{"id":1255,"date":"2018-06-11T13:07:03","date_gmt":"2018-06-11T13:07:03","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~ACP\/?p=1255"},"modified":"2018-08-03T06:04:21","modified_gmt":"2018-08-03T06:04:21","slug":"greetings-from-dr-muruganathan-governor-of-acp-india-chapter","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/11\/greetings-from-dr-muruganathan-governor-of-acp-india-chapter.html","title":{"rendered":"Greetings from Dr. Muruganathan (Governor of ACP India Chapter)"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>Date: June 9th, 2018<\/p>\n<p>Dear Brothers and Sisters,\u00a0<span style=\"font-size: 1rem;\">Greetings!<\/span><\/p>\n<p>Thank you for inviting me to attend the ACP Japan Chapter Annual Meeting 2018. I thank\u00a0Governor ACP Japan Chapter Dr. Fumiaki Ueno and family for the nice welcome and hospitality.\u00a0You have chosen the right theme \u201cMind &amp; Arts as Essentials for Internists: Beyond Evidence &amp;\u00a0Technology\u201d. The practicing medicine is both science and art. Science of uncertainty and art of\u00a0probability.<\/p>\n<p>The arrangements, the venue, the registration procedures were really good. The workshop on Statin\u00a0was very innovative and involved everyone. The participants in the workshop were made to ask\u00a0clinical questions and also were made to use the internet to search the latest guidelines and articles relevant to the topic. There were debates whether they can trust the answer<\/p>\n<p>they found.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1260\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/11\/greetings-from-dr-muruganathan-governor-of-acp-india-chapter.html\/5steps_ebm\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/5steps_EBM.png?fit=965%2C652&amp;ssl=1\" data-orig-size=\"965,652\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"5steps_EBM\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/5steps_EBM.png?fit=525%2C355&amp;ssl=1\" class=\"alignnone size-medium wp-image-1260\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/5steps_EBM.png?resize=300%2C203&#038;ssl=1\" alt=\"\" width=\"300\" height=\"203\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/5steps_EBM.png?resize=300%2C203&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/5steps_EBM.png?resize=768%2C519&amp;ssl=1 768w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/5steps_EBM.png?w=965&amp;ssl=1 965w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>The participant clearly understood the 5 steps of evidence based medicine. With the above\u00a0background applying and sharing the decisions with the patient was also highlighted. I\u00a0understood in Japan they use only small dose of Statin to reduce cholesterol. On the whole the\u00a0workshop was simple and<\/p>\n<p>complete to cover all the points regarding Statin usage.<\/p>\n<p>I could attend only one workshop. There were other useful interesting topics in other halls like\u00a0How to evaluate jugular venous pulse at bedside &#8211; you can do it, from now on, Minds and arts for\u00a0end of life discussions through case discussions of cancer patients at terminal stage, A workshop to write &#8220;letter to the editor&#8221; and etc.<\/p>\n<p>We had a good lunch with the dignitaries who include Dr. Jack Ende Past President ACP,\u00a0Governor Dr. Fumiaki Ueno, Dr. Kenji Maeda Governor Elect and others. Regarding the session\u00a0on hypertension there was an initial discussion about how to develop guidelines. During my talk\u00a0on \u201cRecommended Treatment Protocol for Improving Management of Hypertension Globally\u201d I recommended the following 2 protocols.<\/p>\n<p><a href=\"https:\/\/static1.squarespace.com\/static\/59945d559f7456b755d759f2\/t\/5ace6f6503ce641a54b0e474\/1523478373202\/Resolve_HypertensionProtocols_V406.pdf\">HYPERTENSION PROTOCOL &#8211;\u00a0SINGLE PILL COMBINATION\u00a0AS FIRST-LINE TREATMENT<\/a><\/p>\n<p><a href=\"https:\/\/static1.squarespace.com\/static\/59945d559f7456b755d759f2\/t\/5ace6f74352f5331ba4d3d07\/1523478388697\/Resolve_Hypertension_CCB_V405.pdf\">HYPERTENSION PROTOCOL &#8211; CALCIUM CHANNEL BLOCKER\u00a0AS FIRST-LINE TREATMENT<\/a><\/p>\n<p>There were lot of questions on hypertension regarding the definition, the target especially for\u00a0elderly population etc. I always used to promote home blood pressure monitoring in my country.\u00a0I am very happy to know most of the patients in Japan are using the home blood pressure\u00a0monitoring. Ambulatory Blood Pressure Monitoring (ABPM) is ideal but it is not practical.\u00a0Sooner there may be some devices like wrist watch which can record ABPM very easily. There\u00a0were lot of discussion about automated office BP monitors. There were lot of lively questions on\u00a0various aspects of treatment from the audience and<\/p>\n<p>the hall was full.<\/p>\n<p>I was fortunate to be a referee for the &#8220;Kurokawa Prize&#8221; for poster presentation. Lot of innovative\u00a0original research papers were presented by the junior doctors. The talk given by ACP past\u00a0President Dr. Jack Ende on Professionalism was mind boggling. Overall I learnt lot of new points both in academics and organizing. The award function and reception were well organized. I could\u00a0meet lot of new fellows during the reception and made friendship with them. This also helped me\u00a0to initiate exchange programme and other joint activities between Japan and India ACP chapter.<\/p>\n<p>The people in Japan are very nice, cordial, honest and helpful. The transport like bullet train,\u00a0subway train and busses were amazing. I and my family thoroughly enjoyed every movement of\u00a0our stay in Japan both at Tokyo and Kyoto. We are looking forward to the next best opportunity\u00a0to visit Japan again. Congratulations to Dr. Fumiaki Ueno, Dr. Yugo Shibagaki, MD, FACP Chair, ACP Japan Chapter Annual Meeting 2018, Governor Elect Dr. Kenji Maeda and members\u00a0of the organising committee for the wonderful conference.<\/p>\n<p>Thank you once again.<\/p>\n<p>&nbsp;<\/p>\n<p>A.\u00a0Muruganathan, MD, FACP<br \/>\nGovernor, ACP India Chapter<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1256\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/11\/greetings-from-dr-muruganathan-governor-of-acp-india-chapter.html\/letter_head_muruganathan\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/letter_head_Muruganathan.png?fit=779%2C103&amp;ssl=1\" data-orig-size=\"779,103\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"letter_head_Muruganathan\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/letter_head_Muruganathan.png?fit=525%2C69&amp;ssl=1\" class=\"alignnone size-medium wp-image-1256\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/letter_head_Muruganathan.png?resize=300%2C40&#038;ssl=1\" alt=\"\" width=\"300\" height=\"40\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/letter_head_Muruganathan.png?resize=300%2C40&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/letter_head_Muruganathan.png?resize=768%2C102&amp;ssl=1 768w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/letter_head_Muruganathan.png?w=779&amp;ssl=1 779w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"1259\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/11\/greetings-from-dr-muruganathan-governor-of-acp-india-chapter.html\/footer_muruganathan\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/footer_Muruganathan.png?fit=784%2C122&amp;ssl=1\" data-orig-size=\"784,122\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"footer_Muruganathan\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/footer_Muruganathan.png?fit=525%2C82&amp;ssl=1\" class=\"alignnone size-medium wp-image-1259\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/footer_Muruganathan.png?resize=300%2C47&#038;ssl=1\" alt=\"\" width=\"300\" height=\"47\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/footer_Muruganathan.png?resize=300%2C47&amp;ssl=1 300w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/footer_Muruganathan.png?resize=768%2C120&amp;ssl=1 768w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/footer_Muruganathan.png?w=784&amp;ssl=1 784w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Date: June 9th, 2018 Dear Brothers and Sisters,\u00a0Greetings! Thank you for inviting me to attend the ACP Japan Chapter Annual Meeting 2018. I thank\u00a0Governor ACP Japan Chapter Dr. Fumiaki Ueno and family for the nice welcome and hospitality.\u00a0You have chosen the right theme \u201cMind &amp; Arts as Essentials for Internists: Beyond Evidence &amp;\u00a0Technology\u201d. The practicing medicine is both science and art. Science of uncertainty and art of\u00a0probability. The arrangements, the venue, the registration procedures were really good. The workshop on Statin\u00a0was very innovative and involved everyone. The participants in the workshop were made to ask\u00a0clinical questions and also were made to use the internet to search the latest guidelines &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2018\/06\/11\/greetings-from-dr-muruganathan-governor-of-acp-india-chapter.html\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Greetings from Dr. Muruganathan (Governor of ACP India Chapter)&#8221;<\/span><\/a><\/p>\n","protected":false},"author":6,"featured_media":1258,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[5,9,7,12,20],"tags":[],"class_list":["post-1255","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acpjc2018","category-committee","category-newsletterenglish","category-scientific-program-committee","category-20"],"aioseo_notices":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2018\/06\/Dr.-Sir-Photo-3.jpg?fit=1636%2C2020&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9nUTT-kf","jetpack_likes_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts\/1255","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/comments?post=1255"}],"version-history":[{"count":4,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts\/1255\/revisions"}],"predecessor-version":[{"id":1518,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/posts\/1255\/revisions\/1518"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/media\/1258"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/media?parent=1255"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/categories?post=1255"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~ACP\/wp-json\/wp\/v2\/tags?post=1255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}