Tenacious Two with hope and confidence

 The event tested competitors 

Internet: 21st February 2021: (USA Defense Department//The Eagle Eye News)::

Soldiers participate in a weeklong competition at Schofield Barracks, Hawaii, Feb. 16, 2021. The event tested competitors’ physical readiness and tenacity.

Photo By: Army Spc. Jessica Scott

300 delegates attended the stroke conference

18 International faculty members also participated

Dr. Monika Singla explaining secrets to prevent stroke at Ludhiana (Photo by Rector  Kathuria)

Ludhiana, 3rd March, 2013: (Shalu Arora and Rector Kathuria) The 8th National Conference of Indian Stroke Association organised by the department of Neurology, Christian Medical College, Ludhiana concluded today. There were 300 delegates who attended the conference from all over India including 18 International faculty members. Delegates also attended from the SAARC countries like Bangladesh. Yesterday there was a banquet for the delegates at the The Grand Pearl Resort. Mr RandhirKanwal the famous Ghazal singer entertained the guests. The medical students also displayed their artistic talent with a Bhangra dance.

Dr Jeyaraj D Pandian, Professor and Head of Neurology at CMC Ludhiana, the organising Secretary mentioned that all the major advances in stroke diagnosis and treatments were discussed in the conference. On the last day a special session on research in stroke was held and delegates from across the world discussed about the on-going important stroke trials and projects. A Skills workshop on the use of Botulinum toxin injection in treating stiffness of arms and legs following stroke was also held on the last day.
Dr Pandian said that for the first time a separate stroke rehabilitation skills workshop was held as a parallel meeting in CMC auditorium as part of the National stroke conference. More than 150 delegates attended this workshop which was organised by Dr Santosh Mathangi. One of the main highlights of the conference was the Teaching course on stroke which was held on Day 1 for MBBS students as a separate event at CMC. Medical students from three colleges in Punjab participated in this course.Dr Pandian stated that overall the conference had a major impact on the local doctors, neurologists, neurosurgeons, undergraduate medical students, physiotherapists, occupational therapists, speech therapists and allied health trainees from across the country. This would improve the care and treatment of stroke patients.

Fourth leading cause of disability worldwide

The 8th National Stroke Conference statrted at Ldh
Inaugurated by Health and Family Welfare Minister of Pb Madan Mohan Mittal

                                                                                  Photo by Rector Kathuria

Ludhiana, 1st March, 2013(Shalu Arora and Rector Kathuria):The department of Neurology at Christian Medical College, Ludhiana is organising the 8th National Stroke Conference of Indian Stroke Association from March 1st to 3rd in Hotel Park Plaza. The honourable Health and Family Welfare Minister of Government of Punjab Shri.Madan Mohan Mittal was the Chief Guest for the Inauguration of the conference. In his inaugural address the Health Minister stated that stroke is the second commonest cause of death and fourth leading cause of disability worldwide.In India 1.44 to 1.64 million cases of new acute strokes occur every year and 12% of strokes occur in the population aged below 40 years.  In India 40-50% of stroke patients are left with permanent disability.

Dr Jeyaraj D Pandian 

From the on-going Indian Council of Medical Research funded stroke survey conducted by CMC, in Ludhiana city the incidence rate i.e. number of new cases every year is 162 per 1,00,000 population. There is an enormous need to improve the stroke care in our country and in Punjab. ShriMadan Mohan Mittal also released the Stroke Solidarity String which is an Indigo colored string as a symbol of stroke support and awareness across the world.
Dr Abraham G Thomas, Director of CMC Ludhiana appreciated the efforts of the department of Neurology in bringing the conference to the city of Ludhiana. He also mentioned that Ludhiana city and Punjab has a very high number of stroke patients. CMC has a comprehensive stroke program to cater to the needs of the patients.
Dr Jeyaraj D Pandian the Organizing Secretary mentioned that today experts from India and overseas talked about how to diagnose and treat stroke patients as quick as possible in the ABC of stroke session. In the noon stroke experts discussed about acute stroke treatment with emphasis on thrombolysis.Dr MR Sivakumar, President of Indian Stroke Association (ISA) mentioned about the various activities of ISA in improving the stroke care and awareness in the country. Dr Natan Bornstein (Vice-President, World Stroke Organisation), Dr Richard Lindley (President, Stroke Society of Australasia) and Dr Craig Anderson (President Elect, Asia Pacific Stroke Organisation) stated the importance of improving care of stroke patients in low and middle income countries like India. 
Dr Manoj K Sobti, member Punjab Medical Council and President, Indian Medical Association, Punjab explained the role of Punjab Medical Council in improving continuing medical education the State. Dr Yashpal Singh gave the vote of thanks. 
The conference will continue till Sunday March 3rd. 

World Stroke Campaign International Committee

Universal Screening of Children

05-February-2013 11:23 IST
Launch of National programme for the purposeThe National Rural Health Mission of the Ministry of Health and Family Welfare, Government of India will launch a new initiative of Child Health Screening and Early Intervention Services to provide comprehensive care to all the children. The purpose of these services is to improve the overall quality of life of children through early detection of birth defects, diseases, deficiencies, development delays including disability. 

The Programme will be launched by Smt. Sonia Gandhi, Chairperson, UPA from Palghar, a Tribal Block in Thane district, Maharashtra tomorrow in the presence of Shri Ghulam Nabi Azad, Union Minister of Health & Family Welfare and Shri Prithviraj Chavan, Chief Minister of Maharashtra. 

It may be mentioned that the burden of birth defects, development delays due to deficiencies and diseases is significant in children. This is also one of the important factors for child mortality and out of pocket expenditure for poor families. Birth defects account for 9.6% of all new-born deaths and 4% of under five mortality. According to March of Dimes, 2006, out of every 100 babies born in this country annually, 6 to 7 have a birth defect. In Indian context, this would translate to 17 lakhs birth defects annually. Development delays affect at least 10% children and these delays if not intercepted timely may lead to permanent disabilities including cognitive, hearing or vision. 

A set of thirty common conditions have been identified for screening and further management. These services are built on the existing school health services and these services will be provided through dedicated mobile health teams placed in every block. The block level dedicated mobile medical health teams would comprise of four health personnel viz. two AYUSH doctors (One Male, One Female), ANM/ SN and a Pharmacist. The teams will carry out screening of all the children in the age group 0 – 6 years enrolled at Anganwadi centres at least twice a year besides screening of all children enrolled in Government and Government aided schools. The newborns will also be screened for birth defects in health facilities where deliveries take place and during the home visit by ASHA. An estimated 27 crore children in the age group of zero to eighteen years are expected to be covered in a phased manner. 

The District Early Intervention Centre is envisaged to be made operational in all districts of the country for providing management of these referred cases from the blocks and will also link these cases with tertiary level health services in case of surgical management. The existing services from Ministry of Women and Child, Social Justice and empowerment and Education will also be optimally utilized. Necessary treatment costs would be provided under National Rural Health Mission to tertiary level institutions whether in Government or Private sector. The implementation of these services will also generate country wide epidemiological data on selected health conditions for improved future planning of health services. 

Early identification of select health conditions and their linkage to care, support and treatment, under Child Health Screening and Early Intervention Services will help to achieve equitable child health care. In the long run, the programme would prove economical for the poor and marginalized through reducing out of pocket expenditure, burden of diseases, improving health awareness among community, improving the professionalism in service delivery and finally strengthening the public sector hospitals. This would lead to promotion of health among children which is of fundamental value to the entire nation. (PIB)
BN/HB

A new success by Dr. H S Bedi at CMC Ludhiana

Rare major open heart surgery saves  a new life
Ludhiana, 16th July, 2012 (Shalu Arora and Rector Kathuria)

Mr Vikas Masih – a   35 year old teacher – was in a very serious condition. He had developed a large blood clot in his lungs – a condition called massive pulmonary embolism – due to which he was not able to breathe. He was referred to Dr Harinder Singh Bedi – Head of Cardio Vascular Endovascular & Thoracic Surgery at the Christian Medical College & Hospital, Ludhiana. On examination and investigation Dr Bedi realized that Mr Vikas was in imminent danger of death as his oxygen levels were dangerously low. This was damaging his brain and kidneys.
He had already been put on maximal medical therapy including the latest blood thinners at another hospital – but they did not work. The only option to save his life now was a major and rare open heart surgery called pulmonary thrombo-endarterectomy. Dr Bedi said that the surgery is done on a heart lung machine but additionally for a short period of time the circulation even through the heart lung machine has to be stopped. This is called circulatory arrest and is like totally stopping the heart and the lungs - both the natural and artificial ones.
Dr Bedi explained that this is because otherwise the blockage in the lungs cannot be seen clearly. During the tense 10 minutes while the patient was ‘clinically dead’ - on no circulation at all – his lungs were totally cleared of all the deadly clot. Dr Bedi is a pioneer in this field and in fact has trained in this rare surgery at the St Vincents Hospital in Sydney. However this was a very challenging case as Vikas is very young and this extent of disease was unexpected.
The other members of the Heart team are Dr A Joseph, Dr Sheetal Garg, Dr Melchi, Dr Paul, Dr Reenus ,  Dr Dinesh, Dr Pratap, Dr William, Dr Pearl,  Dr Savan, Dr Meenu, DR Nina and Dr Ashwin  . The heart lung machine was manned by Mr Jairus and Mr William – who are the senior most perfusionists of Punjab – along with Mr Mathew.
Dr Abraham G Thomas – Director of CMC & H – said that the CMC was committed to bringing the latest technology to Punjab so that the people of this area were given the best possible therapy.  

CMC organized another event for patient

A Free Medical & Dental Health Check-up Camp
Ludhiana, 8th July, 2012: (Shalu Arora and Rector Kathuria) 

A  Comprehensive Free Medical Health Check-up Camp was organized at Sirish Hospital/CMC City Center,(B-XX 1140, Krishna Nagar, Ghumar Mandi), Ludhiana on Sunday, 08th July.  

Specialist Doctors from Christian Medical College and Hospital examined medical and surgical patients; for Skin, Pediatrics (Child Specialist), Ob/Gyn (Problems of ladies), Ophthalmologist (Eye Specialist), Dentist (Problems of Teeth), Ear, Nose and Throat, Orthopedics (Bones and Joints),etc.
The team of doctors, nurses and paramedical staff examined about 300 patients in the camp. This is the first time CMC Hospital has organized a free camp at Sirish Hospital.
Mr Gurprit Bassi (Gogi), Municipal Councilor, Chief Guest for the occasion, inaugurated the camp by cutting the ribbon. He lauded the efforts of CMC and Sirish Hospital for extending free medical check-up service to the community. He wished success for the camp and opined that such medical camps should be held more frequently. The camp was dedicated with a prayer by Rev Rogers.

Dr Sirish Chandra and Dr Baljinder Kaur expressed their gratitude to CMC Doctors for conducting this camp and for providing expert consultation for the patients.

Dr.A.G.Thomas, Director CMC, mentioned this camp is part of the commitment of CMC to serve the community by providing expert health care.

Also present on the occasion were: Dr Kim Mammen, Dr S C Khosla, Dr Vijay Obed, Mr Ashley Isaih. 

Appeal to help 7 year old Nagma

Help Nagma for successful stem cell transplantation 
Ludhiana, 15th June, 2012 (Shalu Arora and Rector Kathuria) 7 year old Ms Nagma (Hospital No: -C-7372377) is diagnosed to have severe Aplastic Anemia, a disease in which all her blood cells stop their production from the bone marrow. Patients with aplastic anemia require multiple blood transfusions and may have life threatening infections and bleeding as the cells to protect the body from these are absent.

            Her only hope for cure is Haematopoietic stem cell transplant with cure rate of 80-90 % is done at the right time. She is fortunate to find a full house HLA match in her younger sister. The estimated expense of a stem cell transplant is approximately cost Rs. 8 to 10 Lakhs. Her father is a truck driver and is unable to meet the daily needs let alone bear the cost of transplant.
Parents who have 3 daughters is keen to proceed with the treatment of their eldest daughter. Christian Medical College is providing free bed charges and is arranging some free facilities and medication. However, the added expenses need to be met. This is a request to all the well wishers to donate for this young girl and give her a second chance to live. If any one is willing to contribute for the same please contact Clinical haematology office – 0161-5037957 (cmcbmt@gmail.com) or All drafts/Cheque may be taken in favour of “Christian Medical College Ludhiana, Society” and please write  Nagma - C-7372377 at the back of the cheque.  All your contributions would be acknowledged.

Early intervention for optimal treatment of squint

Every case of squint can lead to loss of stereo vision
Ludhiana, 2nd May, 2011(Shalu Arora and Rector Kathuria) Generally squint is considered important only from the cosmetic point of view. It is true that deviated eyes do not look good on a person’s face. Added to this is the psychological and emotional distress. However this is not the only deficit caused by squint, says Dr Satish Thomas, pediatric ophthalmologist and squint specialist at Christian Medical College & Hospital, Ludhiana. It can cause decreased vision because of amblyopia if the squint is in one eye. In addition, every case of squint can lead to loss of stereo vision or 3 dimensional vision.  We can have 3D vision only when both the eyes function simultaneously. Children with squint suppress image from one eye in order to avoid double vision, but in the process lose 3D vision.

Squint is best corrected as early as possible after its onset. This is because 3D vision can only be restored if eyes are realigned within about a year of onset, which is before 2 years of age. Amblyopia or lazy eye can only be treated before 7 or 8 years of age. If squint is to be operated only for cosmetic purposes, then timing of surgery does not matter as much. A surgeon can operate and correct squint at any age, but unless it is done very early in life, the patient cannot obtain any binocular vision and 3D perception ability. This is a very important criterion for many professions and careers like sports, surgery, becoming a pilot etc. It is extremely important even for most simple activities like threading a needle. Unfortunately many patients who come to us late have been advised by many doctors that they have to wait until they get older to have squint operated. Most squints do not improve with time and if we wait in the hope of spontaneous improvement, everything will be lost except a chance of straight eyes.
Dr Satish Thomas says that for the last 7 years, ever since he returned from doing fellowship in pediatric ophthalmology and squint from Sankara Nethralaya in Chennai, he has been earnestly campaigning for early treatment of squint. It is encouraging that over the last few years more and more patients are coming in earlier for treatment. In the last year Dr. Thomas said that he has seen close to 100 new children with squint in the hospital who have been appropriately treated. Twenty of them have been operated upon and many of them have been corrected with appropriate spectacles and occlusion therapy. However, the number of adults coming in with congenital squints is also on the rise. During the last year about 50 adult patients underwent surgery for squint which they had from childhood. This is a reflection of the society’s understanding of the disease which needs to change. Almost all the varieties of primary squint originate in childhood and need to be operated early in life for maximum benefits. 

An appeal from CMC Ludhiana

A 15 year old girl waiting your helping hand 
Ms. Diksha d/o Late Sh. Des Raj (Hosp No: C-7366016) is a 15 year old girl from Himachal Pradesh studying in class IX. She came to CMCH in March 2012 with painful swelling of her right leg. Her investigations confirmed the diagnosis of Osteogenic Sarcoma – a type of bone cancer. This is an aggressive type of cancer but has not spread to the rest of her body. She has a high chance of cure if she completes chemotherapy and surgery. Some patients with this disease may also require Radiotherapy after surgery. The approximate expenditure for the same is Rs 2 lakh over the next 3 months. Her father passed away and she is being cared for by her mother on a pension of Rs 3000/month. 

The patient and her family are very keen for treatment and her relatives are also supporting the family in seeking treatment. She has already received 2 cycles of chemotherapy with good response in the tumour. She is currently admitted in CMC Hospital for managing low blood counts and infection which can happen due to chemotherapy. It would be a great help to the family if any financial assistance can be provided both to deal with the current crisis and to help pay for her definitive treatment. The Medical Oncology Unit at CMCH is providing some of her medicines and chemotherapy drugs at subsidized rates. However, the added expenses need to be met to enable this young girl and the family to get her back to normal life without cancer. 

We appeal to the people of Ludhiana to please come forward and help the family. If anyone is willing to contribute for the same, please contact CMC Medical Oncology helpline numbers – 09780005333/09915851194 or (cmc.oncology@yahoo.com) or Miss. Amarjit, Publicity Manager Ph: 9888588840. Donations can be deposited in the patient’s name in the form of cheque/DD in favour of “CMC Ludhiana Society”. Cash payments will also be accepted at our accounts/billing section. Donors will be eligible for tax exemption.  Shalu Arora and Rector Kathuria

Loving care of five daughters proved as a miracle

CMC Saved a woman suffering from massive blood lots

In a  happy mood Mrs Amrit Kaur and family with Dr Harinder Singh Bedi

Ludhiana, 6th April, 2012 (Shalu Arora and Rector Kathuria) Mrs Amrit Kaur–a 65 year old lady - W/o S. Gurcharan Singh of Janakpuri was in a serious condition. She had developed a large clot in her left leg which was in imminent danger of getting loose and blocking her lungs. She was seen in the Emergency by Dr Harinder Singh Bedi – head of Cardio Vascular Endovascular & Thoracic Surgery at the Christian Medical College & Hospital in Ludhiana. On examination and investigation Dr Bedi found that she already had previous episodes of pulmonary embolism. As it is – she suffered from a lung disease called Interstitial Pulmonary Fibrosis for which she was already under treatment. Her lung functions were very low because of the ILD and any further pulmonary embolism would have been potentially fatal. After a thorough check up she underwent a new procedure called catheter directed thrombolysis (CDT) with a strong blood thinner – tissue plasminogen activator (TPA) . Dr Bedi explained that this clot buster is given directly into the clot so that it can dissolve the clot faster. As she already had pulmonary embolism so before the therapy – a filter called IVC filter was placed in her vein to trap any small clots and prevent them from entering the lungs. The CMC & H is one of the few centres doing endovascular surgery . Dr Bedi is trained in this specialized advanced therapy and holds Limca Book World Record on a different form of vascular surgery too .
According to Dr Bedi, chronic venous disease is quite common in India as most of our population works in the standing position, leading to pressure on the veins which dilate. It is estimated that over a lakh die due to venous disease (DVT and PE) each year is the equivalent of the disappearance of a city the size of Cambridge, Massachusetts, USA. Dr Bedi told that the Obese and elderly are at greater risk of DVT while women who take birth-control pills are 10 times more likely to develop blood clots . Long distance flights are another risk factor. Those taking multiple flights over a short period of time are also at a higher risk. This is because the risk of DVT does not go away completely after a flight is over, and the risk remains elevated for about four weeks. It is interesting to note that the famous tennis player – Serena Williams - suffered from the same condition some time back. Even the research of World Health Organisation on DVT shows that the risk of developing venous thromboembolism (VTE) doubles after travel lasting for over two hours. The study of the WHO Research Into Global Hazards of Travel (WRIGHT) project, which was conducted by scientists from Britain, Switzerland and Netherlands, said the risk of developing blood clots during any form of travel longer than four hours was one case for every 15 fully-booked jumbo jets.
The symptoms of DVT include pain or cramp in the calves and swelling of the leg.
DVT and PE are often silent conditions – they can occur suddenly and without symptoms. Pulmonary embolism has a very rapid and deadly progress unless detected and treated in time.
The month of March has been allocated as the DVT Awareness Month in memory of Mr David Bloom – a NBC reporter in Iraq who died of DVT. His widow Melanie Bloom has started the Coalition for Prevention of DVT. The Vascular Society of India and the Venous Association of India - of which Dr Bedi is an integral part - have been very active in this regard.
Mrs Amrit Kaur is now well – her leg is back to normal. The other members of the Heart team are Dr A Joseph, Dr S Garg, Dr Melchi, Dr Paul, Dr Deepak, Dr Vaishu, Dr Sarah and Dr Amrutha. Dr Avinash Kumar – Asst Prof Radiology – helped with the Radiology part of the therapy.
Dr Bedi was especially impressed with the loving care given to Mrs Amrit Kaur by her husband and 5 daughters . Both Mrs Amrit Kaur and Sardar Gurcharan Singh were of the firm opinion that daughters are as good or even better than sons.
Dr AG Thomas – Director of CMC - told that CMC was one of the very few Institutes in the region dealing with the successful management of this disease entity.

Population based stroke registry survey

Objective of the study is to find the burden of stroke
Ludhiana, 14th March, 2012 (Shalu Arora and Rector Kathuria)

Photo courtesy: Lourdes

The department of neurology at Christian Medical College is conducting a “Population based stroke registry survey” sponsored by the Indian Council of Medical Research (ICMR). This is a unique project being conducted in the country only in the city of Ludhiana under the HOD, Depttof Neurology, CMC&H. The burst of development, evolving socioeconomic status and wealth in the city has led to change in lifestyle, increased stress affecting the health of residents. The risk factors like hypertension, diabetes, heart diseases, alcohol consumption etc lead to stroke in the form of brain attack, paralysis, brain hemorrhage. In this national program, information about all the first stroke patients that occur in Ludhiana city, is being collected from August 16th 2010 onwards.

The objective of the study is to find the burden of stroke, stroke types and risk factors for stroke in Ludhiana city. The data collection is done from city birth and death division, selected health care institutions and scan centers.

The Deptt of neurology, CMC offers free check-up and blood test to stroke patients whose information could not be collected because, due to some reason, they received treatment outside of Ludhiana. The stroke should have occurred after August 16th 2010 and should be a first stroke with patient being above 18years of age. To seek appointment regarding the same you can contact Dr.Jeyaraj D.Pandian at 9915784750; Dr.Shweta Jain:9855334242; Ms.Gagandeep mehmi:7837743961; Mr.Amber sharma:7696575767. 

Therapist Uses Art to Help Troops Heal

The center provides treatment, recovery, rehabilitation and...
By Terri Moon Cronk
American Forces Press Service

Creative arts therapist Melissa Walker offers a wealth of supplies to service members to complete their art projects in the Healing Arts Program at the National Intrepid Center of Excellence at Walter Reed National Military Medical Center in Bethesda, Md. Walker developed her program to help those with psychological health issues and traumatic brain injuries. DOD photo by Terri Moon Cronk 

BETHESDA, Md., March 8, 2012 - An art therapist is using the power of creativity to help service members heal from traumatic brain injuries and psychological health issues, including post-traumatic stress disorder.

Melissa Walker designed the Healing Arts Program at the National Intrepid Center of Excellence on the campus of the Walter Reed National Military Medical Center here. She is the program's sole art therapist, and also serves as its coordinator. The program aims to help the recovering service members find a creative haven where their buried post-war thoughts and emotions can come to the surface through art and therapy.
With gentle encouragement from Walker, active-duty troops create their way to healing. By working on their art projects in a personal manner, they confront the circumstances of their injuries and begin to overcome the uncertainty they might feel, she said.

"What's bothering them runs the gamut of that moment in time: ... the frozen trauma, the frozen memory. They can't seem to shake what they've internalized," Walker said.

Service members with psychological health issues and traumatic brain injuries create an endless variety of designs on papier-mache masks to help them clarify their thoughts and sense of self, art therapist Melissa Walker said. Their designs vary from their war experiences to picturing themselves as healing while undergoing treatment at the National Intrepid Center of Excellence at Walter Reed National Military Medical Center in Bethesda, Md. DOD photo by Terri Moon Cronk.Download screen-resolution                                    Download high-resolution

The center provides treatment, recovery, rehabilitation and, sometimes, reintegration to active duty for service members who have psychological health issues and traumatic brain injury. All have mild to moderate post-traumatic stress disorder, and most also have had some kind of head injury from exposure to a blast injury or fall, Walker said.

When these service members come to the center, they're often in a confused place, and some experience a loss of identity. Those who want to return to duty have a difficult time because they're passionate about their jobs, and those who will rejoin the civilian world wonder what they'll face, she said.

"They need to realize, 'It's time to take care of myself,'" she said.

Art therapy is one element of the center's interdisciplinary treatment. Walker, who designed the Healing Arts Program when the center opened two years ago, said creating art slows down the brain so people can focus and improve their cognitive skills and hand-eye coordination.

Walker's interest in the effects of war on troops stems from childhood memories of her grandfather returning from military service in Korea with what she now believes was post-traumatic stress. But, she said, "there wasn't a name for it then." White House, Defense Department and Veterans Affairs officials have made traumatic brain injury and post-traumatic stress treatment and prevention a top priority during the past decade of war.

By their third week in the Healing Arts Program, Melissa Walker assigns service members montages to design that signify their experiences at the center and characteristics they see in themselves. One wrote a poem in a creative writing class and incorporated it into his montage, which Walker said brought him "full circle." The art therapy program is a four-week piece of the treatment plan at the National Intrepid Center of Excellence at Walter Reed National Military Medical Center in Bethesda, Md., for those with psychological health issues and traumatic brain injuries from their service in Iraq and Afghanistan. DOD photo by Terri Moon Cronk.
Download screen-resolution                                          Download high-resolution
  

Walker begins her treatment by meeting the service members one-on-one so she can get to know them and their goals while they are at the center. This also helps her meet the art therapy needs of each small group of about five people, she said. She has the service members design a mask, a montage and a postcard in any design with any materials they want, from magazine clippings to beads and paint. Most of their artistic creations, she said, reflect their inner thoughts concerning deployment, their injuries, various war experiences, and their futures.

Since the start of the wars in Iraq and Afghanistan, military officials have recognized family members' needs for support, and Walker's Healing Arts Program is no exception. One night a week, family members come to Walker's family class to do the same projects as the service members, to give this group of caregivers a break and a chance to "breathe," Walker said.

Service members' mask designs vary, she said, recalling a service member who divided his mask into the halves of two faces, depicting how he saw himself as both a civilian and a member of the military. The split-self has to do with identity, she said. Some who still have war images in their minds might design a scene of the injuries they and their fellow troops suffered.

The groups discuss their mask creations and what they mean. Walker said these discussions bring up personal and symbolic experiences. Sharing and discussing artwork establishes a sense of community and bonding with one another, which is particularly helpful to those with post-traumatic stress who tend to isolate themselves and don't trust others, she said.

"Some feel a lot has been lifted off their shoulders," she said of the group discussions. "Some will share things they never have before and feel validated. They realize they aren't alone."

Walker said the service members with psychological health issues and traumatic brain injury have "layers and layers of complications." In a similar manner, the montages they design often reflect the past, present and future of who they are, which helps them clarify their sense of self, Walker said.

The art therapist described the montage of another student who created a representation of himself in three stages: gradually coming from the dark side of war, opening a door labeled "NICoE," and stepping into brightness to depict healing, she said.

Walker's goal at the final week's commencement is to leave each
service member in "a forward-thinking mode," by asking them to design a postcard with a "positive" hand-scribed note for one of the center's recent graduates.

"One wrote, 'Remember what you learned here,'" she said.

Walker said she is confident future studies will bear positive results of art therapy for those with PTSD and TBI. For now, she added, she stands determined to help people confront and cope with their wounds by expression through art.

"I always tell them, 'I'm so glad you're here and taking time for yourself, and the biggest step you've taken is being open to this,'" she said. "That's huge. That's brave."

Related Sites: National Intrepid Center of Excellence Walter Reed National Military Medical Center

Be aware ….Save The Kidney

Kidney diseases are often detected too late

Photo Courtesy: Health Medical 

Awareness of Kidney Diseases is low with many people totally underestimating the vital role our kidneys play, when in fact kidney damage and disease causes serious morbidity for hundreds of thousands of people, and in some cases leads to death. Chronic diseases – that already account for 72% of the total global burden of disease in people over 30 – will increase by 17% over the next decade; much of this in developing countries like India.

Our kidneys remove toxins and excess water from our blood. They also help to control our blood pressure, to produce red blood cells and hormones, and to keep our bones healthy.

There is a close relationship between kidney diseases, diabetes and hypertension. Worldwide, 246 million people suffer from diabetes and the figure is expected to reach 380 million by 2025. Diabetic kidney disease affects a third of people suffering from diabetes.India has about 50 million diabetic patients and diabetes affects the kidneys in 30-40% patients with renal failure related to diabetes accounting for about 20% of patients on dialysis.  Unfortunately, less than half of those people diagnosed with diabetes undergo a simple screening test for kidney disease.

Kidney diseases are often detected too late, when the patient is already in end-stage renal failure and will need either dialysis or transplantation. Worldwide, over 1.5 million people are undergo dialysis or transplantation and this number is forecasted to double within the next 10 years. In India only a small percentage of people can afford dialysis and transplantation.

A simple way to prevent these issues is to tackle the problem at the source, and ensure early diagnosis of kidney damage by systematically screening people diagnosed with diabetes or hypertension. This can be done with simple and inexpensive urine tests. If detected early, damage can be treated with effective therapies. If diagnosed too late, kidney diseases lead to kidney failure, which entails dialysis and transplantation. 

World Kidney Day

Celebrated worldwide onthe second Thursday of March, World Kidney Day offers a crucial, visible opportunity to inform and educate health policy-makers, people who are at highest risk of CKD, and the general public that kidney disease is common, harmful and treatable.

The Department of Nephrology at Christian Medical College, Ludhiana, will be organizing a Kidney Health Camp in the nephrology OPD from 8 - 11 AM on 10^th March, 2012, which will include free registration, nephrology and diet consultation, screening urine and blood tests, health education and awareness promotion.Please feel free to check your kidneys especially if you are diabetic, have high blood pressure, smoke, use regular pain medications, are above 40 years of age or have a close relative with diabetes or kidney disease.

For Further Details Please Contact  Dr.Jasmine Das: 9988345898
by Shalu Arora and Rector Kathuria

The Gift of Life: 21 years later // by Dr Kim Mammen

He discontinued his studies and was bed ridden

Paramjit Singh runs a Karyana and multi-purpose store at Una, Himachel Pradesh, and supports his wife and two children. He has perfect health now and eats normal food considering the illness he suffered during his adolescence, 21 years ago. At the age of 17, in 1990, he was diagnosed to have end stage kidney failure and he was dependent on hemodialysis for his survival. Due to his kidney failure, he discontinued his studies and he was bed ridden for a while. He used to get hemodialysis three times a week at CMCH. Why would fate strike a person in his youthful age of 17? Is this God’s punishment to me and my family? These were the thoughts that went through his mind while he went through the ordeal of hemodialysis for his end stage kidney failure? His father, Rattan Singh, was a Police Officer and he decided to donate his kidney for his son. 27-August-1991 was the long awaited day he dreamt of to receive the “Gift of life” from his father. Parmajit Singh underwent successful kidney transplantation at CMCH. Dr Kim Mammen, Professor & Head, Department of Urology & Renal Transplant Surgeon had performed the renal transplant operation for Paramjit Singh. This was the first ever successful renal transplant surgery performed at CMCH. This was also Dr Kim Mammen’s first renal transplant operation of his career. Recalling the experience of his first renal transplant operation, Dr Mammen confessed that he displayed his best surgical skills in getting the first ever renal transplant operation at CMCH go right and perfect. God’s choicest blessings and a good team-work was the Mantra for the successful operation. The check list he had made for every step of the procedure went right, Dr Mammen confessed 21 years later.

Soon after the kidney transplantation operation, Rattan Singh [Father] was thrilled to know that his donated kidney was working perfectly well on his only son. This was the greatest gift a father could ever give to his son. Rattan Singh recovered well after the operation and he went home six days after the operation. Paramjit Singh was discharged two weeks after the renal transplant operation with normal kidney function. It was a dream come true for Paramjit Singh when he experienced a urine output of more than two liters a day. Before the renal transplant operation, he was passing less than 100 ml of urine in a day and that too with hemodialysis three days a week. Before the operation, he had dreamt to pass urine in good volumes and he was uncertain whether he would fulfill this dream. Paramjit Singh stayed in Ludhiana for a month after the renal transplant operation for getting regular check-ups and blood tests done. A month later, he returned to Una and he started to do part-time education.

Three years after the successful renal transplant operation, Paramjit Singh got married and he now has two children. Paramjit Singh has led a happy married life and his children are excited that their dad is leading a normal life after 21 years of his renal transplant operation. He has had minor ailments and infections which were promptly treated by the CMCH Doctors. Presently Paramjit Singh comes for regular check-ups every two months. Paramjit Singh continues to work as a motivator and promoter for renal transplant surgery and he has proved that this is the only salvation for patients with end stage kidney failure who are totally dependent on hemodialysis. He is indebted to the doctors and nurses of CMCH who looked after him during and after the kidney transplantation operation.

Ever since Paramjit Singh’s successful renal transplant operation in 1991, Dr Kim Mammen has performed more than 500 renal transplant operations both at CMCH and in the UK where he had served as a Consultant Urologist and Renal Transplant Surgeon. Dr Mammen proudly reiterated that the Transplant Team at CMCH had also done Punjab’s first successful cadaver renal transplant in Jan-1997 and the second one in June-2000.

As the world celebrates the “World Kidney Day” Paramjit Singh proudly said “I am a true beneficiary of the Gift of Life by kidney donation and I am now cured of the end stage kidney disease. I was once destined to die but now, I am determined to live. Thank you kidney transplantation and thank you CMCH for the gift of life.” {Issued on:Dated: 07-Mar-2012}

Compiled by Dr Kim Mammen, 
Professor & Head, Department of Urology, 
Renal Transplant Surgeon, 
Christian Medical College Hospital, Ludhiana. 

Reacting to PM’s nod on public health services

This is still far below the WHO recommendations: IDPD

                                            Dr. Arun Mitra, Dr. L. S. Chawla and others at a press conference in Ludhiana (File photo)

While welcoming the Prime Minister’s nod to allocate 2.5% of the GDP on public health services, the Indian Doctors for Peace and Development (IDPD) has said that this is still far below the WHO recommendations for spending 6% of the GDP on public health services. Dr L S Chawla– President IDPD and Dr Arun Mitra–General Secretary IDPD said in a joint statement that several countries in the world including Sri Lanka are spending this much amount on their health services and it has shown results in their health indicators. In fact the earlier GDP spending in India was only 0.9%. After the NRHM in the last plan it was said that 2-3% would be allocated for public health but in fact only 1.4% was spent that also in a phased manner from 2005 to 2011. Every year 2% of our population goes below poverty line because of out of pocket expenditure on health. Large number of our population has to take loan or shelve their other necessary expenses for healthcare spending even government surveys accepted. A clear cut policy in this regards is needed. The GDP spending should start from 2.5% and increase up to 6%  by the end of the 12th plan.

Urinary Incontinence is curable”

An UK Expert Dr Meena Dass visiting to CMC Hospital

Ludhiana//Feb 6, 2012//
Dr Meena Dass, Consultant Uro-Gynecologist at the Barnsley NHS Hospital Trust, UK, who will be visiting the Department of Urology at CMCH on 08-10 February-2012, in a telephonic interview said that Urinary Incontinence in women is embarrassing but it is treatable. Urinary incontinence means that you can't always control when you urinate. As a result, you wet your clothes most of the time during the day and night. This is embarrassing, but it can always be cured. Urinary incontinence can be caused by many different medical problems, including weak pelvic muscles or diabetes, after repeated child births, obesity and as part of aging in the females. Stress incontinence is when urine leaks because of sudden pressure on your lower abdominal muscles, such as when you cough, laugh, lift something or exercise. Stress incontinence usually occurs when the pelvic muscles are weakened, for example by childbirth or surgery. Stress incontinence is common in women. Surgery can be helpful. It is usually done if other treatment modalities haven't worked or if the incontinence is severe.

Dr Meena Dass described the new surgical technique of “Tension Free Vaginal Tape – Obturator Approach (TVT-O)” and highlighted its advantage over various other surgical procedures for Stress Urinary Incontinence (SIU). Dr Kim Mammen, HOD of Urology, CMCH, emphasized that the TVT-O Technique and use of similar slings, is a minimally invasive procedure for the treatment of patients with Stress Urinary Incontinence (SUI) who do not improve with medications. It improves the quality of life and makes the patients dry.
Dr Meena Dass along with Dr Kim Mammen and the Urology Team including Dr Francis Sridhar Katumalla, Dr Shafiq Ahmed and Dr Amit Tuli will be available to treat patients with Stress Urinary Incontinence. We hope to see many patients coming into our hospital “wet” and going  home “dry”, said Dr Kim Mammen, Professor & Head, Department of Urology, CMCH. Dr Meena Dass will be available for consultation from 08-10 February-2012 at the Department of Urology with prior appointment. The contact telephone for prior appointment: 0161-5026999 Extension: 5026 [Urology Office].
“I was unable to go for any social functions because I was always wet but, now after this surgical procedure, I am absolutely dry and I do not have to wear any pads. I do not smell of urine and I feel more confident of myself” said one of the patients who were recently operated at CMCH Urology Department. Dr Kim Mammen highlighted that the cost of this “Tension Free Vaginal Tape – Obturator Approach (TVT-O)” which is imported is available at a subsidized rate of Rs 20000.00 but for genuinely poor and needy patients few of these Tapes can be made available free of cost through Philanthropists and charitable organizations. Shalu Arora and Rector Kathuria

4th Regional Meeting

The Union Minister for Health and Family Welfare, Shri Ghulam Nabi Azad lighting the lamp to inaugurate the 4th Regional Meeting of South Asian Forum of Health Research, organised by the Indian Council of Medical Research, in New Delhi on February 05, 2012. The Minister of State for External Affairs, Smt. Preneet Kaur and the Secretary, Department of Health Research, Ministry of Health & Family Welfare and Director General, ICMR, Dr. V. M. Katoch are also seen. {PIB photo .....05-February-2012}

Dr. Neeta D Kang has been sanctioned funds

DBT grant for BCRIC to study the early onset of brain tumours

Ludhiana, February 3rd, 2012 (Shalu Arora and Rector Kathuria)

Dr. Neeta D Kang, Head of Innovation at Betty Cowan Research and Innovation Center, Christian Medical College and Hospital, has been sanctioned funds by the Department of Biotechnology (DBT, Govt. of India) to study proteins involved in the early onset of brain tumours. As the Principal Investigator on the project, Dr. Kang said “We were granted funding in 2009 to study cancer stem cells and microRNAs in brain tumors by DBT. MicroRNAs are short non-coding nucleotides of 18 to 22 basepairs in length, which have been found to control many genes in the body. Their deregulation causes diseases. This new grant will help us investigate the early onset of brain tumors from “health cells”. We are hopeful that by studying select proteins that are involved in DNA replication and the levels to which these proteins are deregulated in cancer cells, we would be able to merge these data into our clinical bioinformatics database and develop a predictive model towards ‘personalized medicine’.”

Dr. Kang added, “Many times, in vitro and animal model studies do not translate well into clinical trials and fail. We are using patient samples which would give us “real-patient” information and results that are representing the molecular ‘make-up’ of the patients’ tumour.”

She is collaborating with Dr. Roma Isaacs, who is the Co-PI (Pathology, CMCH, Ludhiana), Dr. RK Gupta (Radiodiagnosis, Sanjay Gandhi PGI, Lucknow), Dr. Nuzhat Husain (Pathology, RMLIMS, Lucknow), Dr. Yashbir Dewan (Neurosurgery, Fortis Hospital, New Delhi) and Dr. Ramandeep Dang (Neurosurgery, Guru Gobind Singh Medical College, Faridkot). Science is about working in a multidisciplinary collaborative effort. Dr. Kang is very grateful for her collaborators.

Unique Workshop at CMC Ludhiana

To replace animals in medical training discussed by experts

Medical college and other colleges participated in PETA PROJECT 

Ludhiana// January 20, 2012//Shalu Arora and Rector Kathuria

This month, People for the Ethical Treatment of Animals(PETA) India is sponsoring a series of free continuing medical education workshops on alternatives to the use of animals in Bachelor of Medicine and Bachelor of Surgery (MBBS) programmes at numerous Indian medical colleges. The series is the first of its kind in India and workshop at Christian Medical College in Ludhiana was held on Friday January 20, 2012. The series was developed after the adoption of a policy by the Medical Council of India in 2009 that cleared the way for medical schools to end all use of animals in MBBS training. Other schools presenting the professional advancement workshops include All India Institute of Medical Sciences in Delhi, St John's Medical College in Bangalore and Jawaharlal Institute of Post graduate Medical Education and Research in Pondicherry."By relegating the use of animals in training to the history books,India's medical colleges will ensure that students are given the most modern educational tools available", says PETA India Science Policy Adviser Dr Chaitanya Koduri. "Students across the country can now learn life-saving techniques without participating in cruel class room exercises that defy the physicians' Hippocratic Oath to help, heal and save lives."In the US, non-animal medical training curricula have already been adopted in 95 per cent of programmes and are 100 per cent in use in Canada and the UK. Institutions in these countries provide studentswith the latest training methods, including human-patient simulators,supervised clinical practice and interactive computer-aided teachingmodels. Non-animal training methods have repeatedly proved to besuperior to those that use animals.Dr. Kim Mammem, Associate Director, Christian Medical College,Ludhiana inaugurated the workshop and emphasized the role ofalternatives in medical education. Dr. SM Bhatti, Principal, Christian Medical College, Ludhiana welcome all the delegates. Dr. Kulwant Singh, Member, Punjab Medical Council informed that the CME has beenawarded 4 credits hours and is a very good initiative.  Dr. Dinesh Badyal, Professor & Head, Department of Pharmacology and organizing secretary informed that more than 100 delegates from various medical colleges of Punjab and adjoining states attended the workshop and they plan to use these alternatives in their institutes. The workshop featured presentations and demonstrations  by leading medical experts, including John Pawlowski, MD, PhD, Harvard Medical School (US); Dinesh Kumar Badyal, MD, Christian Medical College (Ludhiana, India) and Mohammad Akbarsha, PhD, Bharathidasan University (Tiruchirappalli,India).