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eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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; National Vice President Elect Elect, Indian Medical Association; 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 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal

14th December 2012, Friday

Is it wrong not to respond to an SMS?

One of the top government officers showed unhappiness to me on account that I did not accept her Face book Friend request in time.

Many other people also were upset with me because I did not respond to their face book updates and never clicked ‘Like’.

This has been my experience also with SMSs. It is expected that if one reads an SMS, it should be answered. But, it may not be humanly possible to do so. For example, when I was DMA president, I used to send 40000 SMS daily to doctors across the country and never expected each one to reply. If a message comes from a bulk mail service, one is not expected to reply. But what about SMSs received from individual phone nos.?

Today 200 SMS are allowed to be sent everyday. During this Diwali, I received 900 SMSs of Diwali Greetings. It was practically impossible for me to respond to all of them.

In American language, it may be called as lack of etiquette, if I do not respond.

That means unknowingly, we hurt the feelings of many people because they feel hurt when their messages go unanswered and they assume that the other person is a rude person.

My solution to the above problem comes from the principles of Kshama in Jainism. I often send an email message through my blog or newsletter to 50000 which states as under: “Knowingly or unknowingly in my action, thought or speech in last one year if I have hurt your consciousness, please forgive me. Happy festival”.

The day I say it my consciousness is cleared and I expect that the consciousness of others who are hurt also gets cleared.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Laxative usage in the older adults should be individualized based on the patient's history, comorbidities, drug interactions and side effects.

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

Weight loss may improve sexual health of
obese diabetes

Audio PostCard
    Photo Feature (From HCFI Photo Gallery)

2402 Girls Trained in Hands-only CPR 10

In a special function Heart Care Foundation of India trained 2402 girls of Dr Sampurnanand Sarvodaya Kanya Vidyalaya No.1 C Block Yamuna Vihar, East Delhi in Hands-only CPR-10.

Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Drug policy hearing before apex court in January

The Supreme Court hearing on the final avatar of the National Pharmaceutical Pricing Policy will now take place next year. At the Supreme Court on Wednesday, the hearing was rescheduled for the second week of January, as the Government had not filed the official gazette notification of the drug policy, a source familiar with the development said. The final version of the NPPP had received the approval of the Cabinet and was to be placed before the Supreme Court today, after it had been notified by the Government. Discussion on the drug policy had gained traction under the watch of the Supreme Court, after a public interest litigation was filed at the apex court by the All India Drug Action Network (AIDAN). It was in response to AIDAN’s petition that the Supreme Court, in 2003, directed the Government to draw up a policy to keep essential medicines affordable.

Policy features

The proposed policy seeks to cap ceiling prices on all 348 drugs mentioned in the National List of Essential Medicines (NLEM) at the average of medicines with one per cent market-share in a said category. All imported drugs under the NLEM will also come under price control. Industry representatives, though happy that the Government is going with the market-based formula, are worried that the price-control yardstick could affect the average industry profitability by 25 per cent. Medicine prices are expected to dip across segments like anti-infectives, antibiotics, diabetes and cardio-vascular drugs, to name just a few. Public-health workers, though, are unhappy that the Government did not go with the cost-of-production based formula for price control and will watch for the final contours of the policy to be submitted early next year, following which they will submit their response to the apex court. (Reproduced from The Hindu)

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

Should surgery be done in elderly patients with aortic stenosis?

Elderly patients have poorer preoperative status and higher operative mortality with aortic valve replacement. However, those who survive the perioperative period often do well and have marked improvement in quality of life. When aortic valve replacement is indicated, a bioprosthetic valve is generally preferred to a mechanical valve in elderly patients in whom life expectancy is shorter than the expected function life of the bioprosthesis

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, 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)

Adult congenital heart disease a new subspecialty

A new subspecialty of adult congenital heart disease is to be introduced by the American Board of Medical Specialties (ABMS); it will be available to internal and pediatric medicine cardiology trainees in the US within the next three years. The new physician certification has been created in response to a growing need for cardiologists who are well versed in the field of adult congenital heart disease, as more and more children with this condition survive into adulthood. (Source: Medscape)

People living longer but not healthier lives

Americans are living longer thanks to advances in medical care, but have a lower quality of life with the proliferation of chronic disease and preventable illness, a report found. While deaths from cancer and cardiovascular causes continue to drop, more people are living with diabetes, hypertension, and obesity, the United Health Foundation report, "America's Health Rankings," found. (Source: Medpage Today)

Pancreas size may be marker for diabetes

The smaller pancreas that is often found in patients with type 1 diabetes was also seen in people at risk for the disease, pointing to a possible diabetes biomarker, researchers reported. (Source: Medpage Today)

BPA leaching into urine, saliva from dental composites?

Bisphenol A (BPA), a potentially toxic compound, gets into patients' saliva and urine when composite resin restorations are placed on their teeth, a new study shows. (Source: Medscape)

   Twitter of the Day

@DrKKAggarwal: Heart Disease Has Doubled In The Last Two
heart-disease-has-doubled-in-the-last-two-decades/ …

@DeepakChopra: Our most natural state is joy. It is the foundation for love, compassion, healing, and the desire to alleviate suffering.

    Spiritual Update

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

Five Types of People - From Nastik to Astik

Following are the five types of people:

i. Nastik – the one who believes in God.
ii. Astik – for whom God exists.

For comments and archives

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How does contraception work?

Contraceptive agents are usually divided into those that are either hormonal or non hormonal. Most of the hormonal contraceptives work by changing a woman's hormone levels to mimic a pregnancy, therefore preventing eggs from being able to be released from the ovary. In contrast, non hormonal contraceptive agents or devices work by preventing a man's sperm from joining a woman's egg.

For comments and archives

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

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

Generating request for transfusion

Each demand of blood/blood component should be raised through Blood Requisition Form (BRF). Along with the BRF, prescribed blood sample(s) should be sent. Blood components cannot be supplied without the prescription of a registered medical practitioner. So every request form should be signed by a registered medical practitioner with his/her proper identification.

Blood Requisition Form (BRF): The BRF should be dully filled and signed by the duty doctor and should be sent to the blood bank along with the blood samples. The BRF should contain the following details:

  • Complete name of patient
  • Age and sex of patient
  • Diagnosis of patient
  • Hospital's Identification Number
  • Ward/Bed number.
  • Name of blood/blood component required
  • Quantity (units/volume) of blood/blood component required
  • Date and time of requirement
  • Category of requirement (Planned/Urgent/Life saving emergency)
  • H/o previous transfusion if any
  • Signature of the doctor


  1. For infants of less than 6 months of age, a sample of mother is also required.
  2. Blood component requisition should be sent to blood bank during daytime in planned cases.
  3. After 48 hours of blood transfusion, a fresh blood sample should be sent for cross matching.
  4. If blood/blood component is not required at the time of sending demand, a “Demand Note” (having details of patient and blood/blood component required) should be sent at the time of collecting blood/blood component from the blood bank.

For comments and archives

   An Inspirational Story

A bowl of noodles from a stranger

That night, Sue quarreled with her mother, and then stormed out of the house. En route, she remembered that she did not have any money in her pocket; she did not even have enough coins to make a phone call home. At the same time, she went through a noodle shop, picking up sweet fragrance, she suddenly felt very hungry. She wished for a bowl of noodles, but she had no money!

The seller saw her standing before the counter and asked: - Hey little girl, you want to eat a bowl? But … but I do not carry money … she shyly replied.

Okay, I’ll treat you – the seller said – come in; I will cook you a bowl. A few minutes later the owner brought her a steaming bowl of noodles. Sue cried as she ate some pieces

What is it? – He asked. Nothing. I am just touched by your kindness! – Sue said as she wiped her tears. Even a stranger on the street gives me a bowl of noodles, and my mother, after a quarrel, chased me out of the house. She is cruel!!

The seller sighed: Girl, why did you think so? Think again. I only gave you a bowl of noodles and you felt that way. Your mother has raised you since you were little, why were you not grateful and disobeyed your mom? Sue was really surprised after hearing that.

“Why did I not think of that? A bowl of noodles from a stranger made me feel indebted, and my mother has raised me since I was little and I have never felt so, even a little.”

On the way home, Sue thought in her head what she would say to her mother when she arrives home: “Mom, I’m sorry. I know it is my fault, please forgive me …”

Once up the steps, Sue saw her mother worried and tired of looking for her everywhere. Upon seeing Sue, her mother gently said: “Sue, come inside honey. You are probably very hungry? I cooked rice and prepared the meal already, come eat while it is still hot …” Unable to control any longer, Sue cried in her mom’s hands.

In life, we sometimes easy to appreciate the small actions of some people around us, but for the relatives, especially parents, we see their sacrifices as a matter of natural …

Parental love and concern are the most precious gifts we have been given since birth. Parents do not expect us to pay back for nurturing us …… but have we ever appreciated or treasure the unconditional sacrifice of our parents?

Source: http://academictips.org/blogs/a-bowl-of-noodles-from-a-stranger/

For comments and archives

   Cardiology eMedinewS

Hands-only CPR saves more lives Read More

Heart patients rank outcomes differently Read More

   Pediatric eMedinewS

Children OK with long-term Exjade Read More

Very preterm birth remains linked to long-term problems Read More

    IJCP Special

Dr Good Dr Bad

Situation: A heart patient wanted to know if he could eat chocolates.
Dr. Bad: Go for white chocolates.
Dr. Good: Go for dark chocolates.
Lesson: Santiago State University researchers have shown that people who eat dark chocolates have lower levels of blood pressure, LDL cholesterol and higher levels of HDL cholesterol than those who eat white chocolates.

Make Sure

Situation: A patient with chest pain and who had normal ECG died half an hour later.
Reaction: Oh my God! Why was acute MI not suspected?
Lesson: Make sure all patients of chest pain are observed for 12 hours. ECG can be normal in acute heart attack for up to six hours.

    Legal Question of the Day (M C Gupta)

Q. A hospital provides cashless service to the beneficiaries of the RSBY scheme. Is the hospital a consumer of the insurance company?


  1. It appears that there is no contract/agreement between the hospital and the insurer. The parties to the agreement are the Insurer and the Government. This is clear from the Agreement dated 8 September 2011 between Oriental Insurance Company limited and DH&FW, Government of Chhatisgarh. Para (xi) of the agreement is given below: “xi. “Party” shall mean either the Insurer or the Government and “Parties” shall mean both the Insurer and the Government.” ----
  2. It also appears that no consideration is paid by the hospital to the insurer. This is clear from the following: “Who pays the premium for RSBY?--Government pays the premium for RSBY. Central Government pays 75% of the total premium (90% in case of Jammu & Kashmir and North east States) while State Government pays the remaining premium.” --http://www.rsby.gov.in/faq_scheme.aspx
  3. The insurance company does not provide any service to the hospital. There is no relationship of a consumer and provider of service between the insurance company and the hospital. Hence the hospital cannot approach the consumer court for a grievance against the insurer.
  4. In view of the above, the hospital is not a consumer of the insurance company. The hospital cannot file a complaint against the insurance company alleging deficiency in service.
  5. It needs to be clarified that the patients treated at the hospital under the RSBY scheme would be within their rights to sue the hospital in the consumer court for deficiency in service.

For comments and archives

  Quote of the Day (Dr GM Singh)

Don't read success stories....you will only get a message; read failure stories...you will get some ideas to get success. Dr. APJ Abdul Kalam

    Mind Teaser

Read this…………………

A client has been in a coma for 2 months. The nurse understands that to prevent the effects of shearing force on the skin, the head of the bed should be at an angle of:

A. 30 degrees
B. 45 degrees
C. 60 degrees
D. 90 degrees

Yesterday’s Mind Teaser: Dennis receives a blood transfusion and develops flank pain, chills, fever and hematuria. The nurse recognizes that Dennis is probably experiencing:

A. An anaphylactic transfusion reaction
B. An allergic transfusion reaction
C. A hemolytic transfusion reaction
D. A pyrogenic transfusion reaction

Answer for yesterday’s Mind Teaser: C. Maintaining the ordered hydration

Correct answers received from: Dr (BRIG) C H Gidvani, Dr Suresh Arora,
Dr Prabha, Dr Kanta Jain, Dr (Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal,
Dr Arpan Gandhi, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai,
Dr Avtar Krishan, Dr BK Agarwal, Dr Chandresh Jardosh.

Answer for 12th December Mind Teaser: C. Maintaining the ordered hydration

Correct answers received from: Dr Kanta Jain.

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

The Birth Order


1st baby: You change your baby's diapers every hour, whether they need it or not.
2nd baby: You change their diaper every 2 to 3 hours, if needed.
3rd baby: You try to change their diaper before others start to complain about the smell or you see it sagging to their knees.

    Medicolegal Update

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

Facilitate cadaver organ retrieval for transplantation

In India, certain amendments to the Human Organ Transplant Act 1994 are required to enhance cadaver organ retrieval and transplantation to bridge the huge demand–supply gap. The pool of donors, including increasing the supply of organs by widening the definition of ‘near relatives’ by allowing organ swaps among needy families, as well as, simplifying cadaver transplant procedures. The paired matching should be permitted i.e. if patient A’s donor does not match A, and likewise for patient B, then donor switch should be allowed, if it results in a match. Swaps or exchanges between families unable to fulfill the need of their family member in need of a transplant.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

2402 Girls Trained in Hands-only CPR 10

In a special function Heart Care Foundation of India trained 2402 girls of Dr Sampurnanand Sarvodaya Kanya Vidyalaya No.1 C Block Yamuna Vihar, East Delhi in Hands-only CPR-10.

Coordinating the training, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that ever since practical training in CPR began, many lives have already been saved.

Dr. Aggarwal said that the CPR Mantra is - “Within 10 minutes of cardiac arrest, earlier the better, at least for the next 10 minutes, compress the centre of the chest of the dead person with a speed of 10x10=100 per minute”.

Coordinating the function Mrs Rajeshwari Kapri, Principal of the school said that government school girls have set an example to the society by learning the CPR 10, a life saving technique.

This is for the first time that girls in such large numbers have been trained in a single session.

    Readers Response
  1. Dear Dr. KK Aggarwal, I was pleasantly surprised to read your editorial on 'Traffic Interventions '. Versatile thinking as you have very aptly suggested a novel method of explaining the CAD pathophysiology for better patient education and communication. However, we must share with you that this is exactly what we have been doing at at GTB Hospital -UCMS and and at HIMSR- HAHCH, Jamia Hamdard since about 5 years almost in 'Preventive Cardiology Clinic' in a very persuasive way. Only thing that we did not publish it in any indexed journal. Sometimes minds work on the same lines. Lesson is: Please keep on publishing whatever little you think or observe. Best wishes: S Dwivedi.
    Forthcoming Events

4th eMedinews Revisiting 2012

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi


Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/


4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes 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)

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    Our Contributors

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