eMedinewS
4th October 2014, Saturday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

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

Every Adversity Is An Opportunity
 

Ever since I have been elected as Honorary Secretary General of Indian Medical Association, I have been spending 3-6 hours to plan for my year starting on 28th December, 2014 when I will be taking over at Ahmedabad in the central council meeting.
 
over the last few weeks I have been attending meetings like the ones hosted by Ministry of Health and Family Welfare, a meeting of stake holders of Vector Control Programme, sugar clinic launch by Apollo, stake holders’ meeting in Preventive Neonatal Deaths and many others.
 
It has been depressing as in no meetings IMA has been acknowledged. IMA is the largest body of medical profession with a membership of over 2.5 lakhs. I feel if IMA gets involved in any projects the projects’ success will enhance many-fold.
 
The initial feeling has been that of a depression but soon I cover up my depression by positive affirmation that there is a lot of scope to work and bring a change.
For this I need support of all of you.
 
“Let us be proud of being an IMA Member”.
 
I personally believe that one should never ignore ones critics as they are one’s best teachers. I appeal to all the critics who are also members of IMA to come forward and try to resolve their conflicts in the interest of medical profession. Once taken over I will do my best to resolve such issues, if any.
 
Let us all pledge – “I am proud to be a part of Team IMA and grateful to God for making me a doctor to serve the humanity.”
 
Remember each one of us is IMA. We together can contribute a lot to the betterment of the medical profession.
 
Let us spend few minutes every day and ask ourselves what can I do for myself, what can I do for my IMA and what can I do for my medical profession.

News Around The Globe

  • Despite widespread belief to the contrary, people who manage to overcome their addiction to one substance do not become addicted to another substance, results of a large, prospective study show. The study disproves the widely held view among many clinicians that adults who experience remission from a substance use disorder (SUD) are at increased risk of starting another addiction, Carlos Blanco, MD, PhD, from Columbia University and the New York State Psychiatric Institute, New York City, told Medscape Medical News.
  • Saxagliptin is safe to use in diabetes patients with heart failure, unless they have very advanced heart failure and concomitant renal insufficiency, experts say. The link between saxagliptin, a selective dipeptidyl peptidase 4 (DPP-4) inhibitor for the treatment of type 2 diabetes and heart failure, was first reported a year ago, in the Saxagliptin Assessment of Vascular Outcomes Recorded in Patients with Diabetes Mellitus (SAVOR)-TIMI 53 trial.
  • Evaluating the possibility of large population-based programs of Helicobacter pylori screening and treatment should be a global priority to reduce the burden of gastric cancer, according to a report from the International Agency for Research on Cancer (IARC), the specialized cancer agency of the World Health Organization
  • Label changes for the smoking cessation drug varenicline, requested by Pfizer and approved by the US Food and Drug Administration suggest that the risk for suicidal behavior is lower than initially thought.
  • For the 2015 academic year, PHPFI has announced ‘call for applications’ for the “Certificate course in Sexually Transmissible Infections and Human Immunodeficiency Virus/ Acquired Immune Deficiency Syndrome through distance learning”. This certificate course, with public health focus, is developed by PHFI in collaboration with The University of Sydney under Public Sector Linkages Program (PSLP) with support from AusAID.

Dr KK Spiritual Blog

Collective Consciousness

Consciousness is an energized field of information with powers to do everything in the universe. Collective consciousness is the internet of the collective souls of many people in a group.

Collective consciousness is the strongest superpower ever available in the universe. As per the Vedic texts, whatever is the intent of collective consciousness will become a reality. Scientifically, collective consciousness is based on the principle of critical mass. Vedic literature has shown it to be 1% of the defined population under study.

The origin of the critical mass comes from the 100th monkey phenomenon. The story goes as follows: Long ago in Japan a monkey called Emo used to eat dirty apples that were picked up from the ground every day. One day by accident the apple fell down in a river, the dirt got washed off and he ate the washed apple. Obviously it tasted delicious. He started washing the apples thereafter every day before eating. His fellow monkeys started following the same. The process of following went on. A time came when the 100th monkey washed the apple and ate it. A strange phenomenon was noticed. All monkeys in and around that area started washing the apple before eating. The no. 100 was the critical mass.

Once this mass is crossed the information will spread like a wild fire and the intent becomes a universal reality. Vedic literature has also shown if 1% of the public of any area meditates together the crime rate of that area goes down. It also talks about the role of critical mass in prayers in achieving miracles.

Thus principle of critical mass is often used in designing and organizing an event. In a movie hall of 1000 people if 10 people clap sitting in different areas everybody will clap. The same is true for hooting of a particular scene. Most politicians use this principle when they organize election rallies. For a gathering of 10000 they need 100 and for a gathering of 1000 people they only need 10 supporters who are suppose to sit in different areas and shout or clap on given directions. Mexican way of hooting or clapping in cricket grounds also follows the same principle. For a ground like Eden Gardens with a capacity of 75,000 people you only require 750 people to control the mood of the people. This is what happened in an incident when the Indian team was hooted out by the sentence “No Ganguli no play, No Dada no play”. If Greg Chappel or Jagmohan Dalmiya had anticipated this, they would have used the same strategy to produce just the opposite result. They could have posted 1500 people (2% of the population) in the stadium shouting pro-Dravid slogans and the end result of the match could have been different.

Most successful leaders used this technology to lead.

Inspirational Story

No Time to Brag

Two geese were about to start southward on their annual migration, when they were entreated by a frog to take him with them. The geese expressed their willingness to do so if a means of conveyance could be devised.

The frog produced a long stalk of pond grass, got the geese each to grab an end with their beaks, while he clung to it by his mouth in the middle. In this way the three began their journey. Some farmers below noticed the strange sight. The men loudly expressed their admiration for the travel device and wondered who had been clever enough to discover it. Whereupon the vain frog opened his mouth to say, "It was I," lost his grip, fell to the earth and was dashed to pieces.

Moral: When you have a good thing going, keep your mouth shut!

Rabies News (Dr A K Gupta)

What are the precautions should be taken while administering RIGs?

  • Patient should not be on an empty stomach.
  • The RIGs vial taken out from the refrigerator should be kept outside for a few minutes to warm it to room/body temperature.
  • While infiltrating RIGs into the bite wound, care must be taken to avoid injecting into blood vessels and nerves.
  • While injecting into finger tips, care must be taken to avoid compartment syndrome.
  • All emergency drugs and facilities for managing any adverse reactions must be available.
  • For ERIG, keep the patient under observation for at least one hour after ERIG administration and then send home.
  • RIGs can be infiltrated even to already sutured wounds without disturbing the sutures.

Cardiology eMedinewS

  • Health care providers and patients need to understand and discuss the risks and benefits of heart imaging involving radiation before ordering or undergoing such testing, points a new scientific statement from the American Heart Association, recently published in the journal Circulation.
  • Harlan M. Krumholz, MD, of Yale, and colleagues report in the Journal of the American Heart Association that people who survived a myocardial infarction by age 55 and reported low perceived social support had lower adjusted mean mental functioning scores, lower quality of life, and more depressive symptoms at 12 months than those who felt more support (all P<0.01).

Pediatrics eMedinewS

  • According to a new report from the American Academy of Pediatrics, the foundation for osteoporosis is laid in early childhood and adolescence. The organization emphasizes on the importance of bone health during childhood and recommends that children participate in weight-bearing activities - such as running or dancing - and increase dietary intake of calcium to optimize bone strength. The report is published in the journal Pediatrics.
  • A randomized controlled trial (RCT) of 221 prepubertal children published online September 29 in Pediatrics has shown that those who participated in a structured afterschool exercise program for 9 months experienced improved executive function, including cognitive flexibility, compared with their counterparts who did not participate in the program.

Quote of the Day

  • And in the end, it's not the years in your life that count. It's the life in your years.
  • He who closes his ears to the views of others shows little confidence in the integrity of his own views. William Congreve

IMA/MCI NEWS

  • IMA awards 2014 will be presented during a Special IMA Awards’ ceremony to be held on 27th-28th December, 2014 at the venue of the Annual Conference of IMA at Ahmedabad (Gujarat). Nominations are invited to reach the IMA Headquarters, I.P. Marg, New Delhi-110 002 latest by 1st November, 2014. Notification can be uploaded on the official website of IMA.
  • The government decision to decontrol prices of 108 drugs to treat tuberculosis, AIDS, diabetes and heart ailments has increased their prices. The price of Glivec, an anti-cancer tablet, for example, has risen from Rs 8,500 to Rs 1.08 lakh. Plavix, used to treat blood pressure and heart ailments, will cost Rs 1,615, against the earlier Rs 147. An anti-rabies injection, Kamrab, priced at Rs 2,670, will now cost Rs 7,000, reports DNA.

    In a circular issued before Prime Minister Narendra Modi's visit to the US, the government asked the National Pharmaceutical Pricing Authority (NPPA), an autonomous body, to withdraw its May 2014 guidelines on drug price control. NPPA had capped the prices of these 108 drugs, in addition to the already listed 800 essential drugs, to improve their affordability, in the wake of official figures that there are 4.1 crore diabetes, 4.7 crore coronary heart disease, 22 lakh TB, 11 lakh cancer and 25 lakh HIV/AIDS patients in the country.

    These 108 drugs mostly relate to lifestyle diseases and are not 'essential'. The Ministry of chemicals and fertilizers had, on May 30, 2013, delegated powers to the NPPA to regulate the prices of life-saving drugs. This resulted in a significant reduction in prices of a broad spectrum of drugs. The Modi government extended this regulation to even lifesaving drugs for cancer, HIV, tuberculosis, malaria, diabetes, cardiovascular diseases and asthma. The government later withdrew these guidelines, ahead of Modi's visit to the US.

Wellness Blog

How to Prevent Arthritis from Slowing You Down

  1. Keep moving
    • Avoid holding one position for long.
    • While working get up and stretch every 15 minutes.
  2. Discover your strength
    • Put the strongest joints and muscles to work.
    • Push open heavy doors with the side of the arm or shoulder. It will protect finger and wrist joints.
    • While climbing up let the strong leg lead you and while going down let the weaker leg lead you. It will reduce hip or knee stress.
  3. Plan ahead
    • Simplify and organize your routines so you minimize movements that are difficult or painful.
    • Keep items you need for cooking, cleaning, or hobbies near where they are needed
    • Have multiple sets of cleaning supplies, one for the kitchen and one for the bathroom
  4. Make use of labor-saving devices and adaptive aids.
    • Long-handled grippers can be designed to grasp and retrieve out-of-reach objects.
    • Rubber grips can help one get a better handle on faucets, pens, toothbrushes, and silverware.
  5. Ask for help.
    • Only a very small percentage of people with arthritis become severely disabled and get dependent on others.
    • Educate family members and friends about how arthritis affects you.
    • Don’t be afraid to ask for help when you need it.

ePress Release

Travel more than doubles risk of blood clots

Long distance travelers should periodically move around and stretch their legs instead of just sitting and also drink plenty of water to stay hydrated, 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.

Long–distance travel can lead to potentially fatal blood clots in some people and the risk grows with the length of the trip. Those at increased risk of blood clots include cancer patients, people who have recently had major surgery such as a joint replacement, and women on birth control pills.

In general, travel is associated with a nearly three-fold increase in the risk of venous thromboembolism (blood clots that form in the veins), often in the legs. If such a clot dislodges and travels to the lungs, it can cause a potentially fatal condition called pulmonary embolism.

A combination of factors including dehydration and hours of sitting in cramped conditions explains why some people develop blood clots.

A review, published in the Annals of Internal Medicine, analyzed 14 studies involving more than 4,000 cases of venous thromboembolism and found that travelers had a nearly three–fold higher risk of blood clots than non–travelers. The risk climbed along with the duration of the trip, rising 18 percent for every two hours of any type of travel, and by 26 percent for every two hours of air travel.

But there is no reason for panic, because the absolute risk to any one traveler is still low. People who travel long distances should be aware of the risk of blood clots and learn to recognize the symptoms. Symptoms of a blood clot in the leg include pain, warmth, swelling and redness in the limb. If the clot travels to the lungs, it may cause sudden shortness of breath, chest pain or a cough that produces blood.

eMedi Quiz

A lesion of ventrolateral part of spinal cord will lead to loss (below the level of lesion) of:

1. Pain sensation on the ipsilateral side.
2. Proprioception on the contralateral side.
3. Pain sensation on the contralateral side.
4. Proprioception on the ipsilateral side.

Yesterday’s Mind Teaser: Brocq's phenomenon is analogous to which clinical sign in psoriasis?

a. Olfleck's phenomenon
b. Auspitz sign
c. Salmon patch
d. Candle wax scales

Answer for yesterday’s Mind Teaser: b. Auspitz sign

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen, Dr Avtar Krishan, DR JAINENDRA UPADHYAY, Dr.palanivelrajan

Answer for 1st October Mind Teaser: 2. Hypovolemia.

Correct answers received from: Dr Avtar Krishan.

Send your answer to email

eMedinewS Humor

That’s What we Practice (Joke)

A dad walks into a market with his young son. The kid is holding a Ruppe coin.

Suddenly, the boy starts choking and gasping for breath.

The dad realizes the boy has swallowed the coin and starts panicking, shouting for help.

A well dressed, attractive, but serious looking woman in a blue business suit is sitting at a Tea stall in the market reading her newspaper and sipping a cup of Tea.

At the sound of the commotion, she looks up, puts her Tea cup down on the saucer, neatly folds the newspaper, places it on the counter, gets up from her seat and makes her way, unhurried, across the market.

Reaching the boy, the woman carefully takes hold of the boy's balls and starts to squeeze, gently at first and then ever more firmly. After a few seconds the boy convulses violently and coughs up the coin, which the woman deftly catches in her free hand. Releasing the boy, she hands the coin to the father and walks back to her seat in the Tea stall without saying a word.

As soon as he is sure that his son has suffered no lasting ill effects, the father rushes over to the woman and starts thanking her saying, "I’ve never seen anybody do anything like that before, it was fantastic. Are you a doctor?"

"No," the woman replied, "I work for the Income Tax Dept."

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at A.S.V.J Sr Sec School, New Delhi on 24th September 2014

mela_brochure
Self-Assessment-Quiz

 

expert_choice
Zee News – Health Wealth Shows

Alcohol

press release

Communication skills for Health care Professionals

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Other Blogs

Video Library

MTNL Perfect Health Mela

Heart Care Foundation of India, a leading national non–profit organization committed to making India a healthier and disease-free nation announced the upcoming activities of the 21st MTNL Perfect Health Mela scheduled to be held from 15th – 19th October 2014 at the Talkatora Indoor Stadium in New Delhi.

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 of dengue hemorrhagic fever with minor GI bleed came for evaluation.
Dr Bad: Sister, admit him for platelet transfusion.
Dr Good: Sister, admit him for observation.
Lesson: Minor bleeds do not require platelet transfusion unless the bleeding is profuse and hematocrit is high. No blood transfusion is needed.

 

Make Sure

Situation: A patient with pyogenic meningitis developed complications. Reaction: Oh my God! Why were antibiotics not given at the time when meningitis was suspected? Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

Twitter of the Day

Dr KK Aggarwal: Diabetic drug metformin may have anti cancer effects
Dr Deepak Chopra: There is always a danger when someone holding personal beliefs dresses them up with science

medicolegal update

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

Giving an opinion on phone has no legal liability

No legal liability will fall upon the doctor as there is no contract between him and the patient. For negligence to be proved there has to be a duty, breach of that duty and resultant damage. In this case there will no breach of duty. Only if the specialist has charged fee for his opinion from the patient (patient can sue) or from the physician (patient and doctor both can sue), he or she is liable. If the fee has been paid by the referring physician, it will be deemed to be paid by the patient.

medicolegal update
  1. Dear Sir, eMedinewS is a very informative newspaper. Regards: Dr Kalpana

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