October 11   2015, Sunday
EDITORIAL
Dr KK AggarwalDr KK Aggarwal
Link between Influenza and NCDs

Seasonal influenza is a major public health problem globally, causing significant morbidity and mortality, especially in high-risk groups. Children and adults with underlying chronic non-communicable diseases (NCDs) are especially vulnerable to complications, hospitalizations and even death from the infection. However, the link between NCDs and influenza is frequently underestimated. Vaccination against influenza is the single most effective way to reduce this vulnerability in people living with NCDs. Nevertheless vaccination rates in this group fall short of the WHO recommended target of 75%. (WMA.net)

• Improving influenza vaccination coverage among people living with NCDs is a complex task, and multiple strategies are needed at global and country levels to achieve the goal of 75% vaccination rate among this group.

• At the global level, it is critical to include influenza immunization as part of the monitoring framework for NCDs and underscore the vaccine’s importance in secondary prevention of these diseases.

• At the country level, strategies should target not only those at high risk of influenza complications, such as NCD patients, but also those at elevated risk of both contracting and transmitting the virus, such as schoolchildren and healthcare workers.

•The general lack of awareness by healthcare workers and particularly clinicians of the explicit relationship between influenza vaccinations and NCD management may be an important impeding factor in vaccination uptake among the vulnerable groups, especially people living with NCDs.
Breaking news
Nearly 9 million children in US susceptible to measles infection

Avoiding or delaying the measles vaccine has left nearly 9 million children in the U.S. vulnerable to the disease, including roughly 2 million children too young to receive the vaccine, researchers reported. "We estimate that among about 69 million children in that age range [0-17 YEARS], 8.7 million or 12.5% are susceptible to measles infection if they're exposed to the disease," Robert Bednarczyk, PhD, of Emory University, and colleagues, reported. "And this is not a study where we looked at children who should have gotten the vaccine, but didn't." (Source: Medpage Today)
Dr Good Dr Bad
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Specialty Updates
• Continued use of beta-blockers for hypertension during noncardiac surgery can raise the risk of major adverse cardiac events (MACE) and all-cause mortality within 30 days in a relatively low-risk population, suggests new research published in JAMA Internal Medicine.

• New research, published in the journal Biology Letters, suggests that changing walking speed can make a significant difference to the number of calories burned.

• Most patients treated with alemtuzumab in one of its pivotal trials in relapsing-remitting multiple sclerosis have remained free of sustained 6-month disability progression for the 5 years since starting the treatment, suggested new report presented at the European Committee for Treatment and Research in Multiple Sclerosis annual meeting.

• A new study suggests that severity of the skin condition psoriasis is associated with increased inflammation of the blood vessels, or vasculitis. The findings are published in the journal Arteriosclerosis, Thrombosis and Vascular Biology.

• Human hepatocyte growth factor injections, administered twice over 2 weeks, show efficacy in significantly reducing diabetic peripheral neuropathic pain for up to 3 months without any significant adverse effects, suggests new research presented at the American Neurological Association (ANA) 2015 Annual Meeting.

• A substance, dubbed Compound 490, found in urine appears to distinguish between people with and without tuberculosis, suggests new research presented at the annual IDWeek meeting, held jointly by the Infectious Diseases Society of America (IDSA), the HIV Medicine Association (HIVMA), the Society for Healthcare Epidemiology of America (SHEA), and the Pediatric Infectious Diseases Society (PIDS).

• Recommendations to reduce the rates of preterm birth developed at the Wayne State University School of Medicine and the National Institutes of Health's Perinatology Research Branch were introduced as worldwide best practices in maternal-fetal health during the World Congress of the International Federation of Gynecology and Obstetrics. The recommendations include sonographic cervical length screening through transvaginal ultrasound in all women between 19 and 23 and 6/7 weeks pregnant.

• WAVE-covered self-expandable metallic stents (WCS) do better than previous models in palliation of malignant gastric outlet obstruction (GOO), suggests new research published online in The American Journal of Gastroenterology.

• Arteriovascular access is associated with a lower risk of death and technique failure than central venous catheters in home hemodialysis patients, suggests a new study published online in the American Journal of Kidney Diseases.

• Among immunocompromised patients admitted to the intensive care unit with hypoxemic (inadequate oxygenation of the blood) acute respiratory failure, early noninvasive ventilation compared with oxygen therapy alone did not reduce the risk of death at 28 days, reported a study published in JAMA.
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Media
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eSPIRITUAL
Understanding the Gunas
The mental state of a person in Vedic language is described in terms of gunas. The present state of mind of any person is a result of mixing of three gunas of nature called tamas, rajas and satoguna. In terms of states of mind they are called tamas, rajas and sattva and the nature of a person is called tamsik, rajsik and satwik.

Whether it is Vedas, Upanishads, Bhagwad Gita or the text of Ayurveda, all talk about these gunas. The sankhya philosophy also says that a mixture of the three makes the cosmic mind as well as the human mind. Bhagwad Gita talks in great detail about the nature, yagna as well as diet depending upon these gunas.

A satwik diet enhances satoguna in a person and makes him/her with a predominant satwik nature. The same is true for the other two gunas. According to Ayurvedic text and in Atharvaveda any food, which comes from the roots or underground part of the tree, is tamsik in nature. Tamsik foods should not be eaten raw. They should either be slow cooked or soaked in water for hours before consumption.

Foods which are from the top part of the tree like coconut, fruits, leaves and flowers are satwik in nature and can be consumed fresh, as they are. Food which comes from the middle part of the tree is often rajsik in nature.

Fresh, soaked, sprouted, natural food are often satwik and old, left over foods are tamsik in nature. Most satwik foods are naturally white.

Ramayana also has characters with different nature. Kumbhakaran represents a person with tamsik nature, Meghnad and Ravana with rajsik nature and Vibhishan with satwik nature. One can see that the diet of Kumbhakaran was left over foods, onions, radish, carrots and non vegetarian food, all are tamas producing.

Shastras also teach us about satwik food. In Vedic knowledge, God is represented by the consciousness and whatever is offered to God is the one, which is offered to consciousness and hence all offerings to God are soul healing and soul nurturing food items. Only satwik foods are offered to God as one can live on satwik food forever. Examples are dry fruits, fruits and milk. One cannot live on rajsik or tamsik food hence, they have to be taken in moderation only.

The offerings to God include honey, milk, curd, fruits and vegetables, etc. Panchamrit offered in Puja is a mixture of milk, curd, ghee, honey and sugar is a classical example.

Yogashastra also talks about the role of satwik diet in great detail. It says people who eat less are yogis, people who eat in moderation are bhogis and people who eat a lot are rogis. The synonymous are tamsik for rogis, rajsik for bhogis and satwik for yogis.

In terms of proper diet, one should eat dinner lighter than lunch, eat only natural food in the night and follow the principles of moderation and variety.
Legal Quote
Jacob Mathew v. State of Punjab SC / 0457 / 2005: (2005) 6 SCC 1 (iv)

“A simple lack of care, an error of judgment or an accident, is not proof of negligence on the part of a medical professional. So long as a doctor follows a practice acceptable to the medical profession of that day, he cannot be held liable for negligence merely because a better alternative course or method of treatment was also available or simply because a more skilled doctor would not have chosen to follow or resort to that practice or procedure which the accused followed.”
TB Fact
The tubercle bacilli establish infection in the lungs after they are carried in droplets small enough to reach the alveolar space (5 to 10 microns).
Medicofinance
The level of investment risk one ends up taking should ultimately be a conscious decision by the doctor and be linked to the financial outcomes he is seeking to achieve. Most medical professionals enjoy such a strong and consistent level of income that often only a minimal level of investment risk is required to achieve their objectives. It is important to understand how their wealth will grow based on different levels of risk, this empowers them to make an informed decision regarding how much risk is actually required and how much they are comfortable with.

(Source: IJCP)
Industry News
Booming startups space in India not a bubble: Speaking at the Exchange4media Conclave, Subhash Chandra, Chairman Essel Group said, "Startups are neither a bubble nor a complete game changer. I am sure the traditional things will survive, it (startups) will expand the market." (Moneycontrol.com- PTI)

New Startup policy for entrepreneurs in Rajasthan: Rajasthan released its first startup policy to promote sustainable entrepreneurship in the state at the 'Rajasthan Startup fest 2015'. Rajasthan Chief Minister Vasundhara Raje said, "This is going to make a difference for the state. Interesting things are happening today in entrepreneurship, which is a very dynamic field." (Business Standard- PTI)

Govt. of India plans flexible rules: To encourage startups, the government has decided to make some internal changes to the rules and policies that would eventually promote flexibility in hiring norms and faster winding up of failed startups. The government also plans to give preferences to women entrepreneurs in public procurement and making it easier for them to access capital. (Thetechportal.in)

Truecaller crosses 100 mn users in India: The Truecaller user base has crossed the 100-million-mark. Truecaller is an app that helps identify unknown numbers and also block spam calls. (Hindustan Times- IANS)
eMEDIPICS
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IMA leaders at detox meeting
Inspirational Story
The Secret of Success!

A young man asked Socrates, an ancient Greek philosopher, the secret of Success. Socrates told the young man to meet him near the river the next morning. They met. Socrates asked the young man to walk with him toward the river. When the water got up to their necks, Socrates took the young man by surprise and ducked him into the water. The man struggled to get out but Socrates was strong and kept him under water until he started turning blue.

The young man struggled hard and finally managed to get up. The first thing he did was to gasp and take a deep breath. Socrates asked, “What did you want the most when you were under the water?” The man replied “Air”.

Socrates said: “That’s the most secret to success. When you want success as badly as you want air, you will get it. There is no other secret”.

Reflection: A burning desire is the starting point of all accomplishments. Just like a small fire cannot give much heat, a weak desire cannot produce great results…
eWELLNESS
Leverage your strengths

• Only about one-third of people have a useful understanding of their strengths.

• If you are not sure of your strengths, you can identify them by asking someone you respect who knows you well, by noticing what people compliment you on, and by thinking about what comes most easily to you.

• Certain strengths are most closely linked to happiness. They include gratitude, hope, vitality, curiosity, and love. These strengths are so important that they're worth cultivating and applying in your daily life, even if they don't come naturally to you. (Health Beat)
Humor
Salesman: This computer will cut your workload by 50%. Office

Manager: That's great, I'll take two of them.
MTNL Perfect Health Mela 2015.

Pls click here for details
IMA Digital TV
Bioethical Issues in Medical Practice
Achieving Privacy and confidentiality in day to day practice- an ethical dilemma

Pragya Sharma
Lecturer, Dept. of Clinical Psychology
Smita N Deshpande
Head, Dept. of Psychiatry,
De-addiction Services
PGIMER- Dr. Ram Manohar Lohia
Hospital, New Delhi

Doctors in busy settings face an ethical dilemma. Maintenance of confidentiality and privacy becomes problematic due to the use of shared rooms. At times, the patient hesitates to share medical information due to this fact. More funds and better infrastructure may not always be possible. What is your preferred solution in such circumstances?

a) Ignore the issue as sharing information is culturally acceptable in India

b) Acknowledge overcrowding, try to make the patient comfortable within the shared setting

c) Extend work hours, push back appointments to ensure one patient per room at a time

d) Whisper/ talk in low voices

October 10th was World Mental health Day. The theme this year is ‘Dignity in mental health’. Privacy and confidentiality may be of more concern to mental health professionals due to the sensitivity of matters patients share with us. It is incumbent upon us all, as health care professionals and opinion leaders, to help by raising awareness of what can be done to ensure that people with mental health conditions can continue to live with dignity, through human rights oriented policy and law, training health professionals, respect for informed consent to treatment, inclusion in decision-making processes, and public information campaigns. With early and proper interventions, most can go back to productive lives and positive relationships.

While treatment of mental illness has progressed, access to care is still poor. Knowing that mind and body are not separate concepts, we must train ourselves to recognize early, intervene or if necessary refer early, and continue to provide support and education throughout to the sufferer and her/ his caregivers.

Privacy is a key concept for mental health professionals. Probably that is why this dilemma received replies predominantly from mental health professionals. Thank you, readers for writing in. Indeed it does look as if privacy is not of such concern to medical practitioners as we received relatively fewer replies.

Thanks to those who wrote in:
 
Saranya Devanathan, Psychiatrist

Sudhakar Bhat, Psychiatrist

Anil Agarwal, Psychiatrist

Satish Malik, Psychiatrist

RK Bhatia, Activist
Prof Dr Triptish Bhatia, Psychologist

Ranjita Thakur, Psychologist

Sadaf Vidha, Psychologist

Dr S Rastogi, Director & Research mentor

What they said

Two leaders - Drs. Devanathan and Bhat felt that privacy was not such an issue in India and they would go for option 1 by ignoring the issue. However Prof Anil Agarwal and Prof Satish Malik felt otherwise - ‘we cannot see 2 or 3 patients in one room. The patient’s right of privacy cannot be compromised for any reason. Each patient should be interviewed in a single room, and the patient and the family members should also be seen separately at least once and as and when needed. Infrastructural issues cannot be the excuse for inefficient treatment’.

Triptish Bhatia opined that respecting the privacy of the patient is very important and therefore, patients with sensitive issues could be seen after the crowded working hours. It is important to respect privacy by speaking in low voices, and make the patient as comfortable as possible. But Ranjita Thakur was more pragmatic. She wrote: when any country does not have adequate infrastructure then decision should be taken according to what is available in nearby surrounding. So treatment comes first as per hierarchy of decision criteria. She felt that people feel a kind of security being stranger in the crowd but they should be asked about their need for privacy and make them as comfortable as possible- an opinion shared by Dr S Rastogi.

Sadaf Vida provided a detailed to do items of how to deal with the lack of infrastructure: Doctors who were able to successfully get history and provide details at the same time respecting confidentiality showed the following:

1. Apologize to the patient for over crowdedness but saying that all these people require a doctor so we have to work with this.

2. Telling that other professionals in this room are competent and caring doctors and will not make fun (most men who were hesitant came with premature ejaculation issues) and can actually assist in solving the problem.

3. Allowing them to speak softly if it is a sensitive detail.

Finally our patient rights advocate and activist Mr RK Bhatia said: under the prevailing circumstances, (b) seems to be the plausible approach.

What do you feel? Is there an ethical dilemma you would like to share? If yes write in to: ijcp12@gmail.com
Breaking news
SC says tax on polluting vehicles entering Delhi 'need of the day'

New Delhi, Oct 10, 2015, DHNS

The Supreme Court on Friday agreed to the imposition of a green tax ranging from Rs 700 to Rs 1300 on commercial vehicles entering Delhi, describing it as the “need of the day”. The court also said it would monitor the air pollution situation in the national capital. A three-judge green bench presided over by Chief Justice H L Dattu said it would not only modify the order issued in this regard by the National Green Tribunal (NGT) on Tuesday but would also make it clear that orders passed by any other court or tribunal would be overridden by the apex court order. Acting as amicus curiae, senior advocate Harish Salve had moved the application, seeking imposition of extra cess on trucks emitting poisonous fumes making life difficult for the citizens. He had cited a study by NGO, Centre for Science and Environment, stating that more than 52,000 commercial trucks, running on low-grade diesel, entered the national capital every night, causing toxic haze, especially in the winter. The bench, also comprising Justices Arun Mishra and Adarsh K Goel, said the court would pass a detailed order on Monday after taking note of the suggestions by senior advocate Harish Salve, amicus curiae in a PIL and counsel for Centre and Delhi government. The court also said the order would be implemented in cooperation with adjoining states of Haryana, Uttar Pradesh and Rajasthan. (Deccan Herald)
WMA NEWS
The World Medical Association, with its 111 national medical association members and constituent bodies, has joined the World Health Organisation’s new call for urgent action to protect health from climate change. The WMA has strongly supported WHO call to action, which aims to mobilize the health community to call for a strong and effective climate agreement that will protect health and save lives.

Dr. Xavier Deau, President of the WMA, said: ‘It is vital that in the run up to the United Nations climate change conference in Paris this December the voice of physicians is heard loud and clear about the risks posed to health by our changing climate. As the WHO says today, the worldwide health community represents an unprecedented and influential collective voice.

‘The WMA has a potential reach out to 10 million physicians and we believe their voice can raise public awareness and explain the ways in which climate and health are closely linked. There is now irrefutable evidence that we need to take action on climate change to protect human health.

‘That is why health must be given a greater priority in the climate change talks in Paris. Climate change is the greatest global health challenge of the 21st century. But we must act now if we are to prevent the infectious diseases, increased malnutrition and premature deaths, facing particularly the most vulnerable populations, which will result from more heat waves and other extreme weather events.’
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IMA JIMA
IMA Digital TV
IMA Stress Detox & Leadership Meet

IMA is organizing a 2-day Detox Meeting of state/local branch presidents and secretaries at Om Shanti Retreat Centre, Pataudi Road, Near Manesar, Gurgaon on 10th and 11th October, 2015. This meet is being organized by IMA in association with Heart Care Foundation of India and Brahma Kumaris. The final program is as below.

Sunday 11th October 2015
 
7.00 AM to 8.00 AM
Pranayam & Rajyog Meditation
8.00 AM to 9.00 AM
Detox Breakfast
9.00 AM to 9.30 AM
Acquiring Leadership Qualities (BK)
9.30 AM to 10.00 AM
Happy Group (BK)
10.00 AM to 10.30 AM
Violence against doctors
10.30 AM to 11.00 AM
Communication Skills (BK)
11.00 AM to 11.30 AM
Crosspathy
11.30 AM to 12.00 Noon
Doctor-Patient Relationship (BK)
12.00 Noon to 12.30 PM
Clinical Establishment Act (IMA)
12.30 PM to 1.00 PM
Detox of doctors (Dr KK)
1.00 PM to 2.00 PM
Detox Lunch
2.00 PM to 2.30 PM
Parasympathetic lifestyle
2.30 PM to 3.00 PM
Parasympathetic lifestyle
3.00 PM to 3.30 PM
Open House Discussion
3.30 PM to 4.00 PM
Open House Discussion & Resolutions
4.00 PM onwards
Prasadam & Valedictory Function
World Mental Health Day: India's Mental Health Crisis In Numbers
HuffPost India | By Jacob Kosh

The World Mental Health Day is a good time to do a macro survey of India's mental health status. The prognosis is grim. By the most conservative estimates, at least 5% of the population lives with a mental illness, which translates to over 50 million people. These numbers have a close bearing with the rate of suicides, cardiovascular health and several days of productivity lost. However the granular view of the state of mental health in India is, to put it mildly, apoplectic. Nearly half of those with severe mental disease aren't treated and of those with less severe versions, nearly 9 in 10 go uncared for. Six percent of Kerala’s population has mental disorders and 1 in a 5 have emotional and behavioural problems, ranging from mild to severe. According to the government's estimates about 1 in 5 people in the country need counselling, either psychological or psychiatric. Depression, the most prevalent form of mental illness, is estimated to exist in 3 of every 100 in urban areas like Mumbai and of this 1 in 3 are severely neurotic. Curiously, access to education and working in industries seems to be significantly associated with mental health problems… (Huffington post)
New recommendations for colorectal cancer screening

The US Preventive Services Task Force (USPSTF) has posted online new draft recommendations for colorectal cancer (CRC) screening in adults and is seeking public comments and feedback until November 2. The draft statement updates 2008 USPSTF screening recommendations for CRC, and includes two notable proposed changes. However, the guidance continues to recommend screening for all adults aged between 50 and 75 years, and is mostly the same as the last set of recommendations. A newly proposed recommendation is the "selective" screening of adults aged 76 to 85 years, taking into consideration the patient's past screening history and overall health; people in this age group who do not have prior screening history are most likely to benefit. The recommendations to not support routine screening for people aged 86 years or over. The USPSTF has recommended the following screening intervals for people aged 50 to 75 years: (Medscape)

• FIT (fecal immunochemical test) or guaiac-based fecal occult blood test (gFOBT): annually

• Flexible sigmoidoscopy: every 10 years (plus FIT annually)

• Colonoscopy: every 10 years
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GP Tip: Thump CPR

Where the facilities for defibrillation is not available, simply remember cordial thump given with maximum force from a distance of 1 feet in the center of the chest can be helpful.
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MCI Code of Ethics Regulations, 2002

2.1 Obligations to the Sick

2.1.1 Though a physician is not bound to treat each and every person asking his services, he should not only be ever ready to respond to the calls of the sick and the injured, but should be mindful of the high character of his mission and the responsibility he discharges in the course of his professional duties. In his treatment, he should never forget that the health and the lives of those entrusted to his care depend on his skill and attention. A physician should endeavour to add to the comfort of the sick by making his visits at the hour indicated to the patients. A physician advising a patient to seek service of another physician is acceptable, however, in case of emergency a physician must treat the patient. No physician shall arbitrarily refuse treatment to a patient. However for good reason, when a patient is suffering from an ailment which is not within the range of experience of the treating physician, the physician may refuse treatment and refer the patient to another physician. 2.1.2 Medical practitioner having any incapacity detrimental to the patient or which can affect his performance vis-à-vis the patient is not permitted to practice his profession
World Mental Health Day

The theme for this year’s World Mental Health Day, observed on 10 October, is "Dignity in mental health". This year, WHO is raising awareness of what can be, and is being, done to ensure that people with mental health conditions can continue to live with dignity, through human rights-oriented policy and law, training of health professionals, respect for informed consent to treatment, inclusion in decision-making processes, and public information campaigns. (Source: WHO)
CDC recommends a shortened interval for post-vaccination serologic testing of infants born to hepatitis B-positive mothers

New evidence suggests that hepatitis B antibody levels decline following vaccination, so, CDC now recommends that post-vaccination serologic testing take place earlier – at age 9-12 months, or 1-2 months after the final dose of the hepatitis B vaccine series – in order to ensure antibodies are detected. Benefits to this shortened interval include a reduction in the time that non-responders are at risk for transmission from close contacts with HBV infection, opportunity for prompt revaccination when needed, and conservation of public health resources. Authors also suggest note that a shortened interval might increase adherence with recommendations for timely completion of PVST. Schillie S, et al. MMWR Morb Mortal Wkly Rep. 2015 Oct 9;64(39):1118-20.
eMEDI QUIZ
The primary defect which leads to sickle cell anemia is:

1. An abnormality in porphyrin part of hemoglobin.
2. Replacement of glutamate by valine in B-chain of HbA.
3. A nonsense mutation in the B-chain of HbA.
4. Substitution of valine by glutamate in the a-chain of Hba.

Yesterday’s Mind Teaser: The main enzyme responsible for activation of xenobiotics is:

1. Cytochrome P-450
2.Glutathione S-transferase.
3. NADPH cytochrome P-450-reductase.
4. Glucuronyl transferase.

Answer for Yesterday’s Mind Teaser: 3. NADPH cytochrome P-450-reductase.
Answers received from: Dr Poonam Chablani, Dr K Raju, Dr K V Sarma, Dr Bitaan Sen & Dr Jayashree Sen, Priyanka Kesarwani, Daivadheenam Jella, Dr Avtar Krishan, Daivadheenam Jella.
Answer for 8th October Mind Teaser: 3. AV bundle.
Correct Answers received from: Dr Kusum Gandhi, Dr B R Bhatnagar, Dr Pravar Passi, Priyanka Kesarwani, Dr Jainendra Upadhyay, Dr Bitaan Sen & Dr Jayashree Sen.
Readers column
Dear Sir, In addition to the suggestions on revision of rules with regard to compensation under the CP Act, I would like to suggest the following:

1. At every revenue district level, the Consumer Court should compulsorily include as Consultant, a reputed and respected specialist of the district, of the same specialty as the doctor against whom the case is filed, or if such a person is not available, from the neighboring district, or failing both, which will be rare, any reputed specialist of the same district. With the large number of medical colleges, this should not at all be difficult. Specialty organizations, at local or state levels, can help by nominating such a person to the court, or form a panel of specialists who are willing to aid the Consumer Court with their expertise during hearings, for a specified period, if necessary. (I think the Kerala Orthopedic Association had done this earlier, I am not sure if they are continuing to do so).

2. "Reverse compensation" for vexatious litigation should also be included, if not already in the acts, to compensate doctors adequately for false allegations (those proved false), as this will make people think twice before filing cases. The doctor's compensation should take into account factors like the loss of time and income he would have suffered, as well as loss of reputation. (The number of PILs filed has reportedly come down after the courts started levying fines on the ones they ruled as not fit for filing).

Dr B Madhukar Rao
Life Member
IMA Hubballi Branch
Karnataka
Press Release
Stress and detox leadership meet of the State and Local branch Presidents and Secretaries of the Indian Medical Association commences in Manesar

The Indian Medical Association in collaboration with the Brahma Kumaris and Heart Care Foundation of India is organizing the two-day retreat

A 2-day stress and detox leadership meet of the State and Local branch Presidents and Secretaries of the Indian Medical Association commenced today at the Om Shanti Retreat Centre, Pataudi Road, Near Manesar, Gurgaon, Delhi-NCR. The aim of the workshop was to address the increasing incidence of lifestyle diseases amongst doctors due to high levels of stress.

In the inaugural speech, Dr Vinay Aggarwal, past President IMA and and Padma Shri Awardee Dr K K Aggarwal – Honorary Secretary General IMA and President Heart Care Foundation of Indiain a joint statement said, “Stress is the leading cause of most lifestyle diseases. It precipitates unhealthy eating, lack of sleep, dependence on evils such as tobacco and alcohol and causes hypertension. Stress encourages people to consume comfortfood, which is usually high in trans fat, salt and sugar thereby leading to obesity and diabetes. In today’s day and age stress is a necessary evil. While positive stress encourages people to be better at what they do, motivates them to work towards their passions and goals, too much of stress has a long term negative impact on their health.”

“Stress management techniques are essential to reduce the incidence of lifestyle diseases specially amongst the medical fraternity in India. Indian doctors are over-worked and face tremendous competition. They are made to see more patients then they can handle, have to deal with life and death on a regular basis and face new age threats. The incidence of violence amongst doctors continues to increase enhancing the stress levels. Our aim through this workshop is to learn and inculcate in our lives ways in which we can reduce and manage stress effectively”, he added.

The topics being addressed at the two-day meet include acquiring leadership qualities, effective communication skills, what is the IMA Satyagarah, how to protect oneself from the increasing violence against doctors, how medical professionals must not be subject to the consumer protection act and how to establish an effective doctor patient relationship.

BK Brij Mohan, Principle Secretary Brahma Kumaris, BK Asha, Director OM Shanti Retreat Centre, BK Sapna, Centre in charge Lajpat Nagar in a joint statement said, “By observing silence for 20 to 30 minutes a day can help one achieve inner happiness. Meditation and not medication is the answer for most of the lifestyle disorders. Rajyoga meditation is the answer for today’s stressful environment.”

A few ways in which the growing issue of increased stress amongst doctors can be reduced include

• Restore the public faith amongst doctors by not showcasing the medical profession in a negative light in films, books and literature. There are black sheep in every profession and doctors must not be targeted
• The skewed doctor-patient ratio in our country must be addressed. Each doctor is put through high levels of stress because of the discrepancy in demand and supply specially during the outbreak of diseases
• Preventive care must be given equal importance as treatment
• Doctors must not be put under the ambit of the Consumer Protection Act
• Hospitals and clinics must give their doctors the autonomy to take decisions and must not impose targets on them. The medical profession is a noble one and its nobility must be maintained.
• Regular stress management workshops must be organized for doctors
Digital IMA