For private circulation only September 2016

Medical Practitioners Association E BULLETIN

NEWSLETTER OF MPA, PALGHAR TALUKA

Upcoming Events

सवेर् भवन्तु सुिखनः सवेर् सन्त ुिनरामयाः ।

Editorial

Sunday 4th August 2016

1st CME

September

Monsoon Picnic Dates TBA

2nd October

MPA Dandiya

Today is the era of electronic media. We the working committee members of MPA have decided to go paper free and this is our first step towards our goal. From this year onwards instead of releasing the regular MPA BULLETIN we will have an E BULLETIN. I am sure by taking this step we will certainly help in saving paper. We, humans have invented technology, so let's make full use of it and save our environment before we have depleted mother nature of her natural resources. I also take this opportunity to invite members to contribute their articles, case presentations or any interesting write-ups for our E Bulletin.

Dr Atul Vartak

Editor & Website/ Bulletin Chairman

MPA

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September 2016

First aid regarding chemical burns

Dr Parag Kulkarni

Surgeon & Burns Care, Ashirwad Clinic

Boisar 401501 Tarapur, India

Consultant Surgeon & Burns Care,

Thunga Hospital Tarapur MIDC,

Tarapur, India

Article selected from the poster The Study On Chemical Burns First Aid that received Best poster presentation award at the Scandinavian Congress of Plastic Surgeons (SCAPLAS)

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September 2016

Introduction

Clinic is the main reference in case of chemical accidents in industries around us. We have 28 years of experience in chemical burns, about 200 cases per year. Burns treated are due to various corrosives from industries. pH remains most of the time corrosive when patients get to the clinic despite 15 minutes safety shower rinsing with water. Treatment with water has limitations. How to improve?

Materials and methods

A polyvalent hypertonic amphoteric first-aid solution stopping corrosive reactions, Diphoterine® solution, registered as a medical device in India was introduced at the hospital after one accident due to bromine splash in a known factory. The present study compares the results obtained from different first aid managements. During a 10 months period, chemical burns were registered. Water was used by the patient himself within the first 10 minutes after exposure on site.

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September 2016

Results

The polyvalent solution was used 20 minutes after exposure upon arrival at the clinic. When both rinsing solutions were used, water was used within 10 minutes after exposure and the polyvalent solution after 30 minutes. The clinic situated only 10 minutes away from the industrial area, some patients came to the clinic without first rinsing with water at the accident site. Statistical analysis was performed following large or small samples according to the population (Ref. Schwartz D).

During the 10 months study, we registered 110 cases of chemical burns in industries. 100% of the patients are men.

On arrival at hospital ( acetic acid splash in left eye )

45 minutes after continued Diphoterine rinsing of eye

12 hours late (almost complete recovery)

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September 2016

71 cases rinsed with water only on site (plant), 31 cases rinsed with Diphoterine® solution only (at the clinic), 8 cases with water first and Diphoterine® solution upon arrival at the clinic. The clinic being situated 10mn away from the industrial area, in 32 cases, patients came to the clinic without first rinsing with water at the accident site. After study duration of 6 months (70 cases), we noticed that some elements could help improve outcome, so they were introduced from December onwards (40 cases):

- Pain factor upon arrival versus pain factor when leaving the clinic (after use of water or Diphoterine® solution),

- Visual acuity upon arrival versus visual acuity when leaving the clinic (after use of water or Diphoterine® solution).

So the comparative study of these 2 criteria added at the end is based on the cases from Dec 2015 till March 2016 (26 for water and 12 for Diphoterine® solution).

There were 62 ocular, 48 dermal splashes. No patient has shown any side-effects / allergic reaction after using polyvalent solution. Work loss and time of recovery were significantly decreased when the polyvalent solution was used compared to water. When measured, pain score was less important for the polyvalent solution and visual acuity was improved.

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September 2016

Conclusion

These clinical preliminary results show that chemical burns classical management can be improved. The number of work-loss days and hospitalization cost when decontaminated with Diphoterine® solution are about a ¼ of the ones with water (p < 0,01). Victims decontaminated with Diphoterine® solution present pain change before/after significantly different from those washed with water (p < 0,001). Visual acuity was also improved (p < 0,0005). Further results will be presented in due time including more patients

Use of social media in medicine

Dr Aniruddh Bhaidkar is a masters in Healthcare Management from the

University of Manchester, UK and Has worked with HPCL, Bhatia hospital amongst other

organizations.

Dr Aniruddh Bhaidkar

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September 2016

Introduction

The advent of social media has revolutionized how the world communicates and stays connected. The real-time flow of information, constant updates and use of smartphones and penetration of the Internet has transformed the means of interpersonal contact to the virtual world.

When it comes to the adaption of innovative practices doctors are typically late majority adapters and view it with a high degree of skepticism and adapt only after a majority of the society has embraced the innovation (Rosen 2013).

Gradually health professionals have more widely begun to adapt to the usage of social media albeit cautiously, to enhance professional networks and improve their understanding of contextual factors influencing public health (George et al 2013).

Scope of social media

Social media are new, extremely powerful tools that foster communication, help in prompt sharing of information, social interaction and real time collaboration. Exchange of information to a target based audience, sharing of data and fast dissemination of information has become extremely easy and widespread. To put things into perspective in 2012, Facebook surpassed a billion users of one seventh of humanity. A growing number of patients use social media as a tool to play a more active role in making their healthcare decisions (George et al 2013).

Social media, offering a public reservoir of information, may serve as a source of patient information to aid clinical care. One report in the literature describes how emergency physicians were able to contact the spouse of an amnestic patient using the popular social networking site Facebook when other traditional sources of information were exhausted. A study of pediatric faculty and trainees found that 14% to 18% of trainees (but no faculty) had conducted an Internet or social media Web site search for information about a patient; 14% of faculty stated they would conduct an Internet search for additional patient information if necessary.

Application of social media in clinical practice

Some physicians also make the deliberate decision to “friend,” or connect, on social networks with their patients to engage patients and seem more approachable. Others have done so with less certainty and have reflected on the complexity of the situation. In a survey of practicing physicians, approximately one third of physicians who use social networking reported receiving a friend request from a patient or a patient’s family member; however only a small minority (5%) had ever extended the friend request themselves.

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September 2016

Social media-savvy practices have set-up closed social media platforms that allow for patients to be actively involved in their own care coordination, to track their clinical progress, and for greater access to their physicians. These have been associated with concierge practices where patients pay an enrollment fee in exchange for availability of appointments when they need them or an instant message chat or cyber-visit with their physician using social media or they may be part of large integrated healthcare systems using Facebook-like profile pages for their doctors.

According to Katherine C. Chretien and Terry Kind in their article Social Media and Clinical Care Ethical, Professional, and Social Implications published in the AHA journals in April 2013

“By transcending geographical boundaries, social media has facilitated extension of clinical care to distant patients. Telemedicine, broadly defined as using telecommunication for patient care, has been around since the 1960s but has only recently experienced rapid growth thanks to new technologies. Systematic reviews of telemedicine have found telemedicine to be feasible, well accepted by patients, and reliable.

Many, including insurance carriers, however, are hopeful that telemedicine may serve to reduce health disparities in rural areas. In a 2011 US survey of practicing physicians, 7% had used video chats to communicate with patients. International medical relief organizations working in remote areas have credited social networking for helping to coordinate complicated medical and logistical demands of their work, including gaining access to international specialists. As telemedicine has grown, so has the use of social media tools to create virtual clinics.

Finally, hospitals have long recognized the power of social media as a tool for marketing and engagement of their patient base. Physician practices are also using Facebook pages, Twitter accounts, and blogs in hopes to grow their practice and earn patient referrals.

In addition, patients can now rate their physicians on any of a multitude of physician rating sites, enabling patients to enter reviews and ratings of their physicians, freely available for anyone to see. Most sites provide some basic information about the physician, such as years in practice and contact information, with some also including training. In a US study, 37% had consulted physician rating sites when gathering information about a specific provider. Chretien and Kind 2013.

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September 2016

Conclusion

Social media has a tremendous potential to help improve healthcare delivery, health communication and health information sharing. Social media can aid in promoting faster exchange of information, better medical care through greater transparency, quality improvement and faster information sharing.

Social media has transformed communication and is now transforming healthcare. Almost all healthcare institutions have some degree of online presence and use the online platform to educate their patients about the services offered, doctors profiles, the infrastructure and other support facilities. Doctors must think of social media as a tool to embrace change and connect better with each other, their patients and the society as a whole.

References

Canadian medical association “Social Media Use” https://www.cma.ca/En/Pages/social-media-use.aspx

“Dangers and opportunities for social media in medicine” J.Clinical Obstet Gynecol

George Et al (2013) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863578/

Rosen (2013) Social Media and Medicine: Challenges and Opportunities, Athena Health

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September 2016

Activities till date

INTERNATIONAL YOGA DAY To mark the 2nd year of International Yoga Day , Yoga camps were organized by MPA members at different places . One such camp was organized by Dr S D Vartak School along with MPA Palghar Taluka and IMA (Indian Medical Association). Another camp was organized by Sundaram School along with doctors of MPA.

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September 2016

MPA SEVA SAPTAH For the very first time MPA conducted a very unique MPA Seva Saptah … A week full of activities like Tree Plantation , Health and Dental Check up Camps , Blood Donation , Oral health and informative talks for students , teachers and senior citizens and many more were successfully completed by the energetic doctors of MPA.

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September 2016

MPA would like to congratulate Mast. Pushkar Jhawar for securing admission in MBBS at Solapur and Mast. Anant Narayan for securing admission in Chemical Engineering in IIT Chennai. Best wishes to both for the future.

Another young rising star Mast Pranav Prashant Koti ,was invited as a jury at the Griffon International Children’s Film Festival which was held in Italy …. One of the largest film festival for children in the world. He was one amongst the 50 children invited as film jurors where they have to give their opinions on films made by adults for kids on different social issues. There he got an opportunity to interact with celebrities, film editors , directors .

Dr Parag Kulkarni’s poster on The Study On Chemical Burns First Aid was presented in Scandinavian Congress of Plastic Surgeons (SCAPLAS) held in Uppsala Sweden in June 2016. The study, poster and presentation received Best poster presentation award and prize of 500 Euros.

Our secretary Dr Umesh Dumpalwar received the prestigious Palghar Bhushan award by the Vikhe Patil pratisthan for his services in the medical profession. Amongst others to receive the same award were Mrs Smita Patil wife od our Past President Dr D.R.Patil and Mr Dhondu Pednekar father of MPA member Dr Akshay Pednekar.

Dr Prakash Gudsoorkar has gone to Switzerland for higher studies in Joint Replacement.

Congratulations and all the best to one and all for their achievements .

Achievers Section

September 2016

President’s Message Dear MPA Members Seasons greetings to all my colleagues. MPA is adopting to newer modalities of communication with ease, we are coming out with E-Bulletin of our association .It is need of hour, that all our members should be acquainted with different modes of communication. Electronic ,paperless communication is a must for each and everyone of us. As our government is also expecting doctors to keep electronic records of patients, and their profession. E Bulletin will help our members to share medical knowledge, to get help ,expert's opinion in matter of seconds . I request members to contribute their articles, interesting case studies and interactive sessions through our website(E-Bulletin). My best wishes to bulletin team and special thanks to Bulletin chairman Dr. Atul Vartak. Hope our members will take fullest advantage of this service and they will surf our MPA web site regularly. Long live MPA DR.S.C.Sankhe President MPA

MPA WEBSITE: www.mpapalghar.in

Published by MPA WC on behalf of MPA Palghar Taluka