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Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)


31st October

Dear Colleague,


Integrating Ayurveda can reduce cost by 30%


HT Summit Seminar on Innovative Solutions for Healthcare challenges was moderated by Professor K. Srinath Reddy President, Public Health Foundation of India. The speakers were Dr. Naresh Trehan CMD Medanta the medcity, Dr. Salim J Habayeb Dr Salim J. Habayeb, World Health Organisation representative in India and Dr. Dr George W. Weightman Dr George W. Weightman, associate director and chief operating officer of Wake Forest Institute for Regenerative Medicine. Here are the excepts.


Regenerative medicine:

1.       Regenerative medicine is a new field of science. In 10 to 20 years from now, we will see solid organs being made in the lab.

2.        By next 5 to 10 years, we will see hollow organs like blood vessel, trachea, bladder etc. being made in the lab and by next 15 to 20 years, we will see limbs being manufactured in the lab.

3.       In the next 2 to 3 years, we will see oxygen enhanced healing processes in application.

4.       Already, we are seeing detection of 24 pathogens within three hours technology available in the world.

5.        For regeneration of kidney, esophagus, bladder, cartilage, urethra, vessel, salivary glands, trachea, bone, breast, lung, uterus etc. one need patients? own cells but for the regeneration of heart, nerve, liver and pancreas, stem cells are required.

6.       Once regenerative medicine is in place, it will help 50 million heart patients, 30 million autism patients, 16 million diabetics, 10 million pts with osteoporosis, 8.2 million with cancers, 4 million with Alzheimer  disease, 0.13 million with severe burns, 0.15 million with birth defects and 0.2 million patients with spinal injury defects.

7.        Regenerative medicine will have segments like tissue engineering, diagnostic applications, cellular treatment, healing treatment and supportive treatment.

8.        Research and development had reached a stage where regenerated organs would be a reality sooner rather than later.

9.        Results are encouraging on tests for organs made from patients own tissues.


Important India statistics:


  1. Nutritional paradox: 45% of children 0 to 5 years in India are under-weight and 24 to 32% of adolescents in the urban areas are overweight.
  2.  1/3 of all measles deaths of the world are in India and 1/3 of the TB patients in the world are in India.
  3.  India is the diabetic capital of the world with 42 millions patients likely to increase to 80 millions by 2025. Diabetes is due to mal-adaption or modernity.
  4.  The Indian health budget is 5.2% of the GDP whereas it is 14% in US and 10% in UK.
  5.  In India only 20% of health expenditure is by Government and 80% from private sector.
  6.  The size of healthcare industry in India is 36 billions. It is likely to become 45 to 50 billion by 2012.
  7.  In India, there are 6 lakh villages requiring 6 lakh doctors which can never be fulfilled as there are only 5 lakh doctors in India. (atleast one doctor is required per villahge)
  8. Even in the US 50 million people  are without insurance (2.2 trillions insurance sector budget).
  9.  Health is a business with soul. The aim should be to earn 7 to 8% profit and not 25% profit. All deserving patients should be given 30% discount. To reduce the rising cost of healthcare, India needs to bring traditional medicine systems, such as Ayurveda, into the mainstream. It can reduce the cost by further 30%. The new era of Indian medicine lies in putting to test the gems of herbal medicine along with modern science. Ayurveda works from within the body and decreases the need for intensive medical intervention, thereby reducing the overall cost.
  10.  Healthcare sector would have to form a task force to work parallel to the government.  The task force can very well facilitate access to healthcare for all villages in just five years ? a target the government has not been able to meet in over two decades.                                                                                                                       Dr KK Aggarwal

 Obese people commit less suicide
Obesity may lead to numerous health problems, but it may actually be linked to fewer successful suicides. Dr. Kenneth J. Mukamal, at Harvard School of Public Health in Boston, looked at rates of suicide and obesity in U.S. states in 2004 and 2005. On average, about a quarter of adults studied were classified as obese on the basis of their body mass index, which is a standard measure of the relationship of height and weight. Also on average, there were about 12 suicides per 100,000 adults. However, with each 3 percent increase in obesity in a given state, there were 3 fewer suicides per 100,000 adults, they report in the journal Obesity.

Neurotics at risk of asthma ( want to avoid asthma do not break relationships)
Neurotic people are at increased risk of asthma, and those who suffer through a divorce or other relationship conflict are also at risk for asthma. Animal studies have shown that chronic stress alters hormone levels, which can inflame airways making it difficult to breathe. Researchers believe that neurotic character traits may exert similar effects.
Dr. Adrian Loerbroks from Heidelberg University, Germany explored associations between neuroticism, stressful life events and asthma by surveying a sample of 5,114 men and women aged 40 to 65 years from Heidelberg and its surroundings. Right from the start, they noticed a link between asthma and neuroticism in men, and between asthma and unemployment in both sexes. In women, having broken off a life relationship was associated with having asthma. Highly neurotics were three times more likely to develop asthma than those who were less neurotic, and breaking off a life partnership increased the risk of asthma development by more than two fold. (Allergy, October 2009)

All adults should be screened for depression

General Practitioners should screen all adults for depression according to a position statement issued in October by American College of Preventive Medicine. In the paper published in the Journal of Family Practice, it has been said that most depression patients seeing family physicians go undiagnosed. 30% of the patients visit the family doctors may have some form of depression with 10% suffering from major depression.

People with schizophrenia rarely kill strangers
Despite some highly publicized incidents in recent years, people with schizophrenia rarely commit random homicide. Pooling data from seven studies in four countries, researchers found that the odds of a person with schizophrenia killing a stranger were 1 in 14 million people per year. The risk appears even lower if the disorder is being treated with antipsychotic medication. Most people with schizophrenia are not violent, but they are more likely than people without the disorder to commit violent crimes. This is especially true if a person with schizophrenia abuses drugs or alcohol, or had a history of violence before developing the brain disorder. Instead of focusing on a patient's potential danger, mental health laws should be based on the individual's need for treatment and competency to refuse it. (Schizophrenia Bulletin, October 12, 2009)

Free medical cover for accident victims
The Centre is working on a plan for a cashless system whereby the government would bear all medical expenses during the first 48 hours of hospitalization of the victims of road accidents. With India leading the world in fatalities due to road accidents, 1.4 lakh killed in 2007, this is a welcome move that may help bring down this figure. (TOI)

How does one treat hirsutism
The approach to the treatment of hirsutism is consistent with the 2008 Endocrine Society guidelines. For women with hirsutism available options include pharmacological therapy and direct hair removal methods.
  1. For hirsute women with known hyperandrogenism such as polycystic ovary syndrome, one should opt for pharmacologic therapy
  2. For any pharmacological therapy, one should go for a minimum of six months before making changes in dose, type of medication, or adding a medication.
  3. For the majority of women with hirsutism who choose pharmacological therapy, one should start with oral contraceptives as initial therapy.
  4. There is no advantage of one OC over the other but  it is reasonable to avoid preparations with the most androgenic progestin, levonorgestrel, which has less desirable metabolic effects.
  5. Because of their potential teratogenic effect, antiandrogen monotherapy should not be used in women of reproductive age unless reliable contraception is used.
  6. One should not routinely using flutamide for hirsutism. Although it may be more effective than other antiandrogens, flutamide has been associated with potential hepatotoxicity and is considerably more expensive than other antiandrogens. Low dose flutamide (62.5 mg/day) does not appear to be associated with hepatotoxicity, but it has not been studied as monotherapy for hirsutism.
  7. One should not use insulin-lowering drugs for hirsutism.
  8. For women with a suboptimal cosmetic result after six months of oral contraceptive monotherapy, one may add an antiandrogen.
  9. For women with hyperandrogenism undergoing direct hair removal methods, one should add pharmacological therapy or continue it to minimize hair regrowth

My doctor is a very busy man. To save time he makes you take off your clothes in the waiting room.

Bedside Formula
Unsaturated iron binding capacity: is calculated by subtracting the serum iron from the TIBC.

Advertising in emedinews

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emedinews: revisiting 2009
IJCP Group is organizing emedinews: Revisiting 2009, a day-long medical conference on 10th January, 2010 at Maulana Azad Auditorium. It will be attended by over 1000 doctors from across the city. The topics will include top happenings in the year 2009. There will be no registration charges. However advanced registration information will be required.  Top experts of the city will be delivering lectures. It will be followed with lively cultural evening, doctors of the year award, dance and dinner. For regiatration maiol to emedinews@gmail.com

Letter to the editor

1. Dear Dr K K Aggarwal: rise in no of cases of diptheria is on the rise in muzaffarnagar area as well for reasons not clear i have seen 5 cases in last two months in age group of 6-11 years presenting with palatal paralysis & nasal regurgitation. Cases are being followed up regularly. DR MK Garg, Dr Uma Garg, Muzaffarnagar Medical College.

2. you have used this media in best possible way to educate us  about practical daily use medicine  Dr Rajesh Sobti , child specialist (drrajeshsobti@indiatimes.com)
3. I profoundly appreciate your efforts in constantly churning out good material on every day basis for your e medinews. hearty congratulations once again. Sunil Jaiman, Denmark suniljaiman@yahoo.com



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