emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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 & 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

 

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

20th August 2012, Monday

India Alert: Doctor Sentenced to Death for Ordering Unnecessary Scan

This is an extreme (much more than Aamir Khan's programme suggested!) but, a lesson for Indian doctors who keep on ordering scans (and all kind of tests) even before the patients opens his/her mouth, says Prof. Anand N. Malaviya. This judgment would "serve as warning to the medical community.

As per the news published in Medscape, Dr. Philip Bird, a GP in Oxford, Mississippi was sentenced to death by lethal injection for ordering an MRI on a patient with uncomplicated low back pain. The verdict was given under the state's new "get tough" 3-strikes law. Bird twice previously was found guilty of ordering unnecessary scans: a CT for a woman reporting pregnancy-related tension headache and a bone scan for a patient with localized prostate cancer.

3 strikes law

1. Definition: Criminal statutes that mandate increased sentences for repeat offenders, usually after three serious crimes.
2. In early 1990s United States began to enact mandatory sentencing laws for repeat criminal offenders. These statutes came to be known as "three strikes laws," because they were invoked when offenders committed their third offense.
3. The U.S. Supreme Court has upheld three strikes laws and has rejected the argument that they amount to Cruel and Unusual Punishment.
4. Washington passed the first three strikes law in 1993 under which anyone convicted of three separate violent felonies must be sentenced to life in prison with no Parole.
5. California followed, in 1994, by enacting a three strikes law that mandates a sentence of 25 years to life for a third felony conviction.
6. California law counts nonviolent felonies, such as Burglary and theft, as "strike" offenses. By 2001 over 50,000 criminals had been sentenced under the new law, with almost one-quarter of the inmates facing a minimum of 25 years in prison. California's law has drawn the most attention in the debate over three strikes statutes.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal on

Healthy ageing - Eat less to live more

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Seminar was organized jointly by Heart Care Foundation of India and Bharatiya Vidya Bhawan.

 
Dr K K Aggarwal
 
    National News

Clot-buster drug gets DCGI nod for phase-I human trials

India's drug controller has cleared for Phase-I human clinical trials an indigenously- developed pioneering clot-buster medicine to treat heart attack patients. Clot-specific Streptokinase (CSSK), a pioneering biotherapeutic clot buster drug from the CSIR's Institute of Microbial Technology (CSIR-IMTECH), has been cleared yesterday by the Drugs Controller General of India (DCGI) for Phase-One Human Clinical trials, an official statement said. The Chandigarh-based CSIR-IMTECH had licensed the drug to US-based Nostrum Pharmaceuticals in a multi-million dollar deal, a statement from Council of Scientific and Industrial Research (CSIR) said. CSSK, designed by a team led by IMTECH Director Girish Sahni, has been found to be safe in test animals including monkeys. Also, CSSK has already been shown to be efficacious in dissolving the blood clots in monkeys. CSSK is the first in India-patented biopharmaceutical therapeutic protein that will help save the lives of patients of heart attacks, the CSIR said. It added that the drug is also expected to exhibit greatly reduced side-effects, such as internal bleeding often associated with the use of clot busters. "CSIR's achievement in developing a series of clot buster drugs is remarkable as it covers the whole 'inventor/innovation' chain from economically robust process development to obtain affordable modern drugs, on the one hand, and to internationally competitive blockbusters, on the other," CSIR Director General Samir K Brahmachari said. (Source: Business Standard, August 17, 2012)

My Profession My Concern

Professor Suchitra N. Pandit, Kokilaben Dhirubhai Ambani Hospital & Research Centre, Mumbai, Vice President, FOGSI (2008 -2009) on the profession

For comments and archives

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 rebuild the image of the medical profession.

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)

New West Nile threat: Kidney disease

Early in this year's West Nile virus season, the death toll is at 29 and rising. There have been about 700 illnesses reported so far, more than 400 of them serious meningitis or encephalitis. It's an unusually severe West Nile season -- and now there's new evidence that the virus itself may be unusually dangerous. The new threat: kidney disease years after infection. Eight in 10 people infected with West Nile virus don't get sick. At least not right away. A new study finds that even in people who never had serious West Nile symptoms, the virus can burrow deep into the body. Years later, this persistent infection often leads to kidney disease that gets worse and worse over time. (Source: Medscape)

Mepolizumab controls eosinophilic asthma flare-ups

Patients with severe refractory eosinophilic asthma saw the frequency of asthma-related complications, including severe exacerbations, visits to the emergency department, and hospitalizations, cut nearly in half after treatment with mepolizumab. Results of a study, which will be presented September 2 at the European Respiratory Society (ERS) Annual Congress in Vienna, Austria, suggest that mepolizumab also reduces the need for steroid use in patients with eosinophilic asthma. The hallmark of eosinophilic asthma, which affects about one third of all people with severe asthma, is inflammation of lung airways caused by molecules released from eosinophils, cells that are stimulated by interleukin (IL)-5. (Source: Medscape)

LMW heparin may benefit stroke and large artery disease

In acute ischemic stroke patients with large artery occlusive disease (LAOD), treatment with low-molecular-weight heparin (LMWH) within 48 hours of a stroke may reduce early neurologic deterioration (END) by preventing stroke progression. These findings are from a post hoc subgroup analysis of the Fraxiparin in Stroke Study for the treatment of ischemic stroke (FISS-tris) published online August 13 in Archives of Neurology. (Source: Medscape)

Thick cortex offers clue to better memory

Sharp minds in old age correlated with significantly thicker cortical layers in an area of the brain associated with memory and cognitive performance, investigators reported. (Source: Medpage Today)

 
  Twitter of the Day

@DrKKAggarwal:Diet Is Linked To the Diabetes Epidemichttp://blog.kkaggarwal.com/2012/08/diet-is-linked-to-the-diabetes-epidemic/

@DrKKAggarwal: The purpose of getting rid of emotional debt is to find your place in the present.

 
    Spiritual Update

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

Ekam Sat Viprah Bahudavanti

“Vasudhaiva kutumbakam” (whole world is one family) and “Ekam Sat Viprah Bahudavanti” are two basic statements which comes from the ancient Rig Veda and form the fundamentals of Vedic philosophy.

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)

What do you understand by egg donation?

Egg donors are identified and through the process of IVF, eggs are obtained from the donor’s ovaries and donated to the intended recipient. Sperm obtained from the recipient’s partner is used to fertilize these eggs, and embryos are transferred into the recipient’s uterus. If pregnancy occurs, the recipient will have a biological but not genetic relationship to the child; her partner will be both biologically and genetically related.

For comments and archives

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

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

Pre-transfusion check at the time of infusion

  • Send person to collect blood/blood component from blood bank just before transfusion.
  • The person receiving blood/blood component should ensure the maintenance of cold chain during transportation.
  • The transfusionist who administers the blood must check all identifying information immediately before beginning the transfusion, and record on the transfusion form that this information has been checked and found to be correct.
  • The information that must be received and found to be correct is as follows:
    • The name and identification number on the patient’s identification band must be identical with name and number on the form attached to the unit. It is desirable to ask the patient to state his or her name, if capable of doing so.
    • The unit identification number on the blood container and on the form attached to the unit must agree.
    • The ABO and Rh type on the primary label of the donor unit must be same as those recorded on the cross-matching certificate. The recipient’s type and the type of the component may not be identical, but the information on the crossmatching certificate and that on the container label must be the same.
    • The expiration date of the donor unit should be verified as acceptable, before infusion.
    • The interpretation of crossmatching testing must be recorded on the form attached to the unit. If blood was issued before crossmatching tests were completed in emergencies, this must be conspicuously indicated.
    • Result of all transfusion transmissible infection testing should be checked on blood bag label and all these should be nonreactive.
    • The nature of the blood or component should be checked against the clinician’s written order to verify that the correct component and amount are being given.
    • All identification attached to the container must remain attached until the transfusion has been terminated.
    • Visual inspection of blood components viz. hemolysis, change of color, clots or aggregates etc.

Pre-transfusion Counseling

  • Generally the patient becomes more comfortable and less anxious if they know that how the transfusion will be given, how long it will take, the expected outcome, and what symptoms to report.
  • If pre-existing line is used, it should be checked for patency, for signs of infiltration or infection, and mainly for compatibility of fluid with blood or component.

For comments and archives

 
    An Inspirational Story (Ms Ritu Sinha)

Success depends upon maturity!

Maturity is many things. It is the ability to base a judgment on the big picture, the long haul. It means being able to resist the urge for immediate gratification and opt for the course of action that will pay off later.

One of the characteristics of the young is “I want it now.” Grown-up people can wait. Maturity is perseverance–the ability to sweat out a project or a situation, in spite of heavy opposition and discouraging setbacks, and stick with it until it is finished. The adult who is constantly changing friends and changing mates is immature. He/she cannot stick it out because he/she has not grown up.

Maturity is the ability to control anger and settle differences without violence or destruction. The mature person can face unpleasantness, frustration, discomfort and defeat without collapsing or complaining. He/she knows he cannot have everything his/her own way every time. He/she is able to defer to circumstances, to other people-and to time. He/she knows when to compromise and is not too proud to do so.

Maturity is humility. It is being big enough to say, “I was wrong.” And, when he/she is right, the mature person need not experience the satisfaction of saying, “I told you so.”

Maturity is the ability to live up to your responsibilities, and this means being dependable. It means keeping your word. Dependability is the hallmark of integrity. Do you mean what you say-and do you say what you mean? Unfortunately, the world is filled with people who cannot be counted on. When you need them most, they are among the missing. They never seem to come through in the clutches. They break promises and substitute alibis for performance. They show up late or not at all. They are confused and disorganized. Their lives are a chaotic maze of broken promises, former friends, unfinished business and good intentions that somehow never materialize. They are always a day late and a dollar short.

Maturity is the ability to make a decision and stand by it. Immature people spend their lives exploring endless possibilities and then doing nothing. Action requires courage. Without courage, little is accomplished.

Maturity is the ability to harness your abilities and your energies and do more than is expected. The mature person refuses to settle for mediocrity. He/she would rather aim high and miss the mark than low-and make it.

Maturity is the art of living in peace with that which cannot be changed, the courage to change that which should be changed, no matter what it takes, and the wisdom to know the difference.

For comments and archives

 
  Cardiology eMedinewS

Higher CRP Linked to Lower Dementia Risk in Elderly Read More

Plastic Bottles Aggravates Heart Risk Read More

 
  Pediatric eMedinewS

Influenza vaccination schedule for children updated Read More

'Healthy' media use may reduce pediatric sleep problems Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with lung cancer was prescribed lung nosodes.
Dr Bad: It has no role.
Dr Good: Homeopaths prescribe it.
Lesson: Different pathies have different treatments.

For comments and archives

Make Sure

Situation: A patient with LDL cholesterol 100 mg% and hsCRP 3 developed MI.
Reaction: Oh my God! Why was he not put on a statin?
Lesson: Make sure all patients with even normal cholesterol are considered for statins if the CRP is high.

For comments and archives

 
  Quote of the Day (Mr Vivek Kumar)

Cleanliness is the Hallmark of perfect standards and the best quality inspector is the conscience Quality is first engineered; only then it is inspected. JRD Tata

 
    Legal Question of the Day (Dr MC Gupta)

Q. Please answer the following queries:

a. What are the requirements for opening a private hospital in a state such as Punjab?

b. Which authority in a state can inspect private hospitals and act as a watch dog for the same?

Ans.

  1. Many states have regulating acts for clinical establishments. These may be either state Acts (such as the Delhi Nursing Home Act, 1953; West Bengal Clinical Establishments Act, 1950, etc.); or, it may be the Central Clinical Establishments Act, 2010, as applicable to the state concerned. These Acts lay down the requirements for opening a Clinical Establishment. I do not think there is such an Act in Punjab.
  2. In states where no such Act as above is applicable, it is likely that the hospital has to be registered with the health department of the state or the CMO of the district. It is possible that in such situations, there would be certain guidelines or requirements to be complied by the hospitals applying for registration.
  3. The watch dog body for inspecting the hospital is specified in the state Acts referred above. In the absence of such an Act, the CMO of the district would play such a role.

For comments and archives

 
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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Uric acid

Increased: Gout, renal failure, drugs (diuretics), hypothyroidism, chemotherapy, parathyroid diseases, lactic acidosis.

Decreased: Drugs (allopurinol, probenecid), Wilson’s disease, Fanconi’s syndrome.

 
    Mind Teaser

Read this…………………

A man built a rectangular house, each side having a southern view. He spotted a bear. What color was the bear?

Yesterday’s Mind Teaser: What can you hold in your right hand, but not in your left?

Answer for Yesterday’s  Mind Teaser: Your left hand, forearm or elbow.

Correct answers received from: Dr Satya Bhooshan Sood, Dr. P. C. Das, Dr Vinay Nambiar, Dr Jainendra Upadhyay, Dr.(Mrs) Archana Gupta, Dr. Thakor Hitendrsinh G, Dr Avtar Krishan, Dr Pankaj Agarwal, Dr Kanta Jain, Dr Pradip

Answer for 18th August Mind Teaser: Churchill was Prime Minister twice, from 1940 to 45 and from 1951 to 55
Correct answers received from: Dr S. Upadhyaya

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

A Horoscope for The Workplace

Middle Management/Department Management/Team Leaders: Catty, cut–throat, yet completely spineless, you are destined to remain at your current job for the rest of your life. Unable to make a single decision you tend to measure your worth by the number of meetings you can schedule for yourself. Best suited to marry other "Middle Managers," as everyone in your social circle is a "Middle Manager."

 
    Medicolegal Update

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

Medical negligence–Supreme Court decisions in the United States

The implied contract of a physician or surgeon is not to cure…but to treat the case with diligence and skill.

  • In 1832 Connecticut court focused on the word "ordinary". A physician and surgeon, in the performance of his professional duties, is liable for injuries resulting from the want of ordinary diligence, care and skill…"Ordinary" means usual, common…If in the performance of any operation there was a want of ordinary diligence, care, and skill, or if there was carelessness, then the defendant–physician is liable.
  • Twenty–one years later, the Pennsylvania Supreme Court ruled similarly, emphasizing the word "reasonable," in addition to "ordinary."
  • The implied contract of a physician or surgeon is not to cure…but to treat the case with diligence and skill. The question is...whether the doctor had employed such skill and diligence as are ordinarily exercised in his profession… The rule (is) to be reasonable…The law demands…not extraordinary skill such as belongs only to a few men of rare genius and endowments, but that degree which ordinarily characterizes the profession.
  • In 1860, the Supreme Court of Illinois issued its first decision on what constitutes the standard of care of a medical physician. The lawsuit claimed that a physician, who incidentally was represented by a then–practicing attorney named Abraham Lincoln, had been negligent for improperly applying a cast to treat a wrist fracture that had been sustained by the plaintiff.
  • When a person assumes the profession of physician and surgeon, he must be held to employ a reasonable amount of skill and care. For anything short of that degree of skill in his practice, the law will hold him responsible for any injury which may result from its absence. While he is not required to possess the highest order of qualification, to which men attain, still he must possess and exercise that degree of skill which is ordinarily possessed by members of the profession. And whether the injury results from a want of skill or the want of its application, he will, in either case, be equally liable.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Shedding weight improves the relaxation functions of the heart

Shedding extra weight improves the functions of the heart regardless of whether the weight loss comes from eating less or exercising more, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Moderate weight loss, around 10% of the weight, can restore heart's elasticity -- making it easier for the heart to relax between contractions and refill with blood.

With age, the body tissue accumulates collagen fibers, which cause heart muscle and arteries to become stiffer. So over time, the heart starts to take a bit longer to relax between contractions and fill back with blood. Excess weight and obesity, in particular, add to this misery by causing further worsening of the relaxing functions of the heart.

The weight can be reduced by diet alone, exercise alone or both. The end result is improvement in the heart functions so long as one loses weight.

 
    Readers Response
  1. This is ridiculous! If we do not include murder in IPC - does it mean it does not exist? This is Ostrich attitude! Dr. Parimal Shah
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

 
    eMedinewS Special

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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 Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Dr Usha K Baveja