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


Follow Dr KK Aggarwal on twitter at www.twitter.com/drkkaggarwal to get regular emedinews headlines.

11th July, 2010, Sunday

Medical insurers stop cashless facility for non emergent conditions in individual policies

Persons with cashless mediclaim policy will no longer be able to get non emergent admission facilities at high–end hospitals like Apollo, Fortis, Ganga Ram, Max, Moolchand or Medicity in Delhi, Mumbai, Bangalore and Chennai. At least 18 insurance companies, including the four public sector entities, have taken off more than 150 hospitals in Delhi and NCR from their designated list for the cashless facility. This facility is now available at only 100–odd hospitals, none of them from the big chains starting July 1. If one goes to these hospitals, one will have to pay from the pocket. One will then have to reclaim the amount from the insurer. The insurers, are making an estimated loss of Rs 1,500 crore annually on a yearly premium collection of Rs 6,000 crore on mediclaim policies. These 18 insurance companies had so far been providing cashless services at over 3,000 hospitals pan–India. Only 350 of them or roughly 11% were consuming more than 80% of the total claims.

Observations 

  1. Patients are overcharged for each hospitalization, and are left with very little funds for their next treatment.
  2. Most hospitals have been charging Rs 58,000 on average for a gall bladder operation now are offered anywhere between Rs 30,000 and Rs 48,000 for the same.
  3. A cataract operation, the average payout was Rs 35,000. The new deal provides for a maximum of Rs 24,000, while it would be Rs 14,000 if the surgery is done at a smaller setup.
  4. Four metros account for 50% of the Rs 6,000 crore annual mediclaim premium collected by the 18 insurers.

Cashless Extension to Non Network Hospitals ( emergent condiction are covered even now)
Indications for ICU admission & Accidental Emergencies

Cardiovascular: Hypertension, rhythm disturbance, congestive heart failure, hemorrhage / hypovolaemic shock, coronary artery disease, sepsis, post cardiac arrest, dissecting thoracic/abdominal aneurysm, cardiogenic shock.
Neurologic: Seizure disorders, intracranial/subdural/subarchanoid hemorrhage.
Non–operative trauma: Multiple traumas’, head trauma.
Operative trauma: Postoperative multiple trauma, postoperative head trauma.
Postoperative: Postoperative chronic cardiovascular disease, postoperative peripheral vascular surgery, postoperative heart valve surgery, postoperative craniotomy for neoplasm, postoperative renal surgery for neoplasm, postoperative renal transplant, postoperative thoracotomy for neoplasm, postoperative craniotomy for intracranial/subdural/subarchanoid hemorrhage, postoperative laminectomy and spinal cord surgery, postoperative with hemorrhagic shock, postoperative gastrointestinal bleed, postoperative GI neoplasm, postoperative respiratory insufficiency, postoperative GI obstruction/perforation, postoperative other neurological, postoperative other cardiovascular, postoperative other respiratory, postoperative other gastrointestinal, postoperative other metabolic/renal.
Other non–operative: Drug overdose, diabetic ketoacidosis, gastrointestinal bleed, other metabolic/renal, other respiratory, other neurological, other cardiovascular, other gastrointestinal.
Respiratory: Asthma/allergy, chronic obstruction pulmonary disease (COPD) exacerbation, pulmonary edema (ARDS), respiratory arrest, aspiration/poisoning/toxic, respiratory infection, pulmonary embolus, pulmonary neoplasm.

Reasons for ICU/ICCU & Accidental Admissions

A. Cardiac System

  1. Acute myocardial infarction with complications
  2. Cardiogenic shock
  3. Complex arrhythmias requiring close monitoring and intervention
  4. Acute congestive heart failure with respiratory failure and/or requiring hemodynamic support
  5. Hypertensive emergencies
  6. Unstable angina, particularly with dysrhythmias, hemodynamic instability, or persistent chest pain
  7. S/P cardiac arrest
  8. Cardiac tampon or constriction with hemodynamic instability
  9. Dissecting aortic aneurysms
  10. Complete heart block

B. Pulmonary System

  1. Acute respiratory failure requiring ventilator support
  2. Pulmonary emboli with hemodynamic instability
  3. Patients in an intermediate care unit who are demonstrating respiratory deterioration
  4. Need for nursing/respiratory care not available in lesser care areas such as floor or intermediate care unit
  5. Massive hemoptysis
  6. Respiratory failure with imminent intubation

C. Neurologic Disorders

  1. Acute stroke with altered mental status
  2. Coma: metabolic, toxic, or anoxic
  3. Intracranial hemorrhage with potential for herniation
  4. Acute subarachnoid hemorrhage
  5. Meningitis with altered mental status or respiratory compromise
  6. Central nervous system or neuromuscular disorders with deteriorating neurologic or pulmonary function
  7. Status epilepticus
  8. Brain dead or potentially brain dead patients who are being aggressively managed while determining organ donation status
  9. Vasospasm
  10. Severe head injured patients

D. Drug Ingestion and Drug Overdose

  1. Hemodynamically unstable drug ingestion
  2. Drug ingestion with significantly altered mental status with inadequate airway protection
  3. Seizures following drug ingestion

E. Gastrointestinal Disorders

  1. Life threatening gastrointestinal bleeding including hypotension, angina, continued bleeding, or with comorbid conditions
  2. Fulminant hepatic failure
  3. Severe pancreatitis
  4. Esophageal perforation with or without mediastinitis

F. Endocrine

  1. Diabetic ketoacidosis complicated by hemodynamic instability, altered mental status, respiratory insufficiency, or severe acidosis
  2. Thyroid storm or myxedema coma with hemodynamic instability
  3. Hyperosmolar state with coma and/or hemodynamic instability
  4. Other endocrine problems such as adrenal crises with hemodynamic instability
  5. Severe hypercalcemia with altered mental status, requiring hemodynamic monitoring
  6. Hypo or hypernatremia with seizures, altered mental status
  7. Hypo or hypermagnesemia with hemodynamic compromise or dysrhythmias
  8. Hypo or hyperkalemia with dysrhythmias or muscular weakness
  9. Hypophosphatemia with muscular weakness

G. Surgical

  1. Post-operative patients requiring hemodynamic monitoring/ventilatory support or extensive nursing care

H. Miscellaneous

  1. Septic shock with hemodynamic instability
  2. Hemodynamic monitoring
  3. Clinical conditions requiring ICU level nursing care
  4. Environmental injuries (lightning, near drowning, hypo/hyperthermia)
  5. New/experimental therapies with potential for complications

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)

 

Music Improves Health

"Musical instrument playing is GOOD for health" and "Listening to music reduces chances of Heart Attack." These were health messages released during a press conference organised to announce the dates of Perfect Health Mela 2007

 
Dr k k Aggarwal

Amaan Ali Khan and Ayaan Ali Khan Eminent Santoor players releasing the health messages. Also in the photo: Padma Shri and Dr. BC Roy National Awardee Dr. KK Aggarwal, President HCFI


 

News and Views

Our guest editor: Dr. Neelam Mohan – Consultant Pediatric Gastroenterologist, Hepatologist, therapeutic Endoscopist and Liver Transplant Physician had moved to Medanta Medicity – Gurgaon on 10th July 2010 as Director Pediatric Gastroenterology, Hepatology and Liver Transplantation.

Dr Nilam

She’s moved to head the FIRST Department of Pediatric Gastroenterology, Hepatology and Liver Transplantation in the country, which would provide comprehensive care in all fields of pediatric gastroenterology and hepatology including the highest level of care that’s liver transplantation

She was initially Incharge Hepatologist of the pediatric liver transplant programme at Sir Ganga Ram Hospital, which was the busiest pediatric liver transplant programme in the country and had completed 50 pediatric liver transplants (the entire liver transplant team has moved to Medanta Medcity now). She’s credited with several firsts in the field of Liver Transplantation and Therapeutic Endoscopic work especially in newborns and young children.

Besides liver transplantation, the department would cater to all problems relating to GI and liver diseases in children and adolescents and would provide facilities such as diagnostic and therapeutic endoscopy in children including newborns, manometery, motility studies, 24 hrs pH monitoring, capsule endoscopy, and endoscopic ultrasound. There will be special clinics such as liver clinic, coeliac disease clinic, nutrition clinic, metabolic disease clinic, etc. The department would also provide fellowship programme (IAP certified) in field of Pediatric Gastroenterology, Hepatology & Liver Transplantation to pediatricians.

emedinews & IJCP group wish her all the best with loads of success in her new endeavor.

Common Causes for shoulder pain (Dr.G.M.Singh)

  • Tendinitis (inflammation of a tendon in the shoulder)

  • Bursitis (inflammation of a sac of fluid in the shoulder which limits friction during shoulder movement)

  • An injury that leaves the shoulder joint out of position or unstable

  • Shoulder Arthritis
FDA approves ADHD patch for adolescent use (Dr Monica and Brahma Vasudeva)

US regulators approved the first transdermal attention deficit hyperactivity disorder patch 'Daytrana' (methylphenidate transdermal) for use in adolescents aged 13 to 17 years.

Changes in albuminuria predict cardiovascular, renal outcomes and mortality

A new analysis of the large ONTARGET trial presented at the recent European Society of Hypertension (ESH) European Meeting on Hypertension 2010 has shown that large changes in albuminuria predict cardiovascular and renal outcomes and mortality, independent of baseline albuminuria.

Women interested in preventing age–related weight gain should take up biking or brisk walking

Hop on a bike or take a brisk walk to prevent weight gain with age is the new mantra for women. In a Harvard study, women who did no brisk walking or cycled, gained an average of 20½ pounds over 16 years, but those who regularly biked or walked briskly were less likely to gain as much. The findings are based on the second Harvard Nurses’ Health Study, which is tracking 116,608 female nurses who periodically fill out questionnaires about their health, weight, diet and behavior.

 

Legal Column

Forensic Column (Dr Sudhir Gupta, MBBS (Gold Medal), MD (BHU), DNB, MNAMS, Associate Professor, Forensic Medicine & Toxicology, AIIMS)

False accusations of sexual assault

Rape is an allegation that is a very serious charge. It can be made easily, hard to prove but more hard to disprove

The sexual offenses which are recognized in our legal system are rape, sodomy, oral sex, drug-related sexual assault such as the molestation, inappropriate touching, forced kissing, forced oral, anal, vaginal penetration by fingering/fisting or any means, child sex abuse, sexual torture or any other form of complain as selling and buying of minor girls for illicit sexual intercourse, adultery, incest etc. In almost all of the above cases, a medical examination of accused and victim is required and the medical report as well as collected biological samples are very crucial and provide the strongest scientific evidence of the case since in crime of sexual offenses. An eye witness is rarely found.

It is also equally true that false allegations of sexual assault including rape are very easy to make/are made. If a man is accused/charged/prosecuted or falsely implicated for the offense of rape/sexual assault, this may ruin his life as well as his entire family. The possibilities of false accusation of rape must be kept in mind. The investigator/examining doctor should concentrate on finding out the truth and his/her medical examination must be conducted in a transparent manner in the interest of truth and justice without fear and favor as an obligation of medical ethics.

The vaginal injuries may be maliciously produced in children by instruments or fingers and a false charge of rape brought against an individual with a view to take revenge or extorting money from any one. Artificial bruises may be produced by using nut juice. Chilies may be used to cause irritation of the vagina. Sometimes, blood of chicken may be used to stain the clothes and private parts. Starch solution or egg albumin may be used to stain the clothes and such stains simulate seminal stains. In cases it has been seen that the girl is a consenting party, and it is only after the act that she becomes frightened and brings a charge to save her reputation in family and society. The doctor should concentrate on the victim’s story which gives a strong indication of the falsity of the charge. The statement of a woman who has no obvious signs of struggle and who appears to have offered no resistance to her assailant stating that she was under the influence of drugs must be accepted with great caution.

Accusation of indecent assault/sexual assault or even rape have been brought in the past against doctors/paramedics/ dentists as a result of dreams or hallucinations, often accompanied by erotic sensations experienced by persons/female under light anesthesia during medical/surgical procedures. If the patient has been restless or has been struggling while under anesthesia, there may be disarrangement of clothes upon which the patient may place the worst possible interpretation. Occasionaly, medical practitioners/hospital staff and dentists have taken advantage of the opportunities offered by anesthesia or examination. The doctor, paramedic or dentist must have a female attendent, nurse or the husband of the patient during examination to protect themselves of a false charge of rape. If a misinterpreted complaint under the effect of drugs, due to illusion/hallucination, by a female patient is made, then a medical justification should be given, preferably by a female senior doctor, counselor or psychiatrist of the hospital.

 

Experts’ Views

Interesting tips in Hepatology & Gastroenterology
(Dr Neelam Mohan, Consultant Pediatric, Gastroenterologist, Hepatologist, Therapeutic Endoscopist & Liver Transplant Physician- Medanta the Medcity)

Interesting tips in Hepatology & Gastroenterology
Who needs a liver transplant?

Indications

  • Any patient with end stage / chronic liver failure (any etiology)
  • Fulminant hepatic failure (any etiology)
  • Certain inborn errors of metabolism such as Crigler–Najjar syndrome type–1, Familial hypercholesterolemia, Organicacidemia, Urea cycle defects, Primary oxalosis, Maple syrup urine disease.

Common indications of liver transplantation in children

  • Biliary atresia
  • Metabolic liver diseases like Wilson’s disease, tyrosinemia, α–1 anti–trypsin deficiency
  • Fulminant hepatic failure
  • Autoimmune hepatitis
  • Other cholestatic disorders like progressive familial intrahepatic cholestasis, Alagille’s syndrome, sclerosing cholangitis etc.

In children, biliary atresia is the commonest indication of liver transplantation. In children < 2 years, cholestatic disorders constitute two–thirds of the indications of the liver transplantation. In children > 2 years, cholestatic disorders constitute 45% followed by metabolic liver disease (24%).

Common indication of liver transplantation in adults

  • Chronic hepatitis B and C
  • Alcoholic liver disease
  • Cholestatic liver disease like Primary biliary cirrhosis, Primary sclerosing cholangitis
  • Fulminant hepatic failure
  • Autoimmune hepatitis
  • Metabolic liver disease

In adults, the major indications for liver transplantation would be chronic viral hepatitis, alcohol-induced liver damage and hepatocellular cancer.

Question of the Day (Dr Quresh Maskati)

What is an "apparent" squint?

Some kids have a depressed bridge of nose or greater or lesser distance than normal between the 2 eyes. This gives the appearance of squint, though there is no imbalance between the movements of the 2 eyes. Most kids grow out of this, though some may need plastic surgery to the face. However, it is best to let the eye surgeon decide which squint is real and which apparent

 

View Point (MCI Medical Education)

In this column, eminent Padma Awardees express their thoughts on Medical education. Today, we present the views of Padma Shri Awardee Dr. A.K. Grover.

1. While we must shift to a uniform entrance and exit examination for post graduate education, to ensure its success a great deal of effort will be needed. Efforts will be required to improve standard of education in states where it is poor. This will need a planned concerted effort for:

  • Improvement in availability and maintenance of equipment.

  • Increased availability of teaching infrastructure (Classrooms, Audiovisual aids, Internet, Library)

  • Training of teachers in Sub / Superspecialties by

    • Sending them to centres of excellence

    • Inviting experts to help set up subspecialty clinics.
  • Improvement in motivation of teachers by

    • Providing some administrative autonomy to medical colleges and departments.

    • Starting paid OPD clinics in medical colleges with profit sharing. (while avoiding private practice outside)

2. While we try to achieve steps laid down in Para (1), the following measures could be taken with the help of National Speciality Societies (We are already doing that with All India Ophthalmological Society)

  • Start 3–and 5–day teaching programmes, designed specially for postgraduates at Centres of Excellence, with well–defined curriculum, in each zone of the country (2 every year).

  • Web–based teaching programmes available to all medical colleges with prior information, by reputed teachers.

  • Creation of a website resource centre (containing teaching martial, Lectures, Videos including diagnostic and surgical techniques etc.)

3. The following proposals made by me at the meetings are applicable both to undergraduate and postgraduate education.

  • Training in management techniques–including personnel management, financial management, practice management etc.

  • Teaching of the affective mode–which has become more important now when the profession is losing its earlier moral authority and preeminence. Role models as the source of learning the ethics and ethos of the profession are not always available. Experts need to delve on what would be the most effective way of imparting this education.
 
 

Public Forum (Press Release for use by the newspapers)

Vegetarian diet helps reduce BP

Ingestion of a vegetarian diet may reduce systolic blood pressure by 5 mmHg. A 5 mm reduction in blood pressure may reduce the risk of heart disease by 21%. This was stated by Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela.

A major feature of a vegetarian diet that may affect blood pressure is the amount of dietary fiber, with an increased amount being associated with decreased systemic pressures.

Multiple meta–analyses have shown benefits with dietary fiber intake on blood pressure. As an example, a 2005 meta–analysis of 24 randomized placebo–controlled trials published between 1966 and 2003 on the effects of fiber supplementation found an average fall of 1.2/1.3 mmHg in blood pressure with fiber intake (average dose of 11.5 g/day).

More significant reductions were observed in older (greater than 40 years) and hypertensive individuals.

Fruits better than fruit juices

Dr Aggarwal also said that children who drink fruit juices can damage their teeth. They should regularly have a dental checkup.

Most organic juices, combining sugar and fruit, lead to tooth erosion. Dental erosion caused by acidic fruit juices and squashes affect the entire surface of the teeth. Daily exposure can lead to progressive loss of enamel, the outer layer of the exposed tooth, with the result that the tooth shrinks and crumbles at the biting edge.

One should restrict children to not more than one glass of juice in a day. Even that should be avoided if the child can be shifted to fruits instead of drinks.

One should wait for atleast 30 minutes before brushing after drinking sugary or acidic drinks because the teeth will have softened by the sugar and it takes atleast 30 minutes for this effect pass off.

Such drinks should be avoided taken solo and if need to be taken, should be combined with meals.

 

IJCP Special

Dr Good Dr Bad

Situation: A patient came with erectile dysfunction.
Dr Bad: Start treatment.
Dr Good: First get cardiovascular tests done.
Lesson: Erectile dysfunction and cardiovascular disease share many risk factors and their pathophysiology is mediated through endothelial dysfunction. Underlying vascular disease is the cause of erectile dysfunction in many men.

Make Sure

Situation: A 40 –year–old man presents with multiple painful boils on the back.
Reaction: Oh my God! This is a carbuncle. Evaluate the patient for diabetes mellitus.
Lasson: Make Sure to evaluate for diabetes on finding carbuncles, which are clusters of boils and cause extensive sloughing of skin and scar formation. They are due to Staphylococcus aureus infections and occur more frequently in diabetics

Quote of the Day (Dr. Santosh Sahi)

"Do not look where you fell, but where you slipped." Ralph Waldo Emerson

The Love Word

After 6 weeks: I looo-ve you, I love you, I love you!
After 6 months: Of course, I love you.
After 6 years: GOD, if I didn’t love you, then why did I marry you?

Milestones in Urology

Franz von Paula Gruithuisen (1774–1852) was a German Physician. He is noted for his contributions to urology and lithotrity. He developed ideas on safer methods to remove bladder stones transurethrally, and his instruments served as models for subsequent devices.

Common spelling mistakes in medical practice (Dr. B.R.Mishra, Cuttack)


The word malena is often incorrectly spelled. The correct spelling is melena.
 

 

IMSA Update

International Medical Science Academy Update (IMSA)

Pentoxifylline for severe alcoholic hepatitis

Updated guidelines suggest pentoxifylline as an alternative to glucocorticoids in selected patients with severe alcoholic hepatitis.

 

Drug Update

List of Approved drugs from 1.01.2009 to 31.10.2009

Drug Name

Indication

DCI Approval Date

Azithromycin SR Granules for oral suspension 2000mg

For the treatment for mild to moderate susceptible infections including RTI, uncomplicated skin/ skin structure infections, non gonococcal urethritis, cervicitis

26.6.2009

 

Medi Finance

Q. Is income earned from the foreign country taxable?

A. This depends upon the residential status or the doctor’s stay in India in the previous year.

 

Lab Medicine (Dr Arpan Gandhi and Dr Navin Dang)

Lipid Profile

Lipid profile is a group of tests that are often ordered together to determine risk of coronary heart disease. They have been shown to be good indicators of whether someone is likely to have a heart attack or stroke caused by blockage of blood vessels or hardening of the arteries (atherosclerosis).
The lipid profile typically includes: Total cholesterol, High density lipoprotein cholesterol (HDLC), Low density lipoprotein cholesterol (LDLC) and Triglycerides (TG).

An extended profile may also include very low density lipoprotein cholesterol (VLDLC) and NonHDLC.

 

Humor Section

Jokes (Dr Jagjit Singh)

An Indian man walks into a bank in New York City and asks for the loan officer. He tells the loan officer that he is going to India on business for two weeks and needs to borrow $5,000.
The bank officer tells him that the bank will need some form of security for the loan, so the Indian man hands over the keys and documents of new Ferrari parked on the street in front of the bank. He produces the title and everything checks out. The loan officer agrees to accept the car as collateral for the loan.

The bank’s president and its officers all enjoy a good laugh at the Indian for using a $250,000 Ferrari as collateral against a $5,000 loan. An employee of the bank then drives the Ferrari into the bank’s underground garage and parks it there.

Two weeks later, the Indian returns, repays the $5,000 and the interest, which comes to $15.41. The loan officer says, "Sir, we are very happy to have had your business, and this transaction has worked out very nicely, but we are a little puzzled. While you were away, we checked you out and found that you are a multi millionaire. What puzzles us is, why would you bother to borrow "$5,000" ?

The Indian replies: "Where else in New York City can I park my car for two weeks for only $15.41 and expect it to be there when I return".

Ah, the mind of the Indian. This is why India is shining.

Medical bloopers on medical charts!

Medical Staff…………A Doctor's cane

 

Readers Responses

  1. Dear Dr. KK, Your puzzle has finally woken up the other enthusiasts also as is seen from Dr. Jagjit Singhs MATH MAGIC appearing today. This also gives the right age, Wonder how these formulas are created, Good to know these tricks. Your readership is encouraging others also to participate. Good luck: Ashok Ahooja, Sqn. Ldr(Retd). Advisor

  2. Dear KK, Can you provide service records of Lt. Col. Dr A R N Setalvad (Retd)? As far as my knowledge about defence services in India goes, it is only a person in regular commissioned service in the Armed Forces in India, can write the rank to his name: Dr K K Arora

    3. Dear Editor, I have been a fan of yours right from the day I met you long back at Rashtrapati Bhawan where you had gone in connection with your ‘Health Mela’ project, and I was to present a copy of ‘Optometry Today’ quarterly journal edited by me to the then President of India Hon’ble Shankar Dayal Sharma. ‘Playing cards with health messages’ is a unique idea. And I’m pleased to say that after the successful publication of ‘Babloo goes for an eye test’ book for children, parents and teachers, I have taken up the project of bringing out ‘Book–marks with eye–care messages’ for the charitable trust Eye Care India (kumars@vsnl.com), which publishes free e–magazine ‘Eye Doctor&rs: Dr. Narendra Kumar
 

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

12th September: BSNL Dil ka Darbar A daylong 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.

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