eMedinewS
28th October 2014, Tuesday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

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

15 Game-Changing Wireless Devices to Improve Patient Care

  1. An ECG in your pocket: The device, a one-lead ECG, attaches to a smartphone and records accurate ECGs and heart rate in 30 seconds.
  2. Monitoring inpatients when you're not in the hospital: The new device can retrieve and display a patient's temperature, blood pressure, CT scans, ultrasounds, labs, radiographs, medications, and more—including electronic health record (EHR) notes—on a doctor's tablet or smartphone.
  3. Checking all your diabetic patients at once: A new device connects over 30 nonwireless glucometers to patient smartphones, transforming them into wireless devices that enable syncing of blood glucose readings, integrate food and lifestyle data, and allow for real-time connection between patients and providers.
  4. A foolproof medication compliance monitor: A sensor, which costs less than a penny, is placed on a pill. It gets activated by stomach juices when it's ingested. A digital signal is then sent to a monitor worn on the patient's arm." This records the medication taken, ingestion time, heart rate, body temperature, body position, and rest and activity patterns.
  5. A symptom tracker for patients with asthma or COPD: A device that fits onto an inhaler and wirelessly syncs with a smartphone app to record trending data.
  6. An advance in insulin administration and glucose monitoring: A noninvasive, wireless monitoring system for people with diabetes. A pen-like skin preparation device administers insulin via pain-free transdermal skin permeation rather than a needle. A biosensor is then placed on the administration site, much like a Band-Aid®; it wirelessly transmits the patient's blood glucose level every minute to a remote monitor, which tracks glucose levels and rate of glucose change. Visual and audible alarms are triggered if levels move beyond the target range.
  7. Precise monitoring of cardiac patients with frequent symptoms: The new device including a wearable peel-and-stick sensor and a wireless transmitter is designed for patients with frequent symptoms that require short-term cardiac monitoring for up to 30 days.
  8. A scale that measures much more than your weight: A Bluetooth device monitors fat mass, lean mass, and body mass index with FDA-cleared bioelectrical impedance analysis. It also monitors your pulse (with an accompanying blood pressure cuff), records your standing heart rate history, and measures temperature and carbon dioxide to assess air quality. A companion smartphone app tracks running, weight loss, activity and calorie levels, and cardiovascular fitness.
  9. A smart way to monitor cardiac patients: This wireless device has been designed to continuously monitor a patient's heart rate, R-R interval, respiration rate, ECG, activity level, position, and posture while in the hospital, in transition, or at home. A wireless module snaps into a holder held in place on a patient's chest by two disposable standard ECG electrodes, making it easy for patients to stay remotely connected to a care team without cumbersome wires or hard-to-use devices. Vital signs, updated every minute, can be monitored in a special Web portal.
  10. A wireless system to improve seniors' health and wellness: This tablet-like device improves quality of life for nursing home residents or enables elderly patients to remain at home. The simple software interface includes medication schedules and reminders, as well as lifestyle assessments and care coordination notes that wirelessly let family members and professional caregivers exchange information. The tablet mates with a variety of wireless devices available from the firm—a scale, pulse oximeter, glucometer, blood pressure cuff, thermometer, motion sensors, contact sensors (for doors and windows), and pressure sensors (for bed and chair)—with readings viewable in an online portal.
  11. An early warning system for monitoring inpatients: The device eliminates the need for cumbersome devices, replacing them with a tablet-like sensor inserted under the mattress of the patient's bed. This device wirelessly monitors heart rate, respiration, and body movement. Computer monitors placed in prominent locations and handheld devices alert nurses of a change in patient status, enabling early detection of patient deterioration.
  12. A real-life Tricorder: Physicians and nurses of a certain age will remember a hit TV series from the 1960s, Star Trek, in which the Starship Enterprise's resident physician, Dr Leonard McCoy, relied on something called a "tricorder"—a fictional scanning device—to measure the body temperature, heart rate, and just about every other physiologic function in his mostly human patients. Now a Chinese company, as created virtually the real thing.
  13. Patient-generated eyeglass prescriptions: A plastic eyepiece that clips onto a smartphone screen. A patient views the screen through the eyepiece, sees several parallel lines, and presses the phone's arrow keys until the lines overlap. This is repeated with the lines at different angles, at which point software loaded onto the phone generates the prescription data. The process takes 2 minutes.
  14. The sole of a new machine: World's first wireless sensor insole. As thin as a normal insole, it wirelessly transmits data on a patient's plantar distribution of pressure to a smartphone app. This is useful for clinical research and sports science, particularly for training analysis and optimizing rehabilitation after a foot injury.
  15. Reducing pressure ulcer risk in bedridden patients: An app-device combo, automates wound assessment; simplifies wound treatment; wirelessly enables care team communication; and identifies bedridden, at-risk patients before pressure ulcers can develop.
Mtnl perfect health mela 2014

7th Asia-Pacific Heart Rhythm Scientific Session New Delhi, India

Peri-mitral atrial tachycardia (PMAT) can recur even after successful bidirectional MI linear block; suggest findings of a study published online in the journal Heart Rhythm 2014 Sep 29. Substantial conduction delay without block across the MI from previous procedure(s) could predispose to recurrent PMAT. While most of the clinical PMAT can be successfully treated by catheter ablation, very late recurrence is possible.

Dr. Mohan Nair
Chairman, Organizing Committee of the 7th Asia Pacific Heart Rhythm Society's  (APHRS) Scientific Sessions, being organized simultaneously at the Taj Palace Hotel and ITC Maurya in New Delhi from October 29th to November 1st, 2014.

Be a part of the discussions regarding Arrhythmia Management with global experts at the 7thAsia Pacific Heart Rhythm Society Meeting from October 29th – November 1st at New Delhi.

As a special offer for all eMedinews readers, we have decided to waive off the registration fees for the conference. To register yourself, please click on the following link

https://podio.com/webforms/9727986/708939

News Around The Globe

  • Dear friends, This is to share the joy with the Padma family for a rare honour received recently. I was invited for a guest lecture to the recently concluded American Academy of ophthalmology at Chicago (October 18 to 21), the first Indian to be so invited in the specialty of Oculoplastic Surgery. My lecture was highlighted by Academy newsletter as a must attend event with description of Dr Grover,' 35 years of experience in the field' 'has seen it all and more' ,his 'treatment pearls will influence the way we practice ' This was the talk highlighted amongst more than 30 during the subspecialty day and was received extremely warmly and many renowned surgeons walked up to congratulate. I also organised two instruction courses as the chief instructor at the AAO on Lacrimal Surgery- an update and Congenital Ptosis simplified, an extremely rare honour. (Dr Ashok Grover)
  • Fourteen days after she felt her first symptoms, Nina Pham, RN, has conquered Ebola. "I feel fortunate and blessed to be standing here today," Pham told reporters at a news conference on the NIH campus in Bethesda, Md., where she had been treated for the virus for the past 10 days. Pham, a nurse at Texas Health Presbyterian Hospital, was the first person to contract Ebola in the U.S. Other patients treated for Ebola in the U.S. had acquired the disease in West Africa.
  • In the wake of New York City's first Ebola case, New York and New Jersey will quarantine all healthcare workers arriving at two key airports from Guinea, Sierra Leone, and Liberia for 21 days if they have treated patients with the deadly virus in those countries. The quarantine will extend to all travelers from the three countries who have had direct contact with an infected individual.
  • A new study suggests moderate sun exposure may help prevent the development of obesity and diabetes. The study is published in the journal Diabetes.
  • New research has shown that vulnerable patients in the Intensive Care Unit (ICU) who received enhanced oral care from a dentist had significantly lesser risk of developing a lower respiratory tract infection (LRTI), like ventilator-associated pneumonia, during their stay. The study was published in the November issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America (SHEA).
  • UCLA researchers have shown for the first time that the quality of diagnostic staging using biopsy in patients with bladder cancer is directly associated with survival, thereby suggesting that those who do not get optimal biopsies are more likely to die from their disease. The research is published in the online edition of the peer-reviewed journal Cancer.

National news

  • This Diwali, scientists noticed a trend reversal in the air pollution levels at two monitoring stations in Delhi. Lodhi Road, which usually records the lowest air pollution levels during Diwali compared to other stations, fared the worst a day after Diwali. In contrast, the usual culprit, Pusa in New Rajendra Nagar, had the lowest quantity of particulate matter. (TOI)
  • Delhiites continued to breathe very polluted air even on Saturday, two days after Diwali. This smog-like condition may clear away in a couple of days, only to come back again as the temperature is likely to fall in the next week. Beig explained that the air has a lot of moisture which is holding the pollutants. (TOI)
  • Mumbai: The city witnessed a noisier, but cleaner Diwali this year. According to readings, taken by Maharashtra Pollution Control Board (MPCB), of 51 locations where noise levels were recorded during the day on October 23, 42 had noise levels higher than those recorded in 2013. However, the data also shows that air pollution was lower this year. The highest noise level in the city were recorded at Prabhadevi — upto 84.7 decibel (dB), followed by Goregaon’s Shubhas Nagar and Tumbawara junction at Dharavi, which recorded 83.1 dB and 80.1 dB respectively (Indian Express).
  • Pune: Housing societies and owners of bungalows have paid Rs 2.77 lakh as fines to the Pune Municipal Corporation for facilitating mosquito breeding on their premises and endangering the lives of people living nearby...Items that can store water, like plastic containers or used tyres, should be covered or properly discarded. Flower vases should be emptied and cleaned at least once a week to curb mosquito breeding, said office bearers of the Indian Medical Association (IMA). The problem is particularly acute in the crowded areas...

Dr KK Spiritual Blog

Understanding the concept of Shiva and Shakti

After the life force leaves the body even the wife does not like to come near the body (Bhaja Govindam). This life force has no weight, water cannot wet it, air cannot dry it, and weapons cannot cut it (Bhagwad Gita Chapter 2).

The scientific description of this life force comes from the first Maha Vakya, from Aitareya Upanishad in Rig Veda, which describes that “Consciousness or Intelligence is the Brahman (Pragnanam Brahma).

This life force or the intelligence represents the conscious energy, energized consciousness or energized information.

In computer language, this intelligence is both the data that has been fed and the software to operate this data. The software is driven by the power of intention and by the process of attention.

In Vedic language the data is the “Purusha or Shiva” and the software the “Shakti” (Sakti). While the data or the Shiva is inactive and idle, without Shakti or energy, the data has no value and it makes” Shiva” a “SAVA”. When Shakti moves toward Shiva it becomes awareness or consciousness. In Vedanta language, it is called as soul or Brahman.

For comparison, what relationship Matter and Energy have in Physics; Purusha and Prakruti in Samkya Philosophy; Infinite and Zero in Mathematics; Potential and Kinetic Energy in Energetics; Meaning and Word in Linguistics; Father and Mother in sociology, the same is with Shiva and Sakti in understanding the mystery of Vedanta.

Shiva and Sakti are thus two inseparable entities in Indian mysticism. Just as moonlight cannot be separated from the moon, Shakti cannot be separated from Shiva. Kashmir Shaivism says that “Shiva without Shakti is lifeless (Sava) because wisdom cannot move without power”.

Shiva and Shakti are different from the masculine and feminine aspects of the human body. In tantric spiritual path, one seeks to develop a perfect harmony and balance between masculine aspects (example mental focus, will, intellect) and feminine aspects (example sensitivity, emotion).

Shiva or the data is classified in the body in three subgroups: creation, protection and destruction. These in Hindu mythology are called “Brahma, Vishnu and Mahesh”. Some 1add another two more dimensions in them making them five and these are “revelation and concealment”. One can find these qualities in anything that’s alive.

The Shakti or the forces (power) are also sub classified in five sub types.

  1. Chitta Shakti: Pure consciousness or the awareness of God.
  2. Ananda Shakti or pure bliss.
  3. Gnana Shakti or the ‘knowledge of God’. It is pure knowledge, which organizes and orchestrates the infinite correlative activity of the universe.
  4. Kriya Shakti or ‘pure action’ which is the actions directed toward God (action which does not have the bondage of karma. Action which has the bondage of karma comes from the ego. It’s based on beliefs and expectations and interpretations and fears and judgments and past memories, whereas non-binding action, which is non-Karmic, is called Kriya—action rooted in pure awareness and creativity)
  5. Desire (Ichcha Shakti: the desire or intention to unite with God)

Deepak Chopra in his Book, Path of Love Describes Shakti as under:

If the voice of God spoke to you, Her powers would be conveyed in simple, universal phrases:

  • Chitta Shakti: “I am.”
  • Ananda Shakti: “I am blissful.”
  • Gnana (Gyana) Shakti: “I know.”
  • Kriya Shakti: “I act.”
  • Icha Shakti: “I will” or “I intend.”

These powers, if used towards acquiring spiritual wellbeing, any action (pure kriya) directed by the desire (pure iccha) leads to pure knowledge (pure gnana) and ends with internal bliss (ananda).

On the other hand, in routine life if these powers are governed by the ego, then the Action (Kriya) leads to Memory (Gnana) and the memory leads to desire (Icha) and then action again.

According to Tantra, Satchidananda is called Shiva-Sakti, the hyphenated word suggesting that Shiva or the Absolute and Sakti or its creative power, are eternally conjoined like a word and its meaning; the one cannot be thought of without the other.

Inspirational Story

Promise Yourself

To be so strong that nothing can disturb your peace of mind;

To talk health, happiness, and prosperity to every person you meet;

To make all your friends feel that there is something in them;

To look at the sunny side of everything and make your optimism come true;

To think only the best, to work only for the best, and to expect only the best;

To be just as enthusiastic about the success of others as you are about your own;

To forget the mistakes of the past and press on to the greater achievements of the future;

To wear a cheerful countenance at all times and give every living creature you meet a smile;

To give so much time to the improvement of yourself that you have no time to criticize others;

To be too large for worry, too noble for anger, too strong for fear; and too happy to permit the presence of trouble;

To think well of yourself and to proclaim this fact to the world, not in loud words, but in great deeds;

To live in the faith that the whole world is on your side so long as you are true to the best that is in you.

Rabies News (Dr A K Gupta)

Can RIG be given locally to a healed wound?

Yes. If anti-rabies vaccination has not been started, then RIG can be given locally without disturbing the scab.

Cardiology eMedinewS

  • Trans and saturated fat consumption have decreased, but not far enough to meet recommended levels for heart health, and omega-3s have plateaued too low, suggested a population-based study from Wisconsin. The study is published online in the Journal of the American Heart Association.
  • A study recently published in the International Journal of Cardiology has shown that shutting off the blood supply to an arm or leg before cardiac surgery protects the heart during the operation.

Pediatrics eMedinewS

  • A new study by Yale School of Medicine researchers has found that 57% of the younger siblings of children with Autism Spectrum Disorder (ASD) who later develop the condition already showed symptoms at age 18 months. The study is published in the October journal of the American Academy of Child & Adolescent Psychiatry.
  • Up to 14.5% of adolescent athletes who play sports might experience undiagnosed concussions, suggest the results of a new study presented recently at the American Academy of Pediatrics (AAP) 2014 National Conference and Exhibition.

Quote of the Day

  • Ridicule is the tribute paid to the genius by the mediocrities. Oscar Wilde

IMA NEWS

  • Police clueless on missing doctor: NISHANT SINHA: Police are yet to get any lead on the whereabouts of the junior doctor of Patna Medical College and Hospital (PMCH), missing for a week now. Vijay Krishna went missing from the Boring Road area under SK Puri police station on October 19. A week on, Patna senior superintendent of police Jitendra Rana on Sunday said: “The doctor’s relatives think he has been kidnapped but no credible evidence establishing it has been found yet.” Dr Krishna’s motorcycle was recovered from Mahatma Gandhi Setu (near pillar No. 42) the day he went missing, triggering rumours that he had committed suicide. But the PMCH Junior Doctors’ Association (JDA) claimed it could be a kidnapping case or some other crime.
  • Questions to know if you have high blood pressure: 22 medications that can give you high blood pressure, The link between sleep apnea and high blood pressure, How high blood pressure can lead to memory loss in older people, Why some blood pressure medications stop working, What to do if you have resistant hypertension, The blood pressure reading that makes you 4 times more likely to have a stroke, The herbs that can actually increase your blood pressure, Why you should get your blood pressure checked in both arms at least once and The diet that helps lower blood pressure.... Dr Devi Shetty, Cardiac Surgeon and founder of Narayana Health City said, "As we treat a few million people with hypertension we have realised that older people require high pressure to sustain themselves these days. Hence there is a general tendency to change the norm and it has been acceptable. Besides, we do not feel the need to aggressively treat patients who fall within 140/90 mmHg range and suggest only slight lifestyle modifications." Dr C N Manjunath, Director, Sri Jayadeva Institute of Cardiovascular Sciences & Research said, "Previously when the tests revealed blood pressure levels at 140/90 it was considered to be 'High Normal'. (TOI)
  • Post the formal ceremony at the 12th annual conference of the Indian Medical Association Nagpur - an entertainment-packed cultural night was in store for all the members, so that they could unwind in a grand manner. This do witnessed some ceeteemaar performances by the members of IMA and their children, which held everyone's attention from start to finish. From retro songs to Spanish to latest Bollywood numbers, the lady doctors rocked the night. Also, a ramp walk by all the office-bearers invoked a lot of cheer. A cute duet dance by Dr Kush Jhunjhunwala's kids - Aarushki and Aahana - on Radha on the dance floor was applauded a lot. Preeti Atulkar (TOI)
  • RJD MP Rajesh Ranjan alias Pappu Yadav, who has launched an agitation against fake doctors and those charging exorbitant fee, today met Chief Minister Jitan Ram Manjhi and sought action against such practitioners. Yadav, RJD Lok Sabha member from Madhepura, handed over a list of unqualified doctors practicing in Madhepura, Supual, Saharsa and Khagaria and urged the Chief Minister to initiate action against them. Yadav in his memorandum said that such unqualified doctors who are fleecing the public are playing with the life of people and need to be stopped. "A sort of anarchy is prevailing in the field of health in the state as private practitioners and nursing homes are fleecing people while government hospitals are in bad condition," he said in the memorandum. The RJD MP, who launched an agitation against doctors charging high fee and those practicing without proper degree at Saharsa on October 13, said after Chhath festival he would extend his stir to other parts of the state. The RJD MP has suggested Rs 150 fee for MBBS doctors, Rs 200 for MD/MS and Rs 300 for senior and experienced practitioners. Recently, the Chief Minister had criticised some doctors for not being sincere in serving the poor. At a function at Motihari last week he had made a scathing comment to "chop off hands" of doctors for neglecting treatment of poor. The harsh comment of "chopping of hands" triggered strong reaction from Indian Medical Association and opposition parties. The Chief Minister said that he had used the expression as a Hindi proverb which meant to limit the power of somebody.
  • Health Minister Harsh Vardhan Friday offered Pakistan full cooperation in eradicating polio from that country. Pakistan at present accounts for 85 percent of the world's polio cases. On the occasion of World Polio Day, Harsh Vardhan welcomed Pakistan Prime Minister Nawaz Sharif's recent adoption of a "National Emergency Action Plan-2014" on the disease. - See more at: http://www.mid-day.com/articles/harsh-vardhan-offers-to-help-pakistan-fight-polio.
emedipicstoday emedipics

21st Perfect Health Mela 15th October 2014

21st MTNL Perfect Health Mela 2014
Self-Assessment-Quiz

 

expert_choice
press release

Obesity reduces life expectancy

video of day video of day

Other Blogs

Video Library

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

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

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

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

 

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 :

 

Dr Good and Dr Bad

Situation: A patient came with A1c of 6.5%.
Dr Bad: Start a combination of Glimepiride and Metformin.
Dr Good: Start metformin monotherapy.
Lesson: Metformin typically lowers fasting blood glucose concentrations by approximately 20% and A1c by 1.5%, a response similar to that achieved with a sulfonylurea. (Diabetes Care 1992;5:755 & N Engl J Med 1996;334:574)

Make Sure

Situation: A patient of jaundice with fever developed complications.
Reaction: Oh my God! Why were other causes of jaundice not suspected?
Lesson: Make sure that in a patient with jaundice and fever, causes other than viral hepatitis are looked into. In viral hepatitis, jaundice appears after the fever subsides.

eMedinewS Humor

Salesman to Policeman

A leave letter to the headmaster: "As I am studying in this school I am suffering from headache. I request you to leave me today".

Twitter of the Day

Dr KK Aggarwal: Relieve Stress by Changing the Interpretation
Dr Deepak Chopra: Enemies of religion tend to conflate blind faith with faith itself, quiet unfairly

Wellness Blog

Keys to a healthy diet

  • Choose mostly plant-based foods that are unprocessed or minimally processed.
  • Eat a variety of fruits, vegetables, and whole grains over the course of the week in order to ensure a balance of important nutrients.
  • Watch portion size and keep your calorie intake and physical activity level in balance.

ePress Release

Avoid late nights to prevent diabetes

Young adults who do not get enough deep sleep are at risk of diabetes, according to a study published in the Proceedings of the National Academy of Sciences, said Padma Shri and Dr B C Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India while addressing as Chief Guest in annual function of Modern School, Noida.

Failing to sleep deeply for just three nights has the same negative effect on the body’s ability to manage insulin as gaining 20 to 30 pounds. Also, three nights of interrupted sleep gives people in their 20s the glucose and insulin metabolisms of people three times their age.

Improving quality of sleep is an important step in preventing the onset of type 2 diabetes.

The study recruited five men and four women between the ages of 20 and 31. The study analyzed participants for two nights of uninterrupted sleep, during which they slept for 8.5 hours, to establish their normal sleep patterns.

They then observed them over a three–night study period, during which the researchers deliberately disturbed their sleep when their brain waves indicated the beginning of slow wave sleep.

Young adults spend 80 to 100 minutes per night in slow–wave sleep, while people over age 60 generally have less than 20 minutes.

At the end of each study, the researchers gave intravenous glucose to each subject and took blood samples every few minutes to measure the levels of glucose and insulin. When the researchers analyzed the data they learned that the participants were almost 25 percent less sensitive to insulin after nights of interrupted sleep.

As their insulin sensitivity declined, they needed to make more insulin to process the same amount of glucose.

eMedi Quiz

Presence of food might be expected to interfere with drug absorption by slowing gastric emptying, or by altering the degree of ionisation of the drug in the stomach. Which of the following statements is not a correct example?

1. Absorption of digoxin is delayed by the presence of food.
2. Concurrent food intake may severely reduce the rate of absorption of phenytoin.
3. Presence of food enhances the absorption of hydrochlorothiazide.
4. Anitimalarial drug halofantrine is more extensively absorbed if taken with food.

Yesterday’s Mind Teaser: Two students, X and Y, were asked to demonstrate in dogs the role of sinus nerve in hypovolemic shock. X severed the sinus nerve when the mean blood pressure (MBP) was 85mm Hg and Y cut the sinus nerve when the mean blood pressure was 60mm Hg. On cutting the sinus nerve:

1. X recorded an increase in MBP but Y recorded a decrease in MBP.
2. X recorded a decrease in MBP but Y recorded an increase in MBP.
3. Both recorded an increase in MBP.
4. Both recorded in decrease in MBP.

Answer for yesterday’s Mind Teaser: 1. X recorded an increase in MBP but Y recorded a decrease in MBP.

Correct answers received from: Dr Jainendra Upadhyay, Dr K V Sarma, Dr Bitaan Sen & Dr Jayashree Sen, Dr Avtar Krishan.

Answer for 26th Oct Mind Teaser: 2.Sensory organs are not involved.

Correct answers received from: Dr. Bitaan Sen & Dr Jayashree Sen.

Send your answer to email

medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Editor eMedinewS and President Heart Care Foundation of India)

Giving an opinion on phone has no legal liability

No legal liability will fall upon the doctor as there is no contract between him and the patient. For negligence to be proved there has to be a duty, breach of that duty and resultant damage. In this case there will no breach of duty. Only if the specialist has charged fee for his opinion from the patient (patient can sue) or from the physician (patient and doctor both can sue), he or she is liable. If the fee has been paid by the referring physician, it will be deemed to be paid by the patient.

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

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