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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 (March 10-13); 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…
eMediTube (videos), eMedipics, eMediSlide, eMediLaw

17th May 2013, Friday

Beware of pharma pushed news in newspapers

Many pharmaceutical companies are hiring PR agencies to push disease management or prevention health stories in newspapers at national level.

The story on behalf of the pharmaceutical company is created by the PR agency who then approaches key opinion leaders as suggested by the pharma and publishes the same story under the name of KOL in the city.

Any story to which we lend our name and photograph may land us into problem under the MCI Act.

It is also possible that the PR agency may send the same story to their state counterparts and get exactly the same story published in various state newspapers under the name of different doctors. So, the same story may appear ad verbatim under the name of different doctors with their photographs in various states.

Sometimes doctors may not even know that a pharma company is behind these stories as they may be approached by a PR agency that will send doctors an article and ask to give their name and photograph against that article and doctor may not be aware that the same article also has been sent to another doctor in another state.

It may also so happen that the PR department of your own hospital may approach you for a story to take your name and photograph. The doctor is under the impression that the story has been developed by their PR department and they are totally unaware that the story has come through another PR agency to their hospital PR department. The hospital PR department is always under pressure to give the target to their management.

The same story being published under different names in any way is unethical and illegal.

I recently came across a story, where a pharma company pushed exactly the same vitamin D article in different states with their photos.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

AHA - ACS update

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

MTNL Organises Cardiac Resuscitation Camp For Its Employees

Inaugurating a series of cardiac resuscitation workshops CPR 10, for employees of Mahanagar Telephone Nigam Limited, Mr A K Garg, Chairman and Managing Director, MTNL and Padmashri & Dr B.C. Roy National Awardee Dr. K K Aggarwal, President, Heart Care Foundation of India.

Dr K K Aggarwal
    National News

Some answers to tobacco control

  1. Treat tobacco as a drug and not as a food
  2. Every pack of cigarette must have a line “It is possible to stop smoking, contact your doctor”.
  3. By law every tobacco selling shop must have small billboard in the shop talking about how to quit smoking or tobacco.
  4. Medical Council of India should include doctors smoking in public place for consideration as unethical act.

Source: National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Disease and Stroke (NPCDCS): TRG 1 meeting on 07.05.2013 at Nirman Bhawan

For comments and archives

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Dr KK Aggarwal as an Anchor, every Thursday 4:30 PM in DD India

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

    Be Human Stop Child Abuse (Team IMA for CMAAO)


The Medicolegal Report should be submitted to the Investigating Officer within 48-72 hours of conducting the examination.

    Valvular Heart Disease Update

What are the most common causes of significant mitral regurgitation in the elderly?

The causes are mitral valve prolapse and ischemic heart disease. Surgery for severe chronic mitral regurgitation is recommended for young asymptomatic patients with early evidence of left ventricular dysfunction but the same is not indicated in patients over age 80 to proceed with surgery unless symptomatic.

(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)

FDA approves new indication for Simponi

The US Food and Drug Administration (FDA) today approved a new indication for the tumor necrosis factor (TNF)-alpha inhibitor golimumab (Simponi, Janssen Biotech): treatment of adults with moderate to severe ulcerative colitis that is resistant to prior treatment or requires continuous steroid therapy. Golimumab is also FDA-approved for the treatment of moderately to severely active rheumatoid arthritis (RA), active psoriatic arthritis, and active ankylosing spondylitis. (Source: Medscape)

Women MI patients sicker than men

Younger female heart attack patients had significantly higher rates of risk factors and generally poorer health than similar-age male patients, data from an international study showed. (Source: Medpage Today)

‘Truly remarkable’ response with combination for melanoma

Combination immunotherapy with ipilimumab (Yervoy, Bristol-Myers Squibb) and the investigational antibody drug nivolumab (Bristol-Myers Squibb) has broken new ground in the treatment of metastatic melanoma, producing durable tumor shrinkage in about half of patients, according to results from a phase I study. (Source: Medscape)

Endometriosis risk higher with lower BMI

Thin women had a greater risk of developing endometriosis than women who were morbidly obese, a large prospective study showed. (Source: Medpage Today)

Crack-prone scissors may burn patients, da Vinci maker says

Intuitive Surgical, the embattled manufacturer of the da Vinci robotic surgical system, warned customers last week that certain versions of its cautery scissors may develop microcracks that could leak electrical energy and inadvertently burn tissue. The instrument in question, EndoWrist Hot Shears Monopolar Curved Scissors, is used to cut and coagulate tissue in a wide variety of procedures, including hysterectomy, prostatectomy, and gastric bypass. (Source: Medscape)

   Twitter of the Day

@DrKKAggarwal: Why in hypothermia the body can be revived even after hours of death? http://blog.kkaggarwal.com/2013/05/why-in-hypothermia-the-body-can-be-revived-even-after-hours-of-death/ …

@DeepakChopra: The secret of creativity http://www.youtube.com/watch?v=D4vt6lONzh4 … #CosmicConsciousness

    Spiritual Update

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

Science behind Regrets

In a US-based study, dying people were asked about their regrets, if any. The top five regrets were:

  1. I wish I had the courage to live a life I wanted to live and not what others expected me to live.
  2. I wish I had worked harder
  3. I wish I had the courage to express my feelings.
  4. I wish I had stayed in touch with my friends.
  5. I wish I had let myself to be happier.

For comments and archives

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

What happens in an egg donation cycle?

In an egg donation cycle, the donor receives fertility medications to stimulate the production of multiple eggs in her ovaries. At the same time, you are given hormone therapy to prepare your uterus to receive the fertilized eggs (embryos). After the eggs are obtained from the donor, they are fertilized in the laboratory with your partner’s sperm. Several days after fertilization, the embryos are transferred to your uterus. Any embryos which are not transferred may be frozen (cryopreserved) for a future cycle.

   An Inspirational Story

Giving Comments about Others

Once an old man spread rumors that his neighbor was a thief. As a result, the young man was arrested. Days later the young man was proven innocent. After being released he sued the old man for wrongly accusing him.

In the court, the old man told the Judge: "They were just comments, didn't harm anyone."

The judge told the old man: "Write all the things you said about him on a piece of paper. Cut them up and on the way home, throw the pieces of paper out. Tomorrow, come back to hear the sentence."

Next day, the judge told the old man: "Before the hearing starts, go out and gather all the pieces of paper that you threw out yesterday."

The old man said: "I can't do that! The wind spread them and I won't know where to find them."

The judge then replied: "The same way, simple comments may destroy the honor of a man to such an extent that one is not able to fix it. If you can't speak well of someone, rather don't say anything."

Giving comments about others have several disadvantages:

  • We become slaves of our words what we have uttered.
  • We lose our own respect in society/colleagues because of doing consistent character assassination.
  • Most of time, we are not sure whether we are right or wrong because being human our judgment can be wrong so we fall in the category of liars.
  • Negative trait of our personality becomes prominent which becomes our character in the long run.

For comments and archives

   Cardiology eMedinewS

If job stress mounts, healthy living may be lifesaver Read More

   Pediatric eMedinewS

Myopia risk lowered when children play outdoors Read More

    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

What are the limitations of polyclonal serum (RIG)?

Difficulties associated with the use of Polyclonal Serum (RIG) samples might consist of:-

  • Batch-to-batch variation.
  • Risk related to the use of human blood products. Because HRIG preparations are of human origin, they need to be treated to minimize the risk of transmission of infectious agents.
  • Difficulties in finding immune donors during sudden mass exposures might lead to a low availability of RIG.
  • Because of discontinued ERIG production by international manufacturers, supply of ERIG relies on regional production.
  • The use of ERIG has raised ethical issues and has been condemned by animal protection groups.
    IJCP Special

Dr Good Dr Bad

Situation: A 50–year–old male came with early morning onset of acidity.
Dr. Bad: Take an antacid.
Dr. Good: Get an ECG done.
Lesson: Onset of acidity after the age of 40 unless proved otherwise is an acute coronary event.

Make Sure

Situation: A patient of gross ascites presents with complaints of difficulty in breathing on lying down.
Reaction: Oh my God! Why did you drain so much ascitic fluid?
Lesson: Make sure to evaluate the patient thoroughly and only moderately tap the ascitic fluid since overenthusiastic tapping can be life–threatening.

  Quote of the Day (Dr GM Singh)

The best thing about dreams is that fleeting moment, when you are between asleep and awake, when you don't know the difference between reality and fantasy, when for just that one moment you feel with your entire soul that the dream is reality, and it really happened.
Johann Wolfgang von Goethe.

    Legal Question of the Day (Dr MC Gupta)

Q. What is the accountability of hospital accreditation agencies as regards deficiencies observed in a hospital accredited by them? Is there anything akin to vicarious liability as the public will expect minimum standards from these hospitals? What does the law say in this regard?


  1. In general, a hospital accreditation agency cannot be held responsible for a deficiency found in a hospital. If I certify a man to be of good character, I cannot be held responsible for a crime committed by him later.
  2. If there is a provable complicity between the hospital accreditation agency and the hospital with the result that false certification is given, legal action would lie against both of them. This would be akin to my being blamed for giving a knowingly false character certificate to a criminal whom I know to be a criminal.
  3. The concept of vicarious liability does not apply here. The hospital is not an agent of the hospital accreditation agency.
  4. If it can be shown that the accreditation claimed by the hospital is false or fraudulent or fake or spurious, the hospital can be sued under section 2(r) (1) (ii) of the Consumer Protection Act, 1986, for falsely representing that the services are of a particular standard, quality or grade.
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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

Photos of Doctor’s Day Celebration

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    Mind Teaser

Read this…………………

Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, Nurse Ernie detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit?

a. A sunken fontanel
b. Decreased pulse rate
c. Increased blood pressure
d. Low urine specific gravity

Yesterday’s Mind Teaser: After trying to conceive for a year, a couple consults an infertility specialist. When obtaining a history from the husband, Nurse Jenny inquires about childhood infectious diseases. Which childhood infectious disease most significantly affects male fertility?

a. Chickenpox
b. Measles
c. Mumps
d. Scarlet fever

Answer for yesterday’s Mind Teaser: c. Mumps

Correct answers received from: Dr.Raghavendra N.Singh, Tukaram Pagad, Dr P K Sahu, Dr.Nageswara Rao, Dr Kanta Jain, Dr Valluri Ramarao, Dr. Bharat Bhushan Aggarwal, Dr.Rohini Dhillon, Dr T A Sudhakar, Dr Anusha Sudhakar, Dr Ayyavoo Erode, Dr Santhakumari, Dr. P. C. Das & Dr. Mrs. S. Das, Dr Gajveer, Rajeev Ardey, Dr.K.V.Sarma, Dr.(Maj. Gen.) Anil Bairaria, Dr shashi saini, Anjoo, Dr Arpan Gandhi, Dr Pankaj Agarwal, Dr Madhu, Dr Vineeta Pande, Fr Dr A J Sanghavi, Dr.K.Raju, Dr Jainendra Upadhyay, Dr. Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, Paean Mehta, Dr.Mahendra Shah, Dr Avtar Krishan, mohit sabli, Dr.Chandresh Jardosh, Dr.Jayashree Sen & Dr.Bitaan Sen

Answer for 15th May Mind Teaser: b. Fluid intake should be approximately equal to the urine output.

Correct answers received from: Muthumperumal Thirumalpillai.

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

A senior citizen said to his eighty-year old buddy:
'So I hear you're getting married?''Yep!'
'Do I know her?''Nope!'
'This woman, is she good looking?''Not really.'
'Is she a good cook?' 'Naw, she can't cook too well.'
'Does she have lots of money?' 'Nope! Poor as a church mouse.'
'Well, then, is she good in bed?''I don't know.'
'Why in the world do you want to marry her then?'
'Because she can still drive!'

    Medicolegal Update

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

When can pregnancies be terminated by Registered Medical Practitioners?

A Registered Medical Practitioner shall not be guilty of any offence under that code or under any other law for the time being in force, if any pregnancy is terminated by him in accordance with MTP Act

  • where the length of the pregnancy does not exceed twelve weeks,
  • where the length of the pregnancy exceeds twelve weeks but does not exceed twenty weeks, if not less than two medical practitioners are of the opinion, formed by doctor in good faith that – the continuance of pregnancy would involve a risk to the life of the pregnant woman or of grave injury to her physical or mental health, or there is a substantial risk that the child, if born, would suffer from such physical and mental abnormalities as to be seriously handicapped.
  • Where any pregnancy is alleged by the pregnant woman to have been caused by rape, the anguish caused by such pregnancy shall be presumed to constitute a grave injury to the mental health of the pregnant woman.
  • Where any pregnancy results as a result of failure of any device or method used by any woman or her husband for the purpose of limiting the number of children, the anguish caused by such pregnancy shall be presumed to constitute a grave injury to the mental health of the pregnant woman.
  • In determining whether the continuance of a pregnancy would involve such risk of injury to the health as is mentioned in sub–section (2), account may be taken of the pregnant women’s actual or reasonably foreseeable environment.
  • No pregnancy of a woman, who has not attained the age of 18 years, or, who, having attained the age of 18 years is a mentally ill person (substituted for "lunatic" by Amendment Act, 2002), shall be terminated except with the consent in writing of her guardian.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

MTNL Organises Cardiac Resuscitation Camp For Its Employees

Inaugurating a series of cardiac resuscitation workshops for employees of Mahanagar Telephone Nigam Limited, Mr A K Garg, Chairman and Managing Director, MTNL, said that the organization plans to provide training in cardiopulmonary resuscitation 10 (CPR 10) to all its employees.

During its first session conducted in two batches in the Company’s Corporate Office at CGO Complex, New Delhi where about 800 employees attended, Shri Garg said that CPR 10 can revive a dead person within the next ten crucial minutes. It is effective in all kinds of sudden and unexpected deaths, and more so in deaths caused due to electric shock and cardiac arrest. Mr Garg said that it is a very important for its employees to learn because of the reason that many times they have to work in close proximity with electrical wirings and installations in Exchanges and at customers premises.

Conducting the practical workshop of CPR 10, Padmashri & Dr B.C. Roy National Awardee Dr. K K Aggarwal, President, Heart Care Foundation of India, said that one does not need to have a medical degree to learn and practice CPR 10: any by-stander can revive a person within ten minutes of a clinical death. Dr. Aggarwal said that the Foundation has named this as “Savitri CPR 10 Mantra”, and as per this mantra – “within 10 minutes of death (the earlier, the better), and at least for the next 10 minutes (the longer, the better), compressing the centre of the chest of the victim with a speed of 10x10 i.e. 100 per minute” by any by-stander/on-looker can bring back the victim from the jaws of death, rather than wailing about the misfortune ! Translated to Hindi, this mantra is – “marne ke dus minute ke andar, kam se kam dus minute tak 10x10 = 100 prati minute ki gati se, apni chhati peetne ke badle mare hue aadmi ki chhati peeto”.!

Mr Garg also announced that with the assistance of Heart Care Foundation of India, MTNL shall be launching a free telephone ring tone which can be downloaded by subscribers on the phone, that will provide step by step instructions on how to revive a person after sudden death.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 50338 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

    Readers Response
  1. eMedinews provides very useful update. DR A. SELVARAJAN IMA VIRDHUNAGAR
    Forthcoming Events
Dr K K Aggarwal
Dr K K Aggarwal

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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