Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.com, Website: www.ijcpgroup.com
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; 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

6th April, 2010, Tuesday

Pregnant women are more likely to have deep vein thrombosis in their left leg than the right

A report in Canadian Medical Association Journal by Dr. Wee S Chan of Women’s College Hostel in Toronto carried out a literature review and confirmed these findings.

They conducted a review of six studies totaling 124 pregnant women with deep vein thrombosis. The left leg was the overall culprit (reported in 88%) and 71% of thrombosis were restricted to the proximal vein without involvement of the calf veins.

Among these proximal cases, 64% were restricted to the iliac and/or femoral veins. The authors have explained the results by stating that left thrombosis is common as a result of compression of left iliac vein by the uterus at the point where it crosses the right iliac artery.


Dr KK Aggarwal
Chief Editor

News and views (Dr Monica and Brahm Vasudeva)

Merck suspends studies of Stimuvax.

Merck suspended all studies of the experimental therapeutic cancer vaccine Stimuvax after a patient with multiple myeloma developed encephalitis while taking it.

FDA advisory panel recommends against approving pixantrone

FDA advisory panel said there is not enough scientific evidence to justify approving Cell Therapeutics Inc.’s lymphoma drug candidate called pixantrone (Pixuvri).

Recent Clopidogrel boxed warning divides physicians

Some patients carry genetic abnormalities that render the drug ineffective. FDA’s recent decision to place a black–box warning on clopidogrel, the clot–preventing drug has caused a divide among cardiologists who are either unsure about the usefulness of genetic testing, the soundness of doubling doses, or the benefits of switching patients to a rival drug, Prasugrel.

Clpidogrel may reduce death risk in patients with certain heart conditions

Clopidogrel is of modest benefit in reducing the odds of death in patients with heart failure and heart attack who do not undergo angioplasty, according to a study published in the Journal of the American College of Cardiology.

Infertile men may be 2.6 times more likely to develop high–grade prostate cancer

Dr. Thomas J. Walsh, of the University of Washington School of Medicine, and his colleagues showed that infertile men were 2.6 times more likely to develop high–grade prostate cancer disease, compared with men in the general population.

Possible risks of an epidural: Dr G M Singh

Increased difficulty pushing during labor (although a doctor can adjust the medication to compensate for this); a drop in the mother’s blood pressure; headache; rarely, problems urinating for the mother; some bleeding in the mother and slow heartbeat in the fetus.

What’s New: 5th dose anti rabies vaccine not needed

New ACIP guidelines for rabies vaccine administration for post–exposure prophylaxis in unvaccinated persons advise that the five-dose schedule be changed to four doses, eliminating the last dose administered on day 28.  (www.cdc.gov/vaccines/recs/provisional/downloads/rabies-July2009–508.pdf.)

Mnemonic of the Day (Dr Prachi Garg)

No apex beat DOPES

D extrocardia

O besity

P leural/Pericardial effusion

E mphysema

S hock


What are the symptoms of celiac disease?

The most confusing part of celiac disease that it can present with wide–ranging symptoms. Some people have typical symptoms:

Recurrent digestive complaints

Milk intolerance

Liver dysfunction

Lack of appetite

Mouth ulcers

Growth failure

Weight loss

Unexplained fatigue

Easy bruising


Frequent headaches

Bone and joint pains

Easy fractures


Recurrent miscarriages

Giddiness and imbalance


Numbness and tingling sensation



Poor attention span

Itchy blistering skin



A person need not present all of the above symptoms. In some, these symptoms can be mild or silent or atypical.

Diabetes Fact

TNF–a and adiponectin are mutually inhibitory. New drug Infliximab is a TNF– a blocking monoclonal antibody.

Public Forum
(Press Release)

10th Perfect Health Parade to earmark World Health Day 2010

A much needed health campaign, unique in many respects, was launched here today by Heart Care Foundation of India and The Loomba Trust along with various Departments of Government of Delhi with a view to improve the health and well–being of the people. Under the campaign, the Perfect Health Parade will be held in the capital on April 7, 2010 which is WHO World Health Day.

10th in the series of annual Health Parade, the parade, will focus on the health issues of the widows and their children.

The parade will be organized in association with Municipal Corporation of Delhi, Health Department Delhi Government, New Delhi Municipal Council, World Fellowship of Religions, IMA New Delhi Branch, IMA Janak Puri Branch and M/s Bhatnagar & Sons.

The parade in the form of tableaus will move around in the city for two consecutive days on 7th and 8th April creating awareness about various health aspects. There will be a special tableau by Delhi Transport Corporation showing the preparedness of DTC for the forthcoming Commonwealth Games.

Addressing a press conference Padma Shri and Dr BC Roy awardee Dr KK Aggarwal, President, Heart Care Foundation of India, Mr SL Bhambri Country Head The Loomba Trust; Mr. Naresh Kumar CMD (DTC), Dr NK Yadav, MHO MCD, Dr PK Sharma MOH NDMC, Dr K S Bhaghotia CMO (DHS), said that as a part of the event, a free health check will also be organized for the widows and their children at Acharya Sushil Muni Ashram, Defence Colony.

Dr Aggarwal said that one of the aims of the campaign is to have the UN declare 23rd June as an international day for the welfare of the widows and their children.

Ms Anjolie Ila Menon, noted artist and the star attraction of the Press Conference, released a special poster for the event. Addressing the press, she said that all widows need rehabilitation and they should not be forced to wear the ‘required’ white saree.

Question of the day

Is the Microdermabrasion painful and how many treatment are required?

The procedure causes minimal or no discomfort and no anesthesia is required. It is safe and effective for all skin types and skin colors. Normal activities can be immediately resumed post-procedure. Protection from sun exposure and use of a sunscreen is required.

The average patient requires 5–12 treatments spaced about 1–2 weeks apart. The clinician should draw up a treatment protocol to suit the condition so as to produce the best clinical results.

eMedinewS Try this it Works

‘Direction’ is important with nasal sprays

To minimize the risk of septal perforation while using corticosteroid nasal sprays, direct the spray toward the lateral nasal wall and away from the septum.

Dr Good Dr Bad

Situation: An anemic diabetic came for foot ulcer advice.

Dr Bad: Just keep the sugar controlled.

Dr Good: You are at risk of ulcers.

Lesson: Male gender, previous foot ulcer, peripheral vascular disease, lack of frequent foot self–examination and peripheral neuropathy are significant factors for foot ulceration. Longer diabetes duration, poor glycemic control, anemia and presence of infection also has an impact on outcome of the disease. (Prim Care Diabetes 2009 Sep 22)

Make Sure

Situation: A patient of gross ascites presents with complaints of difficulty in breathing on lying down.

Reaction: Oh my God! Why did you drain so much ascitec fluid.

Lesson: Make sure, to evaluate the patient thoroughly and moderately tap the ascetic fluid since overenthusiastic tapping can be life–threatening.


 Laughter the best medicine

Nurse: How old are you? Patient: None of your business.

Nurse: But the doctor must know your age for his records.

Patient: Well, first, multiply twenty by two, then add ten. Got that?

Nurse: Yes. Fifty.

Patient: All right, now subtract fifty, and tell me, what do you get?

Nurse: Zero.

Patient: Right. And that’s exactly the chance of me telling you my age.


Formulae in Critical Care

Oxygen delivery index (DO2I)

Formula: CI × CaO2 × 10 dL/L

Cl = cardiac INDEX = CO/BSA

Normal value= ~ 600 O2/min/m2

 Milestones in Medicine

1898 A.D. Pierre and Marie Curie discovered radium, which became a powerful weapon against cancer.


Lab Test (Dr Naveen Dang)

Homocysteine level in adults is used as a cardiac risk marker and is dependent on folate and B12 deficiency.

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name


Approval Date

Oxcarbazepine 150/300/600mg Tablet (Addl. Indication

Treatment of generalized tonic–clonic seizures in adults and children


(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 Chairman Ethical Committee Delhi Medical Council

Dr Girish Tyagi: Registrar, Delhi Medical Council

For Registration SMS to Dr KK Aggarwal: 9811090206, No fee or email to emedinews@gmail.com

No fee

Readers Responses

  1. Congrats. Nothing new to shower awards on those who really deserve. We are proud of our KK and eMedinews too: Dr Saroj, Bhubaneswar.

  2. Sir, thanx 4 all the great information.....proves very helpful: Dr Yanchan Dolma

  3. Dear Kishen, Heartiest congratulations once again and best wishes: O P Gupta

  4. Dear sir, badahian badahian ..... You are the torchbearer of MGIMS .There are two more awards to go for. When are u trying for the next. Bye: Ishwar.

  5. Sir Heartiest congratulations for getting the Padam Shri Award. I know What it means to all of us who are associated with you and your teaching, infact it is honour for all of us. Till now I thought that my college Professors were the great teachers but in front of you their memory has started fade away. Sir keep it up one day you will get Bharat Ratna: Dr BK Tiwari. Your Student (C.M.O.Incharge and Consultant Physician Delhi High Court.)

A Cool Dose for Multiple Maladies

‘I treat He cures’ So said the father of Medicine,
Physicians experience this not unoften, The faith under the scalpel!

I too had my share, A lady in fifties,
With depression and mania, Treated with lithium,

Developing hypothyroidism, Victim of blood pressure rising,
Slim built initially, Silently gaining double contour,

Heart attack, a sudden bolt from the blue! Despite medicines galore,
Weight had a different tale to tell, All around fat, flab and fold,

Knees refusing to hold any more, Wavering in walk, breathing a torture,
Suffocation a routine, congestion in chest, Liver laden with fat,

Gall bladder filled with stones, Look at the travesty and taste of the tongue,
Demanding parathas, sweet and condiments, Vicious cycle of mounting weight,

Forcing the knees to a grinding halt! At last the knees were to be replaced,
With the relentless march of obesity, Showing no signs of pause,

Lurking shadow of diabetes distinct, Adding fuel to the fire,
Pressure and sugar taking a downhill course, Snoring the new evil,

Creating scare in the night, Terrified grand children moving to places quiet,
The spouse, with all his diabetes and blood pressure, Next kin having suffered TB and lung cancer,

Now down with plenty of sugar in his system! The proverbial last straw,
The flash from the sibling, A doctor trained in Europe,

Decides migrating to Australia, Violence and commotion despite,
Leaving rampant corruption, stink and filth, Potholes around,

Cult of dishonesty, adulteration abound, The cut throat profession,
jealousy and greed,
Nothing to admire then why to perspire, Stiffing no more!

Himalayan dilemma, Ageing sibs braving multiple maladies,
Yet morale all time high, Deciding to hold fast to motherland,

Living with dignity, Whose grace it was? Whose blessings are these?
Who is guiding and driving their soul? Is it not "Yog kshemam vahamayam"?

Perhaps all the might of science, Reasoning and philosophy,
Shall be struggling to unfold this mystery, Unrelenting fight at so many fronts,

With such a boldness, courage and cool!

Dr. S Dwivedi 24th Feb., 2010.