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Dr KK Aggarwal

From the Desk of Editor in Chief
Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; 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

22nd July,2010, Thursday

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

Its time the medical fraternity devises a symbol to call its own

The Indian Government has recently approved a symbol for Indian currency "New Rupee Symbol". It is an amalgam of the Devnagari ‘Ra’ and the Roman ‘R’ (without the stem). The symbol, designed by
Dr. Uday Kumar, from IIT Mumbai, was selected from amongst five symbols placed before the cabinet.

It is time for a similar exercise to be undertaken for the medical profession either by Medical Council of India (MCI) or by Indian Medical Association (IMA). We should come out with our own symbol which differentiates us from all other pathies and quacks. We all know that the Red Cross symbol is not our symbol. The need to have a medical symbol may not arise in other countries, but in India, it is a necessity because of multiple pathies. Today everybody has started adding the prefix ‘Dr.’ in front of his name. ‘Dr.’ is not a symbol of the allopathic doctor.

Dr KK Aggarwal
Editor in Chief

drkkaggarwal Dr K K Aggarwal on Twitter
Krishan Kumar Aggarwal Dr k k Aggarwal on Facebook  


Photo Feature (From HCFI file)


World Diabetes Day

Heart Care Foundation of India organized a press meet to celebrate World Diabetes Day on November 13, 2008. Dr. K K Aggarwal informed people through media about the risk factors and the consequence of diabetes.

In This Photo: Padma Shri and Dr B C Roy National Awardee Dr K.K. Aggarwal, President HCFI with TV anchor Geetika Ganju during the press meet in New Delhi

Dr k k Aggarwal


News and views


DCI chief quits (TNS)

Caught in the allegations of demanding money against granting recognistion to dental colleges, the president of the Dental Council of India (DCI) Dr Anil Kohli resigned from his post and the vice-president of the dental body Dr Mahesh Verma, also the director of Maulana Azad Dental College, took over all charges from him.

Dr KK Aggarwal on the net

Quote on Statins appeared on -Mail --July 20 2010--Pg22-23

Link: http://epaper.mailtoday.in/epaperhome.aspx?issue=2072010


Polyarthritis, ESR Predict Outcome of Psoriatic Arthritis

Presence of clinical features such as polyarthritis and high erythrocyte sedimentation rate reduce the chances that a patient with psoriatic arthritis will achieve sustained minimal disease activity. Multivariate logistic regression analysis in an observational cohort study found that the odds ratio for minimal disease activity among patients with more than four tender or swollen joints was 0.296 (95% CI 0.171 to 0.511, P<0.0001).

Less Salt for Everybody

Limiting intake of sodium chloride in food can reduce the risk of cardiovascular morbidities. People who consume dietary sodium chloride more than 6 g per day increase their risk of cardiovascular morbidities and hypertension. This is particularly notable as in the Western industrialized nations, one in two deaths is due to a cardiovascular disorder and the average intake of sodium chloride is in the range of 8 to 12 g/d. Salt restriction may also counteract other lifestyle diseases such as obesity and diabetes.

Pitfalls of Wearing High Heels on Womens’ Legs

When it comes to shoes, some women will go through hell for a pair of Jimmy Choos. But what effect does wearing high heels have on our bodies? Clinicians have known for a long time that if you hold a limb in a shortened position over an extended period, the muscles shorten. High–heeled shoes push our heels up, which made Marco Narici from Manchester Metropolitan University wonder whether wearing heels on a regular basis could shorten our calf muscles.

Longer needles may be preferred in obese adolescents

A randomized study reported online in the February 8 issue of Pediatrics states that use of a longer needle results in significantly higher titers in response to hepatitis B virus (HBV) vaccine among obese adolescents. The study compared a longer (1.5-inch) with a standard (1–inch) needle.

(Contributed by Dr. G M Singh), (Dr Monica and Brahma Vasudeva)


Legal Column

Forensic Column (Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS)

Medical Testimony of Doctor in the Court of law

One thing that makes medicine so difficult is that there is no such thing as the average mean. We can only say the reading is ‘within the range of normal’. Medicine is a biological science with an inherent variability. Forensic/legal medicine is not an exact science. Unexpected results are produced due to biological variations. In every case, there is an element of uncertainty, and absolute proof is a rarity in any medical care delivery. Most extraordinary events may occur in application of medical knowledge, and a careful evaluation must always be made to ensure that dogmatic statements by medical witnesses do not mislead the investigating officers/judiciary. No possibility can be wholly excluded in medicine. Doctors should bear in mind the essential difference between probability and proof.


Experts’ Views

Interesting Tips in Hepatology & Gastroenterology

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

Clinical Presentation (part 2)

The diagnosis of GERD is often made clinically based on the bothersome symptoms or signs that may be associated with GER symptom descriptions are unreliable in infants and children younger than 8 to 12 years of age, and many of the purported symptoms of GERD in infants and children are nonspecific. There is a continuum between GER and GERD with no cutoff separation between the Physiological Reflux (GER) and Pathological Reflux (GERD). A third type of GER exists which is the Secondary to pyloric stenosis, neurological impairment, nasogastric tubes, and food allergy.

Question of the Day

What is the appropriate timing for resumption of driving and flying after MI? (Dr. Ashok K. Kar, Kolkata)

Patient may resume driving after 4–6 weeks, provided the recovery is satisfactory (uncomplicated AMI). Heavy vehicle driving is allowed if the TMT is negative 6 weeks after the acute attack. 1 The patient can fly
2 weeks after an uncomplicated MI and 2–3 weeks after the event; even in high risk patients, if they are revascularized. If there is postinfarction angina or significant heart failure, it is better to avoid flying but can be undertaken under proper medical supervision.2


  1. British Heart Foundation. www.bhf.org.uk.
  2. Possick SE, Barry M. Travel Med 2004;11:243–50.

Public Forum (Press Release for use by the newspapers)

NCR to benefit from MTNL Perfect Health Mela

The country’s popular 17th MTNL Perfect Health Mela will be held from 23rd to 31st October, 2010 at NDMC Grounds, Laxmi Bai Nagar, New Delhi.

The Mela is being organised by Heart Care Foundation of India jointly with Health Department, Govt. of Delhi, MTNL, NDMC, MCD, LIC, Deptt. Of  Science & Technology, Govt. of India, Coca Cola India Ltd. etc.

17th in a row, the brainchild of Heart Care Foundation of India, the Mela attracts 3-5 lakh members of the public over 10 days duration.
The Mela is organised every year between Dushehra and Diwali and creates health awareness about all aspects of health amongst people from all walks of life and all ages, incorporating all pathies under one roof through the medium of infotainment. The Mela is right mix of health picnic, exhibition, competition and infotainment.
Addressing the press, Dr. K K Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee, President of the Mela and Mr. Sandeep Marwah, Director, Asian Academy of Film and Television said that the event will provide a unique opportunity for the NCR people to have their heart and general health tested and personally be aware about all prevention aspects. They said that for the first time a special day will be devoted for the care of women and a Vishwa Dharma Samellan will be organised in collaboration with World Fellowship of Religions. Acharya Dr. Sadhna Ji Maharaj, Chairperson, World Fellowship of Religions, said that Vishwa Dharma Samellan will focus on peace and safe environment.
Dr. P K Sharma, MHO, NDMC, Dr. Yadav, MHO, MCD, Dr K S Bhagotia CMO,  DHS, Mr. Sunil Kumar PGM, MTNL, Dr K K Dwivedi Head NCSTC, Deptt. Of Science & Technology and Mr Sinha from LIC in a joint statement, sent a message that the problems of dengue, malaria and Chikungunya is well under control and no problem is anticipated vis-à-vis forthcoming Commonwealth Games. The Mela will be a right place to know everything that is happening in medicine. Department of Science & Technology will focus on science behind health and miracles.

Star attraction of the conference was eminent singer Mr Ravindra Singh who sang songs from his latest album. Music he felt was itself is a medicine which could be used to cure many diseases.
The Mela will provide free education, exhibition, general and specialty checkups, ECG, Colour Doppler Echocardiography, competition opportunities, etc. Highly subsidized executive blood test will be available to the general public at a nominal registration fee of Rs. 110/- (market cost 1500/-)

All in all the Mela would be a perfect picnic spot, a shopping mall along with OPDs for the general public. Special provisions are being made for the East Delhi and Noida residents.


An Inspirational Story

Once I had to walk on a rope bridge. It was very high, I was scared. I saw my friend on the other side and called out to him for help but there was no reply. I somehow managed and crossed the bridge. There I was shocked to see my friend holding the end of the broken bridge.

Sometimes we wonder why a friend is quiet when we call for help. He may not help you in crossing the bridge but he might be holding the broken bridge for you. Trust your friends in every situations, because they are your real assets.


IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient came with deranged liver functions.
Dr Bad: We need to rule out viral hepatitis.
Dr Good: We need to rule out hemochromatosis.
Lesson: All diabetic patients with abnormal liver enzymes should be screened for hemochromatosis. Hemochromatosis is present in 1–2% of all diabetic patients, and often diabetes is the first clinical manifestation of the condition. Liver function abnormalities are the most frequent finding leading to a diagnosis. (Clinical Diabetes 2004;22:101–2.)

Make Sure

Situation: A 70–year–old male with antibiotic–associated diarrhea and TLC of 24000 died.
Reaction: Oh my God! Why was surgery not considered in this case?
Lasson: Make sure that urgent surgical evaluation is done in patients with acute gastroenteritis who are ≥65 years and have a white blood cell count ≥20,000 cells/microL and/or a plasma lactate between 2.2 and 4.9 mEq/L.

Quote of the Day

"Communication leads to community, i.e., to understanding, intimacy and mutual valuing" Rollo May

Are you fit to fly?  Diabetes

  1. Diabetic patients generally tolerate travel without difficulty.
  2. One should wear a medical alert bracelet.
  3. Preflight planning is important to ensure ready access to simple sugars and insulin, and to adjust insulin dosing schedules.
  4. As a general rule, when traveling east the day is shortened and less insulin may be needed; when traveling west the day is lengthened and more insulin may be needed.
  5. Insulin will denature if exposed to extreme cold and should not be checked.
  6. As per American Diabetes Association, unrefrigerated insulin remains usable for up to one month if kept at temperatures below 30°C (86°F).

Milestones in Surgery

Lawson Tait (1845-1899) was a pioneer in pelvic and abdominal surgery and developed new techniques and procedures. He emphasized asepsis and reduced surgical mortality significantly. He is well known for introducing salpingectomy in 1883 as the treatment for ectopic pregnancy, a procedure that has saved countless lives since then. Achievements: First appendectomy 1880. First cholecystectomy (gallbladder surgery).

Mnemonic of the day (Dr Varesh Nagrath)

Acute detoxification in opioid addicted patients is: ABCDEFGHI 

Atropine-for bradycardia.
Brufen- for pain
Diarrhoea control  by  Kaopectate/ Racedotril
Electolyte balance
Fluid Balance /IV fluids if needed
Gabapentine 300mg 2 bd
Hypnotic &sedative (lorazepam/nitrazepam / Zolpidem10mg 1 bd./tds)
Intranasal Decongestants.


International Medical Science Academy Update (IMSA)

Attention deficit hyperactivity disorder

A retrospective study of 1470 children receiving pharmacotherapy for attention deficit hyperactivity disorder demonstrated that electrocardiography (ECG) was not a cost–effective screening test for cardiac disease.


Drug Update

List of Approved drugs from 1.01.2009 to 31.10.2009

Drug Name


DCI Approval Date

Dexketoprofen Trometamol Gel 12.5mg/gm

For painful and inflammatory conditions associated with joints, tendons, ligaments and muscle



Medi Finance

From the next financial year, Audit of finance bill would be required if any professional gross receipts exceed 15 lakhs: Dr. Prabhat Bhushan.


Lab Medicine (Dr Arpan Gandhi and Dr Navin Dang)

Immunofluorescence Technique

Immunofluorescence (labeling of antibodies or antigens with fluorescent dyes) is often used to visualize the subcellular distribution of biomolecules of interest. Immunofluorescent–labeled tissue sections or cultures are studied using a fluorescence microscope. Immunofluorescence employs two sets of antibodies: a primary antibody is used against the antigen of interest; a subsequent, secondary ("indirect"), dye–coupled antibody is introduced that recognizes the primary antibody.


Humor Section

Joke: High Blood Pressure

When a physician remarked on a new patient’s extraordinarily ruddy complexion, he said, "High blood pressure, Doc. It comes from my family."

"Your mother’s side or your father's?" I asked.

"Neither," he replied. "It’s from my wife's family."

"Oh, come now," I said. "How could your wife’s family give you high blood pressure?"

He sighed. "You oughta meet 'em sometime, Doc!"

Medical bloopers on medical charts!

Recovery Room…………………………Place to do upholstery


Readers Responses

  1. Dear all: Dr Veena Dhawan is my colleague in CGHS, whose 8 yr old nephew was kidnapped in Haryana 17 months back. There child is still untraceable. The Haryana Police has given up but not the family. Please forward this mail to as many persons as you can-who knows someone may be able to give information regarding the culprits. Regards Leisha.

    Appeal from Neena Gaba, On 12th December 2008, time 7:35 am, I drove to the bus stop to drop my son Tejas for school. It was like any other normal day for us. But suddenly something happened. A masked man came from behind ,snatched him from me and pushed him at the backseat of a SILVER COLOR HONDA CIVIC/ACCORD bearing a fake number plate DL4C 1362 .When I tried to stop him, I was fired at, by him. What followed was a series of ransom calls. But they did not give me proof of my child and he has been MISSING since then. NOW I APPEAL TO MY COMMUNITY AND CALL ON ALL OF YOU TO HELP ME FIND MY CHILD.WHOSOEVER GIVES INFORMATION OR CLUE THAT HELPS US REACH TEJAS WILL BE AWARDED ''50 LAKH''. No questions will be asked to the person who helps in the recovery of my child. It has been 17 months and we do not know what physical or mental trauma my son has been going through. WHAT WAS THE FAULT OF AN INNOCENT 8 YEARS CHILD TO HAVE DESERVED THIS IN HIS FOUNDATION YEARS OF LIFE?

  2. Dear Dr KK Aggarwal, Thankyou very much for the e-medinews daily. it is boon for us doctors specially those in rural areas who have no access to medical conferences or medical representatives. Please add the new brands also, if possible. Thanks, Dr.A.K.Saxena, G.M (Medical), J.K. White Cement Works, Gotan-342902

  3. Hon'ble sir, this is in connection to situation. IF pt is allergic to penicillin, or non compliant to penicillin or has become ASO and CRP normal, we can even use erythromycin for prophylaxis. This is mentioned in many standard books, journals and has got a good result to. Dibendujoy Verma.

Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

5th September: 3 PM to 5 PM – A dialogue with His Holiness Dalai Lama at Parliament Street Annexe in association with Acharya Sushil Muni Ahimsa Peace Award Trust

12th September: BSNL Dil ka Darbar A day–long interaction with top cardiologists of the city. 8 AM – 5 PM at MAMC Auditorium, Dilli Gate.

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi

24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM
30th October, Saturday: eMedinewS Update from 8 AM to 5 PM
29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama
30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to
10 PM
31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

eMedinews Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, Cultural Hungama and Live Webcast. Suggestions are invited.

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