May 23  2015, Saturday
editorial
Medical Profession and Strike: IMA Stand
Dr KK Aggarwal Right of the Medical profession to protest and even to go on strike is a right which IMA will not compromise. Every citizen has the right to protest and even go on strike in rare situations and this right is ingrained in Article 19 of our constitution.

IMA has a sense of satisfaction that the Supreme Court refused to ban strike by Doctors and opined that MCI is the body to receive complaints on ethical issues related to Doctors strike.
But it is unfortunate that MCI which should look after the interest of the Modern Medical Profession and rise voice in favour of the Medical Profession whenever there are issues which affect smooth medical practice, preferred to do the job of policing the medical profession by wrongly interpreting the Supreme Court verdict and instructed State Councils to take action against striking doctors.

IMA strongly protest against the MCI circular. IMA want to inform MCI and State Councils that IMA and Medical Profession reserve the right to strike whenever necessary inspite of the MCI circular.

Doctors rarely resort to strike when there is no alternative to make the authorities to listen to our just demands. It is the responsibility of MCI to see that the just demands of the doctors are considered by the Government.

Vide circular dated 22-04-2015 MCI has written to all State Councils, referring to SC judgment and also to 2002 Regulations to take action against doctors going on strike. There is nothing in the said judgment and Regulations to hold that it is against law on the part of doctors to go on strike. Regulations nowhere even contain the word "strike". The MCI circular does not advise the SMCs as to which regulation restrains a doctor from striking work in pursuance of just demands that remain unaddressed by the authorities. The circular has created an unnecessary confusion and scare among doctors all over India because, coming from the MCI, an ordinary person feels intimidated by it. The circular can be misused by the SMC's. SMCs, feeling dictated by the MCI, are likely to pass adverse and illegal decisions against the accused doctors.

Article 19 in The Constitution Of India 1949: talks about protection of certain rights regarding freedom of speech etc: (1) All citizens shall have the right; (a) to freedom of speech and expression; (b) to assemble peaceably and without arms; (c) to form associations or unions; (d) to move freely throughout the territory of India;

Doctors rarely resort to strike when there is no alternative to make the authorities listen to their just demands. Strike is a fundamental right of workers and, till today, there is no ban on strikes in India.
The scheme of the Industrial Disputes Act, 1947 implies a right to strike (vii) in industries. A wide interpretation of the term 'industry' (viii) by the courts includes hospitals, educational institutions, clubs and government departments.

SC judgment has drawn a parallel with the Bar Council of India and has suggested that all professionals, whether medical or legal, should be treated alike and should be judged by the respective professional council and not by the Hon'ble SC in a matter concerning strike. A continuous 22 day strike was held by all lawyers in all district courts of Delhi, paralyzing court work and harming the interest of clients, but the bar Council has not taken any action against striking lawyers this time or even earlier occasions.

Doctors' strike are not peculiar to India but have taken place in other countries also, including USA and UK.

The question of striking work arises usually in case of doctors in service. It is best to let the employer deal with strike by employees. For those not in service, it is up to the private practitioners to decide for themselves about when they want to open their clinic and for how long. No restrictions can be placed upon private practitioners except under law.

Pertaining Laws of MCI: Basic norms are not to neglect emergencies

MCI Ethics regulation 2.4 The Patient must not be neglected: A physician is free to choose whom he will serve. He should, however, respond to any request for his assistance in an emergency. Once having undertaken a case, the physician should not neglect the patient, nor should he withdraw from the case without giving adequate notice to the patient and his family. Provisionally or fully registered medical practitioner shall not willfully commit an act of negligence that may deprive his patient or patients from necessary medical care.

Regulation 2.4 mandates, not ignoring emergencies and giving adequate notice to non emergent patients

MCI Ethics Regulation 2.1 Obligations to the Sick: 2.1.1 Though a physician is not bound to treat each and every person asking his services, he should not only be ever ready to respond to the calls of the sick and the injured, but should be mindful of the high character of his mission and the responsibility he discharges in the course of his professional duties. In his treatment, he should never forget that the health and the lives of those entrusted to his care depend on his skill and attention. A physician should endeavour to add to the comfort of the sick by making his visits at the hour indicated to the patients. A physician advising a patient to seek service of another physician is acceptable, however, in case of emergency a physician must treat the patient. No physician shall arbitrarily refuse treatment to a patient. However for good reason, when a patient is suffering from an ailment which is not within the range of experience of the treating physician, the physician may refuse treatment and refer the patient to another physician.

The above regulation again indicates that strike should be the last resort

The Essential Services Maintenance Act (ESMA) 1968 is an act of Parliament of India which was established to ensure the delivery of certain services, which if obstructed would affect the normal life of the people. 2. (1) Definitions. In this Act,- (a) " essential service" means- (i) any postal, telegraph or telephone service; (ii) any railway service or any other transport service for the carriage of passengers or goods by land, water or air with respect to which Parliament has power to make laws; (iii) any service connected with the operation or maintenance of aerodromes, or with the operation, repair or maintenance of aircraft; (iv) any service connected with the loading, unloading, movement or storage of goods in any port; (v) any service connected with the clearance of goods or passengers through the customs or with the prevention of smuggling; (vi) any service in any mint or security press; (vii) any service in any defence establishment of the Government of India; (viii) any service in connection with the affairs of the Union, not being a service specified in any of the foregoing sub- clauses; (ix) any other service connected with matters with respect to which Parliament has power to make laws and which the Central Government being of opinion that strikes therein would prejudicially affect the maintenance of any public utility service, the public safety or the maintenance of supplies and services necessary for the life of the community or would result in the infliction of grave hardship on the community, may, by notification in the Official Gazette, declare to be an essential service for the purposes of this Act;

Recently in South Africa Portfolio Committee on Labour, the ANC unanimously rejected the Labour Relations Amendment Bill 2014, which seeks to prevent the high incidence of violent strikes in South Africa

Finally MCI has not banned strikes and even if there is a BAN by MCI on Doctor's strike, IMA will go for it, If the situation warrants.

In a recent news published in THE TRIBUNE it was stated that IMA headquarters endorses the decision of MCI regarding the actions to be taken against striking doctors. This was never communicated ort said by IMA.

IMA want to reiterate and conclude that the right to protest and even to strike is a fundamental right of the Medical Profession and we will safe guard this right.

Prof. Dr. A. Marthanda Pillai                                                                                           Prof. Dr. K. K. Aggarwal
National President, IMA.                                                                                                Honorary Secretary General, IMA.
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Heart Care Foundation of India, a leading national non-profit organization celebrated World Earth Day jointly with Indian Medical Association, the Ministry of Earth Sciences, Govt. of India
NCDRC awards 17 lakh compensation
Holding that it was a case of medical negligence, the National Consumer Disputes Redressal Commission has ordered PGIMER to pay Rs 17 lakh in compensation to the parents of Anupama Sarkar, a 16-year-old schoolgirl who died because of complications arising from delay in treatment in July 2012, reports Indian Express.

“It is really unfortunate that due to the bureaucratic approach and red tapism adopted by the hospital, the precious life of a young girl could not be saved,” said the commission.

The bench of Justice V B Gupta and Dr Suresh Chandra not only upheld the order of the Chandigarh State Consumer Disputes Redressal Commission — against which the PGI had filed an appeal — but also increased the total compensation from Rs 10 lakh to Rs 20 lakh.

Of this, Rs 3 lakh was paid by the Chandigarh Transport Undertaking to Anupama’s parents in compliance with the state commission’s order in 2013.

In July 17, 2012, the left leg of Anupama Sarkar, a resident of Mauli Jagran complex and the only child of her parents, was crushed under a CTU bus while she was attempting to board it near the Government Model Senior Secondary School in Sector 18, where she studied. She was rushed to the Advance Trauma Centre of the PGIMER.

Her family alleged delay in medical treatment led to the amputation of her leg. It also resulted in the spread of infection into her body, which led to sepsis and her death on July 24.

The bench observed, “The PGI is a prestigious medical institute. Therefore, it is expected from such institute that it should work not in a purely bureaucratic manner (patient should be treated as per seniority in the queue, but it should be run in a professional manner).’’
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Dr KK Spiritual Blog
Understanding Yamraja

All these years, like others, I too had a perception of Yamraja as a negative personality whose name has been used for centuries to frighten people. I started analyzing him only recently, after I started searching why Yamraja has a Bhainsa (male buffalo) as his sawari (vehicle).

Yamraja is also known as Dharma Raja, which means the one who is enriched with the power of justice.

The mythological names were so written that they fitted the personality of the person. Dushasan means the one who is Dusht in Shasan, Yudhishthir means one who is sthir in the battle field.

We, as human beings, have negative and positive qualities. Negative qualities are depicted with the need to control and are depicted as the vehicles of GOD.

Yamraja within us means our inner power to do justice. As per mythology, the role of Yamraja is to decide and send us into hell or heaven by calculating the positive and negative karmas. If the balance is positive, the person goes to heaven and if the balance is negative, the person goes to hell.

As per modern science, hell and heaven are within this planet earth. Your Yamraja quality of consciousness is all the time subtracting bad karmas from good karmas. If the sum total result is negative, you end up with a disease or suffering. Suffering can be equated to hell and a period of no suffering and no illness can be equated to heaven.

Instead of fearing Yamraja, we should actually make him our personal friend and everyday in the evening, he (our consciousness) should be asked to give us a score of our Karmas, whether positive or negative. If negative, the next day we should do more positive karmas to negate the bad karma.

To become a good human being we need to control our negative animal like tendencies. Bhainsa (male buffalo) is known for his nature of destroying anything which comes in his way.

Your power of justice can only be successful if you learn to control this quality of yours. Your judgments should always be neutral and non vindictive; always keep anger under control.

In fact, the Yamraja quality in us can be equated to the qualities, which a judge should have in Court; be it District, High or Supreme Court. The better term, therefore, is Dharma Raja as no judge would like to be called as Yamraja.
Cardiology eMedinewS
  • Only 3% of patients with stable angina received all the information necessary to make an informed decision about undergoing angiography and possible percutaneous coronary intervention (PCI), according to an analysis of cardiologist-patient conversations in JAMA.
  • For patients undergoing catheter ablation for nonvalvular atrial fibrillation, continuing with uninterrupted rivaroxaban appears to be as safe as uninterrupted oral anticoagulant therapy with warfarin, suggests a small study presented at the Heart Rhythm Society (HRS) 2015 Scientific Sessions.
Pediatrics eMedinewS
  • In children with celiac disease, immunologic response to the hepatitis B vaccine is impaired, and neither a gluten-free diet nor boosters appear to improve that, suggested new research presented at the 33rd Annual Meeting of the European Society for Paediatric Infectious Diseases.
  • Children who are stunted are more likely to be at risk of overweight and obesity than children of normal height, suggested a new study among 2- to 5-year-olds presented at the 2015 European Congress on Obesity.
Make Sure
Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.
Dr Good Dr Bad
Situation: A patient with heart failure came for cardiac evaluation.
Dr. Bad: Go for Echo test.
Dr. Good: Go for Tissue Doppler Echo test.
Lesson: A patient with heart failure must go for Tissue Doppler Echo Test for evaluation of diastolic functions.

(Copyright IJCP)
Events
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Inspirational Story
It pays to be Patient

Once there was a rich man who fell seriously ill. He sold all his belongings just to cure his illness. After he became healthy, he realized that he had nothing left. He had difficulties feedinghimself, but he thought that in no time things would be back to normal again, he would be rich again.

He waited for a long, long time but nothing happened. His life was dreadful and so he decided that if he took his own life, it would be over. So he did.

While on his way to hell, he met two angels who were carrying a heavy load. He asked them where they were going.

After their long explanations, this man realized that the two angels were coming to him. The heavy load they were carrying was a bag full of money. But since he was no longer alive, he wouldn’t be able to receive it.
Wellness Blog
Say no to FNAC in prostate cancer

Over 95 percent of malignancies arising in the prostate are adenocarcinoma. The remaining types include urothelial carcinoma, basal cell carcinoma, small cell carcinoma, lymphoma and sarcomas.

Core needle biopsy of the prostate is used to determine whether or not cancer is present in men with an elevated serum PSA level and/or an abnormal digital rectal examination.

The recommendation is to take multiple core biopsies under transrectal ultrasound guidance.

Primary diagnosis of prostate cancer by using fine needle aspiration is not acceptable.

When positive, the combined Gleason score, based upon architectural features of the prostate cancer cells, should be reported because it correlates closely with clinical behavior and has been incorporated into the tumor node metastasis (TNM) prognostic group staging system.

One should also report number of positive cores, the percentage (or length) of cancer in the positive core, the presence of perineural invasion or extraprostatic extension, and the presence of histologic types other than conventional adenocarcinoma.

The accuracy of pathological diagnosis of prostate cancer can be improved by using immunohistochemistry markers.
eMedi Quiz
How much exercise do you really need?

A. 45 minutes twice a week.
B. 30 minutes three or four days a week.
C. 60 minutes at least three or four days a week.
D. 30 minutes at least four or five days a week.
E. It depends on your age and overall physical-fitness level.

Yesterday’s Mind Teaser: What percentage of your diet should fat make up?

A. About 10 percent of your daily calories.
B. About 20 percent of your daily calories.
C. About 30 percent of your daily calories.
D. About 40 percent of your daily calories.
E. There is no recommended amount of fat; you should strive to eat as little of it as possible

Answer for yesterday’s Mind Teaser: C. About 30 percent of your total calories should be from fat.

Correct Answers received from: Dr Jainendra Upadhyay, Dr Poonam Chablani, , Dr Nikhil Mohanty

Answer for 21st May Mind Teaser: D. You should have your first colonoscopy at age 50.

Correct Answers received: Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr. G. Madhusudhan
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CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
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 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
eIMA News
Relationship between sanitation, hygiene & Health
  • India is home to 594 million (more than 50% of population) people who defecate in the open; 44% mothers dispose their children’s feces in the open.
  • Only 6 percent of rural children below 5 years of age use toilets.
  • According to the Public Health Association, only 53% of the population in India wash hands with soap after defecation, 38% wash hands with soap before eating and only 30% wash hands with soap before preparing food.
  • There is a very high risk of microbial contamination (bacteria, viruses, amoebae) of water leading to diarrhea in children.
  • Children weakened by frequent diarrhea episodes are more vulnerable to malnutrition and opportunistic infections such as pneumonia. About 48 percent of children in India suffer from some degree of malnutrition. Diarrhea and worm infection are two major health conditions that affect school-age children impacting their learning abilities.
  • Hand washing with soap and water, especially after contact with excreta, can reduce diarrheal diseases by more than 40% and respiratory infections by 30%. Diarrheal and respiratory infections are the number one cause for child deaths in India.
  • Only a quarter of the total population in India has drinking water on their premises.
  • Sixty-seven percent of Indian households do not treat their drinking water, even though it could be chemically or bacterially contaminated.
  • Hand washing by birth attendants before delivery has been shown to reduce mortality rates in newborns by 19% while a 4% reduction in risk of death was found if mothers washed their hands prior to handling their newborns.
  • School provide an excellent opportunity for children to learn about hygiene practices.
  • Hand washing with soap at critical times is important for mothers and caregivers to protect the health of the whole family. By being a role model, they can also help instill in their children the good hygiene practices which will serve them for life.
  • Providing older girls with the knowledge and facilities necessary for good menstrual hygiene is key to their dignity, privacy, educational achievement and health. Adolescent girls are empowered through improved menstrual hygiene management.
World No Tobacco Day
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Important Information: May 4, 2014
No. Misc. 1002/2006/CGHS(R&H)/CGHS(P)

Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
CGHS (P)
Nirman Bhavan, New Delhi
Dated: the 29th April, 2014

Office Memorandum

Sub:- Revision of Ceiling Rates for various Coronary Stents / Angioplasty & Angioplasty with Balloon for CGHS/CS (MA) beneficiaries.

With reference to the above mentioned subject, the undersigned is directed to draw attention to the Office Memoranda of even No. dated 7/2/2013, 21/2/2013 and 7/2/2014 and to state that the ceiling rates for reimbursement of drug eluting coronary stents for CGHS beneficiaries / CS(MA) beneficiaries prescribed in the above referred to Office Memoranda are revised w.e.f. the date of issue of this office memorandum as follows:
Revised ceiling rates of Drug Eluting Stents: Rs. 23,625/- (Inclusive of all taxes). Other terms and conditions shall remain the same.

2. This issues with the approval of the competent authority.

Ravi Kant
Under Secretary to the Government of India
Important Information
F.No.2-1/2012/CGHS/VC/CGHS(P)
Dated the 1st August, 2013.

Office Memorandum

Subject: Clarification regarding admissible non-admissible items under CGHS.

With reference to the above mentioned subject the undersigned is directed to draw attention to the Office Memorandum of even number dated 1st October 2012 issued by this Department in compliance of the directions of Hon’ble High Court of Delhi in the case of Shri Kanhiya Singh Vs UOl and others (W.P.(C) 9044/2011) clarifying admissibility / inadmissibility of items of expenditure for claiming reimbursement under CGHS. The same are being reproduced for a wider circulation and information in compliance of Hon’ble High Court’s latest direction issued on 16.05.2013 in this case. The requisite clarifications regarding admissible and non- admissible items under CGHS are provided here with as under:

a) “CGHS Package Rate’ shall mean and include lump sum cost of inpatient treatment / day care / diagnostic procedure for which a CGHS beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to)

(i) Registration charges
(ii) Admission charges
(iii) Accommodation charges including patients diet
(iv) Operation charges
(v) Injection charges
(vi) Dressing charges
(vii) Doctor / consultant visit charges
(viii) ICU / ICCU charges
(ix) Monitoring charges
(X) Transfusion charges
(xi) Anesthesia charges
(xii) Operation theatre charges
(xiii) Procedural charges / surgeon’s fee
(xiv) Cost of surgical disposables and all sundries used during hospitalization
(xv) Cost of medicines
(xvi) Related routine and essential investigations
(xvii) Physiotherapy charges etc.
(xviii) Nursing care and charges for its services.

b) Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates for Implants / stents / grafts or as per actual, whichever is lower, in case there is no ceiling rate prescribed under CGHS.

c) During In-patient treatment of the CGHS beneficiary, the hospital will not ask the beneficiary or his/her attendant to purchase separately the medicines /sundries/equipment or accessories from outside and will provide the treatment within the package rate, fixed by the CGHS which includes the cost of all the items.

d) In cases of conservative treatment / where there is no CGHS package rate, the above mentioned items are admissible-items wise at CGHS rates or as per AIIMS rates (if there is no CGHS rate) or as per actual (if there is no CGHS / AIIMS rate) available for any item.

e) Package rates envisage up to a maximum duration of indoor treatment as follows.
12 days for Specialized (Super Specialties) treatment;
7 days for other Major Surgeries;
3 days for Laparoscopic surgeries/normal deliveries; and 1 day for day care / Minor (OPO) surgeries.

However, if the beneficiary has to stay in the hospital for his /her recovery for a period more than the period covered in package rate, in exceptional cases, supported by relevant medical records and certified as such by hospital, the additional reimbursement shall be limited to accommodation charges as per entitlement, investigations charges at approved rates, and doctors visit charges (not more than 2 visits per day per visit by specialists / consultants) and cost of medicines for additional stay).

No additional charge on account of extended period of stay shall be allowed if that extension is due to infection on the consequences of surgical procedure or due to any improper proceed.

f) In addition to the above mentioned items, some patients may require additional facilities/procedures, which are admissible with proper justification in deserving cases. Therefore, it is not possible to give a comprehensive list of items, which are not admissible.

However, the following items are not admissible:
Telephone charges
Toiletries
Sanitary napkins
Talcum powder
Mouth fresheners

2. It has also been decided to clarify that expenses incurred on medicines, consumables, sundry equipment’s and accessories etc. which are purchased from outside, based on specific authorization of treating doctor / staff of the concerned hospital will be reimbursable if they are not falling under the list of non-admissible items. In case the empanelled hospital has asked a CGHS beneficiary for purchase of the said items over and above the package rates, reimbursement shall be made to the beneficiary and the amount shall be recovered from the pending bills of hospital.

3. This Office Memorandum is issued in compliance of the directions of Hon’ble High Court of Delhi in W.P. (C) 9044/2011 [Sh. Kanhiya Singh Vs UOI and others).

V.P. Singh
Deputy Secretary to Government of India
F.T.S. No. 112380/2015/EMR
Ministry of Health & Family Welfare
Directorate General of Health Services
(Emergency Medical Relief) *****


Nirman Bhawan, New Delhi
Dated: 20th May 2015

To, Dr. K.K. Aggarwal
Padma Shri,
National Science Communication &
Dr B C Roy National Awardee
President, Heart Care Foundation of India
Honorary Secretary General, IMA
Indian Medical Association HQs
IMA House, Indraprastha Marg
New Delhi-110002

Sub: Volunteer members of Indian Medical Association willing to serve in earthquake affected areas of Nepal.

Sir,

Please refer to your letter dated 29/4/2015 to hon’ble Minister of Health & FW regarding volunteer members of Indian Medical Association willing to serve in earthquake affected areas of Nepal, Ministry of Health & FW appreciate your sincere efforts to offer voluntary services for earthquake affected areas of Nepal.

As currently, there is no proposal to send fresh medical team to Nepal, the undersigned has been directed to convey that these doctors may be kept on standby so that their services may be utilized at a later date, if required.

Yours faithfully,

(Dr. Tarun Kumar
Chief Medical Officer (EMR)
Tel: 011-23063205
Fax: 011-23061457
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IMA Humor
Overloaded

My wife, a flight attendant for a major airline, watched one day as a passenger overloaded with bags tried to stuff his belongings in the overhead bin of the plane. Finally, she informed him that he would have to check in the oversized luggage.

"When I fly other airlines," he said irritably, "I don’t have this problem."

My wife smiled, "When you fly other airlines, I don’t have this problem either."
Quote of the Day
High achievers spot rich opportunities swiftly, make big decisions quickly and move into action immediately. Follow these principles and you can make your dreams come true. Robert H. Schuller
Reader Response
Dear Sir, Thanks for the updates: Regards- Dr Krishna
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Press Release
Secondhand exposure to smoking in the first trimester of pregnancy is hazardous to fetal health

Smoking in pregnancy is harmful to both the mother as well as her unborn child. Women who smoke or are exposed to secondhand smoke during pregnancy are at greater risk for spontaneous pregnancy losses, preterm births, preterm premature rupture of membranes, placenta previa, abruptio placentae and still births.

Most of these risks can be reduced by avoiding secondhand smoking, said Padma Shri Awardee, Prof (Dr.) A. Marthanda Pillai, National President Indian Medical Association (IMA) and Padma Shri Awardee, Dr K K Aggarwal, Hony. Secretary General, IMA.

The IMA campaign on Tobacco cessation will continue till 31st May, 2015 with a Tableau, which will go around Delhi/NCR to create awareness on how to quit smoking.

Quitting smoking during pregnancy has beneficial aspects but most benefits occur if one quits smoking or avoids exposure to secondhand smoke during the first three months of pregnancy.

In pregnancy, there is nothing like reducing or cutting down on smoking. It has to be a “Zero Smoking Policy.” For women who cannot quit, drugs are not contraindicated.

About 50% of women who quit, restart within 2 months. Therefore, continuing counselling is required.
Rabies News (Dr A K Gupta)
Are there any variations in signs of rabies between different species of animals?

There are few variations in signs of rabies between different species of animals. Cattle with furious rabies attack man and other animals. A common clinical sign is a characteristic abnormal bellowing. Head butting is a characteristic sign in case of rabies in cattle, sheep and goats.
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List of Cases of Violence against Doctors
Date
Resource
Headline
Location
Url
21/8/06
Dead man's kin attack doctors
Hyderabad
http://gulfnews.com/cmlink/old- gulfnews/news/world/india/
dead-man-s-kin-attack-doctors-1.250710
01-04-2007
The Hindu
Doctor attacked, clinic damaged
Kerala
09-01-2009
Doctors in Surat beaten up for alleged negligence
Surat
http://www.sify.com/news/doctors-in-surat -beaten-up-for-alleged-negligence-news-national- jjbqkdagfeisi.html
26/3/2009
Irate people of Sizua village manhandled doctors
Bhubaneswar
http://www.orissadiary.com/CurrentNews.asp ?id=11632
11-06-2009
Patient kin attack doctors
Kolkata
http://www.telegraphindia.com/1091106/ jsp/calcutta/story
_11703248.jsp
13/7/2009
The Indian Express
Mob on the rampage as patient dies in hospital
Ludhiana
27/4/2010
Kin go berserk after patient's death
Goa
http://www.goanewsonline.com/index.php /index.php?option=com_
content&view=article&id=3781:kin- go-beserk-after-patients-death&catid=35:local&Itemid=55
01-09-2010
Hindustan Times
Doctors, nurse attacked by kin of dead patient at JJ hospital
Mumbai
04-04-2011
Times Of India
Man dies in hospital, kin allege negligence
20/7/2011
Times Of India
Doctors' negligence killed three-yr-old, allege kin
New Delhi
24/3/2012
TMH patient death sparks violence
Jamshedpur
http://www.telegraphindia.com/1120324 /jsp/jharkhand/story_
15288854.jsp#.VVtCq7mqqko
01-04-2012
Angry at pregnant wife's death, husband kills female doctor
Tuticorin
http://www.ndtv.com/cities/angry-at pregnant-wifes-death-husband-kills-female-doctor-567697
15/5/2012
The Indo Gulf Hospital was ransacked by relatives of a patient.
Noida
http://www.livemint.com/Opinion/3u8Nbougxnjs Fp2VITiAvL/Ourview--The-case-of-medical-negligence.html
22/6/2012
Mob attacks doctor
Jorhat
https://in.news.yahoo.com/strike-mob-attacks-doctor-000000518.html
27/6/2012
Agency DNA
Irate mob ransacks Palghar hospital, beats up doctors
Thane
http://www.dnaindia.com/mumbai/report -irate-mob-ransacks-palghar-hospital-beats-up-doctors-1707392
09-09-2012
Mob sets hospital on fire after patient's death
Sitamarhi (Bihar)
http://www.ndtv.com/cities/mob- sets-hospital-on-fire-after-patients-death-498884
17/10/2012
Patient’s relatives create ruckus in West Bengal hospital
West Bengal
http://post.jagran.com/patients- relatives-create-ruckus-in-west-bengal-hospital-1350469230
28-02-2013
Death of pregnant lady triggers violence, victim's kin allege medical negligence
Nawanda
http://m.news18.com/news/nawada-death -of-pregnant-lady-triggers-violence-victims-kin-allege- medical-negligence-8389.html
21/6/2013
The Hindu
Assault on four doctors, allegedly by the relatives of a patient
Mysore
02-07-2013
The Hindu
Doctor attacked as child dies of anaesthesia overdose
Bangalore
09-07-2013
Patient's angry relatives attack nurse at Mumbai's KEM Hospital
Mumbai
http://www.mid-day.com/articles/patients- angry-relatives-attack-nurse-at-mumbais-kem-hosp ital/230462
18/7/2013
India TV
Dead patient's relatives stage angry protest in Nanavati Hospital
Mumbai
http://www.indiatvnews.com/news/india/ dead-patient-s-relatives-stage-angry-protest-in-nanavati-hospita-25207.html
22/7/2013
Times Of India
Relatives attack doctor after patient's death
Sasaram (Patna)
04-08-2013
Doctors demand security after violent attack by kin of a patient in northeastern India
Tripura
http://test2.indtvusa.com/doctors-demand- security-after-violent-attack-by-kin-of-a-patient-in-northeastern-india/
20/9/2013
The Indian Express
L N Hospital doctors go on a strike after patient kin attack woman colleague
New Delhi
30/9/2013
Mob attacks hospital over patient's death
Meerut
http://www.ndtv.com/south/mob-attacks- hospital-over-patients-death-536180
06-12-2013
Woman dies in hospital, kin allege negligence
Delhi
http://www.drugtodayonline.com/ medical-news/city/556-woman-dies-in-hospital,-kin-allege-negligence.html
06-01-2014
Woman dies while giving birth; doctor shot at by husband
Meerut
http://www.ndtv.com/meerut-news /meerut-woman-dies-while-giving-birth-doctor-shot-at-by-husband-564955
09-01-2014
People protest over death of baby, allege negligence by doctors
Jammu
http://www.dailyexcelsior.com/people- protest-death-baby-allege-negligence-doctors/
02-03-2014
Newborn dead, kin allege negligence by hospital
Ludhiana
http://indianexpress.com/article/cities/ ludhiana/newborn-dead-kin-allege-negligence-by-hospital/
15/5/2014
Times Of India
Boy dies during treatment, irate relatives ransack clinic, residence
Mansa
15/7/2014
The Indian Express
Patient’s kin pull out guns, beat up three doctors at AIIMS emergency
New Delhi
17/7/2014
Brain injury patient dies after Durgapur hospital mishap
Durgapur
http://durgapuradda.com/all-news/ durgapur-news-breaking-latest-updated/brain-injury-patient-dies-after- durgapur-hospital-mishap.html
25/11/2014
Times Of India
Man dies, kin vandalize private hospital
Gurgaon
12-12-2014
The Hindu
30-year-old woman and 8-year-old girl died in separate incidents
Tiruttani, Tamil Nadu
http://pressclubofindia.co.in/families-allege- medical-negligence-in-deaths-protest/
15-01-2015
Boy’s death: Kin allege docs’ negligence
Kupwara
http://www.tribuneindia.com/news /jammu-kashmir/ community/boy-s-death-kin-allege-docs-negligence /30519.html
15/2/2015
The Tribune
Patient’s kin allege negligence by docs, manhandle staff
Amritsar
13/4/2015
Doctor beaten up by patient's kin; PMSA takes stand against it
Lucknow
http://www.business-standard.com/article/ pti-stories/doctor-beaten-up-by-patient-s-kin-pmsa-takes- stand-against-it-115041300535_1.html
14/4/2015
Doctor beaten up in Allahabad
Allahabad
http://www.merinews.com/article/ doctor-beaten-up-in-allahabad-ima-demands-up-cms-intervention- to-ensure-action-against-accused/15905749.shtml
15/4/2015
The Indian Express
Patient dead, son & his friends attack hospital staff
Pune
19/4/2015
Agency DNA
Patient flees after relatives assault doctor
Mumbai
http://www.dnaindia.com/mumbai/ report-patient-flees-after-relatives-assault-doctor-2078692
21/4/2015
Sion doctors assault by patients' kin
Mumbai
02-05-2015
The Hindu
Dead patient’s kin manhandle doctor
Hyderabad
19/5/2015
Malda hospital violence after death of patient
West Bengal
http://echoofindia.com/malda-malda-hospital-violence-after-death-patient-77337
04-06-2015
A doctor mercilessly assaulted by relatives of patient who died after 12 days of ICU care.
Mumbai