eMedinewS21st September 2014, Sunday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group; Senior National Vice President & Honorary Secretary General Elect IMA; Member Ethics Committee MCI; Chairman Ethical Committee DMC; Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) IMSA (March 10–13); Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMAAMS (06–07); President DMA (05–06); President IMA New Delhi Branch (94–95, 02–04).
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

Alcohol: Benefits Vs Risk

There is consensus that non drinkers should not start and the ones who drink can continue provided they do so in moderation and in absence of contraindications. People tend to consume more alcohol in winter and near the New Year.

  • Persons who have been lifelong abstainers cannot be easily compared with moderate or even rare drinkers. Recommending alcohol intake to them even if they would agree to drink is not justified.
  • The diseases that moderate alcohol use prevents (such as coronary heart disease, ischemic stroke, and diabetes) are most prevalent in the elderly, men, and people with coronary heart disease risk factors. For these groups, moderate alcohol use is associated with a substantial mortality benefit relative to abstention or rare drinking.
  • For young to middle–aged adults, especially women, moderate alcohol use increases the risk of the most common causes of death (such as trauma and breast cancer).
  • Women who drink alcohol should take supplemental folate to help decrease the risk of breast cancer.
  • Men under the age of 45 may also experience more harm than benefit from alcohol consumption. In this age group, moderate alcohol use is unlikely to provide any mortality benefit, but consumption of less than one drink daily appears to be safe if temporally removed from operation of dangerous equipment. For individuals with established contraindications to alcohol use, even this level of alcohol use is dangerous.
  • Men can tolerate more alcohol than women. The ideal therapeutic dose of alcohol is around 6 grams per day. Medically safe limits are 10 gm in one hour, 20 gm in a day and 70 gm in a week (50% for the women).

News Around The Globe

21st MTNL Perfect Health Mela Programme Brouchure


Dr (Lt Gen) Ved Chaturvedi, MD, DM is a renowned Rheumatologist and has been appointed as Director General of Medical Services (Army) recently.  Dr Chaturvedi has the distinction of  being the first and remains the only DM qualified Rheumatologist in Armed

Forces till date. A pioneer of Rheumatology science in Armed Forces, he has established state-of-the-art Rheumatology centres in Army Super-speciality hospitals in Delhi and Kolkata which have been acknowledged to be of standards comparable to some of the best hospitals in Europe.

Dr Chaturvedi has been a doyen not only in the field of Rheumatology but in Disaster management as well. He single-handedly managed disaster crisis during serial bombing in Guwahati in the year 2008.  With an experience of 30 years practising Rheumatology in India, Dr Chaturvedi is recognised as an authority in this speciality.

  • MRI to detect bone marrow edema of the wrist and finger joints may help doctors diagnose early rheumatoid arthritis when added to the 2010 RA classification criteria, according to researchers from Japan published in Annals of the Rheumatic Diseases, online September 2.
  • The US Food and Drug Administration (FDA) has approved dulaglutide (Trulicity, Eli Lilly & Co), as a once-weekly injection for the treatment of type 2 diabetes.
  • Intermittent proton pump inhibitor therapy is as effective as continuous PPI therapy for high-risk bleeding ulcers, according to a systematic review and meta-analysis. Current guidelines recommend an IV bolus followed by a continuous infusion after endoscopic treatment of bleeding ulcers with high-risk findings. Dr. Loren Laine from Yale School of Medicine, New Haven, Connecticut and colleagues reported in September 8th in JAMA Internal Medicine.
  • Extended follow-up still supports no higher cardiovascular risk with insulin glargine (Lantus) than standard care. In the ORIGINALE study, which continued for an additional 2.5 years beyond the 6 years of the main ORIGIN study, there was no significant difference between the two groups in terms of a composite cardiovascular endpoint (HR 1.01, 95% CI 0.94 to 1.10, P=0.72).
  • Atrial fibrillation (AF) has been linked to a significantly higher risk of cognitive impairment and dementia in patients with no history of clinical stroke. While research continues into the mechanisms by which AF increases risk of cognitive impairment, stroke prevention remains the focus of efforts to prevent AF-related cognitive decline
  • Striking, positive results have been reported for artificial pancreas, a closed-loop insulin-delivery system, in 40 patients with type 1 diabetes, when compared with a sensor-augmented insulin pump for unsupervised, at-home, overnight delivery of insulin. The data were presented at the European Association for the Study of Diabetes 2014 Meeting.
  • Odanacatib, an investigational once-weekly oral highly selective cathepsin-K inhibitor, has shown strong effect in reducing fracture in postmenopausal women with osteoporosis in a long-term phase 3 clinical-trial; however, small increases in numbers of serious adverse effects, including stroke, atrial fibrillation, and atypical fractures have been noted with the drug. The findings were presented recently at the American Society for Bone and Mineral Research (ASBMR) 2014 Annual Meeting.

MCI News

New MBBS syllabus to introduce students to patients in first year CHENNAI: Medical students could soon have their first brush with treating patients in the first year of MBBS with the Medical Council of India (MCI) giving final shape to a revision of the undergraduate medical curriculum. This will be the first major overhaul of MBBS syllabus in 17 years.

At a recent press conference in Chennai, Dr M Rajalakshmi, MCI's chief consultant in the academic cell said the conversion of the existing MBBS curriculum to a competency-based one is almost complete.

The last time the MBBS curriculum underwent a major revamp was in 1997 when the duration of the academic year for first-years was reduced from 18 months to 12 months.

Subjects like radiology and surgery are likely to be introduced in the first year as part of the new syllabus. This will also help MBBS doctors acquire diagnostic and analytical competence for clinical evaluation earlier on. (TOI News excerpts. E A John)

National News

  • Rashtriya Bal Swasthya Karyakram (RBSK) is a new initiative aimed at screening over 27 crore children from 0 to 18 years for 4 Ds – Defects at birth, Diseases, Deficiencies and Development Delays including Disabilities. Children diagnosed with illnesses shall receive follow up including surgeries at tertiary level, free of cost under NRHM.

    Health screening of children is a known intervention under the School Health Programme. It is now being expanded to cover all children from birth to 18 years of age.

    Out of every 100 babies born in this country annually, 6 to 7 have a birth defect. In Indian context, this would translate to 1.7 million birth defects annually and would account for 9.6 per cent of all newborn deaths. Various nutritional deficiencies affecting the preschool children range from 4 percent to 70 percent. Developmental delays are common in early childhood affecting at least 10 percent of the children. If not intervened timely, these delays may lead to permanent disabilities with regard to cognition, hearing and vision.

    The services aim to cover all children of 0-6 years of age group in rural areas and urban slums, in addition to older children upto 18 years of age enrolled in classes 1st to 12th in Government and Government aided schools. It is expected that these services will reach and benefit about 27 crore children in a phased manner.

  • Burden of congenital diseases: Globally, about 7.9 million children are born annually with a serious birth defect of genetic or partially genetic origin which accounts for 6 percent of the total births. Serious birth defects can be fatal at times. For those who do not receive specific and timely intervention and yet survive, these disorders can cause irreversible life–long mental, physical, auditory or visual disability. At least 3.3 million children under – five years of age die from birth defects every year and another 3.2 million of those who survive may be disabled for life. More than 90 percent of all infants with a serious birth defect are born in low and middle income countries. Cutting across countries and their economic status, 64.3 infants per thousand live births are born annually with birth defects. Of these, 7.9 have cardiovascular defects, 4.7 have neural tube defects and 1.2 have some form of hemoglobinopathy, 1.6 have Down’s syndrome and 2.4 have G6PD deficiency (All – figures are in per thousand).

    With a large birth cohort of almost 26 million per year, India would account for the largest share of birth defects in the world. This would translate to an estimated 1.7 million babies born with birth defects annually. In the study conducted by National Neonatology Forum, congenital malformations were the second commonest cause (9.9%) of mortality among stillbirths and the fourth commonest cause (9.6%) of neonatal mortality and that accounted for 4 per cent of under– five mortality. Preliminary reports of metabolic studies from five zonal centers covering 5 lakh newborns has revealed an incidence of congenital hypothyroidism of 1 in 1000 live births; A similar prevalence rate of 1 in 1000 was reported for Down’s Syndrome in India. There are several reports of the incidence of beta thalassemia trait from different parts of the country which varies from less than 1 percent to as high as 17 percent.


Rabies News (Dr A K Gupta)

Can the type of vaccine be interchanged during the course of IDRV?

As far as possible, the same vaccine should be used throughout a course of IDRV.
However, in exigencies, the permitted vaccines are interchangeable.

Cardiology eMedinewS

  • Renal artery revascularization offers only marginal benefit for patients with renal artery stenosis and hypertension, suggested a new meta-analysis published online in JAMA Internal Medicine.
  • A feasibility study presented at the Heart Failure Society of America (HFSA) 2014 Scientific Meeting has stated that some cancer survivors who were put on ACE inhibitors, beta-blockers, or other heart-failure medications to fight or prevent chemotherapy cardiotoxicity need not stay on them forever as recommended, if they do not need them for other reasons.

Pediatrics eMedinewS

  • Infants at genetic risk of developing type 1 diabetes, who were given probiotics before 3 months of age, had a 33% reduction in the risk of pancreatic beta-cell islet autoimmunity, suggest new results from an ongoing study presented at the European Association for the Study of Diabetes 2014 Meeting.
  • Live-attenuated influenza vaccine (LAIV) administered by intranasal spray is well tolerated in children and adolescents with cystic fibrosis (CF) and does not lead to a respiratory deterioration, suggested a new study published online in Pediatrics.

Dr K K Spiritual Blog

To know the Mental States of a Person

The mental state of a person in Vedic language is described in terms of gunas. The present state of mind of any person is a result of mixing of three gunas of nature called Tamoguna, Rajoguna and Satoguna. In terms of states of mind they are called Tamas, Rajas and Satwa and the nature of a person is called Tamsik, Rajsik and Satvik.

Vedas, Upanishads, Bhagavad Gita and Ayurveda all talk about these gunas. The Sankhya philosophy also says that a mixture of the three makes up the cosmic mind as well as the human mind. Bhagwad Gita talks in great detail about the Nature, Yagna as well as diet depending upon these gunas.

A Satvik diet is the one, which makes a person full of Satoguna and makes him or her with predominant Satvik nature. The same is true for other two gunas. According to Ayurvedic text and in Atharvaveda any food, which comes from the roots or underground part of the tree, is Tamsik in nature. Tamsik foods should not be eaten raw. They should either be slow cooked or soaked in water for hours before consumption.

Foods which are from the top part of the tree like coconut, fruits, leaves and flowers are Satvik in nature and can be consumed fresh, as they are. Foods which come from the middle part of the tree are often Rajsik in nature.

Fresh, soaked, sprouted, natural foods are often Satvik and old, left over foods are Tamsik in nature. Most Satvik foods are naturally white.

In Ramayana, Kumbhakaran represents a person with Tamsik nature; Meghnad and Ravana with Rajsik nature and Vibhishana with Satvik nature. One can see that the diet of Kumbhakaran was left over foods, onions, radish, carrots and non vegetarian food, all tamas producing foods.

Shastras also teaches us about Satvik food. In Vedic knowledge, God is represented by the consciousness and whatever is offered to God is the one, which is offered to consciousness and hence all offerings to God are soul–healing and soul–nurturing food items. Only Satvik foods are offered to God as one can live on Satvik food forever. Examples are dry fruits, fruits and milk. One cannot live on Rajsik or Tamsik foods; hence, they have to be taken in moderation only.

The offerings to God include honey, milk, curd, fruits and vegetables, etc. Panchamrit offered in Puja is a mixture of milk, curd, ghee, honey and sugar is a classical example.

Yogashastra also talks about the role of Satvik diet in great detail. It says people who eat less are yogi, people who eat in moderation are bhogi and people who eat a lot are rogi. The synonymous are Tamsik for Rogi, Rajsik for Bhogi and Satvik for Yogi.

In terms of proper diet, one should eat dinner lighter than lunch, eat only natural food in the night and follow the principles of moderation and variety.

Wellness Blog

Formula of 80 to Prevent Heart Attack upto the Age of 80

I teach my patients that 80% of heart attacks upto the age of 80 can be prevented by learning the Formula of 80 as below.

  • Keep your lower blood pressure, fasting sugar, abdominal circumference, resting heart rate and LDL cholesterol levels all below 80.
  • Walk 80 minutes each day; brisk walk 80 minutes a week with a speed of 80 steps per minute.
  • Eat less, not more than 80 gm/80 ml of caloric food in one meal.
  • Do not eat carbohydrate-based refined cereals 80 days in a year to reduce chances of heart attack.
  • Take vitamin D through sunlight 80 days in a year.
  • Do not drink alcohol and if you drink, take less than 80 ml of whiskey in a day or less than 80 gm of whiskey in a week.
  • Do not smoke or be ready for placement of stent costing Rs. 80,000/–.
  • Give 80 minutes to yourself in a day.
  • When clapping, clap 80 times.
  • If you are a heart patient, ask you doctor to give 80 mg of aspirin and 80 mg of atorvastatin.
  • Donate blood 80 times in a lifetime to reduce chances of heart attack.
  • Avoid an atmosphere of more than 80 db of noise pollution.
  • While on treadmill, try to reach 80% of your heart rate.

Inspirational Story

Every Woman is Beautiful

A little boy asked his mother, "Why are you crying?" "Because I’m a woman", she told him. "I don’t understand", he said. His mum just hugged him and said, "And you never will"…

Later the little boy asked his father, "Why does mother seem to cry for no reason?" "All women cry for no reason" was all his dad could say. The little boy grew up and became a man, still wondering why women cry.

Finally he put in a call to God; when God got on the phone, the man said, "God, why women cry so easily?" God said, "When I made women she had to be special. I made her shoulders strong enough to carry the weight of the world; yet, gentle enough to give comfort. I gave her an inner strength to endure childbirth and the rejection that many times come from her children.

I gave her a hardness that allows her to keep going when everyone else gives up and take care of her family through sickness and fatigue without complaining. I gave her the sensitivity to love her children under any and all circumstances, even when her child has hurt them very badly.

This same sensitivity helps her make a child’s boo hoo feel better and shares in their teenagers’ anxieties and fears. I gave her strength to carry her husband through his faults and fashioned her from his rib to protect his heart.

I gave her wisdom to know that a good husband never hurts his wife, but sometimes tests her strengths and her resolve to stand beside him unfalteringly.

And finally I gave her a tear to shed. This is hers exclusively to use whenever it is needed. The beauty of a woman is not in the clothes she wears, the figure that she carries, or the way she combs her hair. The beauty of a woman must be seen in her eyes, because that is the doorway to her heart, the place where love resides."

Every woman is beautiful.

ePress Release

Strengthen your Heart

Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association advised the people to take care of their heart. He gave few tips to do so.

  1. Follow Dr. KK Aggarwal’s ‘Formula of 80’ i.e. keep your pulse rate, lower blood pressure, fasting sugar, abdominal circumference and bad cholesterol levels all below 80. To achieve these, walk 80 minutes a day with a speed of 80 steps per minute; eat less – not more than 80 gm or 80 ml of caloric food; do 80 cycles of pranayams in a day, avoid alcohol and if one does so, do not consume more than 80 ml in a day.
  2. After the age of 30, get an annual medical checkup done with exercise treadmill test every three years.
  3. Eat in moderation and take a variety of food consisting of seven colors and six tastes.
  4. Avoid using trans fats. Trans fats increase bad cholesterol and reduce good cholesterol. Hydrogenated oil is an example of trans fat.
  5. Avoid three ‘whites’ in your diet – white maida, white sugar and white rice – or consume them only in minimum amounts. They are known to cause abdominal obesity, which is a risk factor for heart diseases.
  6. Do not smoke or consume tobacco in any form as it increases the chances of heart attack, paralysis and erectile dysfunction.
  7. Do not ignore any symptom, which is unusual, unexplained and is detected for the very first time.
  8. Do not ignore any chest pain, burning or discomfort in the centre of the chest, which is diffuse in nature and lasts for more than 30 seconds.
  9. If a heart attack is suspected, then one should chew 300 mg of water–soluble aspirin and immediately rush to the nearest heart hospital.
  10. All heart patients should remember that sudden cardiac death is reversible in the first 10 minutes. For this, remember Dr. KK Aggarwal’s Formula of 10 i.e. within 10 minutes of death, for the next 10 minutes, compress the chest with a speed of 10 × 10 = 100 per minute. This can revive more than 75% of the patients.
  11. Heart patients too can lead a normal physical, mental and sexual life.
  12. Presence of heart blockages in the heart does not mean that a person requires angioplasty or surgery. These are indicated in case of failure of adequate medical treatment to provide the desired risk–free quality of life.
  13. Following the traditional Indian customs and rituals can help reduce chances of heart attack. The weekly fast of not consuming cereals can be adopted by all of us to reduce risk of metabolic syndrome, which develops due to insulin resistance because of eating a carbohydrate–rich diet, especially one that contains refined carbohydrates, on a daily basis.

eMedi Quiz

All of the following drugs act on cell membrane, except:

1. Nystatin.
2. Griseofulvin.
3. Amphotericin B
4. Polymixin B.

Yesterday’s Mind Teaser: Two students. Vineet and Kamlesh were asked to demonstrate in dogs the role of sinus nerve in hypovolemic shock. Vineet severed the sinus nerve when the mean blood pressure (MBP) was 85mm Hg and Kamlesh cut the sinus nerve when the mean blood pressure was 60mm Hg. On cutting the sinus nerve:

1. Vineet recorded an increase in MBP but Kamlesh recorded a decrease in MBP.
2. Vineet recorded a decrease in MBP but Kamlesh recorded an increase in MBP.
3. Both recorded an increase in MBP.
4. Both recorded in decrease in MBP.

Answer for yesterday’s Mind Teaser: 1. Vineet recorded an increase in MBP but Kamlesh recorded a decrease in MBP.

Correct answers received from: Daivadheenam Jella, Dr Jainendra Upadhyay, Dr.K.V.Sarma, Najib Khatee, Dr. Rakesh Bhasin.

Answer for 19th September Mind Teaser: 2.Sensory organs are not involved.

Correct answers received from: Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com





Zee News – Health Wealth Shows

Cancer Prevention
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Fluid Intake


Total CPR since 1st November 2012 – 98440 trained

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 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at St. Mathews Public School, 9th April 2014

press release

An orange a day keeps stroke away

video of dayvideo of day


IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :


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 to be suffering from Traveler’s diarrhea even if there is one single loose motion.

eMedinewS Humor

Doctor, Doctor! I keep thinking I’m God!
Doc: When did this start?
Well first I created the sun, then the earth, then the…

Quote of the Day

Happy is the man who can do only one thing; in doing it, he fulfills his destiny. Joseph Joubert

Twitter of the Day

Dr KK Aggarwal: Heart Care Foundation of India to focus on youth health education during the 21st MTNL Perfect Health Mela http://Blogz.org/A/885894
Dr Deepak Chopra: We are all trying to be happy. Here are my ten tips to happiness http://tinyurl.com/mwjtqc

medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Editor eMedinewS and President Heart Care Foundation of India)

Code of conduct for Hospitals: Suggestions


"To cure sometimes, to alleviate often, to comfort always"

--Luis Pasteur’s Epitaph

A hospital is a place where people come to seek relief of pain and cure of illness. They come with the hope that the doctors, nurses and other staff will do their best to heal their bodies and restore them back to normal health. They come to the hospital with blind faith that the doctors and nurses will do no wrong. To live up to those expectations and maintain its image as a kind healer, a hospital must have a code of ethics and must strive to follow the code in letter and spirit. American Hospital Association and American College of administrators, adopted a Code of Ethics for the Hospitals in 1957. A suggested hospital code of conduct is given below.

"Care of the sick and suffering humanity is the mission, purpose and ‘raison d‘ etre " of every hospital. Provision of the best possible care, comfort and solace and alleviatiting pain is the sacred trust that every hospital must strive to live up to. .............. hospital is dedicated to the service of the community and is committed to practice, promote and uphold the code of ethics as outlined below.

  • Strict compliance with the laws of the land and demonstrated commitment to the accepted ethical practices in letter and spirit by all staff and management.
  • Concern and commitment for the safety of patients, staff and public.
  • Continuing efforts to achieve, improve and maintain the quality of services with up-to-date equipment, methods, technology and standards of performance.
  • Continuing efforts to keep the cost of services at affordable level and to provide value for money to the clientele, in terms of quality of services.
  • Transparency of policies and procedures.
  • While ensuring sound health of the organization, keeping the interests of the patients at the core of the guiding principles.
  • Adherence to the age-old principle “Primum non nocere” (First do no harm to the patient).
  • Conduct of any experimental, research or other academic activities only after full informed consent of and without any additional cost to the patient.
  • Maintenance and promotion of a harmonious environment conducive to high quality care and treatment of patients.
  • Equal opportunity to all without any consideration for cast, religion, sex or handicapped status.
  • Due respect to the religious beliefs and customs of all the patients ensuring that the hospital culture and activities are "all inclusive" and not "exclusive". They should not in any manner offend the feelings of the patients or public.
  • Credentialing of all staff to the extent possible and allowing their professional privileges strictly as per their professional competence.
  • Total cooperation with the administrative authorities and other hospitals / agencies, public or private, interested in promoting the cause of public health.
  • Respecting and upholding the Rights of Patients in letter and spirit.
  • Not indulging in the unethical practice of soliciting patients but endeavoring to secure the acceptance of maximum clientele through provision of compassionate, high quality and affordable services.
  • Ensuring non-indulgence in any activities that are unethical or illegal such as unjustified admissions/ wrong / manipulated reporting , sheltering any criminal from the law or accepting any gifts/ gratification from the drug / equipment suppliers. Administration continuously monitors and ensures that no staff indulges in any such activities.
  • Publicity is limited only to the public interest information about the services available and / or the achievements of the hospital and not solely aimed at attracting the patients.
  • Publicity about the achievements should be truthful, factual and with honorable intensions, desisting from any tall claims/ false promises that it cannot fulfill and ensuring that it is not misleading the public or downplaying another hospital.
  • Fairness, honesty and impartiality in all business relationships.
  • Continuous and conscientious efforts at health education of the community for promoting good health and reducing the disease burden.
  • A fixed schedule of charges, prominently displayed / available for information of all the patients/ public.
  • Billing to be strictly as per the schedule of charges and for the services actually provided and justified.
  • Provision of emergency life–saving treatment to all patients regardless of their paying capacity, as required by the law.
  • Protection of privacy and confidentiality of all patient- related information, subject to the extent permissible under the law.
  • To us, the staff of …. ......hospital, a patient is the most important person. As stated by Mahatma Gandhi –
  • " A customer is the most important visitor on our premises. He is not dependent on us. We are dependent on him. He is not an interruption to our work. He is the purpose of it. He is not an outsider to our business. He is part of it. We are not doing him a favor by serving him. He is doing us a favor by giving us the opportunity to do so."

    The administration will ensure that this Code is known to and is implemented by all the staff of the hospital in letter and spirit in all their day to day activities.


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  1. Dear Sir, Very informative news. Regards: Dr Karan

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