eMedinewS27th August 2014, Wednesday

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

e–cigarettes should be regulated

The Indian Government should regulate sale of e–cigarettes. Electronic cigarette is a new fad in the society. Not only adults, children too are getting hooked to it.

It is easily available through Internet and can be ordered and purchased in Indian rupees.

Recently a policy statement has been issued in the US. The American Heart Association has asked the federal government to ban the sale of e-cigarettes to minors on the lines of the ban of cigarettes and smokeless tobacco products.

The recommendation and the study are published in August issue of ‘Circulation’, the journal of the American Heart Association. The report has shown concern about the industries marketing and advertising e–cigarettes to children.

In the US alone, there are 466 brands and 7764 unique flavors of e–cigarette products available. These flavors have been specifically designed to attract the youth.

For the youth, an electronic cigarette is high–tech, interesting and cool. In the US and in the west, an alarming number of middle and high school children are experimenting with e–cigarettes. It has also been seen that in experimental e–cigarette users, converting to regular smoking is very high.

The efficacy of e–cigarettes as a primary smoking cessation therapy has not been established.

Innovations in Cardiology (IIC) Summit 2014

Dr Rajneesh Kapoor

Depression after acute coronary syndrome is common

The American Heart Association (AHA) has recommended that depression be formally recognized as a risk factor for adverse outcomes in patients with acute coronary syndrome. This recommendation comes from a systematic review of 53 studies and 4 meta–analyses published in Circulation. 2014 Mar 25;129(12):1350–69, which concluded that both all–cause and cardiac mortality were increased in patients with acute coronary syndromes who were depressed.

News Around The Globe

  • The US Food and Drug Administration (FDA) has approved diclofenac capsules for the management of osteoarthritis (OA) pain. The recommended dosages are 18 or 35 mg 3 times a day for acute pain and 35 mg 3 times daily for OA pain.
  • The International Society for the Study of Women’s Sexual Health and the North American Menopause Society have endorsed a new term for symptoms associated with menopause: genitourinary syndrome of menopause (GSM). The term has been introduced by researchers from the Columbus Center for Women’s Health Research in Ohio, in
    Climacteric, the Journal of Sexual Medicine, Maturitas, and Menopause.
  • In select patients, minimally invasive thyroidectomy (MIT) through a 2–cm incision without video assistance appears a safe and equally effective option to traditional open thyroidectomy, suggest investigators from the Scott and White Memorial Hospital in Temple, Texas, in a paper online in Surgery.
  • The American College of Gastroenterology has issued a new, evidence–based guideline on the diagnosis and management of focal liver lesions (FLLs), published online August 19 in the American Journal of Gastroenterology. The new recommendations aim to assist in appropriate and improved patient care.
  • Tranexamic acid may decrease the need for blood transfusions without increasing the risk for thromboembolic events or renal failure in patients undergoing joint replacement surgery, suggested a new study published online in the BMJ.

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 eMedinewS

  • Asymptomatic atrial fibrillation (AF) detected by ambulatory monitoring is associated with an increased risk of stroke, MI, and all–cause mortality, suggests a new study published in the journal Thrombosis and Haemostasis. It was noted that subjects with device–detected AF who received treatment with oral anticoagulants had a significantly better prognosis as compared to those who did not receive treatment.
  • The United States Preventive Services Task Force (USPSTF) has recommended that overweight or obese adults with at least one additional risk factor for cardiovascular disease (CVD) be offered or referred to intensive behavioral counseling interventions to facilitate a healthy diet and physical activity for CVD prevention. The recommendation is being published in Annals of Internal Medicine.

Pediatrics eMedinewS

  • New guidelines by the American Academy of Pediatrics recommend that pediatricians should prescribe fluoride as soon as their patients’ teeth emerge. The guidelines are published online August 25 in Pediatrics.
  • Researchers from the Department of Pediatrics at the University of Melbourne published the results of their 6–year retrospective study online August 25 in Pediatrics, stating that adolescents with Eating Disorder Not Otherwise Specified (EDNOS–Wt) and rapid weight loss experienced life–threatening complications similar to adolescents who had anorexia nervosa.

Dr K K Spiritual Blog

Spiritual prescriptions learnt from patients

In a hospital practice, we all are a witness to suffering all the time. When we were young, in medical college, we quite often were disturbed seeing the sufferings of the people. But, in our practice, we have learnt many spiritual prescriptions from our patients. These have not only helped us to heal our patients but also changed our perception to health and sickness.

I recall Swami Bodhanand, a disciple of Swami Chinmayananda, was once admitted with us. When I asked him to give me a spiritual message, he told me only two words "Detached Attachment". He said, "As a doctor you should behave like a lotus leaf. It is wet as long as a drop of water is there, but once the drop is out, the leaf is as dry as if the water was never there." The message was that "we should be attached to our patients as long as they are with us. The day they die, we should be completely detached from them or else we will not be able to treat other patients".

I saw another spiritual guru through our Chief Anesthetist. The fee he paid to me was a spiritual message "Suno Samjho Jano Karo – Hear Understand Wisdom and Doing”. He said that hearing is different from listening, listening is different from wisdom and wisdom is different from doing. Unless you hear, understand what you have heard and implement, the learning has no value.

One of my Buddhist patients gave me a spiritual learning, which has helped me a lot in my routine clinical practice. He taught me the basic Buddhist message that there is suffering all over; there is a reason for every suffering and it is possible to maintain sufferings. This message fits into the main message of Hinduism and also the main teaching from Garud Purana.

In Hinduism, we know that the very fact that we are born in this life means that in our last life, we could not get liberation as Hinduism believes that after liberation you are not reborn. Not getting liberated in the last birth means that some sufferings were left in our life. The basic purpose of this birth, therefore, is to face sufferings. When the basic purpose of our birth is to face sufferings, then why suffer from these sufferings. Every time we suffer, we should thank God that he has reduced one more. The period in between two sufferings is called a Happy period (Sukh). In fact that period is nothing but a period of rest given by God to us to prepare the body for next suffering. This as a concept of counseling helps my patients in managing most of their mental disturbances.

Sometimes not telling a patient that he is suffering from terminal cancer works. One of my patient’s father aged 83 years was found to have extensive cancer of the prostate. Medically, we all gave him three months’ to live. My patient had no guts to tell his father or the family members that he (the father) had extensive cancer. He took me into confidence and played a game with the family. We gathered all the family members and told them that with the surgery this cancer had been cured. A party was organized in the evening to celebrate the cure. The magic happened; he lived almost a symptom–free life for the next 9 years. I have tried this on many of my patients thereafter and it works. The probable explanation was loss of fear of death, a confidence in his doctor and faith in himself.

The way to live up to the age of hundred is to go on working in life. My great grand–father–in–law was 75 years old, when I got married. That year, he gathered all family members across the world and said that his purpose of life was over and, he would like a collective family photograph and like to quit the world. Nothing happened for a year and on 20th July next year, he again played behaved the same way. Family from across the world gathered but he remained alive for another year. This went on for three years. Suddenly, we played a spiritual trick on him and told everyone to convince him that he is going to live for 100 years as he has many more work of the family to be done. Every year, we gave him law students from within the family to be taught (he was a lawyer himself), or gave him the responsibility of finding a boy for some eligible girl in the family. We made him teach and search for the bride for years together and he actually died at the age of 100 years. That is the beauty of positive attitude in life.

Wellness Blog

Heart risks detected by age 7 in overweight kids

Children at risk of future obesity should be examined for body mass index rebound.

BMI rebound is the age at which body mass index (BMI) reaches its lowest point before increasing through later childhood, adolescence and adulthood.

An earlier BMI rebound age is associated with adverse risk factors for heart disease as measured at age 7: higher BMI, higher systolic and diastolic blood pressures, higher serum insulin and leptin levels, higher left ventricular mass and left atrial size.

Early BMI rebound age for children is lower than 4.4 years for boys and 4.2 years for girls. Normal values are 4.4 to 6.6 years for boys and 4.2 to 5.7 years for girls.

All children who start gaining weight between 3–4 years should be classified as a high risk for future diabetes and heart disease.

Inspirational Story

Let the Light Shine

Bill was driving home one evening, on a two–lane country road. Work, in this small Midwestern community, was almost as slow as his beat–up Pontiac, but he never quit looking. Ever since the factory closed, he'd been unemployed, and with winter raging on, the chill had finally hit home.

It was a lonely road. Not very many people had a reason to be on it, unless they were leaving. Most of his friends had already left. They had families to feed and dreams to fulfill, but he stayed on.

After all, this was where he buried his mother and father. He was born here and knew the country. He could go down this road blind, and tell you what was on each side, and with his headlights not working, that came in handy.

It was starting to get dark and light snow flurries were coming down. He’d better get a move on. You know, he almost didn’t see the old lady, stranded on the side of the road. But even in the dim light of day, he could see she needed help.

So he pulled up in front of her Mercedes and got out. His Pontiac was still sputtering when he approached her. Even with the smile on his face, she was worried. No one had stopped to help for the last hour or so. Was he going to hurt her? He didn’t look safe, he looked poor and hungry.

He could see that she was frightened, standing out there in the cold. He knew how she felt. It was that chill that only fear can put in you. He said, "I’m here to help you ma’am. Why don’t you wait in the car where it’s warm? By the way, my name is Bill." Well, all she had was a flat tire, but for an old lady, that was bad enough. Bill crawled under the car looking for a place to put the jack, skinning his knuckles a time or two. Soon he was able to change the tire, but he had to get dirty and his hands hurt.

As he was tightening up the lug nuts, she rolled down her window and began to talk to him. She told him that she was from St. Louis and was only just passing through. She couldn't thank him enough for coming to her aid.

Bill just smiled as he closed her trunk. She asked him how much she owed him. Any amount would have been all right with her. She had already imagined all the awful things that could have happened had he not stopped.

Bill never thought twice about the money. This was not a job to him. This was helping someone in need, and God knows there were plenty who had given him a hand in the past. He had lived his whole life that way, and it never occurred to him to act any other way.

He told her that if she really wanted to pay him back, the next time she someone who needed help, she could give that person the assistance that they needed, and Bill added "…and think of me". He waited until she started her car and drove off. It had been a cold and depressing day, but he felt good as he headed for home, disappearing into the twilight.

A few miles down the road the lady saw a small cafe. She went in to grab a bite to eat, and take the chill off before she made the last leg of her trip home. It was a dingy looking restaurant. Outside were two old gas pumps. The whole scene was unfamiliar to her.

The cash register was like the telephone of an out of work actor-it didn't ring much. Her waitress came over and brought a clean towel to wipe her wet hair. She had a sweet smile, one that even being on her feet for the whole day couldn’t erase.

The lady noticed that the waitress was nearly eight months pregnant, but she never let the strain and aches change her attitude. The old lady wondered how someone who had so little could be so giving to a stranger. Then she remembered Bill.

After the lady finished her meal and the waitress went to get her change from a hundred dollar bill, the lady slipped right out the door. She was gone by the time the waitress came back. She wondered where the lady could be, and then she noticed something written on a napkin.

There were tears in her eyes, when she read what the lady wrote. It said, "You don’t owe me a thing, I’ve been there too. Someone once helped me out, the way I’m helping you. If you really want to pay me back, here’s what you do… "Don’t let the chain of love end with you." Well, there were tables to clear, sugar bowls to fill, and people to serve, but the waitress made it through another day.

That night when she got home from work and climbed into bed, she was thinking about the money and what the lady had written. How could she have known how much she and her husband needed it? With the baby due next month, it was going to be hard. She knew how worried her husband was, and as he lay sleeping next to her, she gave him a soft kiss and whispered in a soft, and low voice, "Everything’s going to be all right; I love you Bill."

ePress Release

Rules for Preventing Heart Attack Deaths

Heart attack deaths can be prevented, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association. Knowing some rules can provide clues and help to recognize a heart attack.

  1. Rule of 30: Chest pain, burning, discomfort, heaviness in the center of the chest lasting for over 30 seconds and not localized to a point unless proved otherwise is a heart pain.
  2. Rule of pinpointing finger: Any chest pain, which can be pinpointed by a finger is not a heart pain.
  3. Rule of 40: First–onset acidity or first–onset asthma after the age of 40, rule out heart attack or heart asthma first
  4. Rule of 300: Chew a tablet of water–soluble 300 mg aspirin and take 300 mg clopidogrel tablet at the onset of cardiac chest pain. You will not die.
  5. Rule of 10: Within 10 minute of death for the next 10 minutes do effective chest compression with a speed of (10 ×10) 100 per minute. Most people can be saved.
  6. Rule of 180: Reach hospital within 180 minutes in heart attack to receive clot dissolving angioplasty or clot dissolving drugs.

eMedi Quiz

The following separation technique depends on the molecular size of the protein:

1. Chromatography on a carboxymethyl (CM) cellulose column.
2. Iso-electric focusing.
3. Gelfiltration chromatography.
4. Chromatography on a diethylaminoethly (DEAE) cellulose column.

Yesterday’s Mind Teaser: An enzyme involved in the catabolism of fructose to pyruvate in the liver is:

1.Glyceraldehyde–3–phosphate dehydrogenase
3.Lactate dehydrogenase

Answer for yesterday’s Mind Teaser: 1.Glyceraldehyde-3-phosphate dehydrogenase

Correct answers received from: Dr Jainendra Upadhyay, Pradip Das, Dr Chandresh Jardosh, Daivadheenam Jella, Dr Avtar Krishan.

Answer for 23rd August Mind Teaser: 1. Cell wall

Correct answers received from: Prabha Sanghi, Dr PC Das, Dr Raghavendra Jayesh, Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Avtar Krishan, Dr Thakor Hitendrsinh G, Dr Poonam Chablani, Dr Prakash Khalap, Dr Bitaan Sen, Dr Jayashree Sen.

Send your answer to ijcp12@gmail.com





Cardiology Summit 2014Cardiology Summit 2014


Zee News – Health Wealth Shows

Cancer Prevention
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Fluid Intake


Total CPR since 1st November 2012 – 96458 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 Sarvodya Kanya Vidyalaya, 8th May 2014

press release

Red flag arthritis

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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: A patient on dialysis and on oral antacid developed aluminum toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that magaldrate preparations do not cause aluminum toxicity in patients undergoing dialysis.

eMedinewS Humor

Wonderful confession by a girl in church and amazing reply she got.

She: I m in love with a boy who is far away from me.
I m in India and he lives in UK.

We met on marriage website.
Became friends on FB.
Had long chats on Whatsapp.
Proposed to each other on Skype.

N now 2 months of relationship through Viber.

I need ur blessings and good wish. Oh God.

Guy besides her said: Now get married on twitter.
Have fun on Tango.
Buy your kids from ebay.
Send them through Gmail.
And if u r fed up with ur husband or kids, toh unko OLX pe bech de

Quote of the Day

You are never too old to set another goal or to dream a new dream. CS Lewis

Twitter of the Day

Dr KK Aggarwal: Type 2 Diabetics Can reduce Weight by WAIT Program http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Our immune system might respond vigorously to our environment. Here is An Ayurvedic Approach to Seasonal Allergies http://bit.ly/DC_Ananda

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the information: Regards, Dr Kanishk

Forthcoming Events

Dear Colleague

Kindly attend ‘Innovations in Cardiology (IIC) Summit 2014’ on 6th September, 11 am – 6 pm at Hotel Oberoi, Gurgaon.

The Organizing Secretary is Dr Rajneesh Kapoor

Highlights of the conference

  • Separate hall for Clinical Cardiology
  • One session on Medicolegal aspects will be taken by me.
  • No registration fee, limited seats

Kindly send your confirmation to rawat.vandana89@gmail.com or sms 9891673085

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