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Dr KK Aggarwal

From the Desk of Editor in Chief
Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Member 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 of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR


Dear Colleague

17th April, 2010 Saturday

Stress Management workshop near Manesar

As a medical doctor, I am totally convinced that we all should incorporate mental health into our routine medical practices. Psychiatry practically deals with mental illnesses and a psychiatrist with mental prescription drugs.

Most of the preventive mental health today is being practiced by psychologists and not by psychiatrists.

As per WHO definition, health is not mere absence of disease but a state of physical, social, mental and spiritual wellbeing. Physical health, therefore, is only 25% component of total health. Mental, social and spiritual health constituting 75% of the definition of health is often ignored while dealing with preventive health practices.

The two-days’ practical workshop on stress management conducted by us at Om Shanti Retreat Centre, Pataudi Road near Manesar starting today is an attempt to train and sensitize 500 attending doctors in the field of mind-body medicine.

We as allopathic doctors may be allergic to the word ‘Yoga’ or Spiritual Medicine as we may take them as our competitors. Allopathic description of these terms should than be used by us like Parasympathetic Breathing for Pranayama, Mind-body Relaxation for Shavaasan, Parasympathetic Relaxation for Meditation and Parasympathetic Exercises for Yoga.

When for these techniques psychiatrists and psychologists are charging then why GP’s not charge for the same.

A time has come for the allopathic doctors to incorporate preventive mental health as part of their routine clinical practice.

500 doctors to attend workshop on Stress Management starting today

Heart Care Foundation of India jointly with Om Shanti Retreat Centre and Janakpuri & New Delhi Branches of IMA is organizing a two days’ residential practical workshop on Stress Management for doctors on Saturday 17th April and Sunday 18th April. The workshop will be practically conducted by myself and experts from Bramkumaris.

The very fact our body has a receptor for every drug the body has the capacity to produce that drug. Stress management techniques and spiritual medicine as a concept deals with improving the power of inner healing. Practically, it involves shifting one from sympathetic to parasympathetic healing mode. Techniques like pranayama, relaxation, meditation, anger management etc. have shown to reduce lifestyle disorders. There will also be practical classes and demonstrations by noted Kathak dancers – Nalini Kamalini.

Dr KK Aggarwal
Padma Shri Awardee and Chief Editor

News and views (Dr Monica and Brahm Vasudeva)

Eating more high–glycemic index foods may be linked to heart risks in women

Carbohydrates with a high glycemic index may be linked with a higher risk of coronary heart disease in women, according to a study published in the Archives of Internal Medicine. The doctors surveyed 47,749 men and women from various regions of Italy and found that eating more high–glycemic index foods was more strongly linked with a greater risk of coronary heart disease than eating low–glycemic index foods.

Factors behind increased risk for aspirin resistance in type 2 diabetes investigated

According to a study published online April 9 in the Journal of Clinical Endocrinology & Metabolism, poor glycemic control, obesity, and lower aspirin dose are associated with increased risk for aspirin resistance (AR) in type 2 diabetics. Turkish researchers found that body mass index, fasting blood glucose, and glycated hemoglobin (HbA1c) levels were significantly positively correlated with AR. The use of low–dose aspirin (100 mg/day vs. 300 mg/day) also increased the risk for AR, by 26% in diabetics.

Compassionate bedside manner may help patients heal, lower costs

In an essay in the Wall Street Journal (4/13), Katherine Rosman writes that physicians who show compassion towards their patients can help them heal and lower costs.

Benefits of digital medical records questioned

A study published in the American Journal of Medicine found that hospitals with these systems were no better off than those without them. Meanwhile, some physicians and nurses have expressed frustration with digital medical records, and say they undermine patient care.

Databases disclosing ties between physicians, drugmakers may not be transparent enough

Via their website, Pfizer recently became the latest big drugmaker to start disclosing payments to doctors who act as consultants or speakers. Merck, Glaxo Smith Kline, and Eli Lilly also now operate such databases, as a response to critics who say the payments can overly influence how doctors practice medicine and prescribe drugs. In 2013, under the new federal healthcare law, these databases will become mandatory for all drug companies and medical device makers, and they will be subject to stricter disclosure requirements aimed at making them much more transparent.

Mnemonic of the Day (Dr Prachi Garg)

Mouth Ulcers – DRAG TIE

Drug (gold, steroid)

Rheumatological (behcet’s, Reiter)



Infection (HSV, VZV; syphilis, TB)

Erythema multiforme

What’s New: Mifepristone/misoprostol abortion

The rates of serious infection in women who underwent mifepristone/misoprostol abortion dropped significantly after the introduction of two protocol changes: routine use of prophylactic doxycycline and buccal, rather than vaginal, administration of misoprostol. (Fjerstad M, Trussell J, Sivin I, et al. Rates of serious infection after changes in regimens for medical abortion. N Engl J Med 2009;361:145.)

eMedinewS Fact about rheumatoid arthritis

Acute phase reactants, particularly the ESR and CRP, are not specific for rheumatoid arthritis.

Quote of the day

"We live in deeds, not years; in thoughts not breaths; in feelings, not in figures on a dial. We should count time by heart throbs. He most lives who thinks most, feels the noblest, acts the best" (David Bailey)

Diabetes Fact

CKD: commonest cause is diabetes.

Public Forum (Press Release for use by the newspapers)

Meditation better than medication

Inaugurating a two-days practical workshop-cum-seminar on stress management and prevention of lifestyle disorders, Mr. Rakesh Mehta, Chief Secretary, Govt. of Delhi, said that meditation is better than medication if incorporated in medical management.

He said that most schools today are incorporating yoga, relaxation, pranayama and meditation as part of school curriculum. Scientific studies have shown that regular meditation not only makes one healthier but also improves efficiency and reduces stress related disorders.

Mr. J.P. Singh, Principal Secretary (Health), Govt. of Delhi, in his message said that now meditation, pranayama and relaxation techniques have been validated by allopathy and should be incorporated by allopathic doctors. He said that every hospital should have a mind-body department which should deal in teaching such techniques.

Dr. K K Aggarwal, Padmashri & Dr. B.C. Roy Awardee, said that all vedantic yogic techniques shift one from sympathetic mode to parasympathetic mode. The healing is better when mind and body are relaxed.

It is possible to reduce blood pressure, diabetes, anxiety, depression, insomnia and heart diseases just by living a yogic lifestyle. A mind-body yogic lifestyle should be an integral part of allopathic healing.

BK Shanti & BK Brij Mohan from Om Shanti Retreat Centre said that doing meditation 20 minutes a day gives you the same benefit that is received with 7 hours of deep sleep.

BK Sapna; Dr. Sanjay Sood, President, IMA New Delhi Branch; Dr. A.K. Kansal, President, IMA Janakpuri Branch; Dr. Narendra Saini, President DMA and Dr. Ashwini Dalmia, Secretary, DMA also spoke on the occasion.

Question of the day

When do you recommend hair transplantation in androgenetic alopecia?

Hair transplantation is the only permanent method of hair restoration on a bald scalp. Proper selection and counseling is important to achieve appreciable results. Medical line of treatment should always be attempted for an adequate length of time before embarking on any hair restoration surgeries.

Young men below the age of 25 years are not ideal candidates for hair transplantation because of the possibility of progression of baldness down the years. Men with extensive baldness over the frontal and vertex areas are also not ideal candidates. Men with hair density of < 40 hair per sq. cm are also not good candidates.

Young men between the ages of 25 to 40 years with bifrontal and midfrontal hair loss are ideal candidates for hair restoration surgery. (Norwood and Hamilton type III a, III b and IV). Hair transplantation can be safely done in men even upto the age of 65 to 70 years. Preference is always given to transplanting hair to the frontal areas. Hair can also be transplanted to the vertex areas, however vertex balding is progressive and hence the results achieved in this area are limited. The advantage of hair restoration surgery on the bald frontal areas in men is very gratifying. The esthetic results achieved are most dramatic and appreciable. However the results peak at the end of 1 – 2 years after the surgery.

Women with male pattern hair loss (MPHL), who have significant frontal hair loss and dense occipital hair can undergo transplantation. However all the other Ludwig’s pattern of female pattern hair loss (FPHL) are poor candidates for any surgery, simply because the hair loss is diffuse and the results will not be visible.

eMedinewS Try this it Works

Basting the ear

For the irrigation of ears at home, use a turkey baster instead of a smaller bulb syringe. The baster provides a greater volume of flow at lower velocity and thus causes less pain.

Dr Good Dr Bad

Situation: A diabetic patient was found to have high phosphate levels.

Dr Bad: You need no treatment.

Dr Good: You need further evaluation.

Lesson: It is important to maintain an appropriate level of phosphate for the prevention of cardiovascular events and metabolic syndrome. In a cross–sectional survey, serum phosphate levels had a positive correlation with total cholesterol, HDL–C, lipoprotein a, apolipoprotein A1, calcium, and albumin. Serum phosphate levels that were too high or too low correlated with cardiovascular risk factors and elements of metabolic syndrome, respectively. (Diabetes Res Clin Pract 2009;83(1):119–25.)

Make Sure

Situation: A patient with prosthetic heart valves (bioprosthetic) developed infective endocarditis.

Reaction: Oh my God! Why was he not given infective endocarditis prophylaxis?

Make sure that all patients with prosthetic heart valves (bioprosthetic or homograft) are given infective endocarditis prophylaxis.


Laughter the best medicine

Patient: Doctor, what does the X–ray of my head show?

Doctor: Absolutely nothing!

Formulae in Critical Care

Free water clearance (CH2O)

Formula: CH2o = V–Cosm V = Urine flow rate in mL/min Cosm = Uosm/Posm × V

Milestones in Medicine

Ludwig Wilhelm Carl Rehn (1849 –1930) was a German surgeon.. In 1880, he carried out the first thyroidectomy. Rehn was the first to successfully conduct open heart surgery, in 1896.

Lab Test (Dr Arpan Gandhi and Dr Navin Dang)

Myoglobin: Is done to determine whether heart muscle has been injured or to detect high levels in the urine that can cause kidney damage after extensive muscle damage.

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name


Approval Date

Closantel Injection100mg/ ml (for verterinary use.)

For the infestation of trematodes, nematodes, cestodes and arthropods of domestic animals, including milch and other food producing animals.


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Contact: drkk@ijcp.com or emedinews@gmail.com

eMedinewS–PadmaCon 2010 

Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

eMedinewS–revisiting 2010

The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.

NATIONAL SEMINAR ON STRESS PREVENTION (17 – 18 April) Over 500 registrations. 

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris. 

Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)

Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.

Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (7 am–2 pm). There are no registration charges. Stay and food (satvik) is being provided. Voluntary contributions welcome. SMS to Dr KK Aggarwal: 9811090206 or BK Sapna: 9811796962.


Saturday 17th April 2010

2.00 pm – 4.30 pm : Dr KK Aggarwal

4.30 pm – 5.00 pm : Tea

5.00 pm – 6.00 pm : Brahma Kumaris

6.00 pm – 7.00 pm : Inauguration

7.00 pm – 8.30 pm : Brahma Kumaris

8.30 pm : Dinner

Sunday 18th April 2010

7.00 am – 8.30 am : Meditation Session

8.30 am – 9.00 am : Breakfast

9.00 am – 11.00 am : Dr KK Aggarwal

11.00 am – 11.30 am : Tea Break

11.30 am – 1.30 am : Session by Brahma Kumaris

1.30 pm : Prasad, Blessings followed by Lunch

......Farewell for a New Beginning

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Readers Responses

  1. Dear sir: First let me congratulate you for Padma Shri. Really you deserve Padma Vibhushan. Inshallah you will get one day. First time some one forwarded me the journal. It is very informative particularly for GPs, at least for me, working in Saudi Arabia as GP. Some time back I attended many of your seminars at Moolchand while I was on vacation. I, still remember them. How can i receive journal on a regular basis? please tell me. Thanks: Dr. Mohammad Saifullah: Al Adara PHCC: Domat al–Jandal: Al Jouf: Saudi Arabia: 00966502244953.

    eMedinewS Answers: You have been put on our mailing list.

  2. I recommend Bharat Ratna for you but let us go for Padma Shri this time: Rakesh Ranjan

  3. Best wishes for the award. Regards: Shravan Talwar

  4. Respected Dr. K K Aggarwal, congratulations for receiving Padma Shri award. Our nation is proud of you. With best wishes & regards: Sanjay Bhattacharya Antivas Hospital