emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; 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 of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

For regular eMedinewS updates follow at www.twitter.com/DrKKAggarwal

For regular eMedinewS updates on facebook at www.facebook.com/DrKKAggarwal

eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Workshop on Stress Management and How to be Happy and Healthy

 
  Editorial …

29th May 2012, Tuesday

Doctors are a soft target in 'Satyamav Jayate'

In the first four episodes of Satyamev Jayate, Aamir Khan has targeted doctors in two of them – one was in the first episode relating to PNDT Act and in the fourth episode, dealing with medical profession.

It is very unfortunate that the doctors are becoming soft targets in the electronic news channels. It only shows that medical profession at the level of various medical associations is not united. I would like to comment on some of the issues (in bold) raised by Aamir Khan in his programme.

Doctors should write generic medicines

We agree that doctors should write generic medicines. From today onwards, let’s start writing generic medicines but where are they available? Are there chemists who stock generic medicines? Or even if some of them do, which generic medicines will they issue and of which company? Are all generic drugs from different companies priced at the same rates? Will chemists not become the bosses in choosing the brand and company? If the Government is really serious that doctors should write generic medicines, why are they giving licenses to market branded drugs? Are doctors selling any drug or brand, which is not approved by the government? Why can’t government come out with a directive of doctor’s control on every drug? Why is that each time it is the doctors who are blamed? If we start writing generic drugs what is the guarantee that fake drugs will not enter into the system?

Is the government informing each and every doctor about any drug introduced or drug banned? Is the government informing every doctor about the pricelist of the drugs to all the doctors? FDA in USA does it regularly but the Drug Controller of India updates its website with new introduction of medicines once in six months. In the West, you have only one company dealing with one brand but in India there are hundreds of companies for a single molecule.

It is easy to target doctors but in reality it is the system which is to be blamed.

Doctors get 30% commission through pharmaceutical companies mentioned in a statement issued by one of our medical fraternity colleagues.

Our profession gets a bad name only when our colleagues issue loose statements. The same should be condemned. Will IMA act against this statement of one of our colleagues?

Doctors are corrupt and they pass on and they take 50% commission from investigations and imaging techniques.

This is something which needs to be answered. We need to introspect ourselves and start writing on our letterheads that “I don’t take or give commissions.”

But unfortunately, the situation is that the doctors are under the purview of Medical Council of India but the hospitals are not. Every corporate sector hospital in the country has a marketing division which has agents and touts and secured business by distributing incentives. Who will control them? It should be the job of the Health Ministry to do the same.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

Osteoporosis

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2012

World Earth Day was celebrated by Heart Care Foundation of India jointly with Delhi Public School

 
Dr K K Aggarwal
 
    National News

IMA threatens nationwide strike of doctors on June 26 if elections to IMA not held

Peethaambaran Kunnathoor, Chennai Monday, May 28, 2012, 08:00 Hrs [IST] Pls click on the link below . http://pharmabiz.com/NewsDetails.aspx?aid=69220&sid=1

Pan masala banned in Kerala

The Kerala Government has banned the manufacture, sale and consumption of pan masala and gutka in the State with immediate effect. Chief Minister Oommen Chandy told mediapersons on Friday that stringent action would be taken against those who violated the ban, which had been imposed under the Food Safety and Standards Act 2011. Kerala is the second State to ban the use of gutka and pan masala. The increasing incidence of gutka-induced diseases like oral cancer had prompted the Government to ban the products, Chandy said. (Source: The Pioneer, 26 May 2012)

For comments and archives

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Bisphosphonate use increases atypical femur fracture risk

The incidence of atypical femur fractures has increased during the past decade, and this increased risk is associated with bisphosphonate use, according to a recent study published online May 21 in the Archives of Internal Medicine. Nevertheless, the actual number of atypical fractures remains much lower than the number of classic fractures. (Source: Medscape)

For Comments and archives…

Diabetics may need early colon cancer screening

Type 2 diabetes patients may need to be screened earlier for colorectal cancer, researchers said. In a single-center study, diabetics, ages 40 to 49, had a comparable number of adenomas detected as healthy patients, ages 50 to 59, Hongha Vu, MD, of Washington University in St. Louis, Mo., and colleagues reported at a press briefing during Digestive Disease Week (DDW). (Source: Medpage Today)

For Comments and archives…

Postprostatectomy test identifies risk for clinical recurrence

A newly available diagnostic test that uses immuno-polymerase chain reaction (PCR) technology can detect serum prostate-specific antigen (PSA) at concentrations in picograms per liter in patients after radical prostatectomy to help predict risk for clinical recurrence. Jonathan E. McDermed, PharmD, director of scientific and clinical affairs at IRIS International, in Carlsbad, California, and colleagues conducted a study using this test. The results were published in the April issue of Clinical Chemistry. (Source: Medscape)

For Comments and archives…

Sleep quantity and quality predict ability to lose weight

When adults start a diet with moderate caloric restriction, both sleep quantity and quality can predict the degree of fat loss. Jean-Philippe Chaput, PhD, junior research chair at the Children's Hospital of Eastern Ontario Research Institute and assistant professor in the Department of Pediatrics in the Faculty of Medicine at the University of Ottawa, Canada, told delegates here at the 19th European Congress on Obesity (ECO) that an increase of 1 hour in sleep duration at baseline was associated with a decrease in 0.7 kg in fat mass after adjustment for covariates. (Source: Medscape)

For Comments and archives…

(Contributed by Dr SK Verma, Consultant Ophthalmologist)

 
    Twitter of the Day

@DrKKAggarwal: Do Not Give Health Advice Unless You Are an Expert

@DeepakChopra: Happy people make healthier choices

 
    Spiritual Update

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

The Five Pillars of Islam

There are five basic acts in Islam, considered obligatory by the Sunni Muslims.

  1. Shahada (creed) or oneness of God (Tawhid) and acceptance of Muhammad as God’s prophet.
  2. Daily prayers (Salat)

For Comments and archives…

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

Mention some tests with no proven benefit for recurrent miscarriage.

Tests with no proven benefit for recurrent miscarriage include cultures for bacteria or viruses, tests for insulin resistance, antinuclear antibodies, antithyroid antibodies, antibodies to infectious agents and embryotoxic factors.

For Comments and archives…

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

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Coagulation Factor Products for Patients with Factor VIII Inhibitors

Description: A heat-treated plasma fraction containing partly-activated coagulation factors

Infection risk: Probably the same as other heat-treated factor concentrate

Indication: Only for use in patients with inhibitors

Administration: Should be used only with specialist advice

For Comments and archives…

 
    An Inspirational Story

(Dr Anupam Sethi Malhotra)

Game of Life

There once lived a wise man in a village. So it hurt him very much when the village headman told him, "Your son doesn't know, what's more valuable, gold or silver."

The wise man called his son and asked, "What is more valuable - gold or silver?" Gold," said the son.

"That is correct. Why is it then that the village headman makes fun of you and claims you do not know the value of gold or silver? Explain this to me, son." Father asked.

So the son said, "Every day on my way to school, the village headman calls me to his house. He holds out a silver coin in one hand and a gold coin in other. He asks me to pick up the more valuable coin. I pick the silver coin. He laughs and makes fun of me. And then I go to school. This happens every day. That is why he told you."

The father was confused. "Why don't you pick up the gold coin?" he asked. In response, the son took the father to his room and showed him a box. In the box had at least a hundred silver coins. Turning to his father, the son said, "The day I pick up the gold coin the game will stop. Village headman will stop having fun and I will stop making money."

Moral: Sometimes in life, we have to play the fool. That does not mean we lose in the game of life. It just means allowing others to win in one arena of the game, while we win in the other arena of the game. We have to choose which arena matters to us most.

For Comments and archives…

 
   Cardiology eMedinewS

New 2012 Heart Failure Guidelines (Part 2) Read More

Low BP not good in later life Read More

One agent better for RAS blockade Read More

 
   Pediatric eMedinewS

Massage and swaddling reduce pain in infants Read More

Measles jumps from unvaccinated children to unvaccinated adults
Read More

Sleep apnea hurts kids' brain function Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 16–year–old female was diagnosed to have calcified lesions in the ventricles on a CT scan.
Dr Bad: This is a typical case of neurocysticercosis.
Dr Good: This is not neurocysticercosis.
Lesson: Calcification in neurocysticercosis is seen only in the parenchyma and not in the ventricles or cisterns.

For comments and archives

Make Sure

Situation: A patient with fever and cough develops complications after he was given antibiotics.
Reaction: Oh my God! What was the need of giving the antibiotics?
Lesson: Make sure that a patient with fever and cough is not given antibiotics at the very outset as these are mostly viral infections.

For comments and archives

 
  Legal Question of the day

(Prof. M C Gupta, Advocate & Medico–legal Consultant)

Q. What are the main judgments against quackery?

Ans.

A. The question as to who is a quack arose in Poonam Verma Vs. Ashwin Patel and Others, decided by the Supreme Court on 10.05.1996, reported as 4 SCC 332, (Kuldip Singh, S. Saghir Ahmad JJ). The judgment can be viewed at-- http://www.indiankanoon.org/doc/611474/

Para 41 of the judgment is reproduced below:

“41. A person who does not have knowledge of a particular System of Medicine but practices in that System is a quack and a mere pretender to medical knowledge or skill, or to put it differently, a charlatan.”

B. In Dr. Mukhtiar Chand & Ors. Vs. State Of Punjab & Ors., (1998) 7 SCC 579, decided on 8-1-1998 by judges K.T. Thomas and Syed Shah Mohammed Quadri of the SC, the following stand out:

1. The basic issue in this case was whether a notification issued under Rule 2(ee) (iii) of the Drugs and Cosmetics Rules, 1945, was valid.

2. Rule 2(ee) (iii) reads as follows:

“Registered medical practitioner” means a person—

(iii) Registered in a medical register (other than a register for the registration of Homoeopathic practitioners) of a State, who although not falling within sub-clause (i) or sub-clause (ii) is declared by a general or special order made by the State Government in this behalf as a person practising the modern scientific system of medicine for the purposes of this Act;”

[NOTE-- sub-clause (i) and sub-clause (ii) referred to allopaths having their name in the Indian Medical register or the state medical register maintained by the MCI or the SMC respectively.]

3. The court held that Rule 2(ee) was valid but the benefit thereof and of notifications issued thereunder would be available only where the state law for registration of the practitioners of Indian medicine permits them to practice allopathic medicine.

4. The fact is that no state law for registration of the practitioners of Indian medicine permits them to practice allopathic medicine. Hence, in view of Poonam Verma, practitioners of Indian medicine practicing allopathy are quacks.

5. The SC further clarified the rights of non-allopaths as regards practicing allopathy as follows: “

After Sub-section (2) of Section 15 was inserted in the 1956 Act, with effect from 15.09.1964, which inter alia, provides that no person other than a medical practitioner enrolled on a 'State Medical Register' shall practise modern scientific medicine in any State, the right of non-allopathic doctors to prescribe drugs by virtue of the declaration issued under the said drugs Rules, by implication, got obliterated. However, this does not debar them from prescribing or administering allopathic drugs sold across the counter for common ailments.”

6. The SC also observed that under clause (d) of sub-section (3) of section 17 of the Indian Medicine Central Council Act, 1970, the right to practise modern scientific medicine in all its branches is confined to only such persons who possess any qualification included in the Schedules to 1956 Act. In view of this conclusion it matters little if the practitioners registered under 1970 Act are being involved in various programmes or given postings in hospitals of allopathic medicine and the like.

7. The SC concluded as follows: “ The upshot of the above discussion is that Rule 2(ee)(iii) as effected from May 14, 1960 is valid and does not suffer from the vice of want of the legislative competence and the notifications issued by the State Governments thereunder are not ultra vires the said rule and are legal. However, after sub-section (2) in Section 15 of the 1956 Act occupied the field vide Central Act 24 of 1964 with effect from June 16, 1964, the benefit of the said rule and the notifications issued thereunder would be available only in those States where the privilege of such right to practise any system of medicine is conferred by the State Law under which practitioners of Indian Medicine are registered in the State, which is for the time being in force. The position with regard to Medical practitioners of Indian medicine holding degrees in integrated courses is on the same plain inasmuch as if any State Act recognizes their qualification as sufficient for registration in the State Medical register, the prohibition contained in Section 15(2)(b) of the 1956 Act will not apply.”

8. In simple words, the Mukhtiar Chand judgment says as follows:

a. States have power under the Drugs and Cosmetics Rules to issue notifications that persons who have been practicing allopathic medicines can store allopathic drugs.

b. The persons to whom such notifications applied could practice allopathy till this was prohibited in 1964 by way of amending section 15 of the IMC Act, 1956. They are prohibited from doing so after Section 15(2)(b) became applicable.

c. No state Act says that a person registered in one system of medicine can practice any system of medicine. If some state Act says so, then he can practice any system of medicine.

C. In Prof. P.N. Thakur v. Hans Charitable Hospital, decided by the National Consumer Commission on 16 Aug. 2007, it was observed in para 20 of the judgment as follows:

“When a patient is admitted in a hospital, it is done with the belief that the treatment given in the hospital is being given by qualified doctors under the Indian Medical Council Act, 1956. It is not within the knowledge of the relatives of the patient that the patient is being treated by a Unani Specialist. We hold that it is clear deficiency in service and negligence by the hospital for leaving the patient in the hands of Unani doctor.”

The above judgment can be viewed at—

For comments and archives

Our Social
Network sites
… Stay Connected

        FaceBook
  > Dr K K Aggarwal
  > eMedinewS
  > Hcfi NGO
  > IJCP Group

        Twitter
  > Dr K K Aggarwal
  > eMedinewS
  > HCFIindia
  > IJCP Group

        Blog
  > Dr K K Aggarwal
  > eMedinewS
  > HCFI-NGO
  > IJCP Group

        You Tube
  > Dr K K Aggarwal
  > eMedinewS

Docconnect
central bank
lic bank
 
eMedinewS Apps
Archives
Archive
Archive
Archive
Archive
Archive
Alert
 
  Quote of the Day

(Dr GM Singh)

It is easy to hate and it is difficult to love. This is how the whole scheme of things works. All good things are difficult to achieve; and bad things are very easy to get. Rene Descartes

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Renal Biopsy, Light Microscopy

For clinical evaluation and management of patients with undiagnosed kidney disease, the clinical setting may include acute renal failure, nephrotic syndrome, asymptomatic proteinuria and hematuria. Biopsy of the transplanted kidney is important in the determination of the presence of acute rejection, infection, or recurrent disease. Optimal interpretation of a kidney biopsy requires integration of clinical and laboratory results with light microscopic, immunofluorescent histology and electron microscopy findings.

 
    Mind Teaser

Read this…………………

Patricia, a 20-year-old college student with diabetes mellitus requests additional information about the advantages of using a pen like insulin delivery devices. The nurse explains that the advantages of these devices over syringes includes:

a. Accurate dose delivery
b. Shorter injection time
c. Lower cost with reusable insulin cartridges
d. Use of smaller gauge needle.

Yesterday’s Mind Teaser: Lydia is scheduled for elective splenectomy. Before the clients goes to surgery, the nurse in charge’s final assessment would be:

a. Signed consent
b. Vital signs
c. Name band
d. Empty bladder

Answer for Yesterday’s Mind Teaser: b. Vital signs

Correct answers received from: Dr. Sushma Chawla, Dr. P. C. Das, Dr Niraj Kumar, dr Shalini jain, Dr Kanta Jain, Dr. B. B. Aggarwal,

Answer for 28th May Mind Teaser: c. Decreases the production of autoantibodies that attack the acetylcholine receptors.
Correct answers received from: Dr. B. B. Aggarwal, Prof. Chetana Vaishnavi, Mannalal Bhansali, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, Raju Kuppusamy

Send your answer to ijcp12@gmail.com

 
  Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

Basic Vaccine Schedule

We give below the time at which the different vaccines are usually administered.

Time Vaccine
At Birth BCG, Hepatitis B
2 Months DPT, Hepatitis B (second dose), Hib (Haemophilus influenza 1st dose)
4 Months OPV, DPT, Hep B, Hib (2nd dose)
6 Months OPV, DRP Hep-B, Hib (3rd dose)
9 Months Measles (mono)
12 Months OPV, MMR, Varicella
18 Months DPT, HiB, Hepatitis A
24 Months Hepatitis A
4-6 Year OPV, DPT, MMR, Varicella

For comments and archives

 
    Laugh a While

(Dr GM Singh)

A dad buys a lie-detector robot that slaps people when they lie. He decides to test it at dinner. "Son, where were you today?" The son says, "At school, dad."

Robot slaps the son! "Ok, I watched a D.V.D. at my friend's house!" the son say.

"What DVD?" asks the father. "Toy Story."

Robot slaps the son again! "O.K., it was a porno!" cries the son.

"What? When I was your age I didn't even know what porn was!" says the dad. Robot slaps the dad!

Mom laughs, "Ha Ha Ha! He's certainly your son!" Robot slaps the mom!..................... …............

.........Awkward Silence

 
  Medicolegal Update

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

Family decisions in US court

Terminate medical care when the patients have not left explicit statements

In Cruzan, the US Supreme Court held that there is no constitutional requirement that families be permitted to exercise the right of mentally incapacitated patients to terminate care when the patients have not left explicit statements of their preferences. Importantly, however, the Court did not delineate uniform national rules regarding who should decide for mentally incapacitated patients. Instead, the Court permitted each state to make the rules it deemed best. The Court also endorsed, as legally acceptable but not required, Missouri’s contention that the "evidence of the incompetent’s wishes as to the withdrawal of treatment be provided by clear and convincing evidence".

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

One egg a day advertisement is misleading

Heart Care Foundation of India has warned that the promotional advertisement by the National Egg Coordination Committee (NECC) is misleading the public. Explaining this, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that dietary cholesterol raises total serum cholesterol though it may be a less important contributor than saturated fats.

It may be a scientific fact that consumption of up to one egg per day (containing about 213 mg of cholesterol per egg) does not appear to substantially influence the risk of coronary heart disease or stroke among men and women but only without preexisting diabetes mellitus or hypercholesterolemia.

Dr Aggarwal said that no one should consume egg without their doctor’s clearance as one egg per day in patient with diabetes or with high cholesterol may be harmful for the heart. He gave to this effect the published reference work done by Dr. Hu, FB and group at the Department of Nutrition, Harvard School of Public Health, Boston, published in the Journal of Medical association 1999; 281:1387.

 
    Readers Response
  1. Respected Sir, Dr KK Aggarwal, My heartiest congratulations for your good and excellent suggestions given on Star news channel today at 8.30 pm. Your points regarding writing on the letter pad that I am not taking and giving any commission, changing the system regarding use of generic drugs, to shut down the marketing depts. in corporate hospitals, you really did a good job. Once again my sincere regards to you. Dr. Chandresh Jardosh.
 
    Forthcoming Events
Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    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)

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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