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Dr KK Aggarwal

From the Desk of Editor in Chief
Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Member Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR


Dear Colleague

2nd April, 2010 Friday

Can a doctor write MDMA after his degree?

No. As per a DMC order DMC/DC/F.14/Comp.601/2009 dated 1st December, 2009 the Delhi Medical Council initiated a suo motu action against Dr RKM and Dr VM of Avantika Hospital.

The Council noted that during the course of proceedings in complaint No. 554 of Shri JPJ against Dr RKM, it was observed on perusal of letter pad of Avantika Hospital that the doctors had been suffixing MDMA to their names in violation of provisions of regulation 1.4.2. which mandates that "physicians shall display as suffix to their names only recognized medical degrees or such certificates/diplomas and memberships/honours which confer professional knowledge or recognizes any exemplary qualification/achievements." The doctors admitted to the misconduct but pleaded inadvertence. A warning was issued to them for violating provisions of regulation 1.4.2. with a direction that they should desist from such action in future.

Dr KK Aggarwal
Chief Editor

Photo feature

Dr KK Aggarwal among other eminent Padma Awardees & the Honorable President of India. Notable among them are Amir Khan, AR Rehman, Dr Prathap C Reddy.

Dr k k Aggarwal  get Padma Award

News and views (Dr Monica and Brahm Vasudeva)

1. Many drugs may affect bones 

Dr Melissa Dee Katz, of Weill Cornell Medical College, said that corticosteroids inhibit calcium absorption, impair bone formation, and accelerate bone breakdown. Anticonvulsants can cause vitamin D deficiency. Synthetic thyroid hormones, aluminum–containing antacids, proton pump inhibitor omeprazole, some diuretics and some antibiotics all can interact.

2. Obesity may protect against dying from cardiac arrest

In a study presented at the American College of Cardiology meeting in Atlanta, researchers from the University of Rochester looked at people with chronic heart failure who’d already had one heart attack and found that those who were obese were much less likely to drop dead from sudden cardiac arrest than skinny, chubby, or even normal weight folks.

3. Rate of natural triplet births nearly tripled 

Medical Birth Registry of Norway reveal that the rate of natural triplet births is 2.5 times as high as it was in the 1970s, probably because of the increased use of ovulation–inducing drugs and the older age of mothers. Death rate for triplets is about 10 times as high as for a singleton. (International Journal of Obstetrics and Gynaecology) It is very important to prolong a triplet pregnancy beyond the 28th week of gestation, because before that milestone, the mortality rate is 50%, but beyond it, the rate falls to 3.8%.

4. Loneliness affect blood pressure

Loneliness may affect blood pressure, according to a study appearing in the March issue of Psychology and Aging. People who ranked as feeling most lonely had blood pressure levels 14.4 points higher than those who felt least lonely.

Major medical organization endorses active surveillance for large numbers of prostate cancer patients

Active surveillance is being endorsed for large numbers of men by a major medical organization: the National Comprehensive Cancer Network, an alliance of 21 leading cancer centers across the US. According to new guidelines, the approach is recommended for men deemed to have very low risk prostate cancer and a life expectancy of less than 20 years, as well as for those men whose prostate cancer is considered low risk and have a life expectancy of less than 10 years. According to Dr James Mohler, this means that "almost 40 percent of the 192,000 men diagnosed with prostate cancer each year could qualify for active surveillance under those standards.

Increase in mouth cancer may be linked to spread of HPV through oral sex

Despite a slight overall decrease in head and neck cancers worldwide, there has been a recent surge in oropharyngeal squamous cell carcinoma, which may be due to the spread of the human papillomavirus (HPV) through oral sex, according to a commentary appearing in BMJ.

What’s New: Low carb diet better

In a trial in overweight patients with newly diagnosed type 2 diabetes, patients randomly assigned to a low carbohydrate Mediterranean diet were significantly less likely to require antihyperglycemic drugs than those assigned to a low fat diet. (Esposito K, Maiorino MI, Ciotola M, et al. Effects of a Mediterranean–style diet on the need for antihyperglycemic drug therapy in patients with newly diagnosed type 2 diabetes: a randomized trial. Ann Intern Med 2009;151:306.)

Diabetes Fact

DKA complications: Central edema, Myocardial Infarction, Acute gastric dilatation.

Public Forum (Press Release)

Eating of earthy matter - PICA

Consumption of non food items by children, in medical terms is called pica. Such children may eat clay, sand dirt, plaster, chalk, baking soda, cigarette ash, burnt match heads, glue, paper, tooth paste or soap.

Pica is often associated with iron deficiency anemia, said Dr KK Aggarwal, Dr BC Roy and Padmashri awardee and President, Heart Care Foundation of India.

Deliberate eating of earth substances such as clay, or dirt is called 'geophagia'. It can cause iron deficiency and iron deficiency further increases the craving for geophagia.

In some cultures people eat clay or dirt as they have a belief that it helps relieve nausea, control diarrhea, increase salivation and remove toxins from the body.

Pica is also used in religious rituals, folk medicines and magical believes. Some old traditional cultures believed that eating dirt would help them incorporate magical spirits into their body.

One should look for nutritional deficiency in any patient who is indulging into non food items. Parents of any child above the age of two years indulging into pica should seek medical attention.

Question of the day

How does laser hair removal work and how is it different from electrolysis?

Laser hair removal (LHR) works through the principle of selective photothermolysis. Laser rays of wavelength between 700nm and 1000nm are selectively absorbed by other structures in skin, not even the epidermal melanin. The hair melanin works like a chromophore for the laser energy and the absorption of laser rays results in a photothermal reaction causing heating of the hair bulb, dermal papilla and stem cells in hair follicle to >700C, thus causing their destruction. The hand probe moved over the surface of the skin to be treated results in damage to all pigmented hair in that area. Thus a single pass of treatment covers an area between 8–18mm (depending on the spot size) in a fraction of a second. The hair affected gets damaged irreversibly. Multiple sittings are necessary. Very fine (vellous hair) and white hair do not get affected permanently. Electrolysis in contrast is a procedure where a fine electrode is passed into a hair follicle from surface ostium (pore) till it reaches the area near hair root. A DC/AC current is next passed to cause disruption and destruction of the hair follicle. It is thus a slow process and only a limited number of follicles can be created in one sitting. It works for both pigmented and white hair.

Quote of the Day

You are the embodiment of the information you choose to accept and act upon. To change your circumstances you need to change your thinking and subsequent actions. (Ecaptus)

eMedinewS Try this it Works

Cough sign

The patient is asked to cough and then questioned as to whether this causes abdominal pain and, if so, where. If pain is reproduced in a specific location, this is a sign of underlying peritoneal irritation.

Dr Good Dr Bad

Situation: A diabetic patient came and asked whether he should go for IMA test.

Dr Bad: I have not heard of this test.

Dr Good: Get it done.

Lesson: Elevated IMA levels may indicate an underlying subclinical vascular disease in patients with type 2 diabetes. Ischemia–modified albumin (IMA) is a novel marker of tissue ischemia and widespread endothelial damage in diabetic patients. In a study, the correlation of high plasma IMA levels with high hsCRP and microalbuminuria levels in diabetic subjects indicated the presence of a chronic ischemic process. IMA level was significantly correlated with hsCRP, HbA1c, microalbuminuria, systolic blood pressure, diastolic blood pressure and HOMA–IR (levels in the entire diabetic subjects. (Endocrine 2009 Sep 26. {Epub ahead of print})

Make Sure

Situation: A patient of rheumatoid arthritis after trying different remedies, wanted an analgesic for her pain.

Reaction: Start nimesulide twice daily.

Make sure that nimesulide is effective in combating pain and inflammation in rheumatoid arthritis.


Laughter the best medicine

The man goes home and sees his wife preparing dinner. He stands fifteen feet behind her and says, "What’s for dinner, honey?" He gets no response, so he moves to ten feet behind her and asks again. Still no response, so he moves to five feet. still no answer. Finally he stands directly behind her and says, "Honey, what’s for dinner?" She replies, "For the fourth time, I SAID CHICKEN!"

Formulae in Critical Care

Room air A–a gradient

Formula: {150 – (pCO2/0.8) – pO2}

Milestones in Medicine

1600s A.D. Anton van Leeuwenhoek used a microscope and discovered red blood cells, bacteria and protozoa.

Mistakes in Clinical Practice

Following is the list of drugs which need to be given slowly over a given time as infusion:

  • Theophylline/Aminophylline

  • Calcium gluconate (1cc/mt)

  • Isoprenaline

  • Oxytocin

  • KCl (10 meq/hr)

  • Dopamine

  • Dobutamine.
Lab Test (Dr Naveen Dang)

Creatinine clearence is used to help, detect and evaluate kidney dysfunction or decreased blood flow to the kidneys.

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name


Approval Date

Nimesulide ER 200mg

(Additional Indication)

Acute pain in Orthopedic, ENT, Dental and Post Operative conditions


(Advertorial section)


Zen Immune Beauty helps improve the brittleness of nails and increase the hair tensile strength, thus preventing hair loss. It stimulates regeneration of hair roots, helps prevention of comedone formation and post comedone skin scarring in acne vulgaris.

Advertising in eMedinewS

eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month.

Contact: drkk@ijcp.com or emedinews@gmail.com

eMedinewS–PadmaCon 2010 

Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

eMedinewS–revisiting 2010

The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.

NATIONAL SEMINAR ON STRESS PREVENTION (17 – 18 April). Over 400 Registrations already done.

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.

Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)

Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.

Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9811090206, emedinews@gmail.com BK Sapna: 9811796962, bksapna@hotmail.com

Also, if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards


Delhi Medical Council Presents

An interaction with

Dr. Ketan Desai, President, Medical Council of India  
Mr. Mukul Rohtagi, Senior Advocate, Supreme Court of India
Dr A K Aggarwal, President, Delhi Medical Council

Topic: Medical Ethics & Doctor–Pharma Relationship – New MCI Amendments

Date: April 10, 2010, Saturday

Time: 6 pm – 9 pm

Venue: Maulana Azad Medical College Auditorium, Dilli Gate, New Delhi

Dr KK Aggarwal: Moderator and Member Delhi Medical Council

Dr Girish Tyagi: Registrar, Delhi Medical Council

For Registration SMS to Dr KK Aggarwal: 9811090206  or email to emedinews@gmail.com

No fee

Readers Responses

  1. Delighted that you have this recognition! (on face book): Anuj Sinha

  2. Dear Dr Aggarwal, Congratulations to you on being conferred with the nation's highest award – Padma Shri. I read through your journey and you are a great inspiration. I wish you many more awards & achievements in your career. Regards, Raghavendra

  3. Dear Dr KK, I recall with utmost pleasure and a sense of pride, the very first time I met you in 2004 in the office of Mr Anuj Sinha, my senior colleague in NCSTC, DST, I have been awestruck by your entire persona. Watching you, listening to you and just being around you whenever you visited us in DST, at social gatherings, in the Perfect Health Mela, in Moolchand Hospital, during various events like ‘runs’ organized by you and many other occasions, has opened my horizons even further. I have also learnt several interesting things from you and honestly, even copied your style in several of my presentations and lectures. We have also been fortunately associated with you under the Perfect Health Mela banner for several years now.

    Ever since you launched the unique e–Medinews I have been religiously going through every single copy of and the other day told our dear friend Dr Kakroo about how informative, interesting and thought provoking it is. Today, I feel proud that such a great doctor and a fine gentleman is being conferred the prestigious Padma Award. My family and friends join me in conveying our heartiest congratulations and best wishes in all your future endeavours, which I am certain would be many. Chander Mohan, Director & Scientist F, Department of Science & Technology, Technology Bhavan, New Delhi-110016.

  4. Dear KK, many congratulations. Your efforts have brought laurels to med profession and i believe you will go on to bring more in all times to come. Your mentors must be proud of you. Best wishes and regards. TR Bedi, MD.