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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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Dr KK Aggarwal

From the Desk of Editor in Chief
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; Member 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


29th June, 2010, Tuesday

Using calcium carbide for ripening of fruits is an offence

Recently many patients as well as the media have expressed concern about artificial ripening of fruits. Most fruits naturally ripen on trees but in many parts of the country, manufacturers use chemicals to ripen them artificially. Such artificially ripened fruits are not suitable for transport and distribution as they may rot during this time.

Most traders, therefore, take unripe fruits and use chemicals to increase their shelf life. A ripened fruit is more edible, sweeter, less green and softer. The acidity of the fruit also increases.

In most westerns countries, ethylene is used as a fruit ripening agent but in India, Calcium Carbide is becoming popular (though illegaly) as it causes faster ripening.Calcium carbide is normally used for welding purposes. Use of it is prohibited under the PFA act.

However, inappropriate use of Calcium Carbide to ripen fruits is associated with many health hazards.

Ethylene is natural gas created by plants from the amethconyne. It increases the intracellular level of certain enzymes in fruits. Ethephone is the most common ethylene generating chemical used in West for artificial ripening. However, the product is costly and not easily available.

In India, most people use low cost Calcium Carbide to ripen fruits. Acetylene, a gas, is generated from Calcium Carbide which initiates the ripening process of fruits. Fruits ripened with Calcium Carbide are soft and have a good peel color but are poor in flavor.

Calcium carbide is carcinogenic. It also contains traces of arsenic and phosphorus hydride and thus, patients may end up with arsenic and phosphorus poisoning. Symptoms may include vomiting, diarrhea, chest pain, thirst, weakness, difficulty in swallowing food and difficulty in speaking. Acetylene gas can also cause neurological symptoms resulting in headache, dizziness, mind disturbance, heaviness, mental confusion and even fits. The medically accepted chemical ripening is use of 39% ethephone.

Calcium carbide is available as a white powder and is banned by US FDA as well as Indian PFA.

How to check whether a fruit is naturally ripe or chemically ripe?

Look for three ‘S’. Smell, sweetness and smear. Chemically–ripened fruits do not smell the same; the flesh is sour near the centre and they usually have traces of powder on the skin. If the fruit is uniformly well–colored or black blotches appear on the skin in 2–3 days, suspect chemical ripening.

Dr KK Aggarwal
Padma Shri Awardee and Chief Editor

 

Photo Feature (From HCFI file)

28th June, 2010; New Delhi: IMA Dharna at Jantar Mantar

Dharna against: Dissolution of MCI, Clinical Establishment Bill & BRHC Programme A day–long Dharna by the IMA was held on 28th June at Jantar Mantar. around 172 doctors from all across country attended the Dharna by 12noon. The Dharna was organized to protest against dissolution of MCI, proposed creation of BRHC course including the proposed Clinical Establishment Bill.

 

Dr k k Aggarwal

 

News and views

Lanreotide may help patients with acromegaly (Dr Brahma and Monica Vasudeva)

According to research presented at the annual meeting of the Endocrine Society, in most patients with acromegaly, who did not respond to surgery or radiotherapy, the disease was controlled by treatment with the somatostatin analog lanreotide (Somatuline Depot).

Early use of TIPS in patients with cirrhosis and variceal bleeding (Dr Varesh Nagrath)

Patients with cirrhosis in Child–Pugh class C or those in class B who have persistent bleeding at endoscopy are at high risk for treatment failure and a poor prognosis, even if they have undergone rescue treatment with a transjugular intrahepatic portosystemic shunt (TIPS). A study evaluated the earlier use of TIPS in such patients. In such patients hospitalized for acute variceal bleeding and at high risk for treatment failure, the early use of TIPS led to significant reductions in treatment failure and in mortality.

Car crash trauma often underdetected in elderly (Dr GM Singh)

Elderly people involved in motor vehicle crashes are often under-triaged and inappropriately treated for injuries that go undetected, reports a study in the January issue of the Journal of Emergency Nursing.

Breast milk transmits drugs and medicines to the baby

A Spanish study assessing methods for detecting medicines and drugs in breast milk has recommended the following: Give up smoking, do not drink more than three cups of coffee per day, do not take any kind of drug, or if you do, take it as long as possible before feeding your baby. The study also showed that the risk from substances such as alcohol is still not well understood.

Liver transplant unit shifts to MEDANTA


The liver transplant unit under Dr A S Soin perform 16-18 liver transplants a month with a 95% success rate. They became the first team in South Asia to complete 500 successful liver transplants, and then the first team in India to complete 50 liver transplants in children. The ENTIRE LIVER TRANSPLANT TEAM HAS LEFT SIR GANGA RAM HOSPITAL and MOVED TO MEDANTA INSTITUTE OF LIVER TRANSPLANTATION AND REGENERATIVE MEDICINE.  The facilities are 150 beds, 22 ICU beds, 4 OT's, 130 trained staff, 8 Consultant Liver Transplant Surgeons, 4 Consultant Liver Transplant Physicians, 3 Liver Transplant Surgical Fellows, 3 Hepatology Fellows, 7    Consultant Liver Transplant Anaesthetists, 5 Consultant Intensive Care Specialists, 3 Consultant Radiologists, 1 Consultant Pathologist, 1 Medical Administrator, 5 Transplant Coordinators, 2 physiotherapists, 30 OT Technicians, 48 Liver Intensive Care Nurses, and 10 office staff.

 

Legal Column

Why do we need a Consumer Forum?

Since the Consumer Forum follows a speedy/summary procedure – not involving detailed procedure of proving facts by way of evidence, the hospitals refute the jurisdiction of the Consumer Courts mainly on the ground that in any case of medical negligence, complicated questions of fact are involved and expert witnesses have to be cross examined. Hence, the Consumer Court cannot properly judge these claims without going into all the facts and supporting evidence.

However, the SC has answered this question as well, in the case of Dr JJ Merchant and Ors. vs Shrinath Chaturvedi. The court held that: The National Consumer Dispute Redressal Commission is competent to decide complicated issues of law and facts, and the Consumer Courts can then decide on the basis of the Commission’s findings merely because it is mentioned that the Commission is required to have summary trial, it would hardly be a ground for directing the consumer to Civil Court, as the Consumer Protection Act provides sufficient procedural safeguard. This alternative, efficacious, simple, inexpensive and speedy remedy to consumer cannot be curtailed on such grounds This judgment overruled the earlier important case of Indian Medical Association vs VP Shantha and Ors.

Forensic Column (Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS)

Legal medicine: What does Forensic mean?

In ancient Rome, ‘forum’ was a community meeting place for merchants, scholars, doctors and citizen to discuss the news of the day and tried for public justice. The term 'forensic' stems from the Latin word ‘forum’ and applies to anything that relates to law. Practice of forensic medicine and law has been related from the Babylonian times around 2000 BC. External postmortem examination in criminal death was carried out on the dead body of Julius Cesar by Antistius, a physician.

 

Experts’ Views

Interesting tips in Hepatology & Gastroenterology

Dr Neelam Mohan, Consultant Pediatric, Gastroenterologist, Hepatologist, Therapeutic Endoscopist & Liver Transplant Physician Sir Ganga Ram Hospital, Delhi

CELIAC DISEASE cont..

Yesterday I wrote on the manifestations of coeliac disease, today I shall address how to diagnose coeliac disease.

Diagnosis

The revised European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) criteria:  The two essential criteria required are characteristic small intestinal mucosal changes while on a diet containing adequate gluten and a full clinical remission following GFD. The presence of serological antibodies, which disappear while on GFD, further support the diagnosis and should be an essential component of the diagnostic work-up.

Duodenal Biopsy

The characteristic histological features are partial to total villus atrophy, crypt elongation, increased intraepithelial lymphocytes (IEL >40/100 EC) with a lymphocyte mitotic index greater than 0.2%, absence of epithelial cell brush border, infiltration of lymphocytes, mast cells, plasma cells, and eosinophils in the lamina propria, increased crypt mitotic index and pseudo stratification of epithelial cells with loss of nuclear polarity.

Serological tests

Anti endomysial (EMA) and anti tissue transglutaminase antibodies (tTGA) are commonly used. Anti-EMA and anti-RA belong primarily to the IgA class and are directed against the intermyofibril substance of the smooth muscle. The diagnostic performance of the serological tests showed that the pooled specificity of the anti-EMA was almost 100% and a sensitivity of 97% in children. The pooled specificity of the tTG was between 95% and 99% and a sensitivity of 93-96%. Anti-EMA is technically more demanding test while anti-tissue transglutiminase (tTG) is done by ELISA and is technically simple. Other tests available are anti gliadin antibodies which are  not very sensitive or specific. The role of antigliadin antibogies IgG is in patients of IgA deficiency where the other serological tests which are IgA dependent are not useful

Present consensus is to confirm the diagnosis by biopsy and not just put the patient on Gluten free diet based on positive serological test.

Screening

In the United Kingdom, the National Institute for Health and Clinical Excellence (NICE) recommends screening for coeliac disease in patients with newly diagnosed chronic fatigue syndrome and irritable bowel syndrome, as well as in type 1 diabetics, especially those with insufficient weight gain or unexplained weight loss. It is also recommended in autoimmune thyroid disease, dermatitis herpetiformis, and in the first-degree relatives of those with confirmed coeliac disease. 

Question of the Day

What are the common organisms causing diabetic foot infections?

Dr Anand Moses, Chennai

Diabetic foot infection are common and may develop despite the best efforts in patient care and education. Successful management requires a combined medical and surgical approach. A good knowledge of the common organism causing foot infection will help in the treatment and selection of appropriate antimicrobial agents.

The most common infectious problem in the diabetic foot is the infected neuropathic ulcer. Infection begins with the onset of warmth, redness and purulent exudate. Few cases, cultures yield a pure growth of S. aureus and these patients respond well to therapy. But most infections are caused by multiple organisms, usually a mixture of aerobes and anaerobes.

  • Of the aerobic gram–positive cocci, the organism most frequently seen include beta–hemolytic streptococci, both enterococci and non-enterococci and S. aureus.

  • Among aerobic and facultative anaerobic gram-negative bacilli, Escherichia coli and Proteus mirabilis are most prevalent; Pseudomonas aeruginosa, Klebsiella and Enterobacter species occur with moderate frequency, and other Enterobacteriaceae are isolated less often.

  • Of the anaerobic organisms the most important one appears to be anaerobic gram–positive cocci, represented chiefly by peprococci and peptostreptococci and Bacteroides species such as Bacteroides fragilis. Clostridia are also found but no one species appears to predominant.

Vascular insufficiency produces gangrene of the foot. Most often infection are caused by anaerobes. Gas–forming infections may be due to either clostridial or nonclostridial organisms.

 

Fungal infections of the foot most often involve either the nail or the toe webs. Onychomycosis is strongly associated with the group of fungi known as dermatophytes, which includes species of Trichophyton, Epidermophyton and Microsporum. Infections between the toe webs may be due to either dermatophytes or yeasts, particularly Candida species. Most fungal infections remain superficial, but by producing a break in the skin they increase susceptibility to virulent bacterial infections.

Mental exercise to prevent dementia: Dr Anupam Sethi Malhotra

Three English words beginning with dw: Dwarf, dwell and dwindle…

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Public Forum (Press Release for use by the newspapers)

Do not use 2 pin electrical appliances: they can be dangerous

With the onset of monsoon and the continuing use of electrical equipments deaths due to electrocution are quite common. 35 persons die due to electric shock everyday in any major city during the monsoon months. Most deaths due to electric shock could be attributed to lack of awareness regarding the basic principles of electrical systems and callousness while handling electrical equipment, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

The public not only needs to be aware of the safety principles but also the inherent dangers of handling electrical equipment, along with preventive measures to reduce mishaps and methods to revive a person who has suffered an electric shock. Like fire, electricity is a good servant but a bad master. If used properly it is a boon in every day’s life and if manhandled can cause death.

The most important education required is regarding the proper use of earthing. Earthing can be procured either from the city source or made indigenously at home by digging a big hole. Earthing is a thick wire attached to the top hole of a 3pin electrical socket. Earthing leads are, by international convention, kept green so that there should be no difficulty in identifying it and pointing it out.

People need to be familiarized with the colours used on the insulation; green is for earthing, black for neutral and red for live wire. Normal electricity is generated when the live wire is connected to the neutral wire. Earth wire is a safety mechanism to remove leakage of the electrical current. Live with earth wire will also give the electrical current but not when the earth wire is connected to the neutral wire.

Earthing is a safety outlet, which allows leaking electricity to be conducted away harmlessly and not through the body. Earthing needs to be checked every 6 months because it deteriorates with time and weather, particularly during the rainy season. A check can be carried out using an ordinary tester on the body of the appliance.

A tester or a test lamp can easily check that earthing is proper. One can light bulb with live and earth wire. If the bulb fails to light while connecting live and earth socket it means a defective earthing. People tend to take earthing lightly and often misuse it. Live and earth wires are sometimes untied together for temporary connection, which can be dangerous to life.

Following are the general precautions, Dos and Don'ts which people should take to prevent electrical hazards:

  1. Make sure that you have proper earthing connection in the house.
  2. Always remember the green wire, without it, do not use any electrical appliances especially if it is touching any water surface. Water enhances conductivity; extra precautions therefore should be taken, while handling appliances, under wet conditions.
  3. 2–pin plugs with no earthing arrangements should not be used and in fact should be banned.
  4. While using 3–pin plugs, make sure all 3 wires are connected and the pins are not defective.
  5. Do not use matchsticks to hold wires in the socket.
  6. Do not touch any wire without ensuring that power supply is switched off.
  7. Do not use the earth wire to replace the neutral wire.
  8. All joint wires should be properly insulated with proper insulated tapes and not with cello tape or Band–Aids.
  9. Before using geyser water, it should be switched off.
  10. Do not use heater plates with exposed wire for cooking purpose.
  11. Use dry rubber slipper at home.
  12. Use mini circuit breaker (MCB) and earth leak circuit breaker (ELCB) facilities at home.
  13. Metallic electrical appliance should not be kept near a water tap.
  14. Using rubber mats and desert coolers by using rubber leggings in the stand can insulate electrical appliance.
  15. Use only recommended resistance wires and fuses.
  16. Earthing should be checked every 6 months.
  17. Any ordinary tester can check the presence of leaking electricity.
  18. Wrap cloth around the handle of the refrigerator
  19. Read the set of instructions attached with every electrical appliance.

Accidental electric deaths occur more often in India due to the use of 220 V than in the US, where 110V is used. AC current is more dangerous than DC. An AC current of more than 10 MA causes tetanic muscular contractions making it impossible for a hand grasping an energized object, to free itself.

In case of electrocution, proper resuscitation is necessary. The mains should be switched off or wires disconnected using a wooden material and cardiopulmonary resuscitation should be started immediately. In a clinically dead patient, a thump in the center of the chest from a distance of one foot may alone revive a person.

In severe electrocution, clinical deaths occur within 45 min., therefore time to act is limited. Do not wait for the victim to be taken to the hospital. Act there and then.

 

An Inspiring Story (Arun Rai)

Forgive me if ………

There once was a little boy who had a bad temper. His Father gave him a bag of nails and told him that every time he lost his temper, he must hammer a nail into the back of the fence.

The first day the boy had driven 37 nails into the fence. Over the next few weeks, as he learned to control his anger, the number of nails hammered daily gradually dwindled down. He discovered it was easier to hold his temper than to drive those nails into the fence.

Finally the day came when the boy didn’t lose his temper at all. He told his father about it and the father suggested that the boy now pull out one nail for each day that he was able to hold his temper.

The days passed and the young boy was finally able to tell his father that all the nails were gone. The father took his son by the hand and led him to the fence He said, ‘You have done well, my son, but look at the holes in the fence. The fence will never be the same. When you say things in anger, they leave a scar just like this one. You can put a knife in a man and draw it out.

It won’t matter how many times you say ‘I’m sorry’, the wound is still there. A verbal wound is as bad as a physical one.

 

IJCP Special

Dr Good Dr Bad

Situation: A patient with laryngopharyngeal reflux wanted to know whether he could have decaffeinated tea/coffee.
Dr Bad: Yes, you can take.
Dr Good: No, you cannot take.
Lesson: Tea and coffee that is decaffeinated still contains enough caffeine to cause problems with the sphincters. It is best to choose drinks that were never caffeinated.

Make Sure

Situation: A lady took her daughter to the physician for not gaining weight.
Patient: Doctor, inspite of munching something or the other all day long, my daughter is not gaining weight
Doctor: Make sure that besides "munching" large quantities, she also eats some quality food containing balanced amount of macro as well as micronutrients.

Mistakes in Clinical practice

Do not write "D/C" for discharge: It can be mistaken for discontinuing patients’ medications.

Mnemonic of the Day (Dr. Maj Prachi Garg)

White patch of skin: Differential diagnosis

PATCH

Pityriasis alba/ Post–inflammatory hypopigmentation
Age–related hypopigmentation
Tinea versicolor/ Tuberous sclerosis (ashleaf macule)
Congenital birthmark
Hansen’s (leprosy)

 

International Medical Science Academy Update (IMSA)

Application of antiseptics to the skin immediately prior to surgery is a routine practice in most operating rooms. Preoperative skin cleansing with chlorhexidinealcohol is superior to providone-iodine. I n a trial of 849 patients undergoing cleancontaminated surgery, the overall rate of surgical site infection was significantly lower in the chlorhexidinealcohol group than in the povidoneiodine group (9.5 vs 16 %) (Darouiche RO, Wall MJ Jr, Itani KM, et al. Chlorhexidinealcohol versus povidoneiodine for surgicalsite antisepsis. N Engl J Med 2010; 362:18)

Drug Update

List of Approved drugs from 1.01.2009 to 31.10.2009

Drug Name

Indication

DCI Approval Date

Naratriptan (as HCl) Tablets 1/ 2.5mg

For the acute treatment of migraine with or without aura in adults.

18.7.2009

Medi Finance

Extension Cover
The personal accident individual policy can be extended to include reimbursement of medical expenses to the extent of 40% of the valid claim amount or 10% of capital sum insured whichever is less subject to payment of additional premium at the rate of 20% of basic premium.

Lab Medicine

Lab Test (Dr Arpan Gandhi and Dr Navin Dang)

Tests for Adrenal Insufficiency /Addison’s Disease

Cortisol: Levels normally vary, peaking in the early morning. If the adrenal gland is either not functioning normally or not being stimulated by ACTH, then cortisol levels will be consistently low.
ACTH: ACTH is a pituitary hormone that signals the adrenal glands to produce cortisol. This test is primarily ordered as a baseline test to evaluate whether or not the pituitary is producing appropriate amounts of ACTH. In a patient with adrenal insufficiency, low ACTH levels indicate secondary adrenal insufficiency, while high levels indicate primary adrenal insufficiency (Addison’s disease). The ACTH test is often ordered along with the ACTH stimulation test.

Other tests

  • Aldosterone, Electrolytes, BUN and Creatinine to monitor kidney function.

  • Glucose levels may be very low during an adrenal crisis. Glucose may be ordered in order to help monitor a patient during a crisis.
 

Humor Section

IMANDB Joke of the Day (Dr Vasudev Bhagi)

One night a guy dropped his girlfriend at her home.
As they were about to wish each other goodnight at the front door,
With an air of confidence, he leaned with his hand against the wall and smiling, he said to her "Honey , would you give me a kiss? "
Horrified, she replied, " Are you mad ? My parents will see us!"
"Oh come on! Who`s gonna see us at this hour?" He asked grinning at her.
"No, please. Can you imagine if we get caught? "
" Oh come on ! There`s nobody around, they`re all sleeping!" .

"No way , it`s just too risky!"
"Oh please, please" .
"No, no, and no I just can`t!".
"Oh yes you can. Please?"
"No, no. I just can`t" " I`m begging you … "

Out of the blue, the light on the stairs went on, and the girl`s elder sister showed up in her pajamas, hair dishevelled.

In a sleepy voice she said ,"Dad says to go ahead and give him a kiss, or I can do it. Or if need be, mom says she can come down herself and do it, but for God`s sake and all of ours…

TELL HIM TO TAKE HIS HAND OFF THE DOOR BELL …

Funny Definitions

D & C………………Where Washington is

Medical bloopers on medical charts!

The patient has been depressed ever since she began seeing me in 1983.

 

The Ten Traits of the True Spiritual Warrior: Guy Finley

The true spiritual warrior commits herself to her best choice and realizes that to live in conflict over what is or is not best is the refusal of responsibility.

 

Readers Responses

  1. Indian Medical Association opposes 3 Agendas engaged by Ministry of Health & Family Welfare, Govt of India

    • BRHC: is a course planning to create half qualified allopathy Doctors to treat Rural Indians. In India as per constitution all the citizens are equal whether they are Rural or urban. Hence Rural Indian cannot be made Guinea Pigs in the hands of the proposed Half–Qualified Health work force. IMA wants that Rural Indians must also be treated by fully qualified MBBS Doctors only.

    • CEB: Clinical establishment Registration and Regulations Bill of Govt of India, is introduced to Regulate the Private clinical establishments like Hospitals, Nursing Homes, Clinics & Diagnostic Centres in India.Today in India, the Private Health Care is upto 80%. Even Govt Health Care in many states is entering into Public Private Partnership. Health Care is already expensive because of nearly 50 laws regulating the medical profession. This Regulatory bill will add to the burden of the Health Care & common man in India, who is enjoying a reasonable Health Care, will find it difficult to reach. Today we are concerned about the Health care in Rural India. This Bill will collapse the Rural Health in India both Today & Tomorrow. Hence IMA oppose this CEA so that common man will not suffer from high cost of Health care & Rural Health Care will also improve.

    • MCI Dissolution: The Medical Council of India, an Autonomous Regulatory Body of Medical Education in India was recently superseded by MOH due to the corruption charges on its President. IMA strongly condemns the dissolution of MCI because in any Regulatory Body, if one member is charged corrupt, action must be against him and his place must be replaced transparently. We never dissolve the organisation as such. This is injustice done to the Medical Education of the country and ultimately the Health care in future will be in doldrums:

      Indian Medical Association Condemns dissolution of MCI as arbitrary exercise of power; demands reconstitution of MCI immediately as per provisions; demands restoration of the independence of MCI; demands retaining of MCI in its present character and form and demands two representatives for MCI to be elected from central council of IMA. (Sent by Dr. S. Arulhraj, President, Commonwealth Medical Association)

  2. Dear KK, It is probably the first time that the IMA election have been allowed under the keen eye of Justice SK Aggarwal. This shows how far the medicos stoop down to tarnish their own image. It is not new that politics has entered deep into the medical fraternity. The regular, more or less regular columns by Drs Arpan Gandhi, Dr Navin Dang, Dr Maj Prachi, Garg ,Dr eelam Mohan and latest entrant Dr Sudhir Gupta are definitely welcome and do help awakening in the knowledge. Some of these are new things and some are forgotten ones for not being part of daily routine. I appreciate their efforts and yours in giving every one a free platform:  Dr K K Arora

  3. Dear Dr KK, Congrats!! Justice is supreme and always prevails!! I am very happy and one again congratulations!! Dr Ahmed Qureshi, Visiting ENT Consultant, University of British Columbia, Vancouver BC, Canada

  4. Respected Dr KK, Regards, It is a foul play that your name was deleted from the Central Council list of IMA. The members should come forward with an explanation as to Why did they so?. Is it a lobby of persons with vested interest? You are a pure, honest, simple and incorruptible person. But you are a bold person too, openly speaking against the wrongs happening in our society. That is why you are disliked by them. ‘You do wrong, I will also do wrong. don't say anything to me , nor will I raise objection to your action' - this is the motto of the selfish community, but they cannot dictate their rules on a candid person like you. One reader Vinod Varshney has rightly commented "If this happens in doctors' community, who can then blame any pettiest politician of the country? " We are with you, not because you are Dr KK but because you are an upright person with integrity. May God be with you always? Sinc Yrs: Dr Varesh Nagrath

  5. Effects of cinnamon on sugar level: Blood sugar (glucose) is the fuel for every single cell in your body. Stable blood sugar level helps prevent complications like diabetes, heart disease, memory problems and fertility problems... . Cinnamon contains a natural water–soluble polyphenol compound called MHCP that mimics the effect of insulin, and works synergistically with insulin in cells: Yogesh Jaju

  6. Dear Deepak, (Dr Deepak Chopra) It was nice to read in the emedinews that you have been bestowed with the prestigious goi Peace Award for which the ceremony will be held at Tokyo. I wish we were personally there to congratulate you. Dr Asha Ahooja , my wife joins me in congratulating you for this achievement and wish many more to come for the excellent work you and your organization is doing for humanity. Keep doing the good work and the Almighty will always bless you. With kind regrds. Ashok Ahooja, Sqn. Ldr(Retd).Advisor`

  7. Dear Krishan, Greetings! I fully support all your noble efforts for seeking transparency in our profession. Truth and justice prevails and its very intention itself is rewarded by Almighty, let alone the action itself. Keep it up May God bless you and the family, Warmest Regards, Dr Ahmed Qureshi
 

Forthcoming Events

eMedinews Events: Register at emedinews@gmail.com

5th September: 3 PM to 5 PM A dialogue with His Holiness Dalai Lama at Parliament Street Annexe in association with Acharya Sushil Muni Ahimsa Peace Award Trust

12th September: BSNL Dil ka Darbar A daylong interaction with top cardiologists of the city.
8 AM – 5 PM at MAMC Auditorium, Dilli Gate.

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi

24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM

30th October, Saturday: eMedinewS Update from 8 AM to 5 PM

29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama

30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to 10 PM

31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

eMedinews Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, Cultural Hungama and Live Webcast. Suggestions are invited.

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