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Address: 39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: www.ijcpgroup.com

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



 You can download previous issues from www.emedinews.in

19th December Saturday

Dear Colleague,

                                                                                Righteous earning


Hinduism rests on the foundation of dharma, artha, kama and moksha. In order for the society to function, each one of us must perform our dharma i.e perform our appropriate role or function. If we perform our dharma, we will build good karma.


Other goals of our life are wealth and power (artha), pleasure (kama), and release from samsara (moksha). There are appropriate times for seeking each goal. During student life we should think only of dharma. When we get married, raise a family and build a career, we should perform the appropriate dharma but may also seek kama and artha (survival, success and power). Moksha is for the later two phases of life, to help the society.


In order to introduce the four goals of life in our life we should make a list of ten wishes and group them into respective four categories such as

  1. Things I Like (Pleasure, KAMA)
  2. Things I Want (money and power, ARTHA)
  3. Things I Hope to Offer to Society (doing what    s right, dharma) and
  4. Things, which will Give Me Inner happiness (Moksha).  If anyone has a transcendent goal, make a category for that as well.

To enable us follow the best principles of a righteous life we can refer to a variety of texts, which have stood the test of time and hold good even today, these are the Dharmashastra   by Manu; Arthashastra by Kautilya; Kamasutra by Vatsayana and for Mokhsa- the ultimate goal, we have Upanishads and the Yogasutras of Patanjali. From these scriptures are drawn Hindu ethics that help in guiding a person through his daily as well as spiritual journey. The Laws of Manu (Dharmashastra or Manuva Shastra) gives details of societal rules and Artha-shastra of Kautilya details the politics and economics. If practiced together, Dharma and Artha show the way to righteous earning.


Arthashastra or  the Science of Material Gain  or  Science of Polity , was written by Kautilya (Chanakya), a Brahmin minister under Chandragupta Maurya. Interestingly, even though it was written at the end of the fourth century BC, Kautilya ruefully admits that it is just as difficult to detect an official    s dishonesty, as it is to discover how much water the swimming fish drinks. Clearly, things have not changed much since the 4 th century BC!


Kautilya, strongly urges all to adopt the path of ethical earning and he said that those who adopt unethical means of earnings will be able to enjoy their ill-gotten gains only for a period of 10 years as by then the law would have caught up with him by then.


The definition of ethical and unethical changes from period to period (or Yuga to Yuga) depending upon the prevailing societal norms. For instance, in the era of Kaliyuga, what is now considered ok or Chalta hai, may have been frowned upon in the Satyuga.


Broadly speaking, 1% of the society (collective consciousness) constitutes the prevailing Dharma of a society. If more than 1 % of the society is corrupt there will be a decline in the moral standards of the society as a whole.


Unethical ways and means are contagious and just like one bad apple can destroy all the apples in a crate, so too can corrupt practices spread in an epidemic manner unless stringent checks and measures are implemented to bring back satva and dharma.

Dr KK Aggarwal



 Should one wait for the symptoms to get our eye checked?
Regular eye exams are the cornerstone of visual health as people age. Individuals who have a family history of eye disease or other risk factors should have more frequent exams. One should not wait until the vision deteriorates to have an eye exam. One eye can often compensate for the other while an eye condition progresses. Frequently, only an exam can detect eye disease in its earliest stages.

News and Views (Dr G M Singh)

1.Montelukast is not an adequate alternative to oral corticosteroids for children with mild to moderate acute asthma after stabilization in the emergency department, researchers report in the Journal of Pediatrics for December.
2.Inhaled oxygen appears to be a quick, drug free, and effective method for treating the pain associated with cluster headache, new research suggests.
3. Osteoporotic fractures, particularly hip fractures, cause significant morbidity and associated healthcare costs. Lifestyle interventions and pharmacotherapy have been proposed to lower the risk for osteoporosis and fracture.
4.For men, predictors for osteoporotic and hip fracture were age, body mass index, smoking status, recorded alcohol use, rheumatoid arthritis, cardiovascular disease, type 2 diabetes, asthma, tricyclic antidepressant use, corticosteroid use, history of falls, and liver disease.
5. In women, additional predictors were parental history of osteoporosis, use of hormone replacement therapy, menopausal symptoms, gastrointestinal tract malabsorption, and other endocrine disorders.

Asthma Patients: Do They Take Their Inhaled Steroids?
Not according to a recent study in the Mayo Clinic Proceedings. In an observational study performed  good adherence was defined as taking 80% of prescribed doses of inhaled steroids. Only 3.4% of asthma patients met good adherence criteria. The study involved patients covered by commercial insurance in the US. What would the number look like for uninsured patients? And what would be in INDIA. (Mayo Clin Proc. 2009;84(8):675-684)

The surgeon told his patient who woke up after having been operated:  I am afraid we are going to have to operate you again. Because, you see, I forgot my rubber gloves inside you.
Well, if it is just because of them, I would rather pay for them if you just leave me alone.

A doctor and his wife were having a big argument at breakfast.
You are not so good in bed either.
He shouted and stormed off to work.
By midmorning, he decided he would better make amends and phoned home.
After many rings, his wife picked up the phone.
What took you so long to answer?
I was in bed.
What were you doing in bed this late?
Getting a second opinion

Rabies Fact: With the availability of safe and effective tissue culture vaccines, prevention of rabies is virtually assured by immediate and appropriate postexposure treatment. Indian J. Pediatr. 2003 Mar.;70(Suppl. 1) S11 S16.

Funny clinical notes (Dr. Minakshi)
Since she can not get pregnant with her husband, I thought you might like to work her up.

Health Tips ( Dr Prachi Garg)
Help Control Constipation: Suggestions for staying regular:

1. When you feel the need to have a bowel movement, do not put it off.
2. Schedule time each day to have a bowel movement, such as after a meal.
3. Boost your fiber intake.
4. Drink plenty of water    aim for eight glasses each day.
5. Do not rely on laxatives, as taking them too frequently can worsen constipation.
6. Get regular exercise.
7. Avoid sugary and high fat foods that can contribute to constipation. 

News compiled by Dr Brahm and Dr Monica Vasudeva
Obstructive sleep apnea may raise risk for type 2 diabetes.
According to a study published in the Dec. issue of the American Journal of Medicine, obstructive sleep apnea significantly increases the risk for type 2 diabetes independently of other risk factors. Yale University researchers has shown that OSA was significantly associated with an increased risk for type 2 diabetes, with the relative risk for type 2 diabetes increasing by 43 percent for each increased quartile of OSA severity.

Shock of prostate cancer diagnosis may increase likelihood of fatal heart attack.
The shock of being diagnosed with prostate cancer greatly increases the likelihood of a fatal heart attack, according to research published in the journal PLoS Medicine. Men are up to 11 times more likely to die from cardiac problems in the week after being told they have the disease, with younger men and those with no history of heart disease at particular risk. The threat stays high for the first year after diagnosis and the likelihood of suicide is also raised. 

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  medinews: revisiting 2009
IJCP Group is organizing emedinews: revisiting 2009, conference on 10th Jan 2010 at Maulana Azad Auditorium. It will be attended by over 1500 doctors. Topics will be happenings in the year 2009. There is no registration fee however advanced registration is required.  Top experts (Dr KK Aggarwal (revisiting 2009), Dr Naresh Trehan (whats new in cardiac surgery), Dr Ajay Kriplani (surgical cure for obesity and diabetes), Dr Praveen Chandra (left main stenting), Dr Harsh Mahajan (PET Scan), Dr Kaberi Banerjee (all about infertility), Dr N K Bhatia (TTI infections), Dr V Raina ( molecular genetics), Dr Ajit Saxena (ED and male infertility), Dr S C Tewari (Nephrology update), Dr. Ambrish Mithal from Medanta on Diabetes, Dr Vanita Arora (ECG arrhythmias), Dr Subramanium (Co Q 10 a new modality), Dr Neelam Mohan (Paed. Hepatology), and Dr. Sanjay Chaudhary on Eye Update etc) will deliver lectures.

 CME will be followed by lively cultural evening (guest performances by noted singers Shabani Kashyap, Vipin Aneja and top singers of our medical profession Dr Praveen Khillani, Dr and Dr Mrs Subramanium, Dr Lata Tandon, Dr Arti Pathak, Dr Sanjay Chugh (on the drum), Dr Sudipto Pakrasi, Dr Harjeet Kaur, Dr Ramni Narsimhan, Dr Yash Gulati (Anchor) Dr Reshma Aggarwal (Anchor), doctors of the year award, dance and dinner. For registration mail  emedinews@gmail.com. We have crossed 1200 registrations.

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