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Address: 39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: www.ijcpgroup.com

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



15th December Tuesday 

Dear Colleague,

Is a medical certificate issued by a person not registered with a state medical council a valid one?

A DMC order DMC/DC/F.14/Comp.280/2/2006, dated 15th February, 2006, addressed to Joint Secretary Medical Council of India on the subject  "Letter of Shri S.K. Mann, Administrative Officer, RML Hospital seeking clarification as to the credibility of medical certificates issued by Shri Dharam Singh Lakra of Chaudhary Ramdhan Lakra Memorial Hospital Hiran Kudna, Delhi - 110041" the council observed that

"With reference to your letter No. MCI-211(2)(10)/2006-Ethics/24037 dated 3.2.2006 on the subject noted above, it is informed that Shri Dharam Chand Lakra is not registered with the Delhi Medical Council, hence, any medical certificate issued by him is not a valid document"

 My personal view is that "it is true if it was issued by a non medical person but if the certificate was issued by a doctor who otherwise is registered in any other state and thus with the medical council of India, the certificate shuld be valid." 

This matter should be taken up by the medical fraternity with the Medical Council of India. Do we have a separate driving license for each state?.

 Dr KK Aggarwal



Question of the day
I am a 40 yr old. Every time I have to make a presentation, I get terribly nervous, making it very hard for me to get through my talk. What do you suggest?
A. The diagnosis is stage fright. It's a common problem that doctors diagnose as performance anxiety. The best drug is propranolol in a dose of 10 to 20 milligrams to be taken about 30 minutes before public speaking. On can take a test run before big presentation. Alternatives are cognitive behavioral therapy, can coaching or classes in public speaking. Stage fright is not a symptom of social anxiety disorder, a more troublesome problem that produces distress during a broad array of interpersonal interactions. Social anxiety disorder also responds well to treatment, but beta blockers won't do the job.

Exercise tips for asthmatics during the winter season.
1. Get the asthma fully controlled during winter.
2. Cooling and drying of the bronchial airways can trigger an asthma attack.
3. Avoid strenuous exercise in cold dry air.
4. Avoid winter sports, such as skiing, snowboarding, or ice skating.
5. Use the bronchodilator inhalers, 20 minutes prior to exercise.
6. Keep the inhalers warm in order to avoid a cold aerosol spray.
7. Warm up and cool down after strenuous exercise.
8. When exercising in cold air, wear a scarf or facemask over the nose and mouth to warm the air one is breathing.
9. Drink plenty of liquids before and after exercise to prevent drying of the airways.
10. Exercise indoors when outdoor temperatures drop.

Make Sure
Mistake: A patient with diabetes showed deteriorating kidney function.
Reaction: Oh My God! Why was high A1C not attended for.
Make Sure that strict glycemic control is maintained in patients with  type 2 diabetes in order to delay vascular complications.

Humor (krishan13629@yahoo.co.in)
Friend: I got a brand new Ford IKON for my wife!
Santa: Wow!!! That's an unbelievable exchange offer!!!

Funny clinical notes (Dr. Minakshi)
Patient's medical history has been remarkably with only a 40 pound weight gain in the past three days.

Clinical tip
Vitamin E is the major lipid soluble antioxidant in the skin. Altern. Med. Rev. 2004 Nov.;8(4):359 377.

Dealing With Peripheral Artery Disease (Dr. Prachi Garg)
PAD can be managed by making certain lifestyle changes, notably getting enough physical activity.
1. Get regular exercise, at least three times a week. Activities should exercise the legs.
2. Stick to a healthy diet that's low in unhealthy fats and cholesterol.
3. Quit smoking.
Take medications prescribed by your doctor. They may include medications to thin the blood, control high blood pressure, and lower "bad" cholesterol.


Anthracycline Not Needed with Trastuzumab
Eliminating the anthracycline from chemotherapy when using trastuzumab may be just as effective long term and with less risk of heart failure and leukemia, according to highly anticipated data from the BCIRG-006 trial released here today

Upcoming events
The 4th Global Conference on Recent Advances in Cardiovascular Sciences which will be held on February 3rd h to 4th 2010 at Delhi Institute of Pharmaceutical Sciences & Research, New Delhi. Dr. S. K. Gupta.

News and views ( Dr G M Singh)
1. Retinal degenerative diseases are the leading cause of incurable blindness worldwide. Stem cells appear to possess inherent neuroprotective abilities, at least in part by providing neurotrophic support to injured neurons. Advances in stem cell biology offer the hope of new therapies for a broad range of neurodegenerative conditions, including those of the retina.

2. A new urine test technique: simultaneously screens for hundred of proteins, several of which have been linked to obstructive sleep apnea (OSA) or habitual snoring. These findings open up the possibility of developing a relatively simple urine test that could detect OSA in snoring children. "This would alleviate the need for costly and inconvenient sleep studies in children who snore, only about 20 to 30 percent of whom actually have OSA."

3. Warfarin affects the synthesis and function of the matrix Gla-protein, a vitamin K-dependent protein, which is a potent inhibitor of tissue calcification. Use of warfarin in patients with AF is associated with an increased prevalence of MVC, MAC or AVC.


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Experts View

Why IGF -1 and IGF-2 not take over when in insulin is absent?

Plasma contains a number of substances with insulin like activity in addition to insulin. These substances are mainly IGF- 1 and IGF -2, which are polypeptide growth factors, small amounts free in plasma but large amounts are bound to proteins. But insulin like activities of IGF 1 and IGF 2 are weak; as compared to insulin; and are not able to prevent diabetes mellitus in the absence of insulin. (Dr Surrinder Singh)

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 medinews: revisiting 2009
IJCP Group is organizing emedinews: revisiting 2009, conference on 10th Jan 2010 at Maulana Azad Auditorium. It will be attended by over 1500 doctors. Topics will be happenings in the year 2009. There is no registration fee however advanced registration is required.  Top experts (Dr KK Aggarwal, Dr Naresh Trehan, Dr Praveen Chandra, Dr Harsh Mahajan, Dr Kaberi Banerjee, Dr N K Bhatia, Dr V Raina, Dr Ajit Saxena, DR S C Tewari, Dr Vanita Arora etc) will deliver lectures. CME will be followed by lively cultural evening (guest performances by noted singers Shabani Kashyap, Vipin Aneja and top singers of our medical profession), doctors of the year award, dance and dinner. For registration mail  emedinews@gmail.com. We have crossed 1200 registrations.


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