eMedinewS25th January 2014, Saturday

Dr K K AggarwalPadma 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; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; 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
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Maharashtra Medical Council charge sheets path lab for ‘cut’ practice

Maharashtra Medical Council (MMC) has pressed charges against a private diagnostic chain for offering commission to a Mahad doctor.

The Mumbai-headquartered diagnostic chain had allegedly sent a cheque of Rs 1,200 to Dr H Bawaskar for "referring" a patient for MRI to its Pune centre. The doctor had filed a complaint with the MMC

MMC’s charge sheet was issued to the diagnostic chain on January 18. The centre kept maintaining that MMC has no jurisdiction over them.

But MMC said that anybody offering medical services comes under their jurisdiction.

The chain has been given up to two weeks’ time to reply.

Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV

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."

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VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Forgetfulness and Age

sprritual blog

By the time we cross 40, most of us suffer from minimal cognitive impairment and have a memory loss of very recent events or objects. This is age related and should not be confused with dementia.

This can also happen in patients who are vegetarians and vitamin B12 deficient. People often have difficulty in naming objects and name of the people.

Just as a computer hangs up while doing multiple tasks, so does the human mind. When you handle multiple projects at the same time, you may experience thought blocks, which is natural and not a sign of a disease.

When we introduce ourselves to a new person, we often tell our name first. It is possible that by the time you finish your conversation, the person may forget your name. Therefore, one should either introduce themselves last after the conversation is over or introduce oneself at both times i.e. at the start and at the end of the conversation.

Some people introduce themselves before the conversation and hand over their visiting card at the end of a conversation. This is also taught in how to market yourself.

As medical doctors, we face these difficulties quite often. People send SMSs without their names or call without telling their names. For example, I once got a call "Malhotra Bol Raha Hoon Pehchana Kya?" As a doctor, we may have had hundreds of Malhotras as our patients and it is not expected from us, especially, after the age of 40 to recall a person just by his surname. Unless we are given complete information by the patient on phone, mistakes can be made, especially, if it is a phone consultation. In any way, phone consultation needs to be avoided. Even Supreme Court in one of its judgments said that giving phone consultation may amount to professional misconduct on the part of the doctor

cardiology news

Hospital window

Two men, both seriously ill, occupied the same hospital room. One man was allowed to sit up in his bed for an hour each afternoon to help drain the fluid from his lungs. His bed was next to the room’s only window. The other man had to spend all his time flat on his back. The men talked for hours on end. They spoke of their wives and families, their homes, their jobs, their involvement in the military service, where they had been on vacation.

Every afternoon when the man in the bed by the window could sit up, he would pass the time by describing to his roommate all the things he could see outside the window. The man in the other bed began to live for those one hour periods where his world would be broadened and enlivened by all the activity and color of the world outside. The window overlooked a park with a lovely lake. Ducks and swans played on the water while children sailed their model boats. Young lovers walked arm in arm amidst flowers of every color and a fine view of the city skyline could be seen in the distance. As the man by the window described all this in exquisite detail, the man on the other side of the room would close his eyes and imagine the picturesque scene.

One warm afternoon the man by the window described a parade passing by. Although the other man couldn’t hear the band – he could see it. In his mind’s eye as the gentleman by the window portrayed it with descriptive words. Days and weeks passed.

One morning, the day nurse arrived to bring water for their baths only to find the lifeless body of the man by the window, who had died peacefully in his sleep. She was saddened and called the hospital attendants to take the body away. As soon as it seemed appropriate, the other man asked if he could be moved next to the window. The nurse was happy to make the switch, and after making sure he was comfortable, she left him alone.

Slowly, painfully, he propped himself up on one elbow to take his first look at the real world outside. He strained to slowly turn to look out the window beside the bed. It faced a blank wall. The man asked the nurse what could have compelled his deceased roommate who had described such wonderful things outside this window. The nurse responded that the man was blind and could not even see the wall.

She said, "Perhaps he just wanted to encourage you."

News Around The Globe

News

  • " Learning ABC of ECG" A workshop with Dr. K K Aggarwal, Sunday 2nd February, 2014, 8am to 10am at Moolchand Auditorium. Organizer: Dr K K CME Group. (Dr. Pawan Gupta: 09813193071) Note: The workshop will discuss ‘How to read an ECG, normal versus abnormal, dangerous signs in ECG’.
  • Patients receiving preoperative chemotherapy for rectal cancer do not have to undergo the hassle and discomfort of intravenous infusion any longer, according to the results of a major randomized trial sponsored by the National Cancer Institute. Investigators found that in patients with stage II or III disease, outcomes and toxicity were similar with an oral drug, capecitabine, and with the current standard of care, which is continuous intravenous infusion of 5-fluorouracil (5–FU). All patients also received concurrent radiation therapy before undergoing curative surgery.
  • Gavin Churchyard, MBBCh, PhD, of the Aurum Institute in Johannesburg, South Africa, and colleagues report in the Jan. 23 issue of the Medicine that preventive tuberculosis therapy had no lasting effect on TB incidence among South African gold miners ––a group hard-hit by the disease. In a cluster-randomized trial, the therapy –– 9 months of isoniazid (Nydrazid) –– also did not cut prevalence of TB among the miners. On the other hand, while miners were actually taking the drug, they were less likely to develop TB.
  • Active smokers have a 30% to 40% higher risk of developing type 2 diabetes compared with nonsmokers, according to new data published in the Surgeon General's 50-year anniversary report on smoking. The Health Consequences of Smoking – 50 Years of Progress, announced at the White House last Friday by current acting Surgeon General Boris Lushniak, MD, MPH, highlights diabetes as one of several new diseases causally linked to smoking.
  • Family members were involved in medical decision-making for nearly half of all patients 65 years and older who were hospitalized 48 hours or more and who required major medical decisions, a new study shows. The findings are published online January 20 in JAMA Internal Medicine.
  • Results of a new prospective, population-based cohort study published in the January issue of Diabetes Care suggest that a higher level of serum long-chain omega-3 polyunsaturated fatty acids (PUFAs)– an objective biomarker of fish intake – is linked to a lower long-term risk for type 2 diabetes.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

What does humanizing your dog means?

  • Talking to your dog like he⁄she is a person.
  • Treating your dog like he⁄she is a person.
  • Allowing dogs to do what they want because it will hurt their “feelings.”
  • Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

cardiology news

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

  • Findings from a new post hoc analysis of the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial led by Dr GB John Mancini(University of British Columbia, Vancouver suggest that coronary anatomy, and not ischemic disease burden, significantly predicts the risk of death, MI, and non–ST–elevation acute coronary syndrome (NSTE–ACS) in patients with stable ischemic heart disease. Despite being a better predictor of clinical outcomes, the anatomic burden of coronary artery disease assessed by angiography did not identify patients who would benefit from an invasive revascularization strategy over optimal medical therapy. The study is published January 15, 2014 in the Journal of the American College of Cardiology: Cardiovascular Interventions.
cardiology news

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

  • Handheld optical coherence tomography (OCT) can be used to differentiate between young children with and without vision loss from optic pathway gliomas (OPGs), according to an observational study. Children with OPGs who had normal vision had significantly greater RNFL thickness in each of the four anatomic quadrants compared with children with OPGs who had vision loss, according to the January 16 JAMA Ophthalmology online report.
cardiology news

Prescribe insurance to all patients in the prescription

When we do not take our car on the roads without insurance then why do we take our body out without insurance?

  1. Everybody should be insured and for those who cannot, the government must pay for their insurance. Insurance should be added in the prescription of a doctor.
  2. Even if a patient has a disease, he or she needs insurance so that he is covered for other illnesses. Remember one is entitled for 1% of the cover as room rent or 2% for the ICU bed.
  3. The coverage amount is for one full year. Do not exhaust it in one admission.
  4. The patients should choose their insurance so that even OPD treatment is added to the coverage.
  5. A person can have more than one insurance policy.
  6. Health is not mere absence of disease but a state of physical, mental, social, environmental, spiritual and financial well being.
  7. The purpose of life should be to desire for inner happiness and for that to earn righteously
  8. One must plan for the old age; remember that today one can live above the age of 80 and old age treatments can be very costly.
  9. Most disputes are due to property and one must write his or her will in time. Property dispute is number one cause of heart attack in the country.
  10. All doctors should be insured against malpractice. To err is human and malpractice is not a criminal negligence.
  11. The banks should come out with schemes so that patients can get loans for treatments on the spot.
cardiology news

Total CPR since 1st November 2012 – 84500 trained

Media advocacy through Web Media

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press release

Even typhoid can have chills and rigors

New Delhi: 24th January 2014: Changing trends have been reported in typhoid fever since last decade. Continuous and intermittent fever with rigors and chills, headache, body aches, abdominal pain, enlarged spleen, enlarged liver, high pulse rate, and deranged liver functions are more commonly observed in typhoid fever, said Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association.

In a study of 100 patients, 48, 30, 14 and 8 were in the age group of 20–30, 31–40, 41–50 and 51–60 years, respectively. In all the patients, fever (100–104°F) was the major presenting symptom. Duration of fever was one week in 32%, 1–2 weeks in 40%, 2-3 weeks in 20%, 3–4 weeks in 7% and >4 weeks in 1% patients. 65 patients presented with continuous fever and 32% with intermittent fever and 3% with remittent fever.

Sixty percent patients presented with rigors and chills and 40% without rigors and chills. Headache was reported in 80%, bodyache in 60%, abdominal pain in 13%, cough in 10%, nausea in 4%, constipation in 2% and vomiting is 2% cases.

Clinical findings were enlarged spleen in 70%; high pulse rate in 65%; enlarged liver in 23%, coated tongue 12%; relative slow pulse rate in 3% and irritation of the brain layers in 3% with stupor in 1%.

Laboratory findings were anemia with Hb 6%–11 g/dl in 25%; severe anemia with Hb <6 g⁄dl in 16%; neutropenia or low white cells in 9%; lymphopenia in 4%; lymphocytosis in 2%; low platelet count in 4 %; raised liver enzymes SGOT and SGPT in 42%; raised alkaline phosphatase in 7% and raised serum bilirubin in 5% cases.

Presence of fever with child and rigors does not always mean malaria or urinary tract infection. If the fever is continuous, one should look for typhoid. Raised SGOT and SGPT levels can be present in most viral fevers.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National Commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 84500 people since 1st November 2012.

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."

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GAPIO held its IV Annual Conference on 11th–12th January 2014 at Hotel ITC Sonar, Kolkata India

press release

Lifestyle change can reduce aging

vedio of day

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

A 2-month-old baby with acute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother's hepatitis B virus serological profile is most likely to be:

1. HBsAg positive only.
2. HbsAg and HBeAg positive.
3. HBsAg and HBe antibody positive.
4. HBV DNA positive.

Yesterday’s Mind Teaser: An increased incidence of cholangiocarcinoma is seen in all of the following, except:

1 Hydatid cyst of liver.
2. Polycystic disease of liver.
3. Sclerosing cholangitis.
4. Liver flukes.

Answer for yesterday’s Mind Teaser: Hydatid cyst of liver

Correct answers received from: Dr. P. C. Das, Dr.K.Raju, Dr. V.P. Thakral, daivadheenam, Dr.K.Raju, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr Prakash Khalap

Answer for 23rd January Mind Teaser: 1. Hydatid cyst of liver.

Correct answers received from: Dr. P. C. Das, Dr. V.P. Thakral

Send your answer to ijcp12@gmail.com

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medicolegal update

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medicolegal update
medicolegal update

Dream of a necklace

After she woke up, a woman told her husband, "I just dreamed that you gave me a pearl necklace for our anniversary. What do you think it means?"

"You’ll know tonight." he said.

That evening, the man came home with a small package and gave it to his wife.

Delighted, she opened it to find a book entitled "The Meaning of Dreams."

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient after receiving 40 units of insulin developed severe hypoglycemia.
Reaction: Oh my God! The order was for 4 units.
Lesson: Make sure that 4 unit is not written as 4.0 units.

medicolegal update

Dream as if you’ll live forever, live as if you'll die today. James Dean

medicolegal update

Dr KK Aggarwal: Long term use of painkillers can cause kidney cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Despite five decades of modern neuroscience, we have only a very limited knowledge of the role of sleep http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, very informative news. Regards: Dr Karan

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