May 13  2015, Wednesday
editorial
Common Cold
Dr KK Aggarwal
  1. It is benign self–limiting syndrome caused by several viruses.
  2. It is one of the most frequent acute illnesses.
  3. The term ‘common cold’ refers to a mild upper respiratory viral illness presenting with sneezing, nasal congestion, nasal discharge, low grade fever, headache and malaise.
  4. Common cold is not the same as influenza or common sore throat, which can also involve the heart.
  5. Common cold affects a pre–school child 5–7 times in a year and adult 2–3 times in a year.
  6. It can spread by hand contact, by direct contact with the infected person or by indirect contact with a contaminated environmental surface.
  7. It can also spread by small particle droplets that become airborne from sneezing or coughing.
  8. It can also be transmitted via large particle droplets that typically require close contact with infected person.
  9. Most important is hand to hand transmission of the virus.
  10. Infection can also spread through circulating air in commercial airline passenger cabins.
  11. Saliva does not spread any cold.
  12. The disease is most infectious on the 2nd and 3rd day of illness.
  13. However, a person may be infectious for upto two weeks.
  14. Normal cold may last for 8–10 days.
  15. The diagnosis is based on clinical findings.
  16. Common cold can exacerbate asthma in susceptible individuals.
IMA,IJCP,HCFI
eMedipics IMA,IJCP,HCFI
Indian Medical Association & Kent RO join hands to educate the masses about the urgent need to prevent water borne diseases
News
  • Speaking at the 2015 European Congress on Obesity today, bariatric surgeon Carel Le Roux, MBChB, PhD, of University College Dublin, Ireland, explained, "Obese people have a functional deficiency in many of the hormones that should rise after a meal," but in fact the receptors for these hormones lie in the brain, and in addition the gut relays messages about satiety to the brain via the vagus nerve.
  • In most patients with suspected nephrolithiasis, non-contrast helical computerized tomography (CT) and ultrasonography are the tests of choice. In patients for whom there is a high clinical suspicion for nephrolithiasis and a low clinical suspicion for an alternative serious diagnosis, ultrasonography leads to less radiation exposure than CT and equivalent overall outcomes.
  • A range of neuropsychiatric symptoms are associated with earlier progression to severe Alzheimer's disease and earlier death, suggests new research published in the May issue of the American Journal of Psychiatry.
  • Soft drinks are the most significant factor in severity of dental erosion, suggests a new study published in the Journal of Public Health Dentistry.
  • A new strategy for combatting recurrent Clostridium difficile infection (CDI) by seeding the gastrointestinal (GI) tract with spores of a C. difficile strain that does not produce endotoxins seems to be safe and successful at reducing CDI recurrence rates, reported phase 2 trials published in JAMA.
IMA,IJCP,HCFI
Dr KK Spiritual Blog
Is the origin of ISO Certification from the Vedas?

Whatever you say or do means you are ISO certified.

In mythology, truthfulness means that you do what you think or say. ISO therefore is a Vedic stamp for truthfulness.

You need ISO certification in Kalyug as majority being Kalyugis will not be doing what they say or think.

In traditional old business times, people conducted their transactions on verbal assurances but today every one works on written agreements. The saying was "Prana Jaye per vachan na jaye".
Cardiology eMedinewS
  • An antiplatelet agent used in the treatment of patients with peripheral artery disease appeared to provide clinical protection for stented patients required to stop dual antiplatelet therapy (DAPT) because of emergency surgery, suggests a new report presented at the Society for Cardiac Angiography and Interventions (SCAI) 2015 Scientific Sessions.
  • Women using assisted reproductive technology (ART) to conceive are at increased risk of hypertensive disorders in pregnancy, suggests a new Scandinavian study published online in Human Reproduction.
Pediatrics eMedinewS
  • Maternal polycystic ovary syndrome (PCOS) may have long-lasting adverse health consequences for offspring, suggests a study published online May 11 and in the June issue of Obstetrics & Gynecology. Offspring of affected mothers had increased likelihood of congenital anomalies than peers of unaffected mothers.
  • Teenagers with insulin resistance had higher levels of two proteins, Aß42 and PSEN1, thought to be predictive of Alzheimer's disease. Elevated levels were more common in obese teenagers than in those who were overweight or normal weight; however, the same correlation was not seen in preschoolers. The findings were published online May 11 in Pediatrics.
Make Sure
Situation: Doctor, this patient has developed acute renal failure (ARF).

Reaction: Oh my God, I forgot that he was on furosemide. I gave him the full dose of amikacin.

Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.
Dr Good Dr Bad
Situation: A senior citizen with an insurance of one lakh came for admission.

Dr. Bad: You should opt for Rs. 1000/- room.

Dr. Good: Take any room you want.

Lesson: The 1% room rent clause is not applicable to senior citizens.

(Copyright IJCP)
Media
IMA,IJCP,HCFI
Inspirational Story
Approval you want

Corporate lesson: Jack and Max are walking to the church for the Sunday prayer.

Jack wonders whether it would be all right to smoke while praying.

Max replies, "Why don’t you ask the Priest?"

So Jack goes up to the Priest and asks, "Father, may I smoke while I pray?"

The Priest replies, "No, my son, you may not! That’s utter disrespect to our religion."

Jack goes back to his friend and tells him what the good Priest told him.

Max says, "I’m not surprised. You asked the wrong question. Let me try."

And so Max goes up to the Priest and asks, "Father, may I pray while I smoke?"

To which the Priest eagerly replies, "By all means, my son. By all means. You can always pray whenever you want to."

Moral of the story: The approval you want depends on the way u ask for it!! Dedicated to all the corporate professionals!!
Events
IMA,IJCP,HCFI
Wellness Blog
To screen or not to screen all young athletes with ECG to discover problems hiding within the heart

Guidelines from the American Heart Association (AHA) (endorsed by the American College of Cardiology) and the European Society of Cardiology (ESC), both recommend a screening before sports participation, but the Americans favor a detailed medical history combined with a physical examination only, while the Europeans favor the addition of the 12–lead ECG.

The controversy was evident in the results of a poll conducted during a debate session at the AHA meeting last year, which were published this week in the New England Journal of Medicine by James Colbert, MD, of Harvard Medical School.

Of the audience members who voted –– an unscientific sample, to be sure –– 70% favored some type of screening for cardiac disease in young athletes. And in a scenario where screening was already a foregone conclusion, 60% said it should include an ECG. A similar online poll on the NEJM website was even more informative, showing that the differences in opinion exist on both sides of the Atlantic.

Of the 1,266 people who voted on the site –– again, not a scientific sample –– 18% didn’t want any mandatory screening, 24% wanted screening with a medical history and physical exam, and 58% favored screening that included an ECG. The percentage of voters who endorsed an ECG was higher among Europeans than among Americans (66% versus 45%), but that still indicates a substantial amount of controversy regardless of geography.
eMedi Quiz
How much exercise do you really need?

A. 45 minutes twice a week.
B. 30 minutes three or four days a week.
C. 60 minutes at least three or four days a week.
D. 30 minutes at least four or five days a week.
E. It depends on your age and overall physical-fitness level.

Yesterday’s Mind Teaser: What percentage of your diet should fat make up?

A. About 10 percent of your daily calories.
B. About 20 percent of your daily calories.
C. About 30 percent of your daily calories.
D. About 40 percent of your daily calories.
E. There is no recommended amount of fat; you should strive to eat as little of it as possible.

Answer for yesterday’s Mind Teaser: C, about 30 percent of your total calories should be from fat.

Correct Answers received from: Dr Jainendra Upadhyay,
Dr K Raju, Dr Poonam Chablani, Dr G Madhusudhan. Dr K C Sharma, Daivadheenam Jella, Dr Avtar Krishan.

Answer for 11th May Mind Teaser: b. Auspitz sign

Correct Answers received: Dr K Raju, Dr KV Sarma, Daivadheenam Jella, Dr Avtar Krishan.
eMednewS Humor
A woman customer called the Canon help desk with a problem with her printer.

Tech support: Are you running it under windows?

Customer: "No, my desk is next to the door, but that is a good point. The man sitting in the cubicle next to me is under a window, and his printer is working fine."
Reader Response
  • I fully agree with Dr Srikanth that boycotting movies will not help. We rarely see movies and definitely not the same movie again and again. The IMA should take a slot in some TV channel and present our side. It can go on for few weeks like a serial. Many hospitals spend on advertisements. They can be asked to advertise in this slot. Sounds difficult to achieve, but everything appears so initially. Dr K Vasantha
  • Dear Sir, day by day, the percentage of attacks against doctors is increasing. Hope you can understand the feeling of doctors, all this are taking a toll on the freedom of the doctors. Kindly do something for this. Should bring strict law against this. Thank you. MD Faseed
IMA,IJCP,HCFI
Quote of the Day
A crust eaten in peace is better than a banquet partaken in anxiety. Aesop
Rabies News (Dr A K Gupta)
How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.
IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF
Press Release
Indian Medical Association & Kent RO join hands to educate the masses about the urgent need to prevent water borne diseases

Initiate various educational activities under the IMA Swachh Bharat Swasth Bharat Program

According to the World Health Organization, water-borne diseases account for around 4.1% of the total global disease burden causing over 1.8 million deaths annually. 88% of this is attributed to unsafe water supply, sanitation and hygiene. Realizing the need to raise urgent awareness nationally about the prevention of water borne diseases with a focus on safe water consumption, the Indian Medical Association and Kent RO group today announced a partnership under the ‘IMA Swachh Bharat Swasth Bharat’ campaign.

Addressing a press conference Padma Shri Awardees Dr. A Marthanda Pillai, National President & Dr. KK Aggarwal Honorary Secretary General of the Indian Medical Association in a joint statement said, “The Indian Constitution under Article 47 makes it one of the primary duties of the State to provide clean and safe drinking water to it’s citizens. Yet 3 lakh children in India die due to diarrheal diseases every year before the age of 3, a condition that is completely preventable by the elimination of unsafe drinking water. Through our association with Kent RO, we aim to reduce the number of deaths caused by water borne diseases through mass awareness drives and educational initiatives.”

Speaking about the partnership with IMA, Mr. Mahesh Gupta, Chairman and Managing Director, Kent RO Systems Limited said, “We are pleased to get associated with the IMA Swacch Bharat, Swasth Bharat program aimed at ensuring availability of clean and healthy drinking water across the country. It is missions extremely close to our hearts and we at Kent understand the intrinsic relationship between access to clean and safe drinking water and a healthy India. We hope that through this partnership we will be able to raise awareness about the issue and make a difference in the society.”

The Indian Medical Association announced that they will be adopting a model slum area in Delhi NCR where a community RO plant will be placed for a period of 6 months to study it’s impact in the reduction of water borne diseases.

Some key facts released on the occasion included:
  1. 70% of the Indian public has no access to safe drinking water
  2. Infections transmissible by contaminated water include diarrhea, typhoid, hepatitis A and E
  3. Drinking contaminated water can lead to the transmission of parasitic infections
  4. One should avoid consuming tap water, ice made from tap water, and raw food rinsed with tap water to avoid disease
  5. Chlorination kills most bacterial and viral pathogens, but protozoal cysts of Giardia, lamblia, Entamoeba histolytica and oocysts of Cryptosporidium may survive.
  6. Boiling water is the most palatable solution to water purification if sanitary storage is feasible and other purification methods are not available. It is advised that water must be boiled for one to three minutes and then cooled to room temperature to kill bacteria, parasites, and viruses
  7. What does boiling water mean: Heating it at 70°C for 30 minutes, 85°C for 5 minutes, 100°C for 1 minute, and 110°C for 1 minute
  8. Adding two drops of 5% bleach or five drops of iodine extract to a quart of water will kill most bacteria after 30 minutes. The addition of iodine or chlorine to water can impart an unpleasant taste.
  9. Filtered, RO or UV treated water is safer for human consumption.
  10. Kent RO’s technology using RO + UV treatment eliminates bacteria, dissolved impurities, cysts, pesticides, spores, and viruses. It’s a double purification process, which is more effective in purifying water, if used as a combination instead of being used independently and makes water purer than boiling.
eIMA News
ACP Highlights: Top Studies of 2014
  • Patients with ANCA-associated vasculitis in complete remission who received rituximab relapsed less frequently than those who received azathioprine. The study was limited to patients whose remissions were induced by cyclophosphamide and glucocorticoid therapy.
  • Genetic analysis of 16 patients suggested that scleroderma developed as a result to an immune response to cancer.
  • Epidural injections of lidocaine plus glucocorticoids did not significantly reduce pain or improve function at 6 weeks in patients with lumbar spinal stenosis compared with lidocaine injections alone. There was no sham injection group.
  • A retrospective case-control study of 2,361 patients showed that the prevalence of hydroxychloroquine retinopathy was 7.5%. This was several-fold higher than previously reported, authors concluded. Patients at higher risk were those who took doses greater than 5 mg/kg, took the drug for longer than 10 years, had kidney disease, or took tamoxifen concurrently.
(Source: Medpage Today)
IMA Rise & Shine: Fight for your dignity
  1. Boycott all movies of Akshay Kumar and Sanjay Leela Bhansali: http://tinyurl.com/kzkg48o
  2. IMA asks doctors to boycott Mika functions: http://tinyurl.com/mqat9b3
  3. Doctors want censor's scissors for Bhansali's 'Gabbar Is Back': http://tinyurl.com/m85dftz
  4. Doctors demand laws against violence - Navbharat Times: http://tinyurl.com/kelvn4t
Govt to provide free diagnostic tests for all
Rema Nagarajan, TNN | May 12, 2015, 01.17 AM IST

New Delhi: The Centre is set to announce a scheme for providing free diagnostic tests, including several blood tests, x-rays and advanced CT scans, for those visiting public health facilities. Private service providers will be roped in wherever required.

While the idea of providing free diagnostics has been hailed by all those aware of it, health economists and public health experts expressed concern over outsourcing the tests to the private sector, arguing that it is an "expensive and inefficient" way to provide the services.

Costs of drugs and diagnostics constitute about 70% of health expenditure in India and are estimated to push 5 crore people below the poverty line (BPL) annually. The proposed 'national strategy for providing essential diagnostics facilities free for all' is meant for anyone visiting a public health facility — from a village health post to a district hospital.

A panel of experts are learnt to have provided the government with a list of diagnostic tests considered essential for all categories of health facilities. The health ministry has also consulted some of the biggest companies in the diagnostic sector, including SRL, Dr Lal Path Labs, Quest Diagnostics, Mahajan Imaging and Star Imaging to thrash out all service provider issues.

Along with reducing people's health expenditure, the initiative is expected to help promote the diagnostics and reagents sectors, which currently have just over 20% share in the medical technology market.

Under the scheme, existing diagnostic infrastructure in government institutions is to be strengthened, and where there is no infrastructure, state governments would be supported to engage with private service providers for collection of blood samples, analysis and reporting. The scheme is meant to outsource only high-cost, low-volume tests. In government facilities with inadequate personnel, the scheme will be in-sourcing personnel through contracts with the private sector. X-rays are to be sent electronically to radiology centres for proper diagnosis as most physicians are not trained to read x-ray films. The Centre will also help states to have CT scan services at district level under public-private partnerships. The shares of outsourcing and use of the government's own facilities are expected to vary between states depending on the robustness of their health infrastructure.

Health economist Sakthivel Selvaraj expressed skepticism, saying "With a slashed health budget and no allocation in the budget for the scheme, where will they find additional resources for this? Tamil Nadu and Rajasthan are already providing diagnostic facilities more efficiently without outsourcing. Why not follow that model? Why follow a model of outsourcing that has failed in several states like Bihar and Chhattisgarh? Outsourcing only adds to the cost."

However, government sources pointed out that the scheme is meant to be implemented under the National Health Mission, which has always seen the allocated money remaining unspent. Sources added that instead of huge capital expenditure on procuring diagnostic machines, the government could provide services to more people for the same amount of money by outsourcing.

"The fear is that such outsourcing without thinking through the consequences could lead to the private sector eventually blackmailing the government and raising costs for services. India spends less than some of the poorest countries on health and this unwillingness to spend on health is the reason for having to resort to outsourcing to the private sector. In a country with such weak monitoring mechanism how will it work?" asked Reetika Khera, associate professor of economics in IIT Delhi.

Some public health technology experts, however, felt that selective outsourcing has been shown to work in certain other technology intensive areas such as ambulance care/108, currently in place across 25 states and UTs which they said would not have been possible for the government to provide without private engagement. Similar engagements for laboratory and CT are being used in many states including Himachal Pradesh, Uttarakhand and West Bengal, they pointed out. "Experience suggests that measured formula-based centralised outsourcing is recommended only for ancillary services that are technology intensive," said one such expert.
MCI circular regarding treatment to emergency patients
A--The MCI circular No.MCI-211(2)/2014-Ethics/100305 Date: 01.04.2015, as reproduced in eMedinewS / eIMA News, dated 7-5-2015, reportedly states that:

“The Ethics Committee was also of the view that advisory is only for treatment provided. With regard to financial aspect, the State should develop a mechanism to reimburse as per rates”

The said decision has been approved by the Executive Committee at its meeting held on 13.01.2015.

In view of above, I am directed to request you to issue an advisory and instructions to all the doctors registered and/or working under jurisdiction ensuring that in case of emergency situation pertaining to the road accidents or any other emergent situation, doctors should attend the patients and give them emergency treatment immediately failing which, the state Medical Council and/or Medical Council of India may take appropriate action against the erring doctors under the provisions and Indian Medical Council (Professional Conduct Etiquette and Ethics) Regulations, 2002.”

B--While noting the above, it is seen that the MCI has said two things:

i)— in case of emergency situation pertaining to the road accidents or any other emergent situation, doctors should attend the patients and give them emergency treatment immediately

ii)—“with regard to financial aspect, the State should develop a mechanism to reimburse as per rates”

C—Activists and Doctors’ Associations need to write to the MCI immediately on the following lines:

“Ref: MCI circular No.MCI-211(2)/2014-Ethics/100305 Date:01.04.2015

i)--It has been stated in the circular that “the State should develop a mechanism to reimburse as per rates”.

ii)--It is thus clear that the MCI is against exploitation of RMPs by burdening them with the responsibility of providing free emergency treatment without any compensation for the same.

iii)—It is hence reasonable to interpret that the obligation upon the RMPs to render emergency treatment would devolve only after the above mentioned “State mechanism to reimburse as per rates” has been established and operative.

iv)--Please inform us about the details of the said “State mechanism to reimburse as per rates” when the same is in place so that RMPs may start providing emergency treatment in terms of the circular and may start sending bills for reimbursement to the concerned authority.”


D—It is extremely important for such letters to be written to MCI by Activists and Doctors’ Associations so as to avoid a situation when the medical councils start penalising RMPs for refusing free treatment to patients.

--M C Gupta
Kerala DC officials book case against doctor for directly selling abortion pills
Peethaambaran Kunnathoor, Chennai (Pharma Biz)

Saturday, May 09, 2015, 08:00 Hrs (IST)

The drugs control department officials in Kerala have caught red-handed a practicing MBBS doctor for selling abortion inducing medicines without bill and also for overcharging the persons approached him.

Following a tip off, the intelligence wing of the Kozhikodu zone of the Kerala drugs control administration has raided the hospital and booked a case of violation of DPCO against the owner-cum-doctor of the hospital.

According to Shaji M Varghese, drugs inspector, intelligence wing, Dr Abdul Jalil of CIMS Hospital at Ketangal in Kozhikodu was giving abortion inducing drugs to everybody who wanted it and was charging higher prices.

Shaji said the doctor was giving a kit of two tablets each of Misoprostol and Mifepristone, and a bottle of some liquid. The total price of these drugs included Rs. 850, but the doctor was charging Rs. 2900 from each person who bought the drugs.

Dr Abdul Jalil was giving the drugs without consulting the patient or giving any prescription. He was stocking the drugs at his hospital and dispensing directly to the persons visited him. According to DCA officials, all the customers of this kit were males who approached the doctor as husbands.

Following the information, the regulatory officials marked three currency notes of thousand rupees and got them certified with the local Panchayath secretary, and gave the currency to the driver of the department and sent him to the doctor for the kit. Dr Jalil delivered the kit and collected the currency notes. On seeing the doctor handing over the drugs kit, the drug control officials who were standing outside, got into the doctor’s room and collected the kit from the driver.

The regional drugs inspector of Kozhikodu, Subhash V Menon, Shaji M Varghese and two drug inspectors took part in the operation. They said the case is punishable for seven years imprisonment with fine.

The drugs given by the doctor and other documents were produced before the first class judicial magistrate court at Kunnamangalm.
DTAB turns down proposal to amend Rule 44 of D&C Rules for upgradation of qualifications of govt analysts
Ramesh Shankar, Mumbai
Monday, May 11, 2015, 08:00 Hrs (IST)


The Drugs Technical Advisory Board (DTAB), which is the highest decision-making body under the Union health ministry on technical matters, has turned down a proposal from the Union health ministry to amend Rule 44 of the Drugs and Cosmetics Rules for upgradation of the qualifications of government analysts.

The issue of upgradation of the qualifications of government analysts came up for discussion during the last DTAB meeting held in February this year which was chaired by Dr Jagdish Prasad, director general of health services, who is also the chairman of the newly formed DTAB.

In the meeting, the DTAB members were briefed that the qualifications of government analysts appointed by state governments and Central government are prescribed under Rule 44 of the Drugs and Cosmetics Rules, 1945. The Rule prescribes that the government analysts under the Act shall be a person who is a graduate in medicine or science or pharmacy or pharmaceutical chemistry having five years experience in the testing of drugs.

Members were further informed in the meeting that representations were received in the office of Drug Controller General of India (DCGI) for up-gradation of qualification of government analysts under the Drugs and Cosmetics Rules, 1945 as the latest edition of the Indian Pharmacopoeia has replaced majority of old classical methods with the modern, highly specific and sensitive instrumental methods on account of advancements in researches that have taken place in the scientific field.

After detailed deliberations, the DTAB did not agree to the proposed amendment for upgradation of qualifications of government analysts as the members felt that there are no reports that the government laboratories are facing any problem in this regard. If required, the provision is there to select more qualified people as provided under the rule. At present, there appears to be no need to amend the Rule.

(Pharma Biz)
DCGI to study global regulations to frame rules on online pharmacy soon
Shardul Nautiyal, Mumbai
Monday, May 11, 2015, 08:00 Hrs (IST)


Against the backdrop of cases of illegal online sales of prescription drugs through e-commerce sites in India, Drug Controller General of India (DCGI) office is now planning to study the existing regulations internationally to come out with a set of rules on online pharmacy. The issue is likely to be taken up in the forthcoming Drug Consultative Committee (DCC) meeting likely to be held in June this year.

The free availability of prescription drugs from online retail sites has added to the growing heap of questions on the lack of adequate regulatory framework for the e-commerce sector.

Explained Dr G N Singh, DCGI, "There should be no compromise on safety of patients when we take into account that there is an online distribution system in place which today is not approved legally and hence is unacceptable. There are currently provisions and safeguards under the Indian Penal Code and D&C Act to deal with prevalent malpractices but we are planning to explore other international regulatory bodies on how are they are tackling the challenges in online pharmacy."
IMA to serve legal notice to makers of ‘Gabbar is Back’: Indian Express
IMA has decided to serve a legal notice to Akshay Kumar and Bhansali for portraying medical profession in poor light.

By: Press Trust of India | Mumbai | Published on: May 11, 2015 5:12 pm

IMA has decided to serve a legal notice to "Gabbar is Back" actor Akshay Kumar and producer Sanjay Leela Bhansali for portraying the medical profession in poor light.

The Indian Medical Association (IMA), an umbrella body of doctors practising modern medicine, has decided to serve a legal notice to “Gabbar is Back” actor

Akshay Kumar and producer Sanjay Leela Bhansali for portraying the medical profession in poor light.

“The way the producer and the actor have shown the medical profession is a wrong way. People may lose faith in this noble profession. That is why we have decided to serve them legal notice tomorrow,” IMA’s honorary secretary general Dr K K Aggarwal told PTI.

“Medical profession is like a temple and very different from political, police or other fields. Hence, you should be responsible and careful while portraying this profession,” Aggarwal added.

Aggarwal also parried a question on Delhi Chief Minister Arvind Kejriwal’s tweet in which he described “Gabbar is Back” as “an amazing movie”.

The IMA, which has more than 2.5 lakh members across India, had yesterday sent a letter to the Union Information and Broadcasting Minister Arun Jaitley complaining that the recently released film projected the medical profession in a bad light.

In its letter, the IMA demanded that the objectionable scenes be immediately removed from the film. It also demanded that the film’s screening be suspended till those scenes are not removed.

“IMA is anguished over the way medical profession is projected in the movie ‘Gabbar is Back’. We have marked copies (of the letter sent to I&B minister) to the Censor Board and the Union Health Minister, hoping that some action will be taken on the same,” Dr Jayesh Lele, president-elect, IMA-Maharashtra, said in a statement.

Written by A R Murugadoss, “Gabbar is Back” is produced by Sanjay Leela Bhansali and Viacom 18 Motion Pictures. It released on May 1.

“There may be few black sheep in our profession, but showing the medical profession in such a bad taste is nothing less than incriminating,” said Dr Ashish Tiwari, a medico-legal expert from Mumbai.
IMA condemns movie ‘Gabbar is Back’ for its derogatory portrayal of the medical profession
By EH News Bureau on May 11, 2015

IMA believes that it is a totally unjustified message and it will only add fuel to the fire and further provoke public outrage against the medical profession


Last week saw the release of ‘Gabbar is Back’, a film produced by Sanjay Leela Bansali and Viacom 18 Motion pictures. The star cast of the film includes Akshay Kumar and Shruti Hassan. The director is Krish and scriptwriter AR Murugadoss.

The film has however come into controversy with the Indian Medical Association (IMA). Speaking on the issue, National President – Dr A Marthanda Pillai and Honorary Secretary General of the IMA – Dr KK Aggarwal in a joint statement said, “The Indian Medical Association is in deep anguish about the way the medical profession has been projected in the movie ‘Gabbar is Back’. Its portrayal is derogatory and unrealistic and we together stand against it.”

‘Gabbar is Back’ showcases doctors in a hospital setting carrying out the fraudulent act of providing medical treatment to a person who was already ‘dead’ before arriving at the hospital. Akshay Kumar who plays the role of the doctor is shown to be aware of the patient’s death however he makes everyone at the hospital believe that he is critical but still alive.

IMA stated that with cases of violence against doctors on the rise, a totally unjustified message such as this one as shown in the movie will only add fuel to the fire and further provoke public outrage against the medical profession. The IMA wants the above-referred scene to be withdrawn from the movie immediately. Till such time that this is done, the movie should be boycotted and banned. The video clipping of the scene has been sent by the IMA to its doctor members to create awareness about the issue and to request all of them to boycott the film.

The IMA feels that if the Censor Board, Ministry of Information & Broadcasting, Health Ministry or the Home Ministry do not take any immediate action against this, IMA will be forced to start a public protest against the movie.
IMA to serve legal notice to makers of 'Gabbar is Back'
IANS | May 11, 2015, 04.41 PM IST

The Indian Medical Association (IMA), an umbrella body of doctors practising modern medicine, has decided to serve a legal notice to Gabbar is Back actor Akshay Kumar and producer Sanjay Leela Bhansali for portraying the medical profession in poor light.

"The way the producer and the actor have shown the medical profession is a wrong way. People may lose faith in this noble profession. That is why we have decided to serve them legal notice tomorrow," IMA's honorary secretary general Dr K K Aggarwal told PTI.

"Medical profession is like a temple and very different from political, police or other fields. Hence, you should be responsible and careful while portraying this profession," Aggarwal added.

Aggarwal also parried a question on Delhi Chief Minister Arvind Kejriwal's tweet in which he described Gabbar is Back as "an amazing movie".

The IMA, which has more than 2.5 lakh members across India, had yesterday sent a letter to the Union Information and Broadcasting Minister Arun Jaitley complaining that the recently released film projected the medical profession in a bad light.

In its letter, the IMA demanded that the objectionable scenes be immediately removed from the film. It also demanded that the film's screening be suspended till those scenes are not removed.

"IMA is anguished over the way medical profession is projected in the movie 'Gabbar is Back'. We have marked copies (of the letter sent to I&B minister) to the Censor Board and the Union Health Minister, hoping that some action will be taken on the same," Dr Jayesh Lele, president-elect, IMA-Maharashtra, said in a statement.

Written by A R Murugadoss, Gabbar is Back is produced by Sanjay Leela Bhansali and Viacom 18 Motion Pictures. It released on May 1. "There may be a few black sheep in our profession, but showing the medical profession in such a bad taste is nothing less than incriminating," said Dr Ashish Tiwari, a medico-legal expert from Mumbai.
The eMedinewS dated 6-5-2015 has the following QA as regards TN (Supplied by TN state IMA to the national IMA):
5. How many hospital attacks have been reported in the state after the hospital protection law was passed in the state (in 2008)?

A. Almost 3 to 4 attacks every month.

6. How many cases, out of all these attacks, have been registered under the above law (Hospital Protection) until now?

A. Very few cases registered; two in Kanyakumari and one in Theni District, but no further action. Only 3 out of probably 350 cases of violence against doctors since 2008 in TN have been registered under the state MPP Act, 2008. (Dr M C Gupta)

Suggestions based on Dr M C Gupta communication

1. All national and the state IMAs legal cells should ensure that a proper police complaint is filed when doctors are attacked?

2. IMA should institute an annual award for states showing best performance as regards reporting cases under the MPP Act.
Sonal Namaste
Regular handwashing, particularly before and after certain activities, is one of the best ways to remove germs, avoid getting sick, and prevent the spread of germs to others.
IMA in Social Media
https://www.facebook.com/ima.national 28324 likes
https://www.facebook.com/imsaindia 45617 likes
https://www.facebook.com/imayoungdoctorswing 1296 likes
Twitter @IndianMedAssn 952 followers
http://imahq.blogspot.com/ www.ima-ams.org
http://www.imacgpindia.com/ http://www.imacgponline.com/
http://www.ima-india.org/ima/
www.indianmedicalassociation.info
IMA Videos
News on Maps