eMedinewS 21st July 2013, Sunday

Dr K K 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; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); 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);
For updates follow at
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

NEET: Review or curative petition?

The government is likely to file review petition which will go the same judges who delivered the judgment. And if it fails there is still another chance to file curative petition.

The concept of Curative petition was evolved by the Supreme Court of India in the matter of Rupa Ashok Hurra vs. Ashok Hurra and Anr. (2002) where the court decided whether an aggrieved person is entitled to any relief against the final judgment / order of the Supreme Court, after dismissal of a review petition.

The Supreme Court said that in order to prevent abuse of its process and to cure gross miscarriage of justice, it may reconsider its judgments in exercise of its inherent powers.

For this purpose the Court devised "curative" petition, in which the petitioner is required to aver specifically that the grounds mentioned therein had been taken in the review petition filed earlier and that it was dismissed by circulation. This has to be certified by a senior advocate. The Curative petition is then circulated to the three senior most judges and the judges who delivered the impugned judgement, if available. No time limit is given for filing Curative petition. ....Read More

cpr10 Mantra The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”


VIP's on CPR 10 Mantra Video
eMedinewS
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

sprritual blog Spiritual Prescription: You are born with a quota, use it judicially

Everyone is born with a passport with a defined battery life to live up to 100 years after which one has to go back to renew or recharge the batteries.

If the battery is overused or misused and is depleted early, one may have to go back prematurely for recharging, but this time when one comes back, he or she may come back with a different body which may not be the human one. There are 64 lakh Yonis as described in the Vedic Literature.

According to the Vedic description if one dies prematurely there are chances that the rebirth will not be in the same species.

To live up to the time period defined at the time of birth by Dharamaraja one has to follow the principles as described in Yogashastra.

The main principle is the principle of moderation and variety. It says that everything has to be used, if not used will get rusted and if overused will undergo wear and tear. The classical example is that God had made uterus in the women for producing a child. If the same organ is not used at all, it will produce a fibroid and if overused a cancer may develop.

When using the principles of moderation and variety, it is important to remember that each one of us is born with a fixed quota of everything, a quota of diet, respiration, heart rate and thoughts.

According to swara yoga, one is born with pre defined number of respirations to be taken during life. If one consumes them early he will depart for refueling early from the life. To reduce respiratory rate is therefore the basis of postponing aging and prolonging life. Stimulating the parasympathetic nervous system by learning and practicing pranayama, which is slow and deep breathing, does the same.

One breathes 15 times a minute or 21600 breaths in a day, or 7884000 (78.84 lakh) a year or 788400000 (78.84 crores) during life (assuming it to be 100 years). Some yoga books say that a person is born with 33 crore breaths, the same if taken at the rate or 15 per minute would last for 42 years.

In fact Pranayama originated on the concept that the breaths of each one of us are numbered, that our life-span is dependent on how many times we shall breathe in a given life, and that, as a consequence of this fact, we must reduce the number of breaths so as to live longer.

In Gorakshapaddhati (I.93), it is written that "Due to fear of death even Brahma, the Lord of creation, keeps on practicing pranayama, and so do many yogis and munis. It is recommended that a student of yoga must always control his breath."

Hathayoga-pradipika (II.39) also writes: `All the Gods including Lord Brahma became devoted to the practice of pranayama because they were afraid of death. We the mortals should follow the same path and control the breath."

Similarly one is born with a quota of heartbeats. The same is at an average of 70 per minute. Many studies have shown that people who have a higher resting heart rate have more chances of sudden death. The aim therefore is to keep the heart rate at a lower pace. The same can be achieved either by regular exercise, meditation, AUM Pranayama, or by meditation. In people who run marathons or participate in other athletic activities, the temporary increase in the heart rate during exercise is compensated by the body by adapting the cardiovascular system in such a way that the basal heart rate reduces. The marathon runners may have a heart rate of only 50 per minute.

The less one eats the more he lives is an Yogic saying, It is said that people who eat once a day are Yogis, twice a day are Bhogis and thrice a day are Rogis. There are enough studies now, which say that 25% reduction in the calories content can increase the life span. Many studies in rodents have also shown the same effect.

The moderation in exercise is to walk 10000 steps a day. No exercise will end up with obesity and over use with osteoarthritis.

Stress is the excess of thoughts in the mind. Controlling the mind forms the basis of meditation. Samadhi is the state of no thoughts. Practicing meditation 20 minutes twice daily helps in the restrain of the mind with resultant state of Turiya where the mind has controlled limited positive thoughts. ....Read More

cardiology news

The Mouse Trap

A mouse looked through the crack in the wall to see the farmer and his wife open a package. "What food might this contain?" the mouse wondered. He was devastated to discover it was a mousetrap.

Retreating to the farmyard, the mouse proclaimed the warning: "There is a mousetrap in the house! There is a mousetrap in the house!"

The chicken clucked and scratched, raised her head and said "Mr. Mouse, I can tell this is a grave concern to you, but it is of no consequence to me. I cannot be bothered by it."

The mouse turned to the pig and told him "There is a mousetrap in the house! There is a mousetrap in the house!" The pig sympathized, but said "I am so very sorry, Mr. Mouse, but there is nothing I can do about it but pray. Be assured you are in my prayers."

The mouse turned to the cow and said "There is a mousetrap in the house! There is a mousetrap in the house!" The cow said "Wow, Mr. Mouse. I'm sorry for you, but it's no skin off my nose."

So, the mouse returned to the house, head down and dejected, to face the farmer's mousetrap alone.

That very night a sound was heard throughout the house - like the sound of a mousetrap catching its prey. The farmer's wife rushed to see what was caught. In the darkness, she did not see it was a venomous snake whose tail the trap had caught. The snake bit the farmer's wife. The farmer rushed her to the hospital and she returned home with a fever.

Everyone knows you treat a fever with fresh chicken soup, so the farmer took his hatchet to the farmyard for the soup's main ingredient. But his wife's sickness continued, so friends and neighbors came to sit with her around the clock. To feed them, the farmer butchered the pig. The farmer's wife did not get well; she died. So many people came for her funeral, the farmer had the cow slaughtered to provide enough meat for all of them.

The mouse looked upon it all from his crack in the wall with great sadness.

So, the next time you hear someone is facing a problem and think it doesn't concern you, remember: when one of us is threatened, we are all at risk. We are all involved in this journey called life. We must keep an eye out for one another and make an extra effort to encourage one another. Each of us is a vital thread in another person's tapestry.

...Read More

News Around The Globe

  1. Following is the link for the Hon. Sup. Court of India Judgement. http://courtnic.nic.in/supremecourt/temp/nc%209812p.txt
  2. There is another twist in the tale. The Honorable SC has legitimized admissions already done based on National Eligibility-cum-Entrance Test (NEET). However, neither central 15% seats nor Punjab state and similarly other states which did not dispute NEET Fate of these admissions still to be done supposedly on basis of NEET because no separate state PMT has been held is now in question. HT has highlighted the issue today. Careers of the poor students who for no fault of theirs are suffering the uncertainty is not of sufficient concern of the SC. Only rights of private medical colleges and minority institutions to profit are the constitutionally and legally protected rights which need to be adjudicated in favor of. Problem is that actions of judiciary are protected by clause of action taken in good faith plus the sword of contempt of court keeps the common man in his designated place as ordained by the British and continued in the "Indian Empire". It was necessary for our sahibs (judiciary) to have vacations because they cannot tolerate heat in India but not necessary to not give a unhurried, judgment with proper discussion (as per justice Dave's dissenting judgment). Why will the youth not migrate abroad?? Regards, Dr Neeraj Nagpal.
  3. Justice ANIL R. DAVE's verdict /Opinion on NEET! Friends, you know that NEET was quashed by 3 member Supreme Court bench with 2:1. Of this judgment, the pro NEET opinion of one justice is as follows------
    1. NEET would not violate any of the fundamental or legal rights of private medical colleges. the fundamental rights guaranteed under Article 19(1)(g),25, 26 and the rights of the minority institutions under Articles 29 and 30 would not be violated. Sections 19A and 20 of the IMC Act permit the MCI to prescribe the minimum standards of medical education. Section 33 of the Act enables the MCI to make regulations to carry out the purposes of the Act and therefore, conducting the NEET is perfectly legal.
    2. NEET would ensure more transparency and less hardship to the students. NEET conducted under the supervision of the apex professional body would inspire confidence in the system.
    3. With NEET unscrupulous and money minded businessmen operating in the field of education would be constrained.
    4. With NEET, all educational institutes should feel happy to get a suitable and eligible lot of students, without making any effort for selecting them.
    5. With NEET the autonomy of the private or deemed institutes can never be adversely affected.
    6. NEET would not violate the rights of educational institutions provided under Articles 25, 26, 29 and 30.
    7. Educational institutions which are in business of imparting education, cannot have unfettered right of admitting undeserving students.
    8. Article 19(6) of the Constitution permits the State to enact any law imposing reasonable restrictions on the rights conferred by Article 19(1)(g) in relation to the professional or technical qualifications necessary for practicing any profession.
    9. It is for the apex body of the professionals (MCI), to decide as to what type of students should undergo the professional training. The function with regard to regulating educational activity would be within the domain of the Professional bodies and their decision must be respected.
    10. In view of 'entry 25 of List III of the Seventh Schedule' to the Constitution, Union as well as the States have power to legislate on the subject of medical education, subject to the provisions of 'entry 66 of List I of the Seventh Schedule', which deals with determination of standards in institutions for higher education.
    11. NEET would not adversely affect the policy with regard to the reservation system of various states. with best regards: Dr.C. Srinivasa Raju
  4. I had lately started having a very high regard of our judicial system, with an added admiration of our proactive judges to stem the rot in our society. The latest NEET judgment has turned me a skeptic overnight. I am shocked and disheartened at the developments in our medical education field. I remember the way back in 1966 when there was no JEE and the 12th class marks would enable you to fulfill your dream of entering a medical college (THE REAL TEMPLES OF LEARNING AND NOT TRADING CENTRES). Some not so brilliant, but with deep pockets would now become doctors and try, to earn back the money spent for buying the 'goods'( A Medical Seat),by hook or crook. Our enlightened and august institutions are actively helping in this sordid drama by discouraging the deserving boys and girls from pursuing their long cherished dreams. I strongly support the MCI and Ministry of Health and FW for a review of the judgment and will pray to the next bench to look into the future and decide the matter in a more balanced manner. Dr. Goyal.
  5. Thank you for your prompt to the mail I sent yesterday. Now please take up the matter of NEET and make avenues to fight the cause. The Indian public at large should benefit by getting the medical education based on their merit. The reservation system introduced at the time of independence is no longer required can be replaced with merit since there is scope for development and potential for all individuals on their merit. Dr. Sajeev Kumar.
  6. The need for a family doctor: A family doctor is a competent multi specialist who is equipped to provide the point of first contact and the continuum of care as well!!! Way back in 1980s, a nationwide referendum or a discussion was initiated to popularize this family doctor concept. But for reasons not yet clear, the idea did not catch up or was nipped in the bud itself, probably for the vested interest of some lobby, if I am correct. The current practice of rushing to an ENT surgeon for a sneezing which can be just due to common cold, panicking to run to a neurologist for a headache which can also be due to cold /tension headache and to a cardiologist for a chest discomfort which can be just a gastric irritation, is overloading the tertiary care system, which has to be fully tuned up to meet the specialized needs of severe or terminal care. Whereas the GP or the family doctor as was envisaged in the proposal or as is being done in UK, keeps track of the history of a certain number usually 5000 families or more in his locality, and know very well what each person is suffering from/or where he should take treatment and what treatment he should get. With his initial treatment /or investigations, the patient can get treatment or can reach the best place or person for specialized or high end care. A word caution!!! Highly tight rule /system as is probably in UK, it should not be impossible to approach a specialist without family physician’s reference especially when FP is unavailable/or is on leave. There should be a flexible system to accommodate situations like this. Now the government of India shall make provision to popularize the Family Medical Practice and provide opportunities like distance education program for practicing doctors in state/central health service system and in private practice. This shall ensure good patient care and usher in a new model of medical care to the millions of people. Dr. Sajeev Kumar.

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

HAIR–AN syndrome (Hyperandrogenism, Insulin Resistance, Acanthosis Nigricans)

Some women are born with insulin resistance, a severe defect in the ability of insulin to control blood sugar levels. To compensate, the pancreas produce ovulation. Insulin resistance may lead to diabetes mellitus, high blood pressure, heart disease, and excessive growth and darkening of the skin (acanthosis nigricans), which generally occurs around the neck and crease areas of the skin.

Rabies News (Dr. A K Gupta)

What are the rules every dog owner should follow?

  1. The number one way to communicate to a dog that you are his pack leader is to take him or her for a Pack walk daily, where the dog is made to heel beside or behind the human who is holding the lead. This is most important for all dogs, as in a dog's mind, the leader always leads the way.
    1. A dog must not be allowed to sniff or eliminate anywhere he wishes, but where you allow him.
    2. The dog should be concentrating on following the human.
  2. All humans must eat before the dogs.
  3. No table scraps should be fed to the dogs during a meal.
  4. Feedings must be at a scheduled time.
  5. Humans must not let the dog go through any doorways first.
  6. When you have left the house or the room, even for a minute and come back, ignore the dog for a few minutes.
  7. A simple obedience command should be given before any pleasurable interaction with the dog. A child in the house should give the dogs command at least once a day and reward with a treat when the command is followed.
  8. You should not lie on the floor to watch TV when the dog is around, as a human should never put himself in an equal or lesser height position than the dog.
  9. You are the first one who greets newcomers; the dog is the last that gets attention.
  10. If a dog is lying in your path, do not walk around the dog, either make the dog move or step over the dog.
  11. If you establish eye contact with the dog, the dog must avert his gaze first. Tell the children not to have staring contest with the dog.
  12. Dogs must not sleep in your bed.
  13. Games of fetch or play with toys must be started and ended by the human.
  14. Dog should not be allowed to lie on your furniture.
  15. No tug–of–war, as this is a game of power and you may lose the game giving the dog reinforcement (in the dog's mind) of top dog.
  16. Dogs need to be taught a drop it or release command.
  17. Dogs should not be allowed to pull on the leash.
  18. When you put his food dish down, he must wait until you give the "OK" to eat it.
  19. Small dogs or puppies who demand to be picked up or put down should not get what they want until they sit or do another acceptable quiet behavior.
  20. Dogs should never be left unsupervised with children or anyone who cannot maintain leadership over the dog.
  21. Last but certainly not least... when you are around your dog avoid emotions. Your dog can sense these emotions and will see you as weak.
cardiology news
  • Dual-energy CT scanners: This hardware, when combined with new software, produces enhanced image quality that allows, for example, a "plaque biopsy," which provides detailed information about plaque characteristics.
  • Myocardial CT perfusion: In the next year we will know exactly how to use CT to look at coronary flow reserve.
  • Computational fluid dynamics: Using a virtual stent to see how a real stent would potentially resolve a patient's ischemia.
  • Plaque: Coronary CT c is enabling investigators to study the pathogenesis of atherosclerosis and vulnerable plaques
  • Structural heart disease: CT is already being used to help guide TAVR to reduce post-surgery complications.
  • Radiation-dose reduction: How coronary CT angiography can be used with radiation doses as low as 0.1 mSv, whereas a screening mammogram exposes a woman to 0.5 mSv of radiation.
  • Contrast-agent reduction by getting 10-cc scan
  • Appropriate-use criteria: Physicians are continuing to identify which patients benefit from cardiac CT, as the technology is advancing.
  • Two trials: The PROMISE study is comparing functional vs anatomic testing to identify heart disease. The Coronary Computed Tomographic Angiography for Selective Cardiac Catheterization (CONSERVE) trial is looking at using CT as a "gatekeeper" to the cath lab, to identify which patients should be sent for invasive coronary angiography and which ones have only have mild stenosis and could be sent home and treated with medical therapy.

Valvular Heart Disease News

Morphologically, mitral valve prolapse is classified as classic (with markedly and diffusely thickened leaflets ( =5 mm) with bileaflet prolapse) versus non-classic (with limited or absent leaflet thickening (thickness <5mm) and segmental prolapse).

(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)

cardiology news

Early weight gain in pregnancy may be bad start for infant

Mothers who put on too much weight early in their pregnancies have bigger, fatter babies, a new study shows. The study was published online July 8 and in the August issue of Obstetrics and Gynecology. (Source: Medscape) ...Read More

Puberty has role in effect of exercise on bone

Weight-bearing exercises may boost bone mineral content (BMC) in pre-pubertal children, increasing its importance for future osteoporosis prevention in this population, researchers found. (Source: Medpage Today) ...Read More

cardiology news

Use painkillers with caution in the elderly

Painkillers can cause stroke via irregular heart rhythm. Non selective non–steroidal anti–inflammatory drugs (NSAIDs) and new generation selective COX–2 inhibitors commonly used to treat inflammation are now linked to an increased risk of irregular heart rhythm called atrial fibrillation (AF), as per a Danish Research of 32602 patients led by Professor Henrik Toft Sørensen at Aarhus University Hospital in Denmark.

These drugs are already linked to increased risk of heart attacks and strokes. And now through AF, the risk gets intensified for stroke and new risk added of heart failure and death.

In the study compared with non users, new users (first drug within 60 days of diagnosis) showed 40% increased risk of AF with non–selective NSAIDS and 70% increased risk with COX–2 inhibitors. This means four extra cases of AF per year per 1000 new users of non–selective NSAIDS and seven extra cases of AF per 1000 new users of COX–2 inhibitors.

The risk was highest in the elderly, patients with chronic kidney disease or rheumatoid arthritis especially on COX–2 inhibitors. NSAIDs should be used very cautiously in older patients with a history of hypertension or heart failure. ...Read More

cardiology news

SAFE questions in Intimate partner violence

  • Stress/Safety - Do you feel safe in your relationship?
  • Afraid/Abused - Have you ever been in a relationship where you were threatened, hurt, or afraid?
  • Friend/Family - Are your friends aware you have been hurt?
  • Emergency Plan - Do you have a safe place to go and the resources you need in an emergency? ...Read More
cardiology news
  1. 16th July: HCFI Executive Meeting

EBook

CPR 10 Training Camp, EPFO, 30th May 2013

CPR 10 Camp - Police Training Center Najafgarh

Camps

CPR Classes: Persons trained (103)

13th July: CPR Moolchand

14th July: CPR Moolchand

15th July: CPR Moolchand

16th July: CPR Moolchand

17th July: CPR Moolchand

18th July: CPR Moolchand

18th July: CPR 10 Training DTC Head Quarter

19th July: CPR Moolchand

CPR VIP Sensitization

Total CPR since 1st November 2012 – 54675 trained

Video Chats and uploads

Dr KK Aggarwal on NEWS 24

Dr KK Aggarwal on Monsoon Take Care

Dr KK Aggarwal on Danger of Epidemics (Uttarakhand Disaster)

1308 students learnt CPR at Abhinav Public School, Rohini

CPR Utsav 6th April 11543 men and women Trained in 1 day

Dr KK Aggarwal on 4 REALNEWS JUNE 26 2013 On Uttarakhand Disaster

Symposium on Prayer, Faith, Meditation and healing part 9

Symposium on Prayer, Faith, Meditation and healing Part 8

The ideal medicinal dose of alcohol is 6 gm or 18 ml per day?

Diseases like coronary heart blockages, ischemic paralysis and diabetes, that moderate alcohol intake prevents, are the diseases of the elderly, men, and people with coronary heart disease risk factors. Only in this group, moderate alcohol consumption is associated with a substantial mortality benefit relative to abstention or limited drinking, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal president Heart Care Foundation of India & MTNL Perfect Health Mela and National Vice President Elect IMA.

For young to middle-aged adults, especially women, moderate alcohol consumption can increase the risk of the most common causes of death such as trauma and breast cancer. Women drinkers should take folate supplement to reduce the risk of breast cancer.

Younger men under age 45 experience more harm than benefit from alcohol consumption. Moderate alcohol use in these patients is unlikely to provide any mortality benefit. However, if there is no contraindication, consumption of less than one drink a day is safe provided they are not in a job of operation of dangerous equipment.

In patients with established contraindications to alcohol use, even this level of alcohol use is dangerous. For them no level of alcohol consumption is safe. These people include pregnant ladies, personal or strong family history of alcoholism, past hemorrhagic paralysis, liver or pancreatic disease and operation of potentially dangerous equipment or machinery. There are some who can take but under a limit and they are if they have active gastritis, esophagitis, premalignant gastrointestinal lesions such as Barrett's esophagus, or a strong family history of breast cancer.

Men can tolerate more alcohol than women. The ideal safe “medicinal dose” of alcohol for men in whom it is not contraindicated is 6 grams per day (app. 18 ml 80 proof whisky) or one drink taken every other day. The dose associated with lowest mortality in woman is 4 gm/day (One drink every 4th day).
Medicinal safe dose is different from safe dose in absence of contraindications. The safe limit is no more than two drinks (each drink id 45 ml of 80 proof whisky) daily for men and one drink daily for women.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 54675 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.” ...Read More

today emedipics

Heart Care Foundation of India organized a CPR 10 Camp with Delhi Transport Department (DTC) HQ, ITO on 18th July 2013

press release

School Health Education

today video of the dayDr KK Aggarwal on Hazards of Smart Phones

Dr KK Aggarwal on No Tobacco on P7 News

CPR Utsav 6th April 11543 Male Female Trained in 1 day

eMedi Quiz

Read this…………………

When developing a postoperative plan of care for an infant scheduled for cleft lip repair, Nurse Elaine should assign highest priority to which intervention?

a. Comforting the child as quickly as possible
b. Maintaining the child in a prone position
c. Restraining the child’s arms at all times, using elbow restraints
d. Avoiding disturbing any crusts that form on the suture line

Yesterday’s Mind Teaser: Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, Nurse Ernie detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit?

a. A sunken fontanel
b. Decreased pulse rate
c. Increased blood pressure
d. Low urine specific gravity

Answer for yesterday’s Mind Teaser: a. A sunken fontanel

Correct answers received from: DR HUSAINALI VAKIL, Rameshwar Prasad, Dr. V.P. Thakral, Dr. Thakor Hitendrsinh G, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr kanta jain, Dr.Chandresh Jardosh, daivadheenam jella, DR AVTAR KRISHAN

Answer for 19th July Mind Teaser: b. Fluid overload

Correct answers received from: Dr.K.V.Sarma, Tukaram Pagad

Send your answer to ijcp12@gmail.com




eMedi Apps



medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Chairman Legal Cell Indian Academy of Echocardiography; Chairman Ethical Committee Delhi Medical Council; Editor eMedinewS and President Heart Care Foundation of India)

Can I pay to another doctor whose services I have engaged?

What are the ethics involved in joint consults?

My doctor has said that I will need to find a new doctor, is that ethical?

medicolegal update

A Husband comes home drunk, vomits and falls down on the floor. Wife gets him up and cleans everything.

Next day when he gets up he expects her to be really angry with him. He braces for a fight, but finds a note near the table.

"Honey, your favorite breakfast is ready on the table, I had to leave early to buy groceries. I'll come running back to you, my love. I love you.

Surprised, he asks his son, "What happened last night?"

The Son replies, "When mom got you up to bed and tried removing your boots and shirt. You were dead drunk and you said, "Hey Lady! Leave me alone. I'm married!!"

medicolegal update
medicolegal update

Ramadan and well controlled type 1 diabetes

Situation: A well controlled type 1 diabetic patient on insulin wanted to know whether he could fast during Ramadan. Dr. Bad: You cannot do it.
Dr. Good:
Read More

Type 2 diabetes and Ramadan fasts

Situation: A diabetic patient on metformin wanted to know if he could observe Ramadan fasts.
Dr. Bad: You cannot do it.
Dr. Good: Read More

Metformin and Ramadan fasts

Situation: A diabetic patient on metformin 500 mg thrice-daily came for Ramadan fast advice.
Dr. Bad:
Continue metformin.
Dr. Good :
Read More

medicolegal update

Situation: An 18–year–old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin (macrolide) 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

medicolegal update

Striving for excellence motivates you; striving for perfection is demoralizing. Harriet Braiker

medicolegal update

Dr KK Aggarwal: The five C’s of five a day in selecting fruits and vegetables
http://bit.ly/1aBeL42 #Health

Dr Deepak Chopra: Intuition is deep listening with the body, mind, heart, and soul.

medicolegal update

Dear KK, Your views on NEET are well articulated. The SC ruling leaves room for review. With best wishes, Yours sincerely: Er Anuj Sinha.

Forthcoming Events

2nd annual Ped Neuro Conclave

Sunday, 25th August 2013.
This is an annual event hosted jointly by Fortis Escorts Hospital and IAP Jaipur. This conference is held every year and is attended by more than 200 delegates, which include Neurologists, Pediatricians, GPs and resident doctors from all over Rajasthan. Senior faculty from different institutes all over India and abroad participates and shares their knowledge and experience with the audience.

The eminent faculty includes
Dr. Pratibha Singhi, Head Pediatric Neurology, PGI – Chandigarh
Dr R K Sabharwal, Head Pediatric Neurology, Sir Ganga Ram Hospital, New Delhi
Dr. Vineet Bhushan Gupta, Sr Consultant Pediatric Neurologist, Apollo Hospital, New Delhi;
Dr Deepak Gupta, Sr Consultant Paediatric Psychiatrist, Sir Ganga Ram Hospital, New Delhi.
Venue: Jaipur Marriott Hotel
Date: Sunday, 25 August 2013 (0900-1700)
Organizing Secretary: Dr Sharad Sharma, MD (PGI), MRCPCH (UK), Fellow Pediatric Neurology (London)
Senior Consultant Pediatric Neurology, Fortis Hospital, Jaipur, Rajasthan

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HCFI Activities eBooks

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