emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA

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

 
  Editorial …

9th February, 2011, Wednesday                                 eMedinewS Present Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Professional misconduct, Malpractice and Medical Negligence

Though in English language there may not be any difference in Professional misconduct, Malpractice and Medical Negligence but in Medical Jurisprudence, Professional misconduct is entirely different from Medical Negligence while Malpractice is used for medical negligence.

Professional misconduct is defined as something done by a medical practitioner during the practice of his profession, which would be reasonable regarded as disgraceful or dishonourable by his professional brethren of good repute and competence. Such practices are defined and notified by Medial council of India.The examples are: Association with unqualified and/or unregistered persons; association with manufacturing firms; advertising for practice; improper conduct or relation with female patient or female attendant of the patient; procuring or assisting to procure an illegal abortion; attending patients under the influence of alcohol or drugs; attending a patient who is under the care of another practitioner; issuing false certificates in respect of birth, cause of death, illness, injury etc; receiving or giving commission or other benefits from or to a professional colleague, a manufacture trader, chemist etc; selling scheduled poisons to the public under cover of his own qualification except to his patients where required; running an open shop for sale of medicine or dispensing prescriptions of other doctors or for the sale of medical or surgical appliances; refusing to give professional services on religious grounds; talking despairingly about other colleagues or doing anything that means unfair competition. State medical councils penalize RMPs for such disgraceful practices when someone complaints.

While Medical Negligence is lack of reasonable degree of care & skill or willful negligence on the part of a medical practitioner while treating a patient resulting in bodily injury, ill–health or death (damage) such as: failure to remove swabs/instruments during surgery; failure to give ATS in case of injury causing tetanus; breaking the needle during injections; mismatched blood transfusion; amputation of wrong finger; operation on wrong limb or removal of wrong organ; loss of use of hand by prolonged splinting; prescribing an overdose or poisonous medicine producing ill–effect. For these problems a doctor is to be sued in civil/criminal courts and consumer forum. A patient cannot sue the doctor if no damage has occurred, however the doctor might be negligent.

The above is also clear from the following

1. DMC act (32): Complaint against medical practitioner.—(1) "The Council may inquire into complaint against medical practitioner either suo motu or on the basis of any complaint made to the Council in respect of misconduct or negligence of any medical practitioner for the purposes of the Act through the Disciplinary Committee………"

The act clearly differentiates misconduct and negligence.

DMC Act [21 (2)] talks about who can be punished "If a registered practitioner has been, after due inquiry held by the Council or by the Executive Committee in the prescribed manner, found guilty of any misconduct by the Council or the Executive Committee, the Council may— issue a letter of warning to such practitioner; or direct the name of such practitioner (i) to be removed from the register for such period as may be specified in the aforesaid direction; or (ii) to be removed from the register permanently.

Explanation
,—For the purpose of this section a registered practitioner shall be deemed to be guilty of misconduct if— he is convicted by a criminal court for an offence which involves moral turpitude and which is cognizable within the meaning of the Code of Criminal Procedure, 1974 (2 of 1974), or in the opinion of the Council his conduct is infamous in relation to the medical profession particularly, under any Code of Ethics prescribed by the Council or by the Medical Council of India constituted under the Indian Medical Council Act, 1956 (102 of 1956) in this behalf.

MCI act (7) defines misconduct "The following acts of commission or omission on the part of a physician shall constitute professional misconduct rendering him/her liable for disciplinary action"

The only loop hole is MCI Act 7.1 "Violation of the Regulations: If he/she commits any violation of these Regulations." Which can cover ignoring his or her patients?

DMC Act (10 f) defines one of the powers, duties and functions of the Council as "to receive complaints from public (including patients and their relatives) against misconduct or negligence by a medical practitioner, to proceed for inquest, take a decision on the merits of the case and to initiate disciplinary action or award compensation and similarly to take action against frivolous complaints.

The act again differentiates misconduct and negligence and defines the punishment disciplinary action for misconduct and “award compensation" for negligence.

References

  1. Personal communication: Dr. A.K. Srivastava, Professor & Head, Department of Forensic Medicine, Subharti Medical College, Meerut , 9456662818, aksformed@yahoo.co.in
  2. DMC Act
  3. MCI Act
Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook
 
  eMedinewS Audio PostCard

2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal
CT scans for lung cancer screening

Audio PostCard
 
  Quote of the Day

(By Dr GM Singh)

Nothing diminishes anxiety faster than action. Walter Anderson

 
    Photo Feature

2nd eMedinewS Revisiting 2010

Dignitaries and eminent doctors on the stage in the 2nd eMedinewS Revisiting 2010 held at Maulana Azad Medical College on 9th January 2011

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Only matriculate eligible for driving licence from 2015!

If the recommendations of the Sunder Committee — constituted to review the Motor Vehicles Act, 1988 and suggest changes in it — are accepted, then from 2015 only a matriculate would be eligible for a driving licence. The Committee has recommended raising the educational standard from the present VIII to X standard pass. It has also recommended a unique number to an authorised person’s driving licence which would remain the same even if the driving licence is changed. The Committee, chaired by S Sunder, distinguished Fellow (TERI) and former Secretary, Ministry of Transport, submitted its report to Transport Minister CP Joshi on Wednesday. The Expert Committee was constituted in September 2009. The committee stated that presently the law requires an applicant for a licence to drive a transport vehicle to have passed the eighth standard and also to have held a valid driving licence for driving a light motor vehicle for one year. "The Committee recommends that with effect from 2015, the minimum educational qualification should be tenth standard pass. The applicant should be required to hold a learner’s licence for a period of four months and obtain a competency certificate from a school or establishment recognised or accredited by the State Governments in accordance with rules prescribed by the Centre," it said. Regarding foreign nationals, the Act, in its present form, provides for the grant of driving licences to those who hold valid driving licences issued by their authorities, without subjecting them to a driving test. The 411–page Committee report has recommended that while foreign nationals may be permitted for the first year to drive on the basis of their existing driving licences. (Source: The Pioneer, February 03, 2011)

(By Rajat Bhatnagar)

India to get new medical colleges

Chandigarh: Giving a boost to medical education in the country, the health ministry will open new colleges and create more seats in government–run institutes. "An ambitious scheme costing Rs.1,350 crore will be implemented soon to strengthen the fabric of medical education. An additional 4,000 seats in medical colleges run by the central government have been created to produce more doctors every year," said Health Minister Ghulam Nabi Azad here on Friday.

"Besides, 269 new nursing colleges will be opened to consolidate the para–medical infrastructure. The government is doing all–out efforts to eradicate communicable diseases in the country," he added. Azad was here to attend the 31st convocation of the Postgraduate Institute of Medical Education and Research (PGIMER). Expressing concern over the World Health Organization (WHO) report that said India would become a real hub of cancer by 2020, Azad said, "We have launched a cancer–combat pilot project in hundred districts. Under this, each district will be given funds for early detection of cancer. And Rs.100,000 will be given per patient for chemotherapy treatment." IANS

 
    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC http://www.isfdistribution.com)

February is Heart Health Month. Today’s tip

Reduce the risk of high cholesterol, high blood pressure, and type 2 diabetes by losing weight. Excess weight affects the lining of arteries, making them more prone to collect plaque from cholesterol. Losing weight, especially belly fat, which is linked to hardening of the arteries helps raise HDL "good" cholesterol and reduce LDL "bad" cholesterol.

(Dr GM Singh)

How valuable is an MRI or CT scan in the assessment of dementia?

A CT scan is important in ruling out specific causes such as brain tumor or normal pressure hydrocephalus, which do occur in every few thousand people presenting with cognitive impairment. An MRI scan is much more useful, as it will give a much more definitive picture of infarcts, white matter disease and medial temporal lobe atrophy, as well as excluding other causes.

(Dr Monica and Brahm Vasudev)

Type 1 diabetes linked to viruses

Australian researchers looked at a number of studies, and concluded there is a strong association between enteroviruses and the development of type 1 diabetes. In fact, children with diabetes were 10 times more likely to have had an enterovirus infection than children without the disease. (Dr. Maria Craig, an associate professor at Children’s Hospital at Westmead’s Institute of Endocrinology and Diabetes in Sydney.)

Just how bad is cocaine use during pregnancy?

Dr. Kellie Murphy, co–author of a study in the American Journal of Obstetrics and Gynecology: Women who used cocaine while pregnant had about a one in three chance of having an underweight baby, while women who did not had about a one in 10 chance. An underweight baby is defined as weighing less than 2,500 grams, or about five and a half pounds.

 
    IMT Update

IMT increases per year by 0.08 mm (Atherosclerosis 1990)

 
    Infertility Update

Dr. Kaberi Banerjee, Infertility and IVF Specialist Max Hospital; Director Precious Baby Foundation

What causes infertility in women?

The most common female infertility factor is an ovulation disorder. Other causes of female infertility include blocked fallopian tubes, which can occur when a woman has had pelvic inflammatory disease or endometriosis. Congenital anomalies (birth defects) involving the structure of the uterus and uterine fibroids are associated with repeated miscarriages. Aging is also an important factor in female infertility. The ability for ovaries to produce eggs declines with age, especially after age 35.

For queries contact: banerjee.kaberi@gmail.com

 
    Pediatric Update

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

What are the Categories of asthma?

A child's symptoms can be categorized into one of four main categories of asthma, each with different characteristics and requiring different treatment approaches.

  • Mild intermittent asthma: Brief episodes of wheezing, coughing, or shortness of breath that occur no more than twice a week is called mild intermittent asthma. Children rarely have symptoms between episodes (maybe just one or two flare–ups per month involving mild symptoms at night). Mild asthma should never be ignored because, even between flares, airways are inflamed.
  • Mild persistent asthma: Episodes of wheezing, coughing, or shortness of breath that occur more than twice a week but less than once a day is called mild persistent asthma. Symptoms usually occur at least twice a month at night and may affect normal physical activity.
  • Moderate persistent asthma: Symptoms occurring every day and requiring medication every day is called moderate persistent asthma. Nighttime symptoms occur more than once a week. Episodes of wheezing, coughing, or shortness of breath occur more than twice a week and may last for several days. These symptoms affect normal physical activity.
  • Severe persistent asthma: Children with severe persistent asthma have symptoms continuously. Episodes of wheezing, coughing, or shortness of breath are frequent and may require emergency treatment and even hospitalization. Many children with severe persistent asthma have frequent symptoms at night and can handle only limited physical activity

For queries contact: drneelam@yahoo.com

 
    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

What is exhumation for reburial?

  • During World War II, many innocent civilians were shot summarily or killed otherwise and then buried in mass graves without coffins and even without proper last rites. After the war was over, many such bodies were exhumed and reburied with proper rites.
  • Keith mant mentions this fact in his classical paper on adipocere, because a number of these bodies were found to be converted into adipocere.
  • Exhumation for reburial means posthumous pardon (Timothy John Evans (20 November 1924 – 9 March 1950, a Welshman was hanged in the United Kingdom in 1950 for the murder of his infant daughter at 10 Rillington Place, London. An official inquiry conducted 16 years after Evans’s hanging determined that his daughter had in fact been killed by his co–tenant, serial killer John Christie, and Evans was subsequently recommended and granted a posthumous pardon. His body was thereupon exhumed and reburied outside Pentonville Prison).
 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Vitamin E

Vitamin E is a fat–soluble vitamin. Its deficiency is usually characterized by neurological problems associated with nerve degeneration in hands and feet. It can be due to:

  • Problems related with inability to absorb fat: Crohn’s Disease and Cystic Fibrosis
  • Metabolic inherited problems Ataxia and vitamin E deficiency

Blood levels of vitamin E may also be decreased with zinc deficiency.

 
    Interesting Websites to Visit

Dr Jitendra Ingole, MD Internal Medicine, Asst Professor (Medicine)

For echocardiography (Beginners) check out the following website

http://www.echobyweb.com

 
    Medi Finance Update

Individual Mediclaim policy

Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines and drugs, diagnostic materials and X–ray, dialysis, chemotherapy, radiotherapy, cost of pacemaker, artificial limbs and cost of organs and similar expenses.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Methylcobalamin 750mcg + Pregabalin 75/150mg + Vitamin B6 1.5mg + Folic acid 0.75mg + Benfothiamine 7.5mg capsules
For the treatment of painful diabetic neuropathy in adults only
05/03/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Phosphodiesterase type 5 inhibitor use and hearing impairment

In a large population–based sample, sildenafil use was associated with hearing loss; no association was found for tadalafil or vardenafil.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with mediclaim of Rs. 2 lakhs has used a cumulative bonus of Rs. 40000 after 8 years. How much can he claim take next year.
Dr. Bad: Same as 2.4 lakhs.
Dr. Good: It will be 10% less.
Lesson: In case of claim under the policy in respect of insured person who has earned the cumulative bonus, the increased percentage will be reduced by 10% of claim of sum insured on the next renewal. However, basic sum insured will be maintained and will not be reduced.

Make Sure

Situation: A 28–year–old pregnant woman was advised erythromycin estolate for her upper respiratory tract infection. A week later she developed jaundice.
Reaction: Oh my God! You should have prescribed erythromycin stearate instead of estolate.
Lesson: Make sure to remember that the incidence of hepatitis with cholestatic jaundice in high with erythromycin estolate in pregnancy.

 
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Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

The Hospital Window

Two men, both seriously ill, occupied the same hospital room with a hospital window. One man was allowed to sit up in his bed for an hour a day to drain the fluids from his lungs. His bed was next to the room’s only window. The other man had to spend all his time flat on his back.

The men talked for hours on end. They spoke of their wives and families, their homes, their jobs, their involvement in the military service, where they had been on vacation. And every afternoon when the man in the bed next to the window could sit up, he would pass the time by describing to his roommate all the things he could see outside the hospital window. The man in the other bed would live for those one–hour periods where his world would be broadened and enlivened by all the activity and color of the outside world.

The window overlooked a park with a lovely lake, the man had said. Ducks and swans played on the water while children sailed their model boats. Lovers walked arm in arm amid flowers of every color of the rainbow. Grand old trees graced the landscape, and a fine view of the city skyline could be seen in the distance. As the man by the window described all this in exquisite detail, the man on the other side of the room would close his eyes and imagine the picturesque scene. One warm afternoon the man by the window described a parade passing by. Although the other man could not hear the band, he could see it in his mind's eye as the gentleman by the window portrayed it with descriptive words.

Unexpectedly, an alien thought entered his head: Why should he have all the pleasure of seeing everything while I never get to see anything? It didn't seem fair. As the thought fermented, the man felt ashamed at first. But as the days passed and he missed seeing more sights, his envy eroded into resentment and soon turned him sour. He began to brood and found himself unable to sleep. He should be by that hospital window – and that thought now controlled his life.

Late one night, as he lay staring at the ceiling, the man by the hospital window began to cough. He was choking on the fluid in his lungs. The other man watched in the dimly lit room as the struggling man by the hospital window groped for the button to call for help. Listening from across the room, he never moved, never pushed his own button which would have brought the nurse running. In less than five minutes, the coughing and choking stopped, along with the sound of breathing.

Now, there was only silence–deathly silence. The following morning the day nurse arrived to bring water for their baths. When she found the lifeless body of the man by the hospital window, she was saddened and called the hospital attendant to take it away–no works, no fuss. As soon as it seemed appropriate, the man asked if he could be moved next to the hospital window. The nurse was happy to make the switch and after making sure he was comfortable, she left him alone.

Slowly, painfully, he propped himself up on one elbow to take his first look. Finally, he would have the joy of seeing it all himself. He strained to slowly turn to look out the hospital window beside the bed………

It faced a blank wall.

………………………………

Mind Teaser

Read this…………………

Pot O O O O O O O O

Yesterday’s Mind Teaser: Why is half of 5 equal to 4?
Answer for Yesterday’s Mind Teaser: Take "FE" out of "FIVE" and you get "IV", four in roman numerals!

Correct answers received from: Dr K.P.Rajalakshmi, Dr Sudipto Samaddar, Dr Rakesh Bhasin, Dr H.L. Kapoor, Dr Rashmi Chhibber, Dr Vijay Kansal

Answer for 7th February Mind Teaser: back seat driver
Correct answers received from: Dr Prabha Sanghi, Dr K.P.Rajalakshmi, Dr Satyoban Ghosh, Dr Maneesh Gupta

Send your answer to ijcp12@gmail.com

………………………………

Laugh a While
(Dr. Veena Aggarwal)

Dr. Kishore Shah is a renowned Gynecologist practicing in Pune. He is a prolific writer. Humor is his forte.The following article is in his own words about MI he had suffered some time back. It is simbly mindblowing.

I suffered a heart attack about 5 days ago. Here is my account of what happened:

As I was rushed to the Cardiac ICU, I just had this sinking feeling in my heart. Just like the one before you enter the Viva Voce hall and see the most khadoos examiner in place, only worse. The resident there was quite courteous, "Sir, How are you feeling?" I looked at him groggily and whispered, "Just like Rakhi Sawant!" He looked at me perplexed. I continued and said, "I feel an unnatural weight on my chest." The resident didn't know whether to send me off to the Psychiatry ward or not. I said, "Aare Baba, ECG nikal, nahi toh main nikal jaoonga!"

The funniest part of my heart attack, or "cardiac event" as the doctor there insisted on calling it, was that there was no pain. That would comeafterwards when they presented me the bill. But for now I was painless. "Do you smoke?" persisted the resident. "I have never tried burning myself, but probably would." My wife nudged me and intervened, "He does not smoke or drink. Just keeps cracking these pointless PJs."

The resident promptly scribbled something on the pad. He probably wrote that the patient was delirious. After peering with screwed eyes at my ECG he said, "Q wave changes."I said, "I give up. You tell me." "What?" "I don’t know Kyon wave changes. You tell me." The resident stopped telling me anything else. He turned to my wife and said, "It seems to be a minor infarct."

I don’t know what it is with doctors. How can you call any heart infarct minor? If there is an infarct, it is a major thing, at least for the patient. There was also some depressing talk about ST depressions. Here felt as if an ST bus was driving over my chest, who bothered whether that ST was depressed or happy?

I was immediately admitted to the ICCU and posted for an Angiography the next day. One piece of advice to all Cardiac care units: If you do not want your heart patients to have any further attacks, do not appoint such lovely young nurses. Most of the nurses in the entire world are from Kerala. If all the nurses return home, all the hospitals in the world will come to a stop. And there will be no standing space in Kerala. There were big notices posted outside the door of the ICCU. "No Visitors" and no "No Mobiles". Okay, so there would be no breaking news dispatches from me. Soon a pretty, young Malyali nurse came and told me "Gaana Gaaneka nai." This came as a shock to me. Not that I wanted to break out into a song and dance routine. I could understand that visitors might disturb the patient, or even the mobiles. But songs? How could anyone be so unmusical? I said Okay but was a bit miffed. After many pricks and monitors on my body, half an hour later another pretty young thing came and told me "Gaana Gaaneka nai!"

I was a bit angry. I said, "Yeah! Yeah! Someone told me before also." But this really intrigued me. Why were they so strict about songs? If they had said that I could not dance due to my heart condition, I could have accepted that. But never in my long medical education had I been warned that singing was bad for cardiac health. I wondered if this was a new advance.

The mystery was cleared when the next Malyali sister, who appeared to be their head nurse, came and explained to me, "Doctor Shah, Aap ka blood samble subay saat ko hai. Toh abi Gaana Gaaneka nai. Phir Kaali pet samble lene ke baad Gaana Gaaneka." I immediately added an interpreter to my mental suggestion box. It must be really tough to interpret Gaana as Khaana. After a relatively painless night, mainly because relatives were not allowed, and also due to the various drips and things, I woke up to the prick of a blood ‘Samble'. Then I was allowed to ‘Gaana Gaaneko'.

All the tests gave worse and worse news. There was an inferior wall infarct which the Cardiologist insisted on calling minor. (I hoped he would remember this while billing me.) My Trop T was raised. In short, this is a help call from the heart. I was posted for angiography and an SOS plasty the next day after stabilization.

On the morning of the procedure, I got the shock of my life, when a grim looking man entered my room and sent my wife out. He then locked the room and took out a large and sharp glistening razor. Omigosh! This was not how they performed operations, at least not during the last century. Or was this a scene from an assassin movie? The man then turned to me and smiled and said that he had come to shave me for the procedure. I sighed with relief. One always wants to look nice and presentable for important occasions even if they be the gallows. I smiled back at him and jutted out my chin at him for easy access. But he ignored my chin and pulled down my pajamas. I shrieked, "Hey, Its my heart that is amiss."

"Yes Sir. We need to shave your groin!" Groan Groan!

Five minutes later, I was all spic and span and presentable for my planned procedure. Calling it a procedure, reduces the fear factor from it. If you call it an operation, which it is, you might suffer a further attack. If you call it a butchery, which it sometimes can be, then you need not go to the procedure. I proceeded with a sinking heart, if it could sink any more, to the operation room, which they call a cath lab. It's all about euphemism.

When I entered the 'Cath lab', I found it extremely cold. Was the AC at full blast or was I frightened or was my heart not pumping enough blood? Probably all three. There was soft music playing hindi songs in the background. The nurse told me to remove all my clothes and lie down on a narrow table. I have already mentioned the weather conditions, so it did not help that here I was completely nude like a fresh plucked chicken, lying on a table, with half my respective buttocks spilling out of the respective sides of the table. The AC vent was directed towards the exact centre of my body. Now I regretted not taking all those ads on the Internet about increasing the length of various body parts seriously. If I had, today I would have been a proud man. But sadly, as of now, I think the OT staff there will remember me whenever they eat dried dates. The Hindi song playing was "Haste Gaate yahan se gujar, Duniya ki TU parwa na kar." That was very kind of my namesake Kishoreda to remind me how to face this ordeal. But I was very frightened. His next verse also told me, "Maut ani hai ayegi ek din, Jaan jaani hai jaayegi ek din, Aisi baton se kya ghabarana, Yaha kal kya ho kisne jaana?" I almost burst out yodeling along with him. OOdle di OOd le di Ooo oo.

The anesthetist approached me and saw me smiling. He was confused. Was this guy so frightened that he was smiling? How could I tell him that I was marveling at Kishoreda's accurate advice to me, a smaller Kishore Kumar.

Then came the good part. Many layers of warm clothes were laid on me. I was shivering, but no longer like the Antarctica. It was more like Shimla now. The Cardiologist told me that I would now feel a little pain in my groin. Most appropriately, the song playing now was "Dil hai kaha aur Dard kaha". I smiled and said, "Yes Boss. Go ahead." I won't go into the gruesome details, but what was visible to me and the entire team there was that my right Coronary artery was nearly completely blocked. The doctor said, "Yes, a stent will be required. Dr. Shah, should we insert an Endeavor drug eluting stent?" I felt ashamed to admit to him that I didn't know a thing about stents. Being a Gynaecologist, I only knew about stunts. So I asked him, "What is the difference between this one and the other one?" I didn't know the name of the other one, so I cloaked it in the anonymity of 'the other one'. He said, "There are many differences, but the main one is in the price."

"Then I think you should ask my wife, because she is the one with the purse as well as the purse strings." After a brief consultation, my wife decided that her husband was after all worth a bit more than this costly stent. But the effect was magical. In front of my eyes, I could see a withered autumn tree of heart vasculature suddenly burst out in full spring glory of new tributaries.

Thus I came out of the 'lab' a new and reborn man. It seemed as if I had thrown off my school shirt and worn a new comfy and roomy one. It was as if I had exchanged Adnan Sami's new shirt for his older ones. No more tightness around the chest. The song playing in the lab when I came out was appropriately "Aaj Main jawaan ho gayi hoon. Gul se gulistan ho gayi hoon."

When I returned home from the hospital after paying the bill, I realized that the old proverb was probably coined by a cardiologist. Which proverb? It's the one that says: Jaan bachi, Lakho paye.

Thus my heart tried to spring me a surprise. So I surprised it with a spring into my heart. Now I walk with a spring in my step and one in my heart too!

………………………………

Knowledge is amusing

TIPS come from 'To Insure Prompt Service'. In olden days to get Prompt service from servants in an inn, travelers used to drop coins in a Box on which was written 'To Insure Prompt Service'. This gave rise to the custom of Tips.

 
    Readers Responses
  1. Dear Sir, Thanks a lot for providing depth knowledge about Vasant Panchami. Regards: Dr Anupam
 
    Public Forum

(Press Release for use by the newspapers)

Rise in blood pressure during mental stress is a strong predictor of plaque progression.

Rise in blood pressure during mental stress is a strong predictor of plaque progression said, Senior Consultant Moolchand Medcity and President Heart Care Foundation of India Dr. KK Aggarwal, Padmashri & Dr. B.C. Roy National Awardee.

Therefore, in every patient with carotid plaques mental stress test should be done and if positive, these patients should be put on plaque stabilizing drugs. If the plaque is stabilized, one can reduce the chances of heart attack and paralysis.

Presence of plaque in the neck artery in asymptomatic person is highly indicative of a future heart attack or paralysis. Plaque can be measured by using high resolution ultrasound in any echocardiography laboratory. Plaque progress along the neck artery 2.4 times more than its thickness.

 
    Forthcoming Events

Delhi Medical Council

Inaugural CME on Managing Common Emergencies
Venue: MAMC Auditorium
Date: February 20, 2011
Time: 1.00 PM – 4.00 PM

Topics Speakers Chairpersons
RTA–Emerging Epidemic
 
Dr. M.C Misra
Dr. B.K Dhaon/Dr. Praveen Bhatia
Acute Febrile Illness - A Clinical Approach
Dr. N.P Singh
Dr. O.P Kalra/Dr. S.P Bayotra
Haematuria–Red Alarm
Dr. Anil Goyal
Dr.P.N Dogra/Dr. Rajeev Sood
Managing PPH–Saving Lives
Dr. Reva Tripathi
Dr. Sharda Jain
Panel Discussion of Update of Lt. Side chest pain

Dr. Purshottam Lal
Dr. Naresh Gupta

Dr. P.S Gupta

All DMC Registered Members are requested to attend

Please Note:

  • Prior Registration Is Mandatory (No Registration Charges)
  • DMC Accreditation – 2 Hours
  • Live Webcast
  • Interactive Quiz

For Registration E–mail to delhimedicalcouncil@gmail.com or drgoyalhospital@gmail.com
Or SMS to Secretary Dr. Girish Tyagi –9868116491 & Organizing Chairman Dr. Anil Goyal–9811101454

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eMedinewS Events: Register at emedinews@gmail.com

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management of heart disease

13th February 2011, Sunday, Moolchand Medcity

  1. Fetal Echocardiography–How to get it right: Dr Vandana Chaddha
  2. Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana Chaddha
  3. Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri Srivastava
  4. Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis Regression: Dr KK Aggarwal

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