eMedinewS11th July 2014, Friday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); 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);
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

Reaction to the Healthcare Budget 2014–15 Dr KK Aggarwal

The Honorable Minister of Finance, Arun Jaitly today tabled Union Budget 2014, a comprehensive agenda to bolster India’s long–term economic strengths and promote growth in other sectors too.

This Union Budget 2014 takes an important step to address the challenges and help to take advantage of the opportunities of the global economy, while ensuring sustainable social programs and sound public finances for future generations.

Commenting on the national Healthcare Budget 2014–2015, Padma Shri, Dr. BC Roy and DST National Science and Communication Awardee, Sr. National Vice – President Indian Medical Association and President of the Heart Care Foundation of India, Dr KK Aggarwal says "I am really happy with 2014 union budget as per healthcare sector is concerned. The sector is the growth engine for any developing country. With our Finance Minister proposing 4 new All India Institute Of Medical Sciences in the near future and also he proposes to be built and function All India Institute Medical College in every state of India , proposing of Rs. 100 crore for Beti Bacchao campaign, opening of 12 more government medical colleges, 31 new Laboratory for testing new drugs and ensuring its safety and 15 new rural health research centers, there will be a boost for the health sector. Rs. 28658 crore for sanitation and safe drinking water for girls in rural schools and Rs. 200 crore on women safety which will help the health status of the women. Rs.50, 000 crore been proposed for the betterment of urban sanitisation will be released by the Govt. Additionally better sanitation in the society with Swastha Bharat Abiyan campaign will help to check communicable disease. Rs. 50,000 crore for rural roads safety which will reduce road accidents .Increase in Prices of masala, tobaco and soft drinks to help to lower down the disease caused by consumption of these products. Introduction of e–visas will promote medical tourism. Increase in FDI in insurance sector by 49% will help in health insurance coverage. Separate schemes for differently abled people and tax exemption for senior citizen will help the society. The govt. also plans propose to release of more budgets for bio–research and indigenous manufacturing units will help heaper medical treatments. Lastly free primary health care to the needy. Definitely I see my country on the path of growth with this budget."

News Around The Globe

  • A study published online in Diabetes Care has stated that people with impaired glucose tolerance (IGT) have evidence of neuropathy that can be detected through the eye using corneal confocal microscopy.
  • Urethral injection of patient–derived adipose stem cells (ASCs) and collagen could serve as a viable alternative to surgery in women with stress urinary incontinence (SUI), reports a pilot study published online July 1 in Stem Cells Translational Medicine.
  • The first immunotherapy product to act on the programmed death (PD) pathway has been granted its first approval in the world. Japan is the first country to approve Nivolumab for use in melanoma as Opdivo.
  • The American Academy of Neurology (AAN), the American Neurological Association, and the Child Neurology Society have jointly produced a document on the legal and ethical implications on the evaluation and management of sports–related concussion. The document is published online July 9 in Neurology.
  • A report published online July 8 in JAMA has revealed that patients at intermediate risk for common bile duct stones who had cholangiography during cholecystectomy, with endoscopic retrograde cholangiopancreatography (ERCP) afterward only if needed, fared just as well as those who had ERCP before cholecystectomy.

Rabies News (Dr A K Gupta)

What are monoclonal antibodies?

Monoclonal antibodies (mAb) are important reagents used in biomedical research, in diagnosis of diseases, and in treatment of such diseases as infections and cancer. These antibodies are produced by cell lines or clones obtained from animals that have been immunized with the substance that is the subject of study. The cell lines are produced by fusing B cells from the immunized animal with myeloma cells.

Cardiology eMedinewS

  • Painful diabetic polyneuropathy (PDPN) is closely correlated with higher nocturnal blood pressure (BP) independent of pain–related comorbidities, suggests a new study published online in Diabetes Care. Researchers noted that patients with PDPN experienced less change in systolic and diastolic BP overnight compared with the group without DPN (5.5 vs. 8.6 mm Hg for systolic and 10.8 vs 14.2 mm Hg for diastolic).
  • The rate of incident heart failure (HF) is inversely related to bone mineral density, suggesting that they have a shared pathophysiology, reported a prospective, long–term cohort study. Additionally, the link between HF and bone mineral density was strongest in patients whose heart failure was likely nonischemic. The report is published in JACC: Heart Failure.

Pediatrics eMedinewS

  • As consolidation therapy for Ewing’s sarcoma, a rare bone tumor that predominantly affects children and adolescents, there is little difference in the cure rate between cyclophosphamide and ifosfamide, suggested a new study published online in the Journal of Clinical Oncology.
  • Nearly 50% of children with attention deficit hyperactivity disorder experience transient sleeping problems, while about 10% have persistent sleeping problems, reports a new study published online in Sleep Medicine.

Dr K K Spiritual Blog

Why are Doctors called God?

Modern medicine is only couple of hundred years old. Prior to that traditional medicine was used based on the local needs of the country; the oldest of them being the Indian Ayurvedic system of medicine originating from the Atharveda. Unani, Chinese, and Tibetan medicine probably are all offshoots of Ayurveda.

Doctors in India since Vedic times have been equated to God. This has continued today even after modern medicine has taken over. No other profession whether it is priest, lawyers, judges, politicians, commands the same status as that of the medical doctors. Medical profession is the noblest profession.

The role of a doctor is to remove the miseries and save the life of a person and that is one reason most of us think that a medical doctor has been given designation equivalent to that of God. But it has many other perspectives also.

A common man’s perspective of God is a force which can do and undo anything, for whom nothing is impossible, who is the final decision maker, whose decision cannot be challenged, who can give an instantaneous relief, who can punish and reward and he who overcomes miseries. He can also answer the unknown as he is supposed to know everything. In Bhagwad Gita and other Vedic texts, GOD is equated to consciousness, a network of energized information, a force which cannot be burnt by fire, wet by water, dried by air or cut by weapon; a force which is omnipotent, omnipresent and omniscient and still ever-pervading.

A trained qualified medical doctor who has his understanding based on the mind, body and soul has nearly the same characteristics. He overcomes miseries, mystifies his presence as soon as he touches the patient, gives immediate relief, which begins right from the time he gives a healing touch to the patient, his decision often is considered final and his decisions are almost predictable to 100%.

God is the person on whom one has blind belief and faith. At the time when a person is sick or in acute emergency the same belief and faith is seen in doctors.

Deepak Chopra in his book ‘How to Know God’ has explained God of different levels. According to him, God is a person from amongst the society with one step higher level of consciousness. He describes, as per the Vedic text, seven different levels of consciousness a person can posses and they are at the level of fight & flight, reactive consciousness, restful alertness consciousness, intuitive consciousness, creative consciousness, sacred consciousness and unified consciousness. If we take this as the classification then even a ruler of the society may be considered God by many people. But if you take universal criteria then a person who has achieved sainthood, who sees the same consciousness in everybody, treats individuals without caste, creed and religion, who overcomes miseries of people irrespective of their age, status or paying capacity is GOD. A doctor fits into these criteria.

For him every patient is same and his job is to remove his or her miseries at that particular moment. Probably, this is another reason why doctors have been regarded as God at every level of perception and from every segment of the society.

Most people have fear of death, fear of unknown, fear of loss and fear of disability. Whenever there is an unknown fear they think of God. A medical doctor is also remembered whenever there is a health crisis.

Ayurvedic text clearly describes chapters & chapters on the subject ‘how to predict death’. It describes symptoms, which, if present, with certainty one can say that this person is going to die in how many hours, days, months or years. That level of prediction gives public a feeling that doctors are God because they have seen doctors for thousands of years giving verdict that this person is not going to survive after a particular period and that used to happen.

According to Bible every work God does he does through his messenger. Medical doctors are the only certified universal messenger of God in the society. Rest all become God for a particular period, for a particular instance or a particular person.

Health is not mere absence of disease but a state of physical, mental, social, spiritual, environmental and financial well being. This definition fully was used by the Eastern philosophy and Eastern pathies. Modern doctors, however, practice more often an instant practice with emphasis on quick treatment, handling acute emergencies and lifestyle illnesses. They hardly take mental and spiritual health into consideration. That may be one reason why slowly people are withdrawing the status of God from the doctors. They have started equating a medical doctor with any other marketing profession.

Out of four purposes of life: dharma, artha, kama & moksha, dharma is the most important. The literal meaning of dharma is to hold. God is the force with 100% dharma in his life. Dharma of a doctor is to treat and save the life of a person at any cost. One recalls the movie Achanak where the doctor saved the life of a person who has been sentenced to death and the day he saves him the police officer takes him for hanging. The movie ends with a message that a doctor has to do his dharma and police officer has to do his.

At the time of miseries, a doctor is treated as a healer. Nobody bothers whether the doctor came from which religion, caste, race or whether the doctor is male, female or from third gender. People do not bother about the ill habits or out of profession activities of the doctor; they are only concerned about the fact that doctor is a universal healer and overcomes the miseries of everybody who approaches him. A doctor provides free treatment to those who cannot afford or comes to an emergency ward without any money.

Putting doctors under Consumer Protection Act is the biggest blunder done by the government. How can one make God accountable? Can a child born blind at birth abuse or curse God for making him blind.

I think all of us should introspect and remember that doctor is the messenger of God born to remove miseries of the sick individuals.

Wellness Blog

Women above 65 to take extra care of their health

  • Women aged 65 and above should take low dose aspirin routinely to prevent heart attack and paralysis.
  • All women are urged to exercise a minimum of 30 minutes per day, but women who need to lose weight or maintain weight loss are now advised to engage in 60 to 90 minutes of moderate–intensity activity on most, or preferably all, days of the week.
  • A heart–healthy diet should be rich in fruits, whole grains and fiber foods with a limited intake of alcohol and sodium.
  • Saturated fat should be reduced to less than 7 percent of calories.
  • Women at very high risk for heart disease should try to lower their LDL ("bad") cholesterol to less than 70 mg/dL.
  • Women aged 65 and over should consider taking low–dose aspirin on a routine basis, regardless of their risk.
  • Aspirin has been shown to prevent both heart attacks and stroke in this age group.
  • The upper dose of aspirin for high–risk women is 325 mg per day.
  • Hormone replacement therapy, selective estrogen receptor modulators nor antioxidant supplements such as vitamins C and E should be used to prevent heart disease.
  • Folic acid should also not be used to prevent cardiovascular disease.
  • Women should eat oily fish or some other source of omega–3 fatty acids at least twice a week.
  • Women should not only quit smoking but should use counseling, nicotine replacement or other forms of smoking cessation therapy.

Inspirational Story

Girl and the Plants

A little girl was enjoying the beauty of the garden in her home. Her father had a good collection of rare and exotic plants. He grew them with tender care.

The girl was fascinated by a plant full of fine and fragrant flowers. She went near the plant and enjoyed its beauty and the fragrance of its fine flowers. Suddenly she noted that the plant was growing in a heap of filth. She could not tolerate the presence of dirt at the bottom of the plant with such fantastic flowers.

She conceived a plan to clean the plant. She pulled the plant with all her might and uprooted it. She then carried it to the tap and washed the shoot and roots in running tap-water till all traces of dirt were washed away. She then placed the plant on a clean stone and went away, thinking that she had done a great deed indeed.

Later her father came to the garden and saw the uprooted plant. Its flowers and leaves had wilted and the plant had almost died in the scorching sun. His little daughter ran to him to exhibit her achievement. ‘I have cleaned it, Daddy, she reported innocently. It was placed in dirty soil. Now it is clean.

The father showed her how her treatment had almost killed the plant. He told her that he had collected the filthy soil and placed it to cover the plant’s roots as it was the best medium to grow that plant. It could grow up healthily and produce fine flowers only if grown in filthy soil. She was sad that the plant had suffered and withered by her cleaning.

Pain, poverty and illness may cause agony in our life. Sight of successful persons may make us depressed and envious. A great gardener mixes the right soil for each plant. In the same way God provides each of us with the best environment required for optimum spiritual growth. But it may appear to be unpleasant to us and we may even complain to God about our plight.

Self-Assessment-Quiz

 

Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
Paralysis
Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Vitiligo
Fluid Intake

 

Total CPR since 1st November 2012 – 94595 trained

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at N P Girls Sr. Sec School, Gole Market–7th July 2014

press release

Treating vitamin D deficiency in the country

video of day video of day

 

IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :

 

Make Sure

Situation: In an STD clinic, a 23–year–old heterosexual male presenting with dysuria and urethral discharge was prescribed azithromycin to cover a suspected Chlamydia trachomatis infection.
Reaction: Oh my God! Why didn’t you advise the same treatment for his partner also?
Lesson: Make sure to remember that in such cases, it is essential that both the partners are treated.

eMedinewS Humor

For crying out loud

With all the new technology regarding fertility, an 88–year–old woman was able to give birth to a baby recently. When she was discharged from the hospital and went home, various relatives came to visit.

"May we see the new baby?" one of them asked. "Not yet," said the mother. "I’ll make coffee and we can visit for a while first."

Another half hour passed before another relative asked, "May we see the new baby now?"

"No, not yet," said the mother. A while later and again the guests asked, "May we see the baby now?"

"No, not yet," replied the mother.

Growing impatient, they asked, "Well, when can we see the baby?"

"When it cries!" she told them.

"When it cries?" they gasped. "Why do we have to wait until it cries?"

"Because, I forgot where I put it."

Quote of the Day

I got the bill for my surgery. Now I know what those doctors were wearing masks for. Jomes H Boren

Twitter of the Day

Dr KK Aggarwal: Avoid chocolate for heartburn By Dr K K Aggarwal http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: In my stillness I am the eternal possibility…… In my movement I am the cosmos

 

ePress Release

Reaction to the Healthcare Budget 2014–15 by

Padma Shri, Dr. BC Roy and DST National Science and Communication Awardee, Sr. National Vice – President Indian Medical Association and President of the Heart Care Foundation of India, Dr KK Aggarwal

The Honorable Minister of Finance, Arun Jaitly today tabled Union Budget 2014, a comprehensive agenda to bolster India’s long–term economic strengths and promote growth in other sectors too.

This Union Budget 2014 takes an important step to address the challenges and help to take advantage of the opportunities of the global economy, while ensuring sustainable social programs and sound public finances for future generations.

Commenting on the national Healthcare Budget 2014–2015, Padma Shri, Dr. BC Roy and DST National Science and Communication Awardee, Sr. National Vice – President Indian Medical Association and President of the Heart Care Foundation of India, Dr KK Aggarwal says "I am really happy with 2014 union budget as per healthcare sector is concerned. The sector is the growth engine for any developing country. With our Finance Minister proposing 4 new All India Institute Of Medical Sciences in the near future and also he proposes to be built and function All India Institute Medical College in every state of India , proposing of Rs. 100 crore for Beti Bacchao campaign, opening of 12 more government medical colleges, 31 new Laboratory for testing new drugs and ensuring its safety and 15 new rural health research centers, there will be a boost for the health sector. Rs. 28658 crore for sanitation and safe drinking water for girls in rural schools and Rs. 200 crore on women safety which will help the health status of the women. Rs.50, 000 crore been proposed for the betterment of urban sanitisation will be released by the Govt. Additionally better sanitation in the society with Swastha Bharat Abiyan campaign will help to check communicable disease. Rs. 50,000 crore for rural roads safety which will reduce road accidents. Increase in Prices of masala, tobaco and soft drinks to help to lower down the disease caused by consumption of these products. Introduction of e–visas will promote medical tourism. Increase in FDI in insurance sector by 49% will help in health insurance coverage. Separate schemes for differently abled people and tax exemption for senior citizen will help the society. The govt. also plans propose to release of more budgets for bio–research and indigenous manufacturing units will help heaper medical treatments. Lastly free primary health care to the needy. Definitely I see my country on the path of growth with this budget."

eMedi Quiz

A vascular necrosis can be possible sequelae of fracture of all the following bones, except:

1. Femur neck
2. Scaphoid.
3. Talus.
4. Calcaneum.

Yesterday’s Mind Teaser: High resolution computed tomography of the chest is the ideal modality for evaluating:

1. Pleural effusion.
2. Interstitial lung disease.
3. Lung mass.
4. Mediastinal adenopathy.

Answer for yesterday’s Mind Teaser: 2. Interstitial lung disease.

Correct answers received from: Dr Gopal Shinde, Dr Narahari, Dr Jayant Gaikwad, Dr KV Sarma, Dr Poonam Chablani, Daivadheenam Jella, Dr Jainendra Upadhyay, Dr Ajay Gandhi, Arvind Diwaker, Dr Avtar Krishan, Dr Thakor Hitendrsinh G, Dr Bitaan Sen & Dr Jayashree Sen, Dr K Raju.

Answer for 9th July Mind Teaser: b.2–12 weeks

Correct answers received from: Dr Thakor Hitendrsinh G, Dr Narahari.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

 

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update
  1. Dear Sir, Very informative news. Regards: Dr Trikha
cardiology news

Media advocacy through Web Media

web mediawebmediawebmedia

eMedinewS Special

1. IJCP’s ejournals (This may take a few minues to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)