BI MONTHLY BULLETIN OF INDIAN MEDICAL ASSOCIATION, D. K.

BRANCH
No. 2 2010 - 11 February 2011 - April 2011
President
Dr. K. MUKUND
Secretary
Dr. K. RAMACHANDRA KAMATH
President Elect
Dr. JAYAPRAKASH SHETTY
Vice - Presidents
Dr. M. ANNAYYA KULAL
Dr. NITISH M BHANDARY
Treasurer
Dr. G. K. BHAT
Joint Secretary
Dr. A. HARISH RAO
Editor
Dr. B. DEVADAS RAI
Tel : 2493700 (O)
98450 81145 (M)
OFFICE BEARERS
2010-11
Happy Ugadhi to All

The release of this issue has been

timed to coincide with the observation
of World health day with a CME
Programme on emerging resistance to
antibiotics old & new. We need to
follow this with concrete steps. Judicious use of
Antibiotic is the need of the hour lest; we will soon
lose the biggest break through in the history of
medicine - discovery of antibiotic. Think of practice of
medicine with no antibiotic.
We are all aware of the placebo effect of medication
and self limiting diseases. Liberal use of drugs has
increased the cost of medical care. It is in the interest
of the profession that we reduce the cost of
healthcare. You have the power to do it.
Long Live IMA
From the President's Desk
1
Yours in IMA
Dr. K. Mukund
President, 2010-11
Secretary's Report ....
The monthly meeting was conducted on 27.01.2011. Scientific programme titled - the
Outpatient Management of Diabetes Mellitus was discussed. The resource persons - Dr.
Prabha Adhikari, Prof. of Medicine dealt in detail abut the importance of diet in diabetes
and Dr. Ganesh H.K., Endocrinologist discussed the Medical Management. Dr. Sydney D'
Souza, Professor of Medicine moderated the session and discussed about the increasing
number of diabetic patients every year and stressed the need for life style modification.
Dr. Jerome Pinto introduced the speakers. Dr. K. Mukund, President gave a call to all IMA
Members to unite and give support to the fight against ongoing BHRC and Central Govt.,
Medical Practitioners registration act. Dr. K. R. Kamath, Secretary conducted the
programme and proposed vote of thanks. Dr. B. Devadas Rai, Editor released the
Medilore. The meeting started with IMA Prayer by Dr. G. K. Bhat Sankabithilu.
Dr. M.V. Shetty - Dr. Chowdiah Memorial Annual Cricket match 06.02.2011
Dr. M.V. Shetty - Dr. Chowdiah Memorial Annual IMA Cricket was conducted on
06.02.2011 at St. Aloysius Centenary Ground. The matches were played between KMC,
Y.M.C., KSHEMA XI and IMA President XI. KSHEMA XI team was the winner. The
Cricket Sports event was inaugurated by Dr. M. R. Shetty the sponsorer of the event. He
narrated how the event started in the name of Dr. Chowdiah (Radioligist) & Dr. M. V.
Shetty (Surgeon). Dr. M. V Prabhu also spoke on the importance of the event. Dr. B.
Devadas Rai & Dr. Ranjan R.K. conducted the proceedings. Dr. K. Mohandas Bhandary,
Dr. G. K. Bhat Sankabithilu, Dr. M. Annayya Kulal Ulthur were present as the
commentators. President Dr. K. Mukund gave away the prizes. Dr. K. R. Kamath
Secretary proposed vote of thanks. For the ladies, the indoor events were conducted by
Dr. Vijaya Murthy at St. Aloysius indoor stadium.

INDIAN MEDICAL ASSOCIATION, MANGALURU BRANCH

IMA ACTIVITIES JANUARY, FEBRUARY & MARCH 2011
2
WINNERS
KSHEMA XI Winner of trophy
KMC XI Runners up
Best Batsman: Dr. Sandeep Rai, KSHEMA 40 unbeaten
Best Bowler: Dr. Manjunath KSHEMA 5 wickets
Best Fielder: Dr. Ranjith Shetty KMC Catch of Dr. Siddharth at long on
Best All rounder: Dr. Manjunath KSHEMA 35 runs + 5 wickets
Best Wicket Keeper: Dr. Sandeep Rai, KSHEMA 1 Stumping & 1 catch
WOMEN:
Shuttle Single
I - Dr. Gayathri Ramani
II - Dr. Amritha Bhandary
Doubles
I - Dr. Anitha / Divya
II - Dr. Amritha Bhandary / Dr. Gayathri Ramani
Carrom
I - Dr. Amritha Bhandary / Divya
II - Dr. Prema D'Cunha / Dr. Anitha
3
FELICITATION TO TRUST MEMBERS OF IMA
IMA Mangaluru Branch had its CME meeting on topic When the hair greys by Dr. Prashanth
Marla, Medical Director & Consultant Urologist on 09.03.2011. He presented a protocol for early
detection of the prostate cancer and treatment. This meeting had a special event of felicitations to the
members of the trust who enormously contributed for the IMA House. Dr. K. R. Shetty, Senior
member and Former Trustee of the IMA Trust felicitated Dr. K. V. Devadiga, Dr. K. Bhasker Shetty, Dr.
C. P. Habeeb Rahman, Dr. A. Divaker Rao and Dr. Jerome Pinto. The contributions of late Dr. M.
Sudhakar Shetty were remembered and he was felicitated posthumously. Dr. M. V. Prabhu conducted
felicitation proceedings & Dr. Jerome Pinto explained about the contributions of these members for
construction of the IMA Building. The President Dr. K. Mukund felicitated Dr. K Mohandas Bhandary
for his achievements during last year and handed over the National award he got during 2010. The
Secretary Dr. K. R. Kamath proposed vote of thanks. Dr. G. K. Bhat Sankabithilu, Treasurer introduced
speaker. Dr. Manjunath Shenoy M. compered the programme. Dr. Vijaya Murthy announced the
prizes for the Ladies sports activity conducted during the February month and Dr. Prashanth Marla
gave the prizes to the winners.
4
5
CME ON COLORECTAL CANCER AWARENESS
AT IMA MANGALURU ON 24.03.2011
March month is observed as Colorectal Cancer awareness month by W.H.O. I.M.A.
Mangaluru Branch had arranged a CME on the topic. Consultant Medical Oncologist of
Mangalore Dr. Krishna Prasad Bhat and Dr. Dinesh Shet were resource persons.
Oncologists were of the opinion that, Colorectal Cancer is a disease of elderly and it is
slowly growing tumour with an average period of 5-10 years. Hence early detection can
lead to cure and better outcome. Meeting started with the prayer by Dr. Vijaya Murthy.
I.M.A. President Dr. K. Mukund, Secretary Dr. K. R. Kamath, Treasurer Dr. G. K. Bhat
Sankabithilu were present. Dr. K. Mohandas Bhandary told the gathering, about the
National Conference to be held in Bangalore during December and urged the members to
register themselves.
Yours in IMA,
Dr. K. R. Kamath
Secretary
6
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The Karnataka Private Medical Establishment Act 2007 and its
implementation by the health authorities under the guidance of
the Deputy Commissioner has raised a storm in the medical circles
here. While the intention of the Act is noble, certain requirements
under the act are demanding (and almost impossible to comply by
the ordinary medical practitioner). The requirement of toilets in
the clinic premises and minimum space requirement of clinics
may be difficult in existing clinics where consideration of existing space is of prime
importance. The IMA rightly has decided to represent the cause of the doctors
regarding these requirements. As a result of the persistent efforts by the IMA, the
requirements have been modified at least with regard to the presence of toilets in
the premises. Let all of us comply with the Private Medical Establishment Act in
good faith and let us hope that the implementation of the act serves the good
intention for which it is intended for.
This issue carries a detailed article in kannada by Dr. Annayya Kulal on the
Karnataka Private Medical Establishment Act. The quiz of this issue is on
Pulmonary Tuberculosis . Please answer the quiz and win the prizes. I would like to
congratulate Dr. Kumaraswamy for winning the prize of the quiz of the last issue. I
would like to congratulate the KSHEMA cricket team for winning the Dr. M. V.
Shetty - Dr. Chowdaiah Memorial Cricket tournament.
Yours in I.M.A.
(Dr. B. Devadas Rai)
Editor
7
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Member in the News
Dr. Raghavendra Bhat K, Consultant Radiologist,
Balmatta Scan Centre has taken over as President of
Karnataka State Chapter of Indian Radiological and Imaging
Association for the year 2011-2012.
He is the first Radiologist from coastal Karnataka to get
this post. Congratulations !
Dr. Raghavendra Bhat K
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10
Answers to the Quiz of the last issue of Medilore
I. IDEBENONE 45 mg
A synthetic analogue of co enzyme (naturally occurs)
Q-10
Mainly used as antioxidant, Anti aging, energy enhances.
Used in vasculo - neuro degeneration disorders like fredricks ataxia
Alzeimers disease etc.
Trade Name : IDEOX 45 mg (orchido co)
II. EPALRESTAT 50 mg
Used for Diabetic neuropathy. An aldose reductase inhibitor - Better than methyl
Cobalamine.
Trade name : Alrista 50 mg (Macleods co)
Congratulations!
Dr. U. Kumaraswamy has answered all questions of the
quiz.
Congratulations !
Contributed by:
Dr. S.K. Polnaya
Family Physician
Dr. Mundkur Sudhakar Shetty was a great doctor, giant orthopaedician, good
teacher, academician, skilled surgeon, and leader par excellence for the doctors
and to the patients he was a god sent 'saviour'
He started his medical career at the prestigious Bangalore Medical College,
then M.S. Orthopaedics from G.S. Medical College Bombay and completed his
Mch. Orthopaedics from University of Liverpool, Royal Liverpool Hospital
U.K.
He wanted to serve the patients especially from poor background. He joined KMC in 1975
and worked in the Govt. Wenlock Hospital in the various capacities from Asst. professor to Head
of the dept in KMC. He was honorary Orthopaedics surgeon to District Govt. Wenlock Hospital.
He would never hesitate to help the needy in whatever way possible. Later he served Yenepoya
Medical College as H.O.D. Orthopaedics & Vice Dean of Institution.
He was a disciplinarian to the core with a huge physique with a big flowery soft heart. He
would expect all his students to be clad in a neck tie, polished shoes and proper dress; which
always he would follow himself. He would make the students, especially the post graduates buy
all the Orthopaedics books and sign them on cover with his best wishes. He was always
unsatisfied with his teaching skills even though everyone would experience him as an excellent
communicator. He started Mangalore Orthopaedic Course, a teaching programme for the PG's
A Tribute to Late Dr. Sudhakar Shetty
MEDI QUIZ
1. Most potent Quinolone as second Line ATT
A) Ciprofloxacin
B) Levofloxacin
C) Ofloxacin
D) Moxifloxacin
2. Rifampicin is
A) Essential drug in SCC
B) Dose is 15 mg/kg in intermittent chemotherapy
C) Was the first Anti-TB drug to be discovered
D) Useful in treating MDR TB
3. CXR in tuberculosis
A) Should be repeated after intensive phase
B) Helps to decide the treatment category in smear negative cases
C) Helps to decide when to stop treatment
D) Mandatory before starting treatment under RNTCP
4. All are risk factors for ATT induced hepatotoxicity except
a) Female
b) Age less than 20years
c) Extensive Lung disease
d) Inappropriate use of drugs
Contributed by:
Dr. Vishnu Sharma M.D
Prof of Chest Medicine
AJ Institute of Medical Sciences
Mangalore
11
and continued it for 28 years single handedly. This course is known in all parts of South India as
Sudhakar Shetty Course and is attended by more than 200 students every year.
In the IMA S.K. Branch he was secretary during 1976-77. Then he was President during 1985 -
86. He was Secretary for the IMA Trust. He was always a member of Executive committee and
was involved in the activities of IMA.His contribution to IMA Building was enormous.
He was known among his colleagues for his views, leadership and friendship. He would
expect everyone to work hard and also enjoy the life. He made the whole district proud because of
his hospitality in any of the programmes he conducted. Regarding Canara Orthopaedic
Association, he was the Secretary since its inception and later in 2009 he became President. He
conducted all its meetings and proceedings with all his colleagues regularly. He wanted to give as
much as possible to medical fraternity, particularly Orthopaedic Surgery and also to the students.
His desire to donate all his books few days before his sad demise to Govt Wenlock Hospital
Orthopaedic department and Yenepoya Medical College, shows how concerned he was about
spreading the Light of Knowledge and care for his students.
For all his achievements he was bestowed with a State Government Doctor's Day award
during 2010. He also received life time achievement award by Indian Orthopaedic Association a
day before his sad demise. He lived like a king, worked like a soldier, lead the medical fraternity
with pride and epitomized the feelings of the general public that Doctor is God's representative
for helping them.
- Dr. K. R. Kamath
Published by: Dr. K. Mukund for the Indian Medical Association, D. K. Branch, Mangalore
Editor: Dr. B. Devdas Rai. All correspondences should be addressed to Dr. B. Devdas Rai, Saurabha Clinic, Mahendra Arcade,
Mangalore - 575 003. Ph : 0824-2493700
Printed @ OUTLINE Graphics, Mangalore Ph : 9980519432
Collection Centre : MEDICARE LABORATORY
Jayavarma Centre, Mallikatta, Kadri, Mangalore - 575 002. Phone : 0824-2445074
Medicare Centre, Near Bunts Hostel,
Mangalore - 575 003. Ph : 0824 - 2443044
shegde.medicare@yahoo.com.
MEDICARE DIAGNOSTIC CENTRE
(Comprehensive Medical Laboratory & Immunization Centre)
Please send your answers to the editor at the earliest. All correct entries will be suitably rewarded
5. Color of Cat 1 box in RNTCP is
A) Red
B) Green
C) Blue
D) Yellow
6. Repeat sputum smear examination in cat 2
a)2nd,4th,6th month
b)3rd,6th,8th month
c)3rd,5th,7th month
d)3rd,5th,8thmonth
7. Identify the odd one
a) Codeine
b) Benzonetate
c) Guaifenesin
d) Levodropropizine
8. Which is the odd one in the group?
a)Ethionamide
b)Cycloserine
c)Levofloxacin
d) Thiacetazone
9. Which of the following drugs is most potent in preventing relapse in TB?
a) INH
b) Pyrazinamide
c) Ethambutol
d) Rifampicin