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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 and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee 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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

 
  Editorial …

17th June 2011, Friday

Beginning today and continuing over the next few weeks, eMedinewS would feature a series of topics pertaining to Medical Ethics to mark Doctors’ Day.

Doctors’ Day Special

Medical Ethics: Lessons from Vaidya Sushena

A medical doctor is accorded a status next to God as he or she has a duty to heal the sick irrespective of their caste, creed, race or financial status.

The oath taken by every doctor at the time of passing the medical education in MCI ethics declaration (d) says, "I will not permit considerations of religion, nationality, race, party politics or social standing to intervene between my duty and my patient."

The classical description of the duty of a doctor was depicted in the Hindi film ‘Achanak’ by Gulzar in 1973.

In the movie, Vinod Khanna plays the character of an army man who loves his wife intensely. He returns home after the 1971 war to find his wife, actress Lily Chakravarti, involved with his close friend. In a fit of emotion, he kills his wife and her lover. He is sentenced to death but is wounded in an attempt to escape the police. At the hospital he is looked after by a team of doctors (Om Shivpuri, Asrani) and a nurse (Farida Jalal). They work hard day in and day out to save him from the lethal injury only to hand him over to the police chief (Iftikhar) for the due capital punishment. The story ends with the message that the duty of the doctor is to save the dying man and the duty of the policeman is to award the due deserved capital punishment.

Historically, the first known example of medical ethics comes from the story of Ramayana. During the war between Lord Rama and Ravana, Meghnath shot a Brahmastra shakti baan (arrow) that hit Laxmana and he became unconscious.

Vibhishana informed Sri Rama about a physician, Sushena, who lived in Lanka. Hanumana was asked to bring him. He brought Vaidya Sushena, together with his house. Vaidya Sushena, well aware that he was a physician attached to the kingdom of Ravana, and that treating Lakshmana could end up annoying Ravana, took a conscious ethical decision of treating the wounded Lakshmana. He said that only the ‘Sanjivani Booti’ (an herb found only on Sumeru Hill) could save Laxmana. But that herb grew on Himalayas at a great height and needed to be brought before day break. Then Jambavanta reminded Hanumana that only he could bring back the ‘booti’ before sunrise. He said, "Fly across the ocean to Himalaya Mountains and bring back herbs Mritha Sanjivani, Vishalya karani, Savamakarani and Sandhanakarani."

Hanuman went to Sumeru Hill, which was far, far away from the battlefield. There he found several herbs that looked similar to the ‘Sanjivani Booti’. Confused, Hanumana immediately lifted Sumeru Hill in his right hand and flew back to the battlefield in Lanka. Thus, Laxmana was saved by Vaidya Sushena who waited by Lakshaman’s side till Hanuman returned with the remedy.

Both the above depictions relate to the message later described in the classical Hippocratic Oath, traditionally taken by physicians pertaining to the ethical practice of medicine. But today many doctors are ruining the image of the medical profession. They indulge in indiscriminate sex determination, carry out illegal abortions, making people beggars by cutting their hands, making males eunuchs by castrating their private parts, illegal organ trade or getting involved with the criminals and helping them in torturing their captive persons. The classical example is what happened in Iraq.

We should take lessons from the movie ‘Achanak’ and from Vaidya Sushena who stood by his professional duty and acted according to what was right and ethical.

Dr KK Aggarwal
Group Editor in Chief

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  Changing Practice – Evidence which has changed practice in last one year

Aldosterone antagonist in mild heart failure

Pertussis vaccination

  • The ACIP has voted to recommend that a single dose of Tdap vaccine may be given in place of Td for adults aged 65 years and older who have not previously received Tdap.
  • Vaccines containing tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) have been approved since 2006 for booster vaccination in individuals aged 10 to 64 years.
  • The addition of the pertussis component to tetanus/diphtheria booster immunization reduces the incidence of pertussis infection in both vaccine recipients and, more importantly, their infant contacts.
  • In the fall of 2010, the Advisory Committee on Immunization Practices (ACIP) also voted to recommend that a single dose of Tdap vaccine may be given in place of Td for adults =65 years who have not received Tdap.(1,2)
  • This is important for older adults who have close contact with infants (such as grandparents, child care providers and health care providers). These recommendations are expected to be published with the ACIP’s 2011 recommended adult immunization schedule.
 
  eMedinewS Audio PostCard

Dr K K Aggarwal on

whether doctors can take gift from patients

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

Walk for Health

Campaign "Walk for Health" is initialized by Heart Care Foundation of India.

 
Dr K K Aggarwal
 
    National News

Moolchand offers International Post Graduate Program in Emergency Medicine

Moolchand Medcity in partnership with the Ronald Reagan Institute of Emergency Medicine (RRIEM) at the George Washington University, USA will offer 3–year Post Graduate Program in Emergency Medicine. It is amongst the most prestigious international post graduate training programs available in emergency medicine in India. "It is a 3–year Post Graduate Program in Emergency Medicine where we prepare Fellows to practice in the complex and challenging arena of emergency medicine at the highest levels. With regular theory classes, students are posted in the emergency department of Moolchand Medcity as well as in the various critical care areas of the hospital" said Mr. Vibhu Talwar, Chief Operating Officer, Moolchand Medcity. The faculty will provide lectures, seminars, simulations and clinical teaching to the fellows. The quality of the education programs will be maintained through continuous assessments of the fellows and the overall fellowship program.

Course details of Masters in Emergency Medicine: Duration: 3 years, Eligibility criteria: MBBS with internship, registration with Delhi Medical Council; Fee: Rs. 6.75 lakhs (for 3 years). Last date for application: June 23, 2011. On completion, Fellows get a Post Graduate Degree in Emergency Medicine from George Washington University, USA and a certificate in proficiency in healthcare quality standards from Moolchand. Download the prospectus form from www.moolchandhealthcare.com or call at +91 99589 97293.

ITBP conquers tough Himalayan peak

NEW DELHI: Ten members of an Indo–Tibetan Border Police (ITBP) mountaineering team unfurled the Tricolour atop the 7,075–metre Mount Satopanth peak in the Garhwal Himalayas in Uttarakhand on Tuesday morning. The team was led by senior mountaineer Harbhajan Singh. "Mount Satopanth is considered one of the toughest peaks to climb. The most dangerous part is its ridge situated at about 6,300 metres. It requires fixing of ropes by expert mountaineers. This ridge can be crossed only with help of these ropes. The peak was first climbed in 1947 by Andre Roche, a Swiss mountaineer," said an ITBP spokesperson. The expedition was flagged off by ITBP Director–General R. K. Bhatia in Dehra Dun on May 20 as part of preparations for ITBP’s Mount Everest expedition planned for 2012 to commemorate the golden jubilee of its establishment. (Source: The Hindu, Jun 15, 2011)

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology: Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    International News

(Dr Monica and Brahm Vasudev)

Death, diabetes, CV disease risk from prolonged TV watching

Confirmation that sitting in front of the television for prolonged lengths of time has long–term adverse effects has come from a new review of studies showing a direct relation between the amount of television viewing and risk of type 2 diabetes, cardiovascular disease, and all–cause mortality. The review, published in the June 15, 2011 issue of the Journal of the American Medical Association, showed that for every two hours of television watched daily, the risk of diabetes increased by 20%, the risk of cardiovascular disease increased by 15%, and the risk of all-cause mortality increased by 13%. (Source: Medscape)

Response rates in CML with Bosutinib

Updated results have confirmed the efficacy of the experimental agent bosutinib (SKI–606) in the treatment of chronic myeloid leukemia (CML). At 18–month follow–up, bosutinib maintained superior rates of major molecular response (MMR) and cumulative complete molecular response, compared with the standard therapy, imatinib (Gleevec). The results were presented here at the American Society of Clinical Oncology 2011 Annual Meeting. (Source: Medscape)

Nasal spray to fight diabetes in kids

New appropriate–use criteria for echocardiography can better distinguish between appropriate, uncertain, and inappropriate indications than older guidance, researchers found. When the 2011 criteria were applied to echocardiograms at a single center, there were lower rates of uncertain indications (5.3% versus 12.7%) and higher rates of both appropriate (92.6% versus 86.1%) and inappropriate (2.1% versus 1.2%) indications compared with the older criteria, according to Smadar Kort, MD, of Stony Brook University Medical Center in New York. (Source: TOI, June 15, 2011)

Mixed feelings about vaccines among parents

A new survey indicates that most US parents have questions, concerns, or misperceptions about vaccines. The results were described in a study published in the June issue of Health Affairs. (Source: Medscape)

(Dr GM Singh)

How does a hyperthyroid woman’s decision to breastfeed affect treatment?

If antithyroid therapy is required in a patient who is breastfeeding, propylthiouracil is the drug of choice as its excretion in breast milk is one–tenth that of carbimazole. If the dose of carbimazole can be restricted to 15mg daily there will be no significant effect on thyroid function in the infant.

 
   Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC, http://www.isfdistribution.com)

Practicing yoga has long–term benefits, study finds

Long–term yoga practitioners experience less joint pain and fewer headaches, according to a new George Washington University study. Presented at the 58th Annual Meeting of the American College of Sports Medicine and Second World Congress on Exercise is Medicine, the study shows that yoga offers long–term health benefits that cardiovascular exercise and weight training do not. "We surveyed the participants on psychological well–being, as measured by anxiety, depression, coping, mindfulness, perceived stress and general health symptoms," said Brittanie DeChino, lead researcher. The 163 participants from the Washington, DC, area included regular exercisers and long–time yoga practitioners. Researchers found that while both groups reported similar levels of depression and anxiety, the yogis had higher scores for mindfulness and coping skills and lower levels of stress.

 
   Twitter of the Day

@DrKKAggarwal: Losers submit passively to surroundings and events; winners make choices based on what they want to do, have and become.

@SanjivChopra: #QM Observations not only disturb what is to be measured, they produce it

 
    Spiritual Update

Science behind Hanuman Chalisa

How can one maximally benefit from Hanuman Chalisa?

One can get the benefit by understanding its allopathic meaning and following it in life.

 
    An Inspirational Story

(Dr Anupam Sethi Malhotra)

When U look at me, what do U see

A fable from the East tells of an emperor and a zen monk who came face to face for the first time. The emperor ruled over a kingdom that practiced Buddhism and the monk was eager to meet with him, looking forward to sharing tales of enlightenment. But when they met, the emperor decided to test the monk by saying to him: When you look at me, what do you see?

I see a Buddha, answered the monk. And what do you see when you look at me? I see a pig! countered the emperor. Waiting to see the monk’s reaction, he said no more. The monk pondered for a moment, then said: A Buddha sees a Buddha; a pig sees a pig!

 
    Pediatric Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)

Pertussis vaccination

  • The ACIP has voted to recommend that a single dose of Tdap vaccine may be given in place of Td for adults aged 65 years and older who have not previously received Tdap. (November 12, 2010)
  • Vaccines containing tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) have been approved since 2006 for booster vaccination in individuals aged 10 to 64 years.
  • The addition of the pertussis component to tetanus/diphtheria booster immunization reduces the incidence of pertussis infection in both vaccine recipients and, more importantly, their infant contacts.
  • In the fall of 2010, the Advisory Committee on Immunization Practices (ACIP) also voted to recommend that a single dose of Tdap vaccine may be given in place of Td for adults ≥65 years who have not received Tdap.(1,2)
  • This is important for older adults who have close contact with infants (such as grandparents, child care providers and health care providers). These recommendations are expected to be published with the ACIP’s 2011 recommended adult immunization schedule.
 
    Did You Know

(Dr Uday Kakroo)

Astronauts can’t belch – there is no gravity to separate liquid from gas in their stomachs.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient of dengue hemorrhagic fever with minor GI bleed came for evaluation.
Dr Bad: Sister, admit him for platelet transfusion.
Dr Good: Sister, admit him for observation.
Lesson: Minor bleeds do not require platelet transfusion unless the bleeding is profuse and hematocrit is high. No blood transfusion is needed.

Make Sure

Situation: A patient with asymptomatic second degree Mobitz 1 block after PPI developed lead infection.
Reaction: Oh my God! Why was PPI (Permanent pace maker implantation) done?
Lesson: Make sure that PPI is not implanted in patients with asymptomatic second–degree Mobitz I (Wenckebach) AV block.

 
  SMS of the Day

(Dr GM Singh)

The future depends on what we do in the present. Mahatma Gandhi

 
  GP Pearls

(Dr Pawan Gupta)

Measuring CRP or ESR helps to differentiate inflammatory bowl disease from irritable bowl syndrome. (BMJ 2010;341:159–60)

 
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    Medicolegal Update

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

What is the offence of rape within the meaning of law?

  • Lack of consent is a necessary element in every rape. But this does not mean that a person may make sexual contact with a minor or incapacitated person who actually consented. Lack of consent may result from either forcible compulsion by the perpetrator or incapacity to consent on the part of the victim. Persons who are physically or mentally helpless or who are under a certain age in relation to the perpetrator are deemed legally incapable of consenting to sex. In America, rape or sexual assault is divided into degrees: first–, second–, third–, and fourth–degree sexual assault.
  • West Virginia provides an illustration of how rape laws are typically written. In West Virginia, a person is guilty of sexual assault in the first degree when that person engages in sexual intercourse or sexual intrusion with another person and either inflicts serious bodily injury upon anyone or employs a deadly weapon in the commission of the act. Imprisonment for at least 15 years and not more than 35 years and may be fined from $1,000 to $10,000.
  • The second degree of rape is sexual intrusion with another person without that person’s consent, and the lack of consent results from forcible compulsion i.e. physical force that overcomes such earnest resistance as might reasonably be expected under the circumstances; or threat or intimidation, either express or implied, placing the victim or another person in fear of death, bodily injury, or kidnapping or fear by a person under 16 years of age caused by intimidation by another person who is at least four years older than the victim. The punishment for second–degree sexual assault is imprisonment for at least 10 years but not more than 25 years and may include a fine of from $1,000 to $10,000.
  • Third–degree sexual assault is committed when a person engages in sexual intercourse or sexual intrusion with mentally defective or mentally incapacitated, or when a person age 16 years or older has sex with a person who is less than 16 years old and is at least four years younger than the defendant. Third–degree sexual assault is punishable in West Virginia by at least one, but no more than five years in prison and may include a fine of not more than $10,000.

(Ref: Bachman, Ronet, and Raymond Paternoster. 1993. A Contemporary Look at the Effects of Rape Law Reform: How Far Have We Really Come? Journal of Criminal Law and Criminology)

 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

What happens when you take a dosage of Vitamin C?

Shortly after taking a 500 mg dosage of IR ascorbic acid, blood levels of vitamin C shoot way up and then fall down drastically during the first two hours. After that, the blood level plateaus out at approximately 60 to 70 μmol/L of vitamin C for between 8 and 10 hours. Oxidation of LDL in vitro is inhibited by vitamin C concentrations above 40 to 50 µmol/L. Blood plasma ascorbic acid concentrations of more than 60 μmol/L is associated with decreased risk of heart disease and stroke. Taking a 2,500 mg dosage of IR vitamin C results in the same plateau effect, after the first two hours. The only blood saturation difference between a 2,500 and a 500 mg dosage of IR ascorbic acid occurs during the first two hours.

References

  1. Levine M, Rumsey SC, Daruwala R, et al. Criteria and recommendations for vitamin C intake. JAMA 1999;281:1415–1423.
  2. Jialal I, Fuller CJ. Effect of vitamin E, vitamin C, and beta–carotene on LDL oxidation and atherosclerosis. Can J Cardiol 1995;11:97G–103G.
  3. Simon JA, Hudes ES, Browner WS. Serum ascorbic acid and cardiovascular disease prevalence in US adults. Epidemiology 1998;9:316–321.
 
  Rabies Update

(Dr AK Gupta, Author of "RABIES – the worst death")

What are the myths about rabies in India?

The following myths about rabies are very prevalent in India:

  • Some herbal extracts and concoctions will cure rabies.
  • In rural areas, people also resort to witchcraft, magicoreligious practices.
  • Washing of wound can cause hydrophobia.
  • Dietary changes can cure, i.e. shift from vegetarianism to non–vegetarianism or vice versa; stopping consumption of white things etc.
  • A single dose vaccine will prevent rabies.
  • Vaccines are more effective if taken on empty stomach.
  • One should not take bath; eat meat and eggs during vaccination.
  • Gems and stones have magical properties against rabies.

What are the statistics on Rabies and dog bites in India?

  • Each year approximately 7 million people undergo post exposure rabies treatment after a dog bite. An estimated 17 million animal bites occur annually in India.
  • The Association for the Prevention and Control of Rabies in India (APCRI) reported in 2004 that there were 20,565 reported human deaths over the period of one year. Due to misdiagnosis and under–reporting, the actual number of rabies deaths is believed to be higher.
  • Nearly 96% of cases are due to bites from stray, ownerless dogs.
  • About 70% of the victims are children younger than 15 years.
 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Antidiuretic hormone

  • To help detect, diagnose, and determine the cause of antidiuretic hormone (ADH) deficiency or excess
  • To investigate low blood sodium levels (hyponatremia)
  • To distinguish between the two types of diabetes insipidus
 
    Mind Teaser

Read this…………………

A 37–year–old man who is HIV positive is evaluated because of fever and a generalized rash. He has been in his usual state of health until 5 days ago when he suddenly developed a fever, headache, myalgias, and a painful, generalized eruption. The patient has been HIV positive for 1 year, and because he was asymptomatic, elected to postpone antiretroviral medications.

On physical examination, his temperature is 104°F (40°C), blood pressure is 140/86 mm Hg, and pulse rate is 100/min. There is a generalized vesicular–pustular eruption that is most prominent over his right shoulder, right arm, and right upper back, but several lesions are also evident over the rest of his thorax, face, and extremities. On any one part of this body, papules, vesicles, pustules, and scabs are present. Six weeks ago his CD4 lymphocyte count was 300 /μL, and his most recent plasma viral load was 200,000 copies/mL.

Which of the following is the most likely diagnosis?

A. Disseminated herpes zoster
B. Erythema multiforme
C. Molluscum contagiosum
D. Smallpox

Yesterday’s Mind Teaser:
Neuronal degeneration is seen in all of the following except:

1. Crush nerve injury
2. Fetal development
3. Senescence
4. Neuropraxia

Answer for yesterday’s Mind Teaser:
4. Neuropraxia

Correct answers received from: Dr K Raju, Dr Pramod M Kulkarni, Dr Muthumperumal Thirumalpillai,
Dr Surendra Bahadur Mathur, Dr Anil Bairaria, Dr Deepali Chatterjee, Dr Jainendra Upadhyay.

Answer for 13th June Mind Teaser: 2. Arterioles
Correct answers received from: Dr U Gaur, Dr Manjesha, Dr BB Aggarwal, Dr Rashmi Chhibber,
Dr Shashi Saini, Dr Surendra Bahadur Mathur.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

What is financial planning?

Financial planning is a process whereby you will have a road map of your personal and financial life, which will help you to meet all your life’s expenses – both the expected – and the unexpected.

 
    Laugh a While

(Dr GM Singh)

Bloody mess

There was an accident on the motorway today. I tried to help the victims but there was so much blood that I felt sick and had to leave. I’m sure they’ll be okay until a different ambulance gets there.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Vitamin A (oily form) as palmitate 2000IU + Vitamin B1 1mg + Vitamin B2 1mg + Vitamin B6 1.34mg + Vitamin B12 1mcg + Ascorbic acid 33.3mg + Vitamin D3 200IU + Folic acid 0.3mg + Calcium pantothenate 1mg + Niacinamide 15mg + Dibasic calcium phosphate 100mg + Phosphorus 77mg + Ferrous fumarate 50mg + Copper 0.01mg + Potassium iodide 0.0015mg + Heavy magnesium oxide 1mg + Manganese sulphate 0.01mg + Potassium sulphate 1mg + Zinc sulphate 0.15mg Capsule
For the treatment of vitamin deficiency states in adults
23/06/2010
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Gastric bypass procedures

Gastric bypass procedures (GBP) are any of a group of similar operations that first divide the stomach into a small upper pouch and a much larger lower "remnant" pouch and then re-arrange the small intestine to allow both pouches to stay connected to it. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different GBP names. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food.

Gastric bypass is indicated for the surgical treatment of morbid obesity, a diagnosis which is made when the patient is seriously obese, has been unable to achieve satisfactory and sustained weight loss by dietary efforts, and is suffering from co–morbid conditions which are either life–threatening or a serious impairment to the quality of life.

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Treatment of co–occurring depression and alcohol dependence

A randomized trial of outpatients with alcohol dependence and major depression found that combined treatment with naltrexone and sertraline reduced relapse and increased time to heavy drinking compared to either drug individually and to placebo.

 
    Public Forum

(Press Release for use by the newspapers)

 Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Acceptance of gifts likely to damage the integrity of the patient–physician relationship

Will accepting a gift from the patient affect the integrity of the patient–physician relationship? The Medical Council of India is silent on this issue. It only talks about gifts from the Pharma or Healthcare industry, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

As per MCI chapter 6.8.1 in dealing with Pharmaceutical and allied health sector industry, a medical practitioner shall follow and adhere to the stipulations given below:– a) Gifts: A medical practitioner shall not receive any gift from any pharmaceutical or allied health care industry and their sales people or representatives.

However the description of doctors receiving gifts is well described in American Code of Ethics. As per the code (opinion 10.017) gifts that patients offer to doctors are often expressions of appreciation and gratitude or a reflection of cultural tradition, and can enhance the patient–physician relationship.

However AMA ethics caution that some gifts signal psychological needs that require the physician’s attention. Some patients may attempt to influence care or to secure preferential treatment through the offering of gifts or cash. Acceptance of such gifts is likely to damage the integrity of the patient–physician relationship.

Dr Ajay Kumar, Senior Consultant in Gastroenterology and Hepatology, Indraprastha Apollo Hospital said that there are no definitive rules to determine when a physician should or should not accept a gift. However, there are some guidelines:

  • No fixed value determines the appropriateness or inappropriateness of a gift from a patient; however, the gift’s value relative to the patient’s or the physician’s means should not be disproportionately or inappropriately large.
  • One criterion is that the doctor should be comfortable if acceptance of the gift were known to colleagues or the public.
  • Doctors should be cautious if patients discuss gifts in the context of a will. Such discussions must not influence the patient’s medical care.
  • If, after a patient’s death, a doctor should learn that he or she has been bequeathed a gift, the doctor should consider declining the gift if the doctor believes that its acceptance would present a significant hardship (financial or emotional) to the family.
 
    Readers Responses
  1. Dear Dr. Aggarwal, I loved the issue, especially the piece on non–violent communication. Regards: Dr. R.K. Anand
  2. Minimum wages for doctors: Doctors working in charitable institutions and NGOS are paid miserably even less than what one pays to domestic help these days. These institutions get lot of donations which is not passed to the doctors. Don’t you think that some minimum wages on hourly basis should be fixed for them to get some respectability. I hope you will work on this. You are doing a great job towards medical profession. Regards: Dr Aruna Sharma
 
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme
Details <Click here>

………………………………………………………………

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), India

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com

………………………………………………………………

Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at
medifilmfestinhealthmela@gmail.com

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