The MOGS Indo-Israeli Workshop & Conference on Fetal Diagnosis & Intervention

Shalom & Namaskaar! The MOGS Indo-Israeli Year is well on its way with the second clinical meeting creating waves in the Ob-Gyn community in India. We had a star-studded faculty from both India & Israel. Prof Israel Shapiro is the President of the Israel Society of Ultrasound in Obstetrics & Gynecology. He is the Coordinator of the Scientific Meetings of the Society. He is also the Chairman of the Academic School of Ultrasound in Obstetrics & Gynecology. He is attached to the Department of Obstetrics & Gynecology at the Bnai-Zion Medical Center, Haifa. He has vast experience in Industrial Counseling and is currently the Consultant of General Electric (GE Healthcare) in developing ultrasound equipment.In fact, he developed the first transvaginal probe prototype with Elscint in Israel eons ago!Prof Shlomo Lipitz was awarded his MD degree in 1984 from The Hebrew University, Jerusalem and thereafter completed a Clinical Fellowship at The Fetal Medicine Unit, Department of Obstetrics & Gynecology, University College Hospital, London. He is now the Director of The Fetal Medicine Unit at The Sheba Medical Center, Israel. His areas of interest are Amniocentesis, Chorion Villus and Fetal Blood Sampling, Intrauterine Fetal Blood Transfusions, Shunts, Multifetal Pregnancy Reductions, Laser Therapy in Twin-Twin Transfusion Syndrome and Bipolar Coagulation in Monochorionic Twins.Prof Reuven Achiron is the Director of the Ultrasound Unit at the Department of Obstetrics & Gynecology at the Chaim Sheba Medical Center, Tel Hashomer. He has been invited to the World Congress of Ultrasound in Obstetrics & Gynecology thirteen times. He is a Member of the International Ultrasound Society and has been on the Editorial Board of the journal Ultrasound in Obstetrics & Gynecology. He has published six monographs and over 130 original articles on Obstetric Ultrasound & Fetal Diagnosis.Dr Chander Lulla is one of the pioneers of ultrasound in India and is the most-sought after interventional sonologist in this part of the world. He is affiliated to the Nowrosjee Wadia Maternity General Hospital as well as to the Jaslok Hospital in Mumbai. The formidable four were all set to showcase their skills to an eager audience sitting in two different auditoriums; the PG students in the Main Lecture Theatre at KEM hospital & the practicing gynecologists at the ITC Grand Central which is a kilometer away.

The Indo-Israeli workshop on fetal diagnosis and intervention organized by the Mumbai Obstetric and Gynecological Society and Seth G.S. Medical College, KEM hospital (Department of Obstetrics & Gynecology) was held on 6th June 2009 in the department of Obstetrics & Gynecology, KEM hospital. The workshop equipment was provided by Wipro GE Healthcare. Prof Reuven Achiron , Prof Shlomo Lipitz and Dr. C.P. Lulla demonstrated live 2-D and 3-D fetal ultrasound all through the day from 9am to 5pm with a short Lunch break! Live scanning of eleven cases was performed with detailed interaction with the audience. Normal first, second and third trimester ultrasounds, malformation scans, 3-D ultrasound and an interventional procedure of placental biopsy as a prenatal diagnostic technique in a case of thalassemia were demonstrated. Various congenital malformations including cranial, cardiac, pulmonary, renal, skeletal and gastrointestinal were demonstrated. The correct methodology for anomaly detection and the management protocols were discussed. The postgraduate students and the delegates at ITC Grand Central found the workshop very informative and useful for clinical practice.
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The Conference on Fetal Diagnosis and Intervention was held the next day -the 7th June 2009, Sunday at the ITC Grand Central, Parel, Mumbai. There were 145 registrations for this event. The opening session was on free communications. Dr Shailesh Kore was awarded the prize for the best paper. His subject was prediction of preeclampsia by placental laterality. This was followed by a session on the journey of a fetus from the womb to the pediatric operation theatre. It was a collaborative effort by Dr Nitin Chaubal and Dr Sanjay Oak.The Israeli Faculty were thoroughly impressed with this presentation & congratulated both the speakers (see video). Prior to the Key-note addresses, we played the National Anthems of both countries. This was a truly emotional moment for our invited guests. The international faculty presented the Keynote Addresses on Applications of current ultrasound in fetal medicine (Professor Reuven Achiron) and Diagnosis and treatment of complications of monochorionic twins (Professor Shlomo Lipitz).

The post lunch session was a visual treat with twelve videos from invited faculty.Prof. Shapiro's video was the run away winner of this Video film session (see video). This was followed by invited lectures by Dr C P Lulla, Dr Aniruddha Badade and Dr Sameer Dikshit.

The Dr M Y Raval Oration was delivered by Professor Israel Shapiro on the subject of “Three Dimensional Ultrasound: Gimmick or Breakthrough”. This 100 minute oration was founded on years of experience, data, images and personal insights. It was laced with the right dose of humor and received a standing ovation from the audience (see video).

The chairpersons ensured that the sessions were interactive and kept the program running on schedule. The venue was well-appointed and hospitable. Once again, on behalf of MOGS we would like to express our thanks to the superlative Banqueting team at the ITC Grand Central. I would also like to mention that the success of this meeting was shaped in a large way with the untiring efforts of the hands-on conveners Dr Sulbha Arora & Dr Parikshit Tank. The MOGS office staff ensured that the Registration Desk & other admin formalities purred on smoothly like a BMW engine! Thank you delegates - We had delegates from Arunachal, Bihar, Haryana, Gujarat, Maharashtra & Sri Lanka too! I am still receiving positive feedback on this meeting from doctors who were not present , but have heard about this meeting from registered delegates. This is really heartening & we look forward to the Late Dr Avabai Wadia Workshop & Conference on Contraception in September 2009. Before I pen off, I would like to express my gratitude to the supporters of MOGS who were present in the exhibition hall on both days. Thank you Danny for making our Indo-Israeli dream a reality. Lakhaim!

Gay penguins steal eggs from straight couples

The two penguins have started placing stones at the feet of parents before waddling away with their eggs, in a bid to hide their theft.

But the deception has been noticed by other penguins at the zoo, who have ostracizedPicture 2 the gay couple from their group. Now keepers have decided to segregate the pair of three-year-old male birds to avoid disrupting the rest of the community during the hatching season.

A keeper at Polar Land in Harbin, north east China explained that the gay couple had the natural urge to become fathers, despite their sexuality.

“One of the responsibilities of being a male adult is looking after the eggs. Despite this being a biological impossibility for this couple, the natural desire is still there,” a keeper told the Austrian Times newspaper.

“It’s not discrimination. We have to fence them separately, otherwise the whole group will be disturbed during hatching time,” he added.

There are numerous examples of homosexuality in the animal kingdom, but gay penguins have captured the public’s attention more than any other species.

A German zoo provoked outrage from gay lobby groups after attempting to mate a group of gay male penguins with Swedish female birds who were flown in especially to seduce them. But the project was abandoned after the males refused to be “turned”, showing no interest in their would-be mates.

In 2002 a couple of penguins at a New York zoo who had been together for eight years were “outed” when keepers noticed that they were both males.

Punjab Was In Flames

I nearly got skewered in Punjab last month. Since December 1999, I have been traveling every month to Jalandhar to do IVF in batches. Our usual timetable is the last Wednesday-Saturday of the month. Monday night, I was preparing to leave on an early morning Go Air flight on Tuesday to Amritsar & then take a taxi to jalandhar (130 Kms). I got a call from our hosts saying that the situation in Punjab was spiralling out of control. I had had a very busy previous week and had done the cardinal sin of not having read the newspaper for a week! Apparently there was widespread destruction of public & private property as a mark of protest over the shooting of a Sikh religious leader in another continent! The widespread violence in Punjab over the slaying of a Sikh religious sect leader in Vienna exemplifies the mushrooming of sects and the caste fault lines in the predominantly Sikh state.Mr Sant Rama Nand was killed by fellow Sikhs in a temple in the Austrian capital on Sunday (May 24) as he addressed 200 worshippers.

As news of his murder reached Punjab, angry followers - largely low-caste Sikhs, took to the streets in Jalandhar - where the sect's headquarters is located. Angry mobs torched a dozen trains, smashed bus windows and blocked roads, bringing much of Punjab - a key trading crossroads - to a standstill. The Punjab police said two people were killed and 10 injured when they opened fire at two places to disperse the rioting mobs which defied curfew and indulged in large-scale violence.

Indian Prime Minister Manmohan Singh, himself a Sikh, invoked the preachings of the Sikh gurus as he appealed for peace and urged people to go home and allow the security forces to restore law and order. Jalandhar, Ludhiana, Hoshiarpur and Phagwara towns remained under curfew on Tuesday (May 26) - the day we landed at Raja Sansi International Airport, Amritsar. Our hosts had organized an ambulance to ferry us as doctors to Jalandhar. I was traveling with my embryologist & the Ambulance driver had an assistant. The situation seemed very tense at the airport & bystanders came rushing up to tell us not to venture on the highway. They mentioned that an NDTV Sat-van & another ambulance had been torched on the National Highway at Kartarpur by a protesting mob. We had no choice; 40 patients had been triggered & now it was a one way ticket for them. If they did not reach the OR, their eggs would release in their peritoneal cavities & the cycles would have been completely washed out. The four of us prayed to God & started our journey. There were no vehicles at all even though the curfew had been relaxed from 2pm-5pm in the state. We thought we were lucky & traveled without a hinderance for about 90 Kms. Just short of Kartarpur, we saw mangled remains of burnt vehicles & 500 metres away, we saw a mob of about 200 people including some women and children squatting on the road. There were also electricity poles uprooted and laid across the highway. My embryologist nearly had an MI and was in tears! The driver decided to cut through some village roads, off the highway even if that meant a detour of about 5 Kms. The assistant sprawled out on the Ambulance bed & covered himself with a blanket. Now he was a serious patient, Anjali(my embryologist) was a nurse & then we were the driver & doctor respectively. The radio blared out:

"The situation remains tense but under control."

We finally managed to get back on the highway after the detour through the village roads. Just when we thought we were safe & would get smoothly into the city, we were in for a nasty surprise. This was a quiet road bordering the Jalandhar cantonment. All of a sudden we saw a mob of about 100 youngsters with lathis (sticks) & swords in their hands about 200 metres away. Before we could turn, we were surrounded by four motorcycles! These guys must have been barely in their teens and seemed to be having a fun time terrorizing the populace rather than protesting for some religious reason. My embryologist nearly collapsed when a couple of them aggressively looked into the Ambulance. I think it was the assistant covered with a blanket & my calm & collected behavior that made them let us pass through. The worst thing was we could see cops all along the highway at every village just sitting doing nothing. This was really sad for a state like Punjab. One can understand corruption & politics in a BIMARU state, but this sort of government apathy in the state which had one of the highest economic growth rates In India is shameful. I blame the politicians completely for this vulgar & deplorable "protest" that cost the state of Punjab Rs. 8000 crores.

Sikhism was founded five centuries ago to counter Hinduism's oppressive caste system. Yet differences between the upper caste or Jat Sikhs, and the Dalit Sikhs, former Hindu untouchables who converted to Sikhism, remain a major flashpoint in Punjab's social and political life."Social interaction levels between the Jat Sikhs and the Dalits may have improved, but there is little change in the social hierarchy," said Pramod Kumar, director of the Institute of Development and Communication, a Punjab-based NGO.With the Sikhs having a large presence in Europe, Britain and Canada, these differences have spilled over to the community in those countries. There are nearly a dozen influential sects, called 'deras', in Punjab, and each is estimated to command a considerable following in the state, especially among the Dalit Sikhs and Dalit Hindus. And their numbers are growing, a development that is viewed with growing concern by the upper-caste Sikhs.

The caste divide has led to the creation of two or more separate 'gurdwaras' or places of worship in most villages, affecting the revenue collection of the gurdwaras of the upper castes. Sources say the genesis of the Vienna clash was a fight over offerings in cash-rich gurdwaras. They say that till a few months ago, the Austrian capital had just one gurdwara, controlled by radical Sikhs.The decision by Dera Sacchkhand Ballan to set up a new shrine on the same street angered those already there. Many of the mainstream Sikhs, especially in the clergy, are deeply resentful of the deras, claiming that they are distorting the faith by worshipping living gurus, their photographs and idols.

Observers say the Dalit Sikhs were among the earliest migrants from India to Europe and Canada. Most toiled in menial jobs in their adopted countries, but over the decades improved their lot and became prosperous. Several European countries also provided political asylum to radical Sikhs in the 1980s after New Delhi crushed the Sikh insurgency in Punjab. Some say it was these radical elements which were behind the Vienna attack.




Whatever the reason, as a Punjabi my head hangs in shame. Prithvi Planet was an iconic hangout for youngsters in Jalandhar with fast-food & bowling lanes & computer games. Political rivalry led to this building being torched alongwith almost 25 cars parked outside(see pictures taken with my cell-phone on Wednesday morning). These goons did not have mercy on kids playing inside & mothers with babies in their arms. The Sikh faith was created to protect the weak & here were goons in the name of religion terrorizing their own brethren.

Punjab was in flames two weeks ago and the fires have not been extinguished till date. These fires have divided the state completely into lower castes & upper castes. We don't need the Taliban or Al-Qaeda to bomb India - caste & politics will devour the Nation. Nursing homes & hospitals were torched. I was shocked to hear Dr Johal's tale of bravery where he had to shoo away a mob trying to light his hospital up in a bon-fire. Just because he had a licensed hand-gun and guts of steel, he went out and faced a 100 goons and saved his family & hospital & patients from being burnt alive. Someone should honor this man & give him an award for being a brave-heart. Unless there is strong political will, this state will join the BIMARU states, sooner than later!

Twittering

Everything You Always Wanted To Know About The Night Life In Tel Aviv But Were Afraid To Ask

Let me tell you a fascinating bed-time story:) The story of my night out with Erez & Evyatar (my guides) exploring the night life in Tel Aviv, last month. This was a unique new tour started by Dan Knassim for individuals or groups wanting to experience the fabled night life first-hand in sizzling Tel Aviv! The Tel Aviv night-life culture is one of the biggest night cultures in the world. Tel-Aviv is one of the only cities that is awake & throbbing with life 24x7x365.
I went to Tel Aviv for my routine teaching assignment as visiting Faculty to the University of Tel Aviv, Sackler School of Medicine at the Sheba Medical Center, Tel Hashomer. I was interviewed on channel 2 at their Jerusalem studios as part of the Gay Family - Surrogacy story being lapped up by the Israeli media. India was suddenly in the news with Surrogacy being written about in all major newspapers. I was told that a film by Zippi Brand on Surrogacy in India was also beamed on a major TV channel the same month.






















A typical night in the weekend (Thursday-Friday-Saturday) can start at 22:00 hours with a cocktail with friends continuing to a party at 01:00 hours and then finish with a crackling after-party that starts at 6:00 am and finishes that night at 22:00 hours. Twenty four hours of non-stop partying is a way of life for youngsters over the weekend!In most of the bars and night-clubs you will find a burly bouncer-type person who is sitting at the entrance usually with a pretty woman. The woman points out discreetly to the bouncer who does not go in. This decision is based entirely on this screening woman who decides first on ethnicity, next on looks & many a times just to maintain the "exclusivity" of the club by refusing youngsters in.There is a law in Israel that prohibits those under 16 from entering these night-clubs & it is this screening-siren that decides who goes in. I saw youngsters break down in front of this security-screening duo at a couple of night-clubs because they were refused permission to get in. My guides told me that this is sometimes considered such a big insult to a youngster who has brought his date to the bar on a week-end & is not allowed in; these incidents lead to peer-pressure psychological disturbances & nervous break-downs.

In Tel Aviv there are various types of parties.I was getting bored in the hotel room & a common friend suggested Erez take me out for a night-life exclusive tour beginning at 23:00 hours & ending at dawn! Lima Lima was our first stop since our night club expert Evyatar heard of a wild Gay party on at Lima Lima. Lets talk about the Gay party scene in Tel Aviv. The Gay parties & the Gay community are very well known in Tel Aviv. The orthodox Jewish state turns a blind eye - to them the Gay community does not exist- It is another world - unseen & unheard to the orthodox Jew! Every single night there is a different gay party in the city with different music and crowd. There are very open Gay parties, very erotic, very open... as if you can feel the sex in the air and hungry searching eyes all around. Seeing is believing! I attended one such party at Lima Lima, which is one of the oldest night-clubs in Tel Aviv. Every Monday, you have a Gay party where singles come to find partners & couples to rock the night away(see pictures!) And then there are more relaxed parties where everyone knows everyone else; at such parties there are more gay couples partying out with their friends; where everyone is busy socializing, gossiping and here the music is a little muted in the background with lots of drinks going around.The focus is on camaderie & chilling out with friends.

There is another set of parties in Tel Aviv which are zoned according to ethnicity. Like the Ethiopian parties - This is like mini-Africa and you find most of the time just Ethiopian-Israeli immigrants rocking the night away. All you get to dance to here is Ethiopian music(sometimes hip hop music too!). And then there are the
Eastern parties - not by the Chinese or Singaporeans but the immigrants who have migrated from Morocoo or Iraq - here you will find just "Mizrahit" music & clusters of only-Easterns(see Video!)

And then there are the regular night-clubs with teen-agers & youngsters in their 20's dancing the night away. What is interesting is that these night-clubs have a gentry from a particular type of social set. You see only expensive cars outside a particular night club & the patrons of this night-club are usually children of very rich parents. Very subtly, there is a clear demarcation of social class in the night-clubbing scene in Tel Aviv. From Lima Lima which had a steamy gay party going on till the wee hours of morning, we went to Amazonia which was obviously a "rich-kid" night club with all the expensive frills.

After peeking into an Ethiopian & an Eastern night-club, we had the sun-peeking over our heads by the time we decided to return home. I had seen night-life in Mumbai, London, New York, Mexico City, Munich, Singapore, Tokyo, Dubai and Cancun... but everything paled in comparison to the sights & sounds of the night-life in Tel Aviv. Lechhaiim!!!!

‘Gay’ penguins rear a chick in German zoo

Two homosexual penguins have successfully hatched an egg and are now proudly rearing the chick, a German zoo has said. The zoo, in Bremerhaven, northern Germany, says the adult males – Z and Vielpunkt – were given an egg which was rejected by its biological parents.

It says the couple are now happily rearing the chick, which has reached four weeks old.

“Z and Vielpunkt, both males, gladly accepted their ‘Easter present’ and began straight away with hatching the egg,” said a statement from the zoo.

“Since the chick arrived they are behaving in the same way as one would expect a heterosexual couple to do. Both happy fathers are now diligently handling the everyday care … of their adopted offspring,” the zoo said.

Z and Vielpunkt are part of a six-strong gay community among the zoo’s collection of endangered Humboldt penguins who rose to fame in 2005 when four Swedish females were brought in an unsuccessful, and controversial, attempt to “cure” them.

Three pairs of male penguins had been seen attempting to mate with each other and trying to hatch offspring from stones.

“Homosexuality is nothing unusual among animals,” the zoo said. “Sex and coupling up in our world do not necessarily have anything to do with reproduction.”

The Humboldt penguin is normally found on the coast of Chile and Peru, but numbers have dropped to between 12,000 and 20,000 as industrial fishing methods have led to dwindling stocks of the anchovies on which they feed.

There have been previous reports of exclusive male-to-male pairings among penguins, some of which have also included the rearing of chicks.

Other animals may simply exhibit a “drive to mate”, while others may, like humans, enjoy non-procreative sexual activity.

Unbelievable!

Last week the world saw the disappearance of an A320 Air France Passenger Jet during a Trans Atlantic flight between Rio to Paris. Very ironic that a day before I got a mail of the photos taken by a passenger on a flight minutes after a mid air collision, and minutes before the crash of the said aircraft

Two shots taken inside the plane before it crashed. Unbelievable! Photos taken inside the GOL B 737 aircraft that was involved in a mid air collision and crashed.....

A B737 had a mid air collision with the Embraer Legacy while cruising at 35,000 feet over South America. The Embraer Legacy, though seriously damaged with the winglet ripped off, managed to make a landing at a nearby airstrip in the midst of the Amazon jungle. The crew and passengers of the Embraer Legacy had no idea what they had hit. The B737 however crashed, killing all crew and passengers on board.

The two photos seen here were apparently taken by one of the passengers in the B737, just after the collision and before the aircraft crashed. The photos were retrieved from the camera's memory stick. You will never get to see photos like this. In the first photo, there is a gaping hole in the fuselage through which you can see the tailplane and vertical fin of the aircraft. In the second photo, one of the passengers is being sucked out of the gaping hole.

These photos were found in a digital Casio Z750, amidst the remains in Serra do Cachimbo. Although the camera was destroyed, the Memory Stick was recovered. Investigating the serial number of the camera, the owner was identified as Paulo G. Muller, an actor of a theatre for children known in the outskirts of Porto Alegre. It can be imagined that he was standing during the impact with the Embraer Legacy and during the turbulence, he managed to take these photos, just seconds after the tail loss the aircraft plunged. So the camera was found near the cockpit. The structural stress probably ripped the engines away, diminishing the falling speed, protecting the electronic equipment but not unfortunately the victims. Paulo Muller leaves behind two daughters, Bruna and Beatriz.