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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

 

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos…
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–7 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial…

14th September 2012, Friday

Flu vaccine update

  • The influenza vaccine is recommended for all individuals 6 months and older. Children who received 2 or more doses of influenza vaccine since July 1, 2010, should receive 1 dose this year. Otherwise, children younger than 8 years should receive a booster vaccination at least 1 month after primary vaccination.
  • Persons who report only hives after exposure to eggs may receive TIV, provided that the healthcare practice is familiar with the potential manifestations of egg allergy and can monitor the patient for at least 30 minutes after administration of the vaccine.
  • The Centers for Disease Control and Prevention (CDC) provides an update on influenza vaccination for the 2012–2013 season in the current issue of Morbidity and Mortality Weekly Report. The 2 strains of influenza A and 1 strain of influenza B included in this year’s vaccine are different than those in the 2010–2011 and 2011–2012 influenza seasons.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
    Constipation Update

How do bowel patterns influence management of constipation?

Most patients who have a normal bowel pattern usually empty stools at approximately the same time every day. This fact suggests that the initiation of defecation is in part a conditioned reflex. Colonic motor activity is more active after waking and after a meal. Thus, the optimal time for bowel movement is usually within the first two hours after waking and after breakfast. Timed toilet training consists of educating patients to attempt a bowel movement at least twice a day, usually 30 minutes after meals, and to strain for no more than five minutes.

For comments and archives

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

White rice linked to diabetes in Asians

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

A non–stop Interaction between Patients and Cardiologists

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India. The Darbar will provide a unique opportunity for non–stop questions and answers between nurses, doctors, patients and cardiologists.

 
Dr K K Aggarwal
 
    National News

Bhubaneswar AIIMS classes from September 21

BHUBANESWAR: All arrangements are in place to start the first academic session of Netaji Subhash Chandra Bose All India Institute of Medical Sciences here on September 21. "We will start the session on September 21. Preparations are on," AIIMS director Dr Ashok Mahapatra said. Dr Mahapatra said required faculty members have already joined the institute to teach the first batch of 50 students. The state government has arranged the accommodation of girl students at the state policy academy hostel, located close to the AIIMS. The boys will stay in type II staff quarters on the AIIMS campus. The temporary arrangement was required because construction of hostels is not complete, AIIMS sources said. According to information available on the AIIMS website, 38 boys and 12 girls have taken admission in MBBS this year. Seventeen faculty members including five in anatomy, four in biochemistry, five in physiology and three in community medicine and family medicine have joined the institute. Sources said the institute is trying to commission the associated hospital by March–May 2013, with 21 clinical disciplines to start with. These would increase to 35 by May 2014 and to 43 subsequently. Days after his appointment as director, Dr Mahapatra has made it clear that he would strive hard to make it a centre of excellence on the lines of AIIMS New Delhi. (Source: TOI, Sep 12, 2012)

For comments and archives

4th Dil Ka Darbar

September 23, 2012, 9:00 AM–6:00 PM , Tal Katora Indoor Stadium, Connaught Place, New Delhi

A non stop question answer–session between all top cardiologists of the NCR region and the public.

My Profession My Concern

(Dr K K Aggarwal Vice President–Elect, National IMA)

National appeal to End Stigma and Discrimination against People Affected by Leprosy

Although India achieved the WHO leprosy elimination level (having less than 1 patient per 10,000 populations) in 2005, 127,000 new cases of leprosy are being reported each year, counting for more than 55% of the cases reported world–wide. Uttar Pradesh, Bihar, Maharashtra, West Bengal and Andhra Pradesh are among the states where high number of cases is being reported. Another side of leprosy is the social stigma attached to it. In India, there are 12.67 million people affected by leprosy cured of the disease in the country and there are 850 colonies where people affected by leprosy are living marginalized from society. Serious human rights violations such as lack of education, employment opportunity, separation from families, denied access to health facilities are still seen, largely due to misconception and lack of correct knowledge about leprosy on the side of society.

In 2012, a Global Appeal to End Stigma and Discrimination against People affected by Leprosy initiated by Mr. Yohei Sasakawa, WHO Goodwill Ambassador for Leprosy Elimination and Chairman of The Nippon Foundation to raise awareness of the problem was released in Sao Paulo, Brazil where India was also one of the signatories. IMA was represented by Dr. D. R. Rai, Hony. Secretary General.

A National Appeal by medical fraternity was initiated by National Forum India, a network of people affected by leprosy in India, in collaboration with Indian Medical Association, Central Leprosy Division, Ministry of Health and Family Welfare and WHO India, to disseminate the message of Global Appeal 2012. National President of IMA, Prof. Dr. G.K. Ramachandrappa is the signatory of the National Appeal from Indian Medical Association.

The National Appeal duly endorsed by representatives of 18 medical fraternity, including Director General of Health Services, Ministry of Health & Family Welfare, GoI, National President and Hony. Secretary General, Indian Medical Association, WHO Representative to India and ILEP, etc. was released on Wednesday at a function in New Delhi by the Hon’ble Chairman of Rajya Sabha Petition Committee, Mr. Bhagat Singh Koshyari.

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    Valvular Heart Disease Update

What is the indication of surgery in a patient with chronic mitral regurgitation?

One or both of the following criteria for LV dysfunction is sufficient to warrant mitral valve surgery in the 2006 ACC/AHA guidelines and the 2007 ESC guidelines

i. An LVEF=60 percent.
ii. An LV end–systolic dimension=40 mm (ACC/AHA) or >45 mm (ESC).

(Experts: Dr Bhabha Nanda Das and Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr K S Dagar, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Good results reported in Norovirus vaccine trial

A new vaccine against norovirus infection showed promising results in a small clinical trial, researchers reported here at the 52nd Interscience Conference on Antimicrobial Agents and Chemotherapy. "There was a rapid response to the first dose," said first author John Treanor, MD, professor of medicine at the University of Rochester in New York. No serious adverse reactions were attributed to the vaccine, which quickly produces antibodies against one of the most common strains of the virus. It is estimated that norovirus, the leading cause of foodborne disease, causes half the gastroenteritis in the world, Dr. Treanor said. There is currently no vaccine against the virus, and no medicine that combats it in an infected person. (Source: Medscape).

For comments and archives

Inhaled analgesia seems effective for early labor

Inhaled pain relief is effective during early labor, according to a systematic review of studies examining the efficacy of inhaling oxygen with either nitrous oxide or a flurane derivative, published online September 11 in the Cochrane Database of Systematic Reviews. (Source: Medscape)

For comments and archives

‘Conditional survival’ important in kidney cancer

Over the past few years, a number of new drugs have been approved for use in kidney cancer, but they have made only small improvements in the overall survival times of these patients. A study published in the September issue of the Lancet Oncology offers a new approach to quantifying the benefits of therapy. (Source: Medscape)

For comments and archives

FDA approves PET imaging agent for prostate cancer

The US Food and Drug Administration (FDA) today approved the production and use of a new positron emission tomography (PET) imaging agent, Choline C 11 Injection, which will be used to help detect recurrent prostate cancer. Administered intravenously, Choline C 11 Injection produces an image that helps locate specific sites in the body for follow–up tissue sampling and testing in men with suspected recurrent disease. The approval is limited to Choline C 11 Injection produced by the Mayo Clinic of Rochester, Minnesota. (Source: Medscape)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: PURE: 40% of adult population worldwide has hypertension

@DeepakChopra: Make at least 2 people happy today thru attention, appreciation affection

 
    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

We remember GOD only when we are in trouble

Most people have religious beliefs, and many people rely on their religion or spirituality in difficult times, such

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is surrogacy?

Surrogacy is both a medically and emotionally complex process that involves careful evaluation by medical professionals, mental health professionals, and legal professionals to ensure that the procedure is successful for both the surrogate as well as the intended parents. A surrogate is a woman who carries a pregnancy for another couple or woman. There are two types of surrogacy arrangements: traditional surrogacy in which the surrogate is inseminated with sperm from the male partner of the intended parent couple (donor sperm may be used as well) and gestational surrogacy in which the surrogate carries a pregnancy created by transferring an embryo created with the sperm and egg of the intended parents (donor sperm or donor eggs may be used as well).

For comments and archives

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

What is the importance of knowledge of blood groups?

For all practical and routine purposes, it is ideal to transfuse to the patient the same group of blood, which he belongs to. It is only under very dire emergency that we take O Group as universal donor and AB Groups as universal recipient. Under no circumstances O group can get any other blood except O. Similarly, A Group patient cannot be given B group blood and vice versa.

For comments and archives

 
   An Inspirational Story (Ms Ritu Sinha)

A simple gesture

Mark was walking home from school one day when he noticed the boy ahead of him had tripped and dropped all of the books he was carrying, along with two sweaters, a baseball bat, a glove and a small tape recorder. Mark knelt down and helped the boy pick up the scattered articles. Since they were going the same way, he helped to carry part of the burden. As they walked Mark discovered the boy’s name was Bill, that he loved video games, baseball and history, and that he was having lots of trouble with his other subjects and that he had just broken up with his girlfriend. They arrived at Bill’s home first and Mark was invited in for a Coke and to watch some television. The afternoon passed pleasantly with a few laughs and some shared small talk, then Mark went home. They continued to see each other around school, had lunch together once or twice, and then both graduated from junior high school. They ended up in the same high school where they had brief contacts over the years. Finally the long awaited senior year came and three weeks before graduation, Bill asked Mark if they could talk.

Bill reminded him of the day years ago when they had first met. "Did you ever wonder why I was carrying so many things home that day?" asked Bill. “You see, I cleaned out my locker because I didn’t want to leave a mess for anyone else. I had stored away some of my mother’s sleeping pills and I was going home to commit suicide. But after we spent some time together talking and laughing, I realized that if I had killed myself, I would have missed that time and so many others that might follow. So you see, Mark, when you picked up those books that day, you did a lot more, you saved my life."

John W. Schlatter (true story)

For comments and archives

 
   Cardiology eMedinewS

Omega–3s may not lower cardiac risk Read More

Antihypertensive use in pregnancy rises by almost 50% Read More

 
   Pediatric eMedinewS

AAP issues recommendations for 2012 To 2013 influenza season
Read More

Older, heavy kids take in less calories Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A middle–aged patient was found to have central obesity.
Dr Bad: This is usual with advancing age.
Dr Good: Rule out diabetes.
Lesson: As per results of a prospective cohort study (1989–2007) of 4,193 men and women 65 years of age and older in the Cardiovascular Health Study, among older adults, overall and central adiposity and weight gain during middle age and after the age of 65 years were associated with risk of diabetes.

For comments and archives

Make Sure

Situation: An 18–year–old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin (macrolide) 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

Your life will be no better than the plans you make and the action you take. You are the architect and builder of your own life, fortune, destiny. Alfred A. Montapert

 
  Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

Administration of Typhoid Vaccines

  • ViCPS vaccine: Single dose of 0.5 ml is given IM.
  • Oral ty21a vaccine: Course includes 3–4 capsules. One capsule is given orally on alternate days. Liquid form of oral by ty21a in sachet form is more effective than capsules. However, the sachet form of the vaccine is not available in India.

Typhoid vaccines can be given at any age. Only 10% of cases of typhoid fever occur at <1 year of age. The vaccine may be given to school–going children and adolescents. The injectable vaccine is usually given at the earliest; ViCPS antigen vaccine can be given after 2 years of age and oral from 4–6 years when the child can swallow easily. All food handlers, travelers to endemic areas, and those who eat out frequently must be vaccinated. Typhoid fever induces no immunity, so patient of typhoid fever can also be vaccinated 4 weeks after complete recovery from enteric fever.

Protection efficacy lasts for 2–3 years following both the vaccines. So revaccination needs to be done every 3 years.

Side effects: Mild, seen in <10 % of vaccines. Injectable vaccine may cause local site pain, swelling/redness and tiredness; rarely fever which responds to paracetamol. Oral ty21a may be associated with mild G1 symptoms like pain abdomen, vomiting/diarrhea and occasional mild fever.

Precautions: Antibiotics should not be given 5 days before, during and after vaccination with ty21a as it is live oral vaccine. Vaccine should not be given in immunocompromised host. History of allergy in the past to the vaccine is also a contraindication.

 
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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

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    Legal Question of the Day (Dr M C Gupta)

Q. My experience is described below: "My brother died in a corporate hospital. It took me more than one year to get the registration no and correspondence address of concerned doctors from the hospital. Are the hospital authorities not supposed to display the registration no. of doctors working in the hospital as per medical ethics? Why are 72 hours needed to hand over the case record of patient to the relative? I asked the MCI "Is the hospital authority not supposed to give original or at least certified photocopy of case record of the patient on written request of the attendant?" The MCI replied— "Your kind attention is invited to clause 1.3.2 of Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002. It reads as ‘If any request is made for medical records either by the patients/authorized attendant or legal authorities involved, the same may be duly acknowledged and documents shall be issued within the period of 72 hours.’

My questions are:

A. What are your comments?
B. What is correct as per clause 1.3.2.—

i) the original documents are to be handed over
ii) the certified copies are to be handed over, or
iii) simply the photocopies are to be handed over

Ans. My comments are as follows:

  1. I don’t know why you should need to have the correspondence address of the doctors working in the hospital. The doctors working in the hospital are within their rights to request the hospital not to provide their personal address to whosoever asks for it. The hospitals should honour such a request. Your relationship as a patient/patient’s kin is an official relation between you and the hospital that provides services to you. You do not have any private contract with individual doctors and you should not have insisted on obtaining their personal address.
  2. The hospital should have provided the registration no. of doctors when you asked them. However, you need not have spent more than a year for such information. MCI website has such information. You could have asked the information under RTI and obtained a reply within 30 days. You could have gone to MCI and inspected the Indian Medical Register, which is a public document in terms of section 21(2) of the IMC Act, 1956, which reads as follows:

    "(3) Such register shall be deemed to be public document within the meaning of the Indian Evidence Act, 1872 and may be proved by a copy published in the Gazette of India."

    You could even have found the information in the Gazette of India as mentioned above.
  3. The hospital authorities not supposed to display the registration no. of doctors working in the hospital as per medical ethics. The rules of medical ethics as published in the form of MCI Regulations, 2002, are not applicable to hospitals. They are applicable to individual practitioners. The hospitals do not come under the jurisdiction of the medical council. However, if the hospitals display the registration no. of doctors working in the hospital, it would be good and desirable.
  4. The rule of handing over the case record of patient to the relative within 72 hours does not apply to hospitals. The MCI, 2002, regulations concerned are reproduced below:

    "1.3.1–– Every physician shall maintain the medical records pertaining to his/her indoor patients for a period of 3 years from the date of commencement of the treatment in a standard proforma laid down by the Medical Council of India and attached as Appendix 3.

    1.3.2––If any request is made for medical records either by the patients/authorised attendant or legal authorities involved, the same may be duly acknowledged and documents shall be issued within the period of 72 hours."

    The above Regulations refer to "every physician" and not to "every hospital".

    They clearly say that in respect of cases treated by him, "every physician" shall mandatorily keep, different from the hospital case sheet which is not his but hospital property, his own independent and separate record of cases treated by him which would constitute his own property. Even a proforma for this purpose is given which is reproduced below:

    "APPENDIX–3

    FORMAT FOR MEDICAL RECORD

    i––Name of the patient:
    ii––Age:
    iii––Sex:
    iv––Address:
    v––Occupation:
    vi––Date of 1st visit:
    vii––Clinical note (summary) of the case:
    viii––Prov.: Diagnosis:
    ix––Investigations advised with reports:
    x––Diagnosis after investigation:
    xi––Advice:
    xii––Follow up (along with Date and Observations)
    xiii––Signature in full ………………………
    xiv––Name of Treating Physician"

    It is clear that the record which is to be given within 72 hours is this personal record kept by a physician in the form of Appendix–3 and NOT the hospital record. To repeat, hospitals are outside the purview of the MCI and the latter has no authority over them.
  5. The reply that the MCI gave you was incorrect. It is a pity that the MCI does not know its own law, powers and duties.
  6. A hospital should never give the original medical record to the patient or his kin or anybody else. Hospital records are the property of the hospital. The question of handing them over to anybody does not arise.

For comments and archives

 
    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Insulin and C–peptide

C–peptide measurements can be used in conjunction with insulin and glucose levels to help diagnose the cause of documented hypoglycemia and to monitor its treatment. C–peptide levels are measured:

  • In newly diagnosed type 1 diabetes, as part of an evaluation of "residual beta cell function"
  • In type 2 diabetes to monitor the status of beta cells and insulin production over time and to determine if/when insulin injections may be required.

Abnormal findings

  • High C–peptide levels generally indicate high levels of endogenous insulin production. High levels of C–peptide also are seen with insulinomas (insulin–producing tumors) and may be seen with hypokalemia, pregnancy, Cushing’s syndrome and renal failure.
  • Low C–peptide levels are associated with low levels of insulin production.
 
    Mind Teaser

Read this…………………

A client suffering from acute renal failure has an unexpected increase in urinary output to 150ml/hr. The nurse assesses that the client has entered the second phase of acute renal failure. Nursing actions throughout this phase include observation for signs and symptoms of

A. Hypervolemia, hypokalemia, and hypernatremia.
B. Hypervolemia, hyperkalemia, and hypernatremia.
C. Hypovolemia, wide fluctuations in serum sodium and potassium levels.
D. Hypovolemia, no fluctuation in serum sodium and potassium levels.

Yesterday’s Mind Teaser: Which of the following interventions would be included in the care of plan in a client with cervical implant?

A. Frequent ambulation
B. Unlimited visitors
C. Low residue diet
D. Vaginal irrigation every shift

Answer for yesterday’s Mind Teaser: C. Low residue diet

Correct answers received from: Rajiv Kohli, Dr BB. Aggarwal, Dr K Raju, YJ Vasavada, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Thakor Hitendrsinh G, Dr Ajay Gandhi, Shashi Saini.

Answer for 12th September Mind Teaser: A. Avoid BP measurement and constricting clothing on the affected arm
Correct answers received from: Dr Thakor Hitendrsinh G, Dr Ajay Gandhi, Shashi Saini.

Send your answer to ijcp12@gmail.com

 
    Fitness Update (Rajat Bhatnagar, MonaVie, www.mymonavie.com/sonraj)

Higher fitness level reduces risk of high blood pressure in people with a parental history of hypertension

Family history of hypertension increases a person’s risk of developing the condition, and moderate to higher levels of cardiorespiratory fitness has been shown to reduce the risk. However, it was previously unknown whether or not the two were associated. If either of your parents have hypertension, chances are you are at greater risk for having hypertension too. But, according to a new study, published in the journal Hypertension, your genes are not the only factor influencing your risk of hypertension. With regular exercise, you still have the power to reduce your risk by over 50%, researchers found.

This study looked at over 6,000 people with hypertension over a span of 5 years. First, results showed that a person with a parental history of hypertension is 20% more likely to develop hypertension than someone with no history. Second, those with a parental history and who did not exercise had a 70% greater risk. Interestingly, however, researchers found that subjects with a history but who did exercise regularly were only 16% more likely to develop hypertension than a person with no history.

Cardiorespiratory fitness has been shown to have protective effects against heart disease, and adults should engage in at least 150 minutes of moderate intensity physical activity per week to gain health benefits.

 
    Laugh a While (Dr GM Singh)

Teacher: Can u tell the name of 3 great kings who have brought happiness & peace into people’s lives? Student: Smo–king, Drin–king, I am forgetting the third.

 
    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

What is delusion?

  • Delusion is a false belief in something without any basis and the belief cannot be removed from the mind of the sufferer. It is rather persistent, even after the falsity of the belief is clearly demonstrated or explained with possible arguments. It reduces the power of reasoning and understanding capacity which leads a person to commit some act/crime.
  • When a person does some act due to the direct effect of delusion he suffers from, then he will not be held responsible for that act.
  • In an insane person, the false belief is persistent and cannot be removed in any way. Also, in delusional beliefs, mass or a section of people is not involved.
  • Delusion indicates some sort of mental abnormality which is more commonly found in some severe mental illness like schizophrenia, manic depressive psychosis, paranoid psychosis etc.
  • Some false beliefs and understandings are not unusual in normal healthy persons. For a sane person there must become reasonable basis for that and after reasonable arguments, explanations and demonstration he can be convinced about the falsity of his belief.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

A non–stop Interaction between Patients and Cardiologists

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that Heart Care Foundation of India in association with World Fellowship of Religions is organizing the 4th Dil Ka Darbar at Talkatora Stadium on Sunday, 23rd September, 2012.

The Darbar will provide a unique opportunity for non–stop questions and answers between nurses, doctors, patients and cardiologists. The panel of doctors will include clinical cardiologists, preventive cardiologists, interventional cardiologists, cardiac surgeon, Ayurvedic cardiologists, Homeopathic cardiologists, naturopathy cardiologists and Yoga experts trained in cardiology. These experts will give a joint opinion for medical queries. Free cardiac consultations will be available on the spot. Cardiologists from Apollo Hospital will also be available on Telemedicine. People can avail concessional cardiac investigations and procedural facilities on the spot.

Ministry of Health and Family Welfare, AYUSH Department will provide experts from Ayurveda, Homeopathy, Naturopathy and Yoga. Apart, eminent Ayush experts from private sector will also be available. Cardiologists and experts from other specialities from various hospitals will be participating as Allopathy experts. A few of them include Dr. Z.S. Meharwal, Dr. Rajesh Malhotra, Dr. N.K. Bhatia, Dr. S.V. Tripathi, Dr. H.K. Chopra, Dr. Manju Gupta, Dr. Anupam, Dr. Praveen Chandra, Dr. Subhash Manchanda, Dr. Sameer Srivastava, Dr. Yugal Mishra, Dr. Praveen Bhatia, Dr. Sujay Shad, Dr. Neelam Mohan, Dr. Ajit Saxena, Dr. Saurabh Juneja and Dr. B.N. Sinha.

Dr N K Yadav, Director (Health) MCD South Zone, Prof. Manju Gupta, Head, Dept. of Cardiac Surgery, Safdarjung Hospital and Dr. Deepak Khurana, Head, Dept. of Cardiac Surgery, Max Heart & Vascular Centre, Patparganj in a joint statement said that a second opinion is also required as to when to intervene in patients with congenital and valvular heart disease. There may be situations when one needs to decide whether to go for angioplasty or bypass surgery. Replacement of aortic valve often requires a team opinion. Whether a patient needs a bare metal stent or a drug eluting stent too can be a matter of debate. The answer is – when in doubt go for a joint opinion and not for multiple opinions.

Ms Shibani Kashyap, noted singer, composer and celebrity said that when in doubt, one should go for second opinion either to the same doctor or for a joint opinion. The Darbar will be a unique opportunity to the people for the same. She further said that such concepts are unique and can provide forum for better patient–doctor understanding.

 
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Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Dr Usha K Baveja