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 DAILY 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 Doctor’s Day Celebration

 
    Health Videos …

Nobility of medical profession: Aamir Khan Controversy (Video 1 to Video 9)
Health and Religion: Bharatiya Vidya Bhavan and Heart Care Foundation of India(Video 1 to Video 7)
Take Care Holistically, DD India health series, Anchor Dr KK Aggarwal (Video 1–3)
Chat with Dr KK On life Style Disorders

Health Update (Video 1 to 15)

 
  Editorial …

30th July 2012, Monday

Probiotics for prevention of the common cold

A meta–analysis of 10 randomized trials compared probiotics (strains of lactobacilli, bifidobacterium, and propionibacterium) with placebo for the prevention of upper respiratory tract infections showed that probiotics decreased the rate of acute respiratory infections but they had no significant effect on the duration of symptoms.

Higher–quality trials that include older adults are needed before it can be determined whether probiotics have a role in the prevention of respiratory tract infections in adults. (Cochrane Database Syst Rev 2011;:CD006895.)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

Give thiazides only to obese hypertensive

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on the Role of God Particle in health

Heart Care Foundation of India in association with International Centre for Spirituality and eMedinewS organized a seminar on "Higgs Boson, Consciousness and Health" on 24th July 2012 at PHD Chamber, New Delhi

 
Dr K K Aggarwal
 
    National News

New lab to slash treatment cost for hepatitis patients

KOLKATA: Hepatitis B and C have been prevalent in the state for some time now, but the government has hardly taken any decisive step over the years to facilitate treatment of these fatal diseases. As a result, the patients are forced to pay through their nose for tests that they need to undergo at least four times a year. However, the plight of hepatitis patients may ease to some extent soon with Liver Foundation of West Bengal (LFWB) taking up the initiative to open a molecular virology lab in the city on Saturday, the World Hepatitis Day. Installed at the organization’s headquarters on Kyd Street, tests at the lab will cost a fifth of what private laboratories charge. "Each viral load test costs a patient about Rs 5,000. A patient needs to undergo this test three to four times a year, in addition to bearing the cost for other allied tests and also the burden of the treatment cost. As a result, we find many patients discontinuing treatment and not going for the viral load test. This laboratory aims at minimizing the burden of patients. Here, we will charge only the cost of the reagent," said LFWB project director Partha Sarathi Mukherjee. (Source: TOI, Jul 28, 2012)

For comments and archives

My Profession My Concern

British doctors to face tests every year

Friday, July 20, 2012, London: Doctors in Britain will have to appear in tests every year to ensure they are fit to practise, a media report said on Friday. At present, doctors in the country can go for their entire career without any formal assessment of their competency, the Daily Express reported. But from December, they will be assessed to see if they are fit to stay on the medical register, according to the General Medical Council. The test would take the form of an annual appraisal. Doctors will be expected to demonstrate they meet clinical standards and have kept up with the latest developments. Appraisals will include feedback from patients and colleagues. (Source: IANS)

For comments and archives

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Prednisone delayed–release tablets approved for RA

The US Food and Drug Administration has approved prednisone delayed–release tablets (Rayos, Horizon Pharma) at the 1–, 2–, and 5–mg doses for rheumatoid arthritis (RA). The agency also approved Rayos for polymyalgia rheumatica, psoriatic arthritis, ankylosing spondylitis, asthma, and chronic obstructive pulmonary disease. (Source: Medscape)

For comments and archives

Shift work hikes MI, stroke risks

Shift workers had a significantly higher risk of myocardial infarction, stroke, and coronary events compared with the general population, a review of published data showed. (Source: Medpage Today)

For comments and archives

HbA1c measures higher in South Asians than white Europeans

Three measures of blood sugar — glycated hemoglobin (HbA1c) levels, fasting plasma glucose (FPG), and 2–hour β–plasma glucose (2hrPG) — were higher on average in South Asians than white Europeans regardless of other factors associated with glycemic control, according to results from a new study published online June 14 and in the August print issue of Diabetes Care. (Source: Medscape)

For comments and archives

B12 assays may be missing anemia

Newer assays for measuring vitamin B12 levels may miss more than a third of pernicious anemia cases, researchers found. Between 22% and 35% of saved samples from confirmed pernicious anemia patients showed false normal results using three different assays, Ralph Carmel, MD, of New York Methodist Hospital, and Yash Pal Agrawal, PhD, of Weil Cornell Medical College, reported in a letter to the editor in the New England Journal of Medicine. The results "suggest widespread malfunction" of the newer competitive-binding luminescence assay (CBLA), they wrote. (Source: Medpage Today)

For comments and archives

Vitamin E may lower liver cancer risk
(Dr S K Verma, Consultant Ophthalmologist, New Delhi)

Almonds, peanuts and dried apricots, rich in vitamin E appear to have a protective effect against cancer. Dr Wei MD, MPH of Shanghai Cancer Institute, Renji Hospial Shanghai, Jiotang University School of Medicine analysed data from 132,837 individuals – 267 liver cancer patients – in China where 54 percent of all liver cancers in the world occur. Approximately 85 percent of liver cancers occur in developing nations. After gathering information on participant’s dietary habit of Vitamin E they compared liver cancer risk to participants either from diet or supplement to those who did not. Dr. Zhang said the take home message is that high intake of vitamin E either from diet or supplement was related to lower risk of liver cancer on the middle aged or older people. (Courtesy: The Journal of the National Cancer Institute, July 17, 2012 published online)

 
  Twitter of the Day

@DrKKAggarwal: Best Time to Sign A Deal Is At 4PM

@DrKKAggarwal: You will never run out of possibilities unless you limit them yourself. The cause of limitation is negative belief.

 
    Spiritual Update

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

Health and Happiness in Jainism

Samani Rohit Pragya, Asst. Pprofessor, Dept. of Jainology and Comparative Religion, Jain Vishva Bharati University, Ladnun

"Inner purity leads to the outer purity and the inner impurity leads to outer impurity or disorder. The purity of the emotions, chitta (psyche), and the mind are important factors to have good health and happiness and the impurity of emotions, chitta and the mind are an open invitation to illness and misery."

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the benefits of minimally invasive surgery?

An obvious benefit of minimally invasive surgery is that any scars are much smaller than in traditional "open" surgery. A laparoscopy requires one incision below the belly button, then one to three other incisions along the hairline of your lower belly. These incisions are usually ¼ to ½ inch in length. Hysteroscopy leaves no scar because the instrument goes through the natural opening in the cervix (neck of the womb) from the vagina into the uterus.

After your minimally invasive surgery, you probably will be able to go home within 24 hours. If you have open surgery, you may have to stay in the hospital for 2 to 5 days. With minimally invasive surgery, you can recover at home, and you are less likely to have problems after surgery, such as infection or blood clots in your legs. Because your incisions are smaller, minimally invasive surgery is less painful than open surgery.

For comments and archives

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

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

Blood Grouping systems & Principles, Blood Group Discrepancies & their possible solutions

Antigen typing

  • Principle:
  • Patient/Donor RBC is tested with reagent antisera
    • Reaction is positive = antigen is present
    • Reaction is negative = antigen is not present
  • ABO blood typing
    • Principle:
    • Patient/Donor RBC is tested with reagent antisera.
      • Reaction is positive = antigen is present
      • Reaction is negative = antigen is not present
    • Tube test method
    • Prepare patient red cell suspension
      • (3–5% saline)
    • Label tubes
    • Add 1 drop red cells
    • Add 1 drop antisera
    • Mix
    • Centrifuge 1 min
    • Record results

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

An honest man

This is a story of a young man named Ping, who lived in a far away country and a King who was getting old and he needed to find a successor. So, the King devised a way to find his successor that would have courage and be honest. The King sent out a tiny seed to all the young men in the country.

Now, this seed was to be planted and nourished to the best of each young man’s ability. Ping really wanted to be the new King. When he received his seed he went out and obtained a very beautiful pot, fertile soil and planted his seed. He watered it and nurtured it and watched it. BUT, nothing happened.

He moved his plant to another area with more sun, thinking it needed a different light. He watched it and watered it and nourished it and still, nothing happened. He went to his father and asked him what he could do. His father suggested putting it into another container and continues to nurture it. Still nothing! He was so disappointed and the time was drawing near, to go before the King and present his plant.

The day finally arrived to present his plant to the King and Ping was so embarrassed, because everyone there had beautiful plants. Some had beautiful flowers, some with beautiful green foliage and they all were so very beautiful. He was so embarrassed and disappointed that he sat in the back with his empty pot so he wouldn’t be noticed.

The King started to look over all of the plants and he was not smiling. In fact he was frowning. He kept looking and all at once he saw Ping’s empty pot and he called Ping up to the stand. And the King announced to all the men that Ping will be the next King. The King said Ping would be the next best King because of his honesty.

The King also expressed his disappointed and sad that there were so many dishonest men. The King continued to tell the men that he had boiled all of the seeds before he sent them out, and so none of the seeds would grow. You see, the King wanted someone with courage and someone that was honest to take over his Kingdom and he found it in Ping.

For comments and archives

 
  Cardiology eMedinewS

ROMICAT II Published: Coronary CT in the emergency department saves time screening for ACS Read More

Dr. Robert S. Ledley, Whole-Body CT inventor, dead at 86 Read More

 
  Pediatric eMedinewS

Efavirenz Works In Kids With Both HIV And TB Read More

Heavy Kids Have CV Risk Factors Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever and joint pain came with rash.
Dr Bad: It’s a drug allergy.
Dr Good: This looks like Chikungunya.
Lesson: Rash is present in 30% of cases with Chikungunya.

For comments and archives

Make Sure

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/80 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

For comments and archives

 
    Legal Question of the Day

(Dr MC Gupta)

Q. I am a pathologist. I did a CBC for a patient and reported the result as Hb–8.6; TLC–6000 and platelets 3 lakh. After 3 days, another lab gave the results as–– Hb– 10.3; TLC–2300 and platelets 85 thousand. The patient threatens to file a case.

My queries are—

1. What should be our reaction?
2. How should we defend ourselves presuming that we are on the wrong side.
3. Can any counter cases be filed against him?

Ans.

  1. Your reaction should be—Be cool. Dig up the literature to find evidence that such variation is possible over 3 days. Wait till the patient sends a legal notice or files a complaint. Do not admit to him that you are at fault. Do not offer any compensation.
  2. It is irrational to presume that you are on the wrong side. When you defend yourself in the court, you cannot do so with a mind that accepts guilt. Why can’t the other lab be wrong? Or, both can be right. The CBC picture can change over 3 days. There may be issues related to sample collection and transportation and testing technique and standardisation of the equipment and reagents.
  3. There is no question of any counter claim in such a case.

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
  > HCFI-NGO
  > 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)

Never change your originality for the sake of others, because no one can play your role better than you. So be yourself, because whatever you are, YOU are the best.

 
    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Tests for celiac disease

  • The best initial laboratory test for diagnosis of celiac disease is anti–tissue transglutaminase antibody (anti–tTG), IgA. If this test is positive, it is likely that the patient has celiac disease.
  • Intestinal biopsy to determine whether there is damage to the intestinal villi.
  • CBC (complete blood count) to look for anemia
  • ESR (erythrocyte sedimentation rate) and CRP (C–Reactive protein) to evaluate inflammation.
  • CMP (complete metabolic panel) to determine electrolyte, protein, and calcium levels and to verify the status of the kidney and liver.
  • Vitamin D, E, and B12 to measure vitamin deficiencies
  • Stool fat, to help evaluate malabsorption.
 
    Mind Teaser

Read this…………………

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

Yesterday’s Mind Teaser: notic

Answer for Yesterday’s  Mind Teaser: Short Notice

Correct answers received from: Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, Raju Kuppusamy
 

Answer for 28th July Mind Teaser: C. "The medication will block the cardiovascular symptoms of Grave’s disease."
Correct answers received from: Dr Mukesh K Bhandari, Dr.Mohit Sharma, Dr K P Chandra

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr Prabha Sanghi)

Priceless definitions

Wrinkles

Something other people have, similar to my character lines.

 
  Microbial World: The Good and the Bad They Do

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

Hepatitis A vaccine

HAV vaccine, though currently not part of EPI, India still is important to protect hepatitis due to HAV. So it is advisable to vaccinate the following individuals:

  • all children between their first and second birthdays (12 through 23 months of age)
  • men who have sex with men
  • people who use street drugs
  • people with chronic liver disease
  • those who are treated with clotting factor concentrates
  • unvaccinated children or adolescents in communities where outbreaks of hepatitis A are occurring

Hepatitis A vaccine is not licensed for children younger than 1 year of age. Hepatitis A vaccine is made from whole, killed hepatitis A virus. Two doses of the vaccine (2 doses at 6–12 months interval) are needed for lasting protection. The first dose should be given at 12 through 23 months of age. Hepatitis A vaccine may be given at the same time as other vaccines.

The risk of hepatitis A vaccine causing serious harm, or death, is extremely small. Hepatitis A vaccine is much safer than getting the disease caused by HAV. The adverse reactions include soreness at the injection site, headache, loss of appetite and tiredness. Allergic reactions can occur within few minutes to a few hours after the injection.

Carefully consider while administering HAV vaccine in the presence of an illness, in cases with history of sever allergy and immunocompromised status (the response to vaccine may not be effective to protect against infection).

Different commercial preparations of HAV vaccine are available in the market. Follow the instructions to administer the HAV vaccine.

 
    Medicolegal Update

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

What is the vegetative state?

Complete absence of behavioral evidence for self or environmental awareness

  • There is preserved capacity for spontaneous or stimulus–induced arousal, evidenced by sleep–wake cycles i.e. patients are awake, but have no awareness. This means that the patients appear awake. They have normal heart beat and breathing, and do not require advanced life support to preserve life and cannot produce a purposeful, co–coordinated, voluntary response in a sustained manner, although they may have primitive reflexive responses to light, sound, touch or pain.
  • Patients cannot understand, communicate, speak, or have emotions and unaware of self and environment and have no interaction with voluntarily control passing of urine or stools. They sleep and awaken. As the centers in the brain controlling the heart and breathing are intact, there is no threat to life, and patients can survive for many years with expert nursing care.
  • The following behaviors may be seen in the vegetative state:
    • Sleep–wake cycles with eyes closed, then opened. Patient breathes on her own; Spontaneous blinking and roving eye movements; Produce sounds but no words; Visual pursuit following an object with her eyes; Grimacing to pain; changing facial expression; Yawning; chewing jaw movements; swallowing of own spit; no purposeful limb movements; arching of back; reflex withdrawal from painful stimuli; brief movements of head or eyes toward sound or movement without apparent localization or fixation; startled reaction on a loud sound.

Almost all of these features consistent with the diagnosis of permanent vegetative state were present during the medical examination of Aruna Shaunbag; behavior suggestive of a minimally conscious not vegetative state observed during the examination.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Formula of three for hunger strike and Satyagraha

A rough Formula of 3 is that one cannot live for three minutes without air, three days without water and three weeks without food said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India.

But this formula is for healthy muscular and fatty people. People who are in their extremes of ages or are suffering from a chronic ailment, pregnant ladies, diabetics should not fast without a doctor’s clearance.

Medically observed spiritual fasts can be helpful for the body but prolonged unsupervised fast can be risky to life. Here are some facts:

  1. Fasting is willing abstinence from some or all food, drink, or both, for a period of time.
  2. An absolute fast is abstinence from all food and liquid for a defined period.
  3. Partially restrictive fast is limited to particular foods or substances.
  4. The fast may be intermittent in nature.
  5. Fasting medically means the metabolic status of a person who has not eaten overnight, and to the metabolic state achieved after complete digestion and absorption of a meal. A person is assumed to be fasting after 8–12 hours of eating.
  6. Metabolic changes after fasting begin after absorption of a meal (typically 3–5 hours after a meal). Medically it is called "post–absorptive state" as against "postprandial" state of ongoing digestion.
  7. A diagnostic fast refers to prolonged fasting (from 8–72 hours depending on age)
  8. The longest known fast for a human is 132 days (without food).
  9. Glucose is the body’s primary fuel source and is essential for the brain's functioning. When denied glucose for more than 4–8 hours, the body turns to the liver for glycogen, a storage form of glucose, to be used for fuel. A process called glycogenolysis converts glycogen into a usable form of fuel. At this point, the body also uses small amounts of protein to supplement this fuel. This fuel will last for up to 12 hours before the body needs to turn to glycogen stored in muscles, lasting for a few more days.
  10. If glucose is still denied at this point, muscle wasting is prevented by temporarily switching to fat as the fuel source, meaning fat is converted into ketone through catabolism. Ketones, while not sugars, can be used by the brain as a fuel source as long as glucose is denied. The body continues to use fat for as long as there is fat to consume.
  11. If the fast is not broken, starvation begins to occur, as the body begins to use protein for fuel.
  12. Health complications associated with fast–induced starvation include electrolyte imbalances, thinning hair, cardiac arrhythmias and renal failure. Death can occur if fasting is pursued to the point of complete starvation.
  13. Hypovolemia refers to any condition in which the extracellular fluid volume is reduced. It can be produced by dehydration.
 
    Readers Response
  1. Dear Sir, We like reading emedinews a lot. It is very informative and full of knowledge
 
    Forthcoming Events
Dr K K Aggarwal


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, Dr Usha K Baveja