CME on liver transplantation held

May 24, 2013
Mangalore, May 24: Mangaluru branch of Indian Medical Association (IMA) jointly with Institute for Liver, Pancreatic Diseases & Transplantation, BGS Global Hospital, Bangalore conducted a Continuing Medical Education (CME) programme on ‘Liver Transplantation’ recently at Dr. A. V. Rao Conference Hall, IMA House, Attavar, Mangalore.

A team of Liver Transplantation experts from BGS Global Hospital led by Dr. Kaiser Raja, Head of the Department of Hepatology and Gastroenterology and comprising Dr. Mathew Jacob, Senior Consultant, Hepatobiliary and Transplantation Surgery and Dr. V. Arun, Senior Consultant, Pain Medicine were the speakers for the Scientific Programme.

Dr. Kaiser Raja addressed the doctors regarding ‘Optimal Timing and Selection of Candidates for Liver Transplantation’. Indentifying Alcoholic Liver Disease, Chronic Hepatitis B (HBV), Chronic Hepatitis C (HCV) and Fatty Liver as the most common culprits for liver damage, he enlightened the doctors about various facts regarding liver transplantation.

“In India, alcoholics are the most common patients for liver transplantation accounting for about 42 per cent of the transplants. The other patients are HBV (9%), HCV (5%), and Liver Cancer (10%),” he said,

Dr. V. Arun spoke on ‘Anesthetic Challenges in Liver Transplantation’. “Liver disease is the ninth commonest reason for death in India,” he said, “The liver is a unique organ of the body as it is the only body part which can regenerate even if 70% of its volume is removed and just 30% is left.” He introduced the concept of Integrated Liver Care, whereby a specialized multidisciplinary team of doctors and professionals drawn from various streams provide the comprehensive treatment under one roof. Touching upon critical care requirements, he also explained the concept of specialized Liver ICU. “Mortality was 20% in the 70’s, now it is less than 3%”, he said.

Dr. Mathew Jacob spoke on ‘Liver Transplantation and HpB Surgery – Towards Integrated Care’. “Today liver transplant is an established mode of treatment. It is completely safe and is a good way to survive with good quality of life,” he said, “The patient can expect to live a normal life within six months to one year of the transplant.”

He explained that liver transplant can be performed from two sources: from cadaveric donors and live donors. In cadaveric donors, the liver is harvested once it is ascertained that the person is brain dead and the legal, medical and ethical formalities are completed. “Cadaveric donors are the ideal donors for liver transplant. In the West, almost 90-95% of the transplants are from this source. In India, due to the scarcity of cadaveric donors, we are dependent on live donors to the extent of 80%. This situation should change gradually as there are many agencies and NGOs promoting liver donation in a big way,” he said.

Later answering various questions from the doctors, the panel of speakers explained that Liver Transplantation calls for integrated care and at present there are only 6 or 7 centres in India which do over 50 liver transplants per year.

They urged that organ donation should be encouraged and promoted so that more transplants can be performed from cadaveric donors. This can be achieved with greater awareness. It is important that those who want to sign up as cadaveric donors should discuss the matter with their families as they will be the ones who have to take the call, they said.

It was also clarified that, unlike in kidney transplantation, transplant rejection is not a big issue in liver transplantation. “About 10% of the patients may require treatment and the good news is that it is completely treatable.”

The meeting concluded with presentation of mementoes to the speakers by Dr. Jerome Pinto. Prizes were given to the winners of collage contest held concurrently at the venue for the children of IMA members. The theme for the collage contest was ‘Mother’s Day’.

Dr. Animesh Jain, IMA Treasurer proposed the vote of thanks. Earlier, IMA President Dr. M. Manjunath Shenoy welcomed the gathering. Dr Nithish M. Bhandary, IMA Secretary gave a report of the month’s activities.

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News Network
April 6,2020

Bengaluru, Apr 6: Popular Kannada comedy actor Prakash, popularly known as Bullet Prakash in the film industry, died due to multi-organ failure at a private hospital in the City on Monday.

He was 44.

He is survived by wife, one son and a daughter.

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News Network
April 3,2020

Bengaluru, April 3: Central Crime Branch (CCB) Bengaluru has arrested two persons for allegedly possessing illicit liquor.

The probe team also allegedly seized bottles worth Rs 1.25 lakhs from their possession on Thursday.

A case has been registered against the accused and investigation into the matter is underway, Sandeep Patil, Joint Commissioner of Police informed news agency.

More details in this regard are awaited.

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News Network
June 17,2020

New Delhi, Jun 17: A class 12 student, aspiring to study medicine, has taken up the job of handling bodies of COVID-19 victims to provide for his siblings’ school fees and his mother’s treatment.

Chand Mohammad's mother suffers from a thyroid disorder and needs her medicines urgently, but the family does not have the means for the treatment.

“We are barely making our ends meet since my elder brother lost his job at a merchandise store in Krishna Nagar market during the lockdown,” the 20-year-old from Seelampur in Northeast Delhi says.

His family has been surviving on ration provided by neighbours and whatever little Chand’s brothers could earn doing odd jobs.

A week ago, Chand joined a company which deployed him as a sweeper at the Lok Nayak Jai Prakash Narayan Hospital here. The job requires him to handle bodies of those dying of coronavirus. The shift runs from 12 noon to 8 pm.

“I took the job after I exhausted all my options to find work. This is a dangerous job, as I am at a higher risk of contracting the infection, but I need the job.

“Our family, including three sisters, two brothers and parents, is struggling without money. Right now, we need food and medicines for my mother,” Chand says.

“Kayin din ghar me khana ek hi baar bana (On many days, we cooked food only once). There is a possibility that we may survive the virus, but we cannot escape hunger,” he says.

Chand says his three sisters are in school. He, a class 12 student himself, is yet to pay the school fee.

“Paisa chahiye padhai ke liye (you need money to study),” he says.

Chand hopes that his first salary will set things right to a certain extent.

“I offer ‘namaz’ before I step out of home for work. I have faith in the almighty. He will take care of me and show me the way,” Chand, who wants to study medicine, says.

But what bothers the youngster is that employees like him who are into high-risk jobs do not get any insurance from the private companies employing them.

“The most dangerous job in the world right now (handling bodies of COVID-19 patients) pays around Rs 17,000 per month,” he sighs.

Every day, Chand handles around two to three bodies along with another sweeper.

“We are required to put the bodies inside the ambulance, take it to the crematorium and put it down on a stretcher once we reach the crematorium,” he says.

“And, you have to do all this wearing the personal protection equipment (PPE), which is very heavy. It limits movement and suffocates a person. In this heat, you end up bathing in your own sweat,” he says.

On Tuesday evening, Chand handled a body on his own.

“I had no help. So, it took me some time, I was gasping for breath at the end,” he says.

"I heard a doctor saying the body had been lying in the mortuary for a month and that nobody claimed it. The person who packed it did not do his job properly. When I tried taking it down from the ambulance, the cover came off and some liquid spilled on my thighs," he says.

Desperate to get some money, Chand says he has approached people giving money on low interest rates.

"I took my Aadhaar card and voter identity card, hoping to get some money on low interest rates," he says.

Chand’s family is worried about his safety, but they are also aware that this is the only way for them to survive at present.

“My parents inquire about my work daily. They pray for my safety. My mother cries a lot, but I make her understand,” he says.

Chand adds he takes a bath as soon as he reaches home and keeps a distance from his family members.

“I have been taking all precautions, but we may never know what would happen. For now, I want some help so that the family remains afloat,” he says.

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Angry Indian
 - 
Sunday, 5 Jul 2020

Very heart touching reality..YA Allah save him from covid and protect and finance his family for life long...

 

hats off to this boy coutage

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