emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

 

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

25th August 2012, Saturday

Pharma gift ban

What should doctors be able to accept from drug companies––and what should drug companies be allowed to offer is a matter of recent debate all across the globe.

In USA

  1. Congress uncovered big payments to academic researchers.
  2. Medical students lobbied against pharma giveaways.
  3. Drug makers started disclosing their gifts to doctors and financial relationships with them (often because government settlements required them to).
  4. Government settlements often covered allegations of kickbacks, junkets, and other inducements to sway physicians toward off–label prescribing.

Massachusetts gift ban

  1. Citing fears that pharma was unduly influencing doctors, the state’s legislature outlawed drug company gifts completely and imposed fines of up to $5,000.
  2. Restaurants that had hosted pharma dinners lamented lost sales.
  3. Hotels and visitors’ bureaus said the ban would keep conventions away.
  4. And at pharma confabs everywhere, drug company booths displayed signs warning Massachusetts doctors away from free coffee and ballpoint pens.

What may be allowed?

  1. Allowing drug makers to pay for "modest" meals as part of product–information sessions would be a "narrow change" to the law––and necessary for companies to educate docs about new drugs.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Pharma gift ban

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Doctor’s Day 2012

Doctor’s Day celebrations organised by Heart Care Foundation of India and eMedinewS

 
Dr K K Aggarwal
 
    National News

Sincere requests if you could help us anyhow. I just met a lady in a hospital whose husband is in the ICU for over 40 days now battling for life. Only a heart transplant can save her husband. Anyone who knows a brain dead or similar cases who are in a state to donate heart please contact me, so I can refer you to the patient.

Please use this as your status message too...I hope together we can save a life..it is heart breaking to see a woman loose her hope and husband...pls contact: Neha R <nnehar.nift@gmail.com>

India ranks 2nd on underweight children

New Delhi: India has the second highest percentage of underweight children below the age of five years, Health and Family Welfare Ministry told the Rajya Sabha on Tuesday. Referring to the World Health Statistics report 2012, Minister of State for Health and Family Welfare Sudip Bandyopadhyay said, "India stands second in the field of underweight children below the age of five years." In a written reply to a question, the Minister said that malnutrition is multidimensional and intergenerational which requires intervention through various ministries to address its many underlying causes in different stages of life cycle. In reply to a separate question, he informed the House that pneumonia and diarrhoea are the leading causes of death among the children below five years of age. "As per report Countdown to 2015, Pneumonia contributes to 11 per cent of deaths and diarrhoea accounts for another 11 per cent of total under–five deaths in India."

For prevention and control of these diseases, he said awareness is being created amongst mothers on sanitation and hygiene and in the communities about causes and treatment of diarrhoea through health education.

"Antibiotics for treatment of pneumonia and dysentery are made available through the public health system," Bandyopadhyay added. To check high infant mortality rate, he said under the universal immunization program, various vaccines such as DPT, Measles and BCG are provided to children to protect them against diphtheria, pertussis, measles and tuberculosis. He also tabled reports on steps taken by the government to decrease prevalence of malnutrition among children of various age groups and their impact. A recent survey shows that in the 100 focus districts, the prevalence of child underweight has decreased from 53.1 per cent in 2002-04 to 42 per cent in 2011, the Ministry said. (Source: The Financial Express, Aug 22, 2012)

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Diabetes: Another late complication of radiotherapy

Childhood cancer survivors who underwent either abdominal or total body radiotherapy as part of their treatment are at increased risk of developing diabetes later in life because of damage to the pancreas. A new study demonstrates, for the first time, a dose–response effect related to the amount of radiation delivered. The results were published online August 22 in the Lancet Oncology. "The pancreas needs to be regarded as a critical organ when planning radiotherapy, particularly in children," said lead researchers Florent de Vathaire, PhD, from the Centre for Epidemiology and Public Health of INSERM at the Gustave Roussy Institute in Villejuif, France. He notes that until now, the pancreas has been one of the few organs not considered to be at risk in national guidelines from France and the United Kingdom. The researchers suggest that the long–term follow–up of cancer survivors who received intraabdominal or total body radiation should include screening for diabetes. (Source: Medscape)

For comments and archives

Two surgeries equal for esophageal Ca

Minimally invasive esophagectomy matched open surgery for survival in patients with esophageal cancer and led to examination of significantly more lymph nodes, authors of a meta–analysis concluded. (Source: Medpage Today)

For comments and archives

Patterns of muscle synergies identified in stroke patients

Researchers have described patterns of muscle synergies — groups of muscles that act as single units — in stroke patients that could become physiologic markers of impaired status. The new analysis, which used recorded myoelectric signals and a complicated computerized algorithm to identify synergy patterns, could contribute to more effective rehabilitation of stroke survivors, (said) study author Emilio Bizzi, MD, PhD, neurophysiologist and professor from the Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, in Cambridge, Massachusetts. (Source: Medscape)

For comments and archives

Bariatric Tx seems to stymie type 2 diabetes

Obese patients who underwent bariatric surgery had an 83% lower incidence of type 2 diabetes compared with a control group that did not have weight-loss surgery, data from a large Swedish study showed. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Inadmissibility of Expenses Incurred in Providing Freebees to Medical Practitioner By Pharmaceutical And Allied… http://fb.me/1Ogumly5u

@DeepakChopra: Peace can be created only by those who are peaceful. A loving world will be created by those who have loved.

 
    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

Rumors over Mehendi create panic in Chennai

Hundreds of Muslim women and children flocked to hospitals late on Eid eve after rumours spread that two women had died after applying mehendi on their hands and a girl had lost her limbs. It was a text message that went viral on Monday night

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How is the recipient couple evaluated?

The physician should obtain a comprehensive medical history from both partners. In addition, the female assessment will include a comprehensive gynecologic history and complete physical exam. From a laboratory perspective, the female should have an assessment of ovarian reserve, when appropriate, with at minimum, a measurement of day 3 follicle–stimulating hormone (FSH) blood levels, blood type and Rh, and rubella and CMV. A Pap smear and cultures for Neisseria gonorrhea and Chlamydia trachomatis should be obtained. The female partner should have an evaluation of her uterine cavity with a hysterosalpingogram (HSG), sonohysterogram (SHG), or hysteroscopy. If the female recipient is over the age of 45 years, a more thorough evaluation with assessment of cardiac function, risk for pregnancy–induced hypertension and gestational diabetes should be considered. The male assessment will include a semen analysis. The intended recipient couple should be screened for syphilis, hepatitis B and C, HIV–1 and HIV–2.

For comments and archives

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Transfusion practices in general medicine

  • The decision to transfuse should be guided by the clinical situation, and not only by laboratory reports.
  • Do not add any medication to the unit of blood.
  • Do not transfuse more than required to tide over a crisis. Restoring hemoglobin to normal value is not necessary.
  • Rate of transfusion should not exceed 2–4 ml/kg/hour (except in emergency or massive transfusion.)
  • Transfusion cannot correct cause or non hematologic effects of the underlying pathology.
  • Avoid volume overload in patients with incipient cardiac failure.
  • Avoid transfusion from first degree relatives to prevent transfusion–associated graft versus host disease (TA–GvHD).
  • Single unit transfusions are not recommended. However, it is important to identify situations where more than one unit may harm the patients. (e.g. Low cardiac output)

For comments and archives

 
    An Inspirational Story (Dr GM Singh)

MBA and the fisherman

An American businessman was at a pier in a small coastal Mexican village when a small boat with just one fisherman docked. Inside the small boat were several large yellow–fin tuna. The American complimented the Mexican on the quality of his fish and asked how long it took to catch them.

The Mexican replied only a little while.

The American then asked why didn’t he stay out longer and catch more fish?

The Mexican said he had enough to support his family’s immediate needs.

The American then asked the Mexican how he spent the rest of his time.

The Mexican fisherman said, "I sleep late, fish a little, play with my children, take siesta with my wife, Maria, stroll into the village each evening where I sip wine and play guitar with my amigos. I have a full and busy life, senor."

The American scoffed, "I am a Harvard MBA and could help you. You should spend more time fishing and with the proceeds, buy a bigger boat. With the proceeds from the bigger boat, you could buy several boats, eventually you would have a fleet of fishing boats. Instead of selling your catch to a middleman you would sell directly to the processor, eventually opening your own cannery. You would control the product, processing and distribution. "You would need to leave this small coastal fishing village and move to Mexico City, then LA and eventually NYC where you will run your expanding enterprise."

The Mexican fisherman asked, "But senor, how long will this all take?"

To which the American replied, "15–20 years."

"But what then, senor?" asked the Mexican.

The American laughed, and said, "That’s the best part! When the time is right, you would announce an IPO and sell your company stock to the public. You’ll become very rich, you would make millions!"

"Millions, senor?" replied the Mexican. "Then what?"

The American said, "Then you would retire. Move to a small coastal fishing village where you would sleep late, fish a little, play with your kids, take siesta with your wife, stroll to the village in the evenings where you could sip wine and play your guitar with your amigos."

Then the Mexican Fisherman says: THEN WHAT AM I DOING NOW?

For comments and archives

 
  Cardiology eMedinewS

TNF drugs may curb heart disease risk Read More

More strokes after bypass than after angioplasty Read More

 
  Pediatric eMedinewS

Kids’ mutation rate tracks with father’s age Read More

Anesthesia for tots tied to learning deficits Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady developed hypotension with respiratory distress immediately after delivery.
Dr Bad: This is an internal bleed.
Dr Good: It looks like AFES.
Lesson: Amniotic fluid embolism syndrome (AFES) is a catastrophic condition that occurs during pregnancy or shortly after delivery. It is characterized by the abrupt and fulminant onset of hypotension due to cardiogenic shock, hypoxemia, respiratory failure, and disseminated intravascular coagulation. Clinicians should suspect AFES whenever shock or respiratory compromise develops during labor and delivery, or immediately postpartum. Other causes of sudden intrapartum or postpartum cardiorespiratory failure must be excluded.

For comments and archives

Make Sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis.

For comments and archives

 
  Quote of the Day (Dr Prabha Sanghi)

Life will go on for each of us, happily or unhappily, with or without help, support and sympathy from others, but the help, support, and sympathy from others will make difference in one’s life.

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    Legal Question of the Day (Dr M C Gupta)

Q. An MSc student doing her PhD in neurophysiology in our institute has special expertise in VEP (Visual evoked potential). Such studies are done on patients referred by the Dept. of Ophthalmology. She is signing the reports also. She has not received any training in this respect from any institute. She has learnt the technique during the course of her doctoral research. Can she sign the test reports? Are such reports medicolegally valid? Are there any guidelines from courts?

Ans.

  1. There is nothing wrong in what she is doing. She has an expertise which is valued and needed by the ophthalmology experts who refer patients to her and the patients get the tests done willingly at the advice of the ophthalmology experts. Those who perform research techniques or advanced tests do not need any certification from courts etc. as long as no existing regulations or ethical guidelines are breached. None are apparently breached in the present case. She can certainly sign the test reports in respect of special tests performed by her. As a matter of fact, she is bound to do so because nobody else can act as proxy for signing such reports. The reports would certainly be legally valid.
  2. Probably your query emanates from a doubt as to whether she can sign such reports in view of the fact that the reports of biochemical and microbiological tests are, legally, to be signed by a pathologist. Such doubt is unnecessary and without basis. Pathlab reports are to be signed by a pathologist because of the law flowing from the IMC Act, 1956, that performing path tests amounts to practice of pathology and such practice can be indulged in only by a person qualified in pathology. There is no such legal bar in respect of neurophysiological tests.
  3. From a legal point of view, it is desirable that the reports are countersigned by her HOD. She is a student in the institute and is likely to move on elsewhere after completion of the course. The principal here is the institute where she is working or studying. The institute is represented by the professor heading the department. The litigation would primarily involve the institute and the institute, through its professor, should be answerable. It would be unfair and not legally permissible to pass the burden of litigation and its consequences upon a student.

For comments and archives

 
    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Protein C

Formal name: Protein C Functional or Antigen, Protein S Free (Functional) or Antigen (Total).

Tests for Protein C and Protein S are usually ordered to help diagnose the cause of a venous thromboembolism (VTE). Functional tests for Protein C and free Protein S are usually ordered, along with other tests for hypercoagulability, to screen for sufficient, normal, factor activity.

  • High Protein C and Protein S levels are not usually associated with medical problems. Low levels of Protein C or Protein S can result in excessive formation of blood clots.
  • Low concentrations of Protein C and Protein S may be seen with vitamin K deficiency, liver disease, severe infections (inflammatory conditions), renal disease, cancers, disseminated intravascular coagulation (DIC), HIV, during pregnancy, immediately following a thrombotic episode, and with warfarin or heparin anticoagulant therapy.
 
    Mind Teaser

Read this…………………

Assessing the laboratory findings, which result would the nurse most likely expect to find in a client with chronic renal failure?

A. BUN 10 to 30 mg/dl, potassium 4.0 mEq/L, creatinine 0.5 to 1.5 mg/dl
B. Decreased serum calcium, blood pH 7.2, potassium 6.5 mEq/L
C. BUN 15 mg/dl, increased serum calcium, creatinine l.0 mg/dl
D. BUN 35 to 40 mg/dl, potassium 3.5 mEq/L, pH 7.35, decreased serum calcium

Yesterday’s Mind Teaser: An intravenous pyelogram reveals that Paulo, age 35, has a renal calculus. He is believed to have a small stone that will pass spontaneously. To increase the chance of the stone passing, the nurse would instruct the client to force fluids and to

A. Strain all urine.
B. Ambulate.
C. Remain on bed rest.
D. Ask for medications to relax him.

Answer for Yesterday’s Mind Teaser: B. Ambulate.

Correct answers received from: Dr Rakesh Goel, Rajiv Kohli, Dr K Raju, Dr Thakor Hitendrsinh G,
Dr (Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr KP Chandra.

Answer for 21st August Mind Teaser: B. Avoid taking blood pressure measurements or blood samples from the affected arm.
Correct answers received from: Dr Avtar Krishan, Dr KP Chandra.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

A housewife goes to an optometrist and says: Lately I’m seeing grocery items smaller than they appeared till recently. I think I need a change of my eyeglasses.

The optometrist after examining her eyes for refraction and finding no change in dioptric values observes: Manufacturers of grocery items, rather than increasing the prices, have made the packings smaller; and there’s no need for you to change your eyewear.

 
    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

What is Touch DNA?

Locard’s Exchange Principle states that with contact between two items, there will always be an exchange. So, when a crime is committed, if the perpetrator deposits a sufficient number of skin cells on an item at the scene, and that item is collected as possible evidence.

  • It is the DNA in skin cells that is left at a crime scene and may be sampled from a variety of items including gun grips, steering wheels, eating utensils, luggage handles and clothing.
  • Humans shed tens of thousands of skin cells each day, and these cells are transferred to every surface with which human skin comes into contact.
  • Touch DNA is not Low Copy Number DNA (LCN DNA).
  • LCN DNA profiling allows a very small amount of DNA to be analyzed, from as few as 10 to 30 cells.
  • Touch DNA samples are processed exactly in the same way as blood, semen, saliva etc, and can stand up to scrutiny in court much better than LCN DNA.
  • Touch DNA analysis may be able to link the perpetrator to the crime scene, by collecting the skin cells and analyzing them.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Heart Care Foundation of India to host the city’s Dil Ka Darbar on September 23, 2012

Health diseases affect 10% Indians each year

Heart Care Foundation of India, a leading national charitable trust aimed at imparting health education in the country and the World Fellowship of Religions will host their annual event ‘Dil Ka Darbar 2012’ in the city to raise awareness about the rising incidence of heart disease in the country. The interactive healthcare summit, which encourages an open two-way communication between doctors and patients, will be held on September 23, 2012 at the Talkatora Stadium in New Delhi from 8am till 4 pm.

Dil Ka Darbar is a unique platform through which people can seek a joint opinion of leading cardiologists and cardiac surgeons on their prevailing medical condition.

The Darbar will be led by a panel of distinguished cardiologists including Dr Yugal Mishra Director Cardiac Surgery, Fortis Escorts Heart Institute; Dr ZS Meherwal, Director and Coordinator, Dept. of Cardiovascular Surgery, Fortis Escorts Heart Institute; Dr Rajneesh Malhotra, Senior Cardiac Surgeon, Medanta – The Medicity; Dr. Manju Gupta, Professor Cardiac Surgery, Safdarjang Hospital; Dr Praveen Chandra, Director Cath Lab Medanta – The Medicity; Dr S C Manchanda, Head Dept of Preventive Cardiology, Sir Ganga Ram Hospital; Dr Sameer Srivastava, Senior Cardiologist Fortis Escorts Heart Institute; Dr NN Khanna Senior Cardiologist, Indraprastha Apollo Hospitals; Dr Aparna Jaswal Senior Cardiologist, Fortis Escorts Heart Institute; Dr Sujay Shad, Cardiac Transplant surgeon, Sir Ganga Ram Hospital and Dr H K Chopra, Senior Cardiologist, Moolchand Medcity.

Doctors from other specialties and systems of medicine will also be on the panel and will include Ayurvedic Cardiologists Dr B N Sinha, Dr Shashi Bala and Dr V S Tripathi and Homeopathic Cardiologist Dr Anupam Sethi Malhotra; Naturopathic Cardiologist Dr Yadav.

In addition to these, Dr NK Bhatia will cover blood transfusion medicine in cardiology; Dr Ajit Saxena from Apollo Hospitals will cover sexual behaviors in heart patients and Dr Neelam Mohan, Director Pediatric Gastroenterology, Hepatology & Liver Transplant at Medanta-The Medicity, will cover the science of transplant medicine and fatty liver in children.

Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President, Heart Care Foundation of India said that the Foundation is committed to the cause of imparting health education among the people.

“In India, it is a common phenomenon for patients to seek a second opinion on their illness, often leading to a lapse of right judgment and a subsequent delay in their treatment. Through Dil Ka Darbar, we aim to provide patients a revolutionary platform where they can seek the joint opinion of a panel of experts on their existing medical condition resulting in informed and timely diagnosis” added Dr Aggarwal.

Heart diseases are one of the leading causes of death amongst Indians. An Indian study conducted in 2011 reveals that about 25 per cent of deaths in the age group of 25-69 years occur because of heart diseases each year in the country. This figure stands at 32.8 % deaths in urban and 22.9 % in rural areas.

According to Dr Ashok Seth President Cardiological Society of India, the most common heart diseases plaguing Indians between the age group of 25-60 are cardiovascular diseases, cardiac arrests, congestive heart failures, coronary heart diseases, rheumatic heart diseases and strokes.

Dil Ka Darbar will also cater to the healthy population through regular health awareness sessions, facilities for routine cardiac checkups and the opportunity to interact with senior doctors from Apollo Hospital through a unique tele-communications facility established at the Darbar venue. The entry to the event will be free.

Heart Care Foundation of India is a national NGO working in the field of heart care. On three of its events the government of India had released postal commemorative stamps.

 
    Readers Response
  1. You are taking much effort for giving and distributing all new concept of medical science to us. Dr Pravin Patel.
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal
Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

TOGETHER WE CAN

RELAX *RECREATE* REJUVENATE

Weekend Retreat for Doctors on
Mind – Body – Medicine

8 (Sat) – 9 (Sun) September 2012 At Brahma Kumaris Om Shanti Retreat Centre NH–8, Bhorakalan, Pataudi Road, Bilaspur Chowk, Distt.-Gurgaon

There is NO REGISTRATION FEE but REGISTRATION is MUST
Visit us at: www.togetherwecan.in
Contact: BK Sister Sapna – M – 9650692204
E–mail: bksapna108@gmail.com

 
    eMedinewS Special

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Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta