Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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; National Vice President Elect Elect, Indian Medical Association; 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 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

21st January 2013, Monday

Wet winter versus dry winter

As per Ayurveda, body is made up of five elements – air, space, fire, water and earth. Air and space components in the body are responsible for different types of movement functions. Fire and water are responsible for metabolisms. Water and earth components are responsible for formation of all secretions and structures. Ayurveda calls them as Vata, Pitta and Kapha.

Vata consisting of air and space is cold and dry and Kapha consisting of structure and water is cold and wet.

Taking Ayurvedic effects into consideration, the early winter with high humidity (cold and wet) will be a Kapha period and late winter with less of humidity (cold and dry) will be Vata in nature.

In Kapha period, a person will experience fluctuations in blood sugar, bronchitis with lot of sputum production, effusive arthritis etc. The blood pressure rise will be more of lower diastolic nature and if a patient gets heart attack, chances are that he or she will have left ventricular dysfunction with left heart failure.

On the contrary, in late winter dry and cold winter weather will lead to Vata aggravation which will present with acceleration of upper blood pressure, brain hemorrhage, nasal bleeding, joint pains and heart attacks presenting with accelerated rhythm disorders.

About the author: Dr K K Aggarwal is Padma Shri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA (blog.kkaggarwal.com)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

Register for 4th eMedinewS–revisiting 2012 conference

    Constipation Update

How do stimulant laxatives help in constipation?

Stimulant laxatives affect electrolyte transport across the intestinal mucosa and stimulate intestinal fluid accumulation and colonic motor activity. The currently available stimulant laxatives include senna and bisacodyl. Stimulant laxatives should not be used in patients with suspected intestinal obstruction. In a trial of 77 elderly nursing home residents, the senna-fiber combination was significantly more effective than lactulose in improving stool frequency and consistency at a lower cost (Passmore AP, Wilson–Davies K, Stoker C, et al. Chronic constipation in long stay elderly patients: a comparison of lactulose and a senna–fibre combination. BMJ. 1993;307:769–71).

Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Vegatable and fuits lower chances of
getting some cancers

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

4th eMedinewS Revisiting 2012

The 4th emedinews revisitng 2012 was a grand success. Doctor of the Year Award was given to the doctors who had done selfless services.

Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

“Be Human Stop Child Abuse”

Dear Colleague,

Greetings from Team India Medical Association for CMAAO meet

Indian Medical Association will be hosting the 49th CMAAO Council Meeting on the subject “Be Human Stop Child Abuse” from 12th to 14th September, 2013, at Hotel Shangri-La, Ashoka Road, New Delhi.

We have created a facebook page on the theme. It can be seen on the following link:


Kindly join this page by liking it.


CMAAO is a Confederation of Medical Associations of Asia and Oceania. The associated countries are: Australian Medical Association; Bangladesh Medical Association; Cambodian Medical Association; The Hong Kong Medical Association; Indian Medical Association; Indonesian Medical Association; Japan Medical Association; Korean Medical Association; Macau Medical Association; Malaysian Medical Association; Myanmar Medical Association; Nepal Medical Association; New Zealand Medical Association; Philippine Medical Association; Singapore Medical Association; Sri Lanka Medical Association; Taiwan Medical Association and The Medical Association of Thailand. The secretariat of the CMAAO is in Tokyo under Japan Medical Association.

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

    Valvular Heart Disease Update

What are the types of valves used in cardiac surgery?

Among patients who undergo cardiac valve replacement, approximately 60 percent receive mechanical valves composed of carbon alloys with a tilting disk or bileaflet design. The remaining 40 percent receive bioprosthetic valves, which may be heterografts, composed of porcine or bovine tissue, homografts, which are preserved human aortic valves, or pulmonary autografts.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Flu vaccine poses no risk to unborn

Fears and misconceptions often surround the flu vaccine: Does it really work? Will it make me sick? Could it hurt my baby? Researchers from Norway say the last question was a big concern during the 2009 H1N1 pandemic; anecdotal reports of fetal deaths caused many pregnant women to avoid getting vaccinated despite health officials’ pleas. To determine the accuracy of these reports, the Norwegian researchers analyzed data from more than 100,000 pregnancies during the 2009-2010 flu season. Their results were published this week in the New England Journal of Medicine. The study found no evidence that the influenza vaccine increased the risk of fetal death in pregnant women. But pregnant women who were diagnosed with the flu - whether they had the vaccine or not - had nearly double the risk of fetal death.

More lives being saved: Cancer death rates drop 20%

The death rate from cancer in the United States has dropped dramatically in the last two decades, according to a new report from the American Cancer Society.

American cancer death rates have risen consistently since the 1900s; they peaked in 1991 at 215.1 deaths per 100,000 in the population. The 2009 death rate, which just became available, is 173.1 per 100,000. That's a 20% decline in cancer death rates from 1991.

The report also includes grim news. The ACS estimates 1.6 million Americans will be diagnosed with cancer and more than 580,000 will die of cancer in 2013. As has been the case for decades, only cardiovascular disease will kill more Americans.

Extended CPR saves lives

Patients at hospitals with the longest median duration of 25 minutes for resuscitation efforts had a 12 percent higher likelihood of being revived compared with patients at hospitals with the shortest median time of 16 minutes.

  Twitter of the Day

@DrKKAggarwal: Have you gained weight after age 18: Gain =5 kg after age 18 years in women & age 20 in men increases risk of heart disease & diabetes.

@DrKKAggarwal: Be mindful of how you release your negativity so that it does not reflect back into your reality.

    Spiritual Update

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

Science behind Kalpvas

The month of Magh is observed as Kaplvas where for one month people from all over gather, do sun worship (Vitamin D) , eat sesame (high in calcium) and do tulsi or basil pooja (high fertility and high in calcium). The significance behind is to gather one year’s vitamin D quota. For getting vitamin D we need to expose 40 % of the body for atleast 40 minutes at a stretch for forty days in a year (formula of forty).

For comments and archives

    Be Human Stop Child Abuse (Team IMA for CMAAO)

In United States alone over 10 lakh cases of child abuse and neglect are reported every year.

All children who are physically abused, 67% are younger than one years of age and 80% younger than three years of age.

Amongst children younger than 15 years, the WHO estimate is that child abuse or neglect accounts for 13% of the 1.2 million deaths out of the injuries worldwide.

For comments and archives

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

Do you have your uterus even after the endometrial ablation?

Endometrial ablation only removes the lining of your uterus. You still have a uterus. This means that if you do not want to become pregnant, you still need to use birth control. If you have gone through menopause and are taking hormone therapy, your hormone therapy must include a progestogen (also called progesterone or progestin). Progestogens reduce the risk of developing cancer in your uterus.

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

(Dr. Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation, Medanta – The Medicity, Gurgaon)

What is the cadaveric & liver transplantation ?

In cadaveric liver transplantation the liver of a brain dead person, whose family volunteers to donate, liver is used.

Living related liver transplantation: This has been a further step to answer the shortage of organs for children. In living related liver transplantation, a part of the liver from a living related donor is used in the child. In India, the human organ donation act was passed in 1984. The donor has to be spouse or first degree relative or emotionally related to the patient. In India, presently cadaveric donation has not gained momentum and majority of transplants, whether renal or liver are living related.

For comments and archives

    An Inspirational Story (Mr Ranesh Kumar Sabharwal)

Socrates philosophy

Keep this in mind the next time you are about to repeat a rumor or spread gossip.

In ancient Greece (469 - 399 BC), Socrates was widely lauded for his wisdom. One day an acquaintance ran up to him excitedly and said, "Socrates, do you know what I just heard about Diogenes?" "Wait a moment," Socrates replied, "Before you tell me I'd like you to pass a little test. It's called the Triple Filter Test."

"Triple filter?" asked the acquaintance.

"That's right," Socrates continued, "Before you talk to me about Diogenes let's take a moment to filter what you're going to say. The first filter is Truth. Have you made absolutely sure that what you are about to tell me is true?"

"No," the man said, "Actually I just heard about it."

"All right," said Socrates, "So you don't really know if it's true or not. Now let's try the second filter, the filter of Goodness. Is what you are about to tell me about Diogenes something good?"

"No, on the contrary..."

"So," Socrates continued, "You want to tell me something about Diogenes that may be bad, even though you're not certain it's true?"

The man shrugged, a little embarrassed. Socrates continued, "You may still pass the test though, because there is a third filter, the filter of Usefulness. Is what you want to tell me about Diogenes going to be useful to me?"

"No, not really." "Well," concluded Socrates, "If what you want to tell me is neither True nor Good nor even Useful, why tell it to me or anyone at all?"

The man was bewildered and ashamed. This is an example of why Socrates was a great philosopher and held in such high esteem.

For comments and archives

  Cardiology eMedinewS

Pacing Two Sides of Heart Better Than One Read More

Ohio unnecessary-stenting case settled for us $4.4 million Read More

  Pediatric eMedinewS

Hemophagocytic Lymphohistiocytosis - Dr Priyankar Pal Read More

Suspected Staphylococcal Infections - Dr Vithalrao Dandge Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient with Chikungunya was found to have high ESR.
Dr. Bad: It may not be Chikungunya.
Dr. Good: This is Chikungunya.
Lesson: High ESR is seen in Chikungunya.

Make Sure

Situation: A patient died after receiving penicillin injection.
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that each time a patient is given penicillin injection, anti anaphylaxis measures are available.

  Quote of the Day (Dr GM Singh)

Heart tells the eyes "See less, because you see and I suffer lot".

Eyes replied, "Feel less because you feel and I cry a lot".

    Mind Teaser

Read this…………………

A client jokes about his leukemia even though he is becoming sicker and weaker. The nurse’s most therapeutic response would be:

A. “Your laugher is a cover for your fear.”
B. “He who laughs on the outside, cries on the inside.”
C. “Why are you always laughing?”
D. “Does it help you to joke about your illness?”

Yesterday’s Mind Teaser: Dennis receives a blood transfusion and develops flank pain, chills, fever and hematuria. The nurse recognizes that Dennis is probably experiencing:

A. An anaphylactic transfusion reaction
B. An allergic transfusion reaction
C. A hemolytic transfusion reaction
D. A pyrogenic transfusion reaction

Answer for Yesterday’s  Mind Teaser: (C) A hemolytic transfusion reaction

Correct answers received from: Dr Ajay Mehta, Dr. Bharat Bhushan Aggarwal, Dr K P Chandra, dr shagufta moin, Dr.K.V.Sarma, Dr. P. C. Das, Dr Arpan Gandhi, Dr Jainendra Upadhyay, raghavendra jayesh, Dr. Thakor Hitendrsinh G, Dr Chandresh Jardosh

Answer for 19th January Mind Teaser: B. Everything he ate before the operation but will avoid those foods that cause gas

Correct answers received from: Dr. Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr Avtar Krishan, Muthumperumal Thirumalpillai

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

Priceless definitions


Mud with the juice squeezed out.

    Medicolegal Update

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

Contravention of PNDT Act may lead to Imprisonment up to 3 years

  • The name of the registered medical practitioner who has been convicted by the court under sub–section (1), shall be reported by the Appropriate Authority to the respective State Medical Council for taking necessary action including the removal of his name from the register of the Council for a period of two years for the first offence and permanently for the subsequent offence.
  • Any person who seeks the aid of a genetic counseling center or genetic laboratory or genetic clinic or of a medical geneticist, medical gynecologist or registered medical practitioner for conducting pre–natal diagnostic techniques on any pregnant woman (including the woman unless she was compelled to undergo such diagnostic technique) for purposes other than those specified in clause(2) of section 4, shall be punishable with imprisonment for a term which may extend to 3 years and with a fine which may extend up to ten thousand rupees and on any subsequent conviction with imprisonment which may extend to five years and with fine which may extend up to fifty thousand rupees.
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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

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    Public Forum

(Press Release for use by the newspapers)

Document your medical records carefully, punctually and timely

Inaugurating a daylong conference, eMedinewS Revisiting 2012, organized by eMedinewS, Heart Care Foundation of India and World Fellowship of Religions, Dr. A.K. Agarwal, President, Delhi Medical Council, said that all doctors should document their medical records, carefully, punctually and timely. He said that doctors are for patient’s safety and medical records are for doctors’ safety. He said as far as possible, doctors and medical establishments should go for electronic records so that chances of mistakes are lower.

The conference was attended by over 1000 doctors from NCR. Briefing about the conference, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & Vice President Elect IMA, said that eminent faculty participated in the conference and listed the happenings in the year 2012.

The faculty included: Dr Brig A K Dhar, Dr. AS Bath, Dr Ambrish Mithal,Dr Anil Goel, Dr Ashish Jain, Dr Deepak Khurana, Dr Ganesh Mani, Dr IM Chugh, Dr. JPS Sawhney, Dr Kaberi Banerjee, Dr Kailash Singla, Dr Manju Gupta, Dr NK Bhatia, Dr Neeraj Jain, Dr Praveen Chandra, Dr PC Joshi, Dr Praveen Bhatia, Dr Rajnish Malhotra, Dr SK Parashar, Dr Sanjay Chaudhary, Dr Sukhendy Roy, (Maj.Gen) Dr. SK Mittal, Dr Vivek Bhatia and Dr Yugal Mishra.

Following were the highlights:

  1. It is now possible to give a blood transfusion to a person without getting in any blood transfusion reaction.
  2. Nobody should suffer from pain and it is possible to get rid of painkillers in 2-3 months’ time.
  3. It is now possible to do an aortic valve replacement without surgery using a catheter.
  4. It is now possible to save 40 lives from a brain dead donor.
  5. Intestinal transplant is now possible in the country.
  6. If you have one ova and one sperm, fertility is now possible.
  7. Midline incision in the chest is no more required for bypass surgery and for valvular surgery.
  8. It is now possible to combine the bypass surgery with stent angioplasty in one sitting and give better results to the patients.
  9. It is now possible to do cataract surgery practically without stitches and with near normal vision without spectacles.
  10. It is now possible to do surgery in very high obesity using a robot both in adult and in children successfully.
  11. With capsule endoscopy it is now possible to examine small intestine of a patient.

Doctor of the year awards were also distributed and the recipients included:

Dr. Ramesh Kumar Bapna, Dr. Harish Gupta, Dr. Narender Saini, Dr. (Maj. Gen.) AS Bath, Dr. JPS Sawhney, Dr. SM Chugh, Dr. Naveen Tuli, Dr KS Bhagotia, Dr Sukrit Sharma, Dr SK Mittal and Dr AK Bansal

    Readers Response
  1. Dear Sir, It was great experience attending emedinews revisitng. Regards: Dr KP Sharma
    eMedinewS Special

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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

>       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