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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
3rd August 2016
New consensus statement discourages contralateral prophylactic mastectomy 
 
Women diagnosed with breast cancer who are at average risk should be discouraged from undergoing a contralateral prophylactic mastectomy (CPM), because the majority of women will obtain no oncologic benefit, says a new consensus statement from the American Society of Breast Surgeons (ASBrS). The first part of the statement outlines the effect that CPM has on relevant clinical outcomes and which patients might be appropriate candidates for CPM. While, the second part focuses on issues such as how patients feel about CPM. Key recommendations from the position paper are: 
  • Sentinel lymph node surgery on the CPM side should not be routinely performed
  • CPM is a cost-effective strategy for women with BRCA mutations. At this time, there is insufficient evidence to support the concept of superior cost effectiveness for CPM in women with sporadic breast cancer and the cost effectiveness is highly dependent on the quality of life assumptions.
  • Women should be counseled on the potential long-term outcomes of CPM on body image and sexuality.
  • Shared decision making that includes a comprehensive discussion of risks and benefits of CPM is important.
  • CPM counseling should include discussion of CPM, risks of CPM, rates of CBC, and ensure patients are engaged in the decision making, and making decisions that are concordant with their treatment preferences and personal values
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A 30-year-old male from Patna asked:
At night when I asleep, sometimes some liquid gets collected in my mouth during sleep which wakes me up from sleep ,as the result I have to get up and spit it out.
 
Dr. Yasmin Asma Zohara, Dentist, replied:
Although excessive saliva is not too common, there are a number of conditions that can cause it - some harmless, others more serious. It is possible that your... read more
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Press Release
What not to do in snake poisoning
 
New Delhi, August 02, 2016: In the monsoon season, snake bites are common. Most of these bites are by non–poisonous snakes. In a country like India, most people are misled by Bollywood movies showing a typical scene where the hero saves the heroine by giving an incision and then he sucks the poison and spits it out. "This is what should not be done", said Padma Shri Awardee Dr KK Aggarwal - President Heart Care Foundation of India (HCFI) and Honorary Secretary General IMA. 

Dr. Aggarwal said that methods such as incision, oral sucking, mechanical sucking devices, cryotherapy, surgery and electric shock therapies have been widely used but are medically not recommended.
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