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Editor-in-Chief eMediNexus – Dr KK Aggarwal
28th July 2018
Telephonic consultations: How safe are they?

Dr KK Aggarwal, Recipient of Padma Shri

In a recent judgment, the Bombay High Court turned down the anticipatory bail pleas of a doctor couple booked for the death of a woman patient under section 304 of Indian Penal Code (culpable homicide not amounting to murder) after the patient died earlier this year. The high court noted that there was no effort to refer the woman to another doctor in the absence of Deepa Pawaskar and she (Deepa) continued to prescribe medicines telephonically. "There was no resident medical officer or any other doctor to look after the patient in the absence of Dr Deepa and Sanjeev Pawaskar even when the couple knew that they would not be available in the hospital." The accused couple, in their pleas, argued that they could not be charged with culpable homicide not amounting to murder and should, at the most, be booked under section 304 (A) (causing death due to negligence). However, the high court said that in the present case, the applicants took the risk of doing something with recklessness and indifference to the consequences.

"An error in diagnosis could be negligence and covered under section 304 (A) of the Indian Penal Code. But this is a case of prescription without diagnosis and, therefore, culpable negligence." "When a doctor fails in his duty, is it not tantamount to criminal negligence? The courts cannot ignore the ethical nature of the medical law by liberally extending the legal protection to the medical professionals..." Thus, the Bench concluded that "Prescription without diagnosis would amount to culpable negligence. This amounts to gross negligence from the point of standard of care and recklessness and negligence, which is a tricky road to travel" more

Top News

Today is ORS Day: "ORS all the day keeps dehydration at bay"

ORS Day is celebrated every year on July 29 to highlight the importance of oral rehydration salts (ORS) as a cost-effective method of health intervention in managing dehydration. According to WHO, diarrheal disease is the second leading cause of death in children under five years old. Dehydration from diarrhea can be prevented by giving extra fluids at home, or it can be treated by ... read more

Morning Medtalks

Morning MEDTalks with Dr KK Aggarwal 29th July 2018

Undetectable HIV is untransmittable and the 'Risk Is Zero' If one is on suppressive ART, he or she is sexually non-infectious. The risk is zero as per results from PARTNER2 trial that showed zero linked transmissions after nearly 77,000 condom-less sex acts between sero-discordant gay couples in which the HIV-positive partner had a suppressed viral load... read more

Practice Updates

A new lighting system that mimics natural light improves sleep efficiency

A tailored lighting system that closely mimics natural light improves sleep efficiency and reduces depression and agitation in nursing home patients with dementia, according to findings of a study presented July 24, 2018 at the Alzheimer's Association International Conference (AAIC) 2018 in ... read more

Different clinical approaches adopted when discussing treatment options with older kidney failure patients

Kidney specialists differ in their approaches to treatment decision-making with older patients with kidney failure, with many nephrologists not describing conservative management and some limiting patients’ role in decision making, according to a study published in the Clinical Journal of the American Society of Nephrology. Four different approaches to decision-making were ... read more

Undetectable HIV is untransmittable, says PARTNER 2

Results from PARTNER2 presented July 25, 2018 at the International AIDS Conference 2018 in Amsterdam showed zero linked transmissions after nearly 77,000 condomless sex acts between serodiscordant gay couples in which the HIV-positive partner had a suppressed viral load. ... read more

Integrating psychological screening into medical care increases psychological referral rates in young patients with abdominal pain

Systematic screening for anxiety, pain, and pain-related disability as a routine part of medical care can be reliably implemented with clinically meaningful results. Psychological screening integrated into medical care can significantly increase psychological referral rates for young... read more

Mediterranean diet may slow the progression of disease in patients with psoriasis

Results from the NutriNet-Santé Cohort published online July 25, 2018 in JAMA Dermatology show a statistically significant inverse association between adherence to the Mediterranean diet and severity of psoriasis. Patients with severe psoriasis had low levels of adherence to the Mediterranean diet. Hence, an optimized diet should be part of the multidisciplinary management ... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. The sample should be kept at 4°C.
2. The sample should be incubated at 37°C.
3. The sample should be refrigerated deep freezer.
4. The sample should be refrigerated for the initial 3 hours and then incubated at 37°C.
Lifestyle Updates
Inspirational Story 1: Have lunch with God - bring chips!
Inspirational Story 2: A box of kisses
Less than 10% people infected with hepatitis are aware of the condition
Urgent awareness initiatives and prevention need of the hour
New Delhi, 28 July 2018: Recent estimates by the World Health Organization (WHO) have indicated that less than 10% of those infected with viral hepatitis are aware of this potentially life-threatening condition. Such lack of awareness and treatment can cause progressive liver damage and life-threatening conditions such as fibrosis and liver cancer. This can further result in about 4.1 lakh deaths in the country every year.

Viral hepatitis remains a major public health challenge in India with intermediate to high endemicity of hepatitis B. The hepatitis B virus infection is a big cause of viral hepatitis and about 3% to 5% of the Indian population is a carrier of the infection. The most common route of transmission in India is from mother to child.

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