August Matter 2021.cdr - IMA GSB

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I.M.A.G.S.B. NEWS BULLETIN AUGUST-2021 / MONTHLY NEWS

Dr. Chandresh S. Jardosh(M) 98791 32526

Dr. Jitendra N. Patel

Dr. Jethalal M. Patel

Dr. Mayur N. Bhagat

Dr. Parul Vadgama

Dr. Paresh Golwala

Dr. Chinmay J. Shah

Dr. Rashmikant Upadhyay

Ahmedabad Zone

Central Zone

South Zone

Surat Zone

Vadodara Zone

West Zone

Rajkot Zone

Ahmedabad Zone

Central Zone

South Zone

Surat Zone

Vadodara Zone

West Zone

Rajkot Zone

Dr. Nirav ModiDr. Rajnikant PatelDr. Rajiv D. VyasDr. Hiralkumar B. ShahDr. Paresh MajmudarDr. Alpesh FefarDr. Tejas Karmata

Dr. Devendra R. Patel(M) 98258 11425

Ahmedabad Dr. Kamlesh B. Saini(M) 96019 49252

Ahmedabad

Surat

Dr. Anil D. Patel Mehsana

Dr. Bipin M. Patel Ahmedabad

Dr. Parth N. Patel Ahmedabad

FAMILY WELFARE SCHEME

HOSPITAL BOARD OF INDIA

Dr. Tushar B. Patel


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STATE PRESIDENT

AND

HON. STATE SECRETARY’S

MESSAGE

Dear Members

Season's Greetings!

Like other sciences, modern medicine is an evidence based ever

developing science having worldwide acceptance. It is changing lives of

people by effectively eradicating, controlling and fighting various old and

emerging life endangering diseases in the world.

Modern medical science in our country is also doing its best under able

guidance of our Hon'ble PM Modi Ji. Still there are many challenges

putting hurdles in development of modern medicine and if not removed

in time these may impede development and advances of Healthcare

system in our country.

India is a very old civilization which has its own indigenous medical

system. No modern medical scientists can deny role of Ayurveda and

other medical streams. But all streams have their own principles and

pharmacopeias quite different to modern medicine. Mixing these

streams will give death blow to our traditional medical system and also

damage progress, quality and effectiveness of modern medicine. The

country must allow all systems to do scientific research and develop

separately.

The covid 19 pandemic has shown the strength of modern medical

science and strong commitments and sacrifices of modern medical

professionals.

In our country, more than 1500 doctors of modern medicine have

sacrificed their lives fighting covid 19.These covid martyrs belonged both

from govt. and private sectors who never stopped their professional

works during this devastating pandemic.

We appreciate Govt. of India's scheme of compensations for covid

warriors under PM Garib Kalyan Yojna but we are very sad to see covid

martyrs from private sector not being compensated under this scheme.

We request government to remove this discrimination. All govt. and

private doctors who sacrificed their lives working in this period, did so on

the appeal of our Hon'ble PM, under requirements of the Epidemic

Disease Act and under pious professional commitments.

Modern medical professionals in the country are facing attacks not

only on their science from vested interests but are facing in security

professionally and physically. This must be stopped immediately by a

deterrent central act with a strong will and mechanism to enforce them.

Medical profession has been subjected to many unwarranted and

impractical acts & rules made by governments. As law makers you must

support IMA's proposals to central govt. for promulgation of a central

protection act against violence on medical professionals and institutions.

(Provisions of act should be included in IPC and CrPc) and amendments

in other vexing regulating acts against this profession.

The science of modern medicine needs to be regulated by democratic

will of the medical professionals of the country and the NMC act must

be amended to express this will. There cannot be any ground to deny

democratic rights of the modern medical professionals to regulate their

science and practice. We hope our law makers will seriously ponder

over it.

Even with limited medical infrastructures and numbers of medical

professionals in the country, both public and private sectors have done

its best for ailing people of India. The health budget of the country must

be brought immediately to 5 % of GDP and continue increasing in future.

We need to strengthen govt. health sector. Health should be brought in


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Dr. Devendra R. Patel(President, G.S.B.,I.M.A.)

Dr. Kamlesh B. Saini(Hon. State Secy., G.S.B.,I.M.A.)

concurrent list. There should be Pan India parity in compensations and

service conditions of medical professionals. An Indian medical service is

need of hour. All available and willing medical human resources may be

given opportunity to be appointed in govt. sector increasing medical

posts, relaxing age and other rules. Medical education should be made

affordable. CMEs and Research should be financed by govt. at all levels.

For encouraging medical professionals to work in rural areas a national

policy of incentives and amenities be declared. Role of private health

sector is also very important. They should also be encouraged and

incentivized to meet need of common people and made free from

Inspector Raj. The pricing of drugs should be made uniform and

affordable without compromising with quality.

IMA, the largest and oldest representative association of modern

medical professionals should be heard and must be given

representations in all institutions and committees relating policy and

execution of health in the country.

We hope a big breakthrough in health care in the country will come by

our efforts soon.

On behalf of IMA GSB, we congratulate Junior Doctors Association of

various Govt. Medical Colleges of Gujarat for their 10 days of successful

struggle, their unity and strength paid off and they have got Govt.

Resolution from stating 1 years of SRship equal to bond. IMA GSB & IMA

HQs New Delhi has extended their support to JDA & requested Govt. of

Gujarat to consider their demands & take necessary action. We are

thankful to Govt. of Gujarat for this amicable solution.

Jay IMA

Long live IMA


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CONGRATULATIONS

Dr. Pragnesh C. Joshi (Surat)

Being appointed of Member, Fever Advisory Board, IMA HQs..

STATE PRESIDENT-HONY. SECY. & OFFICE BEARERS TOURS/VISIT

02-07-2021 Dr. Devendra R. Patel, President, GSB. IMA, Dr. Kamlesh B. Saini, Hon. State Secretary, GSB. IMA. Dr. Bipin M. Patel, Managing Director, PPS. GSB. IMA Dr. Kirit C. Gadhavi, Dr. Dhiren Mehta and Dr. Monaben P. Desai, met Mr. I.M. Qureshi, Additional Secretary, Health & Family Welfare Dept. Gandhinagar regarding Cl in ica l Establishment Act.

07-07-2021 Dr. Devendra R. Patel, President, GSB. IMA, Dr. Kamlesh B. Saini, Hon. State Secretary, GSB. IMA., Dr. Jitendra N. Patel, Past Hon. State Secretary and Dr. Monaben Desai to meet Health Secretary, Shree Manoj Agrawal regarding violence against doctors.

08-07-2021 Dr. Bipin M. Patel, Managing Director, PPS. GSB. IMA. attended meeting of State TB Forum at Gandhinagar.

27-07-2021 Dr. Kamlesh B. Saini, Hon. State Secretary, GSB. IMA., Dr. Bipin M. Patel, Managing Director, PPS GSB IMA. And Dr. Jitendra N. Patel, Past Hon. State Secretary, attended meeting on At Gandhinagar

v

Opinions in the various articles are those of the authors and do not

reflect the views of Indian Medical Association, Gujarat State Branch.

The appearance of advertisement is not a guarantee or endorsement of

the product or the claims made for the product by the manufacturer.

DISCLAIMER

I.M.A. NATIONAL SOCIAL SECURITY SCHEME

DFC No.26 was circulated to all the members.

Last date of payment was 15/05/2021 but it is extended

up to 20/09/2021.

Send your Cheque / Draft at Ahmedabad Office directly.

Those who have not received the notice, they can get the payment

details on phone call between 2.00 to 6.30 pm on Ph. 079- 2658 5430.

Dr. Kirti M. Patel

Chairman

Dr. Yogendra S. Modi

Hon. Secretary

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HEALTH SCHEME IMA GSB

AFAC No.23 was circulated to all the members.

Last date of payment is extended up to 15/09/2021.

Send your Cheque / Draft at Ahmedabad Office directly.

Those who have not received the notice, they can get the payment

details on phone call between 2.00 to 6.30 pm on Ph. 079- 2658 5430.

Please send your Mobile No. and Email on mail ID :

[email protected]

(mentioning your Health Scheme No.) for better communication.

Dr. Navnit K. Patel

Chairman

Dr. Abhay S. Dikshit

Hon. Secretary


Health Scheme Members will get their claim benefit

from Health Scheme as well as their own Mediclaim.


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NEW LIFE MEMBERS

I.M.A. GUJARAT STATE BRANCH

We welcome our new members

L_M_No. NAME BRANCH

LM/30244 Dr. Patel Hetalkumari Rajendrabhai Surat

LM/30245 Dr. Padariya Jaydeep Chandulal Surat

LM/30246 Dr. Nayak Dhruvil Vishvesh Bhavnagar

LM/30247 Dr. Patel Prabhav Pragneshbhai Porbandar

LM/30248 Dr. Patel Dipesh Sureshbhai Modasa

LM/30249 Dr. Vala Paryant Raghubhai Porbandar

LM/30250 Dr. Godhania Krunal Laxmanbhai Porbandar

LM/30251 Dr. Shaikh Abdulla Ibrahim Navsari

LM/30252 Dr. Mandlik Dhaval Jayantibhai Mehsana

LM/30253 Dr. Joshi Parth Ashwinkumar Vadodara

LM/30254 Dr. Joshi Poojan Ashwinkumar Vadodara

LM/30255 Dr. Trivedi Rutvi Rohan Vadodara

LM/30256 Dr. Gupta Nishit Nareshkumar Vadodara

LM/30257 Dr. Tripathi Zeel Sanjay Vadodara

LM/30258 Dr. Shah Pathik Manishkumar Vadodara

LM/30259 Dr. Gandhi Viral Harivadan Vadodara

LM/30260 Dr. Gandhi Heny Viral Vadodara

LM/30261 Dr. Patel Snehalkumar Subodhbhai Navsari

LM/30262 Dr. Patel Payal Rajeshbhai Surat

LM/30263 Dr. A.C. Beulah Santhakumari Surat

LM/30264 Dr. Naik Swini Hemantkumar Surat

LM/30265 Dr. Parwani Nikhil Dilipbhai Gandhidham

LM/30266 Dr. Lakhani Jay Ranjitkumar Porbandar

LM/30267 Dr. Lakhani Vishakha Jay Porbandar

LM/30268 Dr. Thumar Hitesh Ramjibahi Morbi

LM/30269 Dr. Charn Dilip Chandidan Rapar

LM/30270 Dr. Matadar Hadin Mehbubbhai Godhra

LM/30271 Dr. Patel Priya Ghanshyambhai Surat

LM/30272 Dr. Patel Manojkumar Pragjibhai Surat

LM/30273 Dr. Parmar Dipika Mahendrakumar Kheralu

LM/30274 Dr. Padava Haresh Lakhubhai Bhavnagar

LM/30275 Dr. Chandak Rohit P. Kheralu

LM/30276 Dr. Gondaliya Vatsal Pravinbhai Junagadh

LM/30277 Dr. Ramani Jignesh Kantibhai Junagadh

LM/30278 Dr. Chudasama Ravindra Rambhai Junagadh

LM/30279 Dr. Chudasama Bhaumik Tarunkumar Veraval

LM/30280 Dr. Bhagat Harita Harishchandra Surat

LM/30281 Dr. Patel Mansi Apurva Surat

LM/30282 Dr. Bhalani Kalind Dineshbhai Rajkot

LM/30283 Dr. Trambadia Dhwani Niteshkumar Rajkot

LM/30284 Dr. Halpara Kishan Pragjibhai Rajkot

LM/30285 Dr. Kotadiya Sweta Ramnikbhai Rajkot

LM/30286 Dr. Hathi Varshit Dineshchandra Rajkot

LM/30287 Dr. Dholakiya Spruha Kashyapbhai Rajkot

LM/30288 Dr. Chothani Bakul Babubhai Rajkot

LM/30289 Dr. Jain Saumya Ureshbhai Ahmedabad

LM/30290 Dr. Rathi Digant Shankarlal Ahmedabad

LM/30291 Dr. Varma Jay Anilbhai Ahmedabad

LM/30292 Dr. Rathod Kinnari Kirankumar Ahmedabad

LM/30293 Dr. Sukhramani Bharat Preetam Ahmedabad

LM/30294 Dr. Bhadja Hiren Pravinbhai Ahmedabad

LM/30295 Dr. Chauhan Bhavik Ashokbhai Ahmedabad

LM/30296 Dr. Chauhan Shreya Bhavikkumar Ahmedabad

LM/30297 Dr. Shah Nuti Utsav Ahmedabad

LM/30298 Dr. Modi Shreya Jayeshkumar Ahmedabad

LM/30299 Dr. Shah Rushit Shaileshkumar Ahmedabad

LM/30300 Dr. Shah Megha Rushit Ahmedabad

LM/30301 Dr. Engineer Divyesh Pravinchandra Ahmedabad

LM/30302 Dr. Desai Miali Ajaybhai Ahmedabad

I.M.A.G.S.B. NEWS BULLETIN AUGUST-2021 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN AUGUST-2021 / MONTHLY NEWS

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LM/30303 Dr. Shah Bhumika Nilaybhai Ahmedabad

LM/30304 Dr. Mahuvakar Aashish Madhubhai Ahmedabad

LM/30305 Dr. Mahuvakar Sheetal Aashishbhai Ahmedabad

LM/30306 Dr. Patel Kindam Kiritkumar Ahmedabad

LM/30307 Dr. Charel Nilesh Ramanlal Ahmedabad

LM/30308 Dr. Trivedi Jayant Madhusudanbhai Ahmedabad

LM/30309 Dr. Trivedi Pragati Jayant Ahmedabad

LM/30310 Dr. Patel Amee Bharatkumar Ahmedabad

LM/30311 Dr. Savalia Parikshit Jaysukhbhai Ahmedabad

LM/30312 Dr. Savalia Shailee Parikshit Ahmedabad

LM/30313 Dr. Patel Himadri Lokeshbhai Ahmedabad

LM/30314 Dr. Pandya Nikita Dipakkumar Ahmedabad

LM/30315 Dr. Patel Nisarg Dineshbhai Nadiad

LM/30316 Dr. Shah Ashka Alkeshbhai Nadiad

LM/30317 Dr. Patel Hardik Baldevbhai Nadiad

LM/30318 Dr. Patel Nilam Bipinchandra Nadiad

LM/30319 Dr. Jonwal Taniya Chhotelal Gandhidham

LM/30320 Dr. Ishnava Tushar Manubhai Petlad

LM/30321 Dr. Moradiya Ajay Narsinhbhai Surat

LM/30322 Dr. Kanojiya Sukhswarup Dayalsharan Jambusar

LM/30323 Dr. Patel Kashyap Suryakantbhai Jambusar

LM/30324 Dr. Patel Bindi Hareshbhai Jambusar

LM/30325 Dr. Doshi Darshit Kanhaiyalal Vadodara

LM/30326 Dr. Bhojani Hema Deep Vadodara

LM/30327 Dr. Rambhal Megha Subhashbhai Vadodara

LM/30328 Dr. Mansuri Sarika Gulamrasul Vadodara

LM/30329 Dr. Shah Shwet Himanshukumar Vadodara

LM/30330 Dr. Raj Rikin Ramanbhai Vadodara

LM/30331 Dr. Raj Mansi Rikin Vadodara

LM/30332 Dr. Shah Darshak Jaydipbhai Vadodara

LM/30333 Dr. Tatiya Pragya Vadodara

LM/30334 Dr. Chag Shyama Manojkumar Anand

LM/30335 Dr. Prajapati Mrudul Manilal Mehsana

LM/30336 Dr. Thaker Raghav Vinodchandra Dwarka

LM/30337 Dr. Majithia Kishan Dharmendrabhai Dwarka

LM/30338 Dr. Shah Dish Nitinbhai Lunawada

LM/30339 Dr. Patel Himanshu Maheshchandra Bilimora

LM/30340 Dr. Patel Devyani Himanshu Bilimora

LM/30341 Dr. Singh Ajeetkumar Ramashish Ankleshwar

LM/30342 Dr. Shah Hardik Chetanbhai Surat

LM/30343 Dr. Shah Zankhana Hardik Surat

LM/30344 Dr. Modi Sumit Javaharlal Surat

LM/30345 Dr. Modi Trupti Sumit Surat

LM/30346 Dr. Oza Maitri Rameshbhai Rapar

LM/30347 Dr. Jaganiya Ajay Hemabhai Palanpur

LM/30348 Dr. Patel Mayur Girishkumar Palanpur

LM/30349 Dr. Modi Parth Jitendrakumar Palanpur

LM/30350 Dr. Vyas Kashyap Jagdishbhai Bhavnagar

LM/30351 Dr. Baranda Vasant Manjibhai Himatnagar

LM/30352 Dr. Shah Nilay Mehulbhai Bhavnagar

LM/30353 Dr. Shah Archit Chandrakant Ahmedabad

LM/30354 Dr. Maheshwari Gitesh Amratlal Ahmedabad

LM/30355 Dr. Patel Pavan Dilipbhai Ahmedabad

LM/30356 Dr. Parikh Nirzari Jigneshbhai Ahmedabad

LM/30357 Dr. Shah Meenakshi Nikunjbhai Ahmedabad

LM/30358 Dr. Brahmbhatt Marmik Prakashchandra Ahmedabad

LM/30359 Dr. Prajapati Palak Shaileshbhai Ahmedabad

LM/30360 Dr. Patel Maulik Dilipbhai Ahmedabad

LM/30361 Dr. Buch Jeta Yagneshbhai Ahmedabad

LM/30362 Dr. Shah Shail Harshbhai Ahmedabad

LM/30363 Dr. Khiyani Lata Harishchand Ahmedabad

LM/30364 Dr. Kharadi Nilesh Devjibhai Ahmedabad

LM/30365 Dr. Menat Urmila Jayantibhai Ahmedabad

Dr. Nayak Mukundchandra B.( / / - /0 /20 )10 06 1958 15 5 21

Age

Qualification

Name of Branch

:

:

:

63 years

M.D. Medicin

Vijapur

Dr. Shah Bhogilal F.( / / - /0 /20 )21 10 1936 26 5 21

Age

Qualification

Name of Branch

:

:

:

85 years

LMP, FCGP

Modasa

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We pray almighty God that their souls rest in eternal peace.

Dr. Shah Dilipkumar J. 13-01-2021 Ahmedabad

Dr. Shah Kantilal K. 13-04-2021 Borsad

Dr. Khokhar Mahmood Y. 13-04-2021 Viramgam

Dr. Mehta Mahendrakumar S. 15-04-2021 Rajkot

Dr. Mehta Hemant P. 17-04-2021 Thangadh

Dr. Ishnava Manubhai K. 18-04-2021 Khambhat

Dr. Gupta Omprakash 18-04-2021 Ahmedabad

Dr. Solanki Rajendrasing N. 29-04-2021 Dahod

Dr. Patel Babubhai C. 04-05-2021 Valsad

Dr. Desai Navnit N. 05-05-2021 Amreli

Dr. Tak Pratap P. 08-05-2021 Ahmedabad

Dr. Devani Balubhai D. 11-05-2021 Ahmedabad

Dr. Rajdev Kanaiyalal P. 12-05-2021 Rajkot

Dr. Gajjar Jayantilal S. 07-06-2021 Ahmedabad

Dr. Dave Hansa S. 09-06-2021 Nadiad

Dr. Kotecha Rajnikant C. 13-06-2021 Morbi

Dr. Shrimali Rajnikant K. 20-06-2021 Ahmedabad

Dr. Modi Sunil R. 21-06-2021 Ahmedabad

Dr. Dave Jagdishchandra P. 26-06-2021 Ahmedabad

Dr. Parikh Anilkumar C. 30-06-2021 Patan

Dr. Javia Ladhabhai D. 13-07-2021 Rajkot

Dr. Patel Shashikant G. 18-07-2021 Surat

OBITUARY

We send our sympathy & condolence to the bereaved family

Dr. Doshi Shailaben R.( / / - /0 /20 )23 11 1950 26 5 21

Age

Qualification

Name of Branch

:

:

:

71 years

M.D. D.G.O.

Rajkot

Dr. Patel Natwarlal D.( / / - /0 /20 )28 09 1928 15 5 21

Age

Qualification

Name of Branch

:

:

:

93 years

M.B.B.S.

Bayad

Dr. Shah Kirit N.( / 3/1936 - /0 /20 )29 0 13 6 21

Age

Qualification

Name of Branch

:

:

:

85 years

MBBS

Vadodara

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AHMEDABAD

31-05-2021 “World No Tobacco Day” by Dr. Deepak Rao.

06-06-2021 Webinar in association with senior citizens club and ladies

club, Ahmedabad Medical Association was “Life Without

Life” by Dr. Hansal Bhachech.

01-07-2021 Happy Doctors' Day Celebration at our AMA premises in

unique way this year as “Life for Life”. We had planted tree

in the name of all doctor members who had lost their lives

in COVID, while serving the society.

08-08-2021 “How to interpret the different laboratory markers” by

Dr. Manoj Vithalani, Dr. Mahadevbhai Desai,

Dr. Urmanbhai Dhruv and Dr. Sunil Mehta.

“How to interpret CT Thorax” by Dr. Hemant Patel.

“Triathlon : Can we do it?” by Dr. Abhay Khandekar and

Dr. Gargi Khandekar.

“My experience of trekking high in Mountains” by

Dr. Prakash Darji.

13/14-08-2021 Ahmedabad Medical Association – Sport Day.

MORBI

21-06-2021 International Yoga Day.

23-06-2021 RNTCP programme for control of tuberculation and

discuss various point regarding notification, new case

detection, newer method of TB detection, quality of

drugs.

28-06-2021 Blood Donation camp. Total 27 bottle of blood were

collected.

BRANCH ACTIVITY

IMA-GSB Members (Corona Warriors) Who Lost Fight against COVID-19

Dr. Tak Pratapbhai P.Date : 08-05-2021

(Ahmedabad)

Dr. Hiten J. AminDate : 17-06-2021

(Vadodara)

Dr. Bhupendra M. PanchalDate : 09-06-2021

(Ahmedabad)

Dr. Bhargav S. JoshiDate : 26-04-2021

(Himatnagar)

OBITUARY

College of General Practitioner G.S.B. I.M.A

(Reported by Dr. Kirit C. Gadhavi; Director, Dr. Vasant Patel;

Hon. Secretary and Dr. Ashok Modi, Hon. Joint Secretary)

On 13th June, 2021 9-00 a.m. there was programme of College of G.P.

with Ahmedabad Branch. Dr. Devendra R. Patel, President of IMA GSB,

Dr. Kamlesh B. Saini, Hon. State Secretary and Dr. Vasant B. Patel, Hon.

Secretary, CGP IMA GSB. attended the programme. Dr. Dhiren R. Mehta, Hon.

Secretary, Ahmedabad Medical Association, welcome the house. Dr.

Jaswantsinh P. Darbar was co-ordinate the programme & Dr. Urman Dhruv

was moderator of this programme. The subject was “Covid 3rd wave,

possibilities & solution”. Seven eminent speaker gave their speech. It was live

on face book and you tube page of AMA. At the end of programme. It was

good coverage in TV. It was grand success

Dr. Kirit C. Gadhavi

Director

Dr. Vasant B. Patel

Hon. Secretary


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01-07-2021 Doctors Day Celebration.

Free Diagnostic Camp. Total 130 patients taken benefit of

camp.

“How to run a successful clinic & doctor as an

entrepreneur” by Dr. Jayesh A. Sanariya.

04-07-2021 Free diagnostic and free medicine distribution camp. Total

125 patients taken benefit of camp.

09-07-2021 “Role of monoclonal antibody cocktails in management of

covid 19” by Dr. Krutarth Kanjiya. Total 45 doctors were

participated.

17-07-2021 Preparation of 3 wave of Covid Pandemic and Dr. Sanjiv

Oza given talk on subject and discuss regarding possible

action requirement and role of doctors for society.

22-07-2021 Free Health Check up camp. Total 37 persons take benefit

of camp.

23-07-2021 “OPD procedures and sterilization” by Dr. Amnit Gami.

Total 45 staff participated in CME.

25-07-2021 Free diagnostic and free pulmonary function test of post

covid patients for early detection of pulmonary fibrosis

camp. Total 90 patients taken benefit.

RAJKOT

21-06-2021 Inauguration of new machines towards ENT department,

Civil Hospital.

23-06-2021 Felicitation of doctors by Collector.


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38/2021 12/08/2021

To

President

IMA (Gujarat Branch)

Subject: Le�er of thanks and apprecia�on for your support

to strike by JDA BJMC

Respected Sir,

A�er 10 days of successful struggle, our unity and strength

paid off and we have got Government Resolu�on from

sta�ng 1 year of SRship equal bond for 2018 batch, this has

occurred first �me in history of Gujarat.

Government has also assured of forming a commi�ee to

decide on favourable provisions for 2019 and 2020 batch.

No s�pend or leave will be deducted for absence during

strike for any par�cipa�ng residents.

This all has occurred because of con�nuous sheer will

power, efforts ,unity ,strength of JDA BJMC.

This victory is solely of JDA BJMC that stood united �ll last

moment �ll GR came.

JDA BJMC is officially calling off strike from now onwards.

We are Grateful and indebted to IMA (Gujarat Branch)

for their support at crucial �me and boos�ng our moral.

Thanking You


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Dear Doctors,

National headquarters of Indian Medical Association is proudly announcing National IMA Sports Olympics under the aegis of IMA National Sports committee, which is scheduled in the last week of October 2021 at city of Nashik in Maharashtra.

Under the able leadership of our mentor Dr Ketan Desai and our guiding force Dr Ravi Wankhedkar, our National President Dr Jayalal and our Honorary Secretary General Dr Jayesh Lele have entrusted us to carry out this mega event for our esteemed members of IMA.

This Mega event includes all track and eld sports along with Racket sports and Team games like football and 20-20 cricket tournaments as well.

Our Co - Chairman Dr Aniruddha Bhandarkar has made necessary arrangements there in Nashik to get all these activities done along with swimming championship also.

All these sports activities will attract state nominations while having Intra-State / Inter- district competitions and getting champions nominated along with wild card entries at nominal individual fee, entries will also be entertained...I welcome Sports lovers to come to Nashik as the dates are Climate and Weather friendly on 27, 28, 29, 30 and 31st October 2021.

Requesting you to block these dates in your calendar as the brochure is here for your kind perusal before you book tickets and hotels at Nashik. Online registration will also be available and will shortly be shared with proper links and bank details.

Looking forward to seeing you as I share crucial cell numbers to you so that you can post your queries and doubts....

With due regards from IMA National Sports Committee ....

Dr Anil Bhadoria Chairman, Indore MP

9826044193

Dr Anirudh BhandarkarCo-Chairman, Nashik MH

9890031675

Dr Benny PVConvenor, Tiruvanntapuram

9995039374

Dr. Shailesh Shah Convenor, Gujarat

9825094525

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JUNE - JULE 2021Family Planning Centre, I.M.A. Gujarat State Branch

The total number of patients registered in the OPD & Family planningactivities of Various Centers are as Follows :

JUNE - JULY 2021

No. Name of Center New Case Old Case Total Case

(1) Ambawadi (Jamalpur Ward)

(2) Behrampura (Sardarnagar Ward)

(3) Bapunagar (Potalia Ward)

(4) Dariyapur (Isanpur Ward)

(5) Gomtipur (Saijpur Ward)

(6) Khokhra (Amraiwadi Ward)

(7) New Mental (Kubernagar Ward)

(8) Raikhad (Stadium Ward)

(9) Wadaj (Junawadaj Ward)

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Junagadh

Rander-Surat

Nanpura-Surat

Rajkot

2031

2243

2126

5433

3750

2871

2221

949

1881

—

1454

550

434

301

251

710

279

309

—

798

2581

2677

2427

5684

4460

2871

2285

1228

2190

—

2252

Indian Medical Association, Gujarat State Branch runs 9 Urban Health

Centers in the different wards of Ahmedabad City.

These Centres performed various activities during the month of

June-July 2021 in addition to their routine work. These are as under :

01-06-2021 to 31-07-2021 : Intra domestic house to house survey

(COVID-19) by the centers of Ahmedabad

27-06-2021 to 29-06-2021 : Migratory Polio by the centers of Ahmedabad

Rander - Surat : Mothers : 1500 Iron Tablet, 1000 Calcium Tablets

Children : 80 Vitamin A Solution were distributed

Nanpur - Surat : Mothers : 1550 Calcium Tablets

Children : 80 Vitamin A Solution were distributed

No. Name of Center Female

Sterilisation

Male

SterilisationCopper-T Condoms

(PCS)

Ocpills

(3) Bapunagar (Potalia Ward)

(4) Dariyapur (Isanpur Ward)

(5) Gomtipur (Saijpur Ward)

(6) Khokhra (Amraiwadi Ward)

(7) New Mental (Kubernagar Ward)

(8) Raikhad

(Stadium Ward)

(9) Wadaj

(Junawadaj Ward)

—

—

—

—

—

(10)

(11)

(12)

(13)

Junagadh

Rander-Surat

Nanpura-Surat

Rajkot

31

100

24

130

18

64

17

(1) Ambawadi

(Jamalpur Ward)30 —

(2) Behrampura

(Sardarnagar Ward)—

—

01

01

35

24

15

11

83

56

43

120

71

170

64

85

47

18870

15700

26473

17150

16750

8460

31575

27880

26000

608

1667

511

1100

704

580

1097

1147

5473

60

53

48

81

12000

1440

1920

3000

428

112

75

576

—

08

—

—

—

64

— —

— —

—

—


(32) (33)


SOCIAL SECURITY SCHEME, G.S.B. I.M.A.

Office Phone : 079-26580690 Time : 2.30 to 6.00 pm

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(34) (35)


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80 11779 Dr. Sathwara Umeshkumar Nanalal At & Po - Limkheda

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110 14269 Dr. Patel Jignesh Jayantibhai Gandhinagar

111 14869 Dr. Makwana Arunkumar Jayantibhai. Gandhinagar

112 14516 Dr. Hamirani Nirav Pravinbhai Godhra

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114 10579 Dr. Surti Mahammadshahid Raza Himatnagar

115 11439 Dr. Patel Maheshkumar Chaturbhai Himatnagar

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123 12917 Dr. Thakkar Sunil Rajanikant Jamnagar

124 13382 Dr. Parmar Dipakkumar Sumanlal Jamnagar

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148 14293 Dr. Patel Alpeshkumar Mulchandbhai Mehsana

149 14780 Dr. Patel Tejaskumar Dashrathbhai Mehsana

150 12434 Dr. Aghera Hema Laljibhai Morbi

151 12435 Dr. Babaria Jayeshkumar Labhubhai Morbi

152 14061 Dr. Sanghvi Vivek Dineshchandra Morbi

153 11695 Dr. Uttare Rajaram Dhula Nadiad

154 14176 Dr. Parmar Dilipsinh Laxmanbhai Nadiad

155 12546 Dr. Randeri Kiran Makanbhai Navsari

156 12548 Dr. Randeri Jigisha Kiran Navsari

157 13713 Dr. Patel Toral Dhawal Navsari

158 13714 Dr. Patel Dhawal Kantilal Navsari

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163 14652 Dr. Zaveri Alka Umesh Palanpur Dist. B.K.

164 11730 Dr. Patel Shilpa Jigar Patan

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(36) (37)


167 14416 Dr. Patel Kashyapkumar Govindbhai Patan

168 11729 Dr. Patel Jigar Kashiram Patan (N.G.)

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189 11413 Dr. Patel Manojkumar Rameshbhai Surat

190 11765 Dr. Nema Anurag Ramkrishna Surat

191 11766 Dr. Nema Archana Anurag Surat

192 11970 Dr. Patel (Dudhat) Kishor Viththalbhai Surat

193 11987 Dr. Jethwa Sagar Rajeshkumar Surat

194 12224 Dr. Bhuva Bhavin Ambavibhai Surat

195 12226 Dr. Jariwala Ravi Harish Surat

196 12471 Dr. Shah Nilesh Babubhai Surat

197 12472 Dr. Shah Vaishali Nilesh Surat

198 12670 Dr. Trivedi Sunilbhai Rameshchandra Surat

199 12707 Dr. Desai Shefali Pranav Surat

200 12708 Dr. Desai Pranav Suresh Surat

201 12948 Dr. Dhameliya Arvindbhai Makabhai Surat

202 13024 Dr. Shah Nirav Hasmukhlal Surat

203 13180 Dr. Bhalvani Chirag Chhotubhai Surat

204 13199 Dr. Rakhe Balkrishna Sharadchandra Surat

205 13374 Dr. Jariwala Chitrang Hemant Surat

206 13444 Dr. Bhuva Pravinbhai Ramjibhai Surat

207 13493 Dr. Shah Parag Sureshbhai Surat

208 13587 Dr. Shah Sejal Paragbhai Surat

209 13753 Dr. Mehta Rushabh Bharatkumar Surat

210 13868 Dr. Pansuriya Himanshu Gangdasbhai Surat

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(38) (39)


255 14441 Dr. Shah Akshita Harshil Vadodara

256 14442 Dr. Shah Harshil Arvindbhai Vadodara

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FAMILY WELFARE SCHEME, G.S.B. I.M.A.

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(40) (41)

NEWS CLIP


Ahmedabad

(42)


Dr. Sahajanand Prashad Singh, National President Elect, IMA

Welcoming at Ahmedabad by IMA GSB, AMA, MSN, JDN & WDW

Dr. J. A. Jayalal, National President , IMA

Welcoming at Ahmedabad by IMA GSB, AMA, MSN, JDN & WDW

(43)

Junior Doctor Association Strike Vadodara Branch

Junior Doctor Association Strike IMA GSB & Ahmedabad BranchFelicitation of Dr. J. A. Jayalal, National President ,

Dr. Sahajanand Prashad Singh, National President Elect, IMA HQs

Visit of IMA House, GSB & IMA NSS Office

(44) (45)

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NEWS CLIP

(60)


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I.M.A.G.S.B. NEWS BULLETIN JUNE-2021 / MONTHLY NEWS I.M.A.G.S.B. NEWS BULLETIN JUNE-2021 / MONTHLY NEWS

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Answer Page No. 80


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NationalConsumerDisputesRedressalcommission

NewDelhi

ThemedicalfactsthatsupportedtheDoctor

CONSUMERCASENO.874OF2015

1.RANJITSARKAR9B, ...........Complainant(s)

NORTHERNAVENUE

KOLKATA-700037

Versus

1.ILSHOSPITALS&6ORS.

1,KHUDIRAMBOSESARANI,BESIDENAGERBAZARFLYOVER,

KAZIPARA,DUMDUM,KOLKATA-700080

BEFORE:

HON'BLEMR.JUSTICER.K.AGRAWAL,PRESIDENT

FortheComplainant: Mr.RabinMajumder,Advocate

Ms.AkankshaSrivastava,Advocate

withComplainantinperson

FortheOpp.Party: Mr.ParthaSil,Advocate

Mr.TavishB.Prasad,Advocate

Ms.BinotaRoy,Advocate

Dated:09Mar2021

ORDER

R.K.AGRAWAL,J.,PRESIDENT

1. Hon’bleMr.DineshSingh,Member,tookacontraryviewandorderedthat

thematterbereferredtotheopinionofaMedicalBoardofExperts.

2. SincetheMembersoftheDivisionBenchcametodifferentconclusions,

thematterhasbeenreferredtoathirdmemberundersection20(1A)(iii)

oftheConsumerProtectionAct,1986forgivingopiniononthefollowing

pointofdifference:-

“Whether the Complaint be dismissed OR whether the matter be

referredfortheopinionofaMedicalBoardofExperts.”

I �ind that learned Member Dr. S.M. Kantikar has dealt with each of the

aforementionedevidence/documents/materialwhichwasbroughtonrecord

asfollows:-

Allegations: ER Medical of�icer on 10.07.14 failed to identify the life-

threateningemergencyofabdominal tenderness.X–Raychesthadelevated

domeofdiaphragm–suggestiveofintra-abdominalinjuryandhaemorrhage.

WenotethattheComplainant intelligentlybroughtoutcertainfactsofthis

caseforhisownconvenience,thoughitwasnotacaseofBluntAbdominal

Trauma(BAT).TheComplainantcategoricallystatedthathissonhadactually

walkeddowntotheEmergencydepartmentwithoutuseofawheelchairor

stretcherwhichprovesthepatienthadnosevereabdominalandbackpain.

However,thex-raysrevealedmildanteriorwedgingofD11-D12vertebraeand

thereforetheEMOpromptlyreferredthepatienttotheOrthopaedicSurgeon

…Therefore,theallegationofde�iciencyinrenderingmedicalservicetothe

patient in the emergency is not sustainable, as made on surmise and

conjuncture.Inourview,thedoctorshavedone,whichtheywereexpectedto

doatthegivensituation.

Allegation:Haematocritvaluewasnotevaluatedtoevaluatethebloodloss.

ThefallinHaematocrit(Hct)andHaemoglobinfrom15.2g%to13.8g%and

12.6g% within 36 hours after admission was expected because of hemo-

dilutionoccursafteradministrationoftwolitersofIV�luidtotreatthesudden

hypotension. In the instant case the CT scan �indings suggested Adrenal

haemorrhagewhichwasjustlimitedtoAdrenalparenchymaanditwasnot

massive.Therefore,fallinHb%inanymannerdoesn’trelatetoscantyAdrenal

haemorrhage. However, subsequent haemoglobin levels were stable on

12.07.2014, despite the patient receiving large quantities of Intravenous

�luids.

Allegation:Orthopaedicsurgeonsawthepatientafter12hourson11.07.14.

Surgeon’sopinionafter taken further2hoursandadvisedUSGandnotCT

Abdomen

ThelearnedcounselfortheOppositeParties�iled35plates/�ilmsofUSG,CT-

MRIandCTPAonrecordasmentionedasbelow:….


(68) (69)

like to quote a reference from the standard medical books ‘Harrison's

PrinciplesofInternalMedicine,19thEd.,Vol.2’aswellas‘Oh'sIntensive

CareManual,7thEd.’whereinstatesthat:

‘'Echocardiography has its best application in haemodynamicaliy unstable

patients,whereitcanberapidlybroughttothepatient.IfthepatienthasRV

dilationandhypokinesisintherightclinicalsetting,PEisextremelylikely...if

there is RV dilation but no visible embolus, then a CTPA scan is required

dependingonhowunstablethepatientis...''

Allegation : Bleeding Adrenal glands, but double anti coagulation was

administered.

TheComplainantallegedthatthedoctorswereinlackofmedicalknowledge

andexpertisewhileadvisinginjectionClexanetothepatientwhentherewas

intra-abdominalcontinuouslyactivebleedingfromtherupturedleftAdrenal

gland. It is apparent from themedical record that that on 11.07.2014 Dr.

PrasenjitSarkaradvisedInjectionClexaneandthepatientreceivedonlyone

doseof Inj.Clexaneat10:00p.m.on11/07/2014.Though Inj.Arixtrawas

prescribedbyDr.PrasunHalderbutwasneveradministeredtothepatient.The

further injection Clexane (LMWH-Enoxaprin) was to be given only after

con�irmationofnoabdominalcollectionbytheOppositePartyNo.2and4.As

the treating doctors had strong suspicion with provisional diagnosis of

Pulmonary Embolism needs anticoagulant therapy. Therefore, the use of

LMWHisastandardmedicalprotocol.

ObesityisanimportantindependentriskfactorforthrombosisandVTE

iscommoninobesepatients.Obesityisregardedasprothromboticstate.

LMWHhastheoreticadvantagesinobesepatientsasaresultofsuperior

subcutaneousbioavailability...However evenLMWHat standard �ixed

dosesmaynotbesuf�icienttopreviewVTEinmorbidlyobesepatient.

Thus,thedecisiontoadministerClexaneintheinstantcasewasjusti�ied

anditwasnotwrongdecisionornegligence.

ALLEGATION:7.Goldenhourwaslostandnoproperinformationwasgivento

attendees,hencecouldnotshifttohighercenters.

8. USGAbdomenwasdone3hour later after being advisedby9 amon

11.07.14.

9. CTPulmonaryAngiogramwasdone12hourslaterafterbeingadvised

Wehaveperusedallthe�ilmsandreports.Itispertinenttonotethatthepatient

was admitted in the evening on 10.07.2014, the USG, CT, MRI done on

11.07.2014,noneofthe�ilmsshowsanysignsofhaemorrhageorabdominal

�luidcollection.However,subsequentlytheCTabdomenandCTPAdoneon

12.07.2004revealedmoderateascites(around500ml),withlowHUvalues,it

was conclusively not blood. In our view it was not a Haemorrhagic /

Hypovolemicshockintheinstantcase.

AspertheComplainant’ssubmission,theCTandMRIofDorsalLumbarspine

coversonlylowerback.However,theRadiologistwhoconductedCTandMRI

scansofthedorsolumbarspinestatedinherreportandaf�idavit,thatshe

viewed the extra spinal structures around the Lumbar Spine like Intra-

AbdominalandRetroperitonealstructures.TheRadiologistasausualpractice

across the globe examine and note the incidence of extra spinal �indings.

Radiologist�iledareferencearticle‘IncidentalExtraSpinalFindingsatCT

LumbarSpineonWideFieldofViewReconstruction’byTomSutherlandet

al J.Spine,Neurosurgeon20132:4,whichcategoricallyobservedthat ''The

detectionofincidental�indingsbeyondtheregionofinterestiswellknownand

hasbeenexploredforanumberofimagingexaminations.”

Thus,inourconsideredview,iftherehadbeenanyintra-abdominalsofttissue

injury leading to collection; it would have been easily detected by the

Radiologist. We also note that it was con�irmed after discussion between

OppositePartyNo.4andtheRadiologistthattherewasnoorganinjuryor

abdominalcollection.

74.ItispertinenttonotethattheCardiologistperformedbedsideECHOinthe

night on11.07.2014showed“rightventricularfreewallhypokinesia,right

ventricularsystolicdysfunctionanddilatedpulmonaryarteryalongwithIVC

(InferiorVenaCava)of16mmwithsluggishrespiratoryvariationcombined

with hemodynamic instability, the �indings raised a very high degree of

suspicion of PE and thus patient was treated accordingly and CTPA was

plannedafterstabilization.Thus,inourview,atthatstageadviceforECHO

wasessentialnottoruleoutPEalonebutalsotoknowaboutLeftVentricle

function, to rule out Acute Myocardial Infarction, IVC measurement for

guidance of �luid therapy which is the gold standard. In our view the

Cardiologiston considering the patient’s clinical signs such as obesity, on-

goingimmobilisationandhypoxiahadcorrectlyadvisedintensivespirometry

posthaemodynamicstabilisationandruledoutpneumothoraxbyChestX-Ray.

Thus,thepatientwastreatedwiththeacceptedmedicalprotocol.Wewould


(70) (71)

• Fromthemedicalrecordandtheaf�idavitof,Dr……itisevidentthathe

had discussion with patient's relatives in detail regarding the risk

involved in conducting CTPAand he even spoke to two independent

doctors of the complainant’s choice (Dr. ParthaSen and Dr.Paromita

Trivedi)afterwhichonlytheconsensuswastogoaheadwithCTPA.He

further spoke personally to the Radiologist and hospital authority to

conductCTPAandCTabdomen.DuringCTPA,Dr…….andDr……..were

presentinsidetheCTroomwearingleadapronsandcontinuedpatient

ventilationwithBain’scircuit.

• WefurthernotethattheCTPAwasadvisedinthenighton11.07.2014and

the series of blood and radiological investigations were done. The

patient’s family members expressed their intent to get the patient

discharged againstmedical advice (DAMA) and to shift thepatient to

Fortis Hospital in the early hours on 12.07.2014. Therefore, the ILS

Hospitalinitiatedprocessofdischargeinthenightbutrepresentativeof

FortisHospitaldidnotacceptforshiftingsuchcriticalpatient.Therefore

thepatientwasre-admittedinILSHospital,duringtheprocess,valuable

timewaswasted.Thus,duetoinitialreluctanceofpatientsideandafter

muchpersuasionthependingCTPAwasperformedintheafternoonon

12.07.2014.Thecomplainantconcealedthesefactsinhispleading.

• Allegations:.EvenafterdropinBPpropermonitoringwasnotdoneand

didnotevaluateddoingCTAbdomentoruleoutabdominalbleeding.

• 6.AllsignsofinternalhaemorrhagesuchasfallinBPraisedpulseand

abdominaltendernesswasnotconsideredduetocallousattitude.

• On11.07.2014ataround2:00p.m.thepatient’sMRIoftheDorsoLumbar

Spine was done that revealed "Acute compression collapse of D12

vertebrawithoutsigni�icantencroachmentintospinalcanal;Milddisc

degenerativediseaseatL5-S1level,mildlycompromisingbothneural

foramina,withoutsigni�icantcompressionoverexitingnerveroots.”In

addition, Dr. SarmisthaGuha noted that ''No abnormal pre or

paravertebral soft tissue seen. Minimal peri-hepatic and peri-splenic

�luidsignalseen.”

• Thereafterat3.00p.m.CTscanoftheDorsoLumberSpinewasdonebyDr.

SarmisthaGuha,whereinitrevealed“Compressioncollapseofupperend

plate of D12 vertebra without encroachment into spinal canal.'' The

presence of minimal dependent pleural effusion was also noted and

minimalfree�luidwasseenintheinfrahepaticspace.TheRadiologist,Dr.

SarmisthaGuhaalsoreportedfocaltinycalci�icationinsegmentVIofliver.

Had there been any abdominal or retroperitoneal injuries or

haemorrhage, itwould have been noted by theRadiologist especially

whenshemadetheefforttonoteevenatinycalci�icationintheliver.

Themoderateintra-abdominal�luidnotedon12.07.2014,whetheritwas

haemorrhageorascites?

• Wehaveperusedthe�ilmsofCTabdomendoneon12.07.2014showed

moderate ascites and not blood. There was only isolated localized

haemorrhageintheleftadrenalgland,whichisconsideredtobeoflittle

signi�icance by medical literature. Even this minimal left adrenal

haemorrhage,whichwasabsentonthe11.07.2014butisseenontheCT

abdomen�ilmsdoneon12.07.2014,canberationallyexplainedinthe

contextofthevascularanatomyoftheleftadrenal,shockstatefollowing

pulmonaryembolism,treatmentwithdrugslikeadrenalinetosupport

the patient's falling blood pressure and presence of renal vein

thrombosis.

Althoughtheprecisemechanismleadingtoadrenalhaemorrhageareunclear

innontraumaticcases,availableevidencehasimplicatedadrenocorticotropic

hormone (ACTH), adrenal vein spasm and thrombosis, and the normally

limitedvenousdrainageoftheadrenalinthepathogenesisofthiscondition.

Theadrenalglandhasaricharterialsupply,incontrasttoitslimitedvenous

drainage, which is critically dependent on a single vein. Furthermore, in

stressful situations, ACTH secretion increased, which stimulates adrenal

arterialblood�lowthatmayexceedthelimitedvenousdrainagecapacityofthe

organandleadtohaemorrhage.Inaddition,adrenalveinspasminducedby

highcatecholaminelevelssecretedinstressfulsituationsandbyadrenalvein

thrombosis induced by coagulopathies may lead to venous stasis and

haemorrhage.

In the instantcaseon11.07.2014patient’sCTScanofDorso lumbarSpine

revealedjustminimalfree�luidcollectionininfra-hepaticspace.The�inding

was not con�irmatory of any solid organ injury or haemorrhage in the

peritonealcavityorretroperitonealspace.Itwaslowattenuationofthefree

�luid<15 HU. The next CT Abdomen done on 12/07/2014 revealed just

localisedcollectionwith layeringofdensities (HU -63) in the leftAdrenal

gland.Itwasspeci�icallysuggestedashaemorrhage,whereasfree�luidinrest


(72) (73)

oftheabdomenhasbeenreportedasmoderateascitesasitsattenuationwas

low(<15HU),nowhereitwasmatchingwiththehighattenuationofbloodor

ofextravasatedcontrast.Thusitwasnotactivebleeding.Thuson11.07.2014,

theintra-abdominalorretro-peritonealorleftadrenalglandhaemorrhage

wasruledout.

Thecontentionofthecomplainantthathisson'slifecouldhavebeensavedhad

hebeenreceivingblood transfusionowing to theexcessiveblood lossasa

result of alleged intra-abdominal haemorrhage is a clear indication of the

complainant's lack of knowledge in the �ield ofmedicine. The patientwas

admittedwithaHaemoglobinlevelof15.2gm%andhisHaemoglobinlevelwas

12.6gm%inthemorningof12.07.2014.Haematocritlevelwas40at1:30a.m.

on12.07.2014whichdroppedto37at5.30a.m.on12/07/2014.Itispertinent

tonotethatthepatienthadadropinHaemoglobinof17%orHaematocritof

only3(7.5%)whichinmedicalparlance,isnotsigni�icantenoughtocause

suddendeathofapatient.Asper‘TheWashingtonManualofSurgery’,6th

Ed., if it was haemorrhage, it correlates with Class II haemorrhage. The

massive�luidresuscitationisalsooneofthecausesforfallinHb%.Further,in

classIIhaemorrhagebloodtransfusionalsonotadvised.

..trauma is another potential cause of renal vein thrombosis. Complications

include pulmonary embolism, renal atrophy, and papillary necrosis. Bland

thrombus can coexist with tumour thrombus... As with venous thrombosis

elsewhere, the thrombosis is observedasa �ilingdefectduring venousphase

imaging following intravenous contrast... Recognized complications of RVT

includepulmonaryembolism...''

Allegation : Post mortem examination was not done which could have

accented thecauseofThrombus.TheComplainant furtheralleged thathis

youngsonof36yearsolddiedduetogrossmedicalnegligence

ItissurprisingtonotetheobservationmadebyDirectorateofHealthServices,

GovernmentofWestBengal,CalcuttaandthePE-8CommitteeofWBMCIon

thehospitalfornotinformingthePoliceinitiallyforanaccidentalcaseandnot

sendingthebodyforanautopsylaterandhelditas“medico-legallyanactof

negligence”.

Medico-legalAutopsy:

• Themedico-legalautopsy,whichisperformedontheinstructionsofthe

legalauthorityresponsible forthe investigationofsudden,suspicious,

homicide,suicide,obscure,unnatural,litigiousorcriminaldeaths.This

legalauthoritymaybeacoroner,amedicalexaminer,aprocurator�iscal,a

magistrate,ajudge,orthepolice,thesystemsvaryingconsiderablyfrom

countrytocountry.

Thepermissionofrelativesisnotrequired.

ClinicalAutopsy:

• Doneforacademicpurposes,researchetc.Nolegalissueinvolved(also

called hospital autopsy or pathological autopsy or consent autopsy).

Permissionofrelativesisnecessary.

Intheinstantcase,atthetimeofadmissiontoILSHospitalon10.07.2014,

the patient himself alongwith his father i.e. the Complainant gave a

historyoffallinhishouse.Theydidnotexpressanysuspiciousorany

criminalevents.Therefore,theHospitaldidnotregisterthecaseunder

MLCcategory.Asdiscussedabove,duringthecourseoftreatment,the

teamoftreatingdoctorsmadealltheirefforts,butthepatientcouldnot

survive. As itwas notMLC case, the PostMortemwas not done. The

Complainant could have lodged a police complaint to conduct Post

Mortem,ifhewouldhavesuspectedanyfoulplayornegligenceduring

treatment.Healsohadachoice forclinicalautopsywhichhe failedto

exerciseatthattime.

1. Inviewofthematerialevidence,documents,prescriptionsandReportsof

variousInvestigationsconsideredindetailbythe learnedMember,Dr.

S.M.Kantikar,withwhichIconcur,the�indingsgivenbytheWestBengal

MedicalCouncilinmyconsideredopinionlosesitssigni�icance.

2. Sofarasthemeritsofthematterisconcerned,I�indthatlearnedMember,

Dr. S.M. Kantikar, who is from the Medical Profession, having vast

knowledgeandexperienceinthatarena,hadconsideredthearguments

advancedonbehalfoftheParties,variousdocuments/material,evidence

availableonrecordandhaveelaboratelydealtwiththesameinPara69to

104ofhisOrder.Iamnotrepeatingthevariousmaterialandevidence

�iledbythePartiesastheyhavebeenadequatelydealtindetailbyDr.S.M.

KantikarinhisOrder,whichhasbeenreproducedhereinabove.Iaminfull

agreementwiththe�indingsandreasonsrecordedbyDr.S.M.Kantikarin

hisOrderastowhytherewasnomedicalnegligenceinthepresentcase

andtheComplaintisliabletobedismissed.


(74) (75)

3. Inviewoftheforegoingdiscussions,Iamoftheconsideredopinionthat

thematterisnotrequiredtobereferredforopinionofExpertsandthe

Complaintistobedismissed.

103. The Complainant appears to be prudent; he himself could have

approached the authority or police and demanded for PM. The MCI

order/report dated 26.05.2017 was stayed by Hon’ble High Court of

CalcuttaOrderdated19.12.2017.Weareoftheconsideredviewthatthe

reportsofWBMC,MCIandWestBengalHealthDepartmentdiddiscuss

theessentialingredients/PrinciplesofMedicalNegligenceaslaiddown

bytheHon’bleSupremeCourtandotherCourts.Wearenotaccepting

suchreportswhicharedevoidofany�indingsonnegligence.Theseare

not convincing and did not conclusively attributemedical negligence

againstthetreatingdoctors.

1. TheConsumerComplaintwasheardbyDivisionBenchcomprising

of Dr. S.M. Kantikar, Presiding Member and Mr. Dinesh Singh,

Member.Dr. S.M. Kantikar, Presiding Member dismissed the

Complaintbyobservingasunder:

“The treating doctors had treated the patient as per accepted standards of

medicalpractice.Therewasnode�iciencyinservice;thehospitalprovidedallthe

necessaryinfrastructuralfacilitiesaswellasthesupportofwell-trainedmedical

staff.ThatdespiteeverysincereeffortbytheentiremedicalteamatILSHospital

treatingthepatient(deceasedIndrajitSarkar)didnotsucceedinsavinghislife.

Itwastherareanduncommonoutcomesuchasleftadrenalhaemorrhagesa

resultoftraumaticinjuryofthespine.Intheinstantcasethemedicallimitations

whicharebeyondhumancontrol.”

ReferencesquotedintheCase

1. TLICSclassi�icationinthe,“Campbell'sOperativeOrthopaedics,Vol.2,

11thEd(International)”

2. Article‘IncidentalExtraSpinalFindingsatCTLumbarSpineonWide

Field of View Reconstruction’ by Tom Sutherland et al J. Spine,

Neurosurg20132:4

3. Article“ExtraspinalFindingsonLumbarSpineMRImaging”—by

DanielEMeltzer

4. <>Article, ‘Prophylaxis of Deep Venous Thrombosis in Trauma

Patients’byJonasPDeMuroetit

5. Article ‘Extra spinal Findings on Lumbar Spine MR Imaging’ by

NathalieVGebaraetal;

6. Article“AdrenalHaemorrhage”byNicholasA.Tritos

7. Article:‘BloodintheBelly:CTFindingsofHemoperitoneum’(Radio

Graphics2007;27:109-125)byMeghanLubner]

8. <>Article“RenalVeinThrombosis”byDr.MattA.MorganandRadswikier

al.

9. TheWashingtonManualofSurgery’,6thEd.,ifitwashaemorrhage

Footnote:874/2015JudgmentinMarch2021.QuitesurprisingtheCase

hasbeendisposedinsixyears.Awell-judgedcasebyDr.S.M.Kantikarin

spiteofthereportsbyaMedicalboardandWBMCorder.Valuablequotes

fromTextbooksandfromIndexedarticleswerethebasisoftheExcellent

Judgment.LotsofcaselawswerequotedandwehaveputforththeMedical

factstocreatethemuchneededcon�idenceandpositiveapproachforany

caseeveninadversecondition.

IntimeattendinginER,documentingtheclinical�indingwithexactdate

and time, being empathetic, communicating with the requested

consultantsofthepatientattendees,takingcareduringcriticalevaluation

and responding to the request of the patent attendees even if it is

impossible has been of great value when the �inal judgment was

pronounced.

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August Matter 2021.cdr - IMA GSB

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