Editor-in-Chief eMediNexus – Dr KK Aggarwal
20th September 2019

Consider pre-procedural ultrasound guidance for all lumbar punctures

Dr KK Aggarwal, Recipient of Padma Shri

Lumbar puncture is an important diagnostic tool for the doctor, especially in an emergency. However, at times the procedure may be unsuccessful and fail to yield desired results. Sometimes, LP can be traumatic, which is difficult to interpret. Both situations can delay the diagnosis, which can be life-threatening at times, and increase costs for the patient; they are also a cause for patient dissatisfaction. And, in this age of litigation, a disgruntled patient is a cause for concern.

A failed LP may be due to poor positioning of the patient or incorrect technique...read more

Never disclose your weaknesses to others
I am the best, so my profession is the best

Dr KK Aggarwal, Recipient of Padma Shri

Of late I see a lot of frustration and unhappiness about medical profession amongst the young medical professionals. This may not be right.

People exhibit mainly two types of responses to a situation; there are those who will feel happy about a situation and then there will be others who will be indifferent. Only a minor percentage will be with you and get concerned.....read more

Practice Updates

One pill with four drugs may lower heart risks in poor population

A single daily pill containing low doses of common medications might provide a simple, inexpensive way to reduce risks for heart attacks and stroke in underprivileged communities, researchers say. A new study done at an Alabama health center that mostly serves people who are poor and black found... read more

Climate crisis is accelerating global spread of deadly dengue fever

Explosive outbreaks of dengue fever have rapidly spread in countries across Asia, killing more than 1,000 people, infecting hundreds of thousands and straining hospitals packed with sick families. Scientists say hotter, wetter weather brought on by climate change has created ideal conditions for female mosquitoes to lay their eggs.... read more

Video Games Can Trigger Dangerous Arrhythmias

While sports can be risky for kids with arrhythmogenic cardiac conditions, researchers are now reporting four cases in which video games triggered syncope from ventricular tachycardia or fibrillation.... read more

Mesh implants have similar outcomes to hysterectomy for vaginal prolapse repair

Mesh hysteropexy and hysterectomy had comparable outcomes, as per results of the Study of Uterine Prolapse Procedures - Randomized Trial (SUPeR). After three years, mesh hysteropexy had a 26% failure rate, while hysterectomy had a 38% failure rate.... read more

Few TAVR cases develop complications requiring open-heart surgery

Just 1 percent of patients undergoing the minimally invasive heart procedure transcatheter aortic valve replacement (TAVR) have complications that require open-heart surgery, according to a new study published in JACC: Cardiovascular Interventions.... read more

Medical Voice

Diseases of unknown origin: Are environmental toxins the cause?

TOI: AIIMS Delhi Toxicology Lab tested patients with serious illnesses whose cause couldn't be established for environmental toxins. Of 216 patients tested, 32 (16%) had high levels of dangerous metals and substances,including arsenic, lead, chromium, fluoride, iron and cadmium. The lab is now testing a set of 17 tests in such cases....read more

IDEJ Update

Indian Diabetes Educator Journal (IDEJ), 1st of its kind in India aims to keep the members of diabetes care team abreast with concepts of DSME (Diabetes self-management education) and DSMS (Diabetes self-management support). IDEJ has set a new benchmark in educating the diabetes educators about evolving the concept of DSME- reaching to more than 25000 through Digital and Print Medium..... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Spares nerve supply to extensor carpi radialis longus.
2. Results in paralysis of anconeus muscle.
3. Leaves extension at elbow joint intact.
4. Weakens pronation movement.
Lifestyle Updates
Inspirational Story 1: The Falcon & the Branch
Inspirational Story 2: Our Time in History
"To watch 1500+ such videos, please visit www.medtalks.in"