Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org


  From the Desk of Editor–in–Chief
Dr KK Aggarwal

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; Chairman Ethical Committee 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


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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

    Health Videos …

Nobility of medical profession: Aamir Khan Controversy (Video 1 to Video 9)
Health and Religion: Bharatiya Vidya Bhavan and Heart Care Foundation of India(Video 1 to Video 7)
Take Care Holistically, DD India health series, Anchor Dr KK Aggarwal (Video 1–3)
Chat with Dr KK On life Style Disorders

Health Update (Video 1 to 15)

  Editorial …

2nd August 2012, Thursday

Obstructive sleep apnea and hypertension

Systemic hypertension is more common among individuals who have untreated obstructive sleep apnea (OSA) than among those who do not.

A prospective cohort study that followed 1889 individuals for a median of 12 years found a higher incidence of hypertension among those with untreated OSA than among those whose OSA was treated with CPAP or those who did not have OSA.

(Marin JM, Agusti A, Villar I, et al. Association between treated and untreated obstructive sleep apnea and risk of hypertension. JAMA 2012;307:2169).

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Strenuous exercise may increaes risk of cardiac disorder

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Seminar on the Role of God Particle in health

Heart Care Foundation of India in association with International Centre for Spirituality and eMedinewS organized a seminar on “Higgs Boson, Consciousness and Health’ on 24th July 2012 at PHD Chamber, New Delhi

Dr K K Aggarwal
    National News

India harbours over 55% of fresh global leprosy cases

Pune: After declaring the country free of leprosy in 2005, the central government is now grappling with fresh cases of the stigmatised disease that have surfaced in the country, accounting for a staggering 55.5 per cent of the new global infections. Of the 2,28,474 new leprosy cases detected in the world in 2010, the figure for India stood at 1,26,800, which accounts for an alarming 55.5 per cent, according to S.D. Gokhale, president, International Leprosy Union (ILU) (India). “If the union and state governments do not take serious note of this fact (the figures quoted were confirmed by union health ministry in a reply given in the Rajya Sabha on March 13, 2012) and initiate effective steps to eradicate leprosy, the problem would become more acute,” he said. To address the problems being faced by Leprosy Affected Patients (LAP), the ILU has decided to constitute “LAP’s Human Rights Cell” to take their collective and individual grievances to the Human Rights Commission, Mr. Gokhale who is also associated with the movement for the protection of rights of the aged in India, said. The ILU, which held a three day conference in Pune this week, attended by activists working for LAPs in various States, has prepared a memorandum enlisting 14 demands to redress their grievances, Mr. Gokhale said. The demands pending with the union and state governments, include formulation of a comprehensive socio-economic rehabilitation policy for empowerment of LAPs, uniform pension and its enhancement to Rs. 2000 per month per LAP, and provision of civic amenities to self-settled colonies of LAPs. (Source: The Hindu, Jul 28, 2012)

For comments and archives

Enhancement’ products come under FDA scanner

Mumbai: After carbonated “energy” drinks , tobacco and related products, the Food and Drugs Administration (FDA) is now cracking the whip on “enhancement” products often clandestinely sold through agents, claiming that these goods are cheating the public and even adversely affecting the health of the consumer. Goods that claim to increase height, decrease weight, improve libido and many balms that promise to cure joint ailments have come under the FDA scanner. The administration has initiated action against print and electronic media that advertised such products besides the manufacturers. Over the past few months, it has issued 67 notices to television channels, newspapers and magazines to withdraw the advertisements. Four other cases will be heard in the court. “As per the Drugs and Magic Remedies Act, 1954, those groups or individuals displaying objectional advertisements are liable to be punished. The manufacturers of these goods are out to dupe people. These products are not even freely available in the market and can be purchased only through agents, which itself makes them all fishy,” FDA commissioner Mahesh Zagade said. Zagade said the FDA should have taken action earlier. “Many of these goods contain harmful ingredients that don’t enhance anything but harm the consumers. The law existed even earlier; now the FDA will implement it more vigorously.” (Source: Indian Express, Aug 01 2012)

For comments and archives

My Profession My Concern

India facing shortage of 10 lakh MBBS doctors: Azad

Thursday, July 26, 2012

Jammu: The country is facing a shortage of 10 lakh MBBS doctors, which is affecting healthcare delivery system in rural areas, Union Health and Family Welfare Minister Ghulam Nabi Azad on Thursday said. “There are seven lakh doctors in the country against a requirement of 17 lakh, leaving a deficit of 10 lakh doctors. This is directly affecting the healthcare delivery system in rural areas,” Azad said.
Speaking at a public meeting at Kilhotran in Gandoh tehsil of Doda district, Azad said though the Centre was providing adequate funds for construction of hospitals, there was shortage of MBBS doctors. According to the minister, to provide better healthcare in rural areas, the syllabus of MBBS doctors is being amended so as to ensure trainee doctors serve in villages for one year before getting the MBBS degree. (Source: Zee News)

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Barrett's and esophageal adenocarcinoma get new guidelines

An international group of almost 100 experts has developed consensus statements on the best ways to diagnose and treat esophageal precancer and early cancer, with their statements published in the August issue of Gastroenterology. Esophageal adenocarcinoma (EA) has become more common in the last few decades among patients with Barrett's esophagus (BE), yet EA remains rare, and little agreement has been reached on how to treat or prevent the deadly cancer, the researchers write. Many of the statements focus on having good endoscopy equipment, use of endoscopy rather than open surgery, and the importance of tissue sampling. For BE and EA endoscopy, physicians insert a thin tube with a video camera and necessary instruments into the throat, which avoids the need for chest surgery. Eight of the statements, summarized below, are directly applicable to the clinic today: (Source: Medscape)

  • specimens from endoscopic resection are better than biopsies for staging lesions,
  • it is important to carefully map the size of the dysplastic areas,
  • patients that receive ablative or surgical therapy require endoscopic follow-up,
  • high-resolution endoscopy is necessary for accurate diagnosis,
  • endoscopic therapy for HGD is preferred to surveillance,
  • endoscopic therapy for HGD is preferred to surgery,
  • the combination of endoscopic resection and radiofrequency ablation is the most effective therapy, and
  • after endoscopic removal of lesions from patients with HGD, all areas of BE should be ablated.

For comments and archives

Cost not biggest factor in choice of physician

Patient or user experience has never been more important in the healthcare industry than now. A PricewaterhouseCoopers report found that customer experience and not price is the overriding factor when it comes to choosing a healthcare provider. In fact, only 8% rated price as the No. 1 purchase driver in healthcare decision-making, compared with 69% in the airlines/leisure industry and 55% in retail. The survey of 6,000 consumers across several industries formed the basis of the new report from PricewaterhouseCoopers, which found that the "consumerism movement gained traction as individuals were asked to spend more of their own money on services and products such as insurance premiums, deductibles, and copayments." (Source: Medpage Today)

For comments and archives

FDA declines new indication for methylnaltrexone

The US Food and Drug Administration (FDA) has declined approval of methylnaltrexone bromide (Relistor, Salix Pharmaceuticals, Ltd, and Progenics Pharmaceuticals) for treatment of opioid-induced constipation (OIC) in adult patients with chronic, noncancer pain. Currently, methylnaltrexone bromide in the United States is indicated for the treatment of opioid-induced constipation in patients with advanced illness who are receiving palliative care, but only when response to laxative therapy has not been sufficient. (Source: Medscape)

For comments and archives

Newer pertussis vaccines may not work over time

The protection provided by acellular pertussis vaccines (DTaP) as a first dose may fall short of that provided by first-dose whole-cell pertussis vaccines (DTwP), which were phased out in the 1990s because of higher rates of adverse events, an Australian study showed. (Source: Medpage Today)

For comments and archives

    Twitter of the Day

@DrKKAggarwal: Dr TV Venkateswaran on Higgs-Boson, Consciousness and Health

@DeepakChopra: Where does fear comes from? How do we identify it and how do we overcome fear completely? http://tinyurl.com/csycqa8

    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

Bad Omens/Superstitions

Why do people say that Billi Ka Rasta katna is a bad omen?

This bad omen came into existence long time back in India when plague was very common. Plague spreads by infected rats. Wherever there were rates, there were cats.

For comments and archives

    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is endometriosis?

Endometriosis is a common condition that affects women during the reproductive years. It occurs when normal tissue from the uterine lining, the endometrium, attaches to organs in the pelvis and begins to grow. This displaced endometrial tissue causes irritation in the pelvis that may lead to pain and infertility.

For comments and archives

    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Red cell problem - weak / missing Ag









1 +



? AB +





Red cell problem - additional antigen









4 +



AB +






  • Spontaneous aggregation (rouleaux)
  • Antibody coated cells
  • Polyagglutination
  • Acquired B-like antigen
  • Transfusion/BMT of non-groups specific cells


  • DAT
  • Use different Anti-sera
  • Use of Lectins
  • Patient history/diagnosis
  • Use of acidified anti-B

For comments and archives

    An Inspirational Story

(Mr Vivek Kumar)

A hospital story

A story that should inspire all. The Power of One…

On 13 April 1971 Shri Sadhan Chandra Mistry, aged 35 years a vegetable vendor (a total non-entity) in the obscure village of Hanspukur, District South 24-Parganas, West Bengal, died of a very common and minor ailment, only because he could not get access to any medical attention whatsoever. He left behind his illiterate wife Subhasini (23 years then) with two sons and two daughters four to eight years in age. Naturally the family plunged into utter poverty and Subhasini was forced out of her home within one month of her husband’s death, to sell vegetables in that hamlet market. That day, while she sat under the scorching sun selling vegetables and worrying about her children, she took a vow that one day she will build a hospital in that very village so that no poor villager would die for want of medical attention.

Her fellow vendors and every person who heard of her vow just laughed and made fun of her. How can she build a hospital, they jeered, when she cannot even mend her own thatched hut? Plus she has to feed a family of five and marry two daughters; all humbug and pure day dreaming must have lost her mind was the considered conclusion by the village elders.

However, day in and out, Subhasini went on selling vegetables silently and looking after her children never allowing the fire in her frail body to douse even for a moment. After persevering for twenty full years, ultimately she could start a clinic at her home for poor people. She managed to coax a doctor into coming to her village every week. And week after week, while tens of poor patients got medical attention from this lone clinic in the region, Subhasini became the most popular household name in her village. Now her fellow vendors and all others started respecting her. That was enough of a support for her.

In the meantime, her children grew up. The two daughters were married off. The eldest son chose to be a labourer, working in agricultural fields. Her other son, the youngest of the lot, Ajoy Mistry was identified by Subhasini to carry on her mission. He successfully completed his secondary education and passed the All India Medical Entrance Test. Aided by the German Scholarship, he joined Calcutta Medical College where he completed his medical course. He worked hard as he studied, ran around from friends to well wishers to any person/organization he had access and managed to raise Rs.50,000 for his mother’s mission.

In 1993, Ajoy Mistry authored the trust deed of Humanity Trust with his mother Subhasini Mistry as the co-founder trustee. On 5th February 1995, the foundation stone for the Hospital was laid and on 9th March 1996, the hospital was inaugurated and opened to public. Within one year, the trust could raise ten times the initial money to complete the first structure of the hospital. Soon, more donations followed and today, Subhasini Mistry can say with pride that she has fulfilled her pledge made to her husband two and half decades earlier.

The will and spirit of a woman who defied social norms and obstacles all along to establish the first hospital in that region The Humanity Hospital underscores a saga of dedication, commitment, vision, ambition and unflinching determination of a resource less illiterate village woman in acute penury and distress.

Humanity Hospital is certified and registered as a Hospital under the West Bengal Clinical Establishment Act. of 1950, managed by Humanity Trust formed on 4th March 1993. In the year 2000, in appreciation of their service to humanity and poor people in particular, both Subhasini Mistry and Ajoy Mistry were honoured and named as the prestigious Paul Harris Fellow by the Rotary International. Today, despite the financial crunch to meet recurring expenses, the Hospital provides best services to poor and underprivileged sections of the society.

Subhasini Mistry still sells vegetables in Kolkata market to sustain her family.

Nobody realizes that all the wealth they have created cannot be taken by them beyond the hour of death.

For comments and archives

    Cardiology eMedinewS

ICD outcomes tied to cardiac muscle scarring Read More

USPSTF updates guidelines on healthy lifestyle for CVD prevention
Read More

    Pediatric eMedinewS

AHA statement on neurodevelopment in congenital heart disease
Read More

CNS impairment a better gauge of fetal alcohol exposure? Read More

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    IJCP Special

Dr Good Dr Bad

Situation: A patient with erectile dysfunction came with chest pain.
Dr Bad: Its non cardiac.
Dr Good: This pain can be cardiac in origin.
Lesson: Men who present with erectile dysfunction may be at higher risk for subsequent development of cardiovascular events.

For comments and archives

Make Sure

Situation: A patient with pyogenic meningitis developed complications.
Reaction: Oh My God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

For comments and archives

    Legal Question of the Day

(Dr MC Gupta)

Q. Does running of a clinic by a physician at his residence amount to commercial activity?


  1. This question has recently been answered by the Delhi HC in DR. D.V.CHUG versus STATE & ANR., Delhi HC, decided by SURESH KAIT, J., on 2-7-2012.
  2. Para of this judgment is reproduced below:

    “5. The issue arises in the instant petition, whether, running of clinic from the residential premises, would come in commercial activity”.
  3. After a detailed discussion of law and decided cases, the court observed as follows:

    “11. On considering the submissions of ld. counsel appearing for the parties, I am of the considered view that the professional establishment of a doctor cannot come within the definition of commercial activity. Commerce is that activity where a capital is put into; work and risk run of profit or loss. If the activities are undertaken for production or distribution of goods or for rendering material services, then it comes under the definition of commerce. The word ‘profession’ used to be confined to the three learned professions; the Church, Medicine and Law. There is a fundamental distinction between the professional activities and commercial activities”.
  4. SUMMARY—Running of a clinic by a physician at his residence amounts to a professional, not a commercial activity.

For comments and archives

  Quote of the Day

(Dr GM Singh)

Never change your originality for the sake of others, because no one can play your role better than you. So be yourself, because whatever you are, YOU are the best.

    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Also known as: LD, Lactate dehydrogenase, Lactic dehydrogenase, Total LDH and LDH isoenzymes.

This test helps identifying the cause and location of tissue damage in the body and to monitor its progress. Increased levels of LDH and changes in the ratio of the LDH isoenzymes usually indicate some type of tissue damage. Raised levels of LDH may be seen with:

  • Cerebrovascular accident (CVA, stroke)
  • Drugs: anesthetics, aspirin, narcotics, procainamides, alcohol
  • Hemolytic anemias
  • Pernicious anemia (megaloblastic anemia)
  • Infectious mononucleosis (Mono)
  • Intestinal and pulmonary infarction
  • Kidney disease
  • Liver disease
  • Muscular dystrophy
  • Pancreatitis
  • Lymphoma or other cancers

Low and normal levels of LDH do not usually indicate a problem. Low levels can be seen when a patient ingests large amounts of vitamin C.

    Mind Teaser

Read this…………………

On discharge, the nurse teaches the patient to observe for signs of surgically induced hypothyroidism. The nurse would know that the patient understands the teaching when she states she should notify the MD if she develops:

A. Intolerance to heat
B. Dry skin and fatigue
C. Progressive weight gain
D. Insomnia and excitability

Yesterday’s Mind Teaser: During the first 24 hours after thyroid surgery, the nurse should include in her care:

A. Checking the back and sides of the operative dressing
B. Supporting the head during mild range of motion exercise
C. Encouraging the client to ventilate her feelings about the surgery
D. Advising the client that she can resume her normal activities immediately

Answer for Yesterday’s Mind Teaser: A. Checking the back and sides of the operative dressing

Correct answers received from: YJ Vasavada, Dr PC Das, Dr (Maj. Gen.) Anil Bairaria, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Kanta jain, Dr Avtar Krishan.

Answer for 31st July Mind Teaser: 2 times

Correct answers received from:
Avula Ramadevi, Yogindra Vasavada, Dr Anupam Sethi Malhotra, Dr KV Sarma.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Prabha Sanghi)

Priceless definitions


Cold storage

    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Is approval of a clinic for MTP required?

Vide Regulation 7, no entry shall be made in any case–sheet, operation theatre register, follow–up card or any other document or register (except the admission register) maintained at any hospital or approved place indicating there in the names of the pregnant woman and reference to that woman shall be made therein by the serial number assigned to such woman in the admission register.

No place shall be approved under clause (b) of section 4,

  • unless the government is satisfied that the termination of pregnancies may be done therein under safe and hygienic conditions; and
  • unless the following facilities are provided therein, viz., an operation table and instruments for performing abdominal and gynecological surgery; anesthetic equipment, resuscitation equipment and sterilization equipment; Drugs and parenteral fluid for emergency use.

The Chief Medical Officer of the district may, if he is satisfied after such verification, enquiry or inspection, as may be considered necessary that termination of pregnancy may be done under safe and hygienic conditions, at a place, recommend the approval of such place to the government.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Diabetes and Dental Screening

Periodontal disease is a common complication of diabetes and itself contributes to poor glycemic control, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India. Severe periodontal disease has been shown to be an independent risk factor for mortality from ischemic heart disease and nephropathy.

Annual dental examination is recommended in both dentate and non-dentate diabetic patients. In diabetic patients, control of blood sugar is the key. If blood sugar is uncontrolled, then this carries a higher risk of

  1. Tooth decay (cavities). The mouth naturally contains many types of bacteria. The higher the blood sugar level, the greater the supply of sugars and starches and the more acid that damages the teeth.
  2. Early gum disease (gingivitis). Diabetes reduces the ability to fight bacteria, which can cause more plaque to build up on the teeth.
  3. Advanced gum disease (periodontitis). Left untreated, gingivitis can lead to a more serious infection called periodontitis, which destroys the soft tissue and bone that support the teeth. Periodontitis tends to be more severe among people who have diabetes because diabetes lowers the ability to resist infection and slows healing.
  4. Patients with diabetes mellitus should also receive influenza flu vaccination yearly and pneumococcal vaccination. The pneumococcal vaccine should be repeated once after 65 years of age if the initial vaccination was prior to this age.
  5. Tetanus and diphtheria vaccinations should also be updated.
  6. Diabetes is considered equivalent to known coronary heart disease in predicting the risk of future cardiac events. Smoking cessation is essential for patients who smoke. Cardiovascular morbidity can also be significantly reduced with aggressive management of hypertension (goal blood pressure less than 120/80 mmHg), cholesterol (goal LDL less than 80 mg/dL) and use of aspirin (80 mg/day) in patients over age 40 years, and in younger patients with additional cardiovascular risk factors.
  7. Aspirin alone may not be the answer as a Japanese research has shown that low-dose aspirin does not reduce the risk of cardiovascular events in people with type 2 diabetes.
    Readers Responses
  1. Dear Sir, many state governments are trying to allow Ayurvedic clinicians to use Allopathic medicines. Do state governments have power to equalize BAMS to MBBS after just a certificate course /training in pharmacology? Dr Sundeep Nigam.
    Forthcoming Events
Dr K K Aggarwal

Dr K K Aggarwal

Dr K K Aggarwal


All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta