emedinews
Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.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
Dr KK Aggarwal

From the Desk of Editor in Chief
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; Member 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


YOU CAN DOWNLOAD EMEDINEWS AT www.emedinews.in

Dear Colleague

31st March, 2010 Wednesday

Padma Awards to be given today at 5.30 - Live telecast by Doordarshan

I dedicate my Padma Shri Award to my teachers, friends, colleagues, family members, well wishers and last but not the least my patients who have blessed me so much over the years.

I take this opportunity to share my happiness with all those whom I have been associated with in my journey of 51 years, which began at Kasturba Hospital, Darya Ganj where I was born on Friday, 5th September, 1958. That day also happened to be the festival of Janmashtami.

I am blessed to be a part of a family of nine brothers and sisters (I am at number seven. Thankfully family planning was not heard of at that time!!).  Till class IV, I was the only Hindu student in a Muslim school. From Class V onwards, I joined the Anglo Sanskrit School. It was a government school education throughout.

After completing higher secondary, I joined Deshbandhu College for a year. In 1975, I entered MGIMS (Mahatma Gandhi Institute of Medical Science), Sewagram where I completed my MBBS and MD (Medicine).

I owe my pre–MBBS era entirely to my parents. Despite being an average middle class family, they saw to it that none of us siblings were denied an opportunity to study. This is evident from the fact that four out of nine of us have become doctors.

My tenure at MGIMS proved to be a turning point in my career. I secured a medal in every subject, topped Nagpur University in first MBBS, second MBBS, and final MBBS among male candidates and secured the first position in Nagpur University combining all the three MBBS aggregates (MBBS Gold medalist).

After being awarded MBBS University Gold Medal, I completed by post graduation in Medicine from the same college. I left DM Cardiology and Lectureship in Medicine in Wardha and joined Moolchand Hospital on 13th December 1983, New Delhi as a junior resident under Dr (Col) KL Chopra.  Within a week, I became a Senior Resident and then a Consultant under Dr Chopra in 5 months. We pioneered Clot Dissolving Streptokinase Therapy in acute heart attack for the first time in India in 1984.

My association with media started in 1984 when I addressed the first press conference on streptokinase therapy in July 1984. The news was carried in Times of India. Ever since, I have dedicated my life in sensitizing the media on a regular basis.

In 1984, we organized the first-ever National Conference in Thrombolytic Therapy. This was my first experience in organizing events. Since then, I have been regularly organizing events, workshops, world conferences etc.

Dr KL Chopra and his son, Dr Deepak Chopra were responsible for refinement in my academic career. In 1987, Dr KL Chopra sent me for one year training in Non–nvasive Cardiology under Dr Navin C Nanda at University of Alabama at Birmingham. Training under Dr Nanda gave me an edge over other cardiologists when I came back to Delhi and established the Navin C Nanda National Institute of Echocardiography at Moolchand Hospital. I also got trained under Dr Deepak Chopra, the new–age Guru, at San Diego in Spiritual and Vedanta Medicine. Under his guidance, I groomed myself in the field of Vedic medicine.

It was late Sh SL Batra, father of my very dear friend, Sanjeev Batra, who persuaded me to start Heart Care Foundation of India, a National trust of which I am now the President. We organized the first–ever ‘Run for Your Heart’ in 1991 and first–ever ‘Perfect Health Mela’ in 1993. The Government of India released a National Commemorative Postal Stamp on both the occasions.

Dr Sanjiv Malik introduced me to medical politics when he directly brought me into the Delhi Medical Association as Vice–president in 1991. I later served IMA New Delhi Branch as President for three terms; DMA as President;  IMA as Academic Wing Head,  Research Wing Head, National Finance Secretary and Member Delhi Medical Council (serving second term now).

During my journey from unknown to known, I learnt a lot from my father–in–law, Late Shri GL Sanghi, former Senior Advocate Supreme Court of India; my brother–in–law Mr Mukul Rohtagi, Senior Advocate Supreme Court of India; Dr Ketan Desai, President Medical Council of India; Sh SL Talwar former Secretary and Trustee Moolchand Hospital, and Acharya Sadhvi Dr Sadhna ji Maharaj, Chairperson, World Fellowship of Religions.

I am indebted to my teachers – Late Dr HN Khattri, Dr OP Gupta, Dr AP Jain, Dr Ulhas Jaju, Dr SP Kalantri, Dr S Chhabra, Dr Anand N Malaviya, Dr Sanjiv Chopra, Dr PC Bhatla and Dr JJ Sood. I owe my success to them all.

My wife Dr Veena Aggarwal, who now heads IJCP Publications, a medical publication house which I started twenty years ago and my children, Nilesh and Naina, have been by my side all through my journey.

Dr KK Aggarwal
Chief Editor

Photo feature

Dr KK Aggarwal at the inaugural function of the 4th Media Excellence Awards 2010, organized by Media Federation of India at FICCI Auditorium on March 27, 2010. Also present the chief guest Sh Mangat Ram Singhal, Delhi Industry Minister.

Dr k k Aggarwal  get Media Award

News and Views

Replacing saturated fats with unsaturated fats may reduce risk of heart disease

Replacing saturated fats with healthier options can cut the risk of heart disease by a fifth, according to research published in the Journal PLoS Medicine.

Moderate alcohol intake may be good for the heart

A new research published in the Journal of the American College of Cardiology has shown that light to moderate alcohol intake appears to be good for the heart. Consuming five to 10 grams of alcohol per day (about one–half to one drink) had the lowest incidence of death from heart disease and all causes of death.

Most babies should take vcitamin D supplement, study indicates

According to a study published online March 22 in the Journal Pediatrics, most babies should take a daily vitamin D supplement.

Meeting Notes
American College of Cardiology, Atlanta, GA • March 14 – 16, 2010

1. No benefit from ventricular reconstruction

Surgical ventricular reconstruction during a coronary artery bypass graft (CABG) does not appear to benefit any subgroup of patients, a secondary analysis of a randomized trial showed. The STICH (Surgical Treatment of Ischemic Heart Failure) trial randomized 1,000 patients with ischemic cardiomyopathy to CABG with or without surgery to decrease the size of the ventricle and give it a more natural shape. The main results, reported last year at the meeting of the American College of Cardiology and subsequently published in the New England Journal of Medicine, showed that there was no difference between the two groups on the primary outcome of death or cardiac hospitalization (HR 0.99, 95% CI 0.84 to 1.17).

2. The agony of long-distance runners –– coronary plaque

A group of elite long–distance runners had less body fat, better lipid profiles, and better heart rates than people being tested for cardiac disease, but, paradoxically, the runners had more calcified plaque in their heart arteries, according to a study reported here. (Dr Robert Schwartz, Minneapolis Heart Institute and Foundation).

3. Intensive statin treatment cuts CVEs in kidney disease patients

Intensive statin therapy was associated with a marked decrease in cardiovascular events and a modest improvement in renal function among heart patients with metabolic syndrome complicated by chronic kidney disease. The reduction in major cardiovascular events was 35% when patients were treated 80 mg of atorvastatin versus 10 mg. (Dr Daniel J. Wilson, Senior Medical Director Pfizer).

4. Triglycerides decreased with rosuvastatin therapy

In a study that specifically investigated the effects of statin therapy on triglycerides, researchers said that rosuvastatin significantly reduced the blood lipid that has been linked to coronary artery disease better than placebo. (Dr Juan Talavera, Instituto Mexicano del Seguro Social, Mexico City).

What’s New: Glargine vs NPH insulin

In a five–year trial in over 1000 patients with type 2 diabetes, there was no difference in the risk of retinopathy progression in patients randomly assigned to twice daily NPH versus once daily glargine.(Rosenstock J, Fonseca V, McGill JB, et al. Similar progression of diabetic retinopathy with insulin glargine and neutral protamine Hagedorn (NPH) insulin in patients with type 2 diabetes: a long–term, randomised, open–label study. Diabetologia 2009; 52:1778.)

Diabetes Fact

A patient on long–term same dose of insulin develops hypoglycemia, think of nephropathy; 50% of insulin is metabolized in kidneys.

 

Public Forum (Press Release)

President of India, Hon’ble Smt. Pratibha Patil, confers Padma Shri to Dr KK Aggarwal

Dr BC Roy National Awardee Dr KK Aggarwal was bestowed with the Nation’s fourth highest National Civilian Award, the Padma Shri, by Smt. Pratibha Devi Singh Patil, the President of India at a ceremony held at the Rashtrapati Bhawan. The ceremony was also attended by Dr Manmohan Singh, Prime Minister of India; Shri Hamid Ansari, Vice–President of India and Shri P Chidambaram, Union Home Minister.

Dr Aggarwal is the President of Heart Care Foundation of India and is well–known for his contribution to the society in the field of public health awareness. He has many firsts to his credit. He started Clot Dissolving Therapy for the first time in India in 1984 and Colour Doppler Echocardiography in 1987, organized the first ever ‘Run for Your Heart’ in 1991 and the first–ever Perfect Health Mela in 1993. The Government of India also released national commemorative postal stamps in the last two events.

Dr Aggarwal is also Sr Consultant Physician and Cardiologist Moolchand Medcity; Member Delhi Medical Council, Past President Delhi Medical Association, Past Director IMA AKN Sinha Institute, Past Chairman IMA Academic Wing, and Group Editor–in–Chief IJCP Publication and Chief Editor eMedinewS, the first daily e–medical newspaper of India.

Dr Aggarwal has been a panelist in over 300 TV shows. He also specializes in allopathic aspects of alternate systems of medicine. He has written a book titled "Alloveda" which describes Vedic descriptions in allopathic language. He also conducts seminars and workshops on all aspects of vedic texts, rituals, mythology, Purans and religions. He is a certified meditation teacher and teaches yoga, pranayam with allopathic touch.

Dr Aggarwal topped Nagpur University in MBBS and received a medal in every subject including four Gold Medals. He has served on many Government committees, both at the Center and State levels, and is consulted by them on various issues of health and medicine.

He is credited with 14 International Publications, and has contributed to the famed International Textbook on Echocardiography. Besides, his research papers have appeared in as many as 115 publications in Indexed National Journals and over 550 publications in review Indian Journals.

He is also the recipient of many awards which include: Paul Harris Fellow, from Rotary International, Dr DS Mungekar National IMA Award (1991); DMA Dr BN Behl Foundation Award (1992–93); Cardiology Society of India Mumbai Branch Dr KK Datey Oration (1993); Rajiv Gandhi Excellence Award (1993); The Great Son of the Soil Award (1996); IMANDB Health Communicator of the Last Decade Award (2002), IMA New Delhi Branch Swasthya Ratna Award (2002); Rashtriya Gaurav Samman (2002); Indira Gandhi Priyadarshini Award (2003); Abhipra Samaj Seva Puraskar (2003); IMA New Delhi Branch Life Style Interventional Cardiologist of the Last Decade Award (2003); IMANDB Life Time Achievement Award (2004), Delhi Medical Association Swasthya Health Ratna (2005–06), DMA Nursing Home Forum Medical Statesman and Communicator of the Last Decade (2005–6); Delhi Hindi Sahitya Samellan – Sahitya Shree Award 2007 (Doctor and Philosopher of Indian Culture); Mohammad Rafi Award of excellence (2008), Dr BC Roy National Award 2005 (Govt. of India) in the field of socio medical relief (received in 2008), Acharya Sushiluni Manavata Puraskar (2008), Delhi Medical Association Sunder Lal Roopwati Memorial Award (2009), Delhi Medical Association Award of Excellence (2009), Agra Vibhushan from All India Vaishya Samellan (2009), Jain Vibhushan (2009), PP Jhunjhunwala Award (2010), IMA East Delhi Branch Chikitsa Sewa Ratan (2010) and Delhi Medical Association Swasthya Ratna (2010).

Question of the day (Dr GM Singh)

What are the factors which help in minimizing the damage to the surrounding tissue?

To minimize damage to the surrounding tissue concentrate on the following points:

  • Frequency of the unit: Higher the frequency least is the lateral conduction. In studies, 3.8 Mhz appears to be the best frequency. However this aspect is subject to debate.

  • Electrode size: Thinner electrode concentrates electrons and prevents larger lateral trails of electron path. So select a thin electrode.

  • Clean electrodes: Carbonized electrodes produce tissue drag and may delay the procedure and may lead to use of increased power. So clean the electrodes intermittently with water or saline.

  • Hydration of the operation site: Always wet the lesion so that the procedure is smooth and to prevent sparking of electrons.

  • Suitable power: Select optimal power on the dial according to the manufacturers' recommendation.Too high–power causes, high lateral conduction of heat. Too low also could lead higher lateral conduction of heat.

  • Suitable waveform: Fully rectified and filtered waveform. In this wave form, there is continuous smooth non–pulsating flow of electrons and hence a smooth cut and least lateral heat conduction.

  • Electrode movement: The electrode should be held lightly and smoothly glided through the tissue. This should be approximately 5–8mm per second. Don’t apply pressure on the tissue like a scalpel. Let the electrons power work and not your muscle power.

eMedinewS Try this it Works

Silly photos and the well–baby exam

While examing a difficult baby give him a silly photograph of small children to hold during the examination. In the photo, one child may be making a funny face and the other could be wearing a pair of swimming goggles and holding a pet rat. Children love to look at photos of other children.

Dr Good Dr Bad

Situation: A patient with diabetes was suspected to have Dupuytren’s contracture.

Dr Bad: It is not common in diabetes.

Dr Good: It is very common in diabetes.

Lesson: Dupuytren’s contracture and impaired vibrotactile sense in finger pulps occurred in patients with diabetes but not in those with impaired glucose tolerance (IGT). Vibrotactile sense was impaired symmetrically in the index and little fingers in diabetes. (J Diabetes Complications 2009;23(1):32–9.)

Make Sure

Situation: A patient in his immediate post CABG procedure developed dangerous arrthymias.

Reaction: Oh my God! Why you did not correct his pre–operative K+ value of 2.5

Make Sure that pre–operative K+ value of <3.5 is corrected. Cardiac surgery patients who have serum potassium levels below 3.5 mmol.L are at high risk for peri–operative arrhythmias.

Punjab & Sind Bank
 
action
docconnect
 
Central Bank of India
 
ijcpgroup
 
nuspera
 
Docconnect

Laughter the best medicine

Doctors at a hospital in Brooklyn, New York have gone on strike. Hospital officials say they will find out what the Doctors’ demands are as soon as they can get a pharmacist over there to read the picket signs.

Formulae in Critical Care

Predicted endotracheal tube size for age

Formula: = 4 + (age/4) for pediatric age group.

Comments: Approximately size of the intubation tube is the size of little finger of the patient.

Milestones in Medicine

1628 AD. William Harvey showed for the first time that the heart pumps blood through the arteries to all parts of the body, and that blood returns to the heart through the veins.

Mistakes in Clinical Practice

Most doctors on duty do not counsel the attendants about the importance of changing posture or using air/water mattresses if possible. As a result many patients develop bed sores on the heel and back.

 

Lab Test (Dr Naveen Dang)

BNP and NT–proBNP tests help diagnose the presence and severity of heart failure.

List of Approved drug from 1.01.2009 to 31.10.2009

Drug Name

Indication

Approval Date

Sertaconazole Nitrate Powder 2% w/w & Lotion 2% w/v

For the topical treatment of the superficial fungal infections of the skin.

02.05.2009


(Advertorial section)

ZEN IMMUNE–FACT SHEET

Zen Immune Beauty helps improve the brittleness of nails and increase the hair tensile strength, thus preventing hair loss. It stimulates regeneration of hair roots, helps prevention of comedone formation and post comedone skin scarring in acne vulgaris.

Advertising in eMedinewS

eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month.
Contact:
drkk@ijcp.com or emedinews@gmail.com

eMedinewS–PadmaCon 2010 

Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

eMedinewS–revisiting 2010

The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.

NATIONAL SEMINAR ON STRESS PREVENTION (17 – 18 April). Over 400 registrations already done.

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.

Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)

Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.

Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9811090206, emedinews@gmail.com BK Sapna: 9811796962, bksapna@hotmail.com

Also, if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards

 

Delhi Medical Council Presents

An interaction with

Dr. Ketan Desai, President, Medical Council of India, 
Mr. Mukul Rohtagi, Senior Advocate, Supreme Court of India, &
Dr A K Aggarwal, President, Delhi Medical Council

Topic: Medical Ethics & Doctor–Pharma Relationship – New MCI Amendments

Date: April 10, 2010, Saturday

Time: 6 pm – 9 pm

Venue: Maulana Azad Medical College Auditorium, Dilli Gate, New Delhi

Dr KK Aggarwal: Moderator and Member Delhi Medical Council

Dr Girish Tyagi: Registrar, Delhi Medical Council

For Registration SMS to Dr KK Aggarwal : 9811090206


Readers Responses

 Dearest Brother Dr KK ji Million Congratulations on EVERY FEATHER THAT GETS ADDED TO YOUR CAP. God bless you with BHARAT RATNA....NOBLE PRIZE and all such.......recognitions. Regards. Dr N K Bhatia