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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
24th June 2016
Another medical mishap: Wrong foot operated at Fortis Shalimar Bagh
 
This is a never event: Never events are situations where deficiency of service and or negligence is presumed and no trial of expert’s evidence is necessary. Following are examples rectified by various court judgements. 
 
a.    Removal of the wrong limb or performance of an operation on the wrong patient.
b.    “……The issues arising in the complaints in such cases can be speedily disposed of by the procedure that is being followed by the Consumer Disputes Redressal Agencies and there is no reason why complaints regarding deficiency in service in such cases should not be adjudicated by the Agencies under the Act.” 
References
1.    IMA vs VP Shantha 1995 (6) SCC 651 (37)
2.    SC/4119 of 1999 and 3126 of 2000, 14.05.2009, Nizam Institute of Medical Sciences vs. Prasanth S. Dhananka and Ors: B.N. Agrawal, Harjit Singh Bedi and G. S. Singhvi, JJ. 
IMA Recommendations
•    Definition: Near misses -- when surgeons started to operate on the wrong site or patient
•    Operations on the wrong site or the wrong patient should never happen
•    Surgeons shall mark the surgical site before going to the operating room.
•    Also mark the site that should not be touched.
•    Reasons for errors include similar sounding names, failure to check patient names on medical records and reversing the sides of X-rays and scans placed on viewing boxes in the operating room.
•    In the operating room before starting surgery, all members of the surgical team should confirm that they have the correct patient, surgical site and procedure. 
•    The operating room team should take ''a timeout'' to check medical records and X-rays, discuss among themselves what they are about to do, and corroborate information with the patient.
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Lybrate Question of the Day
A 20-year-old female from Chennai asked:
Suggest me some remedies for my bulbous nose which look awkward and I often have oil secretion in nose how to completely get rid of this.
Dr. Kaushal Shah, Ear-Nose-Throat (ENT) Specialist, replied:
For oil secretion you need to consult dermatologist. For" bulbous" nose there's no medicine or exercise. Only way to change shape of nose is cosmetic surgery... read more
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IMA-Lybrate Initiative: Build long-lasting relationship with your patients with an online clinic. Learn more http://lybr.at/open-online-clinic 
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a. A compartment syndrome of forearm
b. Failure to heal
c. Healing in a non anatomic position 
d. Injury to the median nerve
e. Permanent restriction of the elbow motion
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Inspirational Story 2Saying Grace in a Restaurant!
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Common myths and facts about heart surgery

Dr OP Yadava and Padma Shri Awardee Dr KK Aggarwal educate the public and the
medical fraternity about the urgent need to raise awareness about the reversal of heart disease

New Delhi, June 23, 2016: Cardiovascular disease (CVD) is one of the leading causes of morbidity and premature mortality in the world contributing to over 17.5 million deaths every year. The disease poses a great risk in a developing country like India, which is not only one of the most densely populated nations but is also beset with extreme differences in terms of the social, economic and regional divisions.

India already holds the title of the diabetic capital of the world. Estimates indicate that by 2025, we will also be the CVD capital of the world with estimation of 69.8 million disease cases. The most common type of heart disease in India is coronary artery disease that is caused due to the narrowing and choking of the heart artery walls over a period due to the deposit of plaque.
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