emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
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; 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


5th August, 2010, Thursday

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Three tools to improve patient service scores

Customer (Patient) service should always be a priority. Here are the tools

  • POET: Pursuing Organizational Excellence Together. POET is a way to recognize staff that have demonstrated exceptional customer service standards. Behavioral standards for recognition include:
    • Commitment to our Customers
    • Ownership
    • Safety and Environment
    • Cultural Competence
    • Confidentiality and Privacy
    • Effective Communication

      Five POET cards are exchanged for a POET pin. A set of ten additional cards earns a white quill. For every ten white quills, you earn a gold quill.
  • AIDET: Acknowledge, Introduce, Duration, Explain, Thank: This is an evidence based technique that correlates closely with high patient satisfaction. This is what a patient expects from you.

  • LAST: Listen, Apologize, Solve, Thank. This is an all–out recovery tool.

    (With inputs from Dr Brahm Vasudeva)

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook  

 

Photo Feature (From HCFI file)

Released the book "Alloveda"

Chief Minister Smt Sheila Dixit released the book "Alloveda" written by Dr K K Aggarwal on October 18, 2010 at the Perfect Health Mela venue

 In the photo:    Smt Sheila Dixit Chief Minister Delhi and Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President HCFI  

Dr k k Aggarwal

 

News and views

National

 From today, get compensation for delayed flights

From today one can claim compensation for flight delays, denial of boarding or flight cancellations, according to guidelines formulated by the Directorate General of Civil Aviation (DGCA). The draft policy proposes a compensation of Rs Rs  2,000 - 4,000 if a flight is delayed for more than two hours, but only if the airline is directly responsible for the delay. If the journey is delayed by more than 24 hours, the airline will have to compulsorily provide food and accommodation to passengers.

 International Bone marrow transplant –a potential cure for HIV

A bone marrow transplant – with specially selected donor stem cells –– appears to have cured a 42–year-old American man of HIV. According to Gero Hütter, M.D., and colleagues at the Charité-Medical University, there is no sign of HIV in the patient 20 months post transplant. Anti–HIV treatment was stopped from the day of transplantation and has not been started again. The bone marrow transplant was not intended as a cure for HIV but was attempted as treatment for acute myeloid leukemia, according to Dr. Hotter, a hematologist at the hospital. The donor was selected with care. Knowing that people whose immune cells have a defective CCR5 receptor are protected against the virus, a donor with such a mutation was deliberately looked for. People with two copies of the CCR5 mutation, dubbed delta32, are relatively rare –– only about one in 100 people in Central Europe. Among the 232 HLA-matched donors found by the German Central Bone Marrow Donor Registry, the researchers found one with the double CCR5 mutation.

Oral Contraceptives and Hormone Replacement Therapy May Protect Women Against Brain Aneurysms

New research reports tht oral contraceptives and hormone replacement therapy (HRT) may provide extra benefits of protecting against the formation and rupture of brain aneurysms in women. The study findings from this first–of–its–kind study by a neurointerventional expert from Rush University Medical Center were presented at the 7th Annual Meeting of the Society of Neurointerventional Surgery (SNIS).

Diet and Alcohol Alter Epigenetics of Breast Cancer

Epigenetic changes to DNA in breast cancers are related to environmental risk factors and tumor size, providing a window into the severity of the disease report scientists from Brown University and the University of California San Francisco. The study is published in the June 30 edition of PLoS Genetics. The epigenetic profiles of tumors were found to have a direct association with diet, alcohol, and tumor size.

Fever Often Missing in Mild Pandemic Flu

Physicians who follow standard diagnostic criteria may miss mild cases of the pandemic flu. Fever, is a central part of the diagnostic criteria of pandemic flu; however, in many mild cases, fever is not a part of the constellation of symptoms. According to Sang Won Park, MD, of Boramae College of Medicine in Seoul, Korea, and colleagues, cough, was "the most sensitive indicator" of the flu in mild cases. The study is published in the August issue of the American Journal of Infection Control.

 

Legal Column

Forensic Column (Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS)

Cross–examination debate for standards of medical care (cont…)

Cross–examination debate tournaments are sanctioned by rival professional associations, the Cross Examination medical Debate Association (CEDA) and the National Debate Tournament Committee of the American Forensic Association working well in self-regulation of medical education and standards of therapeutic and diagnostic updated medical care delivery system in the larger and better interest of the patient care and decrease medical litigations in a fair/ethical ways.

 

Experts’ Views

Interesting Tips in Hepatology & Gastroenterology

(Dr. Neelam Mohan – Director Pediatric Gastroenterology, Hepatology and Liver Transplantation Medanta Medicity)


Pancreatitis (Cont…)

Acute pancreatitis

Acute pancreatitis is when there is clinical and pathological reversibility.

Severity category

Local complications

 

Systemic complications

Mild

No (peri) pancreatic complication

and

No organ failure

Moderate

Sterile (peri) pancreatic complication

or

Transient organ failure

Severe

Infectious (peri) pancreatic complication

or

Persistent organ failure

Critical

Infectious (peri) pancreatic complication

and

Persistent organ failure

Question of the day

What is honeymoon phase in type 1 diabetes mellitus? (Dr Subhankar Choudhury)

Honeymoon phase is a transient clinical remission period of type 1 diabetes mellitus shortly after its clinical onset; it is characterized by continuation of endogenous insulin secretion, reduced exogenous insulin requirement and good metabolic control.

The fall in insulin requirement is likely due to improved β–cell function and improved insulin sensitivity consequent upon improvement of ‘glucotoxicity’ on treatment. Two to 12% patients have been reported to undergo total remission, whereas 18-62% may undergo partial remission requiring one or two intermediate acting insulin only.1,2

It should be remembered that this natural remission is always temporary because of inexorable progression of β–cell damage in type 1 diabetes, ending with a gradual or abrupt increase in insulin requirement. The duration of remission depends on age of onset and antibody status of the patient. Older age,3 less severe initial presentation and low or absent IC3 or IA–24 are predictors of longer remission. The average duration of remission is mostly <3 years as destruction of β-cell is usually complete within this time, especially those with HLA–DR3 and DR4 genotype.5 In 15% older patients, β–cell function may be preserved upto 10 years.6 DCCT data indicate that strict control of blood glucose may prolong β–cell destruction. Patients at honeymoon phase should be prescribed minimal maintenance dose of insulin to ensure compliance of the patients. Patients and their guardians should be given explained about this phenomenon, especially so as not to raise undue expectation of cure. There is renewed interest in the phase of partial remission in recently diagnosed diabetes because of the potential for pharmacological and immune intervention to preserve β–cell function.7

References

  1. Pinkey JH, Bingley PJ, Sawtell PA, et al. Presentation and progress of childhood diabetes mellitus: A prospective population–based study. Diabetologia 1994;37(1):70–4.

  2. Agner T, Damm P, Binder C. Remission in IDDM: Prospective study of basal C–peptide and insulin dose in 268 consecutive patients. Diabetes Care 1987;10(2):164–9.

  3. Ortqvist E, Falorni A, Persson B, et al. Age governs gender-dependent islet cell autoreactivity and predicts the clinical course in childhood IDDM. Acta Paediatr 1997;86(11):1166–71.

  4. Sabbah E, Savola K, Kulmala P, et al. Diabetes associated autoantibodies in relation to clinical characteristics and natural course in children with newly diagnosed type 1 diabetes. JCEM 1999;84(5):1534–9.

  5. Knip M, Ilonen J, Mustonen A, Åkerblom HK. Evidence of an accelerated B–cell destruction in HLA–Dw3/Dw4 heterozygous children with type 1 (insulin-dependent) diabetes. Diabetologia 1986;29(6):347–3.

  6. Madsbad S, Bottazzo GF, Cudworth AG, Dean B, Faber OK, Binder C. Islet–cell antibodies and beta–cell function in insulin–dependent diabetics. Diabetologia 1980;18(1):45–7.

  7. Muhammad BJ, Swift PG, Raymond NT, et al. Partial remission phase of diabetes in children younger than age 10 years. Arch Dis Child 1999;80:367–9.
 

Public Forum (Press Release for use by the newspapers)

Sudden cardiac death is preventable

It is easy to anticipate sudden cardiac death. The forthcoming BSNL Dil Ka Darbar being held on Sunday, the 26th September on World Heart Day will focus on how to identify the risk of sudden cardiac death in normal population as well as in heart patients.

Giving the details, Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India & BSNL Dil Ka Darbar said that the following people are at risk of sudden cardiac death.

  • People who have survived a past cardiac arrest.
  • Heart patient with pumping action of the heart less than 30%.
  • ECG showing wide QRS conduction of more than 120 msec.
  • Inability to climb to flight of stairs without symptoms.
  • Inability to walk 2 kms on level ground without symptoms.
  • Inability to do exercise in the bed with the partner without symptoms.
  • Patient with uncontrolled blood pressure, diabetes, smoking and people who drink more than 5 pegs of alcohol in one hour or 6 pegs of alcohol in one day.
  • People who have uncontrolled smoring.
ijcp
IJCP
IJCP
ijcpgroup
nuspera
Docconnect
IJCP
 

An Inspirational Story 

Shake it Off and Step Up

A parable is told of a farmer who owned an old mule. The mule fell into the farmer’s well. The farmer heard the mule ‘braying’ or whatever mules do when they fall into wells. After carefully assessing the situation, the farmer felt sorry for the mule, but decided that neither the mule nor the well was worth saving. Instead, he called his neighbors together and told them what had happened and asked them to help haul dirt to bury the old mule in the well and put him out of his misery.

Initially, the old mule was hysterical! But as the farmer and his neighbors continued shoveling and the dirt hit his back, a thought struck him. It suddenly dawned on him that every time a shovel load of dirt landed on his back: he should shake it off and step up! This is what the old mule did, blow after blow. "Shake it off and step up… shake it off and step up… shake it off and step up!" he repeated to encourage himself.

No matter how painful the blows, or distressing the situation seemed, the old mule fought "panic" and just kept right on shaking it off and stepping up!

You guessed it! It wasn’t long before the old mule, battered and exhausted, stepped triumphantly over the wall of that well! What seemed like it would bury him, actually end up blessing him. All because of the manner in which he handled his adversity.

 

IJCP Special

Dr Good Dr Bad

Situation: A patient with suspected meningitis came to the emergency room.
Dr. Bad: We will wait for the report of the lumber puncture.
Dr.Good: You need immediate IV antibiotics.
Lesson: Time is brain. Once you suspect meningitis, the first dose of antibiotics should be given stat.

Make Sure

Situation: A patient with rheumatic carditis relapsed after five years of stopping penicillin prophylaxis.
Reaction: Oh my God! Why was prophylaxis not continued for ten years?
Lasson: Make sure that prophylaxis in the setting of carditis should continue until the patient is a young adult (18 years of age), which is usually 10 years from an acute attack with no recurrence.

Quote of the Day

"You will get run over if you just still there." Will Rogers

Are you fit to fly?

Heart patients

There is a theoretical risk that the implantabale cardioverter–defibrillator (ICD) might detect the alternating magnetic field created by the handheld wand, which could lead to an inadvertent shock or inhibition of the ICD’s pacemaker output. Thus, patients with ICDs should request a hand search.

 

International Medical Science Academy Update (IMSA)

Prophylactic acetaminophen

A multicenter openlabel randomized trial evaluated the effects of prophylactic paracetamol at the time of vaccination and for the next 24 hours on vaccine response and fever. Infants who received prophylactic paracetamol had lower geometric mean antibody titers to some antigens after primary and booster immunization than controls. Nonetheless, 96 % of infants achieved protective levels of antibody for all antigens.

 

Drug Update

List of Approved drugs from 01.01.2010 TO 30.4.2010

Drug Name

Indication

DCI Approval Date

Aliskiren 150/160mg + Valsartan 300/320mg tablets

For the treatment of hypertension

19–Jan–10

 

Medi Finance

Q. If a doctor has two houses, both self-occupied, does he have to pay tax on income from house property?

Ans. One self–occupied property is exempt from tax. However, if there are two houses, one house will be taxed as deemed to be let out. Assessee can choose one house for self occupying purpose.

 

Lab Medicine (Dr Arpan Gandhi and Dr Navin Dang)

SGOT and SGPT

  • Alanine aminotransferase (ALT/ SGPT): It is an enzyme found mainly in the liver and is one of the best test for detecting hepatitis.

  • Aspartate aminotransferase (AST/ SGOT):It is an enzyme found in the liver including the heart and other muscles.
 

Lateral thinking

Read this………………

he’s X himself

Send in your answer to emedinews@gmail.com

The answer for yesterday’s puzzle "six feet underground"

Correct answers received from: Dr Ashok Wasan, Dr Prachi Garg,D. Gagan Srivastava, Dr. Rajiv Bhatt, Dr. Rohit Jain, Dr. Pravesh Sablok, Dr. Ajmer Singh, Dr. Akshay Bhardwaj, Dr. Raju Kuppusamy, Dr. Sunita Kalra, Dr. K.V. Sarma, Dr. Chandresh Jardosh, Dr. Manoj Saini, Dr. Ashok Wasan, Dr. Gitanjali Arora, Dr. Girish Celly, Dr Aksht Bhargava

Correct answer for 3rd August puzzle: Dr Ashok Kumar

 

Humor Section

Jokes

Doctor: "Nurse, how is that little boy doing, the one who swallowed ten quarters?"
Nurse: "No change yet."

Fumy One Liners

Nurse: A beautiful woman who holds your hand for one full minute and then expects your pulse to be normal.

 

 

Readers Responses
  1. Dear Dr Aggarwal, The passing of “Clinic and Hospital establishment bill” has raised many issues. Sometimes we raise such issues but when something is done on the part of Government we feel perturbed. The issue of RMPs and quacks was one which probably resulted in enactment of this bill. Instead of outright rejection what we should do and suggest to Govt is that its implementation should be by medical professionals only.  We are partly to blame ourselves for the sorry state of affairs where we stand today.  Already state medial councils exist in each state. Being a statutory body they are already vested with constitutional powers. The new act should only be implemented by state medical councils. This can save us from Insector Raj and another den of corruption: Dr R.S. Bajaj , Consultant Pediatrician, Sector 13, Rohini, Delhi -110085.
  2. I agree it would be just like PNDT act where on record keeping, doctors are not only being harassed but their machines being sealed and they being prosecuted only because of corrupt DAA. The same would happen here again; the act would be misused mostly and used less. The Government can't give us basic facilities like electricity and water and we are expected to keep upto the norms set by them. Public is not ready to pay for the heavy expensed incurred run by private clinics and nursing homes and they would give us guidelines on how to run our clinics. What can we do? When they make guidelines, let us hope for the best:  Dr Maninder Ahuja, President FOGS (Faridabad Obst & Gynae society).
  3. Dear KK, I am surprised to read opinion of people like Dr Nakipuria. How much does he know about MCI and its previous controllers? He does not knwo how it was functioning. Govt has taken right stand, but it shpuld have been permanent dissolution and not for one year. Dr K K Arora
  4.  Pankaj mittal, the bill has been approved by the Union Cabinet. How the doctor will be benefitted from this bill.
  5.  Dear dr kk aggarwal,  i suggest that since these clinics are micro mini industries and are national treasure , they should be given tax exemption from the govt . for 5-10 years.so that young doctors are encouraged to open such clinics and senior doctors can also benefit. Sincerely. dr vinayek (family physician & specialist)
  6.  PLEASE KEEP US UPDATED ABOUT FACULTY POSITIONS AT GANGARAM HOSPITAL DELHI..THERE APPEARS TO BE AN EXODUS OF SORTS .I EARNESTLY HOPE THAT THIS FAMOUS HOSPITAL IS ABLE TO RETAIN ITS REPUTATION AND FACULTY... ALTHOUGH NO BODY IS INDISPENSABLE AND COUNTRY IS FULL OF TALENT. Dr Prof. H.L. Kapoor
  7.  Dr Surendra Chadha:  Respected Sir,   One Question Pls, Every patient of Diabetes with Tuberculosis has to be on Insulin if he cannot be controlled with diet + exercise. Or can we give some OHA. A: we can control with OHA also.
  8.  DR MN MISRA : Si r, as I have understood in my 50 years of  active association as a medical student (5yrs) & as a doctor in service as G D M O& Specialist, most/many of us(of any Pathy of art of healing) donot properly know importance of /donot give due importance to SYMPATHY&EMPATHY.I REQUEST YOU DR AGGARWAL if you take it to MCI/any proper authority to get included  Ccommunication skill/ Applied Psychology in MBBS course,it will be of great help to  both, doctors &patients .I am sure it will reduce Medicolegal litigations.
  9.  Respected  Padma Shri and Dr B C Roy National Awardee  Dr KK Aggarwal ji, Your views expressed in 04 th August 2010 issue on medical education are excellent & visionary, execution of such strategy will be more result oriented. Dr. G.S. Lavekar
  10.  Respected Sir,  I would like to know how to manage a case of isolated low HDL.  A patient who is 53 yrs old male, non diabetic, nonsmoker, non-alcoholic with negative family history of premature CHD came with Stage-I Hypertension three months back. His investigations reports at that time including HbA1C level(5.9%), KFT( S.cret-0.8, BUN-18), LFT ( SGPT-22, SGOT-20), Urine R/M( Albumin-Nil) and Lipid Profile( Tot Cholestrol-174,LDL-118, TG-140, HDL-23, VLDL-28), resting ECG were at optimal level except for his HDL which was significantly low at 23. He was then advised for moderate physical activity  and dietry control as measure of lifestyle intervention along with Envas 5mg. His B.P. is now well controlled and his recent lipid profile is showing almost the same values except for slight increase in HDL level from 23 peviously to 27 now. How to mangage low HDL in this case- should we continue with lifestyle intervention alone or add Niacin /Fibrates to raise HDL level.  Dr Manoj Kr Saini A: apart from drugs try restricting refined carbs, giving dry fruits and degi mirch.
  11.  Dear Editor, I agree with Optom. Rajesh Wadhwa's views (eMedinews, 4th August) on Dr. Nakipuria's wrong-doing for the noble profession of optometry. Optometry was introduced in India way back in 1958, and over the period of more than 50 years has been serving the primary eye care needs of our massing millions in the area of refraction, orthoptics, contact lenses, low vision aids and rehabilitation. Optometry is, thus, the first line of defence against blindness. Dr. Nakipuria seems to be either ignorant of the true role of optometrists or, unfortunately,  mistaking the entity for the traditionally non-qualified opticians! Optometrists usually make use of the prefix "Optom." before their names, and the prefix "Dr." is used by those having either an additional qualification in one of the three Government-recognised streams of medicine (Ayurveda, Homoeopathy and Allopathy) or the PHd qualification. There's even an example of at least one professional having a Degree qualification each in Optometry and Ophthalmology! Optometrists are rendering yeoman service in hospitals, with ophthalmologists, in corporate sector, in teaching institutions and in private settings...and naturally deserve praise for being party to the national programme of the prevention and eradication of blindness. Dr. Narendra Kumar, BAMS, DROpt, PGCR, Formerly Refractionist, Sir Ganga Ram Hospital.
  12.  Dr Nakipuria : Respected Dr. k. k. Aggarwal, Mr.N.Ahuja and all other concerned:  Please read what i wrote and then comment , at no where i wrote Optometrists are quack, i simply write that Modern Medical Practitioner are under heavy pressure by so called practitioner of other modalities existing in India and in which i separately mentioned "quacks" as separate identity  and also Optometrist that does not mean Optometrist or these practitioner are quacks. Quacks are existing in our society at every place and even practising as Eye specialist and surgeon and all want get rid of them.  I know 'optometry' is a respected faculty strongly needed by every Eye Department of our health system so there is no question of putting any derogatory , disgarcing remark for such important community of our Health Family but we strongly oppose who write Doctor before their name. Please read and follow in good spirit ,nobody can write any genuine person as bad person.
  13. Dear Dr KKYou are doing a good job. Clinical establishment act is a reality.Of course, concern of IMA was echoed in the upper house but no MP was emphatic except Mr. Rout to defend the community. These days trend of lobbying has changed. We should have been able to motivate at least ten such MPs to put our view point. Mr. Rout must be complimented to defend the medical fraternity by our national leadership in person. Let us prepare a draft to get some objectionable regulations out of the preview of this act before rules are made to implement them. Every service concerning physical, mental,social health must must be regulated including complimentary and alternative medical system(CAM). Any body like Gurus who give some 'vibhuti', faith healers, naturo paths, osteopaths, road side 'pehlwans' claiming themselves as fracture experts, 'babas' and 'modas' claiming themselves to heal every medical illness along with all other system of medicine be regulated. Our MPs and other political leaders have a misplaced notion that CLE will make the services cheaper but it will have a boomerang effect. No person in free india should be allowed to do medical practice without a proper degree in that discipline. CAM people are welcomed but these should be allowed to practice within that system for which they are trained. Let us face the things as they are today. Dr Satish Chugh
  14. Dr KK Aggarwal : I am sending you the update on Cl Est Bill for the magazine. Dr Yash: IMA has opposed the clinical establishment bill. The doctors in last two months had protest rallies and dharna at district level all over the country. Doctor felt that this bill is against the poor people as this will the cost of treatment. There are number of objectionable clauses in this bill. IMA is highly thankful to the members of Rajya Sabha who have expressed the sentiments of the doctors and opposed this bill. Most of the members of the Rajya Sabha said that this bill will give wide scope to the - bureaucrats and will lead to harassment of the doctors. Smt. Brinda Karat said that there is nothing about the regulation of the hospitals in the bill. There are number of loopholes so that the regulatory mechanism is diluted. For eg Yoga is also included, which means all the Yoga tutors will be registered. This Bill is only a bureaucratic measure just to ensure registration and to allow regulation to remain as the private sector has to remain as untamed as it is.  SHRI AVTAR KAREEM PURI (UTTAR PRADESH) He said this is highly objectionable this bill include a single doctor clinic to big hospitals. He said this bill will promote corporate sector and this bill is against poor people. Under these regulations the treatment will become costly and it will also create unemployment among the doctors as they will fear to open the clinics and hospitals. This will promote inspector raj and corruption. SHRI AVINASH RAI KHANNA (PUNJAB) : He said the name of the bill should be "registration suggestion" bill. He added that health is a state subject. He further said that the medical services are covered under 43 acts and consumer protection act. So this bill will promote licence raj and inspector raj. He also said that this important bill was passed in Lok Sabha in 3 minutes, but today some members has opposed this bill and some have given some suggestions. So he proposed that this bill should be reverted back to Lok Sabha and there should be discussion by the member and the experts.  SHRI BHARATKUMAR RAUT (MAHARASHTRA): This Bill -- though well- ntended -- because of the form in which it has been brought forward, would be a non-starter. This is basically because public health is a State Subject and if it was left to the States to implement it, it would have been more effective. There is another thing which was mentioned already but I would like to reiterate that for the District Registration Authority, the District Collector should be the chairperson. The District Collector, with all due respect to all Civil Servants, are babus and are Civil Servants. What is their expertise in medicine? Should he be there only because he is a District Collector? He or she, as the District Collector, should be the facilitator. If you could appoint the District Health Officer or the Dean of the local medical hospital as the chairperson of the District Registration Authority, then, that would serve more purpose. A District Collector would only be an administrator and not a medical person. Some of he members said , that there is no clarification on the  inspection .This will further open a pandora s box and loopholes in the implementation of this Bill. This can lead to corruption . Friends the Bill which was passed in two minutes in Lok Sabha , was discussed by representatives of almost all the parties for more than three hours in Rajya Sabha and  the deputy chairman on 02.0810 closed the discussion  on Bill at 05.15 pm and said that the minister will reply on this in the house. Dr. Yash Sharma  Ex-Member Punjab Medical Council

 

 

Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

5th September: 3 PM to 5 PM – A dialogue with His Holiness Dalai Lama at Parliament Street Annexe in association with Acharya Sushil Muni Ahimsa Peace Award Trust

26th September: BSNL Dil ka Darbar A day–long interaction with top cardiologists of the city. 8 AM – 5 PM at MAMC Auditorium, Dilli Gate.

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi

24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM
30th October, Saturday: eMedinewS Update from 8 AM to 5 PM
29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama
30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to
10 PM
31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

eMedinews Revisiting 2010

The 2nd 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.

Share eMedinewS

If you like eMedinewS you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.