emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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Dr KK Aggarwal

From the Desk of Editor in Chief
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; Member 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


21st May, 2010, Friday

Is Dr Setalvad next in line?

Dear Colleague

Dr. A R N Setalvad, Secretary MCI,  is the only loyalist of Dr. Ketan Desai who is at present working in the Medical Council of India. Will he  be the next to go? It is highly unlikely that the Government of India would like to keep any Desai loyalist in the present scenario, be it Dr. Setalvad or the lawyers handling MCI cases. Will Dr. Setalvad resign himself or will be asked to go is only a matter of time. 

The MCI ordinance

Yesterday in my editorial  I had clarified that it’s not MCI which is dissolved but the elected council of MCI which has been replaced by six eminent and respectable medical professionals who will perform all the functions of the council for the next one year. To substantiate my editorial, I am reproducing the MCI ordinance as passed by the Government of India for the benefit of our readers. Kindly check it at the bottom of this newspaper for the same before the Reader’s Response.

Another CBI case against Dr. Desai

CBI on Thursday registered another case against Dr. Ketan Desai who is currently in Tihar Jail on corruption charges.

The disproportionate asset case has been filed by CBI not only against Dr. Desai but also against his wife and mother. As per the CBI Director, Mr. Ashwini Kumar, CBI has found assets to the tune of Rs. 25 crores in his and his family’s name. Mr. Ashwini Kumar further said that there has been systemic corruption in the Medical Council of India for the last one year. The case was filed as a part of CBI’s probe into the alleged malpractices within Medical Council of India.

CBI has found enough evidence in the case for which Dr. Desai was arrested as one inspector in Medical Council of India who had visited Gyan Sagar Medical College, Patiala has since become an approver. Mr. Ashwini Kumar further said that CBI has so far received 154 complaints against Medical Council of India from the public through its websites. CBI is going into the merit of each case and will then decide on which complaint to register a case. The link on the website through which someone can complain against MCI will remain open till May 31.
 

IMA Response–a timely act or untimely knee jerk reaction?

The present reaction of IMA opposing the dissolution of the MCI has come late after weeks of silently watching the events unfold over these past days. It is unfortunate that when Dr Desai, the  leader of IMA, was arrested none of the present officer-bearers of IMA dared to talk against him in the media or openly support him. Many of their statements to the media initially were to the effect that "IMA has nothing to do with MCI".

Now, when the Government of India has already dissolved the elected council of the Medical Council of India and replaced it with 6-member Panel, the IMA is trying to oppose the ordinance. If they were really serious about this issue, they should have registered their opposition before the ordinance was passed by the Parliament and approved by the President.

It was DMA which raised the issue, before the ordinance was passed, in a special requisition meeting that MCI autonomy should be maintained. For all practical purposes, the Government of India has not dissolved the MCI but has rightfully replaced the elected council with a panel of eminent doctors and not bureaucrats or others.

The six eminent doctors in the panel enjoy both credibility and status in the medical profession. Many fear as to how a 150-member council would be run by six members. Thus far, the MCI was practically being run by one person and not by 100 or so members. The remaining were a silent spectators to the decision by the president.

Practically speaking, the duties of the President are being divided amongst these six members for effective running of the council. They are free to go to people, make committees of the inspectors for proper and efficient functioning of the council. The very fact that the council has eminent medical personalities maintains its autonomy. In the day-to-day functioning of the council, even today, there will be no interference of the Government.

'What happens to the council after one year when the autonomy of the present panel is over' is an important issue that remains to be seen. Will it revert to the same old elected body or the Government will totally overhaul and amend the Medical Council of India Act and make it a nominated body controlled by the Government. It is also possible that the medical education may go out of the purview of the Medical Council and go under another autonomous council for higher education under Ministry of Human Resource Development. In this scenario, the MCI will have nothing to do with the education part of the medical profession and it will only work like an Appellate Body to State Medical Council for any complaints and/or for maintenance of the Indian Medical Register. If this occurs, the State Medical Councils will become more powerful.

Challenging the credibility of the 6-member panel that is controlling the MCI is like challenging the credibility of our own medical profession. Instead, we, as medical professionals should assist these six members so that the stigma associated with functioning of the MCI can be washed out. In the meantime, the present Committee of the MCI can look into several important issues like-

  1. They do not produce half–baked medical doctors such as BRMS. If that happens, the medical profession may continue its agitation against calling them doctors.

  2. The hurriedly passed clause 6.8 in the Medical Council of India Ethics relating to doctor–pharma relationship needs to be redrafted, re–amended or reclarified. In the present format, it is not in the interest of the country.

  3. To see to it that the medical seats, whether undergraduate or postgraduate, are available to the deserving people without a huge cash capitation fees.

  4. To see to it that medical doctors are not suspended from medical practice temporarily on the ground of professional deficiencies as the law only allows the MCI to suspend a doctor’s license to practice only for professional misconduct and not for professional deficiency.

  5. Also to amend acts of various State Medical Councils where it mandates the State Medical Council to register and re-register compulsorily.

  6. To maintain an electronic, centralized medical register so that proper census of medical doctors is available on the web.

 

Dr KK Aggarwal
Padma Shri Awardee and Chief Editor

 

Photo Feature (From file)

If I Can Exercise, Why Can’t You?

Dignified and influential politicians can set an example by trying their hands on few exercises such as treadmill or exercycle to promote the good effects of exercising. During one of the Perfect Health Mela organized by Heart Care Foundation of India, Mr. Saman Khurshid, a well known political figure was not only invited to visit the mela but he also tried few exercises with Dr. K K Aggarwal. It conveyed the message "If I can exercise why can’t you?"

Dr k k Aggarwal

International Medical Science Academy Update (IMSA): Practice Changing Updates

Temporary suspension of rotavirus vaccine

Use of rotavirus vaccine (RV1, Rotarix) was temporarily suspended in the United States as of March 2010 due to contaminant virus found in the attenuated vaccine.  (US FDA. Components of extraneous virus detected in Rotarix vaccine; no known safety risk. Available at: www.fda.gov/ NewsEvents/ Newsroom/ PressAnnouncements/ ucm205625.htm. Accessed on March 22, 2010.)

 

Mnemonics of the Day (Dr Prachi Garg)

Causes of Anterior Mediastinal Mass – 4Ts

  • Thyroid
  • Thymoma 
  • Teratoma 
  • Terrible lymphoma

News and Views (Dr Monica and Brahm Vasudeva)

Adding sirolimus to conventional therapy may check growth of cysts in polycystic kidney disease

The immunosuppressive drug sirolimus considerably improves the kidney health of patients with autosomal dominant polycystic kidney disease (ADPKD), according to a study appearing in an upcoming issue of the Journal of the American Society of Nephrology.

Little known about problems with sexual function in patients with chronic kidney disease

A study in a forthcoming issue of the Clinical Journal of the American Society of Nephrology reports that despite the excessively high rates of sexual dysfunction among people with chronic kidney disease (CKD), the best treatment options for these patients remain elusive.

Clot–dissolving drugs within 3 hours of stroke offer best chances of total recovery

A study in the Lancet says that administration of alteplase within one and half hour of occurrence of stroke doubles the possibility of total recovery. Giving drugs four and half hours after the symptoms develop can cause more harm than good.

Stroke may occur at all ages

Individuals of all ages are prone to stroke regardless of apparent good health. The risk is about 1 in 1000 in individuals younger than 45 years of age. This risk increases to about 30 to 50 in 1,000 for individuals older than 65.

Quote of the day (B.K. SAPNA)

Concentration on positive thoughts brings power and growth

Whatever thoughts are concentrated upon, those thoughts become powerful. It is like the growth of a seed. When a thought, a positive thought, is planted in the mind and it is concentrated upon, it becomes like sunlight adding energy. With more concentration on them, these thoughts begin to grow. When we are able to create a positive thought, each morning and water it with attention throughout the day, we are able to find ourselves becoming more and more powerful. Negative circumstances or people with negativity do not influence us but we become a powerful source for finishing that negativity. We are able to maintain this positive thought under all circumstances.

Question of the Day

What is reactive hypoglycemia? (Dr Vishnupriya Reddy, Bangalore)

Hypoglycemia that occurs typically within 1–2 hours after a meal is termed as reactive/ postprandial hypoglycemia. Abnormal insulin secretory patterns have been reported in certain individuals presenting as reactive hypoglycemia associated with IGT (impaired glucose tolerance), obesity or renal glycosuria. Excessive insulin response has also been observed in about 50% of patients with isolated reactive hypoglycemia.

It includes several forms:

  1. Alimentary hypoglycemia caused by gasterectomy, gastrojejunostomy, pyloroplasty or vagotomy, involving about 5–10% of operated patients and developing 30–120 minutes after ingestion of carbohydrate containing meals {due to rapid gastric emptying and glucose absorption which stimulate excess insulin release and perhaps also to hypersecretion of enterohormones such as enteroglucagon, secretin, gastric inhibitory polypeptide (GIP), etc.}. It may perhaps also occur in patients with hyperthyroidism or in obesity with hyperinsulinism.

  2. Early stage of type 2 diabetes or prediabetes or IGT (deficient early phase insulin release leads to higher glucose elevation with subsequent excessive stimulation of insulin secretion).

  3. Idiopathic reactive hypoglycemia or true hypoglycemia (with lowered glucose levels), a rare syndrome characterized by adrenergic symptoms without symptoms of severe neuroglycopenia, probably linked to an increased insulin response or a higher affinity of insulin receptors or to a subtle dysfunction of gastrointestinal tract.

  4. Idiopathic postprandial syndrome or psuedohypoglycemia (with a near–normal glycemic value), characterized by adrenergic symptoms and light symptoms of neuroglycopenia, which develop regularly and repetitively during the patient’s life (causes are unknown and might include enhanced epinephrine release in some subjects, with stress on anxiety contributing in many subjects.

  5. Inherited disorders of carbohydrate metabolism in children (heredity fructose intolerance from deficiency of galactose–1–P uridyltransferase).

  6. Intake of leucine in leucine–sensitive children (due to increase insulin secretion).

Evidence Based Practice: Dr NP Singh (Nanu), Professor of Medicine, MAMC, Delhi

Neutrophil count: A simple marker for cardiovascular risk?

High peripheral neutrophil counts correlated with excess cardiovascular risk in postmenopausal women with essential hypertension in a study. Markers of inflammation have been associated with excess cardiovascular risk. In an observational study, Italian investigators assessed peripheral white blood cell and neutrophil counts in relation to risk for cardiovascular (CV) events in 298 initially untreated hypertensive postmenopausal women who had no known CV disease and who had never used hormone therapy (mean age at entry, 59). Participants were given tailored antihypertensive treatment from their family physicians.

During a mean follow–up of 8 years, 31 first CV events occurred (17 cardiac and 14 cerebrovascular). Women at very high CV risk by current guidelines of the European Society of Hypertension were ninefold more likely than those at low or moderate risk to experience a CV event (hazard ratio, 9.3;
p <0.001). Women with neutrophil counts >4.1x10exp3/µl had more than twice the risk for CV events than did women with counts 4.1x10exp3/µl (2.8 per 100 patient–years vs. 1.1 per 100 patient–years). This excess risk remained significant even after adjustment for diabetes and left ventricular hypertrophy at study entry.

Comment: Although neutrophil count added little to participants’ CV risk assessment using traditional risk factors, this simple, inexpensive measure might help a clinician when discussing a woman’s personal CV risk and the possible need for primary CV prevention with treatments such as statins or aspirin.

eMedinewS Try this it Works: Bypassing tummy tickles

No one can tickle himself or herself. To eliminate the tickling, place your hand on top of the patient’s hand, with your fingers between the patient’s fingers. You can then easily reach into the depths of the patient's abdomen without resistance.

Dr Good Dr Bad

Situation: A known patient of heart disease seeks advice on tea intake.
Dr Bad: Tea is not going to harm you.
Dr Good: Restrict your tea intake and prefer tea without milk.
Lesson: Tea ingestion causes tachycardia. Also, the milk in tea leads to destruction of flavonoids, which may prove harmful to the patient of heart disease.

Make Sure

Situation: A patient with rheumatic arthritis was not given penicillin prophylaxis, and subsequently developed another attack.
Reaction: Oh my god! Why was the prophylaxis not started?
Lesson: Make Sure to administer secondary prophylaxis in the setting of suspected post streptococcal reactive arthritis for up to one year after the onset of symptoms. Evidence of valvular disease after one year should prompt continued prophylaxis; otherwise, antibiotic prophylaxis may be discontinued.

IMANDB Joke of the Day (Dr Prachi Garg)

Boss to Secretary – In a week we will go abroad.
She calls her hubby – for a week I and my boss are going abroad.
Husband calls his girlfriend – wife going lets enjoy.
Girlfriend to her students – for a week you are free.
Little boy calls his grandpa – I am free.
Grandpa (Boss) calls his secretary – tour cancelled. I am with my grandson this week.
Secretary calls her husband – tour cancelled
Husband called his girlfriend – wife not going.
Girlfriend calls boy – this week your class as usual.
Boy calls grandpa – have to attend my class
Grandpa calls secretary – we are going. (to be continued)

Formulae in clinical practice

Blood alcohol mg%

Formula = osmolar gap × 100
Comment: Normal range is 0–5 mOsm/L.

Milestones in Gastroenterology

1822-1902 Adolf Kussmaul was a German physician. It is thought that Kussmaul was one of the first to use gastric intubation to recover gastric juice for analysis and was the first to treat stomach obstruction using gastric lavage.

Lab Test (Dr Arpan Gandhi and Dr Navin Dang)

Swine Influenza Flu (H1NI Virus)

Laboratory confirmation of cases is done by swabs taken from nose, nasopharynx or throat preferably within 5 days of onset of illness. At this time the authorized assay for confirmation of novel influenza A (H1N1) virus infection is by RT–PCR technique.

List of Approved drugs from 1.01.2009 to 31.10.2009

Drug Name

Indication

DCI Approval Date

Theophylline 400mg SR + Montelukast 10mg Tablet

For the treatment of patients with bronchial asthma

31.03.09

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eMedinewS–Padma Con 2010

Will be organized at
Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

 
 

eMedinewS–revisiting 2010

The second eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited .

 

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Public Forum (Press Release for use by the newspapers)

World No Tobacco Day: Religious leaders join hands to control the tobacco menace

For the first time, various religious leaders gathered under one roof and interacted with the press to make Delhi, a tobacco-free city. This interaction was organized by Heart Care Foundation of India along with Ramakrishna Mission and Smoke-Free Delhi - A Government of Delhi initiative for the forthcoming Commonwealth Games.

Addressing the press, Padma Shri and Dr BC Roy Awardee Dr. K.K. Aggarwal said that the relevance of religion and spirituality is well-established and World Health Organization (WHO) also supports the religion-based tobacco control interventions. The 37th World Health Assembly, in 1984, called upon WHO members to add a spiritual dimension to health strategies based on their social and cultural patterns.

Janab FB Ahmed and Hon'ble Maulana MAN Shahi said that a fatwa had been issued in Morocco, as early as 1602, completely prohibiting the use of tobacco.

That tobacco is harmful to health is undisputed and religions are in a position to show disfavor with tobacco use, even to the extent of it being prohibited completely.

A Tobacco-free Mecca and Medina initiative was launched in 2002 wherein Saudi Arabia authorities took steps towards restricting the use of tobacco in the area of the two holy mosques.

'Religious leaders are the key social players', said Dr. R P Vashisht, Head, Public Health, Govt. of Delhi. He said that on several occasions and in many countries, religions have played a key role in promoting a healthy lifestyle. A clear example is the role of Iranian scholars in promoting family planning that led to notable success.

Swami Shantamanandaji of Ramakrishna Mission said that tobacco is traditionally classified as a ''Vasna' or an unhealthy dependence. The goal of spiritual life lies in the abolition of suffering, access of bliss and freedom from bondage. He said that none of the Indian Gods had any link with tobacco products.

Dr Lokesh Muni said that food that builds the body and mind should be pure, wholesome, nutritious and bland. He said that Jainism totally prohibits tobacco-related products. Tobacco did not exit in ancient India, he further added.

Sardar P S Sarna said that anybody who consumes tobacco is not a true Sikh. Quoting the Bhagwad Gita, Hon'ble A K Merchant representing the Bahai Faith said that though smoking is not banned in the Bahai Faith, it is strongly discouraged as unclean and unhealthy. Bahai Faith supports all efforts to discourage smoking through education.

Father Dominique said that Christianity participates in tobacco-free initiatives all over the world. According to Brahmkumari Sister Asha, smoking is like perversion which takes you away from innocence.

Rev Ezekiel Issac Malekar, representing the Yahudi religion said that smoking in any form is injurious to health. Dharmacharya S Seth said that tobacco-related products are 'rajsik' and 'tamsik' in nature and should not be included in the diet. He said that Buddhism teaches us that nothing should be done to harm the body and the mind and smoking is one of them. Buddhism also states that we are lucky to be born in human form because only in this form can we attain true understanding of life. Therefore, anything which harms the body and the mind must be avoided.

Tobacco is the only crop which is not damaged by insects, birds and animals because they also know that it is harmful to the health.

The conclusive resolution passed by all the religious leaders stated that tobacco consumption in any form is harmful to the body, mind, intellect and soul and every effort should be made by all religions to control tobacco use by the community and promote health.

MCI Update

Desai in more trouble

Within a month of his arrest in a corruption case, the CBI has unearthed clinching evidence against former Medical Council of India (MCI) president Dr Ketan Desai and initiated the process to register half-a- dozen more cases against him. He has been found to be involved in showering favours on several other private medical institutions. Not only has the CBI unearthed his movable and immovable assets worth over Rs 50 crore so far, but it has received over 100 complaints from across India. The CBI, after a preliminary inquiry, has registered another FIR against a private institute in Chennai. A revelation also has been made by an MCI inspection team member Satish Shah before the CBI. He has confessed he helped eight private medical institutes to obtain MCI clearances based on Desai's instructions. Shah is also said to have recorded a statement before a Delhi court, confessing his involvement in the scandal. He confessed before the court he favoured Patiala-based Gyan Sagar Medical College at the behest of Desai. A statement under 164 CrPC is admissible evidence in the court.
(Source: Hindustan Times)

 

MINISTRY OF LAW AND JUSTICE
(Legislative Department)

 

New Delhi, the I5th May, 2010/ Vaisakha 25, 1932 (Saka)
THE INDIAN MEDICAL COUNCIL (AMENDMENT) ORDINANCE, 2010
No. 2 of 2010

 

Promulgated by the President in the Sixty–first Year of the Republic of India.
An Ordinance further to amend the Indian Medical Council Act, 1956.
WHEREAS Parliament is not in session and the President is
satisfied that circumstances exist which render itnecessary for her to
take immediate action;

NOW, THEREFORE, in exercise of the powers conferred by clause (1) of article 123 of the Constitution, the President is pleased to promulgate the following Ordinance:–

1. (1) This Ordinance may be called the Indian Medical Council  
(Amendment) Ordinance, 2010.

(2) It shall come into force at once.

Short title and
commencement

Insertion of
new sections
3A,3B and 3C
102 of 1956.
Power of Central
Government to supersede
the Council and to
constitute Board of
Governors.

2. After section 3 of the Indian Medical Council Act, 1956, the
following sections shall be inserted, namely:–

3 A. (1) On and from the date of commencement of the Indian
Medical Council (Amendment) Ordinance, 2010, the Council shall
_ stand superseded and the President, Vice–President and other
members of the Council shall vacate their offices and shall have no
claim for any compensation, whatsoever.

(2) The Council shall be reconstituted in accordance with the provisions of section 3 within a period of one year from the date of supersession of the Council under sub–section (I).

(3) Upon the supersession of the Council under sub–section (I) and until a new Council is constituted in accordance with section 3, the Board of Governors constituted under sub–section (4) shall exercise the powers and perform the functions of the Council under this Act.

(4) The Central Government shall, by notification in the Official Gazette, constitute the Board of Governors which shall consist of not more than seven persons as its members, who shall be persons of eminence and of unimpeachable integrity is the fields of medicine and medical education, and who may be either nominated members or members, ex officio, to be appointed by the Central. Government, one of whom shall be named by the Central Government as the Chairperson of the. Board of Governors,

(5) The Chairperson and the other members, other than the members, ex officio, shall be entitled to such sitting fee and traveling and other allowances as may be determined by the Central Government.

(6) The Board of Governors shall meet at such time and places
and shall observe such rules of procedure in regard to the
transaction of business at its meetings as is applicable to the
Council.

(7) Two–third of the members of the Board of Governors shall
constitute the quorum for its meetings.

(8) No act or proceedings of the Board of Governors shall be
invalid merely by reason of–

(a) any vacancy in, or any defect in the constitution o£ the Board of Governors; or

(b) any irregularity in the procedure, of the Board of Governors not affecting the merits of the case.

(9) A member having any financial or other interest in any matter coming before the Board of Governors for decision, shall disclose his interest in the matter before he may, if allowed by the Board of Governors, participate in such proceedings.

102 of 1956.
 

(10) The Chairperson and other members of the Board of Governors shall hold office during the pleasure of the Central Government.

3B. During the period when the Council stands superseded,– Certain modifications of

(a) the provisions of this Act shall be construed as if the Act. for the word "Council", the words "Board of Governors" were substituted;

(b) the Board of Governors shall–

(i) exercise the powers and discharge the functions of the Council under this Act and for this purpose, the provisions of this Act shall have effect subject to the modification that references therein to the Council shall be construed as references to the Board of Governors;

(ii) grant independently permission for establishment of new medical colleges or opening a new or higher course of study or training or increase in admission capacity in any course of study or training referred to in section 10A or giving the person or college concerned a reasonable opportunity of being heard as provided under section 10A without prior permission of the Central Government under that section, including exercise of the power to finally approve or disapprove the same: and

(iii) dispose of the matters pending with the Central Government under section 10 A upon receipt of the same from it.

3C. (I) Without prejudice to the provisions of this Act, the Board of Governors or the Council after its reconstitution shall, in exercise of its powers and in the performance of its functions under this Act, be bound by such directions on questions of policy, other than those relating to technical and administrative matters, as the Central Government may give in writing to it from rime to time;

Provided that the Board of Governors or the Council after its, reconstitution shall, as far as practicable, be given an opportunity to express its views before any direction is given under this subsection.

(2) The decision of the Central Government whether a question is a matter of policy or not shall be final. Power of Central Government to give directions.

PRATIBHA DEVISINGH PATIL
President.

V.K.BHASIN,
Secy, to the Govt of India,


PRINTED BY THE GENERAL MANAGER, GOVT. OF INDIA PRESS, MITO ROAD, NEW DELHJ AND PUBLISHED BY THE CONTROLLER OF PUBLICATIONS, DELHl, 2011 GMGIPMRND—2564GI(CRC)—15-5-2010.
 

Readers Responses

  1. Dear Dr KK, dissolving elected council of MCI & giving charge to some other ministry & taking away the powers from doctors is not the answer. Corruption can be anywhere. Things have to be made more transparent & accountable: Dr V K Goyal.

  2. Respected Dr KK. Aggarwalji, I fully endorse your views about MCI. Thanks for bringing the details to your readers. With regards: Dr AK Bagga

  3. Dear Dr Aggarwal, First of all congrats to you for the wonderful effort you are undertaking of updating the medical fraternity. My views are about the DMC registration issue; it has two dimensions. Firstly it is difficult to understand why DMC requires to have mandatory registration for practicing in Delhi; this can be partly explained because some of the postgraduate degrees are not recognised by MCI but are recognised by the respective state councils. But the other condition that it should be renewed every five years is not understandable. This practice only seems to be a fund raising practice, because for the renewal you don’t need to show any CME credit hours or clear any test just produce the same degrees which have been verified at the time of first registration, other states are providing for lifetime registration and this should be the practice with DMC too.Thanks: Dr Puneet Wadhwa, Pediatrician, Faridabad.

  4. Dear Dr KK Agarwal, I am of the strong opinion that we must have updates about persons such as the MCI President given the recent scam he is involved in. I also observe that after 2 – 3 days he was caught taking bribe, there is not much discussion in press about what has happened to him. Emedinews is the only way we can get updates about him. Further, we are not interested him as a person, but for the fact that he was MCI president and how he possibly could have damaged the reputation of MCI and Medical profession as a whole. Further, others who are engaged in such practices, will get a strong message as to what will happen to them if law takes its own course. Please keep writing and updating… Dr Ingole, MD
     
  5. Dear KK, Please stand corrected, the MCI had just about 100 members from constituencies like Universities, State Medical Councils, State Govt nominees, Central Govt nominees and none from the Licentiate group, and not 150 as reported by you.The functioning of the office of the Council will remain unaffected, but the decision making body has been replaced for now by the ordinance: Dr K K Arora
     
  6. A 24–hour urine test for microalbuminuria (defined as an albumin concentration > 30 mg/g of creatinine or as excretion > 20 mg of albumin per minute) is a well–established test for early renal disease in diabetic patients. Microalbuminuria has also been associated with vascular disease in general. As a result, many physicians now use tests for microalbuminuria more often. Dr G.M.Singh