Awards and Laurels
1. It has just been announced by the American College of Cardiology (ACC) that Dr. Navin C. Nanda will receive one of their Distinguished Awards, the 2010 International Service Award. The Award is given "for outstanding contributions to cardiovascular medicine and science and for significantly enhancing cardiovascular care throughout the world." Dr Alford A. Bove, President of the College, wrote to Dr. Nanda "You have been selected to receive this award...because you have been a true role model for others to follow in your footsteps. You have made great contribution to the College and to the international cardiovascular community." The Award, which will be presented to him on Monday, March 15, 2010 at the ACC annual meetings in Atlanta, Georgia, is not given every year. You can congratulate Dr Nanda at firstname.lastname@example.org, email@example.com or firstname.lastname@example.org
2. The Governing Committee of the TP Jhunjhunwala Foundation will be conferring the XXI National Excellence Award on Dr KK Aggarwal for his services in healthcare. The other recipient of the award is Mr. Ravi Singhania, an eminent legal mind in the area of Corporate Law. The previous years' awardees include: 1991-92 Dr. RK Srivastava; 1992-93 Dr. Naresh Trehan and Dr. Yatish Agarwal; 1993-94 Purshottam Das Jalota and Dr. AK Mukherjee; 1994-95 Pandit Birju Maharaj and Dr. Sudershan Aggarwal; 1995-96 Yamini Krishnamurti, Dr. SP Bajaj and Dr. Ganesh K Mani; 1996-97 Dr. Vinay Bharat Ram, Dr. BS Singhal and Dr. SP Aggarwal; 1997-98 Prof. Yash Pal, Dr. PK Dave and Pandit Devbrata Chaudhary; 1998-99 Dr. KK Sethi and Shovana Narayan, 1999-00 Dr. SC Manchanda, Sonal Mansingh and Prof.. Ram Gopal Bajaj; 2000-01 Dr. SM Tuli and Pandit Rajan-Sajan Mishra; 2001-02 Dr. Anil Kumar Singh and Madhavi Mudgal; 2002-03 Dr. Cyrus M. Shroff and Uma Sharma; 2003-04 Dr. Arun Agarwal and Guru Jitendra Maharaj; 2004-05 Dr. Mathew Verghese and Sumitra Charatram; 2005-06 Dr. LK Malhotra and Nalini-Kamalini; 2006-07 Dr. Upendra Kaul, Raja-Radha Reddy, and N.K Jhajharia; 2007-08 Dr. Kapil Kumar and Geeta Chandran; 2008-09 Dr. Amita Chauhan and Dr Mohan Nair.
The award function will be held at 6 pm on January 31, 2010 at the Shri Satya Sai Auditorium, Lodhi Road, Delhi. Mr Abhishek Manu Singhvi will preside over the function. Well-known vocalist Smt Suman Devgan will render Sufi Sangeet.
Conference News: American College of Gastroenterology (San Diego, CA • October 23 - 28, 2009)
1. Real-time capsule endoscopy demonstrated the potential to identify emergency department patients with suspected acute upper gastrointestinal (GI) bleeding. Seven of 12 patients who underwent capsule endoscopy had positive signs of GI bleeding, which was confirmed in all seven cases by esophago-gastroduodenoscopy. (Dr Albert Shalomov, Weill-Cornell Medical College, New York City)
2. Dual antiplatelet therapy for coronary stent recipients does not markedly increase the risk of gastrointestinal bleeding in patients with no history of bleeding. A history of GI bleeding conferred the greatest risk of subsequent bleeding in patients who received clopidogrel and aspirin to reduce the risk of thrombosis in patients who received coronary stents. Older age also increased the risk of bleeding with dual-antiplatelet therapy, but the association lost its statistical significance in multivariate analysis. The rate of GI bleeding in patients on dual antiplatelet therapy is low. (Dr Oluseun Alli, Albert Einstein Medical Center, Philadelphia)
3. Chronic acid suppression therapy may predispose otherwise healthy individuals to clinically significant small intestinal bacterial overgrowth. Half of patients on chronic acid suppression had positive lactulose breath tests, compared with about 30% of a control group. Chronic acid suppression was associated with a significantly higher proportion of bacteria that produced mixed hydrogen-methane gas. (Dr Walter Chan, Brigham and Women's Hospital, Boston)
4. New-onset mental health disorders and gastroesophageal reflux disease often occur together after stressful incidents, according to a study of workers from the site of New York's World Trade Center. Prevalence of GERD among the workers was double that of the general population. Individuals with GERD had a higher prevalence of mental health disorders compared with workers who did not have GERD. (Dr Yvette Lam, Stony Brook Medical Center, New York)
5. Clostridium difficile infection has spread from the hospital to the community but has proved manageable thus far. From 1991 to 2005, the incidence of community-acquired C. difficile in Olmsted County, Minn., quadrupled but still remained less common than the hospital-acquired gastrointestinal infection. (Dr Sahil Khanna, The Mayo Clinic, Rochester, Minn)
Laughter the best medicine
Doctor, Doctor, What did the x-ray of my head show?
Doctor, Doctor, I think I'm a telephone.
Well, take these pills and if they don't work then give me a ring!
Doctor, Doctor, I keep seeing double.
Please sit on the couch.
Emedinews try this, It works: Listening for the cause of leg pain
Place the stethoscope over the superficial femoral arteries on the anteromedial surface of the hip. Although bruits are unusual at this site, they are specific for peripheral vascular disease.
Mnemonic to Know: Heart murmurs
hARD ASS MRS MSD
hARD: Aortic Regurg = Diastolic
ASS: Aortic Stenosis = Systolic
MRS: Mitral Regurg = Systolic
MSD: Mitral Stenosis = Diastolic
Formula to know: Nitrogen balance (g)
Nitrogen balance = Protein intake in g/6.25 - urine urea nitrogen (g) + 2.5
There is no monument dedicated to the memory of a committee. (Lester J. Pourciau)
Dr Good Dr Bad
Situation: A patient with hypothyroidism was found to have high SGOT and SGPT levels.
Dr Bad: They are unrelated to hypothyroid disease.
Dr Good: They are part of hypothyroid disease.
Lesson: NAFLD (non alcoholic fatty liver disease) is frequently seen in hypothyroid patients.
Situation: A post PTCA stent patient's dental extraction surgery was postponed as he was on aspirin.
Reaction: Oh My God! Why was the surgery postponed.
Make sure: Aspirin need not be stopped for minor dental procedures
Mistake to be avoided
Situation: A patient developed nasal injury after nasal oxygen was given at a speed of 4 l/mt.
Mistake: One should not give more than 2-3 l/mt of oxygen with single or binasal cannulae as it can cause nasal injury.
Mothers who opt for caesarean risk health
Mothers-to-be should only give birth by caesarean when strictly necessary, according to a new study. Figures suggest caesareans carried out during labour without pressing medical reasons were 14 times more risky than a normal birth. Data from the World Health Organisation's global maternal survey - published in the Lancet medical journal - found pregnant women who had C-sections were more likely to die in childbirth or suffer serious complications, such as needing intensive care treatment, blood transfusion or hysterectomy. (Dr Vivek Chhabra)
TV addicts risk heart disease, study finds
People who spend more than four hours a day watching television are 80 per cent more likely to die from heart disease than those watching for less than two hours. Researchers in Australia monitored 8,800 adults for six years to see what impact watching TV had on their long-term health. They found that each hour spent per day in front of the television increased the risk of death from all causes by 11 per cent. It also raised the risk of dying from cancer by 9 per cent and the risk of heart disease-related death by 18 per cent. [The Independent, Dr Vivek Chhabra]