You have Made Us Proud

Transcription

1 I A P Indian Academy of Pediatrics, Mumbai Monly Newsletter, Vol. 3, March 2013 You have Made Us Proud INDIAN AADEMY OF PEDIATRIS, 92/4, Geeta Building, 1st Floor, Next to hhagan Mitra Petrol Pump, Dr. B. Ambedkar Road, Rani Laxmibai howk (Sion ircle), Sion (E), Mumbai mbiap@yahoo.com sridhar.ganapay@rediffmail.com Telefax : Mob. : President Hon. Secretary Hon. Treasurer Dr Sharat Menon Dr Sridhar Ganapay Dr Bela Verma ontact : Indian Academy of Pediatrics, 92/4, Geeta Building, 1st Floor, Next to hhagan Mitra Petrol Pump, Dr. B. Ambedkar Road, Rani Laxmibai howk (Sion ircle), Sion (E), Mumbai mbiap@yahoo.com sridhar.ganapay@rediffmail.com Telefax : Mob. : Not for Sale For Private irculation only

2 I IAP, A OFFIE BEARERS AND MEMBERS OF EXEUTIVE BOARD, 2013 Dr Uday Pai President Elect President Dr Sharat Menon Past President Hon. Secretary Dr Kamlesh Shrivastava Dr Sridhar Ganapay Hon. Treasurer Dr Bela Verma Joint Treasurer Dr Sushant Mane ADVISORS F KD REGISTRY Dr Raju Khubchandani Dr Nitin Shah Dr Bharat Parekh Dr Bharat Agarwal Dr Bipin Shah EXEUTIVE BOARD MEMBERS Dr A D Raod Dr Mukesh Agarwal Dr Murlidhar Mahajan Dr Preea Joshi Dr Samir Dalwai Dr Sandeep Bavdekar Dr Sujata Kanhere Dr Sushma Malik Dr Sushma Save Dr Varsha Phadke Dr Vinit Samdani Dr Yashwant Gabhale TRUSTEES Dr Bakul Jayant Parekh Dr Bharat Agarwal Dr Bipin Shah Dr P N Patnekar Dr Vijay Tuteja EX - OFFIIO MEMBERS IAP Navi Mumbai IAP Thane IAP Kalyan/Karjat Dombivali Dr Upendra Kinjawadekar Dr Mahendra Kelkar Dr Geeta Bhat Dr Gurudutt Bhat Dr. Subhash Rao entral IAP EB Member IAP entral from Mumbai Dr.P. Bansal Dr Kamlesh Shrivastava Dr. Sailash Gupta P

3 INDIAN AADEMY OF PEDIATRIS INDIAN AADEMY OF PEDIATRIS Notes Editorial Taking up e post of e secretary of e IAP or getting admitted to e hospital.my colleagues have e same question for me serious hai kya? Now I am deep into IAP giving it e best gift -my time-as is is someing i will never get back. In IAP,it is our endeavour to make it an organisation par excellence, provide a platform where we share knowledge and gel wi fellow colleagues and ultimately work towards e betterment of e heal of our pediatric population. From is issue we will introduce a knowledge platform. This will aim to be a platform where needed and relevant do's and don'ts and usefulness of various accessible medical advancements shall be discussed by experts. The postgraduate teaching series kick starts is mon-members are free to attend e same. The lectures will be in a different format-- where approaches shall be discussed wi a blend of advances and tipsters in practice by senior teachers. The news letter shall continue to carry all e relevant ME details for e mon. And not to forget,we have e installation ceremony of our new team on e 17 of March (details on pg. No. 8 ). On e same day,we shall also gratefully acknowledge e services of our beloved teachers Dr. Almeida R. Fernandez and Dr. Ramesh D. Potdar by conferring on em e lifetime achievement awards. The present team has decided at it's time to stop saying we wish and start saying we will for all new projects. So let's have more beginnings an endings. Warm regards, Dr Sridhar Ganapay. Secretary, IAP, Mumbai. ontents Indian Academy of Pediatrics, Mumbai. Monly Newsletter, Vol. 1, January

4 INDIAN AADEMY OF PEDIATRIS INDIAN AADEMY OF PEDIATRIS Monly Meetings st, 1,8,15 & 29 March Friday : linical meetings 7 March Thursday : Nor West Mumbai Pediatric Meeting Venue Time 22 Institute B J Wadia hospital J. J. Hospital K.E.M Hospital B.Y. L. Nair hospital LTMG hospital : : Head of department Dr S Prabhu Dr A D Raod Dr Mukesh Agrawal Dr Sandeep Bavdekar Dr Mamta Manglani Borivali Medical Broerhood, Shri N. B. hadwa Hall, TPS Marg, Borivali West, Mumbai am to am Enquiries to : Dr. haru Suraiya st st 7, 14, 21, 28 & 31 March 2013 : Postgraduate Grand Rounds Venue Time : : Pediatric Seminar Hall, Lokmanya Tilak Medical ollege, Sion 6:00 pm to 8:00 pm KD REGISTERY For furer information regarding literature update,parent information, IVIG availability ontact : Dr Raju Khubchandani : Ph , fax mob: E mail :rajukhubchandani@yahoo.co.in YSTI FIBOSIS REGISTERY AND ONSULTATION For consultation and or swat chloride test refer patient on FRIDAY'S wi prior appointment nd to room no 221 OPD floor 2 floor,jaslok hospital, Pedder road. patients refered for sweat test must carry all eir records and reports. For furer information regarding literature updates, parent information, sweat test and physioerapy ontact : Dr Raju khubchandani ph : Fax : Mob : DID YOU KNOW DID YOU KNOW Skipping breakfast over long periods would have detrimental effects on your cardio metabolic heal. An Australian study in e American journal of clinical nutrition [2010;92; by Smi K J et al ]- -skipping breakfast resulted in larger waist circumference, higher fasting insulin, total cholesterol and low density lipoprotein levels. Ultraviolet B light produces 90% of vitamin D in human beings, so e teen population which spends more time indoors should get out of eir sedentary habits, get outdoors to get sensible sun exposure for eir vitamin D. Tobacco smoke contains very tiny amounts of radioactive polonium-210. in smokers is builds up to e equivalent radiation dosage of 300 chest x-rays a year for a person who smokes one and a half packs a day. So it's time to quit smoking. The latest trigger for asma FAE BOOK The new social networks like face book are a source of psychological stress capable of triggering an asmatic exacerbation Man introduces his family Yeh meri biwi GOOGLE Rani... Sawal pucho toh dus jawab deti hai Ye mera beta FAEBOOK Kumar Ghar ki baat poore mohalle tak pahuchata hai Ye meri beti TWITTER... Poora mohalla follow karta hai Aur main ORKUT Raja... Ab muje kohi puchta hi nahi Finally it may happen Beer cheaper an petrol!!! There will be a slogan... JUST DRINK DONT DRIVE Laughter e Best Medicine The art of living... Having a wife is a part of living but having girlfriend along wi wife is art of living rajukhubchandani@yahoo.co.in 2 11

5 INDIAN AADEMY OF PEDIATRIS INDIAN AADEMY OF PEDIATRIS Grow Symposia schedule on 14 April. Parameters beyond B Venue: Regus, Trade entre, In front of Telephone Exchange, Bandra Kurla omplex, Mumbai Govind Jewani Product Specialist, Eli Lilly & co. India Pvt. Ltd. Mb: A 13 year old girl presented fever and lymph node enlargement requiring lymph node excision. Her B showed Hb 11.6, W 8400 and platelet count of Peripheral smear of is patient showed several large platelets. Patient had no bleeding symptoms and her previous platelet count 2 year back was also She was told to undergo bone marrow investigations to rule out immune rombocytopenia, but declined e procedure. She was not on any regular treatment and was not on regular follow up. Normally wi platelet count of <50000 performing surgical procedures can be risky because of high chance of bleeding. Several of such patients will have eir procedures cancelled or physician will choose to transfuse em platelets before and after e procedures to avoid bleeding. In is case, because of large platelets in e blood, machine is not able to give e accurate platelet count. Also even ough older machines will provide e MPV (mean platelet volume), where higher MPV will suggest large platelets in e peripheral blood, it still will not be able to accurately include ose large platelets in e platelet count and anxiety about e low platelet count will still remain. Wi availability of e new machines where e platelet count is done by optical meod (platelet- O), now ere is a luxury of getting an accurate count even if ere are large platelets in e peripheral blood. By is technology machine counts e platelets not only by eir size (like old machines) but also by e fluorescence. Because of is way of counting platelets, it counts all e cells wi similar fluorescence togeer. Hence if platelets are as big as red cells for example, will still have similar platelet like fluorescence and hence will be counted as platelets. Platelet-O will also avoid need for manual platelet count. More importantly we can now get a parameter called IPF (Immature Platelet Fraction) which informs about e immature platelets as percentage on e B. Higher IPF percentage suggests at e bone marrow is producing adequate number of platelets and e destruction is occurring in e blood and hence more and more immature platelets ate coming from e marrow in e blood. IPF is also useful in cases where transient infection like dengue fever is e cause for low platelet count. Higher IPF here would suggest at e platelet count will recover soon and platelet transfusions can be avoided. Thus, in patients wi rombocytopenia wi high IPF, platelet transfusions can be avoided because of likelihood of platelet recovery and minimal risk of bleeding in such patients. On e contrary, if low platelet count is associated wi low IPF, it suggests at e bone marrow dysfunction/hypofunction is e cause for rombocytopenia needing bone marrow examination as well as need for platelet transfusion. Oer new parameters now available to us on a five channel B machines are IRF (Immature Reticulocyte Fraction) & IGF (Immature Granulocyte Fraction) which are used to predict e bone marrow function and Retic He & RB He which are useful for diagnosis of functional iron deficiency and anaemia of chronic disease. Our patient here had IPF of 20.4% suggesting lot of large platelets and good marrow function. Even ough her standard machine platelet count was only 32000, her optical platelet count (platelet-o) was She underwent e lymph node excision wiout any need for platelet transfusions. Reference:. Briggs, Int. Jnl. lab. Haematology. 2009; Dr. Balkrishna Padate. MD (Med) MRP(UK) FRPa(UK) ST (UK) onsultant Haematology, Haemato-Oncology and BMT P D Hinduja National Hospital and Research entre, Mumbai Honorary Senior Lecturer, University of London 10 3

6 INDIAN AADEMY OF PEDIATRIS INDIAN AADEMY OF PEDIATRIS IU AVALIABILITY IN -DIRETORY/WEBSITE FAILITY In a city of Mumbai even ough we boast of e best management for our sick children, availing of a bed for our lower socio economic class in e time of a crises when e child is critical is a nightmare. Invariably ey run from pillar to post often wi a note from e local political leader or a social worker to end up dismayed due to refusal by most BM/charitable institutes. The woeful shortage of IU beds, compounded wi e apaetic attitude of some management auorities prompted me to initiate is project. We are planning to compile a directory and website for availability, facilities provided and rates (in case of private sector or trust) of all IUs (neonatal and pediatric) in Mumbai. For is I solicit e cooperation of each and every one of you who is catering to intensive care. Kindly inform via or phone-your details Name Phone no. Name of your hospital/visiting hospital(private or trust ) No. of beds Level of care No. of ventilators available IU rates Our Id-mbiap@yahoo.com/You can inform MrNilesh or MrVinod at our IAP office Ph Friends, I implore upon you to be proactive and furnish e details at e earliest. If oer states can clamp down oer NMRs and Under 5 MRs why should we lag behind? MEDIO-SURGIAL MEET 7 April 2013 Auditorium, B.J.Wadia Hospital for hildren Organized by Prof. Sushmita N. Bhatnagar and IAP Mumbai Branch This event focuses on pediatric conditions which need bo medical and surgical care. Surprisingly, ere are more and more conditions which require joint care and unity between e medical and surgical fraternity in providing a comprehensive care for e child. The purpose of organizing is medicosurgical event is to highlight how e medical and surgical counterparts are important and what role each has to play for a complete and optimum care of a child wi surgical condition. What should be e ideal time of surgical intervention, when and how e surgical patient looked after by e pediatrician be transferred, what should be e pre-operative workup, what should be e post-operative management while e child is still hospitalized and what is e protocol for follow-up. Not just ese issues, but how long to follow-up a child who has un dergone surgery, what investigations are needed in e follow-up period and understanding and explaining e prognosis to e parents wiout any discrepancy between e medical and surgical counterparts are an integral part of successful outcome. Wi e best of faculty, bo medical and st surgical, we welcome you all to join us on 31 of March for a formulative event. TENTATIVE PROGRAM FOR THE MEDIO-SURGIAL MEET NURSING TRAINING OURSE It is a fact at good competent nurses contribute e backbone or e major component of management of indoor patients particularly e IUs. Sadly is aspect has not been given enough priority especially in private setups. Moreover because of gross shortage of nurses often we tend to resort to appoint untrained trainees. A good efficient intelligent trained nurse goes a long way in giving you peace of mind when you are away from e hospital. Wi is in mind Mumbai IAP has initiated a training course comprising of 8-10 lecture series wi hands on practical training in paediatric and IU skills to be held on Sundays in e MBIAP office. You can register e names of your hospital; nurse (irrespective of eir qualification).the training or lectures are arranged to be given by nursing tutors and trained doctors. Skills in identifying sick babies, practical management, short background eory behind management, IU monitoring will be dealt upon. st We will be registering e 1 60 students on first come first serve basis. The course will start in May (furer details will be in e next news letter).so please hurry! A small charge of Rs 500 per student will be charged for working lunch and handouts notes Sushmita Bhatnagar Prof. & HOD, Pediatric Surgery, Wadia hildrens Hospital, onsultant - Bombay Hospital,Mumbai phone REGISTRATIONS ONSULTANT : Rs. 750 RESIDENTS : Rs. 500 heque/dd : B.J.Wadia Hospital for hildren. Outstation cheques : Add Rs. 100 For Details : ontact Prof. S.N. Bhatnagar Dr. S. Reddy Dr. Pinakin Pujari Dr. Kalpesh Patil

7 INDIAN AADEMY OF PEDIATRIS INDIAN AADEMY OF PEDIATRIS Diabetes in hildren Division of Pediatric Endocrinology, Department of Pediatrics B.J.Wadia Hospital for hildren, Mumbai Organizes a ME on Diabetes in hildren st Day and Date: Sunday, 31 March 2013 Venue :Dr.S.M.Merchant Auditorium, B.J.Wadia Hospital for hildren onveners:dr. Rajesh Joshi, Dr Sudha Rao Registration: -Rs 500/- (Registration is limited. There will be no spot registration.) Incidence of type 1 diabetes is increasing(3-5% annual rate of increase). T1DM is a special situation and requires special training of medical fraternity across all levels of healcare,on a large scale. The direct impact of e disease on e patient is debilitating due to e nature of e disease.a person wi T1DM needs to follow a structured self-management plan including proper insulin use coupled wi blood glucose monitoring, physical activity, and a healy diet. One has to be aware of novel options in insulin erapy wi better features and technologies.this ME is aimed at training heal care professionals in e management of type 1 diabetes in children and adolescents. Attending delegates will be given a manual on Diabetes in children and adolescents. TOPIS:- (Speakers: Dr Aparna Limaye, Dr Aspi Irani, Dr Rajesh Joshi, Dr Sudha Rao) Type 1 Diabetes in hildren - Paogenesis & Diagnosis. What we know and what is new? Management of Type 1 Diabetes- All you should know about Insulin and various regimens. Dietary management in type 1 diabetes is ere a paradigm shift? Home management of Type 1 Diabetes- Empowering e child andparents. Emergency management - a Pediatrician's perspective. hronic morbidities- Prevention and treatment urrent perspectives in management Where are we heading to? For registration and furer details please contact:- Ms. Asha ( )/ Dr Poonam Singh( ) / Dr Ruchi Parikh ( ). Accredition for MM credit points has been applied for. Registration form: (Please submit e details given below to obtain your redit points) Name- Address- Mobile no- - MM no- UG PEDIATRI QUIZ WINNER AT NATIONAL LEVEL (OVER PAGE PHOTO) Kavisha haudhari, Kuntal Sen Final year students of Government Grant Medical ollege, Mumbai. Represented Western zone in e 50 Golden Jubilee PEDION, 2013 at Kolkata;in e National round of UG pediatric quiz. There were four oer teams from e nor (Delhi), sou (hennai), east and central (Lucknow) zones respectively. entral zone s KGM, Lucknow, was strongest competitor. There was 'tie' wi em till e last round and eventually after a tie- breaker ey won e much coveted title of national champions. Theme Neuro Genetics For oming ME s Symposium in Medical Genetics Monday 4 March 2013, 9 am onwards VENUE : Seminar Hall, National Institute for Research in Reproductive Heal (NIRRH), Opposite KEM hospital, Parel, Mumbai 12 HOSTS AND SPONSOR IMR Genetic Research enter, NIRRH AADEMI PARTNER - Indian Academy of Pediatrics, Mumbai 8:30 am to 9:00 am - Registration and breakfast 9:00 am to 9:15 am Inaugural address Dr Sanjiva Kholkute, Director, GR, NIRRH Scientific Program (9:15 am onwards) Topic: Immune Brain onnect Speaker Dr Rashid Merchant Eminent Pediatrician, Teacher and Researcher. urrently, onsultant Pediatrician and Head, Pediatrics, BJ Wadia Hospital, Ex-Dean Wadia Hospital Topic Tandem Mass Spectrometry in screening of Neuro-Metabolic onditions Speaker Dr Rita hristopher Prof and Head, Department of Neurochemistry, NIM- HANS, Bangalore Topic Epilepsy Genetics Speaker Dr Anaita Hegde Eminent Pediatric Neurologist, Jaslok Hospital and BJ Wadia Hospital for hildren, Mumbai Program Topic linical Approach to Pediatric Neuromuscular Disorders Speaker Dr Viraj Sanghi Eminent Pediatric Neurologist, Bombay Hospital and Research center, Mumbai Lunch 1:30 pm to 2 pm Topic Role of Imaging in NeuroGenetic conditions Speaker Dr Deepak Patkar Eminent Radiologist, HOD, Dr. Balabhai Nanavati Hospital, MRI and PET, T centre Topic Application of Basic ytogenetics and Molecular Genetics to Diagnosis of NeuroGenetic conditions Speaker Dr Parag M Tamhankar Pediatrician and Medical geneticist, Scientist and Incharge, Genetic Research center, NIRRH, Mumbai Topic Application of Microarray and Next-Generation Se-quencing to Diagnosis of NeuroGenetic conditions Speaker Dr Ratna Dua Puri onsultant Geneticist, entre of Medical Genetics at Sir Ganga Ram Hospi tal, New Delhi 8 2 5

8 INDIAN AADEMY OF PEDIATRIS INDIAN AADEMY OF PEDIATRIS Topic Molecular Diagnosis of Hereditary Ataxias Speaker Dr Ashwin Dalal Pediatrician and Medical Geneticist, Scientist Grade IV and HOD, Diagnostic Division, enter for DNA Fingerprinting and Diagnostics, Hyderabad Speaker Dr Dhanjit Das Molecular Biologist and Scientist B at GR, NIRRH Registration Details There are no registration fees for e ME.. However prior registration is necessary. Final date 1st March 2013 Spot registrations will be allowed if seats are available MM points In process.. Topic Gene Therapy Recent Success Speaker Dr Lakshmi Vasudevan Eminent Pediatrician, Senior Genetic onsultant, Genetic Research enter (GR), NIRRH Topic Molecular Genetics of Rett syndrome ontact Details Mrs Shiny Babu / Mrs Aruna D'Souza Phone , Mobile Dr Parag M Tamhankar grcnirrh@gmail.com paragtmd@gmail.com Life Time Achievement Awards & President Installation Dr Neelu Desai hild Neurologist PRATIAL NEUROLOGY ME We are happy to announce e forcoming ME on Practical aspects in Pediatric Neurology. The eme for e first half a day ME which would be held on 17 March, 2013 is Neurological Emergencies. Experts in e field of Pediatric Neurology across Mumbai would deliver case based approach of common emergencies which perturb e practicing pediatrician. I trust is to be of utmost use to all practitioners who want to remain abreast wi e recent advances in e field. ME on Neurological emergencies- Date: 17 March 2013 Venue: IAP office, Sion, Mumbai o organized by MBIAP and NS (hild Neurology Society) ME o-ordinator: Dr Neelu Desai DEAR IAP MEMBERS You are cordially invited to grace e occasion of presidential installation ceremony Program: 9.30 am 9.55 am: Approach to unconscious child- Dr Shilpa Kulkarni am: NS infections- Dr Shekhar Patil Date-17 March 2013 at MA(Mumbai ricket Association) RG-2,G block,bandra Kurla omplex, Bandra (east), Mumbai PROGRAMME PM-Special Executive board meeting to discuss and finalize e introduction of a certificate course in pediatrics in BM hospitals as an IAP-MGB initiative. Selection of administrative and working committee for e same pma) secretarys report for 2012 b) outgoing presidents address c) felicitation of 2012 office bearers d) introduction of incoming president and change of medallion e) incoming presidents address and vision for am am: Approach to Acute ataxia- Dr Neelu Desai am: Tea Break am: Stroke in children- Dr Viraj Sanghi pm: Acute flaccid paralysis- Dr Mahesh Sambhare 12.15pm-1pm: Panel Discussion (ases) LUNH 1 MM redit point Registration free but compulsory (limited seats-60) ontact: IAP office: for Registration THANE AADEMY OF PEDIATRIS. THANE AADEMY OF PEDIATRIS is organising a 1/2 day ME ON NEONATOLOGY on 24 March 2013 at Jupiter Hospital LIFETIME AHIEVEMENT AWARD Dr Ramesh D. Potdar & Dr. Armida R. Fernandez Life Skills for Paediatricians by Dr. Ramesh D. Potdar Every hild ounts by Dr. Armida R. Fernandez 9.15 Onwards- Dinner REGISTRATION FREE BUT OMPULSORY This would include 1 ase based discussion of common problems in neonatology, 2 parental counselling of High Risk Newborn, 3 Advances in Neonatology and IEM Screening. 4 Rapid Fire Q and A, Registration charges Rs 200. Please contact Dr Bhavesh , Dr Geeta , Dr Mahendra