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MMM hosts 5th Consecutive International Conference on ëAdvanced Cardiovascular Therapeuticsí 3 day Symposium on International Interventional Cardiology The Madras Medical Mission has launched its prestigious international interventional cardiology symposium – Advanced Cardiovascular Therapeutics 2010 – ACT 2010 was held at the Zachariah Mar Dionysius Auditorium, The Madras Medical Mission. In the last 5 years ACT has become a leading interventional symposium presenting a veritable fare to adult and pediatric cardiologists as well as peripheral inverventionalists in the country. It is widely recognized that diabetes has reached epidemic proportions in South Asia. In consideration of this fact, the first day of the symposium was dedicated to “Diabetes and Coronary Artery Disease”. Leading specialists from within the country and outside spoke on aspects of epidemiology, optimal management and prevention of long-term vascular complications of diabetes mellitus. The second day of the symposium focussed on “Complex Coronary Interventions”. The Madras Medical Mission Research Oration and Award of Rs. 5 lakhs for Dr. V. M. Kurian

“Heart Valve Design”. A sum of Rs.5, 00,000/- was presented to the speaker for this contribution. Third day of the symposium is focused on “Plaque Debulking”. Congenital heart disease also figured prominently on all 3 days both in live interventions and in symposia. The conference had an international faculty consisting of Dr. Adam Witkowski, Poland; Prof. Andreas Schuchert, Germany; Dr. Ganesh Manoharan, U.K.; Dr. Marc Silvestri, France; Dr. Michel Henry, France; Dr. Neil Wilson, U.K.; Dr. Ravi Nair, U.S.A. and Dr. Robert-Jan Van Geuns, The Netherlands. There is also a formidable national faculty, the list of which reads as who is who in cardiology in the country.

These doyens would share their expertise with 300 delegates in the country. 20 complex interventions being performed live About 20 complex interventions in both adults and children were performed during the three days. The delegates gained substantially from the sessions and came abreast with the very latest developments in interventional management of the coronary artery disease, congenital heart disease and peripheral artery disease. 250 Children for Free Cardiac Surgery: ACT 2010 is also the forum launching the Madras Medical Mission – Malayala Manorama joint initiative - “Hridaya

The newly instituted “Madras Medical Mission Research Oration and Award”. This award is open to all original research workers in cardiology, cardiac surgery and allied sciences. This year’s oration was delivered by Dr. V.M. Kurian, Senior Consultant Cardiac Surgeon for his original work on 1


Poorvam Sakhyam�. Under this programme 250 children from economically disadvantaged backgrounds have been short listed for free cardiac surgery / interventions at the Madras Medical Mission. The first 3 children of this programme require complex congenital heart disease interventions. Dr. Neil Wilson inaugurated the programme These complex interventions are as such rare and inaccessible to socially disadvantaged group. ACT is becoming the forum

for reaching out to these children through the joint initiative of

The Madras Medical Mission and Malayala Manorama.

At the Helm of MMM

H.G. Dr. Yuhanon Mar Diascoros

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is Grace Dr. Yacob Mar Irenaios, President of The Madras Medical Mission, announced his retirement at the Annual General Meeting held on 26th September 2009. The Governing Board placed on record its appreciation of the selfless and dedicated services rendered by H.G. Dr. Yacob Mar Irenaios to the Mission during his tenure as President and as the Metropolitan of the Madras Diocese.His Grace Dr. Yuhanon Mar Diascoros was elected the new President of The Madras Medical Mission at the meeting of the Governing Board in September. H.G. Dr. Yuhanon Mar Diascoros is the Metropolitan 2

Dr. K. Jacob, Mr. Reji Abraham and Mr. Abraham Samuel

of the Madras Diocese of The Malankara Orthodox Syrian Church. Consequent to the retirement of Mr. E.J. Thomas from the position as the Honorary Vice- President of the Madras Medical Mission and Chairman, Pondicherry Institute of Medical Sciences, with effect from 22nd October 2009, Mr. Reji Abraham a member of the Governing Board has been elected as the new Vice President. Mr. Reji Abraham is the Chairman and Managing Director of the Aban Group of Companies. Dr. K. Jacob, the Honorary Secretary of The Madras Medical Mission has been appointed as Chairman

of the Pondicherry Institute of Medical Sciences. Dr. Jacob is currently the Hon. Secretary of the Union Christian Association, Chennai, which runs the UCA Matriculation Higher Secondary School and other institutions like UCA College of Nursing & College of Physiotherapy. Dr. Jacob, a medical doctor by qualification is a successful industrialist in Chennai. The Governing Board thanked Mr. Thomas for his services to the Madras Medical Mission. Mr. Abraham Samuel continues to serve as Honorary Treasurer of The Madras Medical Mission.


Cardiology Conference Focus on Arrhythmia and Heart Failure Cardiologist & ElectroPhysiologist, The Madras Medical Mission.

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he 4th Annual Conference of Indian Society of Cardiology was organized by the Institute of Cardio-Vascular Diseases, Madras Medical Mission at the Madras Medical Mission campus in Mogappair, under the auspices of Arrhythmia and Heart Failure Academy and The Madras Medical Mission. This conference focused on two of the most important issues that directly affect the survival of patients with Heart Diseases, irrespective of the cause, namely; Arrhythmia – Abnormal Rhythm of the Heart, and Heart Failure – Inability of the heart to pump blood optimally Recent surveys have shown that up to 20% of cardiac emergencies (those who get admitted to Critical Care Unit) have either arrhythmia as the primary cause of admission or need to be treated for stabilization. In general up to 3 – 5 in 1000 adults above the age of 45 and 3 – 4 in 5000 of the younger populations have arrhythmia as a cause of disabling

symptoms. Arrhythmia is the most common cause of sudden death. Sudden death is defined as an unpredicted death occurring in an apparently healthy individual who may or may not be known to be suffering from heart ailment. Surveys have also shown that nearly 20% of senior citizens have varying degrees of heart failure while 1 in 10 patients who have had a heart attack have heart failure. Only 50% of the patients with a diagnosis of heart failure in general survive more than five years. “With incidences of death due to these two conditions rising at such an alarming rate, this conference will help provide the much needed cost effective and qualitative platform for continuing medical education to the practitioners of medicine while encouraging interns and cardiology students to embrace newer technologies in treating heart failure and providing arrhythmia therapy”, said Dr. Ulhas M. Pandurangi,

The conference also discussed heart failure and arrhythmia therapy guidelines and suggested recommendations for physicians and cardiologists while providing the muchneeded exposure to overseas experts and their practices. It also addressed the recommendations regarding identification of susceptible individuals for Sudden Death and the mode of therapy required. Until recently, treatment of Arrhythmia depended on drugs that were by and large ineffective. This coupled with the cumulative cost made this form of treatment prohibitive. Today, curative, cost effective and minimally invasive methods of treatment are being made available. The experts also highlighted the role of Radio Frequency Ablation and Implantation of Devices like AICDs (Automatic Implant able Cardioverter Defibrillators) and advanced pacemakers during the conference. Unfortunately in the last ten years, there has been no significant incremental benefit seen with newer drug therapy in the treatment of heart failure. In general any new drug, which was introduced, reached a ‘Plateau Effect’ and has actually shown to be detrimental if it is added to the established set of drugs. It was concluded that “Non-Pharmacological Therapy” could only achieve incremental benefits in the form of increased survival.

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An Alliance for the Heart Concludes

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50 families came together in Kottayam, Kerala on 11, 12, & 13 September 2009 to register their gratitude to the Madras Medical Mission and Malayala Manorama for giving a new lease of life to their children who were affected with heart disease. This marked the formal valediction of the Hridayapoorvam Sakhyam programme started in 2004. Balajana Sakhyam, a student body nurtured by Malayala Manorama celebrated its Platinum Jubilee in 2004. Through its motto “Service above Self �, Balajana Sakhyam decided to mark the occasion by offering free cardiac surgery to 75 children from Kerala. Malayala Manorama and The Madras Medical Mission joined hands to implement this noble idea. Malayala Manorama soon enhanced this number to 100.The Madras Medical Mission announced that they would not only undertake the surgery of these 100 children at a concession but would extend treatment to at least another 100 children with their own resources. The over 1200 children registered for the programme were scrutinized by the volunteers of the Balajana Sakhyam. The children had come from families with an annual income below Rs.20000. After 14 district level camps, 600 children 4

were short listed for two final screening camps held in Kottayam and Calicut. The Madras Medical Mission mobilized the complete diagnostic infrastructure with its mobile diagnostic unit to facilitate the camp, which was conducted under the supervision of Dr. R. Suresh Kumar, Chief of Pediatric Cardiology. The student volunteers of Balajana Sakhyam were instrumental during the camp, helping the children and the doctors. 200 children were short listed from this camp for the programme. The commencement of the programme was forced by clinical and humanitarian compulsions. Some of the children in the screening camps were far too sick to go through the procedure. On the 4th of October 2004, Aswini a 9-month-old girl from Kottayam underwent the first surgery. This blue baby was critically ill and was immediately transferred to The Madras Medical Mission and she underwent a successful first stage surgery. Soon 15 more such children underwent cardiac surgery before the programme was officially declared open. All the 16 surgeries were successful and this set the tone for the rest of the programme. The 250th surgery was completed on the 3rd of April

2009 on Albert Thomas, another infant with complex congenital heart disease. All the 250 surgeries were successful and these children are back to living a normal life. The preliminary study conducted on these children showed that their growth had improved significantly after the surgery. An additional 250 children were examined by the pediatric cardiology team of the Madras Medical Mission in a camp conducted at the Baselius College Ground, Kottayam. Dr.Mullasari Ajit S, Dr. R. Suresh Kumar, Dr. Roy Varghese, Dr. Sreeja Pavithran, Dr. Atul Prabhu and Dr. Madhusudan attended the camp. In a public function held in the Baselius College Auditorium, Shri T.K.A. Nair, Principal Secretary to the Prime Minister addressed the gathering and expressed his appreciation for the programme and exhorted other corporate houses and hospitals to emulate this initiative. Mr. Jacob Mathew, Executive Director, Malayala Manorama, Mr. E.J. Thomas, Vice President, The Madras Medical Mission, Dr. R. Suresh Kumar, Chief of Pediatric Cardiology and office bearers of the Balajana Sakhyam addressed the function.


World Blood Donors Day and by recruiting other young people to become donors.

Blood transfusion is a vital component of health care. The threat to life due to insufficient bloodstock and the risk of transfusion-transmissible infections calls for a safe and adequate blood supply for all those requiring transfusion. As the need for blood increases globally, young people can make an important contribution by donating blood

While this day creates awareness of the importance of voluntary blood donation and encourages more people to become regular blood donors, it also celebrates and thanks all those who voluntarily donate their blood without any reward The Madras Medical Mission celebrated ‘The World Blood Donors Day’ on 5th November 2009.The Chief Guest Dr.K.Jacob Hon. Secretary, The Madras Medical Mission inaugurated the function. He said that recruiting and retaining young donors not only improves the long-term

safety and sufficiency of a country’s blood supply, but also promotes safe and healthy lifestyles in them. Young people unable to donate for any reason can volunteer their service as advocates. With young people playing such a valuable role in helping to secure a safe and adequate blood supply, World Blood Donor Day will be a good opportunity for governments, policymakers and blood programmes to thank them. Dr. Rajan Director –Cardiac Surgery, The Madras Medical Mission, welcomed the gathering and Dr.S.Mullasari Director – Cardiology delivered the vote of thanks.

25th ECHO TRAINING PROGRAMME

CARDIAC MEDICAL CAMP

The Institute of Cardio Vascular Diseases conducted the 25th Echo Training Programme from 16th November to 20th November 2009. This one-week programme introduced the

The Madras Medical Mission and Nair Service Society, Chennai conducted a screening camp on Sunday 29th November 2009 at Velammal School.

basics of Trans-thoracic Echocardiography including scanning techniques and two-dimensional Echo and exposure to most currently encountered cardiac disorders. Doctors and echo Technicians from all over India attended the programme.

About 2 5 0 people attended the camp and availed the free consultation. Dr.S.Mullasari Ajit Director-Cardiology, The Madras Medical Mission inaugurated the function.

A Team from Netherlands Visits MMM A team of manufacturers and representatives from health related industries in Netherlands visited The Madras Medical Mission on 24th November 2009. They interacted with

Dr. Mullasari Ajith, Director Cardiology and discussed the advanced Technology in cardiac treatment. The team expressed keen interest on furthering the relations with our Hospital. 5


WORLD HEART DAY CELEBRATION

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he Madras Medical Mission celebrated World Heart Day on 19th September 2009 and the theme for the year was ‘Work With Heart’. To create public awareness of the risk factors associated with Heart we organized a ‘Walk-A-

Thon’, from Vee Care Hospital to The Madras Medical Mission, by the students from MMM College of Health Sciences and MMM College of Nursing. Hon: Minister Arcot N.Veeraswami off the ‘’Walkathon”. This was followed by an awareness programme in which Mr. Vijay Adiraj, Media Personality was the Chief Guest. Various school children also participated in the programme . Our nursing students performed a skit. An Inter

School Quiz Completion was also conducted for the students organized by Dr.Jacob Jamesraj, Sr. Consultant CardiacSurgery. Dr.J.Ezhilan Sr. Consultant& Medical Superintendent delivered the vote of thanks.

A RARE AND COMPLICATED SURGERY UNDER KALAIGNER SCHEME

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entricular Septal Rupture is the most dreaded complication of acute Myocardial Infarction. Most of the patients who have this complication are in a very critical condition and the risk to life with out an operation is very high. Even with the operation, the risk to life is 30 %. Recently a 48-year-old man in the lower income bracket suffered a heart attack and was admitted in a hospital where he was treated for Myocardial Infarction. Further investigation revealed Ventricular Septal Rupture. He underwent Coronary Angiogram, which revealed double vessel disease plus high ventricular septal rupture. As his condition was not improving, the relatives through a social organization came to The

Madras Medical Mission enquiring about further treatment. He was transferred to The Madras Medical Mission and it was discovered that the patient had an inferion wall infarct (Heart attack in the lower part of the heart) with the rupture of the basal septum, which makes the operation more challenging. He was enrolled in the Kalaigner Insurance Scheme. A team of doctors headed by Dr.S. Rajan, Director of Cardiac Surgery, performed the surgery. The Ventricular Seoptal Defect was approached through right atrium cutting through the Ventricular Muscles. This is a rare approach. The patient had his ventricular septal rupture closed with pericardial membrane and

also had two bypass grafts done. The surgical procedure was complicated but he recovered well without any complications. The Madras Medical Mission has taken the effort and will continue offering help for complicated surgeries for the benefit of poor patients under the Star kalainger Insurance scheme.

Award Gallery Dr. Suma M. Victor has been awarded the prestigious A.V. Gandhi Award and the Gold Medal for Excellence in Cardiology for her research paper, titled “Risk Scoring System TP Predict Contrast Induced Nephropathy Following Percuteneous Coronary Intervention”

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C.T.C. STARTS CADAVER TRANSPLANT

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rain Death is the irreversible end of all brain activity due to complete loss of blood supply and oxygenation to the brain .In these patients, all the vital organs are alive because of a beating heart and mechanical ventilation. Once this is stopped brain death becomes legal death. Vital organs can be removed from brain dead patients and given to patients with organ failure to save their life. In some European countries, all the citizens are automatically organ donors and in some countries like Singapore it is optional. Brain Death has to be confirmed by neurological examination by two different physicians. Examination should show complete absence of brain function Organs that can be transplanted are

patients suffer from End Stage Kidney Disease in India every year. Among them žth get medical attention and rest neglect the disease and die .It has been estimated that around 14,500 patients survive on hemodialysis and about 3000 survive on peritoneal dialysis. Only 2500 to 3000 patient are lucky enough to get transplants. Without a transplant, patients have to be on dialysis for the rest of their lives, which affects their life style adversely and is also very expensive. Having undergone transplant, they can enjoy a better quality of life. There is a huge pool of brain dead patients in our country who can easily meet the local demand for organs. But poor awareness about cadaver transplants and lack of expertise lead to a huge shortage. In Western countries, most of the organs are retrieved from brain dead patients rather than living donors. In our country although we have been doing cadaver transplant for the past 6 years, it has only picked up recently because of the involvement of the Tamilnadu Government.

A year ago the Tamilnadu Network for Organ Sharing (TNOS) began and in due course conducted many workshops and issued many government orders to streamline cadaver transplant. It also established a framework through which organs can be allotted in a fair manner to the potential recipients. During this time, a doctor couple donated their young son’s heart to save the life of young girl, which resulted in a wide and welldeserved publicity. The Chennai transplant center is a unit of Madras Medical Mission that has been doing organ transplants since 2001.The first cadaver transplant at MMM under TNOS (Tamilnadu network for organ sharing) was done successfully by the transplant team headed by Dr.S.Saravanan (Vascular and Transplant Surgeon) on 18th November 2009. The recipient was a 29-year-old man and the kidney was retrieved from Global Hospital. The second cadaver transplant was done on 7th December 2009 at MMM and both the patients are doing extremely well.

Kidney Liver Eyes Heart Lungs Pancreas Small intestine Kidney disease is growing rapidly in India due to the high prevalence of Diabetes and High blood pressure, which are the root cause of kidney diseases .The mean age of End Stage Kidney diseases patients in India is between 32 to 42 years, compared to 60 and 63 years in developed countries. It is estimated that about 100,000 7


BREAST SCREENING FOR URBAN WOMAN Ăą NEED OF THE HOUR disease at time of diagnosis. Regular mammography can detect breast cancer 2 to 3 years before the development of symptoms such as a painless lump, blood stained nipple discharge, nipple retraction, dimpling of skin and swelling of breast. Regular mammograms (twice yearly) for women aged 40 to 69, is one of the best forms of early detection.

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ncidence of breast cancer in Urban India is on the rise and is rapidly becoming the number one form of cancer in females, pushing cervical cancer to the second spot. Spotting signs of breast cancer

before it has a chance to progress to advanced stages is crucial. The good news is that early-detected breast cancer is curable. In India, 50 to 60% of women diagnosed with symptoms of breast cancer have advanced

IRM Specialist Breast Care Unit in Madras Medical Mission is the first dedicated Breast Unit in Chennai specializing in the diagnosis and treatment of early breast cancer through mammographic screening with advanced breast stereo tactic facilities.

BIRTH OF 2000 BABIES The Institute of Reproductive Medicine and Women’s Health (IRM & WH), a unit of the Madras Medical Mission established in the year 1999, celebrated the birth of 1000 babies in December 2006. On 26th January 2010, IRM has been able to reach yet another monumental milestone, that of its second 1000 babies within a period of just 3 years. The Chief Guest of the day, Dr. Sharmila ,Actor ,stressed that as thirteen per cent of young Indian couples face difficulty in conceiving, specialists must appeal to the government and privite insurance companies to consider infertility as a public health issue and bear the crippling costs of fertility treatment. Guest of Honour Dr. A.Parthasarathy , past

National President - Indian Academy of Paediatrics, said that insurance companies should cover at least some part of the assisted reproductive theraphy to bring down the financial

burden of the couples. Ms. Susan Thomas, MemberGoverning Board ,The Madras Medical Mission delivered and Dr.Thankam R Varma Medical Director, IRM & WH spoke on the occasion.

Quality Certification for MMM THE MADRAS MEDICAL MISSION was awarded ISO 9001: 2000 certification on 8th August 2005 by TUV Suddeutrchland, Munich, Germany. Seventeen Surveillance audit by TUV Suddeutrchland , South Asia are carried out during June July 2009 8

for up gradation and awarding of the newly introduced ISO 9001: 2008. According to the certifying authorities, The Madras Medical Mission is the first hospital to be awarded ISO 9001: 2008 certification.


IRM Celebrate International Womenís Day Institute of Reproductive Medicine & Women’s Health ( A unit of The Madras Medical Mission ) celebrated International Women’s Day on 8th March 2010. Dr.Thankam R Varma Medical Director, IRM & WH deliverd the opening remarks . The Chief Guest of the day was Hon : Justice Prabha Sridevan . who said “It is a time to reflect on progress made, to call for change and to celebrate acts of courage and determination by ordinary women who have played an extraordinary role in the history

of women’s rights.” She also shared her personal experience of going through different phases of womanhood. Guest of Honour, Mrs. Archana Ramasundaram IPS, Addl. Director General of Police Crime Branch CID,

TamilNadu also addressed the audience. Ms. Susan Thomas Member-Governing Board ,The Madras Medical Mission and Dr.Philomena Mariados, Dean MMM College of Health Sciences felicitated the dignitaries.

Meeting in Chennai on 17th Dec 2009. Dr.Sumitha and Dr.Jothi Murugan attended the National conference by “Indian Society of Anaesthesiology” held between 26th & 29th December, 2009 Dr.K.M.Kundavi & Dr.Betty Elizabeth Thomas attended the conference, “Ovary 2009" between 11.11.09 and 13.11.09

Dr.Smisha presented a paper “Luteal phase estradiol and progesterone as predictors of unsuccessful pregnancy” at the conference “Ovary 2009” in Mumbai held between 11th and 13th November 2009. Dr.Divyasree and Dr.Richa Sharma started their fellowship training in IRM. We now have four Fellows attached to IRM. Dr.Nabaneeta’s paper “The role of Andral Follicle Count in ART” published in ISAR Journal.

From IRM CME meeting on “Ultrasound in Gynaecology and Obstetrics” on 8th Nov 2009. Dr.Thankam Varma attended the 11th Annual Varma lecture at St.George’s medical school , UK. The lecture was delivered by highly acclaimed Prof.Tilli Tansey. He delivered a lecture on “History of Modern Medicine”. Dr.Thankam Varma delivered the lecture, “Role of LH in ART” at the Round Table

MMM College of Health Sciences Ad vitam Paramus (We are preparing for life), the motto of MMM CHS, is very symbolically represented in our logo, implying that our students are equipped to face a lifetime of dedication towards the care for the lives of people who are in need of the learning and training acquired at the institution. The various elements of the design echo the institution’s commitment to its students, their

parents and members of the community, which it has vowed to serve. The shield in the emblem

represents the scientific knowledge of medicine and healthcare that protects us from ignorance and superstition in our quest for saving lives and improving health. The three-faceted logo of The Madras Medical Mission on the upper left quadrant of the shield signifies the institution’s guiding star and its lineage of compassionate care. On its right is the traditional symbol of healing and medicine, the staff of Asclepius with a single serpent 9


encircling a knotty tree limb. On the bottom left is the depiction of a microscope that denotes the institutions focus on practical training and research, while on the bottom right a traditional classroom is portrayed, emphasizing the value of providing a strong theoretical base in its pedagogy. The Undergraduate and Postgraduate programmes of repute being conducted by MMMCHS continue unabated in this academic year. Despite the strong urge for medical and engineering courses the students admitted in to the Allied Health Science programme are gaining greater momentum. The hands on training for all the courses which is the hallmark of our pedagogy has inspired the students to work with great ambition and enthusiasm. An MBA in Health Care Services has been introduced for the first time, this academic year. This programme gives a great opportunity for aspirants who wish to pursue a career in hospital administration and related areas of health care services. Ample exposure to the students in various departments of the MMM, including the finance and accounts is an excellent gateway to garner and hone the management mantras. Awards Dr. Saratha Kathiresan, Ph.D, Professor Emeritus – Anatomy, of MMM College of Health Sciences has been awarded the Lifetime achievement award by the Govt of Tamilnadu for her Book entitled “Human Fetal Thymus” Ms.Banupriya, Ms.Jenifer Grace and Ms. K.N Preethi of II M.Sc Clinical Nutrition won the third prize in the Nutri Quiz 10

conducted by the Ethiraj College on 1. 12.2009. 5 leading colleges

Dr. TamilNadu Medical University was the Guest of Honor for the Valedictory function. Her words of wisdom highlighting the significance of each and every academic programme that a student choses to pursue, was a leading light to the stalwarts of MMMCHS. Mr.Cherian Abraham, Board member of MMM, congratulated all the PAs who contribute immensely towards patient care worldwide.

in Chennai participated October 6, 2009 was a day of prime importance in the annals of MMMCHS. The Physician Assistant Day is a special day for Physician assistants not only in United States, the place of its origin, but also in India. Inaugurated by Dr. Vinayagam , Director of Medical Education , Chennai the day was replete with events highlighting the role, need and the demand of PA in the multifarious facets of the medical scenario. Panel Discussion on the “Scopes and Challenges of PA cadre” moderated by Dr. Ulhas Pandurangi, participated by the Senior PAs working in various health care organizations and medical soft ware consultancies demanded the formation of an Accreditation body for the PA programme. Debate, elocution, Quiz, Slogan writing and essay writing competitions were conducted for higher secondary school students. Dr. Sudha Seshayyan, Registrar In charge,

The Internship project of Mr. Sushanth- Physician Assistant, entitled “Door to needle time and Door to balloon time” was accepted for poster presentation in a conference held in CSI Kalyani Hospitals Chennai. He has also published a paper entitled, “A simple method for measuring mitral valve gradient” in Indian Heart Journal. The IAPA (Indian Association of Physician Assistants) conference was held on 16th August 2009 at Southern Railway Hospital, Egmore. Paper presentations were done by both Interns and Staff Physician Assistants. Ms.S.Sudha the alumni of MMMCHS was the recipient of the gold medal for her research paper. Ms.J.Gomathy, Mr.Venkatesh and Ms.Dhivya from MMM CHS won the First, Second and Third prizes respectively in the quiz.


of the occasion was the participation by the tiny tots of the Balwadis.

The Parent Teachers meeting for the BS PA programme was held on December 12, 2009 at MMM CHS to revive and rejuvenate the parent teacher bondage. Various issues related to the consistent growth in academics and co

curricular activities of the students were discussed with a special emphasis on code of conduct. Department of Medical Sociology, MMM College of Health Sciences celebrated theHuman Rights Day 2009 with significant educative activity. Students from nearly twelve city colleges participated in the seminar on “Gender Discrimination and Health” on 11th December. This event was jointly organized by MMMCHS, Lions Club of Fort St. George & Society for Protection of Unborn Child. Justice A.S.Venkatachala moorthy delivered the inaugural address with a legal perspective, by giving insights on law, gender discrimination and health. The guest of honour, Dr. M.S.Ramachandran concentrated more on the health factor in gender discrimination. Mr. Binnani, Director, Society for protection of Unborn Child elaborated on the rights of the

unborn child. Mr. Murali, District Chairperson – prevention of Feticide and Infanticide updated the students on the rights of the girl child. The theme “gender inequality and health” was elaborated upon by Mrs. Miriam Samuel, Head of the Social Work department, Madras Christian College. Various inter collegiate contests such as Collage, Slogan writing , Skit and Pattimandram were conducted with a large participation. The valedictory function was headed by Mr. Bakthavatsalam from Lion’s club who gave the valedictory address and presented the awards. The overall trophy was won by Ethiraj college, who received the MMM trophy from Mr.V.John Paulose, Director Administration, The Madras Medical Mission. The Students from the Dept of Clinical Nutrition and Dept of Medical Sociology Organized a rural camp as a part of Community Social Service on 27th to 30th of August 2009 at Papanallor , Chengalpet District. The department of Community Health conducted a general camp cocoordinated by the students. On August 15th, the 63rd Independence Day was celebrated at MMMCHS. Ms.Sujatha Ayyanar , Ward Counsellor for the Ambattur Municipality was the Guest of Honour. The highlight

October 10, 2009 was a day of energy and exhilaration for the students as they were vying with each other to showcase their athletic acumen. Ms. Lon. T. Chitra, international power lifter, the Chief Guest on the Sports Day emphasized on various pragmatic ways to march towards success. Various inter-course competitions

like Volleyball, Kabadi, interspersed with indoor games like Chess and Carrom were conducted. The Guest of Honour Dr. K. Jacob, Honorary Secretary awarded the rolling trophy to Glenn House and the medals to the winners of the events. The special event from the School of Silambattam was the cynosure of the day. With a sense of pride and achievement after having won the “Best Paramedical College Edu Award “ for the year 2009 from Education Today, a Tamil Bimonthly magazine, MMMCHS is on the road to the attainment of its goals with a noteworthy performance of 100% students placement as always. 11


MMM College of Health Sciences, Celebrates its 6th Convocation Ceremony The MMM College of Health Sciences celebrated its 6th convocation on 15th April 2010. Dr. (Smt) Poongothai Aladi Aruna Hon’ble Minister for Information Technology, Government of Tamil Nadu graced the occasion as the chief guest. She conferred the degrees to 60 graduates from various disciplines. The highlight of the convocation was the fact that every student was placed even before the formal announcement of their results and the awarding of their degrees. Ms.Sudha was the recipient of the Presidents Gold Medallion with the highest CGPA of 9.64 in the B.S. Physician Assistant course. Ms.C. Sherline received Prof. Grace Koshi Gold Medal for having achieved the highest academics in the performance in the for Post Graduate Diploma in Medical Micro biology. Most of the graduating students were from the pioneering Allied Health Sciences Courses of the

Madras Medical Mission: B.S. Physician Assistant, B.Sc. Medical Sociology, M.Sc. Medical Sociology, M.Sc. Clinical Nutrition including P.G. Diploma Courses in the Laboratory Sciences – Medical Lab Technology and Medical Microbiology. Students of the Diploma in Anaesthesia Technology and Medical Records Technology too have graduated. The MMMCHS is the 1st in Tamil Nadu to conduct the M.Sc Clinical Research and Regulatory Affairs Course.. The M.Sc. Medical Sociology offered in affiliation with the TN Dr.MGR Medical University is yet another pioneering effort by the institution. The first batch of this course graduated this year as well. Ms.Udhaya Priya, the first graduate of this program is at present working as the Transplant

coordinator, promoting and networking for organ donation at Mohan’s Foundation, Hyderabad. The college has also introduced a Bachelor’s degree in the same stream that would enable its students to study further and pursue a career in Public Health. The M.Sc. Clinical Nutrition programme conducted in collaboration with the Avinashilingam University for Women, Coimbatore had its first batch also graduate this year. Dr.K. Jacob, Hon. Secretary, of The Madras Medical Mission presided over the function. Mr. Abraham Samuel, Hon. Treasurer offered felicitations.

LAMP LIGHTING CEREMONY AT COLLEGE OF NURSING pill and also mentioned that often, the patients are more closer to the nurses than the doctors.

MMM College of Nursing celebrated the Lamp Lighting ceremony on 18th September 2009 at the Zachariah Mar Dionysius auditorium. The Chief Guest of the day was Dr. (Mrs.). Sudha Seshayyan, MS registrar I/ C, The T.N.Dr.MGR Medical University, who said that Florence 12

Nightingale had the lamp for a specific purpose identifying the needs of darkness and to bring light and it is also the lamp of enlightenment. Nursing is a service activity to the community, and that as communication skills are very important, a smiling face is often more important than a

The Guest of Honor Dr.Mrs.A.V.Raman, Director, Nursing Education and Research Westfort Academy for Higher Education said that Nursing, Caring & Comforting are the major philosophies in nursing. Dr.Thankam Rama Varma, Medical Director, Institute of Reproductive Medicine felicitated the participants. She said that the main aim in nursing is to provide love, compassion, support and service the sick people. She also


Samuel, Hon. Treasurer, and Dr.Mullasari Ajit, Director – Cardiology, MMM graced the occasion. Mr.J.Sathish Kumar, Lecturer, MMM College of Nursing delivered the vote of thanks.

reiterated that the Human touch is an important quality and Nurses are the pillars of the medical world. Dr.K.Jacob Hon. Secretary of The Madras Medical Mission presided over the function. Mr.Abraham

STUDENT NURSES ASSOCIATION Ms.JENITHA JASMINAL, II Year BSC (N) Student of MMM College of Nursing, attended the XXIII State SNA Biennial conference held at CSI College of Nursing, Neyyoor, Kanyakumari District. Students from 70 Nursing Colleges of Tamil Nadu have participated in the events conducted during the conference. Ms.Jenitha Jasminal exhibited her talents three rounds of the competition and was crowned the ‘Ms.SNA’ award.

MRCP (U.K.) Board Selects MMM as Centre

The U.K. Federation of the Royal Colleges of Physicians, London, Edinburgh, Glasgow, initiated the clinical examination leading to MRCP (U.K.) degree in Medicine, in India, at Chennai in 2007. The Director of the Board of Examiners, Dr. Neil Dewhurst, along with the Secretary, Dr. Lawrence McAlpine felt the need for conducting the examination in an advanced Medical Centre and conducted the Clinical examination at The Madras Medical Mission Hospital in November 2009. The facilities at the Madras Medical Mission Hospital were available

for Clinical examination of the candidates who came from different parts of India, Srilanka, Bangladesh, Nepal, Myanmar, Pakistan, Afghanistan, Maldives and Seychelles. The clinical examination leading to MRCP (U.K.) degree were conducted by the examiners, Dr. Neil Dewhurst, Dr. Lawrence McAlpine, Prof. Brian Frier, Dr. Hood, Dr. Deepak Dwarakanath, Dr. Richard Long, paired with accredited examiners from the South Asian subcontinent including examiners from India. The examination is

conducted twice a year in March and in November at The Madras Medical Mission Hospital. The examiners come from various reputed Medical Institutions. The Host examiner and the coordinator for South Asian countries is Dr. Georgi Abraham, who is a Professor of Medicine at Pondicherry Institute of Medical Sciences and a visiting consultant at The Madras Medical Mission Hospital. Due to the great demand for the MRCP (U.K.) degree worldwide and also due to the fact that there are very few seats for postgraduate training in Medicine 13


in India (M.D. Medicine) or (Dip. N.B. Medicine) the number of young doctors who are aspiring to pass the examination are increasing and the Chennai Centre for examination has become very popular for conducting the examination. The center draws candidates from the abovementioned countries as well as Malaysia, Singapore and U.A.E. and Africa. As the Ministry of Health, Govt. of India, has recognized the qualification, the examination center is overwhelmed with applicants to take the examination and hence the number of days of the examination per year is going to be increased from this year onwards. Each day 15 young doctors are examined by the examination board and the results are transmitted to the Federation of the Royal College of Physicians,

U.K., who constitute the final body declaring the pass and fail in the examination. Following a pass the candidate is informed and invited to receive the degree at special function held at the Royal College Head Quarters in London (U.K.) at a glittering function attended by the Presidents of the Royal College of Physicians of London, Edinburgh and Glasgow. The Royal Colleges with a view to promote Superspeciality qualification in Cardiology, Neurology, Nephrology, Endocrinology, Critical Care, Infectious Diseases etc. are offering examination in those particular specialities, which will be available to doctors from India. This will

be a great boon as the number of superspeciality training centers in India are very few and majority of the doctors cannot dream of obtaining superspeciality certifications. There are a number of doctors who have done their M.D. General Medicine and D.M. in various subspecialties who have successfully passed their MRCP examination conducted in Chennai.

YOUNG DOCTER HELPS OUT TRIBALS Dr. Joshua Benedit is a credit to his profession. He completed his MBBS degree last year from the Pondichery Institute of Medical Sciences. Despite the ribbing from his classmates, who have gone on to pursue postgraduate degrees and lucrative careers, and mixed reactions from his family, this Neyveli-born medico has been serving at a mission hospital in the Sahibaganj district of Jharkand. The hospital has no electricity, running water or telephone lines, leave alone luxuries such as ambulance services and newspapers. Infectious diseases are the biggest problem among the Santhali and Malda tribes that live there, says Dr.Benedict. Malaria, TB and cholera are alarmingly common, but the tribals prefer not to seek medical help. As the transport system is very 14

poor, most patients are carried to the hospital by relatives after days of walking across the hilly terrain. The 20-bedded Prem Jyoti Hospital where Dr.Benedict has served since March caters to hill tribes scattered across a 70 km radius. INTERVIEW 1. Please tell about your parents, family background, schooling etc. Both my parents are working as Engineers in the Neyveli Lignite Corporation, Neyveli. I grew up in Neyveli and did my schooling at St. Pauls Matriculation Higher Secondary School, Neyveli. In my entire family line, I am the first doctor. 2. What created the special interest in you to choose the medical profession?

The medical profession is a noble profession, which drew me towards it. I had a desire that as I get equipped, I needed to contribute to the underprivileged according to God’s will. 3. What were your experiences at PIMS in relation to your academic work, and your personal and spiritual development? I had a memorable experience at PIMS. It is the place where I was moulded and matured. I had the privilege of getting trained under


reputed, talented and experienced teachers throughout. I also had lots of opportunities to develop my musical talent and leadership skills. I was associated with the PIMS-EU and the Chapel which made me grow in my faith and gave me a new outlook to my life – ‘God has created me with a purpose and I need to fulfill it”. 4. What made you go to Jharkhand after completing studies? After finishing my studies, I was working in PIMS as a junior doctor when I attended a spiritual retreat organized by Chaplain Rev. Joseph Cherian. During the retreat, I met Dr. Sam David and he showed me to video of the Prem Jyoti Community Hospital, Jharkhand. When I prayed about it, I had a conviction that God is calling me to work in this hospital and I joined the Prem Jyoti Team. 5. Describe Jharkhand, its people, general conditions in the state and at the area were you are working. Jharkhand is a state rich in minerals but socio economically very under developed. Our Hospital, Prem Jyoti Community Hospital is located in Sahibganj, and targets a tribal group called Maltos. Our Hospital does not have electricity, which reflects on the socio-economic status of the district. Transport facilities are also very poor – sometimes people

From PIMS Department of Diagnostic Imaging Intervention and Research

need to walk many hours to reach the hospital and on many occasion they travel carrying the patient too.

9. What is the message that you have for your juniors at PIMS, bearing in mind your experience in the last few months?

6. Describe your daily schedule at the hospital and outside in connection with your work?

Working in a Mission Hospital you develop lot of experience and confidence in treating patients. Also you will have an exposure to rural India which medical professionals – Doctors / Nurses / Para medicals desperately need. I would request them to take a break after studies, work in a rural hospital for a short term and get experience in medical skills and study for PG side by side. There are many areas in North India who have 0% health access and if each one of us takes a right decision, the scenario will change.

My work starts at 8.00 a.m. Everyday between 8.00 – 8.30 we have morning devotion. After that I do the rounds for patients admitted in ward followed by OPD. I go for lunch around 1.00 to 2.00 p.m. After 5.00 p.m. I retire to my room. If there are any new patients or any complication developing among the in patients, I will be called to attend on them. 7. How do you spend your time after working hours? Sometimes I play volleyball / Shuttle till evening. Generator is run between 6-10 p.m. in evening. So during that time I listen to music, study and relax. At 10 p.m. the generator is switched off and the campus becomes pitch dark except for few UPS Street lights. We invariably go to sleep within 10.30. 8. How long do you think you will be working at this place and what are your futures plans? I don’t have a specific duration in my mind but I will continue as long as I have the conviction that God wants me to be there. I am interested to do PG in medicine.

His Grace Yuhanon Mar Diascorus inaugurated the new dual slice CT Scan on 12th November 2009. Dr.T.R.Ramachandran, Medical Superintendent, Pondicherry Institute of Medical Sciences delivered an oration on ‘Future Challenges in Cardiac Anesthesia’ at the 12th Annual Conference of Indian Association of Cardio Vascular Thoracic Anesthesiologists

10. Do you think PIMS can do anything more to encourage the kind of noble service that you are doing now? Yes, PIMS can do a lot. One major thing, , is encourage / organize a mission exposure trip, where groups of 5-7 students go to a rural hospital in the North, stay for a week and get an exposure. It can also motivate people to work for short term – 6 months / 1 yr /2 yrs in a remote rural hospital. By this students and fresh graduates will be sensitized to the desperate medical need in North India and can be challenged to reach these unreached people, which is the PIMS motto. (IACTA) held at Hotel Green Park between 15th and 17th May 2009. He was also conferred Honorary Fellowship of the Association (FIACTA)

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NUTRIUTSAVí09 ñ NUTRITION WEEK CELEBRATIONS

“Nutrition - the elixir of life”, “Nutrition – the miracle medicine” these sayings highlights the importance of nutrition for human beings. A good balanced nutrition filled diet will bring about a healthy world. In the hospital set up, aggressive and effective nutritional care reduces the length of the hospital stay. To emphasis the importance of nutrition, the first week of September is celebrated as “NATIONAL NUTRITION WEEK”.

The national nutrition week was celebrated at The Madras Medical Mission by the department of clinical nutrition on 3rd September 2009 as N U T R I U T S AV ’09.The main objective of NUTIUTSAV’09 is to educate and update on the new trends in nutrition among upcoming and practicing dieticians. The eminent speakers from Indian Society of Enteral and parenteral nutrition (ISPEN), Dr.B.Krishnamoorthy and Dr.A.J.Hemamalini delivered lecture on nutritional support in critically ill patients. President of Indian Dietetic Association (IDA), Ms.Dharinikrishnan listed the various nutritional challenges in the modern world and strategies

to overcome the challenges. Diabetes, perhaps more than any other chronic disease, is full of myths and misinformation concerning nutrition. Tounderstand the facts and to clear misinformation, panel discussion on diet in diabetes was organized with eminent nutritionists and dialectologist from various hospitals. Dr.M.P.Venkatesh delivered a lecture on “Parenteral Nutrition for Neonates”.

patient under Kalaignar’s life saving treatment scheme at The Madras Medical Mission. The Kalaignar’s scheme and The Madras Medical Mission’s participation have enabled him to have a new lease of life with his loved ones. He was up and fit to go home in a few days says Dr. Jacob Jamesraj, Cardiac Surgeon

who operated on him. We hope to help many more patients below the poverty line meaningfully through this scheme says Dr. Ajit Mullasari. Mr. Ranganathan and his relatives were very pleased with the care and treatment of the devoted staff at The Madras Medical Mission.

Various competitions like clinical case presentation, Nutriquiz, Poster presentation was conducted for the upcoming dieticians to show their talent and knowledge in nutrition and dietetics.

TOUCHING LIVES.. Mr. Ranganathan from Villupuram District was the first

Heralding Christmas 2009 at MMM Christmas at The Madras M e d i c a l Mission has always been an occasion for the expression of love, care and concern. The carol singing practice sessions of MMMChoir heralded the season of Christmas 16

2009.The celebrations were held on 11th December, graced by Fr.Christie S.J, Director, LIBA, Loyola College.The celebrations this year were made special by the participation of the Choirs of St.Thomas Orthodox Cathedral, St. Thomas Jacobite Syrian Church, The Madras Medical Mission, Pondicherry Institute of Medical Sciences with our friends

from Africa, entertaining with ‘Jingle Bells’


ORIENTATION & TRAINING

HR Department makes Orientation & Training, a selfmandatory exercise for all employees within one month of their joining. It includes an

elaborate Orientation & Training about the Hospital. All facilities, infrastructure including the constitution of the Hospital, Medical and Administration hierarchy are discussed through a visual presentation. Besides, the respective Heads of Departments will brief the new comers’ about the functioning of their respective departments through lively interactive sessions, through presentations or extempore chats.

Director (Admin) flags off the Orientation campaign, with his thoughtful introductory speech, followed suit by other resource persons. The exercise is aimed at making any new comer feel at home and that makes it easier for both the employee and HR as well in the long run where inter-personal relationship is a prime focus point in any successful Orgainate Development intervention.

Dr.Shanmugha Baskar Memorial Oration performed many kidney and liver transplants besides the nation’s first small bowel transplant. At the age of 47,he unfortunately succumbed to advanced cancer.

Dr.Bhaskar, was born into a learned family as a last child on 27th July 1960 at Palayamkottai. His ambition of becoming a doctor, to serve the community at large was achieved by joining MMMC in 1977 and graduating with MBBS in 1984.He went to UK in 1986 and worked in several

disciplines, training in General Surgery and Surgical Gastroentrology under eminent surgeons of International repute until 1994.While in the UK, he received his FRCS from the most premier surgical college, The Royal College of Surgeons of Edinburgh. He went on to do Fellowship in multi-organ transplant surgery at South Carolina,USA between 199496.

The Madras Medical Mission and The family of Late Dr.S.Shanmugha Bhaskar conducted the first Dr.Shanmugha Baskar Memorial Oration on 21st November 2009 at Zachariah Mar Dionysius Auditorium. Prof. N.Rangabashyam, FRCS, FACS delivered the Oration and Dr.A.Poongothai Hon Minister for Information Technology Government of Tamil Nadu presided over the function.

After his return to Chennai, to serve his fellow countrymen, he founded ‘Chennai Transplant Centre’ in 2001 along with four other doctors.He gained the repute of having successfully 17


Holistic Healing Introduction Anything we choose in life comes along with its own inherent positives and negatives. When we choose to drive, we have to accept traffic and traffic jams. When we choose to be a doctor, we have to accept occasional death and empathies with pain. When we choose to have a family we have to accept differences and occasional conflicts. When we choose to be a public figure, we have to accept public criticism as well. If we want great opportunities, we must take risks. Life full of ups & downs: The bigger the ambition, greater will be the challenge. For example, with income will come income tax. Simply said, when we choose one face of the coin, we have also chosen the other side of the coin. A mouse was in constant distress because of its fear of the cat. A sage took sympathy and turned it into a cat. Now, it was afraid of the dog. So, the sage turned it into a dog. Now, it was afraid of man. So, the sage turned it into a man. But, the man was afraid of god. At this point the sage gave up and turned the man back to a mouse saying, “Nothing I do for you is going to be of any help because you have the heart of a mouse”. Don’t ask for a trouble free, blessed life - at least, not on planet earth. Holistic Healing Holistic healing means taking a comprehensive approach when

TRIBUTES

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seeking treatment for imbalances and choosing to live a more balanced life style. In holistic healing, physical health is not necessarily the main focus. This is the main area where it distinguishes itself from alternative, complementary and integrative, medicines respectively. Going to a medical professional is the best solution to address a disease. It is true that our pains and other physical discomforts demand our attention. This is where the saying “sticking out like a sore thumb” originated. Holistic healing is not an “alternative” to conventional medical care, but a support. Holistic approach: Holistic or “wholistic” healing addresses all parts of the individual, not just the physical aspect. Holistic healing is not intended to serve as a band-aid (or) a one-time fix. It is an ongoing journey of discovery, in search of more answers and ultimately living better, being healthier, and striving for wholeness. Holistic Healing goes beyond the Mind-body connection: Holistic Healing is really a life style approach. The holistic approach goes far beyond the mind-body connection of finding and maintaining wellness. Overall wellness and “wholeness” is highly valued. All parts of a person’s life viz, physical healing, mental health and wellness, emotional

Mrs.Saraswathi Kurian who was a founder member of the Mission and the first lady member of the Governing Board passed away on 9th August 2009. Saraswathi Kochamma hails from the well-known Modayil family and was married Mr.P.C.Kurien, a leading advocate from the well known Padinjarekara family. She has one son and three daughters. The son Mr. Jacob Kurian has taken over the profession of his father and is a practiing advocate and a

Rev. Fr. Bobby George Chaplain

well - being, and spiritual beliefs and values are considered. Holistic healing helps us to attract our desires and find our personal power. Role of Holistic Healer: The holistic healer recognizes our discomforts or pains as merely symptoms of an imbalance. The imbalance can be of the physical body, through an unhealthy diet, lack of exercise, or too little sleep. Otherwise the imbalance may be the result of mental, emotional, or spiritual needs not being met. No aspect (mind, body, spirit, or emotions) of a person is overlooked when holistic treatment is sought. The holistic healer looks at the “whole person” in order to make his or her complete evaluation. Conclusion: A person who embraces the desire to find wholeness within his own being learns the importance of tending to relationships, caring for the planet and our environment, having compassion for humankind in general, and accepting and tolerating differences among a diverse population.

member of our board. During the early days of The Madras Medical Mission, she had been of great help in planning our Housekeeping Department.’ CARE ON WHEELS’ the mobile dispensary donated to MMM by the family is borne out of her concern for the suffering of the less fortunate.Her demise from our midst is a great loss to us and an irreparable one to her family. We express our heartfelt and prayerful condolences to her family.

Words and Deed  

Newsletter of the Madras Medical Mission

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