MEDIA INTERVIEW WITH :

PROF. JOHN FEEHALLY, PRESIDENT, INTERNATIONAL SOCIETY OF NEPHROLOGY

TIME 4.00 PM, THURSDAY, 18th AUGUST, 2011

VENUE: JPAC BOARD ROOM,
MULJIBHAI PATEL UROLOGICAL HOSPITAL, NADIAD
WWW.MPUH.ORG


Prof. John Feehally, President of International Society of Nephrology briefed the media about glomerular diseases (leakage of blood and/or protein) that damage the microscopic filters of kidney, leading to chronic kidney disease (CKD) and kidney failure. Dr. MM Rajapurkar and Dr. Sishir Gang also spoke on the subject and on the two-day seminar on ‘Glomerular Diseases. The seminar is being attended by 150 practicing nephrologists and nephrology students from different regions of India.

CKD is becoming endemic, and more and more people in the developing countries including India are becoming CKD patients, the economic and other costs of which are huge in terms of suffering to the patients, their loved ones and also to the society. In India End Stage Renal Disease (ESRD) affects as much as 1.8% of our population and about 17% are at a risk of developing kidney diseases. Even the rich countries are finding it difficult to fund cost of dialysis / kidney transplants. Kidney disease can also lead to heart attacks. Therefore, the only solution is to build awareness, and take steps to detect the disease early. Early detection is possible, it is easy, and it is not costly. Simple test of urine and blood can help diagnose the problem.

People can take preventive steps by eating proper diet (avoiding processed/packaged food, tobacco and controlling intake of fat, salt, etc), regular physical exercise, and controlling weight. Studies have shown that maternal nutrition is also important. Mal-nourished babies are more likely to develop diabetes and kidney disease.

What can be done? Screening should be made simple and cheap. This can be done by training people to check blood pressure; no need for doctors and nurses; no need for special scan. The high risk population who should undergo the simple tests consists of people with diabetes, high blood pressure, heart diseases and/or those in whose family there are kidney patients. The CKD can be prevented in most cases if detected early and treatment is taken. The tests are simple and cost effective. Unfortunately there is lack of awareness not just in the general public, but even among many doctors and the Governments. Even the UN and WHO have not adequately appreciated the need to highlight the causes and effects of CKD. There is a special meeting of WHO scheduled in September in the US on non-communicable diseases and it is hoped that the WHO will make an appropriate statement to address the problem globally.

Live donor transplants are the best solution for those with failed kidney. However, paid donor transplant and medical tourism for transplant should be banned. In fact ‘Istanbul Declaration’ is against paid donation of kidneys. Cadaver (brain dead donor) transplant in registered hospitals should also be encouraged. Brain dead donor can also donate liver and heart. There is a need to build awareness about the steps to be taken to ensure successful cadaver transplants.

The International Society of Nephrology aims to (i) improve renal pathology (ii) invest in training to conduct lab tests to detect kidney diseases and (iii) improve/identify lab test centres for CKD at different parts of India, Prof Feehally said. He also appreciated the high quality of medical care and the financial model followed in MPUH Nadiad.

(compiled by P A Joseph, )

MULJIBHAI PATEL UROLOGICAL HOSPITAL, NADIAD


JAYARAMDAS PATEL ACADEMIC CENTRE


PEDIATRIC UROLOGY : SMALL CHANGES – BIG REWARDS

Jayaramdas Patel Academic Centre (JPAC) at the Muljibhai Patel Urological Hospital (MPUH), Nadiad is organizing a Course on ‘Pediatric Urology’ between 1st and 3rd July, 2011. Pediatric Urology is a highly specialized branch of medicine which deals with surgical diseases of Genitourinary System (kidneys, ureters, bladder, sexual & reproductive organs) in children from newborn age to 15 years of age.

There will be live surgeries of PUJ Obstruction (pyeloplasty : Laparoscopic/ Robotic); V U Reflux (Re-implantation/Extravesical/Intravesical : Laparoscopic/Robotic/Open); Adrenal Tumor, Pheochromocytoma : Laparoscopic Adranalectomy; Kidney Stones : Miniperc/Microperc; Extrophy, Hypospadius.

Participants will have opportunity for hands-on Laparoscopy : Models, Glove & culled chicken Pyeloplasty; Stone : Puncture practice on models and virtual Simulator (Uroperc Mentor).

International Faculty includes Drs Craig A Peters (USA), Serdar Tekgul (Turkey), R Subramaniam (UK). The Course Director is Dr. Shyam Joshi.

National faculty includes Drs. PB Singh, SD Bapat, Ajaykumar, Mukund Joshi, Sanjay Oak, Anirudh Shah, Yogeshkumar Sarin, Sushmita Bhatnagar, P Venugopal, Roy Chally, Hemant Pathak, Mahesh Desai, RB Sabnis, M Khochikar, Anita Patel, C Mallikarjuna, MM Rajapurkar and Sishir Gang.

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MULJIBHAI PATEL UROLOGICAL HOSPITAL, NADIAD

JAYARAMDAS PATEL ACADEMIC CENTRE

OPTIMIZING STONE TREATMENT



Treating stones in India is a challenge, and it needs to be done on war footing with careful planning and accurate precision. Solitary Functioning Kidney : Can we predict the number of punctures? Can we predict the number of stages? Can we predict the clearance? YES WE CAN. Do you want to listen to the original basic research done at Muljibhai Patel Urological Hospital (MPUH)? MPUH will be hosting a three-day programme titled ‘Optimizing Stone Treatment (Hands-on)’ during 1-3 April, 2011.

Stone management is full of controversies right from selecting investigation modality to treatment options & follow-up. The matter becomes still complicated with additions of newer investigations, instruments and energy sources. Basically most of them are neglected or diagnosed late. Very often they complicate other health problems like diabetes, hypertension, obesity, pregnancy, neurological diseases, CRF, Bleeding Diathesis, etc. This increases complication or failure to clear all stones. Though PCNL, URS and ESWL are still indicated, their applications have been modified. It requires special attention thus optimizing stone treatment.

Newer developments in imaging, endoscope, energy sources, rigid & flexible ureteroscope have made the management of stone disease very interesting. What is needed is the training to strike the correct balance. The programme will be attended by Urologists from all over the country and abroad.

The programme will cover all aspects of stone treatment, live surgery, case discussions, panel discussions and hands-on. The faculty includes Dr. Luc Valiquette, Secretary General, Societe Internationale d’Urologie, Canada; Drs. Mahesh Desai, Course Director; SV Kandasami, SK Singh, Mallikarjuna C, Anil Bradoo, Abhay Khandekar, Janak Desai, Shailesh Shah and Shrenik Shah.

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www.mpuh.org