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  From the Desk of Editor–in–Chief
Dr KK 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; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …

eMediTube (videos), eMedipics, eMediSlide, eMediLaw

  Editorial …

28th March 2013, Thursday

MBBS Course revised


  1. Holi Special: Following compulsory courses has been added in MBBS. You may fail in an academic exam but failing in any of the following subject will not eligible you for a degree. 1. How to deal with stress if the entrance exams results may be postponed or if one loses an academic session for no fault.
  2.  How to deal with an arrest for protesting against un human policies
  3. How to raise funds to be given as donation fee for PG
  4.  How to get a fake caste certificate
  5. How to treat patients without basic facilities in a PHC
  6.  How to deal with the situation when you are not allowed to go abroad for meetings, conferences and higher studies in the first five years after MBBS
  7.  How to deal with non-doctor PNDT officials
  8.  How to deal with non-doctor CEA officials
  9.  How to handle a violent crowd
  10.  How to handle a media who has written a negative sting story against you without taking your version
  11.  How to handle police who has come to investigate you after your patient has filed a complaint against you.
  12.  How to handle influential people once you have refused to give fake leave certificate
  13.  How to handle influential people once you have refused to change the history of past illness while filling a Mediclaim form
  14. How to refuse a hospital marketing agent who has come to you with commissions you have not asked for.
  15.  How to handle your boss who publishes all researches under his or her first name.
  16. How to handle hospital management who judges your performance not by patient cure rate but the amount of money you get to the hospital.
  17.  How to handle after a female patient has file a fake sexual harassment complaint against you
  18. . How to handle VIP patients who insist that they be attended out of turn
  19.  How to handle a situation where the councils allow the hospitals to advertise bit not individual doctors
  20.  How to face a professional negligence complaint.


For More editorials…;

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Weight loss may improve sexual health of obese diabetes

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

A symposium on prayer, faith, meditation and healing was organised by Heart Care Foundation of India jointly with Bhartiya Vidya Bhavan at Bhavan?s Auditorium. Speakers from various religions participated in the symposium.

Dr K K Aggarwal
    National News

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Child Maltreatment

  • Physical abuse
  • Sexual abuse
  • Emotional abuse
  • Child neglect
  1. Child maltreatment is intentional harm or threat of harm to a child by a person who is acting in the role of caretaker.
  2. Four categories of child maltreatment

For comments and archives

    Valvular Heart Disease Update

Underlying atherosclerosis

The presence of underlying coronary or aortic atherosclerosis affects the treatment and outcome of elderly patients in whom surgery is considered for valvular disease. The 2006 ACC/AHA and the 2007 European Society of Cardiology guidelines on the management of valvular heart disease included recommendations for coronary angiography in patients undergoing valve surgery, which would include all elderly patients.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

Score predicts preventable readmissions

A risk prediction score for hospitalized patients can find those most at risk of returning for avoidable reasons, researchers found. The HOSPITAL score -- based on hemoglobin and sodium levels at discharge, whether the admission was elective, and similar factors -- identified 18% of patients as at high risk for a potentially avoidable readmission within 30 days with a "fair" level of accuracy. (Source: Medpage Today)

FDA approves first heptavalent botulism antitoxin

The US Food and Drug Administration (FDA) last Friday approved the first botulism antitoxin to neutralize all 7 known botulinum nerve toxin serotypes valuable versatility for a drug in the nation's emergency medicine cabinet against a bioterrorist attack. (Source: Medpage Today)

Less invasive coronary revascularization lowers spending, days missed from work

An analysis examining the economic impact of minimally invasive surgeries has shown that coronary and peripheral revascularization are associated with less spending on medical care and fewer missed days of work. Compared with conventional open surgery for coronary disease, individuals who underwent PCI missed 38 fewer days of work, and overall spending on medical care was more than $30 000 less. (Source: Medscape)

Very obese patients do well after TKA

Highly obese patients can derive similar benefits from total knee replacement surgery as other patients, a Scottish researcher said at the annual meeting of the American Academy of Orthopaedic Surgeons. (Source: Medpage Today)

AAN: Birth control tied to blood clots in migraines

Women who suffer from migraines, and migraines with aura in particular, may have an elevated risk of thrombotic complications when they use combined hormonal contraceptives, researchers reported at the American Academy of Neurology meeting. (Source: Medpage Today)

    Twitter of the Day

@DrKKAggarwal: Physical illness can trigger depression Dr K K Aggarwal If you have depression a thorough physical exam and (cont) http://tl.gd/n_1rjdijm

@Dr Deepak Chopra: I feel an unpleasant sensation in my forehead while meditating. Do u know the cause? My #askdeepak reply http://tinyurl.com/bwthvvg

    Spiritual Update

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

Holi beyond Colors

The story behind the festival, Holi, starts with Holika, the sister of Hirnakashyap the father of Prahalad.

Hirnakashyap had declared himself as GOD and wanted his son Prahalad to worship him and not Vishnu. When Prahalad refused to do the same, he was made to sit with Holika in an open fire. Holika had a boon that she could not be burned even if she was on live fire. When she was made to sit with Prahalad on the live fire, the opposite happened. She lost her life and got burned but Prahalad came out alive from the fire.

For comments and archives

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is egg (oocyte) cryopreservation?

Freezing a woman?s eggs is also a new and experimental procedure. You will take medications that make you produce many eggs. This takes 2 to 3 weeks. But unlike embryo cryopreservation, the eggs are not fertilized before they are frozen. Eggs that survive the freeze-thaw process will then be fertilized in the laboratory with the partner?s or donor sperm. Embryos that develop will be placed in your uterus.

    Tat Tvam Asi………and the Life Continues……

(Dr Sanjay Chaudhary, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

Myth: Corneal transplantation is not effective and successful in Indian eyes.
Fact: Corneal transplantation is effective in all eyes, if performed under optimal conditions.

For comments and archives

    An Inspirational Story

The story of a woodcutter

Once upon a time, a very strong woodcutter asked for a job in a timber merchant and he got it. The pay was really good and so was the work condition. For those reasons, the woodcutter was determined to do his best.

His boss gave him an axe and showed him the area where he supposed to work. The first day, the woodcutter brought 18 trees. ?Congratulations,? the boss said. ?Go on that way!?

Very motivated by these words, the woodcutter tried harder the next day, but he could only bring 15 trees. The third day he tried even harder, but he could only bring 10 trees. Day after day he was bringing less and less trees.

?I must be losing my strength?, the woodcutter thought. He went to the boss and apologized, saying that he could not understand what was going on. ?When was the last time you sharpened your axe?? the boss asked. ?Sharpen? I had no time to sharpen my axe. I have been very busy trying to cut trees??

Reflection: Our lives are like that. We sometimes get so busy that we don?t take time to sharpen the ?axe?. In today?s world, it seems that everyone is busier than ever, but less happy that ever.

Why is that? Could it be that we have forgotten how to stay ?sharp?? There?s nothing wrong with activity and hard work. But we should not get so busy that we neglect the truly important things in life, like our personal life, taking time to get close to our Creator, giving more time for our family, taking time to read etc.

We all need time to relax, to think and meditate, to learn and grow. If we don?t take the time to sharpen the ?axe?, we will become dull and lose our effectiveness.

For comments and archives

    Cardiology eMedinewS

Marker may show kidney disease in diabetics Read More

Provider switch tied to worse glycemic control Read More

    Pediatric eMedinewS

Moms serve up solid food too early in life Read More

Long quest for pregnancy ups neuro risk for child Read More

    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

What are most dangerous sites of bites/exposure in man?

Theoretically, the richly innervated areas like head, neck, face, hands and genitals are the most dangerous sites of bite in man. But practically, it is often the wounds on legs, which are ignored/neglected, that cause rabies.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with Mediclaim wanted angiography.
Dr. Bad: Get admitted for 24 hours.
Dr. Good: You can go after six hours.
Lesson: If you can justify that due to technological advances, hospitalization is required for less than 24 hours, Mediclaim will be applicable.

Make Sure

Situation: A patient with renal failure came to a doctor.
Reaction: Oh, my God! Why was he given painkillers?
Lesson: Make sure to avoid painkillers in renal failure as most painkillers (barring nimesulide, paracetamol) are not kidney?friendly drugs.

  Quote of the Day (Dr GM Singh)

The soul is born old but grows young. That is the comedy of life. And the body is born young and grows old. That is life's tragedy. Oscar Wilde

    Mind Teaser

Read this…………………

Nurse Claudine is reviewing a client’s fluid intake and output record. Fluid intake and urine output should relate in which way?

a. Fluid intake should be double the urine output.
b. Fluid intake should be approximately equal to the urine output.
c. Fluid intake should be half the urine output.
d. Fluid intake should be inversely proportional to the urine output

Yesterday’s Mind Teaser
: After trying to conceive for a year, a couple consults an infertility specialist. When obtaining a history from the husband, Nurse Jenny inquires about childhood infectious diseases. Which childhood infectious disease most significantly affects male fertility?
a. Chickenpox
b. Measles
c. Mumps
d. Scarlet fever

Answer for yesterday’s Mind Teaser: c. Mumps
Correct answers received from: Dr B K Agarwal, Dr P K Sahu, Dr. P. C. Das, Dr.S.K.BANSAL, drjella, Swapnil Usgaonkar, Dr Punita Raheja, DR PRABHA, Raju Kuppusamy, Arun M Boruah, Dr. Parul Chopra Buttan, Dr Chandresh Jardosh, Dr. Thakor Hitendrsinh G, Arundhati Malviya, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Jainendra Upadhyay, Dr Gajveer

Answer for 26th March Mind Teaser: a. Continuous inflow and outflow of irrigation solution.
Correct answers received from: Dr.Jayashree Sen & Dr.Bitaan Sen

Send your answer to ijcp12@gmail.com

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    Laugh a While (Dr GM Singh)

Contact Lens

The teenager lost a contact lens while playing basketball in his driveway. After a fruitless search, he told his mother the lens was nowhere to be found.

Undaunted, she went outside and in a few minutes, returned with the lens in her hand.

"How did you manage to find it, Mom?" the teenager asked.

"We weren't looking for the same thing," she replied.

"You were looking for a small piece of plastic. I was looking for $150."

    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Patterned bruises

The extent and severity of violence or force used may be determined from the size and swelling of bruise

  • The examining doctor must document the dimension/shape/size of bruise in the medicolegal report as it may connect the victim and the object or weapon used in the specific case, e.g., chain, cane stick, rifle butt, boots, ligature, vehicle etc.
  • The age of injury can be detected by the status of color of bruise; the extent and severity of violence or force used may be determined from the size and swelling of bruise; character and manner of the injury may be known from its distribution over the body.
  • Bruising of the arm may indicate restraining of the victim.
  • Bruising of the shoulder blades indicates firm pressure on the body against the ground or other resisting surface.
  • In manual strangulation, the position and number of bruises and nail marks may indicate the method of attack and the position of the assailant.
  • Patterned bruises on chest/neck and mouth are very important in diagnosing resuscitative injury in medicolegal cases, which may be invariably misconstrued by the doctor as indicative of manual strangulation/smothering.
  • Patterned bruises are an important tool to diagnose torture injury and very commonly appreciated in sole/flexor aspect of hands/buttock and back of thighs by doctors.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Never tell a patient that you are suspecting a diagnosis of cancer

Informed consent and a premature communication can be dangerous. Communicate the diagnosis only after it is confirmed that too if it is necessary, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and National President-Elect IMA.

Suspicions of a cancer or any serious illness should not be communicated unless it is confirmed as it can cause more harm and the harms can persist for years, added Dr S Arulrhaj Past President Commonwealth Medical Association.

A prospective cohort study reveals that negative psychological consequences of false-positive findings on screening mammography may persist for at least 3 years after the initial diagnosis. Women with false-positive findings had similar psychosocial outcomes to those diagnosed with breast cancer at 6 months in the study. At 6 months, psychological testing showed that women who received false-positive results remained as upset as women who had breast cancer.

Three years after the false mammography results, women still exhibited greater psychosocial consequences compared with women who had normal mammograms Dr John Brodersen and Dr Volkert Dirk Siersma, PhD, of the University of Copenhagen in Denmark wrote in an article published in Annals of Family Medicine.

The reported frequency of false-positive mammography results ranges from 20% to 60% in the U.S. and Europe, said Dr Anita Kant Senior Gynecologist at Faridabad.

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