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    In This Issue ...
Dr K K Aggarwal

Dear Colleagues,

As you are aware, the Delhi Medical Council elections are being held on 4th October Sunday at Indian Agricultural Research Institute Pusa, Near Sidhartha Hotel. I am contesting under the Faith Team. Apart from Revision of PNDT Act, re-registration charges, eradication of quackery, one of the main emphases of the Faith Group will be to activate the Doctor Protection Cell where even doctors can approach Delhi Medical Council, if they are being harassed by their colleagues or patients. On behalf of the Faith Group, I hereby request all of you to support us.

The hype of Swine Flu is dying down. In the race of developing a vaccine for Swine flu, India has lagged behind. A vaccine for the Flu was introduced by Baxter in the past week. The question we must all ask?Why?

Heart disease paints a very harsh picture for most of us. Yes, a life of moderation is needed but heart diseases do allow one to lead a full life. We can learn from real life stories of some famous celebrities who have suffered a heart attack and yet are going on strong in their lives. A bypass surgery is intended to rehabilitate one?s life completely to normalcy as was the case of our Prime Minister, Dr. Man Mohan Singh. He underwent a redo-bypass surgery, an even more intricate surgical procedure but resumed his duties and the extremely stressful job of Prime Minister of the country soon after. Saif Ali Khan, who needs no introduction, suffered a mild heart attack and underwent angioplasty. A heavy smoker, he quit smoking post-PTCA and is now among the busiest actors today and has even won over the heart of a leading actress, the heartthrob of many.

The BSNL Dil Ka Darbar, a unique interactive one-day non-stop heart health forum, to be held on 6th September, gives one and all a chance to dissipate various misgivings about quality of life after a heart attack. All of you are invited to attend the Darbar.

And more in the next issue?

Dr K K Aggarwal



Swine Flu Update
In the Spotlight 
New Research
Pharma Update
For the Clinician 
ECG Formulae
IPC Indian Penal Codes to Know
Medico Legal Q & A
Listen to your heart 
Pratham Medicine
Preparing presentation for a conference


Swine Flu Update

Delhi pvt. labs begin swine flu tests

Three private labs have begun testing for the flu while another is expected to launch the facility on the 29th August. The city government gave permission to the fourth private lab - Super Religare Laboratories (SRL) - to test for H1N1 influenza, triggering a price war of sorts. The three labs approved for testing had unanimously decided to charge Rs 9,000 flat for the test. But SRL announced that it would do the same test for Rs 4,500. All four labs are promising results within 48 hours. The test is expensive, as the reagents, testing kits and other material are imported. According to sources in AIIMS, it costs the government around Rs 4,000-Rs 5,000 for each test. "The custom duty on reagents, enzymes, testing kits etc used by us is less as compared to what private labs have to pay. The cost is high as the material used in testing is very expensive. The cost of the test is also high because we have to test for at least four factors - influenza A, swine A, swine H1 and RnT", said a senior doctor at AIIMS.



In the Spotlight

Rare surgery rescues 48-year-old man from lung abnormality 

A team of doctors at Billroth Hospitals, Chennai have performed a rare hybrid surgery on a 48-year-old Jayaprakash, hailing from Hosur, who had been vomiting blood right from his birth. They said the patient was suffering from abnormal collaterals, arising from the coronary arteries and other systemic arteries, to pulmonary circulation. But he was not a heart patient. Doctors claimed this had not been reported in medical literature before. After CT scans showed bronchiectatic changes in left lower lingular segment of the lung due to which there was massive bleeding, a bronchoscopy was done. This confirmed that the bleeding was from the affected portion of the lung. Dr Thiagamurthy, one from the operating team, said that after monitoring the man's condition for two days, the lung surgery was performed using special anesthesia technique called 'isolated one lung ventilation using double lumen endotracheal tube' to isolate the left lung so that it does not expand and shrink during breathing.


MTNL Perfect Health Mela 2009

New Research

Dil Ka Darbar

Scientists engineer stem cells to turn into red blood cells

Stem cell scientists have modified a human embryonic stem cell (hESC) line to glow red when they become red blood cells. The modified hESC line known as ErythRED, opens the way to generating mature, fully functional red blood cells (RBCs) from human embryonic stem cells. The research was led by Andrew Elefanty and Ed Stanley, both professors at the Monash University (M-U) Immunology and Stem Cell Labs. Whilst hESCs have the potential to turn into any cell type in the body, it remains a scientific challenge to reliably turn these stem cells into specific types such as the RBCs. The development of the ErythRED embryonic stem cell line, which fluoresces red when hemoglobin genes are switched on, is an important development that would help researchers to optimize the conditions that generate these cells. - 

Genetic therapy to nip inherited diseases in bud

Researchers from the Oregon National Primate Research Centre (ONPRC) believe they have developed one of the first forms of genetic therapy to counteract diseases inherited by kids from mothers, through mutated DNA in cell mitochondria. Currently there are 150 known diseases caused by mutations of the mitochondrial DNA, and approximately one out of every 200 children is known to be born with mitochondrial mutations. When an egg cell is fertilized by a sperm cell during reproduction, the embryo almost exclusively inherits the maternal mitochondria present in the egg. This means that any disease-causing genetic mutations that a mother carries in her mitochondrial DNA can be passed on to her offspring. The method developed by OHSU researchers transfers the mother's chromosomes to a donated egg that has had its chromosomes removed, but which has healthy mitochondria, thereby preventing the disease from being passed on to one's offspring. They collected groups of unfertilized eggs from two female rhesus macaque monkeys (monkeys A and B). Chromosomes with genes found in the cell nucleus from the eggs of monkey B were removed and then transplanted the nuclear genes from the eggs of monkey A into the eggs of monkey B. Then the eggs from monkey B, which now contained their own mitochondria but monkey A's nuclear genes, were fertilized. The fertilized eggs developed into embryos that were implanted in surrogate monkeys, leading to the birth of healthy twin monkeys. They are the world's first animals derived by spindle transfer. In theory, this research has demonstrated that it is possible to use this therapy in mothers carrying mitochondrial DNA diseases so that we can prevent those diseases from being passed on to their offspring.


Why older people are more prone to skin problems

Scientists from University College London have found that defective immunity in the skin is caused by an inability to mobilize essential defenses that would otherwise recognize threats and clear them before irreparable damage is done. In the past, the reduction in skin health was put down to potential defects in the white blood cells called T-cells that would usually help to identify and clear infection. However, when experiments were carried out with healthy young individuals under the age of 40 years and older individuals over the age of 70 years, it was shown that nothing was wrong with the T-cells in the older group. Instead it was the inability of their skin tissue to attract T-cells where and when they were needed. That is the source of reduced immunity. They've done some experiments that showed, at least in the test tube, that it was possible to make older skin express the missing signals that attract T cells. This indicates that, in principle, the defect was entirely reversible.



Pharma Update
Heart Care Foundation of India60-year-old drug may help treat deadly cancers?

Scientists from Institute of Cancer Research in London have discovered that methotrexate, a chemotherapy treatment invented in the 1940s, has the potential to work against a genetic fault called HNPCC. It is involved in many bowel cancer cases. Five percent of those diagnosed with bowel cancer have the HNPCC fault - of whom nearly half would have a further defect called MSH2. The study showed that methotrexate worked particularly well in killing cells with the MSH2 genetic fault. A clinical trial has begun at The Royal Marsden NHS Foundation Trust in London and Surrey on patients with advanced bowel cancer.


For the Clinician

Feeling hopeless can up stroke risk in women

Researchers from the University of Minnesota Medical School have revealed that even healthy middle-aged women, when feeling hopeless, seem to experience the thickening of arteries in the neck, a precursor to stroke. For their study, they looked at 559 healthy women-average age 50, 62% white, 38% African American-who did not show any signs of clinical cardiovascular disease. They measured hopelessness with a two-item questionnaire assessing expectancies regarding future and personal goals. Depressive symptoms were measured with a 20-item Center for Epidemiologic Studies Depression Scale. Thickness of neck arteries was assessed using ultrasound. The researchers found consistent, progressive, and linear association between increasing neck artery thickness and rising levels of hopelessness. The researchers used data from Chicago and Pittsburgh sites of the Study of Women's Health Across the Nation (SWAN) to examine associations of hopelessness, and depressive symptoms with carotid IMT, an early marker of atherosclerosis.



Bariatric surgery can eliminate diabetes symptoms

Post weight-loss surgery observational findings of almost 135,000 patients concluded that 78% patients had a 'complete resolution' of diabetes for up to two years. The research was led by Professor Henry Buchwald of the Department of Surgery at the University of Minnesota, Minneapolis. Type 2 diabetes is common to obese people. It occurs when the body stops producing or using insulin, the hormone that maintains the sugar level in blood. Losing weight can help the body to efficiently use available insulin, and thus prevent kidney failure, nerve damage and eye problems. The weight-loss surgery or bariatric surgery or the gastric-band operation, fits a band around the upper part of the stomach, restricting the amount people can eat before feeling full. But it should be considered only as a last resort. It can lead to dramatic weight loss, which in turn may result in a reduction in people taking their type 2 diabetes medication, and even in some people needing no medication at all. But this does not mean type 2 diabetes has been cured. These people will still need to eat a healthy, balanced diet and be physically active to manage their diabetes.



ECG Formulae

Heart Rate

Sinus Tachycardia

A sinus rhythm of higher than 100/min is called sinus tachycardia. It occurs most often as a physiological response to physical exercise or psychical stress, but may also result from congestive heart failure..





IPC Indian Penal Codes to Know

IPC 84

Act of a Person of Unsound Mind

Nothing is an offence which is done by a person who, at the time of doing it, by reason of unsoundness of mind, is incapable of knowing the nature of the act, or that he is doing what is either wrong or contrary to law.

Comments: It is an important code as the doctor has to decide whether the person is of unsound mind or not. Quite often, he or she may not be required to appear before the Court to certify the same



Medico Legal Q & A
Q. What guidelines should a doctor follow in signing of professional certificates, reports and other documents? 

A. Registered medical practitioners are in certain cases bound by law to give or may from time-to-time be called upon or requested to give certificates, notification, reports and other documents of similar character signed by them in their professional capacity for subsequent use in the courts or for administrative purpose, etc. Any registered practitioner who is shown to have signed or given under his name and authority any such certificate, notification, report or document of a similar character which is untrue, misleading or improper is liable to have his name deleted from the register.


Listen to your heart

Take a walk

Take a walk

Persons of all ages should include physical activity in a comprehensive program of healthy lifestyle.

Lesson of the week 


Pratham Medicine


The stethoscope was invented in the year 1816, by the French physician R.T.H. Laennec.



Preparing presentation for a conference

Q. What about some finishing-touch tips for a presentation?

  • Use color to highlight and not decorate.
  • Use pictures and graphs
  • Abstain from clip art.
  • Insert audio files, such as demonstration of certain sounds like abnormal cry, episodes of cough, speech abnormalities and cardiac murmurs.
  • Insert video files in cases, such as movement disorders, epileptic syndromes and to show monitoring records like EEG and ECG. 


First Aid

Heat Cramps

What to do

  • Have the victim sit quietly in a cool place.
  • Apply firm hand pressure to the affected area of gently massage the victim's cramped muscles.
  • If the victim is not vomiting, given clear juice or sips of cool salt water (1 teaspoon of salt per glass). Stop fluids if vomiting occurs.
  • Medical attention is needed if available because of other possible complications.
Clinical Tip

Black or White

Explaining an abnormal Pap smear result to a patient can be challenging. Use a color analogy in which a normal smear is 'white' and a malignant smear is 'black'. It them becomes simple to explain a patient's abnormality as 'off-white' or a shade of 'grey'. 


Belly Ticklers 



Some people suffer from the delusion that they are some kind of animals. This one is about a man who thought he was a dog. 'Doctor, you must help me. I am acting like a dog. I bark at cars, eat my dinner out of a bowl on the floor and pee on the front lawn.' 'Mmm,' said the shrink. 'And how longs this been going on?
I ever since I was a puppy!'



A man having dined in a restaurant was washing his hands in the wash basin. Having done so he noticed that the towel on the rack was very dirty. He went to the manager to complain. 'Sir, you have no reason to complain/replied the manager. 'The towel has been there since the morning. Dozens of people have wiped their hands and faces with it. No one said anything about it. You are the first one to complain.'


Dr Good Dr Bad


Make Sure

Head Office

Daryacha 39, Hauz Khas Villege

New Delhi 110 016


Delhi Medical Council Needs A Visionary Leadership  

Dear Colleagues,

                   The  medical profession in the country is passing through trying times. We are faced with the challenge  of positioning our country and capital city as the global capital of health. We are also faced with the reality of a society  more hostile, litigious and suspicious of the medical  profession. Every day one hears of assaults on the profession. Every hour we face the  increasing menace of quackery breathing down our necks. AND every minute we are facing the wrath of innumerable authorities unaware of the realities of the profession.

The Delhi Medical Council (DMC) as the statutory body is responsible to provide protection to its members in discharging duties; ensure that no unqualified person practises modern scientific medicine in addition to receiving complaints form public against misconduct or negligence by doctors and take disciplinary action as deemed fit.

After the recent judgment by Hon'ble Supreme Court of India, it has become mandatory for Consumer Fora, Criminal Court and the police to first refer the matter to a compeptent doctor or committee of doctors, and only after that doctor or committee report that there is  a prima facie case of medical negligence can  notice be then issued to the concerned  doctor/hospital. Most of such cases are referred to DMC for opinion.

The  role of the DMC has thus become paramount.

With the elections for DMC already scheduled, we are now going to elect our next council for a five-year-term. It is in the interest of the medical profession and the society  at large to elect a dedicated team of professionals with  proven track record; vision and a pro-active and forward looking approach. It is these elected 8 representatives (plus 1 elected from amongst DMA members) who would represent you all and take care of the interests of the profession. 

Friends, we have been approached by innumerable colleagues in Delhi to field a team which fulfills the above. In all humility we offer ourselves to represent you in the DMC for the ensuing half a  decade. It is the under mentioned group of your representatives in DMA who have been responsible for the recent enactment of 'Delhi Medicare Service Personnel & Medical Service institution  (Prevention of Violence ) Act' by Delhi Assembly as well as the recent Supreme Court judgment protecting interests of Nursing Homes &  Medical Establishment in Delhi.



We Commit, that if elected we shall take care of the interests of the medical profession in Delhi to the best of our abilities.


Foremost amongst our AGENDA would be:


  1. To ensure that the DMC functions in a manner most transparent, positive and profession friendly.

  2. To Provide unstinted protection to medical professionals in  Delhi in discharging their professional duties.

  3. To root out the menace of quackery from Delhi by ensuring that no unqualified person  practies modern scientific system of  medicine.To adopt practical strategies for the above rather than keep making hue and cry on paper.

  4. To adopt  profession friendly strategies and prescribe a code of ethics for regulating the professional conduct of practitioners. To constantly update the profession  on issues: Legal, statutory, ethics-related which they must know.

  5. To fight for abolition of fees for Renewal of Registration in DMC.

The date of elections would be announced shortly. We shall also communicate the same to you. We look forward to your suggestions, and indulgence in this process. It's only our active indulgence today which would carve out a better future for all of us tomorrow.

Kind Regards 

Dr. Sanjiv Malik (mob. 9810026796)


Dr. Naresh Chawla (mob. 9811035060) 


Dr. Ashwini Dalmiya (mob. 9811542055)


Dr. K. K. Aggarwal (mob. 9811090206)


Dr. Chander Prakash (mob. 9810029000)


Dr. I. P. Dhalla (mob. 9810745433)


Dr. H. S. Kukreja (mob. 9810064847)


Dr. Vinod Khetarpal (mob. 9811054945)


Dr. Ramesh Dutta (mob. 9811086688)



Contact Us at: 


Delhi Medical Council





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