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 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 and 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 of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

 
  Editorial …

21st February 2012, Tuesday

Should I be registered with MCI?

No. You should be registered with state medial council only. If you are registered with both you should get primary registration in the MCI cancelled. This is not needed.

Let the primary jurisdiction for investigating a complaint of medical negligence or misconduct against you to be the state medical council and not the MCI. Keep the MCI as the appellant body in case the state medical council decision goes against you.

If MCI is the primary investigation agency you can be deprived of the appellate jurisdiction of the MCI and may have to approach the high court for the relief in the above situation.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with

How long should records of patients be
maintained

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

IMSOCN2012

Dr. P.S. Ahuja from AIMS giving vote of thanks at the Inauguration ceremony of The Annual conference of Indian Menopause Society held from17 to 19th Feb 2012 in Faridabad.

 
Dr K K Aggarwal
 
    National News

Health, home and vehicle insurance set to cost more

Buying general health insurance cover could cost more from April. The finance ministry has asked General Insurance Corporation, to stop underwriting loss–making businesses. The government has also said if insurers take on loss–making businesses, they should bear the risk in their books or increase premium rates. (TOI)

For comments and archives

MMC submission to the Rajya Sabha secretariat in response to NCHR Health Bill – 2011’

(Dr. (Prof.) Kishor Taori, President, Maharashtra Medical Council)

It is worthwhile to note that a Bill titled the ‘National Commission for Human Resources for Health Bill – 2011’ has been piloted by the Union Ministry of Health and Family Welfare, Govt. of India before the Rajya Sabha.

In the said Bill there are provisions for creation of:

a) National Commission for Human Resources for Health
b) National Board for Health Education
c) National Evaluation and Assessment Committee and
d) National Councils and State Councils

The said Bill in its Chapter – V contemplates’ constitution of corresponding Councils namely the Medical Council of India, Dental Council of India, Nursing Council of India and Pharmacy Council of India in the place of the existing Councils and also to establish a new Paramedical Council of India for the discipline of Paramedics.

It also contemplates to confer powers on the State Governments to constitute respective State Councils. The prime responsibility that stand vested with it are to take measures to enroll persons having recognized qualifications to enable them to practice in respective discipline of health and to regulate the profession of the respective disciplines of health.

It is categorically brought out in the said Bill that upon promulgation of the same Bill the corresponding Acts governing the existing council would stand repealed. The provisions for constituting the National Council are included in the Bill from Clause No. 42 to 52 and those providing for the State Councils are from Clause 53 to Clause 74 in the Bill.

There is a total overlap of the functioning’s that are vested with the National Council and the State Council, inter–alia there is a complete duplication of the same. With the said Bill coming into force although repeal of the State Council Acts is not provided for, but they would automatically stand repealed as the proposed Bill would be the ‘Central enactment’ providing for constituting the State Councils in accordance with the provisions included in it.

It is therefore necessary to take stock of the provisions of the present Bill specially in regard to its effective utility and capacity to provide remedies to the existing Bill, rather than ending up in being a remedy which turns out to be more dreadful than the disease itself.

As such, I am of the considered opinion that before taking any position, it is imperative that the provisions in this Bill in regard to National Councils and State Councils are appropriately taken stock of and the observations thereon are reconsidered in the light of State’s total Propriety to Legislate on State medical councils and its regulating principles which also emanates from our federal structure under article 252 and 253 of Constitution of India.

I also request you to grant personal hearing on this matter to all state medical councils which have been duly elected and performing to the needs of doctor’s community from the respective states.

For comments and archives

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

25% Elderly Patients Were Given Potentially Hazardous Drugs

More than one in four elderly patients was given potentially hazardous medication during 2007. That is the conclusion of a German study by Ute Amann and her co–authors in the current issue of the Deutsches Ärzteblatt International.

The potentially hazardous drugs that were most often prescribed were amitriptyline, acetyldigoxin, tetrazepam, and oxazepam.

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: #AJOG Hemorrhage rates lower for planned cesarean deliveries Women who chose a planned caesarean delivery are at… fb.me/13OJy2U3b

@DeepakChopra: The world is as we are. What we see we become. Choose your seeing wisely.

 
    Spiritual Update

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

God Shiva: Neelkanth

The blue neck (Neelkanth) of Lord Shiva represents that one should neither take the vices (slow poison), negative emotions out nor suppress them but alter or modify them.

The blue colour indicates slow poison or the negative thoughts. The same in the neck indicates that the poison is neither to be drunk nor to be spitted out but to be kept in the throat temporarily so that it can be neutralized at appropriate time.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What is gamete donation?

When a couple is unable to get pregnant on their own, sometimes they use a donor’s egg or sperm. This is called "gamete donation". When a child is conceived this way, parents must decide whether to tell their child or keep this information private.

For comments and archives

 
    An Inspirational Story

(Dr Anupam Sethi Malhotra)

There once was a farmer who discovered that he had lost his watch in the barn. It was no ordinary watch because it had sentimental value for him. After searching high and low among the hay for a long while; he gave up and enlisted the help of a group of children playing outside the barn.

He promised them that the person who found it would be rewarded.

Hearing this, the children hurried inside the barn, went through and around the entire stack of hay but still could not find the watch. Just when the farmer was about to give up looking for his watch, a little boy went up to him and asked to be given another chance.

The farmer looked at him and thought, "Why not? After all, this kid looks sincere enough."

So the farmer sent the little boy back in the barn. After a while the little boy came out with the watch in his hand! The farmer was both happy and surprised and so he asked the boy how he succeeded where the rest had failed.

The boy replied, "I did nothing but sit on the ground and listen. In the silence, I heard the ticking of the watch and just looked for it in that direction."

Moral: A peaceful mind can think better than a worked up mind. Allow a few minutes of silence to your mind every day, and see, how sharply it helps you to set your life the way you expect it to be…!

For comments and archives

 
    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Licensing requires an annual declaration of fitness, with regular annual cardiovascular assessment.

 
   Cardiology eMedinewS

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

International Conference on Cardiovascular Research Convergence

Molecular Mechanisms of the Beneficial Effects of Anti–Platelet Therapy in Heart Failure Naranjan S. Dhalia

Read More

Chlamydia Pneumonia as an Infectious Agent to Induce Heart Disease

Read More

Vascular Stents: The First 25 Years

Read More

Vaccine against S. pyogenes for prevention of RF and RHO

Read More

Rheumatic Fever Pathogenesis: Approach in Research Needs Change

Read More

 
   Pediatric eMedinewS

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

Acute Infection May Trigger Stroke In A Few Children

Read More

Crucial Burn Threshold Rising For Children

Read More

Safe Water, Sanitation Reduce Child And Maternal Deaths

Read More

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    Legal Question of the Day

(Dr MC Gupta, Advocate and Medico legal consultant)

The hospital did not register an FIR when an RTA patient was admitted or died. How can it defend itself?

QUESTION—An RTA case with head injury was admitted to a corporate hospital as an MLC but the police was not informed because the relatives did not want so. He was discharged after 2 weeks. After another 2 weeks, he was brought to the hospital again but was declared dead by another hospital within the hospital premises but before reaching the casualty. The hospital records are silent about this incident and, as such, the police was not informed and no PM was done.

The patient’s lawyer demanded the following:

a–– wound certificate based on the fact that MLC has been charged by the hospital. (Rs 1200).
2) a letter that the deceased was declared dead by the hospital ( brought dead to hospital).
3) death certificate. The hospital supplied ‘a’ above. It cannot supply ‘b’ above because there are no records. However, the lawyer has produced an ambulance bill saying that the pt was shifted from his house to hospital and back to his house.

What are your comments? What is the solution ?

Ans.

  1. My comments are as follows:
    1. The hospital has been utterly irresponsible and deserves to suffer because once it suffers, it will be wiser in future.
    2. This incident shows how the corporate hospitals are concerned only about receiving money and not about providing services for which money has been charged.
    3. It also shows how foolish they are and take it for granted that the public is dumb. They maintain records and issue receipts for money charged for services to be provided but are foolish or irresponsible enough not to provide the services and not to maintain any records about them in the smug belief that the people will tolerate any and everything. They forget that there is a group of people called advocates who can shake the foundations of the mightiest using the force called law.
  2. My suggested solution is as follows:
    1. They have no defence and hence should plainly admit their guilt and should try to arrive at a compromise with the opposite party before he goes to court. This is likely to be the wisest, cheapest and least harassing course.
    2. If the hospital decides to contest, their advocates are likely to suggest them various ways such as:
      1. Denying the authenticity of the two receipts;
      2. Saying that the MLC charges were received because the relatives first wanted an MLC but later changed their mind. They were paid back the charged amount in cash because the accounting system did not allow for cancelling the receipt once issued. When receipt for cash payment was asked for, the relatives refused to give a written receipt and the hospital kept quiet because it did not want to fight with its own patients.
      3. When a doctor told them that the patient was dead, the relatives did not bring the patient to the casualty at all and went back before police could be informed or autopsy could be arranged by the police.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with burn injury on the hand came with blisters.
Dr.Bad: I will puncture them.
Dr.Good: Be careful to not puncture them.
Lesson: Blisters are a natural dressing and should not be punctured.

For comments and archives

Make Sure

Situation: A patient with hypertension developed bleeding at the puncture site while on intergrilin therapy.
Reaction: Oh my God! Why was the anti–platelet agent started?
Lasson: Make Sure that before starting intergrilin the BP is checked. Severe hypertension i.e., systolic BP ≥ 200 mmHg or diastolic BP >110 mmHg not adequately controlled on antihypertensive therapy is a contraindication for intergrilin therapy.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

It must be borne in mind that the tragedy of life does not lie in not reaching your goal. The tragedy of life lies in having no goal to reach. ~ Benjamin E. Mays

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Laboratory Tests for Lung Diseases

  • Blood gases: An arterial blood sample is collected to evaluate blood pH, oxygen and carbon dioxide
  • Complete blood count (CBC): To look for anemia.
  • Cystic fibrosis tests: CF Gene Mutation Testing
  • Alpha–1 antitrypsin: To determine if patient has AAT deficiency.
  • Sputum culture: To diagnose lung infections caused by bacteria.
  • AFB smear and culture: to diagnose tuberculosis and nontuberculous mycobacteria (NTM).
  • Blood cultures: To diagnose bacteria and sometimes yeast infections that have spread into the blood.
  • Influenza tests.
  • Lung Biopsy and Sputum cytology: To evaluate lung cells for abnormal changes and for cancer.
 
    Mind Teaser

Read this…………………

Effective therapy for morbid obesity, in terms of weight loss is:

a) Intensive dieting with behavior modification.
b) A multidrug protocol with fenfluramine, phenylpropanolamine, and mazindol.
c) A gastric bypass with a 40–ml. pouch, a 10– to 20–cm. Roux–en–Y gastroenterostomy.
d) A gastric bypass with a 15–ml. pouch, a 40– to 60–cm. Roux–en–Y gastroenterostomy

Yesterday’s Mind Teaser: Which of the following weight loss technique for morbid obesity is obsolete

a) Gastric Bypass
b) Jejuno ileal bypass
c) Vertical band gastroplasty
d) Bilio Pancreatic Diversion
Answer for Yesterday’s Mind Teaser: b) Jejuno ileal bypass

Correct answers received from: Bharat Jain, Prof Chetana Vaishnavi, Yogindra Vasavada, Chandra Pal Singh, Dr Mrs S Das, Dr PC Das, Dr Thakor Hitendrasinh G, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Prabha Luhadia, Anil Bairaria.

Answer for 19th February Mind Teaser: d) Appendix

Correct answers received from: Anil Bairaria, Dr A Rama Devi, Dr Sukanta Sen, Dr Deepali Chatterjee, Dr K Lakshminarayanan, Dr PC Das.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

Men Don’t Listen

A young man was driving up a steep, winding and narrow mountain road. Going round a tight corner, he notices a woman driver who is coming in the opposite direction begin to lean out of her window. As they pass each other she yells at him – "PIG!!!!"

The man immediately leans out of his window and screams back at her, "WITCH!!!"

Each continues on their way, and as the man rounds the next bend he crashes into a pig, right in the middle of the road…

If only men would listen.

 
  Medicolegal Update

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

Medical Testimony of Doctor in the Court of law (Contd…)

Medical literature/document produced as evidence in the court of law must be a published one. For a document to serve as legitimate evidence in a trial/debate, it must exist in the public domain i.e. the document must potentially be available to any debater researching the topic or lawyer/interested party of cross examining side. Unpublished documents are privileged information, and using such information gives the doctor an unfair advantage. Academic debate does not have a discovery rule. The only opportunity your opponents have to examine your documents prior to a trial/debate is to have found the documents during their own research. That they may not have taken the opportunity to do so, or did not discover a document, does not obviate the rule. The advent of the Internet has created a new form of publication – electronic documents like this e–medinews. Electronic documents are accepted as published if they are accessible by the general public. Thus, electronic files to which other debaters would be denied access are not published. However, files and documents which other debaters may access, even if they have no subscription to a commercial service to do so, satisfy the publication rule.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Avoid chocolate for heart burn

People with heart burn should avoid its use as it can worsen the heart burn said Padma Shri and Dr B C Roy Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India.

One should also avoid other reflux-inducing foods (fatty foods, peppermint, and excessive alcohol, which may reduce lower esophageal sphincter pressure).

A number of beverages have a very acidic pH and can exacerbate symptoms. These include colas, red wine, and orange juice.

Promotion of salivation by either chewing gum or use of oral lozenges may also be helpful in mild heartburn. Salivation neutralizes refluxed acid, thereby increasing the rate of esophageal acid clearance.

Restriction of alcohol use and elimination of smoking; smoking is deleterious in part because it diminishes salivation.

 
    Readers Response
  1. Post graduate training programme has to be reframed, it is essential to incorporate anorectal surgery and breast surgery in obs and gynoe training because female patients are more comfortable with lady doctors as far as anorectal and breast diseases go. Regarding gynoecologist doing lap chole it is fine because most of laporoscopic surgeons do both lap hysterectomy and lap chole both, why to drag anesthetist into it. In most of the laporoscopic workshops both lap chole and lap hysterectomy are taught on the same platform. Dr Vivek Kumar, Varanasi, Practicing Surgeon
 
    Forthcoming Events

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e-mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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