eMedinewS27th May 2014,Tuesday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, 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

Summer Diarrhea Treatment

Most summer diarrhea is watery, effortless and painless diarrhea with no mucous or blood. They need no antibiotics. The only treatment is oral rehydration solution.

One loose motion is equivalent to loss of one glass of fluid. If a patient has passed 10 loose motions, he needs 12 glasses of ORS apart from normal requirement of fluids and one glass for every loose motion passed again.

For up to 12 loose motions, a patient can be managed as an out patient but if the loose motions are more than 12 he needs observation and if the numbers of loose motions are more than 40, he needs intensive treatment.

The main complication is renal shut down, which occurs if the blood pressure remains low for more than few hours. During diarrhea, one should make sure that he or she passes urine every 6–8 hours. If no urine is passed for eight hours, this may indicate an impending renal failure.

News Around The Globe

  • A miniaturized dialysis machine has been used to successfully treat a neonate with acute kidney injury, reports an article published in the May 24 issue of the Lancet. Researchers in Italy designed, developed, and conducted in vitro testing of the miniaturized CRRT machine, named CARPEDIEM (Cardio–Renal Pediatric Dialysis Emergency Machine) and began treatment of the first infant with successful results.
  • Patients with polycystic kidney disease may have a reduced risk of cancer compared with patients with other kidney diseases, reports a study appearing in an upcoming issue of the Journal of the American Society of Nephrology.
  • A newly available commercial blood test may perform better than a commonly used online risk calculator in predicting which men with an elevated prostate–specific antigen (PSA) level will ultimately turn out, on biopsy, to have high–grade disease. Data on the 4KScore test (OPKO Diagnostics) were presented at the American Urological Association (AUA) 2014 Annual Scientific Meeting.
  • Drinking fluoridated water does not lower IQ, reports a new study by researchers from the University of Otago in New Zealand. The analysis revealed no significant differences in IQ by fluoride exposure, even before controlling for the other factors that might influence scores.
  • Disruptions in circadian rhythms combined with a high–fat, high–sugar diet, could contribute to inflammatory bowel disease, reports a study published in the journal PLOS ONE.

Rabies News (Dr A K Gupta)

What are monoclonal antibodies?

Monoclonal antibodies (mAb) are important reagents used in biomedical research, in diagnosis of diseases, and in treatment of such diseases as infections and cancer. These antibodies are produced by cell lines or clones obtained from animals that have been immunized with the substance that is the subject of study. The cell lines are produced by fusing B cells from the immunized animal with myeloma cells.

Cardiology eMedinewS

  • Patients with obstructive sleep apnea have diminished activity among neurons responsible for keeping heart rate low, reports a new study published in the Journal of Physiology. The reduction of neuronal activity leads to increased heart rate, blood pressure and risk of adverse cardiovascular events.
  • A new research has stated that sugar has a direct effect on risk factors for heart disease, and is likely to impact on blood pressure, independent of weight gain. The findings appear online in the American Journal of Clinical Nutrition.

Pediatrics eMedinewS

  • According to a new study, almost half of "alternative" teenagers – that is, teens identifying as belonging to goth, emo and punk subcultures – were involved in self–harm, and nearly 1 in 5 have attempted suicide. The study is published in BMC Psychiatry.
  • According to a policy statement from the American Academy of Pediatrics published in the June issue of Pediatrics, pregnant and breast–feeding women should take a supplement with adequate iodide, as recommended by the American Thyroid Association. Additionally, pregnant and lactating women and their infants must avoid exposure to excess nitrate, found in contaminated well water, and thiocyanate from cigarette smoke.

Dr K K Spiritual Blog

Why are Doctors called God?

Modern medicine is only couple of hundred years old. Prior to that traditional medicine was used based on the local needs of the country; the oldest of them being the Indian Ayurvedic system of medicine originating from the Atharveda. Unani, Chinese, and Tibetan medicine probably are all offshoots of Ayurveda.

Doctors in India since Vedic times have been equated to God. This has continued today even after modern medicine has taken over. No other profession whether it is priest, lawyers, judges, politicians, commands the same status as that of the medical doctors. Medical profession is the noblest profession.

The role of a doctor is to remove the miseries and save the life of a person and that is one reason most of us think that a medical doctor has been given designation equivalent to that of God. But it has many other perspectives also.

A common man’s perspective of God is a force which can do and undo anything, for whom nothing is impossible, who is the final decision maker, whose decision cannot be challenged, who can give an instantaneous relief, who can punish and reward and he who overcomes miseries. He can also answer the unknown as he is supposed to know everything. In Bhagwad Gita and other Vedic texts, GOD is equated to consciousness, a network of energized information, a force which cannot be burnt by fire, wet by water, dried by air or cut by weapon; a force which is omnipotent, omnipresent and omniscient and still ever–pervading.

A trained qualified medical doctor who has his understanding based on the mind, body and soul has nearly the same characteristics. He overcomes miseries, mystifies his presence as soon as he touches the patient, gives immediate relief, which begins right from the time he gives a healing touch to the patient, his decision often is considered final and his decisions are almost predictable to 100%.

God is the person on whom one has blind belief and faith. At the time when a person is sick or in acute emergency the same belief and faith is seen in doctors.

Deepak Chopra in his book ‘How to Know God’ has explained God of different levels. According to him, God is a person from amongst the society with one step higher level of consciousness. He describes, as per the Vedic text, seven different levels of consciousness a person can posses and they are at the level of fight & flight, reactive consciousness, restful alertness consciousness, intuitive consciousness, creative consciousness, sacred consciousness and unified consciousness. If we take this as the classification then even a ruler of the society may be considered God by many people. But if you take universal criteria then a person who has achieved sainthood, who sees the same consciousness in everybody, treats individuals without caste, creed and religion, who overcomes miseries of people irrespective of their age, status or paying capacity is GOD. A doctor fits into these criteria.

For him every patient is same and his job is to remove his or her miseries at that particular moment. Probably, this is another reason why doctors have been regarded as God at every level of perception and from every segment of the society.

Most people have fear of death, fear of unknown, fear of loss and fear of disability. Whenever there is an unknown fear they think of God. A medical doctor is also remembered whenever there is a health crisis.

Ayurvedic text clearly describes chapters & chapters on the subject ‘how to predict death’. It describes symptoms, which, if present, with certainty one can say that this person is going to die in how many hours, days, months or years. That level of prediction gives public a feeling that doctors are God because they have seen doctors for thousands of years giving verdict that this person is not going to survive after a particular period and that used to happen.

According to Bible every work God does he does through his messenger. Medical doctors are the only certified universal messenger of God in the society. Rest all become God for a particular period, for a particular instance or a particular person.

Health is not mere absence of disease but a state of physical, mental, social, spiritual, environmental and financial well being. This definition fully was used by the Eastern philosophy and Eastern pathies. Modern doctors, however, practice more often an instant practice with emphasis on quick treatment, handling acute emergencies and lifestyle illnesses. They hardly take mental and spiritual health into consideration. That may be one reason why slowly people are withdrawing the status of God from the doctors. They have started equating a medical doctor with any other marketing profession.

Out of four purposes of life: dharma, artha, kama & moksha, dharma is the most important. The literal meaning of dharma is to hold. God is the force with 100% dharma in his life. Dharma of a doctor is to treat and save the life of a person at any cost. One recalls the movie Achanak where the doctor saved the life of a person who has been sentenced to death and the day he saves him the police officer takes him for hanging. The movie ends with a message that a doctor has to do his dharma and police officer has to do his.

At the time of miseries, a doctor is treated as a healer. Nobody bothers whether the doctor came from which religion, caste, race or whether the doctor is male, female or from third gender. People do not bother about the ill habits or out of profession activities of the doctor; they are only concerned about the fact that doctor is a universal healer and overcomes the miseries of everybody who approaches him. A doctor provides free treatment to those who cannot afford or comes to an emergency ward without any money.

Putting doctors under Consumer Protection Act is the biggest blunder done by the government. How can one make God accountable? Can a child born blind at birth abuse or curse God for making him blind.

I think all of us should introspect and remember that doctor is the messenger of God born to remove miseries of the sick individuals.

Wellness Blog

Women above 65 to take extra care of their health

  • Women aged 65 and above should take low dose aspirin routinely to prevent heart attack and paralysis.
  • All women are urged to exercise a minimum of 30 minutes per day, but women who need to lose weight or maintain weight loss are now advised to engage in 60 to 90 minutes of moderate–intensity activity on most, or preferably all, days of the week.
  • A heart–healthy diet should be rich in fruits, whole grains and fiber foods with a limited intake of alcohol and sodium.
  • Saturated fat should be reduced to less than 7 percent of calories.
  • Women at very high risk for heart disease should try to lower their LDL ("bad") cholesterol to less than 70 mg/dL.
  • Women aged 65 and over should consider taking low-dose aspirin on a routine basis, regardless of their risk.
  • Aspirin has been shown to prevent both heart attacks and stroke in this age group.
  • The upper dose of aspirin for high–risk women is 325 mg per day.
  • Hormone replacement therapy, selective estrogen receptor modulators nor antioxidant supplements such as vitamins C and E should be used to prevent heart disease.
  • Folic acid should also not be used to prevent cardiovascular disease.
  • Women should eat oily fish or some other source of omega–3 fatty acids at least twice a week.
  • Women should not only quit smoking but should use counseling, nicotine replacement or other forms of smoking cessation therapy.

Inspirational Story

Girl and the Plants

A little girl was enjoying the beauty of the garden in her home. Her father had a good collection of rare and exotic plants. He grew them with tender care.

The girl was fascinated by a plant full of fine and fragrant flowers. She went near the plant and enjoyed its beauty and the fragrance of its fine flowers. Suddenly she noted that the plant was growing in a heap of filth. She could not tolerate the presence of dirt at the bottom of the plant with such fantastic flowers.

She conceived a plan to clean the plant. She pulled the plant with all her might and uprooted it. She then carried it to the tap and washed the shoot and roots in running tap–water till all traces of dirt were washed away. She then placed the plant on a clean stone and went away, thinking that she had done a great deed indeed.

Later her father came to the garden and saw the uprooted plant. Its flowers and leaves had wilted and the plant had almost died in the scorching sun. His little daughter ran to him to exhibit her achievement. ‘I have cleaned it, Daddy, she reported innocently. It was placed in dirty soil. Now it is clean.

The father showed her how her treatment had almost killed the plant. He told her that he had collected the filthy soil and placed it to cover the plant’s roots as it was the best medium to grow that plant. It could grow up healthily and produce fine flowers only if grown in filthy soil. She was sad that the plant had suffered and withered by her cleaning.

Pain, poverty and illness may cause agony in our life. Sight of successful persons may make us depressed and envious. A great gardener mixes the right soil for each plant. In the same way God provides each of us with the best environment required for optimum spiritual growth. But it may appear to be unpleasant to us and we may even complain to God about our plight.

Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
Paralysis
Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Vitiligo
Fluid Intake

 

Total CPR since 1st November 2012 – 88972 trained

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."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

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VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

Health Check Up Camp at Gitarattan Jindal Public School Sect–7 Rohini, 12th May 2014

press release

Treating vitamin D deficiency in the country

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IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :

 

Make Sure

Situation: In an STD clinic, a 23–year–old heterosexual male presenting with dysuria and urethral discharge was prescribed azithromycin to cover a suspected Chlamydia trachomatis infection.
Reaction: Oh my God! Why didn’t you advise the same treatment for his partner also?
Lesson: Make sure to remember that in such cases, it is essential that both the partners are treated.

eMedinewS Humor

For crying out loud

With all the new technology regarding fertility, an 88–year–old woman was able to give birth to a baby recently. When she was discharged from the hospital and went home, various relatives came to visit.

"May we see the new baby?" one of them asked. "Not yet," said the mother. "I’ll make coffee and we can visit for a while first."

Another half hour passed before another relative asked, "May we see the new baby now?"

"No, not yet," said the mother. A while later and again the guests asked, "May we see the baby now?"

"No, not yet," replied the mother.

Growing impatient, they asked, "Well, when can we see the baby?"

"When it cries!" she told them.

"When it cries?" they gasped. "Why do we have to wait until it cries?"

"Because, I forgot where I put it."

Quote of the Day

I got the bill for my surgery. Now I know what those doctors were wearing masks for. Jomes H Boren

 

Twitter of the Day

Dr KK Aggarwal: Avoid chocolate for heartburn By Dr K K Aggarwal http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: In my stillness I am the eternal possibility…… In my movement I am the cosmos

 

ePress Release

Do not get unnecessary CT scans

If you have a chronic problem like passing kidney stones, and each time you show up at the emergency department every six months, they get another CT scan done rather than doing ultrasound you are being mis-served, and CT is being overused.

Cumulative exposure to radiation from CT scans can increase the risk for cancer by as much as 12 percent, 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

A Harvard University research published in the April issue of Radiology has shown that over 6.9 crore CT scans are done in the United States every year. CT provides detailed images of organs, allowing more accurate diagnoses of conditions such as cancer. But CT involves a higher radiation dose than most other imaging tests.

People should not be lying awake at night wondering when they are going to get their cancer –– after one or two or five or six CT scans –– if they needed to have them done, he said. The study looked at the medical records of 31,462 people who had undergone a total of 190,712 CT scans over 22 years. About 33 percent had five or more scans, 5 percent had more than 22 and 1 percent had more than 38; 15 percent of the people in the study had received cumulative radiation doses of more than 100 millisieverts (mSv), the same level of radiation as 1,000 chest X–rays. Four percent had received more than 250 mSv, and 1 percent had gotten more than 399 mSv.

For about 7 percent of the study participants, their cumulative radiation exposure increased their cancer risk by 1 percent above the U.S. cancer risk rate. For the 315 people who had received the most radiation, their risk of cancer increased 12 percent.

Each time a CT is ordered, ask

  1. Do I really need this test?
  2. Have you considered the risk of radiation weighed against the benefit of the diagnostic acumen of the study?

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 88972 people since 1stNovember 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."

eMedi Quiz

A vascular necrosis can be possible sequelae of fracture of all the following bones, except:

1. Femur neck
2. Scaphoid.
3. Talus.
4. Calcaneum.

Yesterday’s Mind Teaser: A recent fitness walk left you breathless, and you’ve been having trouble sleeping. You’ve also been dealing with an upset stomach and occasional dizziness. These could be symptoms of:

A. Depression.
B. Heart disease.
C. Diabetes.
D. High blood pressure.
E. All of the above.

Answer for Yesterday’s Mind Teaser: B. Heart disease.

Correct Answers received from: Dr P C Das, Prabha Sanghi, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Daivadheenam Jella, Dr Avtar Krishan, Dr K V Sarma, Dr Prakash Khalap.

Answer for 25th May Mind Teaser: d. Carotene

Correct Answers received from: Dr Periasamy Subarayan, Dr Palanivelrajan, Dr Manas Ranjan Sahoo, Dr K Raju,
Dr Vijayalakshmi Seshadri, Dr Poonam Chablani, Dr Chandresh Jardosh, Dr Ajay Gandhi, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Dear Sir, Very informative news. Regards: Dr Trikha
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