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10th March, 2018
Supreme Court allows ‘living will’

Dr KK Aggarwal, Recipient of Padma Shri

In a landmark judgement delivered today, the Supreme Court of India has allowed an individual to draft a living will specifying that they not be put on life support if they slip into an incurable coma.

The order was passed by a five judge Constitutional bench comprising Chief Justice of India (CJI) Dipak Misra and Justices AK Sikri, AM Khanwilkar, DY Chandrachud and Ashok Bhushan, which said “Human beings have the right to die with dignity.”.... read more

Right to Advance Will and to forego life support: A Landmark judgement

RK Mani, Group CEO, Nayati Group of Hospitals, Mathura, Agra and Amritsar

We must laud a truly Landmark judgment. The Supreme Court in a 5-Judge Constitutional bench delivered a judgment that is crucial to protecting patient’s rights towards the end of life: the right to Advance Will and the right to passive euthanasia. This judgment also decriminalizes well-meaning physicians and families who take decisions to withhold or withdraw life support in response to patient’s autonomous choice towards the end of life..... read more

General public should join hands with IMA in its fight against NMC "
Join the All India Cycle Yatra on Sunday, 11th March'

Dr KK Aggarwal, Recipient of Padma Shri

The doctor-patient relationship has been deteriorating over the past few years. Trust, the basic premise of this relationship, has been undermined. The recent incidents of hugely inflated bills and overcharging for drugs/devices or diagnostics for profiteering has fuelled a negative image of the profession among the public and further compounded the problem..... read more

Top News

Latin America and the Caribbean have the second highest adolescent pregnancy rates in the world

Latin America and the Caribbean continues to be the region with the second highest adolescent pregnancy rate in the world, according to a joint report “Accelerating progress toward the reduction of adolescent pregnancy in Latin America and the Caribbean” launched by the Pan American Health Organization/World Health Organization (PAHO/WHO), the United Nations Children´s Fund (UNICEF), and the United Nations Population Fund (UNFPA).... read more

Practice Updates

NEJM reports a case of self-management of an inferior STEMI

The case of a 44-year-old man in Australia who initially self-managed his STEMI has been reported in the New England Journal of Medicine March 8, 2018. He performed and emailed his own electrocardiograms to an emergency physician by means of the Emergency Telehealth Service (ETS). He self-cannulated both antecubital fossae for intravenous access and self-administered aspirin,... read more

Evaluation of frailty in TAVR patients predicts mortality risk

Adding frailty assessment to conventional risk scores improves the prediction of 1-year mortality for patients undergoing transcatheter aortic valve replacement (TAVR), according to a study published online in JACC: Cardiovascular Interventions..... read more

Tenofovir gel does not effectively prevent HIV in women with genital inflammation

A post hoc analysis of data from the CAPRISA 004 study reported in Nature Medicine, online February 26, 2018 has shown that tenofovir gel does not effectively prevent HIV in women with genital inflammation. In women without genital inflammation,.... read more

Ibalizumab approved for multidrug-resistant HIV-1

The US Food and Drug Administration (FDA) has approved ibalizumab-uiyk (Trogarzo, Theratechnologies Inc), a humanized monoclonal antibody. for the treatment of adults with multidrug-resistant HIV-1 (MDR HIV-1). It is administered intravenously every 14 days by a trained medical professional and used along with other antiretroviral drugs...... read more

Changes in microvasculature of eye linked to cognitive decline

Retinal vascular signs are associated with greater cognitive decline. A study published online February 28, 2018 in Neurology has found that compared to absence of retinopathy, the presence of retinopathy was associated with faster cognitive decline over two decades..... read more

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Medicolegal Corner
eMedi Quiz
A. Notify his physician.
B. Take his vital signs again in 15 minutes.
C. Take his vital signs again in an hour.
D. Place the patient in shock position.
Lifestyle Updates
Inspirational Story 1: Too good not to share
Inspirational Story 2: Choose a habit
HCFI welcomes Supreme Court’s landmark decision allowing passive euthanasia
Every individual has the right to die with dignity
New Delhi, 9th March 2018: In what can be called a landmark ruling, stating that human beings have the right to die with dignity, the Supreme Court has allowed living will. However, it has also set out strict guidelines that will govern when and how it is permitted.

The apex court has permitted an individual to draft a ‘living will’ specifying that they not be put on life support if they slip into an incurable coma.

The order was passed by a five-judge Constitution bench including the Chief Justice of India. Though the judges gave four separate opinions, all of them were unanimous that a 'Living Will' should be allowed. This is because an individual should not be allowed to continue suffering in a vegetative stain when they have given an advanced will that if their condition is such that chances of revival are nill their will should be respected.

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