emedinews
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FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA
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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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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Workshop on Stress Management and How to be Happy and Healthy

 
    Dr KK Aggarwal on Social Media …

ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
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  Editorial …

19th June 2012, Tuesday

Life after death

It all depends on the definition of who I am? Am I my physical body, mind, intellect, ego or the soul?

In terms of computer language, my physical body is the hardware; Prana Vayu, the electricity; mind–intellect and ego, are the applications – Word, Excel and Power Point; Udana Vayu the operational software and the soul, the internal internet.

The body merges with the universe after death. The physical body merges with the five elements (the physical body of the universe).

The universe is not made up of only the five elements. It is also made of the spirit or the consciousness or the cloud internet (energized information) called GOD. The same holds true for the human body. The non physical components of human body will therefore merge with the respective components of the cloud internet.

As they mostly consist of energized fields of information (information with the power), they can remain alive for ever as they are based on retrievable information model. It can be explained as – the computer hardware may be dead but the software and the data can be retrieved from the server any time later.

Medically, deaths can be defined as:

  • Heart dead, brain living situation
  • Brain dead, heart living situation
  • Brain and heart dead situation
  • A specific organ death
  • Death of self esteem in a living person
  • Spiritual death or the egoistic state

Heart dead, brain living: This state is called cardiac arrest or sudden cardiac death. It is reversible in the first 10 minutes in normal room temperature and for a prolonged period of time in freezing temperature. The process of revival is called "chest compression cardiac resuscitation". The story of Savitri Satyavan probably relates to the first CPR process in mythology. All examples of revival of dead bodies by Rishi–Munis in mythology probably relate to this situation. This explains that there is full life after cardiac arrest for some time depending on the environment temperature.

Brain dead, heart living: This state relates to the organ transplant definition of brain death. It has been well–explained in terms of Ayurveda and Prasanno Upanishad.

The human body has five types of Prana or air and they are Prana Vayu (respiration, speech, pupillary movements, brain stem reflexes); Apana Vayu (downward expulsive movements like defecation, passing urine, menstruation, etc); Vyana Vayu (heart movements), Samana Vayu (GI movements) and Udana Vayu (brain movements).

After brain death the movements and functions of samana, apana and vyana vayu can remain alive as long as a person is kept artificially alive on oxygen through ventilator. There is a case on record where a pregnant mother who had brain stem death at 6 months of pregnancy was put on oxygen via ventilator till she delivered a live baby by cesarean section.

Brain dead and heart dead: This state talks about the concept of the death of the physical body and not the soul. Katha Upanishad, Bhagavad Gita and Garud Purana have described this in detail. It can also be explained in terms of IT as above. The energized information (sanskara, karmas) of a person can remain alive even after the death of the physical body in the cloud internet model of spirit.

A specific organ death

  1. Tooth can remain alive for some time after it is out of the body. One should not throw away the tooth but carry it to the hospital for re–implantation.
  2. Similarly a finger may not die for hours if accidentally cut. One should carry it to the hospital so that it can be reattached if feasible.
  3. Most organs that are retrieved after brain death remain alive for hours before they are transplanted in next person.
  4. Once blood is taken from a person it can be stored for months before being given to next person.
  5. Claire Sylvia, a professional dancer, who after a heart and lung transplant for primary pulmonary hypertension, developed the characteristics and traits of the donor (change in sexual preferences from male to female, change in the liking of color from red to green and blue, new acquired taste for chicken and beer) talks about the concept of cellular memory and that memory and consciousness can remain alive and even transfer to other persons during transplantation. Bu this does not happen in all.

    The concept of cellular memory has not been accepted in modern medicine. But can be explained by the computer IT model of consciousness.

    The belief that the soul along with the memory changes bodies after the death of physical body in computer terms means that the data of one computer gets transferred to another new updated computer along with the software and the retrievable data. When the new updated software reaches the new body, it may or may not be able to retrieve that data unless the frequency matches to that of the new software with the past data enters to the earlier version of the software. This can happen in the first few years of life or in meditative people.

    This can explain why some people only remember their past lives.

    Why GOD created us with a newer version of software and did not allow us to know our past is so that we can live an independent life. If we knew our past we would be forced to live a life which is linked to our previous births. When you join a new company and get a new computer you keep your old data in a separate hard disk and do not mix it up with the present job data as the jobs may be all together different.

    For example, if a kidney of a person with bad karmas is transplanted to a person with good karma, the automatic transfer of the cellular memory will harm the recipient. GOD who created the cloud internet never wanted the same.

    This is also the reason why is unethical to disclose the identity of organ, egg, sperm donors etc. to the recipients as the transplant is beyond race, cast and religion. A spiritual man can still bear the adversity, but a common man cannot.
  6. One can even be a father after the death of physical body. This is possible by storing the sperms while alive in freezing conditions. Similarly, the eggs can be stored for years.

Death of self esteem in a living person: This is a state of extreme depression in a person.

Spiritual death or the egoistic state: This is a state of extreme egoism with no spirituality left in a person.

Moksha or the liberation: Bhagavad Gita talks about moksha and liberation. Those who believe in the philosophy of rebirth know that once a soul is liberated at death, a person is not reborn. In terms of computer language, that energized memory data is either permanently deleted from the cloud internet or remains in the cloud internet and is not available for modification through transfer to a soul.

For others who believe that hell and heaven are in this birth only, liberation means dying peacefully and without suffering. The theory of rebirth is well described in Bhagavad Gita in Chapter 8. The gist of Lord Krishna’s teaching is:

  1. Whatever you think throughout your life will be your thought at the time of death.
  2. Whatever is the state of mind at the time of death will be the atmosphere you will get in the rebirth. For example if your state of mind is in cruelty at the time of death, you will be born in a cruel family.
  3. If you are relaxed, thinking of God or chanting AUM at the time of death, there are chances your soul will be liberated.
  4. Fire, illumination, daytime, fortnight before the full moon and Uttarayana are the paths for liberation. It means these are the periods/ways for spontaneous positive thinking. From mental health point of view, this knowledge can be converted into medical prescription. Uttarayana means a satvik healthy state of mind and Dakshinayana means a depressed state of mind. Performing and attending to Yagna, sitting in well illuminated light or exposing oneself to the day sunlight can be an adjunct to depression treatment.

During the first fortnight of full moon and during Uttarayana, psychotherapy and counseling invariably work better and the requirement of drugs may get reduced. Uttarayana is also the period for ‘Snana’ (bath); ‘Daan’ (charity); ‘Dhayana’ (concentration), ‘Upwas’ (detoxification) and ‘Sun worship’ (Sunbath).

Rebirth can take time? This means that you may have the data of the dead person in the cloud and not transferred to the new soul for some time. This has often been described by people as that person’s soul is not in peace.

In computer language the cloud internet has two main hard discs: one is ‘hell’ and the other ‘heaven’. The data files in heaven are not transferrable. Only the hell files can be transferred to the new souls. In other words, the new soul in making can download newer version of updated software from the cloud internet along with some data present only in the ‘hell’ hard disc.

For Comments and archives…

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

Indian spices may be a cure for metabolic syndrome

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

A dharna was organized by the Indian Medical Association (IMA) at the Jantar Mantar, New Delhi to protest against the introduction of the National Council for Human Resources in Health (NCHRH) Bill and implementation of the Clinical Establishment Act (CEA).

 
Dr K K Aggarwal
 
    National News

ALL INDIA MEDICAL PROTEST DHARNA AT JANTAR MANTAR

Indian Medical Association & Delhi Medical Association (DMA) organised a MASSIVE MEDICAL PROTEST DHARNA today to protest against   implementation of Clinical Establishment (Registration and Regulation) Act 2010 by the Government and Introduction of proposed National Council for Human Resources in Health (NCHRH) Bill-2011 from 10.00 am to 2.00 pm at Jantar Mantar, New Delhi.

The Massive Dharna was attended by more than 2000 members from medical associations of all over India. Representatives from Ayush, Dental Doctors Association, Homeopathy Associations and other doctors etc.. were also participated in Dharna along with members of DMA’s local branches in Delhi.                           

Dr. Harish Gupta, President, DMA said that the draconian Clinical Establishment Act which has been passed by Central Government was proposed to be adopted by Delhi Vidhan sabha for its implementation in Delhi, in its present form is unwarranted as  when medical profession is already governed by number of acts and Government regulating bodies like Nursing homes Act, MCI etc. which monitor single Doctor Clinic to tertiary care Medical Establishment. 

He further and said that implementation of this act will lead to-

  • License and Inspector Raj.
  • Very Harsh penalties on Medicos to be levied by Non-medicos.
  • Allopathic  medicine system giving more than 80% Health care
  • facilities represented by just three members in National and
  • State Councils.
  • Closure of single doctor clinics and small medical establishments.
  • Medicare cost will increase exponentially directly affecting  the
  • public.
  • Unemployment of doctors will increase as they will hesitate to
  • start new centers.
  • Incharge of companies and Heads of Dept in Govt hospitals would
  • be held guilty without their involvement.

Dr. Vijay Kohli, Hony. State Secretary, DMA said that  proposed National Council for Human Resources in Health (NCHRH) Bill-2011 is going to adversely affect the medical profession and medical education as the National Commission for Human Resources in Health (NCHRH) so formed will be a superarching body on all the Councils of medical profession, which clearly means that the powers of Medical Council of India, Dental Council, Pharmacist Council and Nursing Council etc. will be lost and all these will be governed by the proposed Commission which will be managed by the nominees of the Government and not by elected persons of the medical profession. Action taken by this National Commission won’t be challengeable in any Court of Law.

Dr. D.R. Rai, Hony Secretary General, IMA (Hqs)  demanded that these Anti People, Anti Doctors bills should be introduced and adopted only after necessary amendments. He further said that  this is only start of our agitation on these very important issues. It will be followed by Nation wide Medical Strike on 25th June 2012 in the whole country. 

The proposed act has taken away the power of State Government on an important subject like health which has always been a State subject, damaging the federal structure of Indian constitution and spoiling health care delivery system said Prof. Dr. G.K. Ramachandrappa, National President, IMA (HQS).

Dr. Harish Gupta, President, DMA  said that this proposed act will adversely effect more than one lac doctors from Allopathy, Ayurveda, Homeopathy, Dental Doctors and other Doctors in Delhi alongwith more than 20 lacs Healthcare personnel associated with Medical Establishment in the city.

He further calls upon the Government to heed the voice of medical profession otherwise we will be forced to intensify its agitation in the coming days. :

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
2. Scene/s where medical care and approach has been depicted incorrectly, or
3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to re build the image of the medical profession.

Single blood test to detect 100 genetic disorders

MUMBAI: In what can be called a boon for families with history of genetic disorders, a city lab has recently introduced a single blood test to test over 100 genetic disorders and 500 mutations that a child could be born with. Though few public institutions are offering the test for some of the disorders, the lab claims they are the first to offer such comprehensive test. Super Religare Laboratories (SRL) recently introduced the Universal Genetic Test (UGT). The test, developed by scientists from Stanford, Harvard and MIT, is already a widely accepted one abroad. Explaining the technology Dr BR Das, president – Research and Innovation at SRL said, "The technology in this test scans through a combination of serious and disabling genetic disorders such as SMA, sickle cell anaemia, Beta Thalassemia, along with less serious but equally important metabolic genetic disorders". (Source: TOI, Jun 15, 2012)

For comments and archives

State government to set up a helpline to guide on health issues

BANGALORE: From suicidal tendencies to depression due to marital discord to all health–related issues––– here is help at hand. All you have to do is call 104. The state government will set up this helpline in a couple of months. Modelled on 108 ambulance service, the cabinet meeting on Thursday approved the scheme, where 104 helpline will also provide all kinds of medical consultation over phone to the people in need. The scheme called Health Information Helpline (HiHL) is hugely popular in neighbouring Andhra Pradesh. Information relating to health services both in government and private facilities, details of hospitals including their location, working hours, medical facilities, diagnostic centres and their testing facilities, pharmacies, drug availability, banned drugs, nearest blood banks, blood availability (various groups), donors lists and contact details and information on public health programmes will be made available under the health directory and information service. The callers can report an unusual occurrence of illness or outbreak of any sudden disease and information relating to flood and other natural calamities. The callers can also report on discrepancies in health systems, complaints relating to deficiency of services, negligence, suggestions to improve the system.

How it works: The calls would be screened first. After ascertaining the caller’s health condition, the case would be classified as critical, serious or stable. Trained medical and para–medical staff will attend callers (patients) over telephone and preliminary diagnosis based on patient’s symptoms, advice regarding measures to be taken for minor ailments will be given. The experts will suggest counter drugs like paracetamol, aspirin, antacid preparations, skin ointments among others and also refer cases to specialists. Under medical and health counselling services, medical officers will direct the callers to qualified counsellors to handle conditions like suicidal tendencies, depression, physiological distress, chronic diseases, HIV/AIDS, matrimonial discord.(Source: TOI, Jun 15, 2012)

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

(Contributed by Dr Monica and Brahm Vasudev)

Women have higher genetic risk of Alzheimer’s

A major genetic risk factor for Alzheimer’s disease – the E4 variant of the apolipoprotein E (APOE) gene –– manifests itself more often in women than in men, researchers reported. (Source: Medpage Today)

For Comments and archives…

Changing plate’s colour helps you shed weight

LONDON: Scientists have suggested an easy way out for those who want to shed pounds. They should simply change the colour of their plates. People tend to take more generous helpings when the food they eat is of the same hue as the crockery on which it is placed, says a new study. When foods "blend in" with their background, people serve themselves 20 percent more than if they were serving the same meal on a plate of contrasting colour. In the study, people were given either a red or a white dinner plate and led to one of two buffet tables offering pasta; one in tomato sauce, the other in cream sauce, the Telegraph reports. Those given crockery which "matched" their food – red for tomato sauce, or white for cream sauce – gave themselves helpings between 17 and 22 percent larger than those with plates of contrasting colour. Further, research has established that the average person eats around 92 percent of a portion they serve themselves. The latest study by researchers at Cornell University, US, repeated several times on groups of 60 participants, found the actual colour of the food and plates made no difference; what mattered was the contrast between the two. Study authors said the colour contrast appears to act as a "stop sign" reminding people to think about how much food they were serving. (Source: TOI, Jun 17, 2012)

For Comments and archives…

Rheumatoid arthritis: Doubt cast on alternative therapies

The latest systematic review of randomized, controlled trials (RCTs) of complementary and alternative medicine (CAM) therapies for rheumatoid arthritis (RA) provides little support for the use of some of the more popular CAM treatments to reduce inflammation or pain from this chronic condition. The analysis by Gary J. Macfarlane, MD, and colleagues on behalf of the Arthritis Research UK Working Group on Complementary and Alternative Therapies for the Management of the Rheumatic Diseases was published online June 1 in Rheumatology. (Source: Medscape)

For Comments and archives…

Use of advanced diagnostic imaging increasing

A retrospective analysis revealed that the use of advanced diagnostic imaging among members of integrated healthcare systems increased substantially from 1996 to 2010. For example, the number of computed tomography (CT) examinations nearly tripled during that time, and the per capita radiation exposure from CT quadrupled. Rebecca Smith–Bindman, MD, from the University of California San Francisco, and colleagues published their findings in the June 13 issue of JAMA. (Source: Medscape)

For Comments and archives…

U.S. preventive care can be better, CDC says

Prevention has improved across a range of categories in U.S. healthcare, but not all patients are taking advantage of or being given appropriate preventive care to its fullest extent, CDC researchers said. Less than half of patients with heart disease were prescribed daily prophylactic aspirin, for instance, and a third of eligible adults weren’t current on their colorectal cancer screening between 2007 and 2010, Ralph Coates, PhD, of the CDC, and colleagues reported in the June 15 issue of Morbidity & Mortality Weekly Report. (Source: Medpage Today)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Understanding the Cycle of Universe The existence of universe has been described in the Vedic literature by… http://fb.me/1SThUrrOk

@DeepakChopra: Consciousness conceives governs constructs and becomes the physical universe

 
    Spiritual Update

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

Can a mantra or sound be used as a medicine?

The answer is yes. The difference between a mantra and a sound is that the mantra is an energized sound with medicinal values. There are several aspects of mantra as a sound:

  1. The type of sound matters. It is a well-known that chanting of vowel sounds produces interleukin–2 in the body, which has the same action as that of aspirin and works like a natural painkiller. The chanting of nasal consonants produces delta activity in the EEG and has action similar to a tranquilizer.

For Comments and archives…

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Should you tell your child or not is the most difficult decision

You and your partner should discuss your personal values, culture, religious beliefs, and those of your community. Using a professional, such as a fertility counselor, in these conversations may be helpful. An important question you must weigh is your right to keep information you believe is private from your child against the child’s right to know the circumstances of his/her conception and genetic origins. You may have difficult emotions about infertility and the fact that you had to rely on a donor to build your family. It's important to resolve these feelings-and your thoughts about a child conceived with the help of a donor-before pregnancy and parenthood.

For Comments and archives…

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Special Sets

High–flow sets for rapid transfusion have large filter surface areas, large bore tubing and may have an inline hand pump. Sets designed for rapid infusion devices may also have "pre–filters" to retain particles over 300 microns in diameter and extend the life of standard blood filters "downstream." Gravity–drip sets for the administration of platelets and cryoprecipitate have small drip chamber/filter areas, shorter tubing and smaller priming volumes. Syringe–push sets for component administration have the smallest priming volumes and an in line blood filter that may be inconspicuous. Filters are not ordinarily used for infusion of commercially prepared plasma products such as albumin, but the manufacturer’s instructions should be consulted for specific recommendations.

For Comments and archives…

 
    An Inspirational Story

(Dr GM Singh)

Lesson in Life

Mr. Turtle was walking down the road when he spotted an eagle at the top of a very tall tree. He shouted, "Good Morning, Mr. Crow."

Mr. Crow shouted back down, "Good Morning Mr. Turtle." Mr. Turtle shouted up, "Whatcha doin’ today?" and the answer shouted back down was, "Absolutely nothin’ Mr. Turtle – Absolutely nothin' and loving it."

Well, that sounded pretty good to Mr. Turtle, so he shouted back up, "Do you think I could do that too?" Mr. Crow shouted back down, "I don’t see why not!" So, Mr. Turtle lay down on the side of the road and began doing absolutely nothing.

In 30 minutes a fox came along and ate him.

The moral of the story is: You can get away with doing absolutely nothing, but only if you are really high up.

For Comments and archives…

 
   Cardiology eMedinewS

Daily Aspirin To Prevent Heart Disease May Increase Risk Of GI Or Cerebral Bleeding. Read More

Scar Tissue Becomes Heart Muscle in Mice Read More

 
   Pediatric eMedinewS

Infants at High Risk For Autism Show Abnormal Brain Development
Read More

Single-Leg Casts Effective For Young Pediatric Patients Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 16–year–old female was diagnosed to have calcific lesions in the ventricles on a CT scan.
Dr Bad: This is a typical case of neurocysticercosis.
Dr Good: This is not neurocysticercosis.
Lesson: In neurocysticercosis, the calcification is seen only in the parenchyma and not in ventricles or cisterns.

For comments and archives

Make Sure

Situation: An 18–year– old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. A CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

For comments and archives

 
    Health News Bulletin

Early insulin intake may prevent diabetes, but not heart disorders: Study

The Times of India, Pushpa Narayan

Chennai: Does long–term intake of a special form of insulin prevent diabetes and heart problems, but cause cancer? The debate has been raging in medical circles for long. Now, an international study involving 12,000 pre–diabetics settles two parts of it, but leaves the other open for further research. Results of ORIGIN (Outcome Reduction with Initial Glargine Intervention) study presented in the wee hours of Tuesday at the annual meeting of the American Diabetes Association found basal insulin (known by brand name Lantus) or omega–3 fatty acid (fish oil) did not lower risks of cardiovascular disorders, but delayed the onset of diabetes by 31%. The delaying effect, however, remains open to scientific debate as some experts say it could be because of the good sugar control the pre–diabetics had during the study. The researchers debunked fears that the insulin can cause cancer. The study put to test glargine insulin, a long–acting drug given once a day to help diabetics keep sugar level under control. Unlike normal insulin, glargine has microcrystals that slowly release insulin and hence reduces the risk of low sugar levels. This insulin is nearly three times more expensive than the normal insulin and is used by less than ten percent of insulin users in India. In 2009, a study from Sweden had linked glargine with increased chances of cancer.

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  Quote of the Day

(Dr GM Singh)

Managing is like holding a dove in your hand. Squeeze too hard and you kill it, not hard enough and it flies away. Tommy Lasor

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Liver function tests (LFTs)

  • To screen for, detect, evaluate, and monitor for liver inflammation and damage
  • Periodically to evaluate liver function whenever you are at risk for liver injury, when you have a liver disease or when you have symptoms such as jaundice
 
  Legal Question of the day

(Prof. M C Gupta, Advocate & Medico–legal Consultant)

Q. I have a PG diploma in Geriatric Medicine awarded through distance learning by a deemed university under the UGC Act. The state medical council refuses to add it as an "additional qualification" in the state medical register. My questions are –

1) Is the MMC justified in doing so?
2) If yes, then what is the legal status of the said diploma?

Ans.

  • The SMC is justified. It can add only those qualifications which are recognised by the MCI. For example, the MCI does not recognise distance learning qualifications. Even otherwise, the SMC is not bound to add each and every academic qualification in the register. For example, if I get a PhD in Sanskrit from Delhi University, the SMC would be justified in refusing to add it.
  • Non–registration of a valid qualification by the SMC does not render it invalid.
    • No law prevents you from holding out as:

      Dr. ABC, MBBS, PG-Diploma in Geriatric Medicine (…………University)
    • No law prevents you from holding out as a physician having special knowledge, qualification, experience and interest in geriatrics.

For comments and archives

 
    Mind Teaser

Read this…………………

Nurse Katrina should anticipate that all of the following drugs may be used in the attempt to control the symptoms of Meniere’s disease except:

a. Antiemetics
b. Diuretics
c. Antihistamines
d. Glucocorticoids

Yesterday’s Mind Teaser: Efavirenz given during first trimester causes:

a. Cardiac defects
b. Neural tube defects
c. Cleft lip
d. Skeletal defect

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

Correct answers received from: Dr Sushma Chawla, Dr Avtar Krishan, Dr Kanta Jain, Neural tube defects, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr VALLURRI RAMARAO.

Answer for 17th June Mind Teaser: a. TB–HIV coinfection can be prevented by early treatment of HIV.
Correct answers received from: Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

At a history examination

Examiner: "Mention an important event in 1564."
Examinee (after thinking for a long time): "Shakespeare was born."

Examiner: "Very well, and in 1574?"
Examinee: "Let me think…ah, yes. I know. Shakespeare’s tenth birthday!"

 
  Medicolegal Update

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

Countercoup injury of brain

  • Two types of impact occur on skull and the sound wave elicited by the impact. The first at the site where the force is applied, the second where the advancing segments of the accelerated brain are brought suddenly to rest by the forces that resist its forward motion.
  • Counter coup lesions of the brain were once thought to be caused by the brain moving within the skull in a straight line with the force of the blow striking against its opposite side. But, experiments on mechanics of head injuries have demonstrated these lesions are chiefly due to local distortions of the skull and the sudden rotation of the head as result of a blow, which arouse shear strains or slide produced by the pulling apart of the constituent particles of the brain.
  • Shear strains occur and pull apart the constituent particles of the brain. These are produced in all parts of the brain, but to a large extent at the base of the frontal lobe and the tip of the temporal lobe, as the skull gets a good grip on the brain in this region due to the projecting ridge of the sphenoid bone. Hence, severe and extensive injuries occur in this region with a blow on the occiput.
  • On the other hand, countercoup injuries which are caused by rotation will not occur if the head is so well fixed that it cannot rotate at all when it receives a blow. Cerebral contusions and tears have been reported in autopsy as a result of trauma.

(Ref: Modi’s Medical Jurisprudence, 25th Edition)

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Carbohydrates as substitute to saturated fats not the answer

More than 20 prospective studies have addressed components of diet and the risk of heart disease, stated by Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

The type of fat consumed appears to be more important than the amount of total fat.

Saturated fats and the trans fatty acids increase the risk of heart disease, while polyunsaturated and monounsaturated fats decrease risk.

There is controversy about whether it is optimal to substitute saturated fat with carbohydrate. An increase in carbohydrate tends to reduce the level of good high density lipoprotein (HDL) cholesterol in addition to total and low density lipoprotein (LDL) cholesterol. Thus, the reduction in heart disease risk may be less than predicted by the reduction of saturated fat alone.

Observational studies have consistently shown that individuals consuming diets high in vegetables and fruits (rich in antioxidant vitamins) had a reduced risk of heart disease.

Results of a number of randomized trials are now available and show largely no significant clinical benefits of antioxidant vitamins on heart disease.

Supplemental vitamins C, E, and beta carotene cannot be recommended in the primary prevention of coronary heart disease. Taking supplements without clinical benefits could, in theory, increase the risk if individuals mistakenly avoid therapeutic lifestyle changes or drug therapies with proven benefits.

 
    Readers Response

Letter to Aamir Khan
A letter to an Ignorant Perfectionist


Dear Mr. Aamir Khan

I have been trying hard but cannot get over the fact that you can ‘sell’ ignorance with such ease and honor. Though I agree to ‘parts’ of your show, let’s first get the facts right.

  1. You said patients on dialysis live up to 15–20 years. Fact: The 5 year survival rate of patients on dialysis is about 25–30% (less than many cancers). Renal transplant remains the best available treatment option for chronic kidney disease. (I hope you take responsibility for people who after watching your show plan to not go for kidney transplant and die in less than 5 years)
  2. An overenthusiastic girl from the audience said that her father was forced for an emergency liver transplant ‘6–7 years’ ago for gastroenteritis. Fact: Even today there are’ a handful’ of hospitals in India offering liver transplants. To think that 6–7 years ago, just a gastroenteritis patient was offered liver transplant is not only improbable but technically impossible.
  3. A diabetic patient blamed a doctor for losing a toe.

Fact: Lakhs of diabetic patients per year lose entire limbs due to diabetic foot (cellulitis and gangrene). Doctors go about stepwise cutting off toes, then foot, even the leg up to above knee level in order to save as much limb as possible. The patient in your show might still be able to walk just because of the timely action taken by the surgeon.

Mr. Aamir Khan, I am not getting back at you because I took your show personally. Yes, I agree that there are doctors indulging in shameful malpractices and even I know a few of them. But I can proudly say I am surrounded by more doctors who work day and night just to ensure that their patients get the best possible treatment. The’ BAD’ doctors should be punished and we all can come together to ensure we do not encourage such malpractices.

Secondly I would have appreciated if you would have thrown some light on the entrance examinations and the hard work, dedication and sacrifices a doctor needs to clear his MBBS, MD, DM etc examinations.

I wish you had spent half a day in the emergency department and OPD of a Govt. Hospital and realized that the work timings, working conditions, lunch breaks, doctor: patient ratio, hours of sleep per week, living conditions in the hostel and the stipend is worse than that of a class 4 laborer. You would have also surprisingly realized that the ‘DOCTORS’ are the only ‘FUNCTIONAL’ part of a Govt. Hospital, which still caters to thousands of patients in a day. When you compared statistics of U.K and India, why didn’t you include the salaries, living standards and the doctor: patient ratio the doctors have in developed countries.

Coming to generic drugs, yes, a large amount of rural population should have access to cheap generic drugs. But one should not forget the pharma companies that charge more for the drugs are the ones that spend crores of rupees for research and development of new drugs. Had there not been drug trials no new drugs would have been invented and we would have mortality rates compared to Stone Age.

Also I agree that most doctors endorse certain brands of drugs (which I do not deny may be for some financial gains also) because they have faith in the quality of the ‘active drug’ of certain companies. Yes many local companies manufacture generic products (which is a copy of the original molecule discovered by the expensive company which can be used for unaffordable patients. But you did not mention that many of these generic drugs are of substandard quality and are the reason of many uncalled for deaths due to drug reactions. Most doctors would not want to take responsibility of the quality of the ‘generic’ drugs.

Lastly, what do you mean when you say "People of high IQ and desire to earn money should not become doctors"? Why aren’t doctors allowed to have an ambition?? How can a person who earns 4 crores for an episode of a so–called ‘social’ show decide on what should be an individual’s ambition and financial status!! Why can there be no doctors who earn well for their professional skills and do not indulge in malpractices?!

It just reflects your hypocrisy. I would like to offer a few solutions to the problem.

  • 'BAD' doctors indulging in malpractices should be suspended for life. We need a strong regulatory authority to publish expected treatment 'protocols' and punish doctors found to be doing unethical practices.
  • Regulatory authorities should also keep a check on the quality of drugs being manufactured and at the same time ‘sold’ at the local chemist.
  • Govt. medical colleges and hospitals should multiply several folds, increasing the number of doctors in each department, improving the doctor: patient ratio. Doctor’s salaries and living conditions should be looked after and should be comparable to other professionals.
  • Regular CME'S and licensing exams (like other countries) every 5–10 years.
  • The Govt. should spend 6–8% of GDP ON HEALTHCARE and a part of which should also be committed to the research and development of newer drugs.
  • No politician should be allowed to be associated with any private medical colleges.
  • The general public should be educated well about common diseases and the ‘acceptable’ qualifications of the doctors.

These are just a few points I can think of at the moment. I am sure had you bothered to have a panel discussion and find solutions in a healthy way, we could come up with a lot more viable solutions.

However you chose to sensationalize your show, by hiring ‘few’ people with ‘fake’ or ‘amplified’ problems and shed a few tears.

Hope you understand that your allegations like ‘HAMARE DESH KE DOCTORS ITNE BIMAAR KYUN HAIN’ and ‘MAUT KE SAUDAGAR’ are as serious as calling all actors ‘Rapists’ (after the Shiney Ahuja incident) and all Muslims ‘Terrorists’. Knowing that you twisted not one but not many known medical ‘facts’ to strike a chord with the ‘ignorant’ ‘naive’ audience, how do you expect me to have faith in you and the stories you would project in the upcoming shows. You have betrayed a large segment of the ‘classes’ as well as ‘masses’.

All I can say is that I feel sad for the death of the ‘image’ you created in our minds and hearts. An unbiased Aamir who strives for nothing but the truth and the betterment of the society was after all a MYTH.

Condolences: An honest Doctor.

 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
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