddition 18% GST(Extra Persons Staying in double bed room Rs.200/-per person per day). Rs.100/- Discount for PPLSSSMembers. Note 1 : Free allotment Car Parking OnlyTwo Note 2: Paid Building association car parkingtwo each Rs.150/- (“Subject to availability”)

Address : JVL Plaza, No.626/501, Anna Salai,Mount Road, Teynampet, Chennai – 600 018.Contact : 044 24348475, 9444832139/9500032139(Reservation only from 10 am to 6 pm).Email: [email protected] [email protected]

A/C Double Bed Room Rs.1200/-(Extra Persons Staying in double bed room Rs.200/-per person per day) Note 1: Free allotment Car ParkingOnly Two. Note 2: Paid Building association carparking each Rs.150/- (7p.m-7a.m “Subject toavailability”)

DD should be send in the name of “JVL Plaza A/c of PPLSSS of IMA Tamilnadu” Payable at NagercoilPayment Mode: DD only Accepted. DD should be send to the following address:

Dr. M. THIRAVIAM MOHAN, Hony.Secretary, PPLSSS of IMA TN.Thiraviam Clinic, 85/ Old 54, 56, Asambu Road, Vadasery, Nagercoil - 629 001.

Email:[email protected] Mob: 94872 72627. Ph : 04652 - 272627 (Office)For Case related enquires contact Secretary : 94421 23649 (or) Legal Committee chairman

Dr. E. Pari : 9443136532, 9488129723 / 04182 - 222432, 222532. Other enquiries contact PPLSSS office : 04652 - 272627

FBS NEW & RENEWAL - Bonus ComputationREVISED FBS SUBSCRIPTION (for a block of 1 year)

FROM 01.03.2015 AS PER 15.02.2015 MCM MEETING RESOLUTIONAGE ANNUAL FEE LESS BONUS - Rs. 500 (Renewal)Upto 45 years Rs. 3,500 + 630 = 4,130/- Rs. 3,000 + 540 = 3,540/-46 - 55 years Rs. 4,500 + 810 = 5,310/- Rs. 4,000 + 720 = 4,720/-56 - 65 years Rs. 5,500 + 990 = 6,490/- Rs. 5,000 + 900 = 5,900/-66 - 70 years Rs. 6,000 + 1,080 = 7,080/- Rs. 5,500 + 990 = 6,490/-71 - 75 years Rs. 6,500 + 1,170 = 7,670/- Rs. 6,000 + 1,080 = 7,080/-76 - 80 years Rs. 7,000 + 1,260 = 8,260/- Rs. 6,500 + 1,170 = 7,670/-

IMA PPLSSS GUEST HOUSE

DD should be send in the name of “PPLSSS Guest House” Payable at Nagercoil

JVL Plaza GUEST HOUSE


S.No. Doctor Name Member Code Renewal DateAMBATTUR - AVADI

1. Dr. Manikandan M. 10231 16.05.20182. Dr. Pavai Parvathi 10233 16.05.20183. Dr. Rajendran K. 4636 04.05.2018

CHENGALPATTU4. Dr. Manohar N. 4659 01.05.20185. Dr. Suguna R. 4658 01.05.2018

CHENNAI APOLLO T.L.6. Dr. Ganapathy H. 4670 05.05.20187. Dr. Ganesh P.S. 4701 22.05.20188. Dr. Meera Natarajan N 4715 31.05.20189. Dr. Vijayagananpathy G. 4671 05.05.2018

CHENNAI ASHOK NAGAR10. Dr. Sadayappan V.R. 2782 06.05.201811. Dr. Surendran T.S.K. 4660 11.05.2018

CHENNAI CENTRAL12. Dr. Balakrishnan T.M. 4555 28.05.201813. Dr. Surendra Mallya U 4672 07.05.201814. Dr. Vivekanandan L. 4673 07.05.2018

CHENNAI KODAMBAKKAM15. Dr. Mohan Raj K. 7620 26.05.201816. Dr. Prasad K.V.S. 4681 20.05.2018

CHENNAI NAAM17. Dr. Jayashree P. 7054 31.05.2018

CHENNAI PERAMBUR18. Dr. Indrani R. 4692 14.05.2018

CHENNAI SOUTH19. Dr. Devarajan A.P. 10232 16.05.201820. Dr. Kalpana D. 10225 16.05.2018

CHENNAI TAMBARAM21. Dr. Bhanumati Giridharan 4682 11.05.201822. Dr. Narendran Karthigayan 10221 09.05.201823. Dr. Santhakumari K. 3891 30.05.201824. Dr. Shakthesh 10234 17.05.2018

CHENNAI TEYNAMPET25. Dr. Jayashreee Potty 4717 30.05.2018

CHENNAI VELACHERY26. Dr. Priyadharshini S. 10220 08.05.201827. Dr. Sadhanandham S. 10219 08.05.2018

PPLSSS RENEWPPLSSS RENEWPPLSSS RENEWPPLSSS RENEWPPLSSS RENEWAL - INTIMAAL - INTIMAAL - INTIMAAL - INTIMAAL - INTIMATIONTIONTIONTIONTIONFRFRFRFRFROM 0OM 0OM 0OM 0OM 011111.05.20.05.20.05.20.05.20.05.20111118 T8 T8 T8 T8 TO 3O 3O 3O 3O 311111.05.20.05.20.05.20.05.20.05.201111188888

COIMBATORE28. Dr. Geetha V. 10222 12.05.201829. Dr. Kalyani S. 10238 20.05.201830. Dr. Kiruthika Selvanayaki V.S. 10248 30.05.201831. Dr. Marimuthu S. 10247 30.05.201832. Dr. Nagarajan S. 10244 24.05.201833. Dr. Periasamy P. 10242 24.05.201834. Dr. Senthil Kumar K. 10249 30.05.201835. Dr. Vengetesh K.S. 10223 13.05.2018

CUDDALORE36. Dr. Parthasarathy S 4666 04.05.201837. Dr. Renuka Devi K. 4677 07.05.2018

ERODE38. Dr. Mohanambihai M. 10218 06.05.201839. Dr. Sakthikanal S. 10217 06.05.201840. Dr. Vijaya Raghavan S. 7604 13.05.2018

HARUR - UTHANGARAI41. Dr. Rajendran T. 7618 23.05.2018

KALLAKURICHI42. Dr. Balakrishnan R. 7625 30.05.201843. Dr. Ramesh M. 7593 02.05.201844. Dr. Sangeetha S. 7624 30.05.201845. Dr. Viswanathan P. 7610 19.05.2018

KARUR46. Dr. Premalatha Prabhu V 5296 14.05.201847. Dr. Rajinikanth J. 4657 01.05.201848. Dr. Senthil Kumar M.S. 7568 01.05.201849. Dr. Tamilselvan M.C.K. 7619 23.05.2018

MADURAI50. Dr. Balamurali D. 7621 30.05.201851. Dr. Dheivakkani M. 7622 30.05.201852. Dr. Durairaj R. 10236 17.05.201853. Dr. Malarkodi S. 7597 04.05.201854. Dr. Navin Thariq M. 10241 21.05.201855. Dr. Parvathavarthini V. 7623 30.05.201856. Dr. Poornima M.K. 3967 18.05.201857. Dr. Raja Manoharan 4698 18.05.201858. Dr. Vijayakumar R.R. 4694 16.05.2018

MADURANTAKAM59. Dr. Ravikumar S.A. 10239 20.05.2018


MANAPPARAI60. Dr. Gandhimathi M. 10240 21.05.2018

MARTHANDAM61. Dr. Indra Moses Singh 4695 15.05.2018

METTUPALAYAM62. Dr. Kannan A. 7602 20.05.201863. Dr. Rangaraju S. 7600 12.05.2018

MULLAI PERIYAR64. Dr. Mahalakshmi S. 7508 21.05.2018

NAGERCOIL65. Dr. Delphine 7609 18.05.2018

NAMAKKAL66. Dr. Bhuvaneswari G. 4650 11.05.201867. Dr. Palanivel S. 4649 11.05.2018

PALANI68. Dr. Raja M. 7599 11.05.201869. Dr. Vanasekar M. 4653 04.05.201870. Dr. Vasantha M. 10224 16.05.201871. Dr. Vijayachakrapani L. 7626 27.05.2018

PERAMBALUR72. Dr. Saravanan S. 4686 15.05.201873. Dr. Sridevi S. 7607 16.05.2018

POLLACHI74. Dr. Lakshmi Sumathi S. 10215 03.05.201875. Dr. Raja S. 4689 13.05.201876. Dr. Thiagarajan A.L. 10245 27.05.2018

POONAMALLEE HIGH ROAD77. Dr. Sundaravadanan B.S. 4703 22.05.2018

RAMANATHAPURAM78. Dr. Gowri Ravichandran 4710 30.05.201879. Dr. Ravichandran R 4709 30.05.2018

SALEM80. Dr. Babu C. 10418 28.05.201881. Dr. Dilish G. 7526 28.05.201882. Dr. Jayalakshmi R. 2459 31.05.201883. Dr. Senthil Kumar R. 10235 17.05.201884. Dr. Swathi P. 10237 17.05.201885. Dr. Vijayalakshmi N. 4668 05.05.2018

SATHYAMANGALAM86. Dr. Lakshmana Kumar 4706 27.05.2018

THANJAVUR87. Dr. Baskaran V. 4687 12.05.201888. Dr. Lingala Gowrisankar Reddy6344 27.05.201889. Dr. Nashana Sulthana B. 7613 19.05.201890. Dr. Thirumuru Vidya Reddy 6343 27.05.201891. Dr. Vanathi P. 10246 29.05.2018

TINDIVANAM92. Dr. Sekar P. 4697 26.05.201893. Dr. Vasanth R. 7595 02.05.2018

TIRUCHIRAPALLI94. Dr. Ganapathy Sundar K. 4662 02.05.201895. Dr. Kodi K. 4661 02.05.201896. Dr. Krishna T.R.R. 3819 01.05.201897. Dr. Nazneen J. 7596 04.05.201898. Dr. Palaniappan S. 4708 26.05.201899. Dr. Panneer Selvam P. 7598 11.05.2018100. Dr. Ramakrishna Easwaran E. 4637 01.05.2018101. Dr. Shanmuganathan T. 7594 02.05.2018102. Dr. Srinivas S. 4518 30.05.2018

TIRUKOILUR103. Dr. Balaraju K. 7617 21.05.2018104. Dr. Baskaran V. 7614 21.05.2018105. Dr. Venkata Subbash S. 4716 29.05.2018106. Dr. Vijayakumar R. 7616 21.05.2018

TIRUNELVELI107. Dr. Kandasamy E. 4696 15.05.2018108. Dr. Senthil Babu S. 7543 14.05.2018

TIRUPUR109. Dr. Deepak Senthil Kumar T. 4690 14.05.2018110. Dr. Karthikeyan P. 7608 16.05.2018111. Dr. Kavitha S. 7606 16.05.2018

TUTICORIN112. Dr. Deivanathan N. 10216 06.05.2018

UDUMALPET113. Dr. Mariammal P. 4149 16.05.2018

VELLORE114. Dr. Arun Prasad K. 7420 26.05.2018115. Dr. Shanmugapriya S. 7419 26.05.2018

VIRUDHUNAGAR DISTRICT116. Dr. Mubarak Sultana M. 4688 19.05.2018117. Dr. Radha Lakshmi G.R. 10243 24.05.2018


S.No. Hospital Name Member Code Renewal Date Branch1. Santhi Hospital 1039 04.05.2018 Chennai South2. Xcellent Care Super Speciality Hospital Pvt. Ltd 1041 17.05.2018 Chennai Velachery3. Sona Hospital 816 22.05.2018 Chidambaram4. SIMS Chellum Hospital 1042 31.05.2018 Salem5. Priya Nursing Home 665 17.05.2018 Tiruchirapalli6. Shri Ramyaa Multispeciality Hospital 1040 14.05.2018 Tiruchirapalli

S.No. Doctor Name Member Code Renewal DateAMBASAMUDRAM

1. Dr. Padmanabhan G. 1386 10.05.2018AMBATTUR - AVADI

2. Dr. Srinivas K. Rao 969 03.05.2018ANNUR

3. Dr. Rajeswari K. 1537 08.05.20184. Dr. Selvam R 528 28.05.2018

CHENNAI KODAMBAKKAM5. Dr. Nagarajan D. 771 17.05.2018

CHENNAI NORTH6. Dr. Balasubramanian V. 985 30.05.20187. Dr. Rex Sargunam C.S. 826 18.05.2018

CHETTINAD8. Dr. Muthiah V. 1765 29.05.2018

COIMBATORE9. Dr. Muthukumaran 1627 12.05.201810. Dr. Thangavelu L.P. 1374 31.05.2018

CUDDALORE11. Dr. Renukadevi K. 244 28.05.2018

CUMBUM VALLEY12. Dr. Mohan Kumar R 530 25.05.2018

DHARMAPURI13. Dr. Saravanan K. 560 13.05.2018

ERODE14. Dr. Krishnaswamy S. 1543 08.05.201815. Dr. Ramadevi K.S. 1544 08.05.2018

MADURAI16. Dr. Ramakrishnan S 556 19.05.201817. Dr. Vaigai Rani S 411 31.05.201818. Dr. Vijaya G. 1620 06.05.201819. Dr. Vijayalakshmi Veeramani 1030 26.05.2018

MARTHANDAM20. Dr. Nagammal N 449 04.05.2018

NAMAKKAL21. Dr. Manivannan S. 1387 28.05.2018

NIDAMANGALAM - MANNARGUDI22. Dr. Bharathi Selvan 767 14.05.2018

POONAMALLEE23. Dr. Shobana Srinivas 970 07.05.2018

RAMANATHAPURAM24. Dr. Sulthana Babu 1724 27.05.2018

SALEM25. Dr. Jaleel A.M. 784 15.05.201826. Dr. Jithendran S.K. 820 18.05.201827. Dr. Kasthuri G 416 24.05.201828. Dr. Kumar P. 1828 19.05.2018

THANJAVUR29. Dr. Singaravelu 552 24.05.2018

TIRUCHIRAPALLI30. Dr. Aravinda Kumar S. 1826 16.05.201831. Dr. Gowri P. 1827 16.05.201832. Dr. Kalaikkovan R. 110 06.05.201833. Dr. Shameem Banu R. 1022 12.05.201834. Dr. Vidya Ravi 557 12.05.2018

TIRUVANNAMALAI35. Dr. Thiyagarajan S. 1825 10.05.2018

TIRUVARUR36. Dr. Chandrasekaran M. 415 10.05.201837. Dr. Vinoth Kumar J. 1726 01.05.2018

UDUMALPET38. Dr. Eswaran M. 1785 23.05.2018

VELLORE39. Dr. Shanmugam M. 130 04.05.201840. Dr. Sivanandam S.E. 996 18.05.2018

VILLIVAKKAM - AYANAVARAM41. Dr. Rajalakshmi Murali 766 17.05.2018

VIRUDHUNAGAR DISTRICT42. Dr. Chamundeeswari M. 427 25.05.201843. Dr. Kanagavelrajan N. 1411 31.05.2018

FBS RENEWFBS RENEWFBS RENEWFBS RENEWFBS RENEWAL - INTIMAAL - INTIMAAL - INTIMAAL - INTIMAAL - INTIMATIONTIONTIONTIONTIONFROM 01.05.2018 TO 31.05.2018FROM 01.05.2018 TO 31.05.2018FROM 01.05.2018 TO 31.05.2018FROM 01.05.2018 TO 31.05.2018FROM 01.05.2018 TO 31.05.2018

HPS RENEWAL - INTIMATIONFROM 01.05.2018 TO 31.05.2018


IMA Ambasamudram Branch IMA Arni Branch IMA Batlagundu Branch

IMA Chennai Tambaram Branch IMA Ch. Kauvery Alwarpet Branch IMA Coimbatore Branch

IMA Harur - Uthangarai Branch IMA Kelambakkam Chettinad Health City Branch IMA Kumbakonam Branch

IMA Marthandam Branch IMA Nidamangalam Mannargudi Branch IMA Rajapalayam Branch

IMA Salem Branch IMA Thanjavur Branch IMA Tiruchengode Branch

Although every care has been taken in the publication of this TIMA News Letter, the author, the publisher and the printershall not be responsible for any loss or damage caused to any person on account of errors or omissions which might have creptit. The publisher shall be obliged if mistakes are brought to their notice for carrying out corrections in the next issue.


prof. dr. j.a. jayalal · hospitals mission ” is initiated by ima tamilnadu. insurance sector is...

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