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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

 
  Editorial …

21st June 2011, Tuesday                                

Can a hospital withhold a test report because of unpaid bill
for medical service?

The Medical Council of India Code of Ethics is silent on this issue. Under section 3.71 of MCI Code of Ethics, “A physician shall clearly display his fees and other charges on the board of his chamber and/or the hospitals he is visiting. Prescription should also make clear if the Physician himself dispensed any medicine.”

However, the American Medical Association Code of Ethics clarifies this question. Under Opinion 7.02, the code of ethics clarifies that medical reports should not be withheld because of unpaid bills for that medical service.

Quite often, we see media reports especially the electronic media, taking issues where dead body has been retained by a hospital for not clearing the bills. This is covered under the same explanation.

Nobody forces a hospital or medical establishment not to admit a patient without a reasonable advance, submit the bill on a daily basis and ask for further advance. Except for a case of a life threatening emergency, no medical establishment is obliged to treat the patient without an advance.

If the hospital is anticipating a dispute or anticipating that the relations may not pay the money, in that situation, it is the duty of the hospital to write prescription and give it to the relations to get all the costly drugs and accessories as there is no law which forces a hospital to provide drugs from their own stores. They can also ask the patient’s relatives to get tests done from laboratory outside the hospital. At least they will be able to reduce a substantial financial burden if a dispute happens at the time of death of the patient.

But, if a family refuses to pay, there is no way a medical establishment can retain the body. A financial dispute is a civil dispute and has to be settled under the Law of Contract and the money recovered through the court using the principles of natural justice. There is no role of medical establishment informing the Police that this patient or the relations are not paying the fee. On the contrary, the relatives have a right to go to the Police if they find the hospital refusing to release the dead body.

Dr KK Aggarwal
Editor in Chief
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    Changing Practice – Evidence which has changed practice in last one year

Dabigatran for patients with atrial fibrillation

In patients with atrial fibrillation for whom anticoagulant therapy is chosen, start dabigatran rather than warfarin.  

 
  eMedinewS Audio PostCard

Padma Shri and Dr BC Roy National Awardee
Dr K K Aggarwal on

Ten Incarnations of Vishnu

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

2nd eMedinewS Revisiting 2010

Dignitaries on the dais in the 2nd eMedinewS Revisiting 2010, giving their views on Revisiting 2010

 
Dr K K Aggarwal
 
    National News

Scientists come up with new molecule that may lead to better drug for TB

CHENNAI, June 16, 2011: Scientists at the Tuberculosis Research Centre (TRC) here have hit upon a new molecule with anti-bacterial and anti-viral properties that could potentially lead to a better drug for the treatment of TB and common HIV sub-types. The team at TRC extracted the molecule, Transitmycin, from the marine microorganism Streptomyces sp. isolated from a soil sample off the Rameswaram coral reef. The brominated and pigmented (yellow) antibiotic was found effective during in vitro tests against dormant and active forms of Mycobacterium tuberculosis — the pathogen that triggers one of the leading infectious diseases worldwide. The Transitmycin molecule also exhibited promising inhibiting capability against certain common HIV sub types such as clade B and C (HIV clade C is the most common HIV strain in India) and pathogens such as E. Coli and Staphylococcus aureus. (Source: http://www.thehindu.com/health/medicine-and-research/article2107881.ece)

Moolchand offers International Post Graduate Program in Emergency Medicine

Moolchand Medcity in partnership with the Ronald Reagan Institute of Emergency Medicine (RRIEM) at the George Washington University, USA will offer 3-year Post Graduate Program in Emergency Medicine. It is amongst the most prestigious international post graduate training programs available in emergency medicine in India. “It is a 3-year Post Graduate Program in Emergency Medicine where we prepare fellows to practice in the complex and challenging arena of emergency medicine at the highest levels. With regular theory classes, students are posted in the emergency department of Moolchand Medcity as well as in the various critical care areas of the hospital” said Mr. Vibhu Talwar, Chief Operating Officer, Moolchand Medcity. The faculty will provide lectures, seminars, simulations and clinical teaching to the fellows. The quality of the education programs will be maintained through continuous assessments of the fellows and the overall fellowship program.

Course details of Masters in Emergency Medicine: Duration: 3 years, Eligibility criteria: MBBS with internship, registration with Delhi Medical Council; Fee: Rs. 6.75 lakhs (for 3 years). Last date for application: June 23, 2011. On completion, Fellows get a Post Graduate Degree in Emergency Medicine from George Washington University, USA and a certificate in proficiency in healthcare quality standards from Moolchand. Download the prospectus form from www.moolchandhealthcare.com or call at +91 9958997293.

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

(Dr Monica and Brahm Vasudev)

Kids can drown even in wading pools

Small, portable pools pose a significant -- and largely unappreciated -- drowning risk for young children, a retrospective study showed. Between 2001 and 2009, a total of 209 children younger than 12 drowned in portable, above-ground pools and an additional 35 survived submersion, according to Gary A. Smith, MD, of Nationwide Children's Hospital, in Columbus, Ohio, and colleagues. Ninety-four percent of these events involved children younger than five years, the researchers reported in the July issue of Pediatrics. (Source: Medpage Today)

VAM: Diabetics fare well with SFA stent

A drug-eluting stent for the superficial femoral artery (SFA) showed sustained effectiveness at two years in diabetics versus nondiabetics, a substudy found. Of 302 patients randomized to the Zilver PTX paclitaxel (Taxol)-eluting stent, event-free survival was similar for diabetics (n=146) and nondiabetics (n=156): 89.2% versus 93.5% at 12 months and 84.4% versus 88.7% at 24 months (P=0.47), Sean P. Lyden, MD, from the department of vascular surgery at the Cleveland Clinic, reported. Furthermore, patency rates were similar for diabetic and nondiabetic patients: 83.9% versus 85.2% at 12 months and 74.1% versus 77.5% at 24 months (P=0.37), according to the study presented at the Vascular Annual Meeting of the Society for Vascular Surgery in Chicago. (Source: Medpage Today)

Meds target, tame vulnerable plaque

While prospectively detecting and treating vulnerable plaque remains a challenge, some medications, current and emerging, can help stabilize plaque for secondary prevention, according to a European Society of Cardiology (ESC) position paper. The ESC Working Group of Atherosclerosis and Vascular Biology noted in the paper that strong clinical evidence has shown the ability of statins to stabilize plaque, along with positive results for aspirin and other antiplatelet agents, beta-blockers, and renin-angiotensin-aldosterone system inhibitors. Researchers also noted the existence of some evidence showing plaque stabilization abilities for peroxisome proliferator activated receptor (PPAR) agonists, niacin, omega-3 fatty acids, and some HDL-raising therapies, according to the paper published online in Thrombosis and Haemostasis. (Source: Medpage Today)

 
    Fitness Update

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Fitness in adults linked to overall health status later in life

The prevalence of frailty, which is linked to earlier death, increases throughout adulthood as people age and not just after age 65, found an article in CMAJ (Canadian Medical Association Journal). Relatively good fitness levels at all ages were predictive of lower mortality and less reliance on health care services. Frailty in medical terms refers to a person's health status and the risk of adverse events related to various health conditions. It is usually associated with older adults.

The researchers sought to understand the impact of age on fitness and frailty, the profile of relatively fit people aged 15 to 102 compared with frail adults and the impact of fitness and frailty related to age and sex on mortality. They looked at data on 14, 713 people, of whom 54% were women, over a 12 year period from 1994-1995 to 2006-2007 with 2 year monitoring intervals. A Frailty Index, used to grade risk, rated people's health levels and the accumulation of health deficits. These included diseases, disabilities (such as needing help with meal preparation), symptoms (such as hearing impairment), allergies and other conditions. Most participants (7,183) reported fairly high relative fitness at the start of the study compared with 1,019 who were frail. These relatively fit people generally stayed healthy and those who were frail at the start were most likely to die.

As participants aged, their frailty level increased."We found that the prevalence of frailty increased exponentially with age throughout the adult life span and not just after age 65, where the sharpest inflection of the curve occurred," explained research scientists from Dalhousie University, and the Centre for Health Care of the Elderly, Halifax, Nova Scotia, "At all ages, relatively fit people had a lower mortality and used fewer health care services." People with higher frailty levels used more health care services and the risk of institutionalization increased for the frailest. "That deficits accumulate with age is not surprising; indeed, at the sub-cellular level, this is said to be how aging occurs," write the authors. "Our data suggest that deficit accumulation is a fact of aging, not age, and that the antecedents of frailty in late life manifest at least by middle age."

 
    Twitter of the Day

@DrKKAggarwal: Dr K K Aggarwal on Dualism Vs Non Dualism Vs Qualified Non Dualism.MP3: http://t.co/oEfA2cU

@DeepakChopra :Don't underestimate Melody I"m sure she understands this http://amzn.to/lLsvpp

 
    Spiritual Update

Science behind Hanuman Chalisa

How can one maximally benefit from Hanuman Chalisa?

You can do the same slower cycles of inspiration and expiration by reciting the Bijja Mantra “Ram” during expiration. “Ram” should be recited by prolonging the sound ‘Ammmmmm………m’

 
    An Inspirational Story

(Dr. Anupam Sethi Malhotra)

How the poor live

One day, a father of a very wealthy family took his son on a trip to the country with the firm purpose of showing his son how poor people live. They spent a couple of days and nights on the farm of what would be considered a very poor family. On their return from their trip, the father asked his son, “How was the trip?” “It was great, Dad.” “Did you see how poor people live?” the father asked. “Oh yeah,” said the son.

“So, tell me, what did you learn from the trip?” asked the father.

The son answered, “I saw that we have one dog and they had four. We have a pool that reaches to the middle of our garden, and they have a creek that has no end. We have imported lanterns in our garden, and they have the stars at night. Our patio reaches to the front yard, and they have the whole horizon. We have a small piece of land to live on, and they have fields that go beyond our sight. We have servants who serve us, but they serve others. We buy our food, but they grow theirs. We have walls around our property to protect us; they have friends to protect them.”

The boy’s father was speechless. Then his son added, “Thanks, Dad, for showing me how poor we are.”
 

 
    Pediatric Update

(Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity)

What are the common organisms causing liver abscess in children?

Most of the liver abscesses in children are pyogenic in nature with amoebic liver abscesses constituting 21–30% of cases. Common bacteria causing pyogenic liver abscesses are

  • Staphylococcus is the leading cause
  • Microaerophilic streptococci
  • Gram-negative rods like E. coli
  • Klebsiella
  • Enterobacter species
  • Unusual micro–organisms like fungal hepatic microabscesses
  • Tubercular liver abscesses (rare)
 
  Did You Know

(Dr Uday Kakroo)

The night of January 20 is "Saint Agnes's Eve", which is regarded as a time when a young woman dreams of her future husband.

 
    IJCP Special

Dr Good Dr Bad

Situation: An elderly diabetic patient came with a BP of 160/80 mmHg.
Dr Bad: You need more intensive treatment.
Dr Good: It is ok to have it at this level.
Lesson: BP is a marker for mortality in elderly type 2 diabetes mellitus patients, but has an inverse relationship. In a prospective observational cohort study of more than 800 patients aged 60 years and older, a decrease of 10 mmHg in systolic BP, diastolic BP and pulse pressure led to a mortality increase of 22% (95% confidence interval (95% CI): 13–31%), 30% (95% CI: 13–46%) and 22% (95% CI: 11–33%), respectively.

Make Sure

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time.
Lesson: Make sure that all foreigners are diagnosed as suffering from Traveler's diarrhea even if there is one single loose motion.

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  SMS of the Day

(Dr GM Singh)

An observational European study showed that corticosteroids increased risk for pneumonia and conferred no mortality benefit in patients with severe H1N1 infection.

 
  GP Pearls

(Dr Pawan Gupta)

Addition of Hylauranidase 1500 I.U / 00.005% fluticasone oint is helpful in conservative management of Phimosis in 6 months to 10 year old boys. Do adhesiolysis after partial retraction. Do gentle dilation to open prepuce. Avoid bleeding which can lead to fibrosis. Use the combination of two drugs. BHJ 2011;53(2):196-198)

 
    Medicolegal Update

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

Most pesticides available are poisonous and harmful to humans

Pesticides are chemicals that destory insects, weeds or other pests. Most pesticides are also poisonous or harmful to humans if they get on the skin, or if they are breathed into the lungs in the form of gases, fumes, dust or fine spray droplets, or if they are swallowed. Following are some of the ways people may be poisoned:

  • If they use pesticides in the wrong way; for example, children may be poisoned if pesticides are sprayed on their bedclothes
  • If they do not use protective equipment, e.g. they may splash pesticide on their clothes or skin, or may breathe in pesticide
  • If they eat, drink or smoke after working with pesticides, and have chemicals on their hands (hands should be washed first)
  • If empty pesticide containers are used to store food or drink (It is impossible to wash all the pesticide out of an empty can, and so some pesticide will get into the food or drink)
  • If food containers or drink bottles are used to store pesticides, they may be mistaken for food or drink i.e. contents of the bottles or containers.
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Vitamin D and heart disease

Research suggests that low levels of vitamin D may contribute to or be a cause of syndrome X with associated hypertension, obesity, diabetes and heart disease. Vitamin D regulates vitamin-D-binding proteins and some calcium-binding proteins, which are responsible for carrying calcium to the "right location" and protecting cells from damage by free calcium. Thus, high dietary levels of calcium, when D is insufficient, may contribute to calcification of the arteries, joints, kidney and perhaps even the brain.

Many researchers have postulated that vitamin D deficiency leads to the deposition of calcium in the arteries and hence atherosclerosis, noting that northern countries have higher levels of cardiovascular disease and that more heart attacks occur in winter months.

Scottish researchers found that calcium levels in the hair inversely correlated with arterial calcium—the more calcium or plaque in the arteries, the less calcium in the hair. Ninety percent of men experiencing myocardial infarction had low hair calcium. When vitamin D was administered, the amount of calcium in the beard went up and this rise continued as long as vitamin D was consumed. Almost immediately after stopping supplementation, however, beard calcium fell to pre-supplement levels.

Administration of dietary vitamin D or UV-B treatment has been shown to lower blood pressure, restore insulin sensitivity and lower cholesterol.

References

  1. Krause R, Buhring M, Hopfenmuller W, et al. Ultraviolet B and blood pressure [letter]. Lancet 1998;352:709-10.
  2. Jorde R, Bonaa KH. Calcium from dairy products, vitamin D intake, and blood pressure: the Tromso Study. Am J Clin Nutr 2000;71:1530-5.
  3. Rostand SG. Ultraviolet light may contribute to geographic and racial blood pressure differences [see comments]. Hypertension 1997;30:150-6.
 
  Legal Question of the Day

(Dr MC Gupta)

How can doctors in Punjab avoid sections 13A, 13B and 23 of the PMR Act,1916?

I don’t like sections 13A, 13B and 23 of the PMR Act, 1916. What should doctors do to avoid these sections?

Ans. First of all, let us study these sections. These are reproduced below:

Person, registered with any other State shall have to be registered in the State of Punjab.
13-A. “In case, a person, registered with a Medical Council of any other State or Medical Council of India, intends to practice in the State of Punjab, he shall have to get himself registered with the Punjab Medical Council on payment of the prescribed fee.”.

Renewal of registration
13-B. Every registered practitioner shall get his registration renewed after every five years within a period of two months from the date of the expiry of his previous registration on payment of the prescribed fee:

Provided that before getting his registration renewed, the registered practitioner shall have to obtain a certificate from a State Medical Council or Medical Council of India or National or International Bodies to the effect that he had got fifty credited hours of Continuing Medical Education in every five years.

Explanation: For the purpose of this section, the expression accredited hours shall mean the hours, accredited to the credit of registered practitioner by the aforesaid Council or bodies.

Penalty for falsely pretending to be a registered practitioner: Every person who falsely pretends to be a registered practitioner shall, whether any person is actually deceived by such pretence or not be liable to be punished on conviction by a magistrate of the first class with a sentence of imprisonment for a term, not exceeding three years and with fine, not exceeding ten thousand rupees.

2---The term registered practitioner is defined in section 3 as:

(4) registered practitioner means any person registered under the provisions of this Act.

3. It is to be noted that there is nothing like automatic removal of the name of the doctor from the SMR if he does not act in accordance with section 13B. It must be noted that section 13B provides for renewal and not re-registration. The procedure for removal of the name from the SMR is given in section 16, reproduced below:

Alteration of register
16. (1) The Council may, if it sees fit, and after giving notice to the person concerned and inquiring into his objections, if any, order that any entry in the Council register which shall be proved to the satisfaction of the Council to have been fraudulently or incorrectly made or brought about, be cancelled or amended.
(2) The Council may direct the removal altogether or for a specified period from the register of the name of any registered practitioner who has convicted of any such offence as implies in the opinion of the Council a defect of character or who, after an enquiry at which opportunity has been given to such registered practitioner to be heard in person or by pleader, has been held by the Council to have been guilty of infamous conduct in any professional respect. The Council may also direct that any name so removed shall be restored.

4. Doctors who are against these sections can do two things, depending upon whether they are fighters or whether they want the easy way out:

A. FIGHTERS

The strategy would be to not comply with the requirements of section 13B. A careful reading of section 16 makes it clear that the PMC cannot take any action. It cannot take action under section 16(1) or section 16(2). In any case, if the PMC wants to act under section 16(1), which really would not apply, it would have to give †notice to the person concerned and inquiring into his objections†. The notice can be replied at that stage and objections raised and if the PMC still takes adverse action, Punjab and Haryana HC can be approached for relief.

B. FOR NON-FIGHTERS

a. For those registered with PMC and another SMC: Let the PMC registration lapse. After it lapses, do not use PMC registration no. It is obvious that section 23 would apply to only those doctors who are not registered with the PMC but claim to be registered with it or use the registration no. allotted by the PMC. In the present case, because the doctor already has a valid registration with another SMC by virtue of which his name is entered in the IMR and because such registration entitles him to practice anywhere in India in terms of section 15(2) (b) of the IMC Act, 1956, and because he is not claiming to be a registered practitioner in terms of the PMR Act, 1916, and is not using the registration no. allotted by the PMC, he will not be liable under section 23.

b. For those registered with only PMC: Get registered with some other SMC, says Haryana Medical Council.

c. For those appearing in final MBBS examination from a medical college in Punjab and entering internship. They should not get registered with PMC but with any other SMC, (maybe Haryana SMC) in accordance with section 25(2) of IMC Act, 1956.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Cholinesterase test

  • To determine if you have been exposed to and/or poisoned by certain organophosphate chemicals found in pesticides
  • To monitor cholinesterase levels if you work with pesticides
  • Sometimes to identify individuals with inherited pseudocholinesterase deficiency before they are given anesthesia with the muscle relaxant succinylcholine, or
  • To help determine the cause of prolonged apnea after surgical anesthesia
 
    Mind Teaser

Read this…………………

A 45-year-old male with a history of alcohol dependence presents with confusion, nystagmus and ataxia. Examination reveals 6th cranial nerve weakness. He is most likely to be suffering from:

1. Korsakoff’s psychosis
2. Wernicke’s encephalopathy
3. De Clerambault syndrome
4. Delirium tremens

Yesterday’s Mind Teaser: A 40 year old male, with history of daily alcohol consumption for the last 7 years, is brought to the hospital emergency room with acute onset of seeing snakes all around him in the room, not recognizing family members, violent behavior and tremulousness for few hours. There is history of his having missed the alcohol drink since 2 days. Examination reveals increased blood pressure, tremors, increased psychomotor activity, fearful affect, hallucinatory behavior, disorientation, impaired judgement and insight. He is most likely to be suffering from:

1. Alcoholic hallucinosis
2. Delirium tremens
3. Wernicke encephalopathy
4. Korsakoff’s psychosis

Answer for Yesterday’s Mind Teaser: 2. Delirium tremens.

Correct answers received from: Dr. BN Ganagdhar, Dr. Sushma Chawla, Dr YJ Vasavada, Dr Shirish Singhal, Dr. BB Aggarwal, Dr Maneesh Gupta, Dr Neelam Nath, Dr Shikha Jain, Dr Muthumperumal Thirumalpillai, Doraisami Sundaram, Dr Jainendra Upadhyay, Dr.Deepali Chatterjee, Dr Anil Bairaria.

Answer for 9th June Mind Teaser: 4. It inhibits secretion of FSH
Correct answers received from: Dr Shikha Jain, Doraisami Sundaram, Dr. Deepali Chatterjee, Dr Anil Bairaria.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

Global funds

These funds invest in any country around the globe. Foreign equity funds provide an opportunity to diversify across many markets and reduce the risks associated with the health of any one economy and its stock market. These funds do have risks associated with political and market conditions in other countries. In addition, foreign funds are exposed to currency risk. Different accounting practices and securities regulations around the world may affect the fund managers’ ability to value and trade in some securities. Portfolio managers seek to reduce these risks by investing in different countries and industries

 
    Laugh a While

(Dr. GM Singh)

A wife say to her husband: "4 days later is my birthday, if you want to give to me something, please let it's color become BLUE and WHITE and 0-100 for 4 SECOND." Because her car was old with more problem and she thought with herself this time is a best time to change the car. Four days later her husband bought a SCALE with her exact request and give it to her as a birthday gift!

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Ketorolac Tromethamine 0.4% w/v + Moxifloxacin 0.5% w/v Ophthalmic solution
Additional lower strength
21.09.10
 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Variations of the gastric bypass

Gastric bypass, Roux en-Y (proximal)

This variant is the most commonly employed gastric bypass technique. It is the operation which is least likely to result in nutritional difficulties.

The small bowel is divided about 45 cm (18 in) below the lower stomach outlet, and is re-arranged into a Y-configuration, to enable outflow of food from the small upper stomach pouch, via a "Roux limb". In the proximal version, the Y-intersection is formed near the upper (proximal) end of the small bowel. The Roux limb is constructed with a length of 80 to 150 cm (31 to 59 in), preserving most of the small bowel for absorption of nutrients. The patient experiences very rapid onset of a sense of stomach-fullness, followed by a feeling of growing satiety, or "indifference" to food, shortly after the start of a meal.

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Large randomized trials comparing stenting with endarterectomy for carotid disease showed higher rates of periprocedural stroke with stenting.

 
    Public Forum

(Press Release for use by the newspapers)

Doctor’s Ethics: Sexual Relationships with Patients

Sexual relationships with patients are unethical and may compromise patient care. The effects of physician-patient sexual contact are almost always negative or damaging to the patient. Patients are often left feeling humiliated, mistreated or exploited, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President, Heart Care Foundation of India.

Dr Aggarwal described the Medical Council of India (MCI) guidelines to deal with this issue as under:

7.4 Adultery or Improper Conduct: Abuse of professional position by committing adultery or improper conduct with a patient or by maintaining an improper association with a patient will render a Physician liable for disciplinary action as provided under the Indian Medical Council Act, 1956 or the concerned State Medical Council Act.

Dr Praveen Chandra, Chairman, Division of Interventional Cardiology, Medanta-The Medicity, said that physicians and patients may be genuinely attracted to each other. However, any relationship in which a physician might take advantage of the patient’s emotional or psychological vulnerability is unethical.

As per the American Medical Association’s Council on Ethical and Judicial Affairs

  • Sexual contact or a romantic relationship concurrent with the physician-patient relationship is unethical
  • Sexual contact or a romantic relationship with a former patient may be unethical under certain circumstances. Sexual or romantic relationships with former patients are unethical if the physician uses or exploits trust, knowledge, emotions, or influence derived from the previous professional relationship.
  • Education on the ethical issues involved in sexual misconduct should be included throughout all levels of medical training.
  • In the case of sexual misconduct, reporting offending colleagues is especially important.
 
    Readers Responses
  1. Thanks for giving information however same is also prevalent in other professions. Corruption is worldwide. In my opinion nobody can stop corruption. Please tell the solution for that and your views: Dr. RL Garg.
    eMedinewS responds: That is true. Infact it may be more in other profession. But the suffix Dr. is only given to us doctors. Those who are given any suffix like Dr, Dewan, Rai Bahadur, Numberdar, Sir, etc should stay away from corruption. They must set examples for others to follow. Dr KK Aggarwal
 
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme
Details <.. Click here ..>

………………………………………………………………

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com

………………………………………………………………

Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at
medifilmfestinhealthmela@gmail.com

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