PSA>3 do biopsy
Two large trials of prostate cancer screening have now been published, they are European Randomized Study of Screening for Prostate Cancer (ERSPC) and United States Prostate, Lung, Colorectal and Ovarian Cancer (PLCO) Screening Trial. Prostate cancer screening with PSA does reduce mortality, but that many screened patients with cancer will end up being treated with morbid therapies while only a few will have improved outcomes. Based on these trials, suggestions for how to screen have changed for men who decide they desire screening. These include a lower PSA cutoff (3 ng/mL) for referral for biopsy, less frequent screening intervals (every two to four years), and a suggestion not to perform digital rectal examination as part of screening.
MEDINEWS Doctor of the year award
IJCP group will starting 10th Jan 2010 this year, every year on second Sunday of January, will award 20 medinews Doctor of the Year Award to eminent doctors who have done outstanding work in the previous year (2009 for this year). The award will be distributed during a day long CME: MEDINEWS 2009 revisiting the year 2009. This will be a yearly event. The award will carry a citation, shawl, coconut kalash, scenery and a memento.
DMC election for the 9th post of DMA representative to DMC
The election will be held on Friday 23rd at DMA hall 9-4PM. All DMA members can vote. DMA representative is lijme your lawyer to DMC as his job is to save you in DMC at all costs. The contestents are Dr Ashwini Dalmiya DMA Secretary ( is youngest of all and currently the sitting DMA secretarey for the last two terms) and Dr HC Gupta. Make sure that if you are a DMA memebr you go and cast your vote.
India: JCI Accreditation Hospitals
Apollo Hospital, Chennai; Apollo Hospital, Hyderabad; Asian Heart Institute, Mumbai; Fortis Hospital, Mohali; Indraprastha Apollo Hospital; Satguru Partap Singh Apollo Hospital, Punjab; Shroff Eye Hospital, Mumbai; Wockhardt Hospital, Mumbai; Wockhardt Hospital, Bangalore and Grewal Eye institute Chandigarh.
Letter to the editor
Dear KK, Thanks for your regular updates. I relate the use of Sildenafil (Viagra to remain on its promoter list) to the use of a whip to a failing horse. Instead of understanding the plight of the failing horse and taking remedial action, you use the whip that takes him a few steps further and so on, till the horse collapses and you have to look for crutches (prosthetics) to enable him stand again. (Dr Ravi Tuli)
Influenza A (H1N1) 2009 Monovalent Vaccine
Influenza A (H1N1) 2009 Monovalent Vaccine is an inactivated influenza virus vaccine indicated for active immunization of persons ages 18 years of age and older against influenza disease caused by pandemic (H1N1) 2009 virus. Company: CSL Limited; Novartis Vaccines and Diagnostics Limited; Sanofi Pasteur, Inc.; MedImmune LLC.
Five Million Lives
Protect patients from five million incidents of medical harm. To achieve this, ONE SHOULD IMPLEMENT THE FOLLOWING. The 5 Million Lives Campaign challenges hospitals to adopt 12 changes in care that save lives and reduce patient injuries:
1. Deploy Rapid Response Teams: at the first sign of patient decline
2. Deliver Reliable, Evidence-Based Care for Acute Myocardial Infarction:to prevent deaths from heart attack
3. Prevent Adverse Drug Events: by implementing medication reconciliation
4. Prevent Central Line Infections: by implementing a series of interdependent, scientifically grounded steps
5. Prevent Surgical Site Infections:by reliably delivering the correct perioperative antibiotics at the proper time
6. Prevent Ventilator Associated Pneumonia:by implementing a series of interdependent, scientifically grounded steps
7. Prevent Harm from High Alert Medications: starting with a focus on anticoagulants, sedatives, narcotics, and insulin
8. Reduce Surgical Complications: by reliably implementing all of the changes in care recommended by SCIP, the Surgical Care Improvement Project (www.medqic.org/scip)
9. Prevent Pressure Ulcers: by reliably using science-based guidelines for their prevention
10. Reduce Methicillin-Resistant Staphylococcus aureus (MRSA) infection: by reliably implementing scientifically proven infection control practices
11. Deliver Reliable, Evidence-Based Care for Congestive Heart Failure: to avoid readmissions
12. Get Boards on Board: by defining and spreading the best-known leveraged processes for hospital Boards of Directors, so that they can become far more effective in accelerating organizational progress toward safe care
Smoking in pregnancy may produce psychotic Childs
Mothers who smoke during pregnancy put their children at greater risk of developing psychotic symptoms as teenagers. Researchers from four British universities studied 6,356 12-year-olds and interviewed them for psychotic-like symptoms such as hallucinations or delusions. Around 19 percent had mothers who smoked during pregnancy. Just over 11 percent, or 734 of the total group, had suspected or definite symptoms of psychosis. Stanley Zammit, a psychiatrist at Cardiff University's School of Medicine who led the study, said the more the mothers smoked, the more likely their children were to have psychotic symptoms. According to him about 20 percent of adolescents in this cohort would not have developed psychotic symptoms if their mothers had not smoked.
Can DMC take action against quacks?
Yes under section 27. In an order DMC/DC/F.14/2/Comp.576/2009 dated 3rd August, 2009 Delhi Medical Council examined a complaint of Smt Puja Choudhary from Noida, alleging medical negligence and professional misconduct on the part of Ms. Samaira, in the treatment administered to the complainant at La Bellezza, a Slimming & Cosmetic Surgery Clinic at R-75, Greater Kailash, Part-1. It is noted that when the matter was called for hearing Ms. Samaira Sharma, Beautician, La Bellezza Clinic and Mr. Naveen Sharma, her husband did not appear before the Delhi Medical Council even though they had signed the attendance sheet for the hearing. The complainant Ms. Pooja Choudhary alongwith her brother Shri Kiran Kumar Jha presented before the Delhi Medical Council. The Delhi Medical Council further noted that in spite of two notices asking for statement of defence and copy of medical records, Ms. Samaira Sharma and La Bellezza failed to file any written statement or copy of medical records pertaining to this matter.
The Delhi Medical Council perused the complaint and documents annexed therewith and heard the following in person :- Ms. Pooja Choudhary. Complainant and Mr. Kiran Kumar Jha Brother of the Complainant. Ms. Pooja Choudhary stated that she reported for Liposuction procedure to La Bellezza on 9th May, 2009 to Ms. Samaira Sharma, who posed herself as a doctor. She was taken into a chamber where she was given a message and then later on 8 injections were given at various part of her body (arm + thigh + abdomen) to make her pain free. Thereafter she was sent off saying that the procedure was complete. No operative scan or dressing was done. There was no wound on her body and she was sent home the same day. The Delhi Medical Council observed that it is evident that the complainant did not undergo any operative procedure like Liposuction, even though she was charged an amount of Rs. 49,000/-. Liposuction is generally done under regional or General Anesthesia but none was used in this case. Ms. Samaira Sharma did not get any consent signed. Ms. Samaira Sharma is not registered with Delhi Medical Council and is not authorized to conduct any medical procedure. La Bellezza clinic also failed to comply with the directions of Delhi Medical Council asking it to produce the medical records pertaining to this complaint. Such centers being run by unqualified persons pose a serious threat to public health. The Delhi Medical Council, therefore, request that Directorate of Health Services should close down such centres offering fraudulent treatment. Ms. Samaira Sharma, La Bellezza, R-75, Greater Kailash, Part-1, Delhi ? 110048 is also liable for prosecution under section 27 of Delhi Medical Council Act, 1997. Complaint stands disposed.
The patient awakened after the operation to find herself in a room with all the blinds drawn.
"Why are all the blinds closed?" she asked her doctor.
"Well," the surgeon responded, "They're fighting a huge fire across the street, and we didn't want you to wake up and think the operation had failed."