31st October 2014, Friday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, 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.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

President Barack Obama today defended his administration’s controversial recommendation to monitor but not quarantine clinicians returning from Ebola care assignments in West Africa, saying that it is based on science.

The president’s remarks reinforced interim guidance issued by the Centers for Disease Control and Prevention (CDC) that rejects mandatory quarantines, but calls for restricting the movement of clinicians having had the highest risk for exposure to the Ebola virus in West Africa, which could result from a needle stick or a splash of blood in their eyes. 

Such clinicians should avoid public transportation and public places, but need not confine themselves at home. In other words, jogging in the park is fine. During the 21–day incubation period of the virus, public health officials should monitor them in person, and on a daily basis, for Ebola symptoms.

Clinicians in the categories of "some risk" and "low risk" for Ebola exposure also should undergo some form of daily monitoring, according to the CDC guidance, which was aimed at state and local health departments. 

Travel restrictions — but not outright quarantine — may be warranted for "some risk" clinicians on a case-by-case basis.

The CDC guidance reflects the positions of the World Health Organization, the Infectious Diseases Society of America, and other healthcare groups. They assert that it is pointless to quarantine individuals while they are asymptomatic, and therefore unable to spread the virus. 

Like Obama, they warn that quarantines will deter healthcare workers from volunteering for Ebola care in West Africa, which could doom efforts to stop the outbreak and allow the virus to spread to more countries.

Today the CDC recommendations picked up major endorsements from the American Medical Association, the American Nurses Association, and the American Hospital Association. In a joint statement, the three groups said the CDC guidance "appropriately safeguards public health without unduly burdening those who have heroically cared for Ebola patients."

Mela 2014

News Around The Globe

  • Some food labels may not reliably list all possible food allergens, according to the U.S. Food and Drug Administration. The agency added that these "undeclared allergens" are the leading cause of FDA–requested food recalls.
  • prices at medical practices increased more rapidly between 2003 and 2010 in areas with less competition, according to the study recently published in the Journal of the American Medical Association.
    IMA News
  • Lucknow: The Bharatiya Janata Party ( BJP) Wednesday accused the Samajwadi Party (SP) government ministers of behaving in an autocratic manner. Reacting to the statement of Health Minister Ahmad Hasan that all doctors owing allegiance to the Indian Medical Association (IMA) were 'dalaal' (brokers), state BJP spokesman Vijay Bahadur Pathak said the minister should also explain whose deals were the doctors brokering?
  • In view of the growing concern over Ebola virus, which has claimed over 4,000 lives worldwide, the Indian Medical Association (IMA) is working on a training and awareness programme for its members on tackling the outbreak of various viral diseases. The programme is envisaged to help medical fraternity to stay updated on the emerging and re–emerging viral diseases and equip them to face emergencies. The scientific session of the 57th State conference of IMA’s Kerala chapter, scheduled to be held here from November 7 to 9, will set a framework of the programme, IMA Kerala secretary A.V. Jayakrishnan said on Tuesday. — PTI.
  • A recent multi–city survey conducted by Research Pacific (commissioned by Tetra Pak) showcased that almost 70 per cent of mothers aren't too sure about the food that their child consumes. Roughly translated, it means that one in every three mothers is unsure about the safety and quality of food that she gives to her child and family. Add to that, over 60 per cent of mothers don't really spend time reading labels, missing out on crucial ingredients that a growing child needs. The lack of awareness coupled with a growing concern about food freshness and purity certainly calls for alternative measures. Food laws in India do address the issue of purity but what we really need is a program which connects with people and educates them.

Dr KK Spiritual Blog

What is the difference between smile, hug and laugh?

Smile is a sign of joy, while hug is a sign of love. Laughter on the other hand is a sign of inner happiness. None of them are at the level of mind or intellect. All come from within the heart.

They are only the gradations of your expressions of your happiness.

It is said you are incomplete in your dress if you are not wearing smile on your face. Hug comes next and laughter the last.

Laughter is like an internal jogging and has benefits like that of doing meditation.

But be careful we must know when not to laugh. The most difficult is to laugh on oneself.

Inspirational Story

Promise Yourself

To be so strong that nothing can disturb your peace of mind;

To talk health, happiness, and prosperity to every person you meet;

To make all your friends feel that there is something in them;

To look at the sunny side of everything and make your optimism come true;

To think only the best, to work only for the best, and to expect only the best;

To be just as enthusiastic about the success of others as you are about your own;

To forget the mistakes of the past and press on to the greater achievements of the future;

 To wear a cheerful countenance at all times and give every living creature you meet a smile;

To give so much time to the improvement of yourself that you have no time to criticize others;

To be too large for worry, too noble for anger, too strong for fear; and too happy to permit the presence of trouble;

To think well of yourself and to proclaim this fact to the world, not in loud words, but in great deeds;

 To live in the faith that the whole world is on your side so long as you are true to the best that is in you.

Rabies News (Dr A K Gupta)

Is hydrophobia a sign of rabies in dogs?

Hydrophobia is not a sign of rabies in dogs. Rabid dogs can drink water and even swim in water. If a rabid dog is not able to drink water, it is because of paralysis of jaw muscles and not due to hydrophobia.

Cardiology eMedinewS

  • Fasting plasma levels of a metabolite, called trimethylamine–N–oxide (TMAO), generated by intestinal microbes  appeared to be significantly higher in a cohort of patients with heart failure than in subjects without heart failure, suggested a new study published in the November 4 issue of the Journal of the American College of Cardiology.
  • Men and women react similarly when chest pain strikes, each experiencing uncertainty and denial before reaching a "symptomatic tipping point" urging them to seek out medical treatment. Women, however, are more likely than men to delay seeking care when these heart symptoms occur, suggests a new study presented at the 2014 Canadian Cardiovascular Congress.

Pediatrics eMedinewS

  • Management of bronchiolitis in children aged 1 to 23 months no longer requires testing for specific viruses or a trial dose of a bronchodilator, suggest new guidelines issued by the American Academy of Pediatrics (AAP), published online October 27 in Pediatrics.
  • Children's use of asthma medications may result in serious adverse drug reactions, suggests a new study based on EU adverse drug reaction reports, published in the International Journal of Clinical Pharmacy.

Quote of the Day

  • A successful man is one who can lay a firm foundation with the bricks others have thrown at him. ~ David Brinkley

Wellness Blog

DPP–4 inhibitors not linked to increased heart attack risk:

DPP–4 inhibitors not linked to increased heart attack risk: The Wall Street Journal reported that research published in the New England Journal of Medicine suggests that DPP–4 inhibitors may not be linked to an increased heart attack risk.

Extreme exercise may not pose danger to heart: The Wall Street Journal reported that a study of Tour de France cyclists found that they had longer lives than the general population and were less likely to die from heart troubles.

Faster heart attack care has not led to better in–hospital survival: USA Today reported that research published in the New England Journal of Medicine indicates that while hospitals have "shaved 16 minutes off the time it takes to get heart attack patients into treatment from 2005–2006 to 2008–2009, reducing that time from 83 minutes to 67 minutes," investigators “found that the percentage of heart attack patients who die while in the hospital, about 5%, hasn’t changed."

Gut bacteria may play role in determining weight: The investigators found that mice who received bacteria from the obese twin became fat, while the mice who received bacteria from lean individuals remained lean.

CDC: One in four deaths from cardiovascular disease preventable: USA Today reported currently, there are approximately 800,000 deaths annually in the US from cardiovascular disease, but about 200,000 of these deaths "could be prevented if people made healthy changes including stopping smoking, maintaining a healthy weight, doing more physical activity, eating less salt and managing their high blood pressure, high cholesterol and diabetes.

ePress Release

A second attack of dengue is more dangerous

If you have suffered from dengue last year, you need to be more careful as the second attack of dengue may be more dangerous than the first attack, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association

Elaborating on this, Dr. Aggarwal said that there are four different types of dengue and one can, therefore, suffer with dengue four times in his or her lifetime. The second or subsequent dengue infections tend to be more serious.

Dr. Aggarwal said that a person with dengue can also simultaneously suffer from malaria. Malaria and dengue together can lower platelet counts to a dangerous level leading to complications.

In a dengue season, nobody should take aspirin for fever as it can precipitate bleeding, he added.

In dengue most complications occur within two days of the fever subsiding and most people are casual during this period. Any type of abdominal pain, giddiness or weakness after the fever has subsided should be attended to, by a doctor. Dengue complications during this period are due to shift of blood volume and patient requires rapid infusion of oral or intravenous fluids in large quantity.

Dr. Aggarwal said that platelet transfusion is not required even if the count is as low as 10000 unless there is an associated bleeding.

eMedi Quiz

The substances present in the gall bladder stones or the kidney stones can be best identified by the following technique:

1.Fluorescence spectroscopy.
2.Electron microscopy.
3.Nuclear magnetic resonance.
4.X-ray diffraction.

Yesterday’s Mind Teaser:The following separation technique depends on the molecular size of the protein:

1.Chromatography on a carboxymethyl (CM) cellulose column.
2.Iso-electric focusing.
3.Gelfiltration chromatography.
4.Chromatography on a diethylaminoethly (DEAE) cellulose column.

Answer for yesterday’s Mind Teaser:3.Gelfiltration chromatography.

Correct answers received from:Najib Khatee, Dr Avtar Krishan, Dr Poonam Chablani,

Answer for 29th Oct Mind Teaser:1.Glyceraldehyde–3–phosphate dehydrogenase.

Correct answers received from:Dr Jainendra Upadhyay, Dr.K.V.Sarma, Dr Avtar Krishan,

Send your answer to email

eMedinewS Humor


A small boy was looking at the red ripe tomatoes growing in the farmer’s garden. "I’ll give you my two pennies for that tomato," said the boy pointing to a beautiful, large, ripe fruit hanging on the vine.

"No," said the farmer, "I get a dime for a tomato like that one."

The small boy pointed to a smaller green one, "Will you take two pennies for that one?"

"Yes," replied the farmer, "I’ll give you that one for two cents."

"OK," said the lad, sealing the deal by putting the coins in the farmer’s hand, "I’ll pick it up in about a week."


Medicolegal Query

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Editor eMedinewS and President Heart Care Foundation of India)

Not disclosing the names of doctors in the surgical team may be deficiency of service

Recently, the Kerala State Consumer Disputes Redressal Commission presiding members M.K. Abdulla Sona and A. Radha directed the Travancore-Cochin Medical Councils-Kerala (TCMC-K) to instruct all doctors to display their medical council registration numbers on their signboards and quote the register numbers in all prescriptions and all case sheets. The commission said that using the registration number in the doctors’ prescriptions, case-sheets and signboards would help patients to get all information about the doctor including their competency and possessed the required qualifications.
The commission said that the patient/consumer has the right to know the details of each doctor who accompanied the leader of the surgical team, including the anesthesiologist. Any denial of this would be considered a deficiency of service and an unfair trade practice under the provisions of the Consumer Protection Act.

emedipicstoday emedipics

21st Perfect Health Mela 15th October 2014

21st MTNL Perfect Health Mela 2014


Zee News – Health Wealth Shows


press release

Obesity reduces life expectancy

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Other Blogs

Video Library

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 96458 trained

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 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)


IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :


Dr Good and Dr Bad

Situation:A patient on aspirin was to go for non vascular surgery
Dr Good: Stop aspirin for seven days
Dr Bad: Stop aspirin fir two days
Lesson: Based on POISE-2, we recommend discontinuing aspirin about seven days before noncardiovascular surgery.

Make Sure

Situation:A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

Twitter of the Day

Dr KK Aggarwal: Poor hygiene habits may lead to Typhoid fever
Dr Deepak Chopra:The essential elements of life on earth – carbon, nitrogen, oxygen & hydrogen– are made inside of stars


medicolegal update
  1. I am pleased to announce the completion of my book: 2014: The Election That Changed India to be published by Penguin India. The formal release is on Friday, 7th November at 6:15 pm at the Teen Murti auditorium in the Nehru Memorial Museum and Library. Mr Arun Jaitely and Mr P Chidambaram have kindly consented to do the honours. I do hope you will be able to make it and look forward to your support. Warm regards, Rajdeep Sardesai

eMedinewS Special

1. IJCP’s ejournals (This may take a few minues 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)