emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.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
Dr KK Aggarwal

From the Desk of Editor in Chief
Dr B C Roy National Awardee,

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant and Dean Medical Education, Moolchand Medcity; Member, Delhi Medical Council; Past President, Delhi Medical Association; Past President, IMA New Delhi Branch; Past Hony Director. IMA AKN Sinha Institute, Chairman IMA Academy of Medical Specialities & Hony Finance Secretary National IMA; Editor in Chief IJCP Group of Publications & Hony Visiting Professor (Clinical Research) DIPSAR


Dear Colleague,

26th January, Tuesday 2010

eMedinewS wishes all a very Happy Republic Day

The list of recipients Padma Awards for this year was announced yesterday. Padma awards are given by the Govt. of India in recognition for exceptional and distinguished service in any field.

Being a recipient of the Padma Shri, the country's 4th highest civilian award, I accept this honor bestowed on me with great pride and humility. This would not have been possible but for the love and support of all my elders, peers, well-wishers, colleagues, friends, and last but not the least, my patients. I hope I continue to justify the faith everybody has reposed in me in the future too.

eMedinewS also extends its heartiest congratulations to all doctors who have been conferred with Padma Awards.

Padma Vibhushan

Dr Prathap C Reddy (Chennai)

Padma Bhushan
Prof. Belle Monappa Hegde(Karnataka), Shri E.T. Narayanan Mooss (Kerala), Dr. Noshir M. Shroff (Delhi), Dr. Panniyampilly Krishna Warrier (Kerala), Dr. Ramakant Madanmohan Panda (Maharashtra), Prof.(Dr.) Satya Paul Agarwal(Delhi).

Padma Shri
Dr. K.K. Aggarwal(Delhi), Dr. Anil Kumar Bhalla (Delhi), Dr. Arvinder Singh Soin(Uttar Pradesh), Dr. B. Ramana Rao(Karnataka), Dr. Jalakantapuram Ramaswamy Krishnamoorthy(Tamil Nadu), Prof. Kodaganur S. Gopinath(Karnataka), Dr. Laxmi Chand Gupta(Delhi), Dr. Philip Augustine(Kerala), Dr. Rabindra Narain Singh(Bihar), Dr. Vikas Mahatme(Maharashtra).

Bhagwat Gita teaches us to do our duty without any expectations. Awards and laurels will follow automatically. I sincerely believe that duty done selflessly and with dedication will be followed by recognition sooner or later.

There are many deserving colleagues walking the same path and I hope and pray that they too would some day get their true and well-deserved recognition.

Dr KK Aggarwal
Chief Editor


 

News
1. High blood pressure may put women at greater risk for dementia later in life by increasing white matter abnormalities in the brain, report researchers from the University of Pittsburgh Graduate School of Public Health in a study published online in the Journal of Clinical Hypertension.

2. As many as 50 per cent of people bring their work home with them regularly, according to new research from the University of Toronto that describes the stress associated with work-life balance and the factors that predict it.

3. Every hour of television watched per day may increase the risk of dying earlier from cardiovascular disease, according to research reported in Circulation, the journal of the American Heart Association. Australian researchers tracked the lifestyle habits of 8,800 adults and found that each hour spent in front of the television daily was associated with an 11 percent increased risk of death from all causes, a 9 percent increased risk of cancer death, and an 18 percent increased risk of cardiovascular disease (CVD)-related death. Compared with people who watched less than two hours of television daily, those who watched more than four hours a day had a 46 percent higher risk of death from all causes and an 80 percent increased risk for CVD-related death. This association held regardless of other independent and common cardiovascular disease risk factors, including smoking, high blood pressure, high blood cholesterol, unhealthy diet, excessive waist circumference, and leisure-time exercises. Any prolonged sedentary behavior, such as sitting at a desk or in front of a computer, may pose a risk to one's health. The human body was designed to move, not sit for extended periods of time, said David Dunstan, Ph.D., the study's lead author and Professor and Head of the Physical Activity Laboratory in the Division of Metabolism and Obesity at the Baker IDI Heart and Diabetes Institute in Victoria, Australia.

4. A urine test that can differentiate between dangerous and safe snoring is possible, say researchers at the University of Chicago. They looked at 90 children referred to a clinic to be evaluated for breathing problems in sleep, and 30 controls. A number of proteins were increased in the urine of the children diagnosed with dangerous snoring. The research is published in the American Journal of Respiratory and Critical Care Medicine. (Dr G M Singh)

5. Treatment should be initiated with a bedtime or morning dose of an intermediate- or long-acting insulin. The initial dose should be 10 U or 0.2 U/kg. The dose should be adjusted on the basis of assessment of fasting blood glucose (BG) and increased by 2 U every three days, until fasting BG levels are 70-130 mg/dL. Larger increases (4 U) in insulin can be used, if fasting BG is >180 mg/dL. ( Dr G M Singh)

Physicians should apologize for errors
Many medical centers are encouraging doctors to apologize to patients for mistakes and to explain what went wrong, which can help patients feel more cared for and empowered, as well as enhance the reputation of the doctor and medical center as honest brokers.

PRP treatment no more effective than saltwater
Platelet rich plasma(PRP) treatments, in which people are injected with their own PRP in the hope that the platelets can help repair orthopedic injuries is no more effective than saltwater. (Jan. 13 JAMA)

No amount of cocaine is safe
Cocaine was responsible for more than three percent of all sudden deaths in a Spanish study, signaling that no amount of the recreational drug, however small, is safe. (European Heart Journal)

Vehicle exhaust associated with respiratory and heart
Exhaust from cars and trucks exacerbates asthma in children and may cause new cases as well as other respiratory illnesses and heart problems resulting in deaths (Health Effects Institute).

IV Fish oil may treat sepsis Trials involving fish oil given intravenously to patients in ICU suggest that it reduces inflammatory chemicals and results in shorter hospital stays. In a new randomized controlled trial from the University of Southampton, Professor of Nutritional Immunology, Philip Calder, found that oil improves the way patient's lungs were working through improved gas exchange whilst also reducing inflammatory chemicals. The study is published in BioMed Central's open access journal Critical Care.

Twenty-three patients were studied. All the patients had systemic inflammatory response syndrome, or sepsis, and were on ventilators. The fish oil replaced another type of fat they would have been given as part of normal intravenous nutrition.The 13 patients in the fish oil group had lower levels of inflammatory agents in their blood, were able to achieve better lung function and left hospital earlier than the 10 patients who received traditional nutrition.

Traditional solutions use soybean oil, which is rich in omega-6 acids and may actually make inflammation worse. Fish oil, on the other hand, is rich in omega-3 fatty acids that work to reduce inflammatory responses.

Punjab & Sind Bank
 
action
docconnect
 
Central Bank of India
 
Nestle
 
nuspera
 
Our HIP's

Dr K K Aggarwal gets Padma Shri

Dr. Aggarwal's life, a saga of grit, hard work, devotion and compassion and academic excellence

Well-known Delhi-based Cardiologist and Physician, Dr. KK Aggarwal, Dr BC Roy National Awardee is being honoured with PADMA SHRI, the country's 4th highest civilian award.

Dr. Aggarwal is known in the country for his splendid achievements in the fields of clinical practice, research and social welfare. He is a senior Physician Cardiologist and Dean Board of Medical Education at the renowned Moolchand Medcity, New Delhi. He is also the President of the Heart Care Foundation of India.

The eminent doctor continues to draw his inspiration from his almamater, Mahatma Gandhi Institute of Medical Science at Wardha in Maharashtra. As part of his training at Wardha, Dr Aggarwal lived with rural communities to take care of their health and emotional needs, not to speak of their livelihood concerns, from time to time. Dr Aggarwal has been the Past Hony. Director IMA AKN Sinha Institute; Past Chairman IMA Academy of Medical Specialties; Past National Finance Secretary IMA; Past President of IMA New Delhi Branch and Past President Delhi Medical Association. He is an elected Member Delhi Medical Council and is the Group Editor-in Chief IJCP Group of Publications and eMedinewS, the first national daily emedical newspaper of India.

He is a prolific writer, having written several articles on Vedic sciences and their relevance to the field of medicine. Several of these have been published in leading newspapers of the country. A pioneer in public health education, Dr Aggarwal has taken upon himself the mammoth task of updating the knowledge and skills of the medical fraternity.

Dr Aggarwal has made a mark in medicine, especially preventive cardiology. He found a mentor in late Dr (Col) KL Chopra, who was a pioneer in spreading awareness about heart diseases to prevent their onslaught. Prevention is better than cure was his guiding philosophy. Dr KL Chopra was the father of the new age guru, Dr Deepak Chopra.

Dr Aggarwal is a pioneer in introducing the clot dissolving streptokinase therapy for acute heart attacks in 1984 and started the technique of Colour Doppler Echocardiography in North India in the year 1988.

To create health awareness among the masses, Dr Aggarwal conceptualized and organized the first ever 'Perfect Health Mela' in 1993 and 'Run for your Heart' in 1991. Both the popular events continue till date. And interestingly, on both these occasions, the Government of India released National Postal Commemorative Stamps. He has served on many Government committees, both at the Centre and State levels, and is consulted by them on issues of health and medicine.

He is credited with 14 International Publications, and has contributed to the famed International Textbook on Echocardiography. Besides, his research papers have appeared in as many as 115 publications in Indexed National Journals and over 350 publications in review Indian Journals.

His professional career is richly strewn with numerous awards and honours right from his days as a medical student: A Paul Harris Fellow, from Rotary International,: Dr. D S Mungekar National IMA Award (1991); DMA Dr. B N Behl Foundation Award (1992-93); Cardiology Society of India Mumbai Branch Dr KK Datey Oration (1993); Rajiv Gandhi Excellence Award (1993); The Great Son of the Soil Award (1996); IMANDB Health Communicator of the Last Decade Award (2002), IMA New Delhi Branch Swasthya Ratna Award (2002); Rashtriya Gaurav Samman (2002); Indira Gandhi Priyadarshini Award (2003); Abhipra Samaj Seva Puraskar (2003); IMA New Delhi Branch Life Style Interventional Cardiologist of the Last Decade Award (2003); IMANDB Life Time Achievement Award (2004), Delhi Medical Association Swasthya Health Ratna (2005-06), DMA Nursing Home Forum Medical Statesman and Communicator of the Last Decade (2005-6); Delhi Hindi Sahitya Samellan - Sahitya Shree Award 2007 (Doctor and Philosopher of Indian Culture); Mohammad Rafi Award of excellence (2008),Dr B C Roy National Award 2005 (Govt. of India) in the field of socio medical relief (received in 2008), Acharya Sushil Muni Manavata Puraskar (2008), Delhi Medical Association Sunder Lal Roopwati Memorial Award (2009), Delhi Medical Association Award of Excellence ( 2009), Agra Vibhushan from All India Vaishya Samellan (2009), Jain Vibhushan (2009) and XXI National Excellence Award of P.P. Jhunjhunwala Foundation (2010).

Dr Aggarwal topped the Nagpur University in MBBS and received a medal in every subject including four Gold Medals.

He is frequently seen demonstrating how to perform life saving procedures like CPR and resuscitation in schools, colleges and professional forums with a missionary zeal. "There is no greater act of compassion and benevolence than to save a life. I see God in the ailing humanity. Everything that I have achieved in life, I attribute it to the benevolence of God, the blessings of my parents, friends and patients, my legendary teachers and to my friend and guide Dr. Deepak Chopra." Dr. Aggarwal says.

He has conceptualized events like: Health Darbar; Perfect Health Parade; Health Tambola; Health Playing Cards; Miniature Health Books; Health Games like Snake and ladder, Ludo, Dart, Kaun Banega Healthy Crorepati; Tongathon March, Health Break (break ke baad); Walks on health subjects; Tempothon; Mr. Tobacco - an anti-tobacco campaign; Delhi Ministers' Pledge to boycott tobacco promoting functions; Take care of your sweet heart Glow red campaign; 100 meters race for the patients with knee pain or replaced knee; 'the Green Concert on World Environment Day; Tobacco effigy burning with all rituals at cremation ground; Health awareness using the kites with health messages; Health awareness through competitions (school, college, dance schools, RWA and inter organizations). 

Dr Naresh Chawla President and Dr Ashwini DalmiyaSecretary DMA in their message said that Dr Aggarwla has brought laurals to the medical fraternity. Dr Narender Saini President elect said that "its not an award for Dr Aggarwal but for all of us".

In their message Dr A K Aggarwal President, Dr Vinay Aggarwal Vice President and Dr Girish Tyagi Registrar Delhi Medical Council said that DMC is proud to have Dr Aggarwal as its elected member.
 

Question Of the day
What is parasitological diagnosis?
The introduction of ACT (artemisinin-based combination therapy) has increased the urgency of improving the specificity of malaria diagnosis. The relatively high cost of these drugs makes waste through unnecessary treatment of patients without parasitemia unsustainable.
In addition to cost savings, parasitological diagnosis has the following advantages: Improved patient care in parasite-positive patients owing to greater certainty that the patient has malaria.
Identification of parasite-negative patients in whom another diagnosis must be sought Prevention of unnecessary exposure to antimalarials, thereby reducing side effects, drug interactions and selection pressure Improved health information Confirmation of treatment failures.
The two methods used for parasitological diagnosis are: Light microscopy and Rapid diagnostic tests (RDTs).
Light microscopy has the advantage of low cost and high sensitivity and specificity when used by well-trained staff. RDTs for detection of parasite antigen are generally more expensive, but the prices of some of these products have recently decreased to an extent that makes their deployment cost-effective in some settings. Their sensitivity and specificity are variable, and their vulnerability to high temperatures and humidity is an important constraint. Despite these concerns, RDTs make it possible to expand the use of confirmatory diagnosis. Deployment of these tests, as with microscopy, must be accompanied by quality assurance.
The results of parasitological diagnosis become available to clinician within two hours of the patient presenting. If this is not possible, the patient must be treated on the basis of a clinical diagnosis.

Dr Good Dr Bad
Situation: A patient with hypertension needed a painkiller.
Dr Bad: Take any NSAID.
Dr God: Take paracetamol.
Lesson: NSAIDs may raise blood pressure and can worsen control of hypertension in patients already on antihypertensive treatment.

Make Sure
Situation: A patient with suspected Clostridium difficile-associated disease (CDAD) was not responding to metronidazole.
Reaction: Oh my God! Why was the offending antibiotic not stopped.
Make sure that the offending antibiotic is stopped first. The initial step in the treatment of CDAD is cessation of the inciting antibiotic as soon as possible. If ongoing antibiotics are essential select antibiotics that are less frequently implicated in antibiotic-associated diarrhea, such as aminoglycosides, sulfonamides, macrolides, vancomycin, or tetracycline.

Formulae in Imaging
On the left side, a marked separation (>2 cm) of the lung from the stomach bubble suggests a sub pulmonic effusion. This separation of the stomach gas bubble from the lung base, especially when the bubble appears displaced inferomedially, is of particular significance on the frontal and lateral views. (Source: Radiology 1965; 84:1080.)

Mistakes in Clinical Practice
Avoid Latin directions for use. Often the Latin abbreviations are misread.

ENT Facts
All adults with acute otitis media (AOM) be managed with antibiotic treatment rather than 'watchful waiting'.

Emedinews Try this It Works: Lubricant for sutures

When suturing in a hairy area such as the scalp, use of a lubricant such as Surgilube to smooth down the hair around the wound can keep the hair out of the way. Vaseline can also be used, though it cannot be cleaned up as easily.

Milestones in Neurology
Emil du Bois-Reymond was a German physician and physiologist, who discovered the nerve action potential and is regarded as the Father of Experimental Electrophysiology.

Laughter the Best Medicine : (Arun Jain)

Woman, calling from Escorts Hospital, said, "Hello, I want to know if a patient is getting better." The voice on the other end of) the line said, "What is the patient's name and room number?" She said, "Yes, darling! She's Sarita Verma, in Room 302." He said, "Oh, yes. Mrs. Verma is doing very well. In fact, she's had two full meals, her blood pressure is fine, she's going to be taken off the heart monitor in a couple of hours and if she continues this improvement, Dr. Nair is going to send her home Tuesday."
The woman said, "Thank God! That's wonderful! Oh! That's fantastic! That's wonderful news!"
The man on the phone said, "From your enthusiasm, I take it you must be a close family member or a very close friend!"
She said, "I'm Sarita Verma in 302! Cohen, my doctor, doesn't tell me a word!"

SMS Anemia
In patients with normocytic anemia MCV ranges between 80 and 100 fL

Medifinance
Can a return be filed again if the doctor filing the return thinks that there was some defect in the return filed?
Doctor can file a revised return within one year from the assessment year or before the assessment is completed, whichever is earlier.

Medilaw
What are the components of Informed Consent?
All information should be explained in comprehensive, non-medical terms preferably in patient's own language about the:
1. Nature of the illness
2. Nature of the proposed treatment or procedure
3. Alternative procedure
4. Risks and benefits involved in both the proposed and alternative procedures
5. Potential risks of not receiving the treatment
6. Relative chances of success or failure of both procedures. What are the situations in which a doctor may not reveal the risks involved?
If:
1. Patient prefers not to be informed.
2. When complications are trivial.
3. When revealing complications is likely to have a gross impact on psychology of the patient. In this situation a close relative of the patient can be informed of the complications. Also a fellow colleague should be consulted preferably patient's family physician. This is known as 'Therapeutic privilege'. Also the doctor should note this in the record.

DocConnect Milestones (www.docconnect.com)
DocConnect: A mobile interface that allows the patients to know about appointment confirmation, reminder of checkups, medication etc.
 
Emedinews Calculator
To convert from a conventional unit to a SI Unit, multiply by the conversion factor listed. To convert from SI Units to conventional units, divide by the listed conversion factor.

Agent                           Conventional Unit            Conversion Factor               SI Unit
Aldosterone                          ng/dL                              0.0277                       nmol/L

Quote
I believe in prayer. It's the best way we have to draw strength from heaven (Josephine Baker)

Letters to the Editor
BRMS : LETTER FROM PAST NATIONAL IMA PRESIDENT :
Dear Friends: I am giving my opinion on the Rural Medicine and Surgery course. The Govt. of India is planning to introduce this scheme to serve rural population of the nation. It wants to divide the citizens of this great country into sections. It may not be surprising if another course is introduced for Adivasis. BRMS persons in another five years time may demand for a condensed MBBS course and later P.G. Course. There shall be no end. Instead Govt. should improve the existing Rural Health service by providing more facilities for Doctors who are working in Primary Health Centres in the form of soft loans for buying land to build hospitals and buy equipments. Their children should be given priority in MBBS course. They should be paid more to improve their life standard. As the quarters given to them are far away from the village, they cannot spend the nights there as it is not safe. This retrograde proposal should be opposed and Govt. should stop this and improve the present existing system. (Dr. NS Chandrabose, Past National IMA President)

Know your padma awardee: Brief profile of  Dr. A. S. SOIN
MBBS (AIIMS), MS (AIIMS), FRCS (Edin), FRCS (Glas), FRCS (Transplant Surgery)-Cambridge, UK

Dr. A.S. Soin is presently a Senior Consultant Liver Transplant and Hepatobiliary Surgeon, and Director of Liver Transplantation at the Sir Ganga Ram Hospital, New Delhi, India. After qualifying (MBBS and MS) from AIIMS and spending 11 years there, he trained and worked at among the world’s best liver transplant centres for 7 years in the UK. He then returned to India 11 years ago and has established India's first internationally acclaimed Liver Transplant Centre at Delhi's Sir Ganga Ram Hospital. Here, he currently performs the highest number of liver transplants in India at about 12-15/month, with a success rate of  95% which compares with the best in the world.

Having performed nearly 500 liver transplants (a highly complex operation) at SGRH so far, his centre is the second largest living donor liver transplant centre in the world after AMC, Seoul. Besides running his own successful programme, he has also trained most of the remaining liver transplant teams in the country that have recently started performing this procedure. In disseminating expertise countrywide, building confidence in the procedure among patients and their referring physicians, and in making it from an experimental  to a highly successful life-saving procedure, he has in the true sense, pioneered the development of this speciality in India in the last 11 years.


(Advertorial section)

ZEN IMMUNE -FACT SHEET

Zen Immune plus  is a strong immuno-modulator. It helps reduce the incidence of complications of long standing diabetes by preventing intra luminal plaque formation, and improving circulation of blood in small blood vessels.

Advertising in emedinews

emedinews is the first daily emedical newspaper of the country. One can advertise with a singe insertion or 30 insertions in a month. Contact: drkk@ijcp.com. emedinews@gmail.com  

emedinews-revisiting 2010

The second emedinews-revisiting 2010 conference will be held at MAMC on 2nd January 2011. The event will have a day long CME, doctor of the year awards, cultural hangama and live webcast.  Suggestions are invited.

Also if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards.
 

Congratultions messages for Dr KK Aggarwal (to be contd)

Dear KK: I feel honored to congratulate you for your distinguished achievement. Padama shree is the right award for you. I wish you Padma Abhushan in future. Keep it up. Dr Satish chugh

Dearest Brother: Millions of Congartulations on being conferred THE MOST RICHLY DESERVED PADAMSHRI. The AWARD GETS HONOURED WITH YOUR NAME. God bless.Regards, Dr.Bhatia

congratulations sir on becoming a padmashree, regards, dr adarsh priya azad

Heartiest congratulations for another 'gem' in the crown the Padma Shri Award. We feel very proud. Our Best wishes: OP Gupta

Dear Dr. K.K.Aggarwal, Please accept my HEARTIEST CONGRATULATIONS on bein awarded Padma Shri, you have made us proud. Dr.B.B.Gupta

Respected Sir, Dr k.k.Aggarwal Iam very glad to know that now you are  A PADMASHRI AWARDY our best wishes to you. With warm regards. Dr A K. Bala.

Dear KK, Many more laurels will come your way! Keep up the good work! With best wishes, Yours sincerely,(Anuj Sinha)

Dear Dr. KK, It is good to see your New and Fresh Face on the Emedinews. Keep Smiling and GOD Bless You.   Dr. Harsh Prashar.

Dear Kissu,It is a great News to have today. We all are really very happy and feel Honoured to be Close to you. Many Congratulations on this Achievement. May GOD Bless you with many more Laurels in the Years to Come. Great !!!Dr J.C. Batra: Congratulations. We all are proud of you and the honour you rightly deserved for your services.
Dr. Abhijeet Biswas, Kolkata: Congratulations.
Dr. Uday K. Makwani: Dear Sir, You deserve it. My wholehearted congratulations.
Dr. Nayar: Heartiest congrats on receiving Padmashree
J. Singh: Heartiest congratulations for excellent recognition.
Dr S. Prakash: Heartiest congratulations
Dr. Rajendra Gupta: Congratulations.
Harsh Deo: This is great. My congratulats. It is recognition for your meritorious services.
DR Kiran Anand: Congratulations we are proud of you.
Sudhir Tailang - Congrats. Welcome to Padma Fraternity
Dr. Kapoor: Congratulations. You really deserve it.
Dr. Manish - Heartiest congratulations to have won a great national honour.  A matter of pride for medical fraternity.
Dr. Khanna: Proud to be your student and congrats.
Suresh Pathak: Congrats on a well deserved award.
Dr. J M S Kalra: Congrats from the core of the heart.
Dr. D Das: heartiest congratulations.
Ruby ETV - Sir, congratulations on getting Padmashree award and salute to the services you are delivering for people. Wish you many more success in future.
Dr. P.H. Mishra: Sir, Congratulations.
Pankaj Aggarwal - Hardik Shubhkamnayein for har lamha aisi vijay dilaye
Gajendra Yadav: Sir, congrats.
Dr. Kim Chawla: Congrats, Sir.
Dr.(Prof.)Uppal: Heartiest congratulaitons. We are proud of you and your great qualities.
V N Gaur, Dr. Madhulika, Prof.  S N Gaur, Dr. Meera Gaur - Heartiest congratulations for being awarded the coveted Padmashree. Kindly accept our best wishes.
Dr. Hansraj Satija, President - IMA OWB congrats you on being conferred Padmashree
Dr. P C Bahinipati: Congrats. Welcome to Padma Fraternity
Dr. Purushottam lal - heartiest congratulations.
Rawat, ONGC - Congratulations for Padma.
Manoj Gautam  - Dear Dr. Sahib, Heartiest congratulations on winning prestigious award. Wish you good health prosperity and happiness now and forever.  Hope many awards   come your way very soon.Best regards
Dr. Ravi Gupta, Saral Diagnostics - Congratulations, it is wonderful.
Dr. Jagdish - Sir, congratulations. We are proud of you.
Dr. P. Agnihotri: Many many congrats.
Dr. V. Razdan: Congrats, Sir.
Dr. P. C. Jain: Heartiest congrats.
Ritesh, Sahara Samay: A big congrats, Sir.
Dr. Suresh Chandra: I congratulate you for this award.
Sunit, TOI - Sir, many congrats on this great achievement. May God given you more strength to carry on with your work. Sunit
Dr. Pawan Gupta - Heartiest congras, party time.
Dr. Ramachandran: Congrats. Welcome to Padma Fraternity
Dr. Sama - Congratulations.
K. Sarin & Family - Heartiest congrats.
Ketaki. - Congratulations, regards.
Anup Mishra - Congratulations, Sir.
Vivek Tandan - Congratulations, Sir. Tried to call your phone constantly busy. Regards
Dr. Harsh Chhabra: Sir, Congratulations.
Dr. Shabnam -  Congratulations and God bless you.
Dr. P D Nigam: heartiest congratulations.
Dr. Bagchi: heartiest congratulations.
Dr. N.K. Bhimsaria: Congratulations for the award and honour
Dr. K K Pandey: Congratulations. We are proud of you.
Vinay: Congratulations for Padmashree award
Dr. Anjala: Congratulations to you and Dolly
Dr. H.L.  Gulati & Dr. (Mrs.) Sudesh Gulati, Congratulations for the award .
Dr. Rakhi Mehra - Congrats. We are proud of you.
Dr. N.P. Singh - Congratulations, Sir.
S D Mundra: Congratulations on getting Padmashree award.
Dr. Vijay Champi - Congratulations
Dr. Grover: heartiest congratulations.
Vinita: Respected Dr. Aggarwal, congratulations for Padmashree award.
Dr. Sonali - Many many congratulations. What fantastic news.
Dr. K.D. Tiwari & Alka tiwari: Dr. K K Aggarwal, AAP HAMARI AAN BAAN AUR SHAAN HO
Dr. Ved Bhola: Heartiest congratulations on well deserved Padmashree
Dr. Lalita  Chugh: heartiest congratulations.
Anuradha & Hindesh handa: Congrats for the great honour.
Dr. Raghav &  Ravi Aggarwal - Dear  Sir, Congratulations for the honour.
Dr. S K Sharma - Congratulations. Wish you many more awards in future.
Mukul Aggarwal & family - Heartiest congratulations for being honoured by Padmashree award.  

 



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