ESTD : 1902

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ESTD : 1902DR. KIRITKUMAR C. GADHAVIDR. DHIREN R. MEHTAPresident - AMAHon. Secretary - AMAImm. Past President - DR. MONA P. DESAIVOL. 15JANUARY-2021ISSUE-9ARTICLESBAT for "no-option" patients of heart failure- Vagal Nerve Stimulation (VNS)therapy a new hope!. By Dr. Kamal SharmaDR. DHIREN R. MEHTA'SERVICE TO MANKIND. NOT DESTINATION. BUT WAY OF LIFE'601

27-01-202127-01-2021Message From President's & Hon. Secretary's DeskWe are also thinking for good health of ourmembers. So,we had organized Yoga Shibir for ourmembers at our premises. Dr. Pushpaben Multani is ourusual expert Yoga trainer and teacher. She alwaysplaying her role very sincerely with full dedication.We are receiving supports from all our localDear Members,associations, our members and our fr iends“ WE OFTEN THINK OF CHARITY AS AN ACTION,BUT I THINK OF CHARITY AS A STATE OF THE HEART.”Elaine Dalton.uninterruptedly. We are really lucky and that is why ourYes, we always have thought of Charity but verythfew times thought to do. 15 January is declared asCommunity Day by IMA HQ. And 16th January is deathanniversary of our beloved and passionate leader, lateDr. Ashok Kanodia. So, in his memory we had plannedthcommunity program on 16 January and we havedistributed Blankets to poor and needy people in thesedays of cold. We also had planned Blood Donation Campat three different sites. Reports of both programs aregiven in detail.Friends, we are blessed by God by havingintelligence and richness.We all are able to do very goodwork for the sake of betterment of society. And we shoulddo to set an example for other entrepreneurs also. Weshould lead the society for excellent work.2AMA is rising day by day, shining day and night.We wantto see always newer and newer, higher and higherpeaks.We are always blessed by our all seniors and theyhave always stood up with us. Really nicely said,"EVERY GOOD ACT IS CHARITY. A MAN S TRUEWEALTH HEREAFTER IS THE GOOD THAT HE DOES INTHIS WORLD TO HIS FELLOWS."Thank you.Jay AMAJay IMADr. Kiritkumar C. GadhaviDr. Dhiren R. MehtaPresidentHon. SecretaryAhmedabad Medical AssociationAhmedabad Medical Association3

27-01-202127-01-2021AMA Yoga Shibir6FB Live Webinar on World AIDS Day - 01-12-20206

27-01-202127-01-2021FB Live Webinar on World Disability Day - 03-12-2020Webinar on Westernization of Indian Diet on 20-12-2020Webinar of Senior Citizen Club on 05-12-202066

27-01-202127-01-2021AMA & Shree Pashupatinath Trust Blankets Distribution Programme6AMA & Shree Pashupatinath Trust Blankets Distribution Programme6

27-01-202127-01-2021AMA & Shree Pashupatinath Trust Blankets Distribution Programme6AMA & Shree Pashupatinath Trust Blankets Distribution Programme6

27-01-202127-01-2021AMA Blood Donation Camp at AMA6AMA Blood Donation Camp at AMA6

27-01-202127-01-2021Blood Donation Camp at Gurukul by AMA & KD Hospital6Blood Donation Camp at Gurukul by AMA & KD Hospital6

27-01-202127-01-2021Blood Donation Camp at Gurukul by AMA & KD Hospital6Blood Donation Camp at Gurukul by AMA & KD Hospital6

27-01-202127-01-2021Blood Donation Camp at Maninagar by AMA & MMA6Blood Donation Camp at Maninagar by AMA & MMA6

27-01-202127-01-2021Blood Donation Camp at Maninagar by AMA & MMA6Ladies Club Programme6

27-01-202127-01-2021A.M.A. BULLETIN INDEXContentPage No.AHMEDABAD MEDICAL ASSOCIATION YEAR : 2020-2021OFFICE BEARERHON. SECRETARYDR. MEHTA DHIREN RAMNIKLAL9898854158HON.JOINT. SECRETARYDR. RAO DEEPAK MUKUNDBHAI9825210880DR. SHAH SAHIL NITINKUMAR9428501412HON. LIB.SECRETARYDR. PANCHAL DEVAL DIVYESHKUMAR9725753032IMM. PAST PRESIDENTDR. MONA P. DESAIM. 98250 16769PRESIDENTDR. GADHAVI KIRITKUMAR C.»Message From President's & Hon. Secretary's Desk .2-39998370353»Photos.4-10, 23-34DR. PATEL GARGI MAHESH»Reports of Programmes, Congratulation .13-149824343744»New Life Members .15-169825915464»Obituary .17»IMA Covid Martyrs Fund List.18-20»Article .21-22VICE PRESIDENTDR. SHETH MAULIK SURESHCHANDRAHON. FINANCE SECRETARYDR. CHENWALA SUNIL B.9428405490MANAGING COMMITTEE MEMBERSP.G.»PPS GSB IMA Renewal Notice, Attention .39-42»Ladies Club.43»Article .44-47»Rate for Advertisement in AMA Bulletin .48»Advertisement .49-50OTHER THAN P.G.DR. DESAI RAJESH MOTIBHAITHALTEJ9925193399DR. DHARAIYA NISARG D.ELLISBRIDGE7567200111DR. GUPTA MAHESH G.SABARMATI9825091092DR. NAYAK MANJIT JITENDRABHAI NAVJIAVAN9998227871DR. PARIKH RUTVIJ B.ELLISBRIDGE9427317915DR. PATEL ANKIT M.GHATLODIA9825336688DR. PATEL MAITREYI JITENDRA NARANPURA9979487372DR. PATEL NAITIK B.MANINAGAR9898129475DR. PATEL SMEET S.BODAKDEV7600001519DR. PATEL SUMIT PRAVINBHAI GANDHINAGAR9824223626DR. PATEL YASH D.BODAKDEV9687068399DR. SHAH SUNIL N.NARANPURA9824068716DR. BHANSALI PIYUSH M.ABAWADI8320365392DR. DAVE KALPITA M.MEGHANINAGAR9924558450DR. MOD JAGDISH JTHALTEJ9898672481DR. MOHATTA PRAKASH P.ISANPUR9426355122DR. PANDYA SATISH M.SHAHIBAUG9825956928DR. PATEL HEMANT B.RANIP9879813741DR. PATEL RAMESH ISHWARLALPALDI9426495264DR. PATEL SURESH K.GHATLODIA9824053995DR. PATWARI H. G.BAPUNAGAR9106318533DR. RAVAL SHAILESH DBOPAL9825300296DR. SHAH JAGMOHAN M.RAKHIAL9377403230DR. SHAH JAYESH CHINUBHAI NARANPURA9426274536BULLETIN COMMITTEEDR. MAHADEV DESAIDR. SANJEEV PHATAKDR. MAULIK SHETH11DR. KIRTI SANGHAVIDR. MONABEN DESAIDR. URVESH SHAH12DR. DEVAL PANCHALDR. MANJIT NAYAKDR. VIPUL SHAH, ID

27-01-202127-01-2021Report of Yoga ShibirReport of Blood Donation CampthWe had organized Yoga Shibir as usual in winter15 January is celebrated as Community Day by IMAseason at our premises for good health of our members. ItHQ. In reference to this we had planned Blood Donationwas planned from 14/12/2020, Monday to 23/12/2020,Camp at three different area on 17 January, Sunday. 1) AMAthWednesday. Our Yoga trainer as well as teacher,Dr. Pushpaben Multani had taught all yoga exercises veryHouse, Ahmedabad Medical Association, Ashram Road, 2)Gate no 1, Kankaria Lake, Maninagar in association withManinagar Medical Association, 3) Pranjal Society, Gurukulwell to our members. We are thankful to Dr. Pushpaben forin association with KD Hospital. We have received veryher selfless service to association. All attendees enjoyedgood response from all doctor friends and people. We havevery well. She was felicitated by our President,collected 50 units totally. We are thankful to all partners,Dr. K. C. Gadhavi and Secretary, Dr. Dhiren Mehta on lastManinagar Medical Association and KD Hospital forday of shibir. We are thankful to all doctors who attendedsupporting us and being with us. We are also thankful toRed Cross Society for perfect arrangements. And how canthis program.we forget all donors - doctor friends and members. We wishReport of Blankets Distributionth15 January is celebrated as Community Day by IMAsame response for other programs.CONGRATULATIONSHQ. We have lost our beloved, hardworking and dedicatedleader, Dr Ashok Kanodia on 16th January, 2017. So, in hismemory on his death anniversary, we had organizedBlanket Distribution to very poor and needy people in thiscold season. We had distributed blankets at ShreePashupatinath Temple, Ring road, Odhav on 16th January. Itwas nicely managed by Shree Pashupatinath Temple Trust.We are thankful all Trust, Mr. Mohanbhai and other friendswho had remained present in this social function.13Dr. Jeram ParmarFalicitated by Dahod Collector for his hard workduring Covid-19 as a Dean of Zydus Medical College &Hospital.14

27-01-202127-01-2021WE WELCOME FOLLOWING NEW LIFE MEMBERS10129 LDR. SHAH MANSI MOHITBHAI10104 LCDR. PATEL ARPITKUMAR HARSHADBHAI10130 LCDR. PATHAK KETUL KANUBHAI10105 LCDR. PATEL GRISHMA JAYESHKUMAR10131 LCDR. PARIKH NEHA PARIMAL10106 LDR. SHAH AALAP MITESHBHAI10132 LCDR. VANZARA SAURABH SURESH10107 LDR. RAVAL DHIRENKUMAR NARMADASHANKAR10133 LCDR.VANZARA ANKITA SAURABH10108 LDR. BHALLA SIMRAN RAMNIKSINGH10134 LDR. PATEL KALPESHKUMAR CHANDULAL10109 LDR. AKHUNJI WASEA SAHIL10135 LCDR. PATEL NIKHILKUMAR JAGDISHBHAI10110 LDR. DADHANIYA NIKUNJKUMAR VALLABHDAS10136 LCDR. PATEL RAKSHABEN NIKHILKUMAR10111 LDR. SHAH SAMARTH PRAVINCHANDRA10137 LDR. MASHRU PARTH DHARMESH10112 LCDR. SHAH ANKIT NAYANBHAI10138 LCDR. MISTRY RUTVIZ RAJENDRA10113 LCDR. RUJUTA ANKIT SHAH10139 LCDR. MODH RUTU NIRANJANKUMAR10114 LDR. PATEL HARSHIL KAMLESHBHAI10140 LDR. MODI PRATIK ARVINDKUMAR10115 LDR. VAISHNAV ANKIT JITINBHAI10141 LDR. SINGH PALLAVI ANUP10116 LCDR. MAKWANA VIPUL RATILAL10142 LDR. JANGID KAPILKUMAR SANVERMAL10117 LCDR. MALHOTRA KUNDANBEN RAMANBHAI10143 LDR. CHAUHAN HINA DASHRATHBHAI10118 LDR. PATEL DHARA DWIJESHKUMAR10144 L(Transfer) DR. PATEL HANSKUMAR JASHBHAI10119 LCDR. PATEL ANSHUL ALPESHKUMAR10145 LCDR. SHAH AJAY MAFATLAL10120 LCDR. PATEL NISHTHA ANSHUL10146 LCDR. PANCHAL ANOLI ARUNBHAI10121 LCDR. KOTADIA BHARGAV JITENDRAKUMAR10147 LCDR. PATEL UTKARSH ARVINDBHAI10122 LCDR. KANISHA BHARGAV KOTADIA10148 LCDR. DUBEY ABHA SHRINIWAS10123 LDR. JAIN SANGEET SURESH10149 LDR. MODI VIJAL BHADRIKBHAI10124 L(Transfer) DR. MASHHADI SAIYADA MAHPAEKAR TAMIZUDDIN10150 LDR. SONPURA YAKSH SHAILESHKUMAR10125 LDR. SHAH DEEP MANISHBHAI10151 LDR. PATEL BHAVINKUMAR JAYANTIBHAI10126 LDR. CHAITI JAYESH GANDHI10152 LDR. SHAH VAISHAL SANJAYBHAI10127 LDR. THANKI CHINTAN NARENDRABHAI10153 LCDR. PATEL JIL PINAKINBHAI10128 LDR. PATEL KRISHNA ANIL10154 LCDR. SENJALIYA ANKITABEN RAMESHBHAI1516

27-01-202127-01-2021OBITUARYWe send our sympathy & condolence to the bereaved family.May their soul rest in eternal peace.DR. PRATAP N. MEHTAL-439DPM, DIP, PSYCH (MEGI)Date of Birth : 26-11-1926Date of Death : 16-12-2020DR. NAGINDAS H. VORAL-1293L.M.P.Date of Birth : 08-10-1937Date of Death : 29-12-20201718

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27-01-202127-01-2021"STRONG WOMEN EMPOWER EACHOTHER"AttentionPayment of more than Rs. 500/- will bereceived by cheque or transfer only, not byCASH now onwards.Please cooperate us and sorry forinconvenience.4243

27-01-202127-01-2021BAT for “no-option" patients of heart failureVagal Nerve Stimulation(VNS)therapy a new hope!-Dr. Kamal SharmaMD,DNB(MED);DM( Cardio);DNB(Cardio) ; MNAMS; FACC; FSCAI; FESCPrinciple investigator ANTHEM, ENCORE AND ENCOREextended Studies and did world’s first Vagal Nervestimulation (VNS) device in refractory heart failureinhibitors and ARB (angiotesin receptor blockers). Lastdecade saw emergence of ARNI ( Angiotensin receptornelprysin inhibitors ) emerge as mortality altering therapy.PARADIGM-HF trial subgroup analysis showed that ARNIadded on an average 2 years of survival benefit in patentsreceiving Valsartan-sacubitrilcombination on top ofstandard care.Ivabradine also has shown benefits inpatients with higher resting heart rate in patients with heartfailure. Of late, SGLT2-inhibitors have shown reductionHeart failure is often defined as inability of heart tomeet the demands of blood supply to the body or to do sowith difficulty. This has recently been further categorised asHeart Failure with reduced ejection fraction (HFrEF withLVEF 40%), heart failure with mid- range ejection fraction(HFmrEF 40-50%) and Heart failure with preserved ejectionfraction ( HFpEFwith LVEF 50%).across the class even in non-diabetic patients in heartfailure hospitalization.Device therapy had started showing promisingresults by the turn of this century with CRT( CardiacResynchronisation Therapy showing promising results inpatients with wide QRS ( LBBB 120ms and RBBB 150 ms) .AICD (Automated implantable cardiac defibrillator) alsoApart from functional capacity determining NYHA(New York Heart Association) classification, staging of heartfailure by ACC( American College of Cardiology)categories anyone with risk factors of heart failure as stageA even without any structural damage. This makes nearlymore than a quarter of adult population at risk for heartfailure.used in patients with neurological disorders like majorManagement and prognosis of heart failure hasdepression and epilepsy. In these patients, the pacemakerevolved recently at a pace unparalleled in past. Apart fromimpulses are directed towards brain. Apart from heart ratediuretics and digitalis used for heart failure for almost aregulation, paracrine and anti-inflammatory pathways hascentury now, beta blockers and afterload reductionbeen long postulated to have beneficial effects in hearttherapies have found their place recently in form of ACEfailure.44showed promise esp in ischemic severe LV Dysfunctionabeyond 40 days. However, this still left many of the heartfailure patients ineligible for device therapy even if theywere symptomatic despite optimal medical therapy.Vagal Nerve stimulation (VNS) has been classically45

27-01-202127-01-2021ANTHEM was the first ever study to evaluatePatients in NYHA class II-III with EF 40% (n 60)cyberonics made VNS implantation done across 10 centresreceived VNS 6 months post-titration. It showedwith the author doing the world’s first implant in aimprovement in left ventricular (LV) function and HFrefractory heart failure male patient. The results weresymptoms at 6 and 12 months.published for the same their long term follow up wascontinued as part of ENCORE study.VNS is done using a small pacemaker implantationdone in chest with lead tunneled through to neck toconnect it with vagus nerve and provides Continuouscyclic VNS. Echocardiographic parameters and HFsymptoms were assessed throughout a follow-up period ofat least 42 months. At 42 months, there was significantimprovement from baseline in LVEF, NYHA class, 6-minwalk distance, and MLHFQ score. However, theseimprovements at 42 months were not significantly differentfrom mean values at 6 and 12 months.Another study BeAT‑HF with Barostim‑NEO device done inmulticentric fashion for Baroreceptor autonomic therapy(BAT)found improvement in LVEF,quality of life and alsoChronic VNS is associated with improvement incardiac function and HF symptoms with more than 42months of follow-up. T here were no device-related SAEs ormalfunctions during extended follow-up andsignificant improvement in cardiac function andHF symptoms paving way for further evaluationin a randomized, controlled, pivotal study.46reduction in NT‑PROBNP as measured on follow‑up.This has paved way for approval for this device in future forrefractory heart failure in patients not eligible for CRT dueto narrow QRS and are in class 3 or 4 despiteoptimalmedical therapy.This therapy though yet to become commercially availablein many parts of the world is the new hope for patients of47

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