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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 …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

29th December 2012, Saturday

Preventing death due to hypothermia

People can die of hypothermia in this season. Imagine a situation when you come across two people lying in a JJ cluster area with no clothes early in the morning. One of them is shivering and the other one is not. The one who is shivering indicates that his body is trying to compensate with the low body co-temperature.

The other one, who is not shivering, may be dead, dying or normal.

Recall your naturopathy teaching “Sar Thanda, Pet Naram and Paon Garam”. If the sole of the feet and the feet are cold and the person is not shivering, this is a medical emergency. On the contrary, if the person is not shivering and the feet are warm, it is not medical emergency.

Therefore, hypothermia with no shivering and hyperthermia with no sweating are bad signs.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

Register for 4th eMedinewS–revisiting 2012 conference

    Constipation Update

In patients over the age of 70 years being treated with enemas for constipation, give warm water enemas rather than sodium phosphate enemas. The use of sodium phosphate enemas in older adults has been associated with complications including hypotension and volume depletion, hyperphosphatemia, hypo- or hyperkalemia, metabolic acidosis, severe hypocalcemia, renal failure and EKG changes (prolonged QT interval).

Dr K K Aggarwal
  eMedinewS Audio PostCard

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

AHA - ACS update

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal took over as National Vice President (Elect) of India Medical Association for the year 2013-2014 at the 87th Annual National Conference held at Kanyakumari, Tamil Nadu.

Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Bhedaghat may make it to UNESCO list soon

JABALPUR: Bhedaghat, the majestic waterfall among marble rocks here, could soon find itself in the coveted list of UNESCO's world heritage sites (WHS). Superlatives used to describe it's grandeur in the organization's "revised tentative list of WHS in India and its recommendations" have raised hopes of the state government, which is preparing to hard sell its one of the biggest tourist draw as the fittest case under the natural site category. Bhedaghat is one among the only three sites in this slot that made it to the pan India nomination this time. The tentative list, compiled by the advisory committee on the world heritage matters (ACWHM), had named Bhedaghat, along with Kanger valley Bastar and the Aravali hill range, said R K Sharma, state convener of INTACH. Aravali seems to have lost out as the committee felt that due to its location spanning Gujarat, Rajasthan, Haryana, Delhi and even Pakistani provinces of Punjab and Sindh it could present several protection and management issues. Bhedaghat, he feels, has a much stronger case and the words used to describe it in UNESCO's status of existing properties and recommendations for new additions makes it all too clear. (Source: TOI, Dec 18, 2012)

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

    Valvular Heart Disease Update

Aortic regurgitation in the elderly

The most common causes for chronic aortic regurgitation in elderly adults are dilation of the ascending aorta resulting from hypertension or primary aortic disease, calcific aortic sclerosis, and, rarely, a bicuspid aortic valve. Acute aortic regurgitation is most often due to an aortic dissection or endocarditis.

(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)

Autoantibodies found in 10% of adult-onset diabetes patients

Nearly 10% of patients with adult-onset diabetes were found to have diabetes-associated autoantibodies in a large European cross-sectional study. Many of those with autoimmune diabetes did not require insulin at diagnosis and, although they tended to be younger and leaner, overall did not show categorically distinct clinical differences from autoantibody-negative patients with type 2 diabetes. (Source: Medscape)

Novel drug may protect organs in acute HF

The mortality reduction seen in acute heart failure with the novel blood vessel relaxer serelaxin may be a real effect from reduced end-organ damage and faster decongestion, exploratory analysis of the RELAX-AHF trial data suggested. (Source: Medpage Today)

Premenstrual dysmorphic disorder may be affected by melatonin

Alterations in the circadian control of melatonin secretion may be related to the development of mood disruption in women with premenstrual dysmorphic disorder (PMDD), according to the findings of a pilot clinical study. Ari Shechter, PhD, from the Centre for Study and Treatment of Circadian Rhythms, Douglas Mental Health University Institute, Department of Psychiatry, McGill University in Montreal, Quebec, Canada, and colleagues published their findings online December 19 in PLoS One. (Source: Medscape)

New drug-eluting stents top older ones for CTO

Newer drug-eluting stents and older procedural techniques seem to be the right mix to avoid reocclusion in coronary arteries that have short chronic total occlusions (CTOs), data from a large specialized registry showed. (Source: Medpage Today)

'Favorable' five-year outcomes with early TAVI devices

New data showing five-year outcomes at a single center with the very earliest transcatheter aortic valve implant (TAVI) devices indicate that they are durable and "may last as long as many surgical valves," says senior author Dr John G Webb (St Paul's Hospital, Vancouver, BC). (Source: Medscape)

  Twitter of the Day

@DrKKAggarwal: Even iPod and MP3 may be harmful to the ear http://bit.ly/ZFj8WL

@DeepakChopra: The Conscious Lifestyle: The Soul of Leadershiphttp://www.linkedin.com/today/post/article/20121227230040-75054000-the-conscious-lifestyle-the-soul-of-leadership …

    Spiritual Update

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

Lessons learnt in medical practice

  1. One day I asked one of my patients if he smoked. He said, “Kabhi kabhi cigarette peeta hoon.” I wrote on my file he smokes occasionally. His wife got upset and asked me to ask him, “What does he mean by ‘Kabhi kabhi peeta hoon’?” When asked he said that he does not smoke all the time “kabhi kabhi to ghante nikal jate hain aur me nahi pita” (some time its hours that I do not smoke)

For comments and archives

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

What happens if one has too much testosterone?

High levels of testosterone cause some symptoms of PCOS. You may have more body hair than most women. In addition, you may be overweight. Your periods may be irregular. Your ovaries may not release eggs every month, so you probably don’t ovulate regularly and you may have a difficult time becoming pregnant.

    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: Eyes can be removed out of living human beings.
Fact: Eyes are removed only after death.

For comments and archives

    An Inspirational Story

The woman in your life

Tomorrow you may get a working woman, but you should marry her with these facts as well.

Here is a girl, who is as much educated as you are; who is earning almost as much as you do; One, who has dreams and aspirations just as you have because she is as human as you are; One, who has never entered the kitchen in her life just like you or your sister haven't, as she was busy with studies and competing in a system that gives no special concession to girls for their culinary achievements

One, who has lived and loved her parents & brothers & sisters, as much as you do for 20-25 years of her life…

One, who has bravely agreed to leave behind all that, her home, people who love her, to adopt your home, your family, your ways and even your family name…

One, who is somehow expected to be a master-chef from day 1, while you sleep oblivious to her predicament in her new circumstances, environment and that kitchen…

One, who is expected to make the tea, first thing in the morning and cook food at the end of the day, even if she is as tired as you are, maybe more, and yet never ever expected to complain; to be a servant, a cook, a mother, a wife, even if she doesn't want to; and is learning just like you are as to what you want from her; and is clumsy and sloppy at times and knows that you won't like it if she is too demanding, or if she learns faster than you…

One, who has her own set of friends, and that includes boys and even men at her workplace too, those, who she knows from school days and yet is willing to put all that on the back-burners to avoid your irrational jealousy, unnecessary competition and your inherent insecurities; Yes, she can drink and dance just as well as you can, but won't, simply because you won't like it, even though you say otherwise…

One, who can be late from work once in a while when deadlines, just like yours, are to be met…

One, who is doing her level best and wants to make this most important, relationship in her entire life a grand success, if you just help her some and trust her…

One, who just wants one thing from you, as you are the only one she knows in your entire house - your unstinted support, your sensitivities and most importantly - your understanding, or love, if you may call it…

But not many guys understand this…

Please appreciate "HER"

For comments and archives

  Cardiology eMedinewS

Everolimus-eluting stents vs bare metal stents in the elderly Read More

Stent versus balloon angioplasty for in-stent restenosis Read More

  Pediatric eMedinewS

Extreme preemies no better off with early CPAP Read More

Kawasaki disease diagnosed by urine proteins? Read More

    IJCP Special

Dr Good Dr Bad

Situation: A patient came with black stools.
Dr. Bad: It is lower GI bleeding.
Dr. Good: This is upper GI bleeding.
Lesson: Black stools usually indicate upper GI bleeding.

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)

I love you without knowing how, or when, or from where. I love you straightforwardly, without complexities or pride; so I love you because I know no other way. Pablo Neruda

    Legal Question of the Day (Dr M C Gupta)

Q. There is much confusion regarding the authorised signatory for signing of clinical laboratory reports. MCI says they can be can be signed only by persons having a qualification in pathology. National Accreditation Board for Testing & Calibration Laboratories (NABL) says they can be signed even by non-medical persons. What is the correct picture? What action can be taken against the NABL? How can the confusion be cleared?


  1. It is correct that High Court judgments have, relying upon the MCI’s stand, held that Clinical laboratory Reports can be signed only by persons having a qualification in pathology.

    Ref: Gujarat HC judgment in Association of Pathologist Of Bhavnagar & Ors Versus Secretary Health Department & Ors, Gujarat High Court, 17 September, 2010

  2. NABL is a voluntary organisation and is free to follow its own rules and standards but they cannot be binding on others and cannot operate against law. It is true that as per the NABL document 112 Issue No. 03, Amendment date 16.10.2012 (Paragraph Table 1), Clinical laboratory Reports can be signed even by non-medical persons having certain specified qualifications. However, the same document also states that the laboratories concerned have to follow the provisions of law.
  3. The correct picture is that law has to prevail. Legislations and court judgments cannot be negated by some private organisation’s rules.
  4. No action can be taken against NABL because it clearly states that the laboratories concerned have to follow the provisions of law.
  5. The confusion can be cleared by filing court cases against laboratories recognised by the NABL whose reports are not signed by pathologists. The NABL should be made a party in such a case. The courts are likely to hold the laboratories guilty of violating law.
    Mind Teaser

Read this…………………

Included in the plan of care for the immediate post-gastroscopy period will be:

A. Maintain NGT to intermittent suction
B. Assess gag reflex prior to administration of fluids
C. Assess for pain and medicate as ordered
D. Measure abdominal girth every 4 hours

Yesterday’s Mind Teaser: During the first 24 hours after thyroid surgery, the nurse should include in her care:

A. Checking the back and sides of the operative dressing
B. Supporting the head during mild range of motion exercise
C. Encouraging the client to ventilate her feelings about the surgery
D. Advising the client that she can resume her normal activities immediately

Answer for Yesterday’s Mind Teaser: A. Checking the back and sides of the operative dressing

Correct answers received from: Dr Shagufta Moin, Dr Jella, Dr Arpan Gandhi, Dr Chetna Bansal, Dr (Maj. Gen.) Anil Bairaria, Dr Bharat Bhushan Aggarwal,
Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Kanta Jain, Dr BK Agarwal, Dr Ajay Gandhi, Dr KV Sarma.

Answer for 27th December Mind Teaser: B. A tracheostomy set and oxygen

Correct answers received from: Dr Kanta Jain, Dr BK Agarwal, Dr Ajay Gandhi.

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

Funny meanings...

Conference: The confusion of one man multiplied by the number present.

    Medicolegal Update

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

Medical negligence

The investigating police officer and the private complainant cannot always be supposed to have knowledge of medical science so as to determine whether the act of the alleged medical professional/doctor or hospital amounts to rash or negligent act within the domain of criminal law under Section 304–A of IPC said the Supreme Court of India. The Supreme Court states,

  • “… As we have noticed hereinabove, that the cases of doctors being subjected to criminal prosecution are on an increase. Sometimes such prosecutions are filed by private complainants and sometimes by the police based on an FIR being lodged and cognizance taken.
  • The criminal process, once initiated, subjects the medical professional to serious embarrassment and sometimes harassment. He has to seek bail to escape arrest, which may or may not be granted to him.
  • At the end he may be exonerated by acquittal or discharge but the loss which he has suffered in his reputation cannot be compensated by any standards.
  • We may not be understood as holding that doctors can never be prosecuted for an offence of which rashness or negligence is an essential ingredient.
  • All that we are doing is to emphasize the need for care and caution in the interest of society; for, the service which the medical profession renders to human beings is probably the noblest of all, and hence there is a need for protecting doctors from frivolous or unjust prosecutions.
  • Many a complaint prefers recourse to criminal process as a tool for pressurizing the medical professional for extracting uncalled for or unjust compensation. Such malicious proceedings have to be guarded against.”

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    Public Forum

Public Forum (Press Release for use by the newspapers)

Dr. KK Aggarwal, Vice President-Elect IMA

Padma Shri & Dr.BC Roy National Awardee, Dr. KK Aggarwal took over as National Vice President (Elect) of the Indian Medical Association. The 2-year term will include the first year as Vice President (Elect) and the second year as Vice President

In the past, Dr. Aggarwal has served the National IMA as its Academic and Research Wing Head and also Finance Secretary.

At the State level, Dr. Aggarwal has served as President of Delhi Medical Association and President, Indian Medical Association, New Delhi Branch for three years.

Dr. Aggarwal said that today there are several issues concerning the medical profession. One of them is to provide affordable quality health care to people across the country. Today, if a person gets heart attack, he will not get the few basic same treatments at different setups and locations where he happens to reach with acute heart attack.

    Readers Response
  1. Dear Sir, emedinews is really very useful newspaper. Regards: Dr Jaya
    Forthcoming Events

4th eMedinews Revisiting 2012

(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)

Sunday 20th January 2013, Maulana Azad Medical College Auditorium

Dilli Gate Delhi


Dr KK Aggarwal
Padmashri and Dr B C ROY National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

4th eMedinewS Revisiting 2012

The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.

Register at: www.emedinews.in/


4th eMedinewS Doctor of the Year Awards

Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.

pls send his/her Biodata at: emedinews@gmail.com

    eMedinewS Special

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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