eMedinewS 30th July 2013, Tuesday

Dr K K 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; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); 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);
For updates follow at
www.facebook.com/Dr KKAggarwal

Olmesartan can cause chronic diarrhea

The US FDA has approved a label change for the AR blocker (ARB) olmesartan to state that the drug can cause an intestinal problem known as sprue-like enteropathy. The symptoms include severe and chronic diarrhea that results in significant weight loss. Olmesartan is the only ARB known to cause this adverse event. The agency is continuing to monitor the safety of all olmesartan-containing products.

The label change is based on an evaluation of adverse events received by the FDA's Adverse Event Reporting System (FAERS), a published literature case series, and other data. In the FAERS, the agency identified 23 patients who presented with late-onset diarrhea and significant weight loss. All patients improved clinically when olmesartan was stopped. When 10 patients were rechallenged with the drug, the symptoms appeared again.

Patients should be told to contact doctors if they develop severe, chronic diarrhea with substantial weight loss while taking an olmesartan-containing product, even if it takes months to years for symptoms to develop. .... Read More

cpr10 Mantra The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

VIP's on CPR 10 Mantra Video
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

sprritual blog Spiritual Prescriptions: Meaningful Coincidences - Synchronicity

If you bump into someone you haven’t met for a long time, then it is advisable to stop and talk to him or her. Remain aware of a message from the universe that they might be carrying for you. Follow the coincidence through, and you’ll be amazed to find where it takes you.

Time and again, we all experience coincidences that has some special meaning or significance, and that appears to defy the laws of probability. Most of us tend to ignore them as something amusing or insignificant.

Today scientists define these coincidences as “Synchronicity.” In laymen terms, they mean ‘coming together of seemingly unrelated events.’

Deepak Chopra calls ‘Synchro Destiny’ as the inherent Power of Meaningful Coincidence (present in everyone) to manifest ‘Abundance’ in one’s Life. ‘Abundance’ may include material wealth, emotional well-being, spiritual fulfillment, ability to fully experience love and compassion, and feel the joy and being able to spread it to others.

Synchro-Destiny is more than a coincidence as it contains a purpose or a meaning, has a direction and a force of intention. All these come from within us, and each one of us has the power to activate these.

‘Synchro-Destiny’ as a phenomenon is not uncommon and is highly significant. Every meaningful coincidence has a force and direction, and it requires understanding and participating in the process of meaningful coincidence. It requires lending our attention and intention in order to bring the process to fruition. When this happens, there occurs a spontaneous fulfillment of desire in the field of infinite possibilities. It is not about waving a magic wand to gratify ego-based desires. It is about something very different - it’s actually the fulfillment of intentions that exist at much deeper levels, and of desires that are based in spirit rather than ego.

To understand the genesis at Synchro-Destiny, one needs to know that that our lives are truly connected at every moment to the creative power of the universe (called ‘Brahman’ in Vedas). These connections require acquiring a state described in Vedic description as ‘Ritam bhara pragya’ (Ritam (rhythm), Bhara (full of), Pragya (mind), or in other words “a mind full of rhythm”). It represents that state of mind where the thought waves are synchronous with the order of the universe and where the microcosm and macrocosm are in coherence with each other.

Consciousness or the ‘soul’ is the silent state of mind with full powers. These powers are hidden under the smoke of mind, intellect and ego which is controlled by the software of action, memory and desires. The interface between the two layers, the disturbed and the undisturbed state of consciousness, is what the “ritam bhara pragya” is. Once you cross into this state, the intentions becomes powerful and one start experiencing spontaneous fulfillment of desires.

In Vedas, this term is loosely translated as “a state where only truth is known”. It is said that if one can be conscious in this state, a desire can be manifested as it is right at the level of manifestation onto the physical plane. This is also the level where one experiences the Siddhis or super normal powers as described by Patanjali in the Yoga Sutras.

Deepak Chopra in his latest book on this subject describes seven key principles for mastering Synchro-Destiny.

  1. The existence of the Conscious Energy Field: It indicates the presence of an underlying intelligence within and outside the body. The whole universe can be called as an extended part of our body. (Sri Ramanuja, the proponent of qualified dualism). When one lives one’s life with an appreciation of coincidences and their meanings, one has connected to the underlying field of infinite possibilities.
  2. Creating Cosmic Connections: Creating Cosmic Connections means creating a human environment in which Synchro-Destiny can take place. In mastering Synchro-Destiny, the ability to create positive human relationships is much more than a tactic or a manipulative necessity, and is rather very fundamental to life, in the same way as ‘gravity’ or ‘having air to breathe’ is fundamental.
  3. Mastering Inner Dialogue: Controlling the disturbed state of consciousness.
  4. The art of Penetrating the Conspiracy of Improbabilities: It means learning to recognize meaningful coincidences and to see them as opportunities rather than just little breaks in your daily routine (synchronistic moments).
  5. Harnessing Emotional Turbulence: Once we understand that the universe really is our extended body, it becomes very clear that negative energy within ourselves is very self-destructive. Emotional Turbulence is a major barrier to the spontaneous fulfillment of desire. Transforming negative energy into a higher level of awareness is the fifth principle of mastering Synchro-Destiny.
  6. Learning to use the Infinite Organizing Power of Intention: Understanding that beyond known forces like gravity or electromagnetism that control the universe, there is a strong internal thought force called ‘intention’.
  7. Celebrating the Cosmic Dance: When you have mastered Synchro-Destiny, and have learned to synchronize your life with the universe itself, you are Celebrating the Cosmic Dance.

Once you follow these principles, the following transformations take place.

  • You see the world as an extension of your inner self, as part of the bigger biosphere.
  • Through relationships you learn about your non-local self (spiritual, soulful self) and the higher realm that connects us.
  • You become aware of when your thoughts are coming from the spirit and when they are coming from the ego.
  • You understand the power of intention and how it works.
  • You let go of the grievances and resentment which overshadow your spiritual self.
  • You value both the masculine and feminine aspects of your being.
  • You start appreciating the wonders of the universe and stay alert to coincidences.

SynchroDestiny can be learnt as a procedure that involves gaining access to a place deep within us (restful alert state of consciousness during meditation), willfully recognizing and noticing the coincidences in the daily routine and looking for the message behind them; and using the power of intention to take advantage of them.

It can be learnt in stages:

  • Stage 1: Start seeing coincidences while they are happening in daily routine.
  • Stage 2: Develop an awareness of coincidences while they are happening and take advantage of the opportunities they may be presenting. Awareness translates into energy hence the more attention you give to coincidences, the more is the likelihood for them to happen.
  • Final stage: Become fully aware of the interrelatedness of all things, how each affects the next, and how they all are ‘in sync’ with one another. ‘In sync’ is a colloquial way of saying ‘in synchrony’, which means operating in unison, as ‘one’. This synchrony is choreographed by a great, all pervasive higher intelligence that lies at the heart of nature (Universe), and is manifest in each of us through what we call the ‘soul’. By applying attention and force of intention to these coincidences, we can create specific position outcomes in our lives.


“Synchronicity can be defined as a non-causal but meaningful relationship between events or states of mind within the human psyche and events in the outside world. Putting it more simply, we can call synchronicity as the experiences of “meaningful coincidence”. We have all had experiences that we intuitively recognize as meaningful, though we would be hard pressed to explain them in rational terms. In fact, these “meaningful coincidences” are not coincidences at all but spontaneous realizations of the underlying interconnectedness of all things within the Universe.” (Laurence Boldt - Tao of Abundance)

  1. Acausal (karmically connected) Atemporal Non-Local Quantum Mechanics Interrelatedness: (Deepak Chopra)
  2. As Heraclitus put it, “The unseen design of things is more harmonious than the seen.”
  3. James Redfield, in the ‘Celestine Prophecy’, describes the first insight as about following meaningful coincidences. Coincidences, if followed through, are seen as a way of evolving to a higher level of vibration consciousness. When we are in the flow, we experience more synchronous events and hence more pleasure and less pain. The flow of coincidences is our path to higher grounds of evolution.
  4. The Law of Synchronization or the Harmonics of the Universe: It is taught in metaphysics, according to ancient writings....also according to modern mystics, including the respected Carl Jung that everything in this Universe, at any given moment at time is synchronized to everything else all working together, interlocked and interdependent and all related. The inseparable astrology itself is a pure demonstration of this Law.
  5. C G Jung: “We talk about synchronicity when two or more seemingly ‘pure chance’ events coincide to form a connection that has a special meaning for the perceiver.

....Read More

cardiology news

Keep Driving

This is an imaginary story with a good lesson.

A lady was driving along with her father. They came upon a storm, and the young lady asked her father, what should I do?"

He said "keep driving". Cars began to pull over to the side, the storm was getting worse. "What should I do?" the young lady asked.

Keep driving," her father replied. On up a few feet, she noticed that eighteen wheelers were also pulling over. She told her dad, "I must pull over, I can barely see ahead. It is terrible, and everyone is pulling over!"

Her father told her, "Don't give up, just keep driving!" Now the storm was terrible, but she never stopped driving, and soon she could see a little more clearly. After a couple of miles she was again on dry land, and the sun came out. Her father said, "Now you can pull over and get out." She said "But why now?"

He said: "When you get out, look back at all the people that gave up and are still in the storm, because you never gave up your storm is now over.

This is a testimony for anyone who is going through "hard times". Just because everyone else, even the strongest, gives up. You don't have to...if you keep going, soon your storm will be over and the sun will shine upon your face again. ....Read More

News Around The Globe

  • Several variants of a gene related to potassium-ion channels that appear to mediate pulmonary vascular function have been identified in families of patients with pulmonary artery (PA) hypertension, according to a report in the July 25, 2013 issue of the New England Journal of Medicine. (Source: Medscape)
  • The Physicians Committee for Responsible Medicine (PCRM) has released new dietary guidelines for prevention of Alzheimer's disease at the International Conference on Nutrition and the Brain held in Washington, DC last week. The 7 recommended dietary principles include:
    • Reduce saturated fats and trans fats.
    • Vegetables, legumes (beans, peas, and lentils), fruits and whole grains should form the primary staples of the diet.
    • One oz of nuts/seeds (one small handful) daily is a healthy source of vitamin E.
    • Fortified foods or a supplement that provides at least 2.4 µg/day of vitamin B12 should be part of the daily diet.
    • Choose multivitamins without iron and copper, and consume iron supplements only when directed by your physician.
    • Avoid use of cookware, antacids, baking powder, or other products that contribute dietary aluminum.
    • Do aerobic exercise equivalent to 40 minutes of brisk walking 3 times per week.
  • A multinational phase 3 study published in the July 25 issue of NEJM has reported that treatment with the ?-secretase inhibitor semagacestat is associated with dose-related clinical worsening on numerous measures, including activities of daily living, global functioning, and quality of life. The study was stopped early following a futility analysis that was conducted earlier than planned, when clinical worsening and safety concerns were identified. (Source: Medscape)
  • Martha Gulati, MD, and Kavita Sharma, MD, from The Ohio State University in Columbus have reported in this month's edition of Global Heart, the journal of the World Heart Federation that coronary artery disease (CAD) continues to be neglected in women, despite it killing at least as many women as men. Women are also less likely to receive preventive therapies, such as lipid-lowering therapies and lifestyle advice than men at a similar risk level. (Source: Medpage Today)
  • According to the findings of a systematic review published their findings online July 25 in BMJ Quality and Safety, equipment-related errors make up approximately one-fifth of all errors that occur in the operating room.

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

How can endometriosis be classified?

Endometriosis is classified into one of four stages, I–minimal, II–mild, III–moderate, and IV–severe, depending on the location, extent, and depth of endometriosis implants, the presence and severity of adhesions, and presence and size of ovarian endometriomas. Most women have minimal or mild endometriosis, which is characterized by superficial implants and mild adhesions.

Rabies News (Dr. A K Gupta)

Can a person receiving/completed antirabies immunization, either pre-exposure or post-exposure, donate blood?

A person receiving/completed antirabies immunization can donate blood. However, the recipient does not benefit from the transfer of rabies-neutralizing antibodies due to hemodilution.

cardiology news
  • An analysis of >7000 patients with AF receiving oral anticoagulation who were participants in the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) has found that 39% of patients with atrial fibrillation (AF), who were taking warfarin were also taking aspirin despite no history of PCI, MI, cerebrovascular events, or other clinical cardiovascular disease that might justify aspirin use under the guidelines. According to the author, Dr Eric D Peterson (Duke Clinical Research Institute, Durham, NC) it’s a gray area whether patients with both AF and CV disease should get aspirin along with their oral anticoagulation. (Source: Medscape)
  • A new consensus statement from the European Association of Cardiovascular Imaging (EACVI) of the European Society of Cardiology and the American Society of Echocardiography recommends that patients, who have had radiotherapy to the chest for Hodgkin's disease, or breast, lung, or esophageal cancer, should have an echocardiogram every 5 to 10 years to detect radiation-induced heart disease (RIHD). The recommendations are copublished this month in the European Heart Journal--Cardiovascular Imaging and Journal of the American Society of Echocardiography. (Source: Medscape)

Valvular Heart Disease News

Echocardiography is indicated for formal diagnosis in patients with clinical examination suggestive of MVP or those with a family history of MVP.

(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)

cardiology news
  • The European Medicines Agency's Committee on Medicinal Products for Human Use (CHMP) has recommended that metoclopramide should be avoided whenever possible in children because of its neurological toxicity. Also, the maximum dose for adults should be 30 mg/day. (Source: Medpage Today)
  • A new Canadian study from University of Alberta in Edmonton has reported that children who listened to music while an IV line was inserted into their arms were less stressed than kids who did not listen to music. (Source: Medscape)
cardiology news

Limit the dose of paracetamol to 3250 mg in patients consuming three or more alcoholic drinks a day

Paracetamol is the new suicide drug of the west. According to Consumer Education Campaign" by FDA although paracetamol is remarkably safe when taken at usual therapeutic doses, its overdose has been recognized to cause fatal and nonfatal liver damage. Paracetamol in the US is available as Acetaminophen.

FDA has called for limiting the dosage to 3250 mg for patients consuming three or more alcoholic drinks a day. It also recommends limiting tablet strength for immediate release formulation to maximum of 325 mg and single adult dose to 650 mg. FDA also mentioned that over–the–counter painkillers and fever reducers should carry a warning of liver damage and stomach bleeding.

Paracetamol in India is available in the market as 500 or 1000 mg tablets.

Repeated therapeutic or slightly excessive doses can be toxic to the liver in susceptible individuals, such as alcoholics.

Paracetamol poisoning is the most common cause of acute liver failure in the United States.

In adults (over 12 years), the therapeutic dose is 10 to 15 mg/kg per dose or 325 to 1000 mg per dose in adults, given every 4 to 6 hours, with a maximum recommended daily dose of 4 g in adults.

Toxicity is unlikely to result from a single dose of less than 7.5 to 10 g for an adult (2 tablets four times a day of 1000 mg strength) but can occur with single ingestions greater than 250 mg/kg or those greater than 12 g over a 24–hour period (12 tablets of 1000 mg strength).

Virtually all patients who ingest doses in excess of 350 mg/kg develop severe liver toxicity (defined as peak SGOT or SGPT liver enzymes levels greater than 1000 IU/L) unless appropriately treated. (For 60 kg man it would mean 21 tablets of 1000g strength paracetamol)

In contrast to chronic alcoholics with an isolated ingestion, those chronic alcoholics who ingest multiple supratherapeutic doses (above the therapeutic dose of up to 4 g/day) of paracetamol are at increased risk for liver toxicity. One report from George Washington University showed that 161 regular users of alcohol developed liver toxicity following paracetamol ingestion with therapeutic intent. In the report 54 percent had ingested 6 grams or less per day and 30 percent had taken less than 4 g/day of paracetamol, the overall mortality rate reached 20 percent. Delayed recognition of toxicity and continued use of the drug likely account for much of the morbidity in this patient population.

Following acute overdose, children younger than five years appear to be less susceptible to liver toxicity than older children and adults. The therapeutic dose of paracetamol for children younger than 12 years is 10 to 15 mg/kg per dose, every 4 to 6 hours, not to exceed five doses per 24–hour period (maximum daily dose 75 mg/kg). The minimal toxic dose for a single ingestion is 150 mg/kg for a child.

Toxicity is likely to occur with single ingestions greater than 250 mg/kg or ingestions of greater than 12 g in a 24–hour period. Virtually all children who ingest doses in excess of 350 mg/kg develop severe liver toxicity. In chronic ingestions (multiple supratherapeutic doses), the minimum toxic threshold for children appears to be 150 to 175 mg/kg over two to four days, particularly in the setting of a febrile illness and decreased oral intake. In both adults and children, paracetamol is rapidly and completely absorbed from the gastrointestinal tract, with peak serum concentrations reached from one–half to two hours after a therapeutic oral dose. Peak serum concentrations are reached within four hours following overdose of immediate-release preparations.

Concomitant use of other liver toxic drugs can cause liver damage in the absence of overt paracetamol overdose. The examples are anticonvulsants like carbamazepine, phenobarbital, and anti–TB drugs like INH and rifampin. In addition, drugs like zidovudine (antiviral drug) may potentiate paracetamol liver toxicity. Herbal supplements may potentially amplify paracetamol-induced injury. Patients should be questioned specifically about the use of herbal supplements since they are widely used, but often not mentioned during a routine medical interview.

Fasting or malnutrition predisposes to liver injury. Patients at greatest risk appear to be those who consume multiple excessive doses rather than a single overdose. This scenario is common among children suffering from an acute febrile illness, who may receive multiple doses or prolonged duration of paracetamol.

The outcome of paracetamol intoxication is nearly always good if the antidote, N-acetylcysteine (NAC), is administered in a timely fashion and given within 10 hours of ingestion.

Unlike most other causes of hepatitis, paracetamol-induced hepatitis is acute in onset, progresses rapidly, is characterized by marked elevation of plasma liver enzymes SGPT and SGOT (>3000 IU/L), and is associated with a rising prothrombin time in the blood.

Chronic paracetamol poisoning in the alcohol user is also characterized by markedly elevated liver enzymes (>3000 IU/L), combined with hypovolemia, jaundice, coagulopathy, low blood sugar, and acute kidney failure in greater than 50 percent of these patients. ...Read More

cardiology news

Paternal age and fertility

Spontaneous germ line mutations in X-linked genes may be more common with advancing paternal age. These mutations would be transmitted from carrier daughters to affected grandsons.

cardiology news
  1. 23rd July: HCFI Executive Meeting


CPR 10 Training Camp, EPFO, 30th May 2013

CPR 10 Camp - Police Training Center Najafgarh


CPR Classes: Persons trained (1336)

27th July: CPR Moolchand (20)

Total CPR since 1st November 2012 – 56831 trained

TV and Radio Coverage

24th July: Interview in Sahara TV on iron tablets

Video Chats and uploads

Dr KK Aggarwal on NEWS 24

Advocacy through

Print Media

25th July: New Ad n Face-year-14, issue-7

26th July: Hindustaan

26th July: Rastriya Rakshak

Media advocacy through Web Media

Eating Disorders are contagious 24th July


Vegetarian diet and soya products help reduce BP

Ingestion of a vegetarian diet may reduce systolic blood pressure by 5 mmHg. A 5 mm reduction in blood pressure may reduce the risk of heart disease by 21%. This was stated by Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

One major feature of a vegetarian diet that may affect blood pressure is the amount of dietary fiber; with an increased amount being associated with decreased systemic pressures. Multiple meta-analyses have shown benefits with dietary fiber intake on blood pressure.

Vegetarians, in general, have lower blood pressure levels and a lower incidence of hypertension and other cardiovascular diseases. Experts postulate that a typical vegetarian's diet contains more potassium, complex carbohydrates, polyunsaturated fat, fiber, calcium, magnesium, vitamin C and vitamin A, all of which may have a favorable influence on blood pressure.

More significant reductions were observed in older (greater than 40 years) and hypertensive individuals.

Soy is good for high blood pressure because it is naturally high in potassium and low in sodium. Potassium and sodium are electrolytes, and a high-potassium, low-sodium diet promotes a healthy blood pressure.

Soy can be good for high blood pressure when you eat it as an alternative protein source to unhealthy meats. Soy-based meat substitutes, such as veggie burgers, veggie bacon and meatless cold cuts, can be higher in fiber and lower in sodium than animal-based meat products. They can lower your risk for heart disease because they are lower in saturated fat. However, soy does not contain the long-chain omega-3 fatty acids that are found in fatty fish and shellfish; these may lower your blood pressure, according to the Linus Pauling Institute.

Even though soy is low in unhealthy saturated fat, some soy products are high in total fat and calories, and as a result will contribute to weight gain if you eat too much. Losing weight if you are overweight, or maintaining your current weight if you are already at a healthy weight, improves your chances of lowering your high blood pressure.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 56831 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

today emedipics

Heart Care Foundation of India Organizes a CPR 10 Training camp at Sahodaya Sr Sec. School, SDA, New Delhi on 25th July 2013.

press release

New treatment for acute asthma in children

today video of the dayDr KK Aggawral on Say No to Tobacco

Dr KK Aggarwal on How to Take Care of yourself during the Monsoons

Beware of Artificial Medicine

eMedi Quiz

Read this…………………

An infant is hospitalized for treatment of inorganic failure to thrive. Nurse Faith is aware that the nursing action is most appropriate for this child?

a. Encouraging the infant to hold a bottle
b. Keeping the infant on bed rest to conserve energy
c. Rotating caregivers to provide more stimulation
d. Maintaining a consistent, structured environment

Yesterday’s Mind Teaser: Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?

a. 1 to 2 years
b. 1 week to 1 year, peaking at 2 to 4 months
c. 6 months to 1 year, peaking at 10 months
d. 6 to 8 weeks

Answer for yesterday’s Mind Teaser: b. 1 week to 1 year, peaking at 2 to 4 months

Correct answers received from: DR ABBAS VAKIL, Dr. V.P. Thakral, Dr. SUSHMA Chawla, Dr.Bitaan Sen & Dr.Jayashree Sen, Prabha Sanghi, DR P K SAHU, DR ARPAN GANDHI, Dr. Vishal D Wahane, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Muthumperumal Thirumalpillai, Tukaram Pagad, pushpa otiv, Deepali Chatterjee, DR AVTAR KRISHAN, DR P K SAHU, Dr. P. C. Das, Tukaram Pagad, Dr Abbas Vakil, Dr. SUSHMA Chawla,

Answer for 28th July Mind Teaser: c. ”We’ve found that babies can’t digest solid food properly until they’re 3 or 4 months old.”

Correct answers received from: Dr.(Maj. Gen.) Anil Bairaria, daivadheenam,

Send your answer to ijcp12@gmail.com

eMedi Apps

medicolegal update

Click on the image to enlarge

medicolegal update

Prison vs Work

Just in case you ever got these two mixed up, this should make things a bit more clear.

IN PRISON you spend the majority of your time in an 8X10 cell.
AT WORK you spend the majority of your time in a 6X8 cubicle.

IN PRISON you get three meals a day.
AT WORK you only get a break for one meal and you pay for it.

IN PRISON you get time off for good behavior.
AT WORK you get more work for good behavior.

IN PRISON the guard locks and unlocks all the doors for you.
AT WORK you must carry around a security card and open all the doors for yourself.

IN PRISON you can watch TV and play games.
AT WORK you get fired for watching TV and playing games.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with blood in sputum came back with massive bleeding.
Reaction: Oh my God! Why was the first bleeding ignored?
Lesson: Make sure that even minor bleeding in sputum is properly investigated.

medicolegal update

It takes less time to do things right than to explain why you did it wrong
Henry Wadsworth Longfellow

medicolegal update

Dr KK Aggarwal: Obsessively yours: Signs That You May Have OCD
http://bit.ly/12vFIfq #Health

Dr Deepak Chopra: Not even devoutly religious scientists claim that God is necessary, when it comes to doing science http://tinyurl.com/nsoww5o

medicolegal update

Dear Sir, I became a fan of yours since I started getting the emedinews. I read the excellent inspirational stories, Dr Good Dr bad, e Humor etc regularly and pass these to my team. Thanks for initiating this excellent news magazine.

I just wanted to bring to your attention to the article published in yesterday’s emedinews. The article was on Ethylene Oxide use and its toxicity with reference to a news on the use of ETO in Talcum powder.

  • The news of ETO in Talcum powder is correct (but blown out of proportion) but the presence of the ETO in Talcum powder is not yet proved.
  • Talcum powder is a topical product. Are there any reports of ETO getting absorbed into body (even if the acceptable residue is present in the talcum powder)?
  • Your comments on ETO and the references given below the article are totally out of context. We cannot compare a topical product with a implantable medical device or a device coming in contact with blood/body fluids. There is no comparison between the two different types of the products. The risks involved are totally different.
  • As you said ETO is widely used for medical devices which are not compatible with other sterilization processes. It’s also used for foods. If the process is very well controlled/monitored and the residues are well within control it is an excellent process of sterilization of MDs.

I would respectfully request you to clarify this article to the audience as this is creating confusion in the minds of the public for a matter which is already in court: Dr Kulwant S Saini.

Dr KK Aggarwal Response: I have quoted TOI report. The rest was to update and had nothing to do with talcum powder. If you have some data send me we can publish it. Your comments are also being published

Dr Kulwant S Saini: Thank you very much Dr Aggarwal for your prompt clarification. Sir, I wrote to you because your update published was published with the news item. It could have been misinterpreted by general public/lay person. We being technical persons understand the context. Thanks again for your response and the great articles published your news magazine.

Forthcoming Events


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