MEDICAL MEDLEY

Chairperson : Dr. Sujit Vasudevan; Speakers : Dr. P.K. Eapen, Dr. Paul Puthuran, Dr. P. Ramakrishnan

Organised and hosted by Association of Physician of India, Cochin Branch

The IMA monthly Scientific Session for the month of May 2009 was organised and hosted by the Association of Physicians of India, Cochin Branch. The meeting was held on the 27th of May at the new IMA House and was attended by over 150 members. Three relevant and topical subjects were discussed. Dr. Sujit Vasudevan, the Chairperson of the API, Cochin Branch, chaired the Scientific Session. He introduced the three eminent speakers and briefly introduced the three topics emphasizing on the current interest in the three subjects to be covered.

 

Dr. C.K. Eapen, Physician and Medical Director in the MODC Medical College, Kolencherry spoke on emerging fevers. Over the past few years, our State has been visited by various varieties of fevers from season to season. Dr. Eapen discussed the etiology, patho-physiology, clinical manifestations and diagnosis of the various types of fevers. These included Dengue, Leptospirosis, Seasonal, Avian & Swine Influenza as well as Chikunguniya. With his vast experience, he explained the pitfalls in diagnosis and discussed the management issues in the fevers which affect a large segment of our population and which threaten to become epidemic.

 

Dr. Paul Puthuran, Chief Physician of Lourdes Hospital dealt with the subject of adult immunization. While immunization against vaccine-preventable diseases in childhood was well established, the same could not be said about adult immunization, he said. There were gray areas regarding protocols of immunization in adults and the pattern of immunisation would vary from place to place. There were no Indian guidelines but countries like the USA had formulated guidelines. Dr. Paul discussed immunization against diseases

such as Hepatitis A, Hepatitis B, Meningitis, Influenza, Pneumococcal disease and the pros and cons of the various available  vaccines. He also stressed the importance of booster doses against diseases such as whooping cough, which were increasingly being seen increasingly in adults. Students opting to study abroad and international travelers were two groups, which would be benefited by immunization.

 

The last speaker was Dr. P. Ramakrishnan, Consultant Physician and Diabetologist from Cochin Hospital. He spoke on Incretins and the importance of the Incretin system in management of Type 2 Diabetes Mellitus. He explained the mechanism of blood sugar regulation and the various hormonal influences on blood sugar maintenance. The discover of the Gastrointestinal hormoneIncretin has opened up exciting vistas in the management of Diabetes he said. Incretins lower blood sugars by increasing insulin levels and decreasing levels of glucagons. The two known Incretins are Gluecagon-Like Peptide I (GLP1) and glucose-dependent insulinotropic peptide or GIP. GLP1 Analogue Exanatide is now available in India. However it has to be administered by parenteral route. DPP4 is an enzyme that deactivates GLP1. Sitagliptine a drug that inihibits DPP4 and thereby prolongs the action of GLP1 is now available in India. It can be administered orally and can be effectively combined

with metformin.

 

The three presentations were very well received. That plus the wonderful ambience of the new IMA Hall made for a good evening of scientific discussion.