eMedinewS26th October 2013, Saturday

Dr K K 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; 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
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

Medical treatment will become costly

The recent Supreme Court decision to award a compensation of 5.6 Crore (one million dollars) in a medical negligence case is premature for the Indian society. It will lead to corporate sector increasing treatment costs exorbitantly and the same may become beyond the reach of a common man.

Following are the possible implications.

  1. Treatment is already costly at corporate hospitals and it will become more expensive.
  2. Nothing has been done by the Supreme Court to eradicate quackery so far which is responsible for spoiling most cases at the initial stages.
  3. More and more complaints will start in consumer forums and medical councils with a hope of getting a huge compensation.
  4. Every death will be taken with a suspicion of medical negligence.
  5. The insurance companies in all likelihood will increase their premium.
  6. No family physician will afford to charge consultations in hundreds.
  7. The judgment will also affect Homoeopaths and Ayurveda Physicians.
  8. Today CGHS pays Rs. 61 for consultation. Most doctors will refuse to take such cases. Similarly people may refuse to see patients of corporate sectors, which pay less fee.
  9. Many hospitals may start signing a no litigation contract with patients for providing subsidized services.
  10. In the current Supreme Court Judgment, the doctors were let off with minimal compensation but this does not protect them in other future cases.

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."


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

Live In the Present and Take Hints

sprritual blog

You can only take hints if you live in the present. When a JCI inspection team concluded their inspection at Moolchand Hospital they said we cannot tell you the results of inspection whether or not we are going to re-recognize you or not. It’s the US higher ups how will decide after 10 days. His last remarks were "Thanks for inviting us at the hospital, we will re see you in 3 years." And that was the hint from them, which meant that the hospital had cleared the re-accreditation exam.

If you live in the present, you can pick up the signals of the nature. Truth always speaks. You can sense the positive or negative aura of the person with whom you are talking.

If you are thinking of the past or the future you will miss the signals.

When a doctor comes out of the operation theater, his very first facial expression is an indication of the results of the surgery.

cardiology news

While a man was polishing his new car, his 6-year-old son picked up a stone and scratched lines on the side of the car. In anger, the man took the child's hand and hit it many times; not realizing he was using a wrench. At the hospital, the child lost all his fingers due to multiple fractures. When the child saw his father.....with painful eyes he asked, ’Dad when will my fingers grow back?’ The man was so hurt and speechless; he went back to his car and kicked it a lot of times. Devastated by his own actions.......sitting in front of that car he looked at the scratches; the child had written ’LOVE YOU DAD’. The next day that man committed suicide.

Anger and Love have no limits; choose the latter to have a beautiful, lovely life..... Things are to be used and people are to be loved. But the problem in today's world is that, People are used and things are loved.... In this year, let's be careful to keep this thought in mind: Things are to be used, but People are to be loved.

Watch your thoughts; they become words.

Watch your words; they become actions.

Watch your actions; they become habits.

Watch your habits they become character

Watch your character; it becomes your destiny.

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

20th MTNL Perfect Health Mela 2013 Hangout on Air with Google

News

  • Gujarat medical body takes on MCI (Excerpts from a report by Rema Nagarajan, TNN): "The Medical Council of India has no jurisdiction or authority to suspend the registration of any doctor enrolled/registered with any state medical council." That is the assertion of the Gujarat Medical Council (GMC) in a recent letter to the Medical Council of India (MCI), the apex regulatory body for doctors. GMC’s claim was in response to MCI seeking an explanation for Dr Ketan Desai being reinstated as head of the urology department in B J Medical College, Ahmedabad when his licence was suspended in 2010 by MCI. The MCI suspended Dr Ketan Desai’s licence in 2010 pending a full investigation by it after he was arrested by the CBI allegedly for taking a bribe for granting recognition to a private medical college while he was still MCI president, and in a disproportionate assets case. In 2012, he was given a clean chit in the disproportionate assets case. Dr. Kirit Premjibhai Solanki, a member of the parliamentary standing committee on health, has written to the MCI asking them to take a decision in the matter. "They cannot keep a person under suspension and victimise him. I just got a vague reply," said Dr Solanki. Brajesh Pathak, chairperson of the standing committee stated that he had been approached by several MPs regarding Dr. Desai and added that he will be taking up the matter with the MCI. GMC claimed that "legal opinion" it sought from retired Justice A M Ahmadi also advised that MCI had no jurisdiction.
  • Weekly azithromycin reduces pulmonary exacerbations of non-cystic fibrosis bronchiectasis and chronic suppurative lung disease in indigenous children, researchers from Australia and New Zealand report.
  • The findings of a first-ever study to compare the use of antibiotics with surgery for the treatment of diabetic foot osteomyelitis point to antibiotic therapy being the logical first choice for the patient population in this trial, those with diabetic foot osteomyelitis and ulcers in the forefoot. If a person has a soft-tissue infection associated with osteomyelitis, a good vascular supply, and you cannot see the bone, then the best option is 90 days of antibiotics. After this period, if things don't improve, you can consider surgery as a second option, said lead author José Luis Lázaro-Marinez, PhD, from Unidad de Pie Diabético, Madrid, Spain.
  • The so-called "Mississippi baby" might be the forerunner of a new approach to treating infants born with HIV. As reported in the New England Journal Medicine, the child, whose mother was HIV-positive, was started on triple-drug therapy 30 hours after birth. After about 18 months of therapy, she was lost to follow-up for several months, during which time she did not get antiretroviral therapy. When care resumed at 23 months, there was little or no sign of HIV and there has been no viral rebound up to the age of 30 months. As per the authors, this case suggests that very early therapy might "interfere with either the quantities or qualities of persistent reservoirs of replication-competent virus.
  • Provisional guidelines from the CDC describe FDA-approved and off-label uses of bedaquiline fumarate (Sirturo, Janssen Therapeutics) in populations with multidrug-resistant tuberculosis (MDR TB) that were not included in clinical trials. The new recommendations regarding use of this oral diarylquinoline in children, pregnant women, or persons with extrapulmonary MDR TB were published in the October 25 issue of the Morbidity and Mortality Weekly Report.Bedaquiline is in the first new class of TB drugs to be approved to treat TB in more than 4 decades.
  • Hospital patients who are excessively anxious about their health may benefit from brief, modified cognitive behavioral therapy (CBT). In a clinical trial, adapted CBT for health anxiety (CBT-HA) delivered by nonspecialists with minimal training proved substantially more effective than standard care at reducing symptoms of health anxiety, the researchers report. The study was published online October 18 in the Lancet.

eMedinewS e–gifts to our readers

This is the age of smartphones. To improve usability and readability, eMedinewS has launched a mobile app of the newsletter for its readers. You can now also view eMedinewS on your smart phones or iPads.

The eMedinewS app is now available for free download.

The various icons for downloading are provided on the top of the newsletter. Choose the icon that is compatible with your device, whether iPhone, Android, Blackberry, iPad, Desktop/Windows phone or GSM
Click on the icon ‘e’ from the mail and download to install the app to the home screen of your mobile phone, iPad or Desktop. After you finish downloading, you will see an icon ‘e’ on the home screen of your device. That’s it.

Now you don’t need to type the address of the website in your web browser or log in to your email account every day to read the newsletter. Just click on the app and begin reading.

Rabies News (Dr. A K Gupta)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

cardiology news

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

  • Disturbed sleep is common in heart patients following coronary angioplasty and is an independent risk factor for poor cardiac outcomes. In a study of patients successfully treated with percutaneous coronary intervention (PCI), those who reported the most symptoms associated with poor sleep had a 67% incidence of having a heart attack, undergoing repeat vascularization, or dying within 4 years of the procedure, compared with 12% among patients who reported no sleep disturbance symptoms. Multivariate analysis revealed that each additional symptom of disturbed sleep (on a 10-symptom scale) was associated with a hazard ratio for adverse cardiac events of 1.2 and that this association was largely driven by the link between sleep problems and repeat revascularization. The study is reported in the Canadian Journal of Cardiology.
  • A meta-analysis reported in the Oct. 23/30 issue of JAMA has shown that influenza vaccination was associated with a reduced risk of major adverse cardiovascular events among patients at high risk for heart disease. In pooled results from five published, randomized trials, the event rate in the first year of follow-up was 2.9% in those who received flu vaccine and 4.7% in those who didn't (risk ratio 0.64, 95% CI 0.48-0.86), according to Jacob Udell, MD, MPH, of the University of Toronto, and colleagues. And the apparent benefit was even greater among those with a history of acute coronary syndrome (ACS) in the year before randomization.
cardiology news

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

  • Children of women with hypothyroidism and high levels of perchlorate during pregnancy have a significantly greater likelihood of having a low IQ at age 3 years, according to new research presented at the 2013 Annual Meeting of the American Thyroid Association.
  • If a child has attention-deficit/hyperactivity disorder (ADHD), he or she is more likely to also experience a defecation problem such as constipation or fecal incontinence than peers without ADHD, according to an article published online October 21 in Pediatrics.
cardiology news

Statins and risk of infection

Earlier studies had suggested that prior treatment with statins might reduce the risk of serious infections or improve outcomes in patients with serious infections.

A meta-analysis of 11 randomized trials of statins (n = 30,947) found no effect of statin therapy on infections or infection related mortality (BMJ 2011;343:d7281).

cardiology news

Total CPR since 1st November 2012 – 67390 trained

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Over 2000 Nurses in Perfect Health Mela

New Delhi: 25th October 2013: Inaugurating Divya Jyoti, an inter nursing school festival, held in the Perfect Health Mela being organized by Heart Care Foundation of India at Constitution Club of India from 23rd to 27th October, 2013, Dr. S S Agarwal Former Director DIPSAR and Mr Pawan Sinha, Astro Uncle, said that every practicing doctor must hire the services of a nurse practitioner in his clinic who can not only provide nursing care but also counsel the patients for prevention of lifestyle disorders.

It should also be the responsibility of the nurse to provide full vaccination care including adolescents, adults and elderly.
Nurse should also be attached through the clinic to patients at their homes to enquire about their health, about their appointment and vaccination schedules.
Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that 90% of patient-doctor mishaps are linked to lack of communication between the patient and the doctor and this link can be filled by the nurse practitioner.
In the West, another important role is played by the pharmacists whose job is to explain everything about prescription drugs. Unfortunately, in India pharmacists do not visit the patients even in the hospitals. Till that concept arrives in India, nurses partially can play that role to explain how to take drugs.

Over 2000 nurses participated in the event, which included debates, play, slogan writing and model competition.
Medical treatment will become costly

The recent Supreme Court decision to award a compensation of 5.6 crore (one million dollars) in a medical negligence case is premature for the India society. It will only lead to corporate sector increasing treatment costs exorbitantly and the same may become beyond the reach of a common man.
Following are the possible implications, said Dr. Aggarwal

  1. The treatment is already costly at corporate hospitals and it will become further costly.
  2. Nothing has been done by the Supreme Court to eradicate quackery so far, which is responsible for spoiling most cases at the initial stages.
  3. More and more complaints will be lodged in consumer forums and medical councils with a hope of getting a huge compensation.
  4. Every death will be viewed with a suspicion of medical negligence.
  5. The insurance companies in all likelihood will increase their premium.
  6. No family physician will afford to charge consultations in hundreds.
  7. The judgment will also affect Homoeopaths and Ayurveda Physicians.
  8. Today CGHS pays Rs. 61 for consultation. Most doctors will refuse to take such cases. Similarly, they may refuse to see patients of corporate sectors, which pay less fees.
  9. protect them in other future cases.

Prohibition Department creates awareness about hazards of drinking
Commenting on the subject, Dr. Aggarwal said that smoking when added to alcohol is more harmful. Alcohol is harmful if it is consumed by patients with fatty liver, potbelly obesity, uncontrolled diabetes, uncontrolled blood pressure, damage to the heart muscles with low pumping action and high triglycerides levels.

Even though the western literature says that moderate use of alcohol reduces chances of future heart attack, the same has not been proven by Indian studies.
Following messages were released

  1. Formula of 3: For cough of more than 3 weeks duration, get 3 sputum examinations done.
  2. Significantly reduction of salt intake lowers systolic upper blood pressure by 7.4 mm Hg.
  3. Salt reduction lowers diastolic lower blood pressure by 3.03 mm Hg.
  4. Snoring is common with collar size of more than 43 cm in men and more than 40 cm in women.
  5. Snoring is associated with sudden death.
  6. Watching TV more than 4 hours a day increases the chances of heart attack by 2 times.
  7. In people whose blood pressure is not getting controlled, look for snoring.
  8. Quitting smoking means you have not smoked continuously for three years.
  9. After quitting smoking, the risk of lung cancer gradually falls for 15 years before it levels off and remains about twice that of someone who has never smoked.
  10. SGOT/SGPT of more than 2 suggests alcoholic liver disease.
  11. SGOT can be more than SGPT and NASH, Hepatitis B, dengue fever, acute muscle injury, H1N2 and Wilson disease
  12. A 2-fold rise of Gamma GT with SGOT and SGPT ratio of more than 2, unless proved otherwise, is alcoholic liver disease.

Winter months - Time to get the flu shot A study published in Journal of American Medical Association has shown that getting the flu vaccination lowers a person’s chances of getting heart attack, paralysis, heart failure or sudden cardiac death by 33% for the next 1 year.

Results of Heritage-Kathak Inter Dancing School Health Festival were announced
Kathak Jr Solo
1st Prize - Sana Dhawan (Pandit Pulkit Mishra School)
2nd Prize – Gaurangi Mittal (Sadhna the School of Arts)
Kathak Sr Solo
1st Sushmita Kanjilal (Laxmibai College)
Kathak Jr Group
1st Rukmani Devi Kala Kendra
2nd Pandit Pulkit Mishra Group
Kathak Sr Group
1st Pandit Pulkit Mishra Group

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 67390 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 10x10 i.e. 100 per minute.”

today emedipics

Divya Jyoti, an inter nursing school festival, held in the Perfect Health Mela being organized by Heart Care Foundation of India at Constitution Club of India

press release

Uric acid and endothelial dysfunction

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

How many cups of fruit and vegetables should you eat daily?

Which of the following is not a good approach to managing stress?
A. At least one cup of fruit or vegetables.
B. One cup of fruit and one cup of vegetables.
C. One cup of fruit and 1 1/2 cups of vegetables, for a total of 2 1/2 cups.
D. Two cups of fruit and two cups of vegetables.
E. Four to five cups of fruit and vegetables.

Yesterday’s Mind Teaser: What is a healthy blood-pressure level?

A. 110/70.
B. 125/85.
C. 135/90.
D. 140/95.
E. 150/95.

Answer for yesterday’s Mind Teaser: A. 110/70.

Correct answers received from: Archna Parwani, DR P K SAHU, Dr shashi saini, DR.A.K.GAJJAR, Dr. P. C. Das, Dr.K.V.Sarma, Srinivasulu, Dr.K.Raju, daivadheenam, Dr. Rajiv Dhir, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr B K Agarwal

Answer for 24th October Mind Teaser: B. Giving yourself a treat, like comfort food or a cocktail.

Correct answers received from: Narahari Kandakatla, Dr. V.P. Thakral, Dr Pankaj Agarwal, Dr Jainendra Upadhyay

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

Teacher: Billy, stop making ugly faces at other students!
Billy: Why, ma’am!
Teacher: Because when I was a child, my parents told me that if I kept making ugly faces my face would stay that way!
Billy: Well, I can see you didn’t listen then!

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient after sublingual nitrate developed fainting attack.

Reaction: Oh my God! Why was the systolic murmur missed on auscultation?

Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.

medicolegal update

Don't be pushed by your problems. Be led by your dreams. Calvin & Hobbes

medicolegal update

Dr KK Aggarwal: The world’s deadliest virus in China today http://bit.ly/1csr4kf #Health

Dr Deepak Chopra: In my stillness I am the eternal possibility. In my movement I am the cosmos.

medicolegal update

Dear Sir, Very infoamtive Mela. Regards: Dr Tripti

Forthcoming Events

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India
20th PHM 2013 20th PHM 2013
20th PHM 2013 20th PHM 2013
20th PHM 2013
 

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

Our Contributors

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, Prof.(Dr).C V Raghuveer

medicolegal update

Our Sites