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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 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


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  Editorial …

17th October 2011, Monday

Faculty of all pathy consensus statement at MTNL Perfect Health Mela
held 16th October at Acharya Sushil Ashram organised by
Heart Care Foundation of India and World Fellowships of Religions
in association with Health Dept Govt. of Delhi

I. Dr Pawan Goyal, General Practitioner
II. Dr H.K. Chopra Vice President Elect CSI India
III. Dr Surendra Nath Khanna, (Cardiac Surgeon, Fortis Escorts)
  1. Homoeopathy:-
    I. Dr V K Khanna (Former Principal Nehru Homeopathic Medical College And Hospital)
    II. Dr. Anupam Sethi Malhotra (President (Homoeopathic Cardiologists of India)
    III. Dr. Ameeta Manchanda (Life Style Management Consultant, Visiting Faculty Bakson Homoeopathic Medical College)
    IV. Dr. Anil Singhal, Homoeopathic Consultant
  2. Ayurveda
    I. Dr. B N Sinha (Former Principal Tibia College)
    II. Dr. S V Tripathi (Chief Physician Ayurveda, Moolcahnd Medcity)
    III. Dr. Shashi Bala (HOD, Ayurveda, Moolcahnd Medcity)
    IV. Dr. Rakhi Mehra (Ayurvedic Consultant)
  3. Naturopathy
    I. Dr S N Yadav (H O D, Sewak Ram Naturopathy Centre)
    II. Dr. S K Bhatia, Naturopath, Astrologer and Meditation expert
  4. Acupuncture:-
    I. Dr. R K Tuli (Senior Consultant, Holistic Medicine, Apollo Hospital)
    II. Dr Rajesh Bhayana (Consultant acupuncturist, Yoga & meditation expert)
  5. Vetnary doctor I. Dr. Uday Kakroo
  6. Astrologers:-
    I. Pt. Ashok Aggarwal
    II. Pt Narendra Shri
  7. Dharamgurus:- I. Acharya Dr Sadhvi Sadhna Ji Maharaj
    II. Dr. A.K. Merchant (Head, Bahai Foundation of India, National trustee lotus temple)
    III. Rabbi Ezekiel Isaac Malekar (Priest and Honorary Secretary, Judah Hyam Synagogue)
    IV. Moderator: Dr. K K Aggarwal (Padmashri & Dr. B.C. Roy National Awardee and President, Heart Care Foundation of India)


  • Eat as per your hunger
  • One meal is better than two meals and 2 are better than 3 meals in a day.
  • If two meals than morning meal should be heavier
  • If three meals the dinner should be the lightest.
  • Many religions prefer eating before sun set (Jainism, Judaism)
  • As per naturopathy one should eat as many times a s he passes motion in a day
  • Night food should be taken 3 hours before sleep.
  1. Should we eat gur and chana once a week?
    Consensus: Yes especially for the married women. Eating in fasting state is better. Those who n note at should eat a tablet of iron and folic acid every week to prevent anemia. In astrology it is mentioned to eat gur on Sunday and chana on Saturdays. All agreed that byproducts of gur are harmful like refined sugar etc. Unprocessed gur can even be eaten by diabetics.

  2. Can we eat ice cream after food?
    A: No. One should not combine hot food with ice cold foods

  3. How much transfats one can eat?
    We do not worship GOD with transfats. It is harmful to the body. Natural transfats in fruits and vegetables is OK.

  4. Can one eat proteins supplements for body building?
    No. Natural supplements are ok. Artificial supplements are harmful to the body. Sprouts pulses are good source. N long run they are harmful.

  5. Should one eat eggs?
    Those who aspire a spiritual life or believe in naturopathy or astrology should not eat. During vrats and spiritual fasts also one should not eat eggs. As per Ayurveda eggs are only taken under doctor’s supervision. Also do not eat if your astrologer, religion or doctor has asked you not to eat. Those who eat eggs should not eat more than 2 white of an egg or one egg with yellow in a day.

  6. Can we combine two fruits with each other?
    Naturopathy, Judaism and Bahai’s Faith prohibits combing different fruits together. Water melon should be eaten alone and not combined with other fruits. One must eat seasonal and locally grown fruits only. Yahudi’s eat only one type of fruit at a time. One should not eat preserved fruits. As per homeopathy one can combined different types of fruits.

  7. Can one combine milk with salt?
    In homeopathy there is no restriction. Kashmiri Pandit’s add salt to the tea. Jainism, Judaism and Bahai’s Faith are silent about the issue. Ayurveda and Jain dharma prohibits salt and milk combination. Curd can be added with salt.

  8. Can one eat garlic?
    Those who aspire a spiritual life should not eat. During vrats and spiritual fasts also one should not eat garlic. Most pathies describe its use as a drug (Allopathy, homeopath and Ayurveda). If you have to eat it as a drug it should not be more than a clove. Those who want to eat it for taste can eat it in moderation. Jain dharma disallows it but Judaism and Bahai’s Faith allows it under moderation. As per astrology it is linked to ketu star.

  9. Should one eat cereals every day?
    Spiritual Gurus said it should not be eaten during fasts. Only Sikhs do not observe any fast. As per Ayurveda any change of season it should be avoided. In animals they fast only when they are sick. In Judaism fast is done after 40 years of life.

    The consensus was that one should not eat during fast and one should do 80 fasts in a year.

  10. Can one sat curd at dinner?
    Many religions like Judaism and Bahai Faith are silent about it but all agreed that one should not eat fermented food alone after sunset.

  11. Can one eat fish with milk?
    As per Ayurveda and Judaism it is linked to vitiligo. Judaism prohibits eating fish with curd.

  12. How many meals one should take in a day?
  13. Which foods do not contain cholesterol?
    Plants food is zero in cholesterol.

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 on

Why BP should be kept < 120/80 mm Hg

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011 - All pathy consensuses on prevention of life style disorders

Inauguration of a daylong conference on all pathy consensus on Prevention of Lifestyle Disorders was held on Defence Colony, New Delhi. Over 500 doctors from various pathies – Naturopathy, Ayurved, Homeopathy, Yoga participated.

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook & Twitter


IAP for focus on prevention of pneumonia

More attention should be paid to the control and prevention of pneumonia, a major cause of child mortality in India and several other developing countries, the Thiruvananthapuram chapter of the Indian Academy of Paediatrics (IAP) has said. While a vaccine against bacteria pneumococcus, which causes pneumococcal diseases like meningitis, bacterial pneumonia, middle ear infection and bacteraemia (blood infection), has been available in the Indian market since 2006, its prohibitive cost – nearly Rs. 4,000 per dose – makes it unaffordable to most, IAP Kerala president P. N. N. Pisharody said. He was talking to mediapersons in Thiruvananthapuram on Sunday, on the sidelines of the conference on Pneumococcal Diseases by the local IAP chapter.
(Source: http://www.thehindu.com/news/states/kerala/article2523516.ece)

For comments and archives

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)

World is now vulnerable to food safety issues due to rampant trade: WHO

The world has become more vulnerable to outbreaks of disease caused by contaminated food because of growing global trade, the World Health Organisation (WHO) said on Thursday. Investigating these outbreaks has also become more difficult because food can contain ingredients from around the world and is transported through a complex global supply chain, top WHO officials said. "Outbreaks of food-borne disease have become an especially large menace in a world bound together by huge volumes of international trade and travel," said WHO director-general Margaret Chan at a conference in Singapore on improving preparedness against global health threats. "They are large in their potential in terms of geographical spread often involving multiple countries." One challenge faced by governments worldwide is how to "reduce the health and economic consequences of food-borne diseases," Chan said. (Source: http://www.fnbnews.com/article/detnews.asp?articleid=30706&sectionid=1)

For comments and archives

Baby 7 Billion: Countdown begins for a girl in India

Countdown has begun for the birth of ‘Baby 7 Billion’ in India, says global child rights organisation Plan International. On October 31, the day when the world population is projected to surpass 7 billion, Plan will celebrate the birth of a girl as the world’s 7 billionth child near Lucknow, the capital of India’s most populous state of Uttar Pradesh. The organisation is using the occasion to draw world attention to India’s growing gender gap. The world’s emerging economic superpower, estimated to overtake China to become the most populous nation by 2030, has 7 million girls ‘missing’ from its population. Hundreds of thousands of female foetuses are being terminated in India every year even though sex-selective abortions and use of ultrasound technology for foetal sex-determination are illegal in the country. According to India’s 2011 Census, the ratio of girls to boys has dropped to an all time low since records began. Today, the national figure has fallen to an alarming 914 girls for every 1,000 boys between 0 and 6 years. In some states like Punjab that ratio is as low as 846 girls to 1,000 boys.
(Source: http://www.trust.org/alertnet/news/baby-7-billion-countdown-begins-for-a-girl-in-india)

For Comments and archives

Lab Notes: Eat cabbage for a strong gut

Another reason to eat your greens

Veggies in the cabbage family, from broccoli to bok choy, play a key role in keeping the gut healthy, British researchers reported in Cell. These cruciferous vegetables are an important source of a compound that activates an aryl hydrocarbon receptor (AhR) needed by the specialized intraepithelial lymphocyte immune cells that patrol the intestinal wall. (Source: Medpage Today)

For comments and archives

  Twitter of the Day

@DrKKAggarwal: I posted 14 photos on Facebook in the album "Media Chat 18th MTNL Perfect Health Mela 14th Oct 2011" http://fb.me/1ccESVj2U

@DeepakChopra: Tomorrow is a massive day of Global Occupation #occupywallstreet#getmoneyout. Let's do our part to help create social justice.

    Spiritual Update

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

Science behind Sankalp or Tying Red Sacred Thread-Moli on Hand in any Pooja?

Sankalp: Repeated encounters with any stimuli with any of the five senses can end up with long lasting memory. Once re-conditioned, the same can become embedded in to one’s consciousness and get incorporated in one’s daily life at a subconscious level.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Learning to Get Back Up

Bringing a giraffe into the world is a tall order. A baby giraffe falls 10 feet from its mother's womb and usually lands on its back. Within seconds it rolls over and tucks its legs under its body. From this position it considers the world for the first time and shakes off the last vestiges of the birthing fluid from its eyes and ears. Then the mother giraffe rudely introduces its offspring to the reality of life.

In his book, A View from the Zoo, Gary Richmond describes how a newborn giraffe learns its first lesson. The mother giraffe lowers her head long enough to take a quick look. Then she positions herself directly over her calf. She waits for about a minute, and then she does the most unreasonable thing. She swings her long, pendulous leg outward and kicks her baby, so that it is sent sprawling head over heels.

When it doesn't get up, the violent process is repeated over and over again. The struggle to rise is momentous. As the baby calf grows tired, the mother kicks it again to stimulate its efforts. Finally, the calf stands for the first time on its wobbly legs.

Then the mother giraffe does the most remarkable thing. She kicks it off its feet again. Why? She wants it to remember how it got up. In the wild, baby giraffes must be able to get up as quickly as possible to stay with the herd, where there is safety. Lions, hyenas, leopards, and wild hunting dogs all enjoy young giraffes, and they'd get it too, if the mother didn't teach her calf to get up quickly and get with it. The late Irving Stone understood this. He spent a lifetime studying greatness, writing novelized biographies of such men as Michelangelo, Vincent van Gogh, Sigmund Freud, and Charles Darwin. Stone was once asked if he had found a thread that runs through the lives of all these exceptional people. He said, "I write about people who sometime in their life have a vision or dream of something that should be accomplished and they go to work.

"They are beaten over the head, knocked down, vilified, and for years they get nowhere. But every time they're knocked down they stand up. You cannot destroy these people. And at the end of their lives they've accomplished some modest part of what they set out to do."

For comments and archives

  Fitness Update

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

Essentials of Youthful Aging

The prevalence of obesity and undernutrition only continue to grow despite continued practical advice from nutritionists to eat less and make fruits and vegetables a greater part of our diets. Rampant overeating of the wrong foods characteristic of the average adult in the United States has not afforded increased intake of vitamins and minerals.

On the contrary, clinical and epidemiological studies find that most Americans receive suboptimal intakes of these micronutrients and that most suffer from either undernutrition or are likely to exhibit a moderate deficiency in at least one essential vitamin or mineral.

We are indeed a population that is overfed yet undernourished. Consider these facts:

In 2009, less than 25 percent of U.S. adults consumed five or more fruit or vegetable servings per day (1).

Most Americans receive only suboptimal levels of vitamins and minerals needed to protect long-term health.

Recent evidence suggests that young adults may be deficient in B12 at much higher percentages than previously thought.

Remarkably, vitamin E intake is inadequate in 93 percent of all U.S. adults.

Almost all U.S. adults are extremely low in vitamin D.

Even with dietary supplementation, many U.S. adults do not meet estimated average requirements for vitamins D, A, E, C, and the mineral calcium (see chart) (2).

Experts agree that the incidence of “subclinical,” or moderate nutritional deficiencies, have become far too common. These may cause metabolic and cellular harm over time. While nutrient intakes are high enough to prevent overt, classical symptoms of deficiency states, they are too low for our body’s optimal function (3). For example, vitamin C in the diet may be enough to prevent symptoms of scurvy, but not enough to maximize function as a coenzyme in skin health, or efficient quenching of free radicals, or in keeping the immune system vigilant. Other examples of subclinical or moderate insufficiencies have been described for magnesium, zinc, vitamin E, and vitamin C. Each of these nutrients is necessary to protect our cells and their components.

For comments and archives

    Malaria Update

AC Dhariwal, Hitendrasinh G Thakor, Directorate of NVBDCP, New Delhi

What the National Drug Policy of India says

When is it called a treatment failure?

ACT (Artemisinin-based combination Therapy) is very effective and treatment failures are very rare with it. Most cases of apparent treatment failures will probably be caused by inadequate patient compliance. Therefore, apparent treatment failures should be treated with quinine plus tetracycline or doxycycline or clindamycin for 7 days.

For comments and archives

    Medicine Update

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

After vaccination with Hepatitis B vaccine, which patients require followup testing to check for the response to vaccination?

Persons who remain at risk for HBV infection such as infants of HBsAg–positive mothers, health care workers, dialysis patients, and sexual partners of carriers should be tested for response to vaccination. Postvaccination testing should be performed at 9 to 15 months of age in infants of carrier mothers and 1–2 months after the last dose in other persons. Furthermore, annual testing of hemodialysis patients is recommended since immunity wanes rapidly in these individuals who are at a high risk of continued exposure to HBV.

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Total cholesterol

Total cholesterol has been found to correlate with total and cardiovascular mortality in the 30–50 year age group. Cardiovascular mortality increases 9% for each 10 mg/dL increase in total cholesterol over the baseline value of 180 mg/dL. Approximately 80% of the adult male population has values greater than this, so the use of the median 95% of the population to establish a normal range (as is traditional in lab medicine in general) has no utility for this test. Excess mortality has been shown not to correlate with cholesterol levels in the >50 years age group, probably because of the depressive effects on cholesterol levels expressed by various chronic diseases to which older individuals are prone.

For comments and archives

    Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

Can a critical care specialist (MD, Anesthesia) admit MLC patients?

Any doctor working in the hospital is authorised to admit a patient within the hospital rules. No patient can be denied admission simply because he is an MLC case or because the doctor who has the power to admit is a critical care specialist (MD, Anesthesia). Once an MLC (or any other patient) has been admitted under the care of any doctor, it is his duty to get the advice/consultation from any specialist as necessary (while continuing to be in-charge of the case) or even to transfer the patient to some other ward under care of another doctor as necessary.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A patient was found to have high triglycerides.
Dr. Bad: Stop fat intake.
Dr. Good: Reduce refined carbohydrates.
Lesson: Triglycerides are refined carbohydrates dependent and not fat.

For comments and archives

Make Sure

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA.
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2, an ongoing trial suggest that this intervention is much better than thrombolytic therapy in such patients.

For comments and archives

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  Quote of the Day

(Dr GM Singh)

A society grows great when old men plant trees whose shade they know they shall never sit in.


Practice makes perfect: By constantly practicing, you will become better.

    Mind Teaser

Read this…………………

A 14-year-old girl is referred to the physician for primary amenorrhea. She has never had a menses but does note some cyclic abdominal pain that seems to occur each month. She has no other medical problems and has never had surgery. She takes a multivitamin every day and has no known drug allergies. A thorough evaluation of the patient, including imaging studies, reveals that the patient has Mayer-Rokitansky-Kuster-Hauser syndrome. Which of the following is this patient likely to require, given her condition?

(A) Creation of a neovagina
(B) Creation of breasts
(C) Hormone replacement therapy
(D) Intrauterine device
(E) Medroxyprogesterone acetate injections

Yesterday’s Mind Teaser: Banana and lemon sign is seen in which fetal anomalies:

a. Neural tube defect
b. Hydrops fetalis
c. Twins
d. IUD
e. Down syndrome

Answer for Yesterday’s Mind Teaser: a. Neural tube defects

Correct answers received from: Dr Jainendra Upadhyay, Dr Shahsi, Dr Kavitha, Dr Sunil, Dr Manjuli, Dr Trisha, Dr Prateek, Dr Kavya, Dr Kalash, Dr Priya, Dr Gunjan, Dr Fiza.

Answer for 15th October Mind Teaser: a) Hepatic venous pressure gradient (HVPG)
Correct answers received from: Dr Priya, Dr Santosh, Dr Tapan, Dr Krishna, Dr Yash

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Eyes and nose

1. To remove dust from the eye: pull the eye down over the nose.
2. For nosebleeds, put the nose lower than the body until the heart stops.
3. For a cold: use an agoniser to spray the nose until it drops in your throat.

    Medicolegal Update

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

Obscure autopsy is important in cases where no significant finding are discovered in autopsy

Negative autopsy is very useful in cases where there is no adequate history of death. When in a postmortem examination, if despite all efforts i.e. macroscopic or gross, microscopic chemical and toxicological result could not give conclusive information regarding cause, manner or other required medicolegal aspect of death, then obscure or negative autopsy may provide logical conclusion.

  • Death from fear/fright or shock/cases of post fracture air embolism
  • Death due to lesion in neck as diphtheria, laryngeal bronchitis/swelling of glottis or chocking on food
  • Cases like brown atrophy of heart associated with starvation, asthma or cancer
  • Sickle cell disease/Lesion of adrenal gland/hemorrhage or destruction by tumor
  • I have found negative autopsy to be very informative in death due to distal coronary artery occlusion or coronary arteries spasm

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

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

All pathy consensus on prevention of lifestyle disorders

Inaugurating a day-long conference on all pathy consensus on Prevention of Lifestyle Disorders, Acharya Dr. Sadhvi Sadhna Ji Maharaj, Chairperson of the World Fellowship of Religions, said that such a conference, arriving an all pathy consensus on prevention of lifestyle disorders, was the need of the day. Over 500 doctors from various pathies – Naturopathy, Ayurved, Homeopathy, Yoga participated in the conference. The panelists included Dr. KK Aggarwal, Dr. S.C. Manchanda, Dr. Amita Manchanda, Dr. Anupam Sethi Malhotra, Dr. R.K. Manchanda, Dr. V.K. Chauhan, Dr. V.K. Gupta, Dr. V.K. Khanna, Dr. A.K. Sharma, Dr. B.N. Sinha, Dr. Rakhi Mehra, Dr. Shashi Bala, Dr. S.K. Mishra, Dr. V.K. Tripathi, Dr. S.N. Yadav, Dr. Raman Kapoor, Dr. R.K. Tuli, Shri Ashok Aggarwal, Shri Narender Shri, Dr. Padmesh Dubey, Acharya Dr. Sadhvi Sadhna Ji Maharaj, Shri A.K. Merchant, Sh. Malekar, BK Sapna, BK Sangeeta, Dr. Pranav Pandya. Few of the consensus statements were:

  • One should eat seasonal and locally grown fruits and vegetables.
  • One should not take trans fats.
  • One should avoid fermented food after sunset.
  • One should eat less after the age of 18 to increase longevity.
  • One should exercise everyday.
  • One should go for an annual detoxification of the mind, body and soul process.

For comments and archives

    Readers Response
  1. Dear Dr Aggarwal, I wish to congratulate you for raising this topic. We doctors have become too mechanical and benefit of empathy for the patients because of work load. A premier institute like AIIMS has vast powers and gets direct funds from Govt. I find no reason for this delay in giving appointments. The only thing is taking the help of technology, good management practices and going an extra mile. We have to set our house in order. Before someone else points finger at us, let us introspect. Resident doctors and Consultants are so busy in their work that they cannot devote time to administration. My suggestion is to outsource this work to some IT firm like Infosys to prepare software and to maintain this system in the hospital. But there is a rider and only a doctor can decide the priority and emergency in each case. So a separate priority list is also to be maintained with justifiable reasons for doing so.

    Services of private sector can be taken on contract basis which is already been done by many public sector undertakings like railways. Once the patient has been advised certain test by the doctor like MRI / CT Scan and some therapeutic surgery is to be performed, the same can be done by the private sector which is on roll and the money can be reimbursed to the institution directly. The other option is to increase the posts of non resident consultants on contract basis in each dept where the work load is more. Such consultants can do the where there is need. Since many faculty members of AIIMS are on long study leaves or on deputation. These honorary consultants can fill up the gap. Sincerely: Dr R S Bajaj, Consultant, Paediatrician, Rohini, Delhi.

    Forthcoming Events

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals

for complete programme details

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