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International Symposium on "Current and Future Directions of IVF Practice"
The above symposium was held very successfully from 9-10 April 2004 at the Shangri-La Hotel in Singapore. The Symposium was sponsored by the International College of Surgeons and ICS (Singapore Section) and the Christopher Chen Centre For Reproductive Medicine Pte Ltd. It was also endorsed by the O&G Society of Singapore and ESHRE (European Society For Human Reproduction And Embryology).


Pictured from left to right: Suresh Kattera (Organising Chairman,
Scientific Director Gleneagles IVF Centre), Dr. Balaji Sadasivan (Hon.
Minister of State for Health and Transport, Republic of Singapore),
Christopher Chen (World Treasurer, ICS President Singapore Section,
Symposium Chairman, Director Gleaneagles IVF Centre), Salem Ibrahim
(Hon. Legal Adviser, ICS Singapore Section)

The Symposium was attended by more than 100 participants from 15 countries. There were 5 international and 5 local speakers who gave lectures during the 2-day Symposium.

The Symposium was very privileged to be opened by the honorable Minister Of State For Health, Government of Singapore, Dr Balaji Sadasivan.

The Symposium achieved the objectives of (1) disseminating information on the latest advances of IVF practice as well as the future directions in this field, (2) drawing attention to ICS and its activities, (3) to continuing the realization of postgraduate education, training and certification, in accordance to the plans of my Ad-hoc Committee on Surgical Clinical Courses.

The Symposium was preceded by 2 hands-on workshops. The first workshop on "Sperm Preparation Methods for IUI" held on 8 April 2004 was attended by 32 participants in 2 batches. After the demonstration, the participants practiced the different methods of sperm preparation for insemination. It was over subscribed!

The second workshop was on "Embryo Cryopreservation" and was attended by 48 participants, well beyond the limit of 40. The workshop was also conducted in 2 batches. Embryo freezing and thawing techniques were demonstrated to the participants and was followed by hands-on practice.


Professor Nadey Hakim Conferred Honorary Membership

On March 14, 2004, in Abu Dhabi, United Arab Emirates, Professor Nadey Hakim, World President-Elect of the International College of Surgeons, conferred an Honorary Membership in the International College of Surgeons on His Highness Sheikh Sultan Bin Khalifa Bin Zayed Al Nahyan.

Part of Professor Nadey Hakim's conferral message follows.

Your Highness, Your Excellencies, Ladies and Gentlemen, it is my distinct pleasure to be with you today to confer the Honorary Membership of the International College of Surgeons upon His Highness Sheikh Sultan Bin Khalifa Bin Zayed Al Nahyan. I am accompanied by Mr. Max Downham, the Chief Executive Officer of the International College of Surgeons, and by Dr. Mahmoud Barbir.

Your Highness, having studied your outstanding curriculum vitae, it is obvious that you are a great humanitarian, with the goal of improving living standards in your country and around the world. As knowledge in the field of science and medicine rapidly expands, your interest and support of initiatives to make this expanding medical knowledge available on a global scale, is extraordinary and highly commendable.

I therefore declare the following:

In consideration of your record as a distinguished humanitarian

As an individual with high interest in science and medicine

And with the global goal of communicating this rapidly expanding medical knowledge to improve the lives of human kind

I officially confer upon you the title of Honorary Member of the International College of Surgeons.

Professor Nadey Hakim
World President-Elect of the International College of Surgeons


2003 Highlights

The 2003 Highlights Newsletter is now available online.

 

Juro Wada Recipient of PPSA Award


Juro Wada, MD, the first Japanese Fellow of the International
College of Surgeons, became the first recipient of the Pan Pacific
Surgical Association award on February 14, 2004. Professor Wada
contributed to the heart valve collection that is currently on display
at the International Museum of Surgical Science. A similar collection
is on display at the Smithsonian Institution in Washington DC.


ICS Members Awarded Honors


Prof. Paul Hahnloser


Dr. Arno Roscher


Dr. Harshad Doctor

Prof. Refaat Kamel

Prof. Paul Hahnloser from Switzerland, Dr. Roscher from the United States and Dr. Harshad Doctor from India were all elected Honorary Fellows at the European Federation Meeting on 10/9/03 in Stuttgard, Germany. This is an honor conferred only to distinguished surgeons.

Prof. Refaat Kamel from Egypt was awarded the Merit State Prize 2002, the highest medical prize in Egypt.

ICS World President's Note Regarding Global Instability

All thoughtful people are concerned about the current climate of insecurity accompanying global events of terrorism, military actions, and new infectious disease alerts. Recently, our International Executive Committee found it prudent to reschedule a meeting which was to have taken place in Chicago on March 22 - 23rd in light of concerns related both to current military actions and also the worldwide travel warning put out by WHO concerning possible transmission of a new infectious disease referred to as SARS (Severe Acute Respiratory Syndrome). During these times of uncertainty, we redouble our commitment to the International humanitarian goals that are the mainstay of our purpose as an International College of Surgeons. We are hopeful that by industrious effort to promote understanding and cooperation inherent in our mission we can meaningfully contribute to a future of Hope and Help - the inspirational inscription on the statue that stands in front of our headquarters - for all people across all political lines. We ask you to join us in these efforts by committing to meaningful participation in our surgical teams, our journal, our surgical congresses to promote exchange of surgical techniques and knowledge and to research and scholarship. Bring your expertise to the world's table of need and understanding through our global enterprise.


Ray A. Dieter, Jr., MD
454 Pennsylvania Ave.
Glen Ellyn, IL 60137, USA



NORMAN ROCKWELL’S PAINTINGS COME TO THE
INTERNATIONAL MUSEUM OF SURGICAL SCIENCE

November 12, 2002 … A special exhibit of the Pharmacia Corporation’s private Norman Rockwell Collection consisting of seven original paintings will be on display at the International Museum of Surgical Science from December 3 through 14, 2002. Nick Rebel, Executive Director of the United States Section of the International College of Surgeons indicated that, “ This is a rare public showing of the work of an American icon. I am grateful that our ongoing relationship with the Pharmacia Corporation has provided the opportunity to exhibit this valuable collection.”

Dating from the late 1930s to mid 1950s, these original works of art were part of a highly successful pharmacy window display and vitamin ad campaign. In 1939, Norman Rockwell was commissioned to create an advertisement, which featured Super D Cod Liver Oil. The painting he created, “He’s Going to Be Taller Than Dad,” featured a character named “Super D Tommy” who was depicted measuring his height. This was the first of nine paintings Rockwell completed for the advertising campaign. Seven of these paintings will be on display at the Museum.

Norman Rockwell (1894-1978) was a painter and illustrator. His artwork appeared on and between the covers of America’s most popular magazines. His favorite subjects were everyday events that celebrated small town life and patriotic themes. The scenes were often humorous and executed with minute attention to detail so realistic that his paintings frequently resemble photographs. Rockwell chose to paint for publication. His art had to be understandable to millions of people and it had to conform to the limits of space, of deadlines, and of editorial policy imposed by the printed page.

The Museum is located at 1524 N. Lake Shore Drive, one-half block south of North Avenue. Hours are Tuesday through Saturday: 10:00 am to 4:00 pm.

International Museum of Surgical Science
1524 N. Lake Shore Drive
Chicago, IL 60610-1607
www.imss.org

REMEMBERING MAX THOREK (1880 - 1960)

I have recently taken over the Editorship of International Surgery and I have realised that we have not given Max Thorek, the Founder of our College and Journal, the remembrance he deserves for all he has given us as Fellows of the College and the surgical community in general.

Max Thorek was the beloved founder of the International College of Surgeons, the International Surgeons' Hall of Fame and the School of the History of Surgery. He was the Editor-in-Chief of the Journal and was an artist, author, humanitarian, world-renowned surgeon and exponent of the universality of scientific knowledge. He was a linguist who commanded many languages, an expert photographer, collector of art and antiquities, a violinist, an author, a lecturer and a teacher, who was supremely fitted to become the leader he was. He conceived and founded the International College of Surgeons in 1935 and he advocated the dissemination of modern knowledge of surgery throughout the world by cultivating a friendly, co-operative and spirited membership without limitation as to creed, race or colour.

Max Thorek was born in 1880. He came as a penniless Hungarian immigrant to the United States and obtained the degree of Doctor of Medicine from Rush Medical College in 1904. Even at the high tide of his life activity, he was aware of fulfilment. Many years before he entered the Valley of the Shadow, he knew he would not be making that journey empty-handed or empty-hearted. He wrote, ' I have sighed deep and I have laughed free. I have known the utter bitterness of poverty, I have basked in the sunlight of success. I have known hunger and I have sat at the tables of plenty. I have endured loneliness and I have been given love'.

Of his childhood in a lively town in the old Austro-Hungarian Empire, he remembered much. There, the roots of his being, of his love and of his ambition sprouted. Transplanted to the soil of Chicago under the Sun of Freedom and Opportunity, the tree of his life flourished.

He was interested in every surgical innovation and in every hypothesis in the Life Sciences which might prove of service to his sovereign queen, Surgery. Of these years, he writes, 'Short twenty-four hour days! How could any man arrange them so that he could do the things he wanted to do in operating room, in laboratory, in study? I found I could cut such non-essentials as sleep and leave myself perhaps twenty-four hours a day for work. But what a short day twenty-four hours is when your brain teems with ideas and your hands itch with eagerness for work. With deep satisfaction I watched the development of the International College of Surgeons. Here, as in my own more limited field of action, dreams were being fulfilled and hopes realised. To my great joy I saw that this College was to be not merely a surgical society in which membership would be a coveted mark of distinction for a few fortunate men. It was to be a true college, whose prime function would be to teach younger men, and older men, and all who thirsted for knowledge of whatever age. Every man in it would be at one and the same time teacher and student. I remembered that those days when learning knew no national boundaries had been days when Europe had attained a spiritual unity lost and all but forgotten since then'.

It was he who chose for the College the moto 'pro omni humanitate', and he who gave to it the perfect aphorism in which to express its highest ideals, the words of Louis Pasteur ' La Science n'a pas de patrie, parce que le savoir est le patrimoine de l'humanité, le flambeau qui éclaire le monde'.


What was it that he himself wanted? This is how he closes his book, 'A Surgeon's World': 'I trust and hope that the hand I would stretch in comfort and in courage to those who stand in the valley of the shadow of Death does not shake'.

I will complete this R emembrance Editorial by quoting what Rabbi Louis Binstock has pronounced at the Final Benediction upon Max Thorek, 'When one stands too near a mountain he cannot behold it in all its majesty and mystery. It is only when he sees it from afar, observes carefully its lines and proportions, lifts his eyes to its summit as it reaches into the heavens, that he begins to catch some glimpses of all its wonder'.

The greatest institution which he fashioned, one of which will stand as an everlasting monument to his creative genius, is the International College of Surgeons.

In true fellowship,

Nadey Hakim FICS

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The Center for Surgery Designated an International Research Center

The Center for Surgery, located west of Chicago in Naperville, Illinois, is one of the largest multi-specialty ambulatory surgery centers in Illinois. In addition to our surgical specialties, we also offer endoscopy services
and Laser Vision Correction.

We are affiliated with Edward Hospital (Naperville) and Central Dupage Hospital (Winfield). This affiliation allows The Center for Surgery to have the same high quality standard of care that you expect from these
institutions.

We are pleased to be able to offer you the finest in surgical care along with all the advantages of Outpatient Surgery:

- Individually-oriented care, new procedures, and fast-acting anesthestics hasten recovery time and expedite your return to home and your regular
routine.

- The safety record for ambulatory surgery is excellent because the individuals selected for this type of procedure are generally healthy and
the surgery is elective.

- Infections are minimized because our patients are not exposed to hospital patients.

- Outpatient surgery often is less expensive than hospital-based surgery. Many insurance companies pay up to 100 percent of ambulatory surgery charges, while paying a lesser percentage for outpatient procedures
performed in hospitals. Insurance companies even specify ambulatory surgery for certain procedures.

- Outpatient surgery is very convenient because the facility is specifically designed for outpatient surgery.

The Center for Surgery has recently been designated as an International Research Center by the International College of Surgeons Governance.

Spring Lecture Series Featured at the International Museum of Surgical Science

Chicago … Three public talks will be presented as part of "Art, History, Medicine" a lecture series taking place at the International Museum of Surgical Science, 1524 N. Lake Shore Dr., on three consecutive Wednesdays, May 2002. The lecture series is funded in part by a grant from the Illinois Humanities Council.

The first lecture "Art For Sanity" will be presented Wednesday, May 16, at 6:30 p.m. by Martin Perdoux, an art therapy teacher in the graduate program at the School of the Art Institute of Chicago. Mr. Perdoux will discuss his experiences as an art therapist in psychiatry where he found communal art making gave the socially rejected a chance to share their humanity. Through case study illustrations and stories of human suffering and triumph, his slide lecture will demonstrate the medicinal power of the creative process.

Wednesday, May 23, at 6:30 p.m., Paul A. Buelow, Ph.D., a Professor in the History Department at the University of Illinois at Chicago, will give an illustrated talk titled "George Washington and the Doctors: The Health of a President and the State of Medicine in Revolutionary America." Professor Buelow will discuss the state of George Washington's health at various times in his life and typical therapies used by doctors in the late 18th century.

Gordon E. Dammann, D.D.S., founder and Chairman of the Board of the National Museum of Civil War Medicine in Frederick, MD, will present "Civil War Medicine" a lecture with accompanying slides Wednesday, May 30, at 6:30 p.m. Dr. Dammann, a recognized authority on Civil War Medicine, will provide an overview of the subject that includes surgery, disease, the nursing profession, and common misconceptions of Civil War Medicine.

The International Museum of Surgical Science Spring Lecture Series:

"Art, History, Medicine"
6:30 p.m.
Wednesdays: May 16, May 23, and May 30

Adults: $6/lecture or $15/series of 3 lectures (IMSS members free)

Students and seniors: $3/lecture or $6/series of 3 lectures (IMSS members free)

Tickets will be sold at the door, but seating is limited.

For Ticket Reservations or Information: Call 312.642.6502 Ext. 3130

The Museum is located at 1524 N. Lake Shore Drive, one-half block south of North Avenue. Accessible through public transportation: the 151 bus and the red line Clark/Division stop. Parking at the Museum is limited to a small lot in back, but additional parking is available at North Avenue Beach.

Museum hours are Tuesday - Saturday, from 10 a.m. to 4 p.m. Admission fees are $6 adults and $3 for students and seniors.

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Hosting Your Special Events

The historic lakeside mansion that is now the Museum was constructed in 1917, under the careful direction of Eleanor Robinson Countiss to house her family. The elegant structure was designed to follow the historic lines of Le Petit Trianon, a French chateau lying on the grounds of Versailles completed in 1770 for Louis XVI and Marie-Antoinette.

The Museum allows medically related organizations to use the Museum for private events such as meetings, lectures, receptions, and sit-down dinners. All events are held on the second floor of the Museum. The space features 14 foot-high floor-to-ceiling windows with an incredible view of Lake Michigan, Italian marble floors throughout, ornate fireplaces, as well as paintings and sculptures related to the history of surgery and medicine. The Museum has a capacity of 150 people for any event.


For more information regarding hosting an event at the Museum, please contact:

Jeanne Douglass
Director of Programs and Events
312.642.6502 Ext. 3130
info@imss.org

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Information Concerning the International Museum of Surgical Science

The International Museum of Surgical Science is an eighty-year old mansion on Lake Shore Drive. It houses exhibits from around the world tracing the fascinating story of surgery's development through the ages. The Museum's collection, appropriate for grades 5 and up, includes art and artifacts that deal with surgery as well as history, science, health, and cultural studies. A fieldtrip to the Museum can be used to complement classroom topics ranging from human anatomy to biology and ancient civilizations.

Educational Activities Available Upon Request:
Amputation Demonstration--This interactive, hands-on activity allows students to experience first-hand the way amputation surgeries were performed before the discovery of anesthesia and germ theory. Using a reproduction Civil War amputation kit, with dulled instruments, a Museum teacher and 3-4 students re-enact, for the rest of the group, the steps of this early surgical procedure. Discussion follows.

Surgical Instruments Identification--Students work in small teams, looking at and handling modern surgical instruments to determine their function by studying the shape of these mystery objects. Then, each student is given the opportunity to draw his or her own instrument design for a given task.


Facilities and Resources for School Groups:
Classroom--We have a classroom in the Museum available for school groups.

Theater--We also have a theater in the Museum with a TV and VCR for school groups.

Video Tapes--We have a list of over twenty educational videos for school groups about different surgeries and aspects of surgery. We recommend "The Brutal Craft" which offers a one hour comprehensive look at the history of surgery.

Inquisitour--This is a self-guided tour available for school groups that focuses on specific objects in the collection. It is designed to stimulate ideas and independent thinking. Teachers are sent a copy when they book a school group visit. It can be distributed to students and/or used by the teacher for preparation and background information.

To make a reservation for your class, or if you have any questions, please call:
312.642.6502 Ext. 3130.

Museum Hours: Tuesday-Saturday 10 am-4 pm
School Group Rates: $3 per student, $3 teachers and chaperones


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Professor Jose Miguel Alvear has been recently appointed Director of International Relations and Foreign Cooperation for the Ministry of Health in Ecuador.

Professor Alvear joined the International College of Surgeons in 1980 and has been an active member since that time. He currently is a member of the International Executive Council of the International College of Surgeons, is an advisor to World President Prof. C.J. Lee, and serves as Federation Secretary of the Latin American Federation. Professor Alvear is a Past President of the Ecuadorian Section of the International College of Surgeons.

Professor Alvear has been and continues to be involved in many medical and surgical activities in Ecuador and around the world. He is a Past President of the Ecuadorian Society of Surgery and is the President Elect of the Ecuadorian Academy of Medicine. He has received several international scientific awards, is an editor of medical textbooks and journals, and lectures and publishes.

Professor Alvear was born in Quito, Ecuador, is a Professor of Surgery at the Central University of Ecuador, and is licensed to practice for general and transplantation surgery in Ecuador and the United States.

Our hearty congratulations to Professor Alvear on his appointment!

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President of Japan Auxiliary Section Makes Donation for Injured in India

The world is changing in many ways so quickly, one of which I am very much concerned about is the quake-disaster in India. Taking the spirit of ICS, I as president of the Auxiliary - Japan Section would like to donate US$500 through ICS Headquarters to the President of the International Auxiliary, Mrs. Pandya. I hope this small amount of donation will help the injured people in India.

Sincerely,

Mrs. Shizue Abe
President of the International Auxiliary
Japan Section of ICS

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This is Reality

This article was forwarded by Dr. Geeta Pandya, President, ICS Auxiliary, in reference to the recent earthquake in India.


This is a story about the battle between the human will to survive and nature's destructive instinct. Dr Gyaneshwar Rao is a well-known surgeon in Bhuj. After reading how he saved many score lives the day the earthquake struck, you have little doubt who the winner is in the
fight between man and nature.

I have lived in Bhuj since 1987. This is the city of unambitious people. It is so small that everyone knows everyone. On January 26, I was playing badminton when the unexpected earthquake shook us.

Unexpected because I have built a bungalow and hospital here and no authority ever told me to be careful. My friend and architect Kumtekar did prevail on me not to build a basement because he said Bhuj is in a seismic zone.

I have been associated with 20 institutions in Bhuj, but no one ever discussed this, not even any of the collectors posted here. No one can ever accurately describe what we experienced on Friday morning. It was frightening, sickening. For many moments the tremors did not stop. I screamed again and again, "Oh God, why don't you stop?"

Dhadak,dhadak...

Buildings were crashing down and a monstrous cloud of dust covered the city. My father described it correctly. He said it was like a huge plane landing right on your head.When I came out, Bhuj was dead. That was the worst 15 minutes of my life. I drove home and saw my family. My wife Alka and daughter were searching for me. They were crying. All five of us hugged each other and cried.

I thought of my patients and rushed to the hospital. I gave someone a lift. Believe me, I don't know who sat next to me. My senses were numbed. My staff were smart -- they had led all the patients out onto the road. Thus, they were saved. When I arrived, one of my staffers said, "Sir, forget it (my hospital). It's gone."

I met Dr Mahadev Patel,we hugged and cried. Someone shook me and asked, "Doctor, tamhe dhila thasho to kem chalshe? (How can you lose heart?) "

That resident of Bhuj asked me to act. I was not prepared. I said, "What can I do? Let us go to the general hospital."

He said, "Don't you know? It's gone. It has collapsed."

I was speechless. I looked around for my stethoscope. People started arriving outside where my hospital had stood. In 10 minutes, there were 100 patients. This was around 9.30 am. All of them had multiple injuries. Someone's intestine had burst, some had broken hands, others came with broken legs. All of them needed surgery as soon as possible. I instantly took one correct decision, don't ask me how.

I asked the injured to follow me to the Jubilee ground. All hell then broke loose. I am still amazed that in 10 minutes so many injured people got to know that medical help was available on Jubilee ground. In that mad rush so many good doctors of Bhuj were around, but for the first few hours I was the only surgeon. People started jostling to catch my attention. I requested two of the patients's relatives to flank me for My rotection. I did not have any injections. I was helpless. I did not have needle and thread either. Do you know what I did? I shook the patients. With affection, I told them to get out of the trauma. I shouted: "Breathe deeply! Breathe
deeply!"

There were so many serious cases. So many people were dead! Ninety per cent of them had head injuries. I asked people to help I asked one young man to break into a chemist's shop and get syringes, glucose bottles, needle and thread. I told him not to worry, that I would take the blame.

He got some supplies, but hardly much. Get medicines, I screamed When I shouted again, people got courage. I got what I wanted. It was around 9.40 am. I realised the magnitude of the problem and knew that what I was doing was not enough. In an hour, patients from Anjar arrived,many with serious injuries. Dr Patel, Dr P N Acharya, Dr Pujara and Dr Bharat Joshi had joined me by then. I wanted to operate. I was desperate.The city had collapsed, and not a single operation theatre was available.

I asked my colleague Bharat Chothani to rush to my hospital and bring the operation kit. I asked patients's relatives to get me red tiles,sheets of wood and cardboard to put patients's limbs in plaster.

I asked someone to get Menanitol. I used pieces of shawls, shirts and sarees as bandages. When one patient complained of bleeding I tore his headgear and tied it tightly around his thigh. One man rushed to me with a girl in his hands. "Doctor," he said,"please treat her first." I thought the girl was dead. The father wanted my confirmation of that fact. "Be quick doctor. If she is dead, then let me rush to look for my wife in the debris of my home." He was in deep shock, emotionless. I told him, "Just keep her in our care and run for your wife." He left, leaving his daughter's dead body in our custody.

The most traumatic thing for me that day was when I had to ask relatives to take the quickest possible decision -- to allow me to save a life by cutting off an injured limb. I was rough. I normally don't behave like that, and I am sorry. I knew every third patient personally. They would scream at me, "Doctor, why don't you look at my leg? Don't you recognise me?"

For the first few hours I only had one needle. I told Dr Bharat Joshi to hold that needle. It was the most valuable thing I had. My colleagues arranged patients in such a manner that I could stitch three patient at one go.

Hundreds of patients were lying on the open ground. With a needle, thread and a pair of scissors, I started suturing. I was shouting at the patients, "Don't cry. Keep quiet." Around us, the noise level was so high. People were screaming in pain, relatives crying in anguish.

I must have sutured 150 patients that day. By 11 am, the home guards arrived, then came member of Parliament Pushpdan Gadhvi. I finally got a table; I asked for a tent. Once they were in place I started operating. Again, it was a hard time. With only a pair of scissors I had to cut off a leg or arm of many patients. I did it to save lives.Other doctors tied the bandages.

By 3 pm, I had 5 tables and lots of medical help. Harish Thakkar, who has a food stall on the footpath opposite the bus stand, asked if he could help. I said, "get me a gas stove and ahuge utensil to boil water."

He got it in no time and also brought dabeli, a popular dish in Bhuj, for the patients and their relatives. Imagine, hundreds of pieces in a few hours. It was a miracle. As I was treating patients, I got pieces of news. "Ramesh is no more," that some other friend had died. So many people I knew have died. One nice chap put biscuits in my mouth when I was stitching wounds. He was so caring. Slowly, things got organised. We don't know who got those things for us. Things poured in. Dicloran and Tetanus Toxide injections were made available.


After 7 pm, I was tired, it was beyond my scope. I went to the district health officer's office. It's an administrative post. The man does not know anything about medicine. I wanted a mobile operation theatre and 100 operation kits. It was not made available even on Monday night. I pleaded with him and the politicians. "Don't call doctors. Get the operation stuff first." Two hundred doctors have arrived in Kutch, but we don't know how to use them in the best way. Thirty bright medical men came from AIIMS, Delhi, but without equipment. Eighty per cent of medical help is useless unless we have an operation theatre and equipment.

Someone sent a helicopter full of Cloramycin, not a great help. I need 1,000 pairs of gloves, please. I understand that the sender does not know the ground realities. As of late night, January 29, we don't have a functioning orthopaedic section and an operation theatre. The military hospital is doing a wonderful job under Colonel Lahiri's leadership, but their resources are limited. All the private dispensaries are shut, the government hospital is gone, where will the children and mothers will go? We want a temporary hospital that will last us for 6 months.

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