President - the Mumbai Obstetric & Gynecological Society 2009-10

It is the best of times, it is the worst of times.The best because our chosen profession has and is progressing by leaps and bounds and leading the medical world into new fields of research, therapy and hope.Assisted reproduction today is a highly advanced field and practitioners are doing what no one believed was possible.We provided the embryos and the cord blood from where stem cell research took off and is poised to make breakthroughs in irreparable nerve cell or cardiac cell damage, manage cancer, diabetes and liver cell failure.We are at the forefront of the medical world in endoscopy. Surgeons from other specialties to suit themselves, modified procedures and instruments devised by brilliant gynecologists. We are still eons ahead of them. Today there is no pathology that master endoscopists cannot treat laparoscopically.
It was a gynecologist Ian Donald who first thought to use sound waves to make images of the unborn child. Today we can diagnose and treat an ailing fetus in its mother’s womb by blood transfusion or draining an over distended bladder. As the world ages, we are still there at the next frontier with our meshes and tapes that repair aging muscle, keeping a woman continent and giving her a new life. We have a variety of options in medications for the older woman to keep her bones strong and her skin tough.
That we care deeply for our patients is obvious from the fact that we are among the few surgeons who make the effort of doing a surgery through a pfannensteil or bikini cut incision and painstakingly close it so that the scar does not show. Here too we are busy trying out tummy tucks with hysterectomies or even cesarean sections. It is a matter of pride that all these latest technologies are available in our country and its medical capital, this city of Mumbai. Impossible is nothing!


The story of my Presidential year 2009-10 began almost 5 years ago and started with me searching for the promised land that will bring our post-graduates closer to academics, research & newer technologies. These are difficult times with the world at war, terrorism threatening our planet, our country, our beloved city and our way of life. We cannot even hold our cricket matches in our own country. A severe economic recession grips the world and threatens our medical tourism and outsourcing industries. However there is hope as a young new president takes charge of world’s most powerful nation and speaks of change. And the youngest thus far president takes charge of the Mumbai Obstetric and Gynecological society in its 75th year and also promises that this year will be different. This will be an Indo-Israeli year. My reasons for choosing the Israelis to partner us this year, is that we have many cultural and social similarities. We both built our nations from scratch; we value education and hard work. We are quick to adapt to a new methodologies and we thirst for success and recognition.

Israel is a first world country doing cutting edge research in infertility and fetal medicine and genetics and has well established protocols and procedures in endoscopy and oncology. She has graciously agreed to help her developing sister country by sending her leading doctors who will share their knowledge and expertise. Since both countries became independent, this is the first scientific collaboration for an entire year between Professional Societies. Not one, but 7 Israeli Medical Organizations have thrown their weight behind the Mumbai Obstetric & Gynecological Society (MOGS) this year! Israel is sending us 14 world leaders in their respective disciplines. Our theme for MOGS this year is: "Technology Saves Lives. Let us learn from the best". This is what the Indo-Israeli collaboration translates to. Let us also extend this generosity to our fellow gynecologists from other towns and cities who can attend all our academic programs this year. Information about our scientific sessions will be sent all over the country- so we expect a lot of new faces in town this year.


To all of you fellow gynecologists I say be the change. Lets not have any negativity this year but contribute enthusiastically as if each one of you were the president of the MOGS and organize innovative, interesting and useful sessions for us as part of our outreach programmes. We are taking the good work started by my predecessors forward. Why partner with Israel? India, the world's biggest democracy, and Israel, one of the tiniest democracies, surprisingly have much in common. Both are the cradle to the world's most dominant religions. Thus, for over 5000 years they have sprouted the foundations of human culture as we know it today. Both these countries have many sites which are considered the holiest to the largest number of followers all over the globe.Given India's strong scientific and technological base, Israel is keen on strengthening professional medical ties with India. The Indo-Israeli Year presents an exciting new means to help physicians from India and Israel to establish a vibrant partnership. This is going to be one of the first official academic collaborations between the two countries ever since they both achieved independence over 60 years ago. We are all looking forward towards an unprecedented opportunity of first-hand exchange of knowledge and experience that can forward our mutual goal of extending the best health care to all women.

At this time, I would like to publicly acknowledge the support system at home. Despite me being me, all I got at home was solid support & love. Thank You Swati, Akanksha, Ranveer, Daddy, Titoo, Siddharth.They say a man’s upbringing starts a hundred years before his birth. We Hindus believe our good luck now is the result of past life karma. Someone up there must like me to have blessed me with superb teachers who shaped me as a gynecologist and fertility physician and as a man.My heartfelt respect and gratitude to Dr Snehalata Deshmukh, Dr Pratibha Vaidya, Dr Geetha Niyogi, Dr Vivek Patkar, Dr Sushila Saraf, Dr PB PaiDhungat, Dr Satish Tibrewala, Dr Shashank Parulekar, Prof. O Djahanbakhch & Dr Sadhana Desai. I could not have taken on this responsibility were it it not for my capable team from Rotunda & Deccan, Kaushal, Goral, Sulbha and Anjali who have been my backbone. No man is an island though people often accuse me of being a loner. I would not be where I am today without the help, support and guidance of my dear friends – This year would not have been in its present form without the support of Dr Daniel Seidman & all my other friends.


It is just once in your life that you meet someone who can change the way you look at the world. Thousands of candles can be lighted from a single candle, and the life of the candle will not be shortened. Happiness never decreases by being shared. I have never in my life met a person who has so influenced me with his vision, intelligence & philanthropy. Mr Ajit Gulabchand is Chairman and Managing Director of HCC - one of India’s leading construction companies and has been a catalytic factor in the infrastructure growth of India including our own Bandra-Worli sealink & Lavasa – Free India’s largest hill station spread across 12,500 acres, set amidst 7 hills and 60 kms of lakefront. Corporate Social Responsibility remains intrinsic to Mr Gulabchand’s vision for the group encompassing HIV, Education, Water, and Disaster Management initiatives. He has recently endowed a new ‘Ajit Gulabchand Chair’ on Indian Business Studies being set up at Oxford University and is a member of the Oxford International Advisory Board for Executive Education. Upon my request, he has agreed to bequeath a grand sum of Rs ten lakhs to MOGS to set up an overseas training fellowship for a young MOGS member gynecologist in memory of his mother Late Dr Shantabai Gulabchand, who was an eminent gynecologist practicing in our own city. Being an ace ranker in her college, Dr Shantabai Gulabchand secured an easy admission for MBBS in Grant Medical College of the J J Hospital. She passed the MBBS with flying colors, securing various medals to her credit, such as Viceroy’s silver trophy, Lord Sandhurst’s Gold Medal and even the National Scholarship for Indian lady doctors. After completing internship at Cama Hospital, Mumbai, Shantabai was appointed as Lecturer at Bai Motlibai and Petit Hospital. Mumbai. She believed in studies, and perused whole heartedly by completing her F.R.C.S. (Gynecology) at an early age of 26 in London. After obtaining the F.R.C.S. degree, she returned to Mumbai and started her own clinic in Girgaum, Mumbai. She possessed an entrepreneurial streak right from the beginning of her career and started a company called “Altra Laboratories” that manufactured medicines. In June 1947 she married reputed industrialist Seth Gulabchand Hirachand. She served as Director on the Board of Hindustan Construction Ltd for nearly 31 years.Even in the post independence era, Shantabai was actively involved in politics and was associated with the Swatantra Party. She also deeply believed in women empowerment and education. Thank you Sir for partnering MOGS to help out our own post-graduates & to advance science in our own city.

I would like to dedicate my own Presidential year to the memory of my late mother Dr(Mrs) Sanyogita Allahbadia who strived that her children be given the best education. I am grateful to my parents for having given me a sound education and made me capable enough to be speaking before this very august audience. We will try our best to offer an amalgam of the highest academic standards with the recent advances in the field. I was particularly impressed by one of President Ronald Reagan’s memorable quotes: Aim for the top, pray to God and Hope for the best. That has been my philosophy & it will be our endeavor to strive for excellence in all aspects of this year. We promise you will we will do our best not to let you down.I believe that a true student is never satisfied or content with the knowledge gleaned . And we will all continue to remain students all our life since education is a continuous process. I’m sure we will enrich ourselves with pearls of wisdom that we will pick up from the deliberations of meetings in 2009-10. The great pleasure in life is in doing what people say you cannot do . Let us all make this a memorable year!

The Bad Dream

Lavasa Rules

I was on my last egg-pickup procedure & it was already 2:00pm. The ribbon cutting ceremony was scheduled for 5:00pm. I left the clinic immediately after the patient was settled and got into a big traffic pile-up at Chembur! The express-way was empty at that time of the afternoon & I clocked just over 80 minutes to reach the end of the expressway. Once you turn right from the expressway, it is exactly 20 kms to the Chandni Chowk underpass which leads to the Pirangut-Paud tollgate. Taking the short-cut from just before Pirangut passing the Indai Lawns, I cruised onto the Lavabahn at 4 pm.It would have taken me just 30 minutes more to reach Lavasa, but I was hypnotized by the shades of green, rust & reds. March was a different spectacle altogether from February! The Jowar crop had just been harvested & the dried fields were being converted to bundles of hay. I would have thought that the heat would have turned everything around into shades of brown, but I was surprised to see nascent green all around. The 30 minute jouney now took two hours & I fell in love with the wild flowers all over again. These were a completely new set of species, which were not seen in the past six months. The majestic trees on both sides of the Lavabahn were swathed with a sheet of exotic red flowers. The helipad appeared around a curve in the road & seeing the helicopter, I realized how late I was. I reached the lobby bang in the middle of the Inaugural ceremony. Hugged my buddies & rushed up to freshen up. Another pleasant surprise - a WOW room!!! ITC has again excelled itself & have created a lovely hotel with ultramodern comforts. Rushed down, but the ceremony was over. Decided to visit Jimmy Shaw's Waterfront Serviced Apartments. Fida & Jimmy took us for a sneak preview - "WOW-WOW"- this was a whopper surprise. Beautiful & spacious serviced apartments with every imaginable five star amenity in these 43 apartments! The future of Lavasa had arrived. We had time to kill & decided to "experience' the LEC (LAVASA EXPERIENCE CENTER) next to the Fortune building. Another architectural masterpiece - Elegant straight lines, a airy majestic atrium & a superlative auditorium. This indeed is the showcase of modern India!

Around me I hear my friends Deepak & Jimmy remarking on the several species of birds that have congregated on the broken limbs of what at one time must have been beautiful proud trees. And that’s when it hits me. This wasn’t always a dried up grove. At some point this was probably a full and lush grove of trees. They once claimed this space for themselves. They lived here, providing a safe haven for countless generations of creatures. Somehow over the course of time these trees became a casualty of the elements to which they were exposed. Slowly, they succumbed, one by one to the inevitable effects of being deprived of water. The little collection of trees, that had managed to survive for years unattended, died. Now only a few brave soldiers still stand tall and proud. You can see them trying so hard to maintain their dignity as all around them life goes on. At first glance it’s easy to overlook them. We tend to get so caught up on the hustle and bustle of the life we see all around them. This bird or that one going about their daily life with the same nearsightedness from which we all suffer. Each keeping to themselves, going about their day and following their own urgent agenda. It’s not so difficult to understand. We are ourselves a reflection of the nature we came out here to be with. At one point or another all of us have been exposed to loss and grief. Though we might think we’ll never survive such losses; we inevitably do. As is in the human spirit, we survive and overcome and manage to live day to day in spite of it all. These once magnificent trees are a testament to the frailty and beauty of life. They have struggled through many changes and managed to remain standing through many seasons. And though they stand here before me; I know they are dying. Life is no longer theirs to have. They are destined to keep struggling everyday for that last shred of sunlight to touch their trunks before finally giving in to the red caked earth below. They have so much they would like to tell us. But it’s hard to hear them over the squawking migratory white birds nearby. It’s only when we stop and find some stillness that we can hear their tale.
All of us had congregated at Lavasa to witness the grand opening of the ITC Fortune select Dasve Hotel. Our honorable MP Sou Supriya Suleji had inaugurated the hotel & the celebratory party was a few hours down the evening. A group of us friends decided to take a walk around the lake & that is where we discovered this dead patch of trees. The most visionary project taken up by Team Lavasa is the re-forestation of barren slopes & the re-greening of the hillsides which have been cut to make way for the Lavabahn that is the connecting artery to the outside world. This is such a serene world by the lakeside. A beautiful blend of nature & its eco-friendly environment. We walked ahead from this barren area towards the dam and on towards the Portofino street. Jimmy had also inaugurated his out-of-the-world American Diner (A replica of the successful restaurant from India Habitat Center, New Delhi) that afternoon. We were in for a pleasant surprise... our first onion rings & peanut butter smoothies in Lavasa. We were joined by Dr & Mrs Suri who had also come in from Mumbai for the Fortune launch.
The Fortune Select Dasve looked resplendant & bedecked in shimmering lights like a newly wed bride. The glitter of the sparkling lights reflected off the serene waters of the lake. We walked across the "venetian" bridge & joined the party on the lawns of this magnificient building.

Daily drink for middle-age women cancer risk

A new study involving nearly 1.3 million middle-age British women - the largest ever to examine whether alcohol increases a woman's risk of cancer - found that just one glass of chardonnay, a single beer or any other type of alcoholic drink per day poses a danger.

"That's the take-home message," said Naomi Allen of the University of Oxford, who led the study being published March 4 in the Journal of the National Cancer Institute. "If you are regularly drinking even one drink per day, that's increasing your risk for cancer."

Understandably, the study may leave many women scratching their heads - and perhaps needing a drink more than ever - given all the talk about red wine being something akin to a fountain of youth.

"I thought drinking wine was good for you," said Mirella Romansini, 27, of Chevy Chase, Md., outside a Washington liquor store. "Now they are saying it increases your risk for cancer? Yes, I would say I'm surprised."

Romansini is hardly alone. At least half of U.S. women drink sometimes, and even the U.S. Dietary Guidelines, the government's official bible on what we should be putting into our mouths, say alcohol can have beneficial effects, allowing women up to one drink a day (men get two, of course).

Confused? It turns out the guidelines were never intended to recommend that anyone drink for their health.

Yes, it's true that studies have indicated that moderate drinking may cut the risk of heart disease and other ailments. But officials have long worried about sending the wrong message, giving people who should never drink - young people, pregnant women, those prone to alcoholism - permission to abuse alcohol. As a result, they have long tried to walk a fine line between acknowledging the possible benefits of alcohol without encouraging people to start drinking or to abuse it. The guidelines were intended to set an upper limit on what might be safe, not a recommended daily dose.

"It's a level of consumption that generally has been found in scientific studies to be associated with a relatively low risk of harms," said Robert Brewer of the federal Centers for Disease Control and Prevention. "But low risk does not mean no risk."

Based on the findings, the researchers estimated that about 5 percent of all cancers diagnosed in women each year in the United States is due to low to moderate alcohol consumption.

Most are breast cancers, with drinking accounting for 11 percent of cases - about 20,000 extra cases each year - the researchers estimated.

In any group of 1,000 U.S. women up to age 75 who consumed an average of one drink a day, the researchers calculated there would be 15 extra cancers; two drinks per day would result in 30 extra cancers and so forth.

The risk appeared the same regardless of whether women drank wine, beer or any other type of alcohol. Allen noted that even less than one drink per day may increase the risk.

"There doesn't seem to be a threshold at which alcohol consumption is safe," she said.

Several researchers noted that the findings were essentially consistent with previous studies, and despite its size the study does have shortcomings. The researchers could not, for example, distinguish between women who drank only one or two drinks every day and those who drank seven drinks all at once.

Some researchers worried that the findings could possibly frighten women and deprive them of the possible health benefits of an occasional drink.

Katie Kirkpatrick

The girl in the picture is Katie Kirkpatrick, she is 21 . Next to her, her fiancé, Nick, 23.The picture was taken shortly before their wedding ceremony, held on January 11, 2005 in the US . Katie has terminal cancer and spend hours a day receiving medication.In the picture, Nick is waiting for her on one of the many sessions of chemo to end.

In spite of all the pain, organ failures, and morphine shots, Katie is going along with her wedding and took care of every detail. The dress had to be adjusted a few times due to her constant weight loss.

An unusual accessory at the party was the oxygen tube that Katie used throughout the ceremony and reception as well. The other couple in the picture are Nick's parents. Excited to see their son marrying his high school sweetheart.

Katie, in her wheelchair with the oxygen tube , listening to a song from her husband and friends.

At the reception, Katie had to take a few rests. The pain did not allow her to stand for long periods.

Katie died five days after her wedding day. Watching a woman so ill and weak getting married and with a smile on her face makes us think..... Happiness is reachable, no matter how long it lasts ..

We should stop making our lives complicated.


Life is short


Break the rules


Forgive quickly


Love truly


Laugh constantly


And never stop smiling


No matter how strange life is


Life is not always the party we expected to be


But as long as we are here, we should smile and be grateful.

Clients of Surrogacy Agency Missing Millions of Dollars After Company Suddenly Closes

The Web site was impressive. An agency called SurroGenesis listed 60 locations worldwide where infertile couples and individuals could find women willing, for a fee, to serve as gestational surrogates. Aspiring parents put up tens of thousands of dollars hoping the agency could help them start families.

Today, SurroGenesis’ main office, in Modesto, Calif., is closed. So is an escrow company, Michael Charles Independent Financial Holding Group, that was supposed to be safeguarding the clients’ money. It turns out that many SurroGenesis locations were post-office boxes. An FBI spokesman, Steve Dupre, said the agency was evaluating the case but had not opened an investigation.

U.S. and international clients of SurroGenesis are missing as much as $2 million after the company suddenly shut down without explanation, according to lawyers familiar with the case, the New York Times reports.

Money gone

SurroGenesis told clients March 13 via e-mail that their money was gone. The shutdown affected about 70 people, some of whom had paid as much as $90,000 for promised gestational surrogacy services. “Many of them have lost their savings, and any chance of having a family is completely destroyed,” said Andrew Vorzimer, a lawyer working with those affected. “We’ve got couples in the midst of pregnancies with no ability to pay the surrogate, or even make insurance payments, which have gone unpaid.”

On the heels of the birth in January of octuplets, conceived by in vitro fertilization to a single California woman who has six other children, the case highlights the lack of oversight in the business of creating babies. There is no licensing requirement for egg-donor and surrogacy companies.

According to the Times, several couples learned about SurroGenesis on the Internet. As part of the agreement for surrogacy services, parents were instructed to deposit money to cover costs in an escrow account. SurroGenesis in a March 13 e-mail told clients that their money was gone and advised them to hire lawyers. The e-mail also said that clients should contact the Modesto Police Department because the escrow company that was supposed to be holding clients’ money — the Michael Charles Independent Financial Holding Group — was no longer paying its bills. California records show that SurroGenesis founder Tonya Collins is also listed as the registered agent for the Michael Charles group, even though it “was supposed to be an independent and bonded escrow company,” according to the Times. FBI spokesperson Steve Dupre said the agency is evaluating the case but has not launched an official investigation. Andrew Vorzimer, a lawyer working with some of the clients, said, “Many of them have lost their savings, and any chance of having a family is completely destroyed.” He added, “We’ve got couples in the midst of pregnancies with no ability to pay the surrogate, or even make insurance payments, which have gone unpaid.” According to the Times, Vorzimer said there is one surrogate carrying twins for a couple who lost more than $50,000. The surrogate is on bed rest, but the couple now is unable to reimburse her for lost wages.

Sources: New York Times, 3/21/2009

Seattle Times, 3/22/2009

Reproductive Health News, 3/24/2009

Do Planes Get Damaged By Birds?