22nd October 2014, Wednesday

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, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, 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

Ebolanxiety: A new disease

Passengers who shared Frontier Airlines flight 1143 with Amber Vinson, the second nurse to catch Ebola in Dallas, are now suffering from Ebolanxiety (Ebola anxiety).

One woman, the mother of a school teacher who was on the flight, said her daughter was sent home from work. Her mother, who lives with her, was also sent home from her job in retail sales for the rest of the week after her employer caught wind of the situation. Other passengers also found themselves sudden sources of fear.

School districts in Texas and Ohio announced they would close schools for cleaning, because staff members and some students had been on the same plane.

Sales of hand sanitizer and bleach have also spiked.

A college in North Texas apparently sent a letter to at least two applicants from Nigeria denying them admission to the school because they were from a country with confirmed Ebola cases.

Mela 2014

7th Asia-Pacific Heart Rhythm Scientific Session New Delhi, India

CRT and risk of ventricular arrhythmias and clinical outcomes

Ruwald and colleagues report in the October 9 issue of Circulation that patients who achieve LVEF normalization (>50%) have very low absolute and relative risk of ventricular tachyarrhythmias (VTAs) and a favorable clinical course within 2.2 years of follow–up. Risk of inappropriate ICD therapy is still present and these patients could be considered for downgrade from CRT–D to CRT–P at time of battery-depletion if no VTAs have occurred.

Dr. Mohan Nair

Chairman, Organizing Committee of the 7th Asia Pacific Heart Rhythm Society's  (APHRS) Scientific Sessions, being organized simultaneously at the Taj Palace Hotel and ITC Maurya in New Delhi from October 29th to November 1st, 2014.

Be a part of the discussions regarding Arrhythmia Management with global experts at the 7thAsia Pacific Heart Rhythm Society Meeting from October 29th – November 1st at New Delhi.

As a special offer for all eMedinews readers, we have decided to waive off the registration fees for the conference. To register yourself, please click on the following link


News Around The Globe

  • Scientists used stem cells to grow "organoids" of functioning human intestinal tissue in a lab dish. They then transplanted the organoids into mice, creating a new model for studying intestinal disorders, according to the researchers. "This provides a new way to study the many diseases and conditions that can cause intestinal failure, from genetic disorders appearing at birth to conditions that strike later in life, such as cancer and Crohn's disease," lead investigator Dr. Michael Helmrath, surgical director of the Intestinal Rehabilitation Program at the Cincinnati Children's Hospital Medical Center, said in a center news release. The research was published online Oct. 19 in the journal Nature Medicine.
  • The black box warning on antismoking drug varenicline (Chantix, Pfizer Inc) should not be removed at this time, a US Food and Drug Administration (FDA) panel recommends. On the basis of updated data on the risk for serious neuropsychiatric adverse events with varenicline that were provided by Pfizer, 11 panel members of the Psychopharmacologic Drugs Advisory Committee and the Drug Safety and Risk Management Advisory Committee voted to retain the current boxed warning statements and to reassess after the ongoing postmarketing randomized controlled trial designed to capture serious neuropsychiatric adverse events is complete
  • Tadalafil, a long-acting phosphodiesterase type 5 inhibitor, improves both storage and voiding symptoms in men with benign prostatic hypertrophy (BPH), suggests a recent study published online in European Urology.
  • In elderly patients with osteoporosis, arm movements modify trunk muscle activity differently as compared to younger subjects. Vertebral fractures and kyphosis further impact this response and might be a factor in subsequent fractures, suggests new research published online in PLos One.
  • Almost 40% of hepatic hemangiomas exhibit at least 5% growth linearly and over 44% grow more than 5% by volume over time, but about 45% shrink, suggests a new study published online in JAMA Surgery.

Dr KK Spiritual Blog

Gambling in Indian Mythology

Gambling is mentioned as part of Diwali celebrations in the story of Mahabharata. It teaches us about taking calculated risks in life. In Mahabharata it teaches that excess of everything is bad. If Yudhishthira had not risked Draupadi on that day while plying dice, there would have been no Mahabharata. The same divine dice game became a vice for that moment. Even if you lose, one should not lose heart and take conscious based decisions. Krishna (consciousness) saving Draupadi (material things in life) means the same.

On the day of Diwali, one starts with new projects in life and taking calculated risks makes sense. Gambling on Diwali can be a symbolic game but should not become a vice. According to mythology, Goddess Parvati enjoyed playing dice with Lord Shiva on this day. It is a popular saying that those who cling to virtue at this festival time, refusing to gamble, will be reborn as donkeys. Mean its foolishness not to take calculated risks in business.
Losing and winning is part of life and one must learn to balance the two states of mind.

Inspirational Story

Helping Yourself

Well my story starts 3 years ago. I was working in a retail store; I like to talk to everybody and know what's going on in their lives. I remember this one girl who started working there a few months after me. I remember always seeing her. I don't know why but for a weird reason we would never talk. We would just see each other and smile.

 She would always smile in a really happy way until one day when we got to work in the same department again. She smiled as if she was the happiest girl in the world. I went up to her and asked "What's wrong with you?" She answered "Why?" I said, "I could feel you're very sad and you're always trying to hide it."

Her mouth just dropped as if I had discovered her deepest secret, so we started talking. She told me why she was feeling like that and why she was trying to hide it. Time went by and we became good friends. She'd always tell me I had changed her life in so many ways. I could not imagine. I would just smile, not really understanding what she meant by that.

 Today this girl is one of my best friends. I really don't know what I would do without her. She has been there for me in every possible way a friend could be.

I guess what I'm trying to say is you never know when you're helping yourself. I helped this girl never knowing that at the same time I was helping myself by finding a truthful friend.

 So the next time you see a stranger and they look like they need someone who will listen to them, listen to what they have to say. You never know, you might just end up helping yourself.

Rabies News (Dr A K Gupta)

Is it essential to perform skin sensitivity test prior to the administration of ERIG?

Majority of reactions to ERIG result from complement activation and are not IgE mediated and will not be predicted by skin testing.

The recent WHO recommendation states that there are no scientific grounds for performing a skin test prior to the administration of ERIG, because testing does not predict reactions and ERIG should be given whatever the result of the test.

However, skin test is mandatory to avoid any possible litigation under Consumer Protection Act in India.

Cardiology eMedinewS

  • A Canadian group has successfully implanted a transapical pericardial valve in two patients with severe functional mitral regurgitation (MR). The patients were deemed too high risk for mitral-valve replacement surgery. Reported October 20 in the Journal of the American College of Cardiology, a post-implantation left ventricular angiogram revealed no significant MR and an unobstructed left–ventricular outflow tract.  
  • Erectile dysfunction drugs might be a safe option to offer men with cardiac hypertrophy and early-stage heart failure to help combat changes in cardiac size and shape, suggested a meta–analysis published in BMC Medicine.

Pediatrics eMedinewS

  • Childhood infection with enterovirus increases the risk of developing type 1 diabetes, suggests new research. Researchers noted that children that have been infected with enterovirus are 48% more likely to have developed type 1 diabetes. The report is published in Diabetologia.
  • Fecal microbiota transplantation successfully decolonized the gut of a young girl who persistently harbored multidrug–resistant Klebsiella pneumoniae bacteria, pointed a case report presented recently at IDWeek 2014.

Quote of the Day

  • Life is what we make it, always has been, always will be. Grandma Moses


Indian Express: The Indian Medical Association (IMA) on Saturday set a 24–hour deadline for Bihar Chief Minister Jeetan Ram Manjhi to express “regret” over his remarks regarding doctors, failing which the association would either approach the court or go on strike. The CM had landed in a soup after he said on Friday that he would “chop off the hands (of doctors) if there was any negligence in the treatment of the poor”. Manjhi had also said that he would not tolerate “any slackening in matter of health”.

His statement further strained the relationship between the government and the IMA. The CM had earlier suspended the medical superintendent of Patna Medical College and Hospital without serving a showcause notice in the wake of the stampede at Gandhi Maidan.

Manjhi, meanwhile, defended himself saying, “I cannot do anything about people who do not understand the meaning of a Hindi proverb I used. I used ‘chopping hands’ in the context of curtailing powers of negligent doctors. I am disappointed at people taking it literally.”

IMA Bihar vice–president Dr Sahjanand said, “It is a shocking statement coming from the CM. We met today but were divided over whether to go on strike or to court. We have given the CM a 24–hour deadline to express regret or we will meet tomorrow (Sunday) to decide our course of action.”

Wellness Blog

Many people indulge in drinking alcohol on Diwali and gamble. It is the duty of the host to see that alcohol is not served to people who would be driving themselves home. They should take away their car keys and get them dropped by an arranged driver or by car poling.

After consumption of 30ml of alcohol (whiskey), one should not drive for the next one hour. For every subsequent 30 ml of alcohol, one should add one hour of not driving.

Alcohol takes away the power of judgment and one may end up with accidents.

Drunken driving and using a mobile while driving further compound the problem.

ePress Release

Beware of Diwali Hazards

Diwali, the festival of lights can be hazardous to people, said 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..

Candles: With Diwali approaching, one should be careful of candle pollution. Candles made from beeswax or soy, although more expensive, apparently are safer because they do not release potentially harmful pollutants.

However an occasional paraffin candle and its emissions do not harm but lighting many paraffin candles daily or lighting them frequently in an unventilated bathroom around a tub, may cause problems. Pollutants from burning candles can also cause respiratory irritation and allergy. The candles, which are made from petroleum, are a source of known human carcinogens and indoor pollution.

Diwali sweets: White sugar in sweets can lead to uncontrolled diabetes and gain weight in individuals. Adulterated khoya can cause GI upset. Artificial colouring in sweets can cause cancer in long run. Eating chocolates can add to calories in blood sugar. The best item for Diwali is fruits and dry fruits.

Diwali fire hazards: Diwali should not lead to fire with resulted burns and loss to life. In case of burning the effected part should be put in the running water till burning disappears.  Blisters should not be punctured, as they work like a natural dressing.

Eye injury- Particle of crackers can cause eye burn.  Continuous water should be poured into the effected eye till the burning is over.
Safe dressing– if medicated bandage is not available, one can use a piece of cloth and iron it.  It will work like a medicated bandage.

Alcohol hazards: Diwali is often used as a festival of gambling and alcohol drink.  One should not drive after consuming more than 30 ml in one hour. While gambling one should not argue with others as someone under the influence of alcohol may cause harm.

Diwali pollution: Patients with COPD (Adult Asthma) may worsen in Diwali festival and they should use wet clothes whenever they are exposed to smoke

Noise Pollution: Excessive noise pollution during Diwali day can cause hearing loss.  One should wear ear plugs to avoid noise related ear injury. Noise pollution can also cause high blood pressure and mental irritation.

eMedi Quiz

In a patient with a tumor in superior mediastinum compressing the superior vena cava, all the following veins would serve as alternate pathways for the blood to return to the right atrium, except:

1.Lateral thoracic vein.
2.Internal thoracic vein.
3.Hemiazygos vein.
4.Vertebral venous plexus.

Yesterday’s Mind Teaser:Beta-oxidation of odd-chain fatty acids produces:

1.Succinyl CoA.
2.Propionyl CoA.
3.Acetyl CoA.
4.Malonyl CoA.

Answer for yesterday’s Mind Teaser:2.Propionyl CoA.

Correct answers received from:fromDr Jainendra Upadhyay

Answer for 20th Oct Mind Teaser:3. Leaves extension at elbow joint intact..

Correct answers received from:Dr Jainendra Upadhyay

Send your answer to email

Twitter of the Day

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer

Dr Deepak Chopra:No regrets and no anticipation, just this moment fresh and as is.

emedipicstoday emedipics

Exciting activities such as debate, painting, skit, diya making and dance were the special attraction 21 MTNL Perfect Health Mela

21st MTNL Perfect Health Mela 2014


Zee News – Health Wealth Shows


press release

A soda a day raises heart disease risk by 20%

video of day video of day

Other Blogs

Video Library

MTNL Perfect Health Mela

Heart Care Foundation of India, a leading national non–profit organization committed to making India a healthier and disease-free nation announced the upcoming activities of the 21st MTNL Perfect Health Mela scheduled to be held from 15th – 19th October 2014 at the Talkatora Indoor Stadium in New Delhi.

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 96458 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)


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 :


Dr Good and Dr Bad

Situation:A PUO patient was advised CT chest by a GP. He came for a second opinion.
Dr Bad: There is no need.
Dr Good: Go ahead.
Lesson: CT scan of the chest is invaluable in the identification of small nodules (indicative of fungal, mycobacterial, or nocardial infection or malignancy). The identification of hilar or mediastinal adenopathy may prompt biopsy by mediastinoscopy providing a diagnosis of lymphoma, histoplasmosis, or sarcoidosis.

Make Sure

Situation:A patient’s blood pressure was not responding on Arkamin (clonidine).
Reaction: Oh my God! Why was the patient given Artamin (D–penicillamine)?
Lesson: Make sure that prescription is written with the drug name spelled clearly.

eMedinewS Humor

Rice Preference

The young woman really thought she'd been very patient, through a protracted period of dating with no talk of marriage.

One night her steady boyfriend took her to a Chinese restaurant. As he perused the menu, he casually asked her, "So . . . how do you like your rice? Boiled? Steamed? Or fried?"

Without missing a beat, she looked over her menu at him and replied clearly, "Thrown."

medicolegal update

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

Giving an opinion on phone has no legal liability

No legal liability will fall upon the doctor as there is no contract between him and the patient. For negligence to be proved there has to be a duty, breach of that duty and resultant damage. In this case there will no breach of duty. Only if the specialist has charged fee for his opinion from the patient (patient can sue) or from the physician (patient and doctor both can sue), he or she is liable. If the fee has been paid by the referring physician, it will be deemed to be paid by the patient.

medicolegal update
  1. Dear Sir, Very informative news. Regards: Dr Shagun

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