eMedinewS
1st January 2015, Thursday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); 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);
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

eMedinewS wishes its readers a Healthy & Happy New Year 2015

The good and bad about allowing patients to record your conversation with them on smartphone

Most patients today want to record patient-doctor conversation. Our first reaction is often negative. We feel a lack of trust or there is a sense of suspicion about the motive. Could it be that the patient wants to create evidence for a lawsuit? Consented-to audiotape evidence, just like your testimony and your medical record, may be admissible in court.

But there is the other side of the story.

  • The patient may like to record the conversation so that he or she can remember all the details and instructions later.
  • Encouraging patient involvement can aid in greater patient compliance, better patient outcome and better patient satisfaction.
  • Patients forget between 30% and 70% of what their doctor tells them within minutes of leaving the office.
  • Most patients do not understand medical terminology.
  • At the time of the consultation, the patient may be sick as well as anxious and fearful, so comprehension may in fact deteriorate.
  • If the patient receives some bad news, the intense emotions tend to overwhelm his or her capacity to process things logically or intellectually at that time.
  • Many patients report that they have trouble understanding information during appointments.
  • Patients may hear what the doctor is saying without really understanding.
  • There are patients who lack capacity, owing to age or mental impairment.
  • Remember the patient who asks to record you for legal reasons is the one who never asks—and just records you surreptitiously. The one saving grace is that the surreptitious audiotape may not be admissible in court. A consented-to tape is admissible.
  • The new MCI rule any way wants consent to be video recorded.

IMA NEWS

Ministry of Health, Govt. of India is organizing a meeting on ‘Rural Relation of Medical Doctors’ on January 7, 2015 at Nirman Bhawan, New Delhi. IMA will be represented by Dr KK Aggarwal. The others who will be attending the meeting are DGHS, Joint Secretary NRHM, Joint Secretary RCH, President MCI, Secretary (ME) Mumbai, Additional Chief Secretary Shimla, Principal Secretary (ME) Lucknow, Secretary (ME) Karnataka, Principal Secretary (ME) Assam.

IMA in the News

  • Pillai and Aggarwal sworn-in as IMA President and Secretary: Zee News
  • Code of conduct for hospitals, nursing homes soon: Tribune India
  • Why IMA’s new team is a cure-all: The Pioneer
  • The new team at the Indian Medical Association vows to start the New Year with a difference: KV Channel

News around the Globe

  • The US Food and Drug Administration (FDA) has approved diclofenac sodium injection, a proprietary nonsteroidal anti-inflammatory drug (NSAID) for the treatment of mild to moderate pain, and for the management of moderate to severe pain alone or in combination with opioids.
  • High-dose immunosuppressive therapy (HDIT) followed by autologous hematopoietic cell transplant (HCT) can lead to sustained remission in patients with relapsing-remitting multiple sclerosis (RRMS), suggest the interim results of the ongoing HALT-MS clinical trial, reported online December 29 in JAMA Neurology.
  • Sustained increases in sclerostin and bone turnover markers after bariatric surgery may contribute to bone mineral density (BMD) loss, suggests a new report published online in The Journal of Clinical Endocrinology & Metabolism.
  • Tumor volume (pTV) should be used in place of depth of primary tumor invasion (pT) as a prognostic factor for patients with gastric cancer (GC), suggests a new study published online in the European Journal of Surgical Oncology.
  • Anticoagulant or antiplatelet therapy can be continued during the perioperative period in patients having facial plastic surgery without increased risk of serious complications, suggests a large observational study published online in JAMA Facial Plastic Surgery.

Dr KK Spiritual Blog

Be Positive, Be Different and Be Persistent

You should be not only positive, different but also persistent. In ten incarnations of Lord Vishnu, the first is a fish, which indicates to be different in life. The second incarnation is the tortoise, which indicates that you should be different but learn to withdraw when the need arises. The third is a boar which indicates persistence.

The mantra of a successful life is to be positively different and persistent and yet learn to withdraw when the situation arises.

Inspirational Story

The Eagle and the Chickens

Once upon a time there was a large mountain side where an eagle's nest rested. The eagle nest contains four large eagle eggs. One day an earthquake rocked the mountain causing one of the eggs to roll down the mountain, to a chicken farm, located in the valley below. The chickens knew that they must protect and care for the eagle's egg, so an old hen volunteered to nurture and raise the large egg.

One day the egg hatched and a beautiful eagle was born. Sadly, however the eagle was raised to be a chicken. Soon the eagle believed he was nothing more than a chicken. The eagle did what the other chicken did. It scratched in the dirt for seeds. It clucked and crackled. It never flew more than a few feet because that is what the other chickens did. The eagle loved his home and family but his spirit cried out for more. While playing a game on the farm one day he looked to the skies above and noticed an eagle soaring gracefully and majestically in the skies. He asked the chickens: “What is that beautiful bird?” The chickens replied, “That is an eagle. He is an outstanding bird, but you cannot fly like him because you are just a chicken.” So the eagle never gave it a second thought, believing that to be truth. He lived the life of and died as a chicken depriving himself of his heritage because of lack of vision.

What a waste! He was born to win but conditioned to lose.

The same thing is true for most people. The unfortunate part of life is as Oliver Wendall Holmes said, "We don't achieve excellence because of our own lack of vision." Don't let negative people drag you down. Remember that a person's character is not only judged by the company they keep but also by the company they avoid.

Rabies News (Dr A K Gupta)

Is hydrophobia a sign of rabies in dogs?

Hydrophobia is not a sign of rabies in dogs. Rabid dogs can drink water and even swim in water. If a rabid dog is not able to drink water, it is because of paralysis of jaw muscles and not due to hydrophobia.

Cardiology eMedinewS

  • The use of an angiotensin-receptor blocker (ARB) in patients with hypertrophic cardiomyopathy (HCM) does not reduce left-ventricular (LV) mass or fibrosis, although treatment was well tolerated in patients with obstructive and nonobstructive HCM, suggest the results of the INHERIT study published in the Lancet Diabetes and Endocrinology.
  • The US Food and Drug Administration (FDA) has issued a complete response letter (CRL) and denied approval of a fixed-dose nebivolol/valsartan combination tablet for the treatment of hypertension. An FDA advisory panel recommended by a six-to-four vote that the fixed-dose combination medication not be approved for hypertension.

Pediatrics eMedinewS

  • Bilevel positive airway pressure (BiPAP) may do more harm than good for children with acute asthma exacerbation with no signs of impending respiratory failure, suggests a new study published online in JAMA Pediatrics.
  • Punishing children for bedwetting won't solve the problem and may make it worse, suggests a new study published online in Child Abuse and Neglect. Researchers noted that children who were punished for wetting the bed at night were more likely to be depressed and had worse overall quality of life compared to bed-wetters who were not punished.

Quote of the Day

Start by doing what's necessary; then do what's possible; and suddenly you are doing the impossible. Francis of Assisi

Wellness Blog

Hookah as bad as smoking

An hour of puffs from a hookah packs the same carbon monoxide punch as a pack-a-day cigarette habit. Hookahs have grown in popularity in recent years and Hookah bars have appeared in cities all over the world that allow people to smoke these water pipes. Users inhale tobacco smoke after it bubbles through water, a process that some people think filters toxins from the tobacco.

Hammond and a student, in a study published in the Journal of the American Medical Association, recruited 27 students who smoked water pipes for an hour on three different evenings in April 2006. Another five students did not smoke the hookahs but stayed in the room with those who did. The participants abstained from water pipe smoking for 84 hours before taking part in the study; the bowls of their water pipes were filled with water and 10 grams of Al Fakher mu'assal tobacco, and then heated with charcoal. Researchers monitored carbon monoxide in the breath of the participants both before and after the experiment using a machine designed to detect if people are smokers. The exhaled carbon monoxide in participants was an average of 42 parts per million, higher than that reported in cigarette smokers (17 parts per million). The study also found that carbon monoxide levels grew in the room where the subjects smoked hookahs and might reach environmentally unhealthy levels, as determined by the federal government, during longer sessions.

Smoking a water pipe for 45 minutes produces 36 times more tar than smoking a cigarette for five minutes.

ePress Release

Beware of Alcoholic Drinks during the New Year

Just because there are few studies indicating that moderate alcohol consumption is good for heart it should not be a reason for non drinkers to start drinking, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Honorary Secretary General Indian Medical Association.

Indulging into alcohol for the first time is common during New Year's Eve. But once started, it is invariably habit forming. Also, people may often experiment with drugs during the New Year.

Consuming four drinks in one sitting in men (180 ml of 80 proof whisky) and in women (90 ml of 80 proof whisky) is considered a health hazard and can precipitate a dangerous rise in blood pressure or uncontrolled diabetes leading to sudden cardiac death in susceptible individuals.

For those who drink, the safest limit of alcohol is 6 gm per day. However, the current recommendation is, in the absence of contraindication, one can take 10 gm of alcohol in one hour, 20 gm in a day and 70 gm in a week.

Ten gm of alcohol is present in 30 ml of whisky, 50 ml of wine and one bottle of beer. One peg stays in the body for one hour; therefore, it is safe to drive only after one hour of taking a peg. The rough formula is number of pegs taken should be equal to number of hours after which a person should drive.

Alcohol and smoking together are more harmful.

Women should be beware of date rape drugs, which can be given to them in the drinks. Nobody should take any drinks offered by strangers. Date rape drugs are odorless and colorless and if added to drinks can cause a state of mind where the person cooperates for everything but develops complete amnesia about the events that have passed after the effect of the drug passes off.

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at G B S.S.School, Varun Marg, Defence Colony, New Delhi on 22nd December 2014

video of day
press release

Five Things Physicians and Patients should question

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 101090 trained

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

 

IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :

 

Make Sure

Situation: A known epileptic child died of a seizure while swimming.
Reaction: Oh my God! Why was he allowed to swim?
Lesson: Make sure that patients with uncontrolled epilepsy are not allowed to swim.

eMedinewS Humor

Tomatoes

A small boy was looking at the red ripe tomatoes growing in the farmer's garden. "I'll give you my two pennies for that tomato," said the boy pointing to a beautiful, large, ripe fruit hanging on the vine.

"No," said the farmer, "I get a dime for a tomato like that one."

The small boy pointed to a smaller green one, "Will you take two pennies for that one?"

"Yes," replied the farmer, "I'll give you that one for two cents."

"OK," said the lad, sealing the deal by putting the coins in the farmer's hand, "I'll pick it up in about a week."

Twitter of the Day

Dr KK Aggarwal: Heart risks detected by age 7 in overweight kids
Dr Deepak Chopra: Living our lives with love for all beings helps us realize our spirit’s true nature

eMedi Quiz

Isotopic response is seen in scars of which condition

a. Orolabial herpes
b. Herpes genitalis
c. Pyoderma gangrenosum
d. Eosinophilic pustular folliculitis

Yesterday’s Mind Teaser: Ofleck phenomenon is seen due to which component?

a. Joint psoriasis
b. Mucosal psoriasis
c. Nail psoriasis
d. Pustular psoriasis

Answer for yesterday’s Mind Teaser: a. Joint psoriasis

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Poonam Chablani.

Answer for 30th December Mind Teaser: c. Pyoderma gangrenosum

Correct answers received from: Dr Avtar Krishan.

Send your answer to email

medicolegal update

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medical query

medicolegal update

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medicolegal update

medicolegal update
  1. Congratulation to New team of IMA. Dr. P. Banerjee, C. C. Committee Member, Berhampore (W.B.)
  2. It was interesting to read about banning the benefits to the doctors. It may kindly be noted that pharma industry has found a way out from this situation. They pay in the name of hiring the stall in the conference exhibition at inflated rate and in return they distribute coupons of registration to the doctors free of charge. The pharma company has not paid directly to the doctor's registration fee the coupons are provided as if by the conference organizers to the member. This is convenient to both the parties, doctors as well pharma industry. Adding to the above comments, many pharma companies provide health care benefits such as various laboratory tests free of charge to families and friends of doctors and provide free of charge medicine to all of them and many other facilities. Mera Bharat Mahan, Chandrakant.
  3. We witnessed a very impressive installation ceremony and conference at Ahmedabad- NATCON-2014 on 27th & 28th. We wish the New Team all the very best and support and strengthen our IMA at all the time. We assure to carry out all the Programs and Projects from the Head Quarters. "IMA RISE AND SHINE." Dr. C. N. Raja MS DLO FRCS DLORCS, Tamil Nadu
  4. Dear Dr Aggarwal: We are always with you in all your programs. Together we could make a few landmarks during our tenure. I would have loved to attend the 1st Central Council meeting at Delhi but as I developed fever, I came straight way to Patna from Ahmedabad on 28th evening. All my good wishes are with you and all team members. Dr Jitendra Kumar Singh. Vice President, IMA.
  5. The MLQ forum congratulates and welcomes Dr. Marthand Pillai and Dr. K K Aggarwal as President and HSG of the IMA……..
  6. Dear Dr KK Aggarwal, Heartiest congratulation for being installed as Secretary General of IMA. I wish you a great success in all your endeavors in promoting image of the Indian medical fraternity to create a global impact. I am sure you will focus on enhancement of CME on daily, weekly, monthly and yearly basis, medicolegal vigilance, alliance with governmental and non-governmental organization, in policy decisions, creating innovations, alliance with international medical organization, consumer forum, MCI, DMC, medical friendly relationship. Creating working guidelines and safety of doctors in medical establishment, enhancing doctor patient and doctor media relationship. I am sure you will defiantly plan outcome-driven joint medical activity of different medical discipline on regular basis. Your dynamic approach will lift the standards of IMA to a very higher level. I wish you a very happy, blissful, joyful and successful 2015. Dr HK Chopra, President CSI-2015.
  7. First I want to wish you and the new President of IMA all the very best for the next two years. You have succeeded in all you have taken up and I have no doubt that the IMA will play a much more active role in matters of health policy in the country in the future. I assure you that I am always there to help you whenever needed. The idea of taking the Padma Awardees Group as Advisers is brilliant. I was looking forward to coming to the dinner tonight but have developed a bad sore throat and do not want to go out in the cold night. I will of course attend other meetings and will participate in the programs you develop. Once again I wish the new IMA leadership a very successful tenure. Dr Ranjit Roy Chaudhury.
  8. Dear Dr KK Aggarwal, I wish the entire team All the very best. My suggestion for IMA would be to take up a mega project of “Cure in India" in sync with "Make in India". For this we need to have Tax breaks and subsidies for Healthcare. Healthcare should be treated as Infra structure. Retrograde rules of banning transplants on foreign nationals are being introduced. Clinical trials are very difficult now-a-days. New drugs routinely being used overseas not getting Drug Controller Approvals. Service tax should be totally removed from all healthcare activities. Secondly IMA should focus on helping its members. We should focus on Ease of Doing Medical Business and remove hurdles like CPA being used without cause by patients. Import duties on all Medical equipment should be abolished. Octrois on equipments moving into states should be removed. Day Care centers Registrations. TPA's reducing prices. Non Registration of Chemist Shops in Nursing Homes on floors apart from Ground Floor. IMA should become a bigger pressure group for the medicos and take up their day to day issues with the government. Sorry I shall not be able to attend today's meeting but my support is always with you. Warm Regards and a Happy New Year. Dr Mahipal S Sachdev

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