emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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
  Editorial …

16th January 2013, Wednesday

Help the victim do not worry about the police

The Delhi Police have released an adv assuring citizens they can now rush a trauma victim on city roads to hospital and leave immediately, with or without revealing their identity.

The adv says “The priority is the victim. So, now save a life readily, it is free of harassment."

It reads: When seconds count, questions don't.

Saving an accident victim is now easy. The very first golden hour is critical, it decides the victim's fate.

Police is also reaching out to hospital staff and doctors.

Doctors have no business questioning a Good Samaritan. They should focus on the victim. There's no need to wait for the police to reach the hospital before accepting a medico-legal case.

There are clear directions from the Supreme Court that doctors in government and private hospitals must promptly attend to accident victims without waiting for the police to arrive. (Source TOI)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

Register for 4th eMedinewS–revisiting 2012 conference

    Constipation Update

Constipation is defined as any two of the following features: straining, lumpy hard stools, sensation of incomplete evacuation, use of digital maneuvers, sensation of anorectal obstruction or blockage with 25 percent of bowel movements, and decrease in stool frequency (less than three bowel movements per week).

 
Dr K K Aggarwal
    eMedinewS Audio PostCard

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

Rapid flu test more accurate when positive

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Shalini Bhardwaj from news Express interviewing Dr KK on artificial blood.

 
Dr K K Aggarwal
    National News

Dear Colleague,

Greetings from Team India Medical Association for CMAAO meet

Indian Medical Association will be hosting the 49th CMAAO Council Meeting on the subject “Be Human Stop Child Abuse” from 12th to 14th September, 2013, at Hotel Shangri-La, Ashoka Road, New Delhi.

We have created a facebook page on the theme. It can be seen on the following link:

www.facebook.com/BeHumanStopChildAbuse

Kindly join this page by liking it.

About CMAAO

CMAAO is a Confederation of Medical Associations of Asia and Oceania. The associated countries are : Australian Medical Association; Bangladesh Medical Association; Cambodian Medical Association; The Hong Kong Medical Association; Indian Medical Association; Indonesian Medical Association; Japan Medical Association; Korean Medical Association; Macau Medical Association; Malaysian Medical Association; Myanmar Medical Association; Nepal Medical Association; New Zealand Medical Association; Philippine Medical Association; Singapore Medical Association; Sri Lanka Medical Association; Taiwan Medical Association and The Medical Association of Thailand. The secretariat of the CMAAO is in Tokyo under Japan Medical Association..

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

Progressive fibrocalcific stenosis requiring surgery eventually occurs in over 75 percent of patients with bicuspid aortic valve.

(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)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

January is glaucoma awareness month: Gift your parents or grandparent an eye check up

The National Eye Institute (NEI), a part of the National Institutes of Health, observes Glaucoma Awareness Month each January by encouraging people at higher risk for glaucoma (kala motia) to schedule a comprehensive dilated eye exam and to make a habit of doing so every one to two years.

While anyone can get glaucoma, people at higher risk include adults over the age of 60 and people who have a family history of the disease.

Glaucoma is the second leading cause of blindness in the world (after cataracts). Open-angle glaucoma is the most common type of glaucoma among populations of European or African descent, whereas angle-closure glaucoma is more common among populations of Asian descent.

Risk factors that predispose to primary angle-closure glaucoma include family history of angle closure; age older than 40 to 50 years; female; hyperopia (farsightedness); certain medications, particularly over-the-counter decongestants, motion sickness medications, adrenergic agents, antipsychotics, antidepressants, and anticholinergic agents and Asian race.

Sublingual desensitization can help Peanut Allergy

In both children and adults, peanuts are one of the most common foods to cause allergic reactions. About 3 out of every 500 people in the United States are allergic to peanuts. The only way to prevent the symptoms of food allergy is to avoid the food altogether. But it’s difficult to completely avoid exposure to peanuts and all the products made with them.

A research team led by Dr. David M. Fleischer of National Jewish Health in Denver and Dr. A. Wesley Burks at the University of North Carolina has shown that sublingual immunotherapy could be used to treat peanut allergy. The medically supervised therapy involves placing a small amount of the allergy-causing substance (allergen) under the tongue to decrease the body’s sensitivity to the allergen.

What is CMAAO

CMAAO is a Confederation of Medical Associations of Asia and Oceania. The associated countries are : Australian Medical Association; Bangladesh Medical Association; Cambodian Medical Association; The Hong Kong Medical Association; Indian Medical Association; Indonesian Medical Association; Japan Medical Association; Korean Medical Association; Macau Medical Association; Malaysian Medical Association; Myanmar Medical Association; Nepal Medical Association; New Zealand Medical Association; Philippine Medical Association; Singapore Medical Association; Sri Lanka Medical Association; Taiwan Medical Association and The Medical Association of Thailand.

The secretariat of the CMAAO is in Tokyo under Japan Medical Association.

The best time to have a coffee is 2pm

Most health freaks between 8- 24-yearolds are turning to coffee, rather than caffeinated sodas. The change has been from 25 to 39 % in the last ten years.

Coffee is good for the health as is linked with decreased risk of dementia and decreased risk of depression among women. The only disadvantage is that coffee consumption can get in the way of a good night's sleep.

Brewed coffee contains much more caffeine than a cold cola beverage.

A 12-ounce cup of coffee from Starbucks contains about 260 milligrams of caffeine, which is about five times more than a 12-ounce can of Diet Coke. McDonald's coffee has about 100 mg for a similar-size serving. Dunkin' Donuts coffee is somewhere in the middle.

Caffeine is linked to decreased REM sleep. REM sleep is needed and has positive implications for memory consolidation and learning.

The half-life of caffeine in the body can range from 2 1/2 hours to 12 hours (average 5 hours). Because of genetic differences, some persons metabolize caffeine much more quickly than others. It normally takes to five half-lives to rid the body completely of a drug. Therefore caffeine will remain in the circulation for 12 hours after last drink. To avoid getting sleep disorder therefore the best time to have a coffee is 2PM

 
    Twitter of the Day

@DrKKAggarwal:Economy-class syndrome by Dr k k aggarwal http://bit.ly/10vtPM0 #Healthcare

@DrKKAggarwal: New York Has Gun Deal, With Focus on Mental Ills http://nyti.ms/10unalb

 
    Spiritual Update

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

As Per Bhagavad-Gita the Best Time for Any Death Is Uttarayana (The Period between 14th Jan to 14th July)

The gist of gist of Lord Krishna’s teaching in Chapter eight is

1. Whatever you think throughout your life will be your thought at the time of death.

For comments and archives

 
    Be Human Stop Child Abuse (Team IMA for CMAAO)

The caretaker means parents or an employee of a residential facility or any staff/person providing out of home care. Four major types of child abuse are – physical abuse, sexual abuse, emotional abuse and child neglect.

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

What do you mean by assisted hatching?

Assisted hatching is a procedure that is done in the laboratory three days after fertilization. During assisted hatching, the outer shell of the embryo is artificially weakened by making a small hole in the shell. This is done just before the embryo is put into the uterus.

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

(Dr Sanjay Chaudhary, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

Myth - Eyes of aged donors are not acceptable.
Fact - All donor eyes are acceptable irrespective of the donor’s age, including eyes of premature/still-born babies.

 
    An Inspirational Story

Don’t let Fear Hold you Back

A man once went to a fortune teller, curious to know what she would say about his future. The fortune teller looked into her magic ball and then her facial expression said it all. The man would die, she said, involved in a bus accident. This would happen within two to three months time, but she couldn’t say exactly when. The man went home, depressed and worried telling himself how he never really believed in fortune tellers. Why should he now?

When two months passed, he had thought about what she said, day in and day out. Now he decided to lock himself in his house where he wouldn’t come close to any buses for the next month.

Another 3 weeks went by when the man came down the stairs from his bedroom to make some coffee. His little son had left his toys on the floor of which one was a little toy bus. The man stepped on the bus, after his last step down the stairs, slipped and knocked his head against the stairway railing and died instantly.

Moral of the story: "Live life on the edge, don't lock yourself away."

For comments and archives

 
    Cardiology eMedinewS

Parkinson's disease not linked to impulse control disorders Read More

Doctors have no right to deny flu shots Read More

 
    Pediatric eMedinewS

Global Polio Watchdog Warns Against Migration from Endemic Nations Read More

Asthma In Infants Linked To High Pollen Levels In Pregnancy Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A diabetic came with A1c 7.5%.
Dr Bad: This is ok.
Dr Good: You need better control.
Lesson: The A1c goal is <7% for most patients.

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that insulin dose is correct. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

 
  Quote of the Day (Dr GM Singh)

It is wonderful when people believe in their leader. It is more wonderful when the leader believes in the people.

 
    Legal Question of the Day (M C Gupta)

Can a forensic expert in post mortem report opine about negligence

In a letter No F342/MB -38 /2009? H & fw/5020 dated 21//09, on the subject advised not to give definitive opinion regarding medical negligence OS Ministry and Health and Family Welfare, wrote the following circular.

“Dear Sir/ Madam, I am directed to forward a copy of Order No DMC /DC.14/2/Comp/112/200/73553 dated 2/6/2009
 

  1. The postmortem findings should reflect cause of death................
  2. If the postmortem examiner feels the same case involves any issue of medical negligence, the same should be referred to appropriate authority................................................ A postmortem examiner is competent in the field of forensic medicine and he should, therefore, refrain from giving a conclusive report about medical negligence."

    [Source Dr M C Gupta]
 
    Mind Teaser

Read this…………………

Before delegating tasks to unlicensed assistive personnel (UAP), the nurse determines that:

a) Documentation on the assignments was given.
b) The appropriate level of supervision needed to complete the tasks has been provided.
c) The competency for the tasks was verified during orientation.
d) Verbal instructions for the tasks have been provided.

Yesterday’s Mind Teaser: On discharge, the nurse teaches the patient to observe for signs of surgically induced hypothyroidism. The nurse would know that the patient understands the teaching when she states she should notify the MD if she develops:

A. Intolerance to heat
B. Dry skin and fatigue
C. Progressive weight gain
D. Insomnia and excitability

Answer for yesterday’s Mind Teaser: C. Progressive weight gain

Correct answers received from: Dr. P. C. Das, Dr. Arvind Khanijo, Dr Kanta jain, DR SHAGUFTA MOIN, Dr. Bharat Bhushan Aggarwal, Dr Jainendra Upadhyay, DR ARPAN GANDHI, Dr Pankaj Agarwal Dr.K.V.Sarma, Muthumperumal Thirumalpillai, Dr.Chandresh Jardosh, Dr. Thakor Hitendrsinh G, Dr Avtar Krishan, DR P K SAHU, Dr.K.V.Sarma, Prabha Sanghi

Answer for 14th January Mind Teaser: A. Checking the back and sides of the operative dressing

Correct answers received from: Dr Jainendra Upadhyay, DR ARPAN GANDHI, Dr Pankaj Agarwal, Dr.K.V.Sarma, Muthumperumal Thirumalpillai, Dr. Thakor Hitendrsinh G, Dr Avtar Krishan, Dr B K Agarwal, Dr Avtar Krishan, DR P K SAHU,

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

A little boy went up to his father and asked: "Dad, where did all of my Intelligence come from?"

The father replied. "Well son, you must have got it from your mother, cause I still have mine"

 
    Medicolegal Update

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

Medicolegal cases & injury, assault and hurt in Indian law

The words injury, assault and hurt are invariably used by doctor in hospital practice and are used as synonymous. But all three have a different meaning as per law. It is defined by the Indian Penal Code as below:

  • Injury: Section 44 of IPC defines injury as any harm whatever illegally caused to any person in body, mind, reputation or property.
  • Assault: Section 351 of IPC defines assault as an offer or threat or attempt to apply force on body of another in a hostile manner. It may be a common/simple assault or an intention to murder.
  • Hurt: Section 319 of IPC defines hurt as whoever causes bodily pain, disease or infirmity to any person is said to cause hurt.

When we as doctors deal with cases of Hurt/body injury, it means bodily pain, wound, disease or infirmity voluntarily caused to any person in medicolegal cases. These would include abrasions, contusions, lacerations, stab wounds, electric shock, firearm or ligatures etc resulting in human body injury. The doctor who is certifying an injury report should keep in mind the Penal provisions required by police to book the case i.e.

  • Simple injury: IPC Section 323
  • Simple injury caused by dangerous weapons: IPC Section 324
  • Grievous injury: IPC Section 325
  • Grievous injury caused by dangerous weapons: IPC Section 326
  • Dangerous injury: IPC Section 307
  • Injury likely to cause death: IPC Section 304
  • Injury sufficient to cause death: IPC Section 302
  • Causing hurt by means of poison: IPC Section 328

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Doctors should report errors

New Delhi: Tuesday, 15 January, 2013: It is compulsory in the West to report errors related to medical practice or treatment. Unfortunately, there is no such policy in our country. Ministry of Health should come out with a policy where doctors can directly feed medical errors on the website. It does not involve disclosure of the name of the doctor or of the patient. This was stated by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & National Vice President Elect IMA.

Reporting errors helps in better treatment in future and in identifying potential side effects of various treatments. A drug approved in US or tried in US patients may not have the same effects when given to Indian patients.

Medical errors do not mean medical negligence. Medical accidents and medical adverse events are part and parcel of medical treatment all over the world.

Dr. Aggarwal said that 80% of medical errors are related to medical prescriptions. One should avoid giving prescriptions on phone. Every time a patient comes to a doctor the doctor must match the drugs given by the doctor and drugs taken by the patients.

One should never write .3 mg but write 0.3mg as .3mg can be mistaken as 3mg. similarly, one should never write 3.0mg as it can be mistaken as 30mg.

Dr. Aggarwal said instead of writing 'u' write 'units' as 'u' can be mistaken as '0'. For e.g. 4u of insulin may be misread as 40 insulin.

 
    Readers Responses
  1. Dear Sir, Reading eMedinewS is very informative. Regads: Dr Tripti
 
    Forthcoming Events

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 (8 AM to 8 PM).

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. 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.

Eminent Faculty:

Dr Praveen Chandra (Cardiology)
Dr NK Bhatia (Transfusion Medicine)
Dr Ambrish Mithal (Diabetes)
Dr Kaberi Banerjee (Infertility)
Dr Yougal Mishra, Dr Manju Gupta, Dr Somesh Juneja, Dr Deepak Khurana (Valve Surgery)
Dr Rajnish Malhotra (Cardiology)
Dr Vivek Bhatia (GI)
Dr Ashish Jain (Ortho)
Dr Kailash Singla (GI)
Dr IM Chugh (Pulmonoagy)
Dr AK Dhar (Hemato oncology)
Dr Neeraj Jain (Pain Management)

Register at: www.emedinews.in/

rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

Dr Pawan Gupta, Past President IMA Haryana, Organizing Secretary

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

4th eMedinewS Revisiting 2012
9.00-9.15 AM Dr KK Aggarwal Revisiting 2012
9.15 to 9.45 AM Dr Ashish Jain eMedinewS Oration Orthopedics in 2012
9.45 - 10.15 AM Dr Vivek Bhatia Dr K B Sharma eMedinewS Oration GI in 2012
10.15 - 10.30 AM P C Joshi IJCP Oration Financial Health
10.30 - 11.00 AM Dr N K Bhatia Dr Col K L Chopra eMedinewS Oration Transfusion Medicine 2012
11.00 - 11.30 AM Dr Praveen Chandra Heart Care Foundation of India Oration Interventional cardiology 2012
11.30 AM- 12.00 Noon Dr Ambrish Mithal AJD Oration Diabetes 2012
12.00-12.15 PM Dr S K Parashar IJCP Oration Echo 2012
12:15-12:30 PM Discussion Forum
12.30- 12.50 pm Dr Praveen Bhatia G L Sanghi eMedinewS Oration Surgery in diabetes
1.00-1.30 pm Dr Kaberi Banerjee AJOG Oration Infertility Update
1.30 - 2.00 pm Dr Yugal Mishra, Dr Manju Gupta, Dr Saurabh Juneja, Dr Deepak Khurana AJCC Oration 2012 Valve Update
2.00-2.30 PM Dr Rajnish Malhotra Dr J J Sood eMedinewS Oration Cardiac Surgery 2012
2.30-3.00 PM Dr Brig A K Dhar eMedinews Distinguished Lecture Hematooncology Update
3.00 - 3.15 PM Dr I M Chugh eMedinews Distinguished Lecture Chest Update
3.15 - 3.30 PM Dr Kailash Singla eMedinews Distinguished Lecture Gastro Update
3.30 - 3.45 PM Dr Neeraj Jain eMedinews Distinguished Lecture Pain Management
3.45 - 4.15 PM Dr Ganesh Mani eMedinews Distinguished Lecture Valve in 2012
4.15 - 4.30 PM Dr Sanjay Chaudhary IJCP Oration Bladeless Femtosecond for Cataract Surgery
4.30 - 4.45 PM Dr Anil Goel eMedinews Distinguished Lecture Vision 2015
4.45 - 5.00 PM Dr Sukhendy Roy eMedinews Distinguished Lecture IMA RNTCP Project
5.00 - 5.15 PM Dr K K Aggarwal Take home messages
5.15 - 8.00 PM Cultural Evenning and Doctor of the Year Award
 
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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