emedinews
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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

 
  Editorial …

18th April, 2011, Monday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Stop commission and increase the fee

Are TPAs making us corrupt?

The current policies of TPAs, Insurance Laws, empanelment with various public sector undertakings, CGHS, ECHS etc. are making the doctors shift to unethical practices. Here are few examples:

  1. A female patient was admitted with acute disk prolapse with restricted SLR (Straight leg raising) and root pains. She was admitted for observation and possible epidural injection or surgery on SOS basis. She responded to conservative treatment. Her cashless Mediclaim was denied on the grounds that no acute intervention was done. The TPA doctor personally told me that the claim was not passed as no epidural was given nor was any surgery done. He even said that in such cases, one should go for epidural if a cashless is needed. 99% doctors in this situation will get carried away and give an epidural, which otherwise could have been avoided.
  2. A patient was admitted with persistent diarrhea, low blood pressure and dehydration. Following international guidelines, she was treated with oral drugs. She responded to ORS but the cashless mediclaim was denied on the grounds that no IV fluids were given. This clause of Mediclaim is forcing the doctors to start IV drips whether or not necessary.
  3. A patient was admitted with 104 degree persistent fever due to enteric fever. She was treated with continuous tepid cold sponging and a combination of oral antibiotics and anti pyretics. Cashless Mediclaim was denied as no IM antipyretics, IV fluids or IV antibiotics were given. This clause is sending out a wrong message to doctors that no fever should be treated in a hospital without IV antibiotics or without IV fluids.
  4. A patient was admitted in the hospital transferred from an Arabian country for a cardiac intervention. An advance of Rs. 3 lakh was charged. Angiography was done which showed less than 70% blockage. Interventional cardiologist refused to intervene but the agent who brought the patient insisted that the patient has come from Arabian country and intervention had to be done. If one doctor will not do the other will do. A bypass surgery was done, which was not necessary.
  5. Only 1% room rent is allowed in any cashless insurance. But no such clause exists for the doctors' fee. The hospitals which have full time paid consultants charge exorbitant fee taking advantage of this clause.
  6. The insurance clauses are also luring the surgeons to split one surgery into two and charge more money. We have known cases where a hysterectomy was charged as hysterectomy+ oophorectomy + appendectomy + vaginal wall repair.
  7. A loophole in Mediclaim where separate charges are reimbursable for surgeon, anesthesia, anesthetist and operation theatre has resulting in most corporate houses charging more. Initially there were only two charges – surgeon and operation theatre. Operation theatre charges included charges for anesthesia and for anesthetist. Now all four charges are billed separately.
  8. 10-30% overhead charges are billed over and above the total bill which is nothing but commissions paid to the referral doctors or to the agents who are soliciting patients to the corporate hospitals.
  9. A patient’s bypass surgery was done a day before retirement as post retirement, he would be losing his reimbursement benefits. Otherwise there was no absolute indication for bypass surgery.
  10. Most of the known patients get their insurance done after they fall sick and claim reimbursement. For this the only way claim can be managed is with the help of the treating doctors who will have to make false declaration about the sickness.
  11. In many hospitals, CGHS admissions are only allowed for one or two specialties. For example, if a hospital is empanelled only for cardiology, many of the non-cardiac patients will be admitted in intensive coronary care unit showing them as cardiac illness. To justify cardiac admission, unnecessary cardiac tests will be performed and billed.
  12. CGHS pays less than Rs 100 per consultation to OPD and IPD doctors. The loss of revenue to the doctors invariably will be compensated by billing unnecessary investigations or surgeries which are paid reasonably by CGHS. For example, cardiologist will try to cover his consultation through unnecessary angioplasty or putting a stent.

Most of the doctors are honest but the system is so corrupt that most doctors, especially the younger lot, will get lured into this system.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook

 
  eMedinewS Audio PostCard

Rheumatoid arthritis Update

Dr Harvinder S Luthra Speaks on
‘Eye involvement in rheumatoid arthritis’

Audio PostCard
 
    Photo Feature

1st National Conference on Gynae Endocrinology 2011 inaugurated

The 1st Conference of Gyne Endocrinology Society of India was formally inaugurated yesterday by Dr PC Mahapatra, President FOGSI 2011. Dr. KK Aggarwal and Dr Behram Anklesaria were the guests of honor. In the Photo (R to L): Prof PC Mahapatra, Dr Behram Anklesaria, Dr KK Aggarwal, Prof. Dr Alka Kriplani, Dr Neerja Goel and Dr Nutan Aggarwal.

 
Dr K K Aggarwal
 
    PROCEEDINGS OF THE NATIONAL CONFERENCE ON GYNAE ENDOCRINOLOGY - 2011

16th April 2011, Venue: JLN Auditorium, AIIMS, New Delhi
Organized by Gynaecological Endocrine Society of India (GESI) and Department of Obstetrics & Gynaecology, AIIMS In collaboration with FOGSI, ICOG, AOGD, DST

More than 800 delegates from across the country participate

National Conference on Gynae Endocrinology – 2011 was inaugurated yesterday by Prof PC Mahapatra, President FOGSI 2011 who was the Chief Guest. Padma Shri and Dr BC Roy Awardee Dr KK Aggarwal and Dr Behram Anklesaria, President, ICOG were the Guests of Honor. The inaugural lamp was lit by these eminent dignitaries along with Dr Alka Kriplani, Organising Chairperson and Dr Neerja Goel, President, AOGD. Welcoming all delegates and faculty, who had traveled from across the country to be at the conference, Dr Alka Kriplani said that this was the first national conference of GESI. She said that the topics for the presentations had been chosen carefully keeping in mind their relevance in day to day practice. In his address, Dr KK Aggarwal touched upon the difference between professional misconduct and medical negligence. Quoting an example of Binayak Sen Dr Aggarwal said that Does Supreme Court’s bail to Binayak Sen mean that the lower court judges were negligent? To err is human. Supreme Court overruling lower court judgment does not mean that lower court judges were negligent. Even gross errors do not make them guilty. The same is true for the medical profession. We are bound to make errors when treating a patient. If there is a complaint against a doctor and the experts do not agree with the line of treatment, this does not mean that the treating doctor was negligent. Errors of judgment, differences of opinion and deviations from normal practice are not grounds to punish a doctor in the council or in the court. Dr. Behram Anklesaria shared with the delegates of his dream of an ICOG that would be forming guidelines for Indian patients and that we would not be following UK or US guidelines. In his inaugural address, Dr PC Mahapatra said that the time has come for the branching and rebranching of specialty. His message to the audience was "we have come together, let’s stay together to work.” Dr Nutan Aggarwal, Organising secretary proposed the vote of thanks.

Hypothyroidism in pregnancy – diagnosis and management

Thyroid disorders are common in women of reproductive age group. Diagnosis during pregnancy often poses difficulty as many normal symptoms mimic those of thyroid dysfunction. Dr. Sowbarnika R from Chennai elucidated on the diagnosis and management of this very important topic. She said, early diagnosis and treatment is very important to prevent various maternal and fetal complications, which are more pronounced in overt cases. The woman should be counseled to delay pregnancy till a good control of thyroid function is achieved. Serum TSH, FT3 and FT4 should be assessed instead of the total values. Thyroid antibodies should be tested for if autoimmune disease is suspected. Current ACOG guidelines do not recommend universal screening for thyroid dysfunction during pregnancy.

Management of diabetes in pregnancy – current concepts

Dr. Anuradha Khanna, Head, Dept of Obstetrics & Gynecology, BHU, Varanasi presented an overview of the management of a pregnant woman with diabetes and touched upon various aspects of gestational diabetes mellitus, pre existing diabetes. A fasting glucose value of 126 mg/dl and/or casual blood glucose > 200 mg/Dl meet the threshold for diagnosis of diabetes. She emphasized gaining and sustaining patient compliance with target glucose levels. Normal weight women require on an average 1950–2200 kcal per day. Single large meals and food with a large proportion of simple carbohydrates should be avoided.

Patient centric ovulation induction

Dr Kanthi Bansal, Direct, Safal Fertility Foundation, Ahmedabad and Endometriosis Committee Chairperson, FOGSI spoke on various patient centric ovulation induction protocols. She said that the challenges of ovulation induction were to achieve pregnancy in shortest time and to avoid ovarian hyperstimulation syndromes (OHSS) and multiple pregnancies. Patient centric ovulation aims for simple soft stimulation, safe due to less OHSS, comfortable as there are low chances of multiple pregnancies, successful high pregnancy rates. They are also cost effective. Different types of new softer protocols are available viz. natural cycle with hMG + antagonist, clomiphene citrate + hMG/FSH + antagonist, hMG/FSH + antagonist, letrozole + hMG/FSH + antagonist, Short/flare protocol, Microflare/ultra short protocol, minimal stimulation soft protocol.

Controversies

‘WHO Criteria using 75 gm glucose load in diagnosis of gestational diabetes mellitus’

This segment of the conference drew huge crowds along with great participation of the audience. ‘WHO Criteria using 75 gm glucose load in diagnosis of gestational diabetes mellitus’: Speaking for this topic, Dr Abha Singh said that this test is both screening and diagnostic. It causes least disruption to a woman’s daily routine activities. It is also a very cost effective approach and should be adopted in antenatal clinics because gestational as both short term and long term health implications. Speaking against the motion, Dr Ragini Verma, said that she was not against screening but were the WHO criteria appropriate? According to her, the WHO threshold is same for both pregnant and non pregnant women. Also, the diagnosis requires careful substantiation with re testing on another day. There are also monetary concerns.

Some snippets

  • One–step 75 gm OGTT has three times more pick up rate than the 2–step OGTT. It is suitable for Indian setting. GDM and type 2 diabetes mellitus is a real threat; never fail to counsel patient on future risks. Dr Hema Divakar.
  • Can we over come the problems with OHA? Options are: Oral drugs which do not cross the placenta and oral drugs which cross the placenta without causing fetal hypoglycemia, hyperinsulinemia and teratogenic effects. Dr Nirmala Jayasankar.
  • At the present time, there is insufficient evidence to establish definite recommendations on the use of Aromatase inhibitors (Letrozole) as first line for ovulation induction. Dr Bharati Dhorepatil.
  • Controversy: Preservation of ovaries at time of hysterectomy up to 64 years: Incidental fallopian tube cancers were observed when prophylactic salpingo–oophorectomy was done for high risk patients. Following this discovery, salpingectomies promoted instead of tubal ligation and also during hysterectomy. Dr. Shalini Rajaram
 
    National News

Bid to make country a 365–day tourism destination

JAIPUR: A study has outlined a roadmap to make India a 365–day tourism destination focusing both on domestic and foreign visitors. The study calls for strategically marketing alternative tourism products in various states of the country, making travel websites available in foreign and native languages with online booking facilities, creating quality accommodation across all categories in all states, developing tourism circuits on the hub and spoke model and enhancing air connectivity among others. It also suggests augmenting the existing road and rail infrastructure, increasing government spending on tourism infrastructure, infrastructure development through PPP model, establishment of a tourism skills development council and proper collection and analysis of statistical data by state governments. (Source: The Times of India, Apr 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

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Weight training has unique heart benefits, study suggests

Resistance exercise (such as lifting weights) produces a different pattern of blood vessel responses than aerobic exercise, suggesting that it may have specific and important benefits for cardiovascular health, according to a study in the November issue of The Journal of Strength and Conditioning Research, official research journal of the National Strength and Conditioning Association. The journal is published by Lippincott Williams & Wilkins a part of Wolters Kluwer Health, a leading provider of information and business intelligence for students, professionals, and institutions in medicine, nursing, allied health, and pharmacy. "Resistance exercise may offer greater benefits from the increases in blood flow to active muscles and could be implemented as companion to an aerobic training regimen," according to the new study, led by Scott R. Collier, Ph.D., of Appalachian State University, Boone, N.C.

(Dr Monica and Brahm Vasudev)

Study examines impact of bariatric surgery on reduction of UK type 2 diabetes cases

The UK’s first large–scale study on the impact of weight–loss surgery has reported a large reduction in type 2 diabetes and other health problems.

FDA Panel gives thumbs up to sunitinib for pancreatic tumors


The FDA’s Oncologic Drugs Advisory Committee voted 8–2 Tuesday in favor of approving sunitinib (Sutent) to treat advanced pancreatic neuroendocrine tumors.

Combo TB pill yields results similar to separate drugs

A fixed–dose combination of four tuberculosis drugs yielded outcomes comparable to the four drugs given separately, researchers reported. The finding is regarded as a step toward more effective TB control, especially in the developing world, according to Christian Lienhardt, MD, PhD, of the World Health Organization in Geneva, and colleagues.

 
    IJCP Special

Dr Good Dr Bad

Situation: A case of RHD came with signs of CHF and fever with generalized joint pains.
Dr Bad: Give treatment for infective endocarditis empirically along with treatment for CHF.
Dr Good: Do blood culture, ASO, CRP to differentiate between acute rheumatic fever and infective endocarditis along with echo before giving empiric treatment of infective endocarditis.
Lesson: Cause of fever in a case of RHD could either be infective endocarditis or acute rheumatic fever, which should be differentiated and appropriate therapy should be started.

Make Sure

Situation: A patient with large intestinal diarrhea developed sepsis after he was given anti–motility drugs.
Reaction: Oh my God, Why was an antibiotic not given?
Lesson: Make sure that if anti–motility drug is given in a large intestinal diarrhea, it is always given with an antibiotic.

 
    An Inspirational Story

(Dr Prachi Garg)

A tale is told about the Buddha, Gautama (563–483BC), the Indian prince and spiritual leader whose teachings founded Buddhism. This short story illustrates that every one of us has the choice whether or not to take personal offence from another person’s behavior.

It is said that on an occasion when the Buddha was teaching a group of people, he found himself on the receiving end of a fierce outburst of abuse from a bystander, who was for some reason very angry. The Buddha listened patiently while the stranger vented his rage, and then the Buddha said to the group and to the stranger, "If someone gives a gift to another person, who then chooses to decline it, tell me, who would then own the gift? The giver or the person who refuses to accept the gift?" "The giver," said the group after a little thought. "Any fool can see that," added the angry stranger. "Then it follows, does it not," said the Buddha, "Whenever a person tries to abuse us, or to unload their anger on us, we can each choose to decline or to accept the abuse; whether to make it ours or not. By our personal response to the abuse from another, we can choose who owns and keeps the bad feelings."

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation)

How common is infertility?

About 10% of all couples trying to conceive suffer from infertility.

 
    Pediatric Update

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

How does one assess the severity of the croup?

Severity can be assessed by monitoring of the following parameters:

  • Stridor
  • Retractions
  • Cyanosis
  • Heart rate
  • Respiratory rate
  • Mental status
  • Air movement
ijcpgroup
Docconnect
Docconnect
 
    Medicolegal Update

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

Cite the source of the evidence in medical literature

For a document to serve as legitimate evidence in a trial it must exist in the public domain and the degree to which a medical document/literature/book validates the point you are making depends upon the reliability of the document. The author of a document is a witness that you are calling upon to testify.

  • To constitute valid medical testimony, the witness must be identified.
  • Conventions for citing sources are somewhat dynamic. However, at a minimum you should identify the individual, institution, or publication that authored the document and the publication date.
  • When it is not otherwise evident, you ought to make quick reference to the qualifications of the author to lend an air of credibility to the document. Although it is not necessary to read additional information into the records, you must be prepared to provide a complete bibliographic citation if called upon to do so by the court of law or cross lawyer.
 
    Legal Question of the Day

(Dr. M C Gupta)

Why should we think of legal loopholes in the exit exam scheme of the MCI?

Q.
As regards the proposed pre–registration exit test to be conducted by the MCI, if a student fails in this kind of examination he should introspect rather than think about the legal loopholes in the MCI scheme. What are your comments?

Ans: My comments are as follows:

  • The poor student will be too busy preparing hard for the next exam to think of legal loopholes.
  • Even otherwise, since he would be earning nothing, he would not be in a position to pay a lawyer to find out legal loop holes.
  • The legal loop holes that I can think of as a lawyer are as follows:
    a. A duty must be imposed on the university and the college that in lieu for charging fees from students on the implicit assurance that he would be able to earn by practicing medicine on passing the MBBS exam, they must ensure as a guarantee that 100% students would pass the exit exam. However, if the students’ performance during the course of studies is poor, the university and the college should be free to detain the student and not allow him to appear in the MBBS final exam.
    b. A modification must be made in the scheme to provide that the students who pass the final MBBS would be immediately given provisional registration by the MCI for a limited period and that permanent/regular registration will be given only on passing the exit exam.
    c. Failure to pass the exit exam should be deemed to be the result of poor quality education and training given by the college/university. Hence they should be made to provide free further education and training to those students who pass MBBS but fail in the exit exam.
    d. The ideal thing would be to drop the concept of exit exam altogether and to add the exit exam component as additional one or two papers to the existing MBBS final exam, making it mandatory that the student must pass the exit exam component I order to be declared successful in the MBBS exam. This will satisfy everybody without any harm to anybody. Such a scheme can be easily devised jointly by the three parties concerned—the MCI; the university; and the medical college.
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

What are the calorie reductions for an obesity diet plan?

The average diet for obesity cuts 500 to 1,000 calories a day. Cutting 500 calories a day from a diet should result in weight loss of about one pound a week. However, eliminating too many calories can actually endanger your health — the U.S. National Library of Medicine (2010) recommends that a woman’s lowest calorie intake be 1,200 calories per day, and that males should not eat less than 1,500 calories each day.

In spite of this, a severely restricted diet is sometimes recommended for people who are morbidly obese. Such diets, characterized by caloric counts as low as 500 to 800 calories, should only be attempted if approved and supervised by a qualified medical professional. Attempting extremely low–calorie diets alone is not recommended, and can be dangerous. Always doctor and dietician should be consulted before beginning a diet plan.

 
    Mind Teaser

Read this…………………
(Dr GM Singh)

YYUB

Yesterday’s Mind Teaser: YYUR

Answer for Yesterday’s Mind Teaser: Too wise you are

Correct answers received from: Dr Meera Rekhari, Dr Chandresh Jardosh, Dr K Raju

Answer for 16th April eQuiz: d
Correct answers received from: Dr Binit Sureka, Dr Anupam

Send your answer to ijcp12@gmail.com

 
   Laugh a While

(Dr. GM Singh)

Man: I want a divorce. My wife hasn’t spoken to me in six months.
Lawyer: Better think it over. Wives like that are hard to get!

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Iron deficiency anemia

In iron deficiency anemia (IDA), the serum iron concentration is reduced, and the level of transferrin (also measured as total iron binding capacity (TIBC)) is elevated; the latter finding reflects the reciprocal relationship between serum iron and transferrin gene expression in most nonerythroid cells.

 
    Medi Finance Update

Prof. Dr. S. Arulrhaj, MD, FRCP(Glasg)

When we match Developed Nations in Military & Education why not in Health.

Health Budget has been marginally increased for 2009 – 2010 Rs. 19,534 to Rs. 22,300 crore in 2010 – 2011. Of this Rs. 2766 crores major expenditure will go for conducting annual Security to prepare the Health Profile of all Districts under NRHM.

Developed Nation spend 7–9% of GDP on Health.

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Lidocaine Patch 350mg (Additional Pack Size)
For the relief of pain associated with post-herpetic neuralgia. It should be applied only to intact skin.
17/06/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Optimal rate for patients in atrial fibrillation

One should go for a lenient rate control goal of <110 beats/min, compared to a stricter rate control goal of <80 beats/min and heart rate during moderate exercise <110 beats per minute, for patients in atrial fibrillation in whom a rate control strategy has been chosen. The randomized RACE II trial showed no significant difference between the two groups in the primary composite outcome (cardiovascular death, hospitalization for heart failure, and stroke, systemic embolism, bleeding, and life–threatening arrhythmic events) at three years.

(Dr Vinay Sakhuja)

Latin Quotes

Ad perditam securim manubrium adjicere.

To throw the helve after the hatchet. (To give way to despair)

 
    Quote of the Day

(Dr GM Singh)

Without a rich heart, wealth is an ugly beggar. Ralph Waldo Emerson

 
    Readers Responses
  1. Dear Sir, I read the article about Quackery in the issue of 14th April 2011. Quackery is supported by Qualified Doctors who are Registered in MCI and State Medical Register. We the Qualified doctors promote Quackery. We are like beggars. How? To raise our income we entertain quacks, we visit their clinics and nursing homes requesting them to refer patients, we invite them in the banquette, paying the commission calling it as a token of appreciation. Because of this reason in any antiquackery movement, doctor are not united. Secondly, we the qualified doctors accept the encroachment on our pathy. We never approach the FDC to stop honoring the prescription of Bogus Doctors i.e. quacks. So, we need ANNA to fight against quackery but our consent must be Granted. Dr. Ghanshyam A. Umre
  2. Dr Aggrawal, Bravo for taking up the corruption issue in medical profession. Commissions today decide your business success and not caliber. Professional fees in private seeking and getting commissions can be termed incentives in business. However, those employed in Govt sector or private and getting a salary and seeking commission is definitely CORRUPTION. I have experienced as told by patients that a Doctor at such and such hospital threw away the report as it was not carried out by X Institution/ center of his choice, despite the fact that inital doctor was better qualified, experienced and from the best institution. I have seen that patients from Govt Hospitals are sent far away for investigations rather than nearby place. Doctors/hospital staff/technicians come asking for commissions with records of patient sent. In Corporate hospitals, doctors forget the Hippocrates oath. They become tools for income generation. Unfortunately the rich and insured feels safer at these places. Than there is price cutting by Quacks competing with qualified Doctors. Thanks and best of luck: Dr Anil Varshney, AV Healthcare Centre, Malviya Nagar, New Delhi
 
    Public Forum

(Press Release for use by the newspapers)

Guidelines about eating

Malnutrition and wrong dietary habits have been identified as major risk factors for ill health, including heart attacks. Most people below the poverty line suffer from malnutrition due to lack of calories, proteins and vitamins in their food. In the affluent society, overeating or eating wrong food leads to overnutrition, a form of malnutrition leading to heart blockages.

In this context, the Heart Care Foundation of India has formulated guidelines about eating said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India. These include:

  1. Eat only when you are hungry.
  2. Do not eat for pleasure, social obligations or emotional satisfaction.
  3. Eat at a slow pace.
  4. Eat less; dinner less than lunch.
  5. Take small mouthfuls each time, chew each morsel well, swallow it and only then take the next morsel.
  6. Do not eat while watching television, driving a car or watching sports events. The mind is absorbed in these activities and one does not know what and how much one has eaten.
  7. Do not talk while eating and never enter into heated arguments. The stomach has ears and can listen to the conversation. It will send signals accordingly to the mind and heart.
  8. Plan and decide in advance what and how much you are going to eat.
  9. Use low fat or skimmed mild dairy products. For cooking, use oils which are liquid at room temperature.
  10. Do not take red meat, if you are a non-vegetarian. You may take poultry meat or fish.
 
    eMedinewS Special

1. eMedinewS audio lectures (This may take a few minutes to open)

2. eMedinewS ebooks (This may take a few minutes to open)

HCFI
Activities eBooks


  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

Pesticides Safely

  Towards Well Being

 

 
    Situation Vacant

Vacancy for a post of Consultant in Pediatric ICU at Medanta – The Medicity Hospital, Sector –38, Gurgaon.
Interested candidates may please contact: drneelam@yahoo.com/9811043475.
*Eligibility: Post MD/DNB/DCH

 
    Forthcoming Events

May 7–8, 2011, National Seminar On Stress Prevention
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: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com

………………………………………………………………

September 30 – October 02, 2011; XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Highlights of Pre – Conference CME: Case based learning experience & audience interaction, Maximum 250 delegates for CME will be accepted, who will be divided in 5 batches and will rotate to different halls every 90 minutes. The topics are:(A) Right heart pressures & functions (From basics to newer methods (RV anatomy, echo views, echo assessment of RV function, prognostic impact of RV function) (B) Carotid Doppler: How do i assess and interpret in my daily practice.: Technical tips (Anatomy of the vessel, views of ultrasound scanning, Normal & abnormal Doppler hemodynamics, how to measure IMT) (C) Valvular stenosis: Assessment, limitations and their solution: (Anatomy of the valves, 2–D findings of stenotic lesions, quantitation of lesion, limitations) (D) How do I assess and report ventricular dyssynchrony in my lab. (What is ventricular dyssynchrony, what are the types of dyssynchrony, in whom, when & why do we assess it, various echo methods to assess it ) (E) Live 3–D Echo: Protocol for acquisition. How to slice and get full information. Aim is that by end of the day, every participant is well conversant with all the topics
Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231/Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246
worldcon2011@in.kyoni.com, www.worldcon2011.org

………………………………………………………………

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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Naveen Dang, Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta