eMedinewS 5th August 2013, Monday

Dr K K Aggarwal Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Hony. Visiting Professor (Clinical Research) DIPSAR; 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

Understanding Insurance Terms

Deductibles

In an insurance policy, the deductible is the amount of expenses that must be paid out of pocket before an insurer will pay any expenses.

Deductibles are typically used to deter the large number of trivial claims that a consumer can be reasonably expected to bear the cost of. 

By restricting its coverage to events that are significant enough to incur large costs, the insurance firm expects to pay out slightly smaller amounts much less frequently, incurring much higher savings. 

As a result, insurance premiums are typically cheaper when they involve higher deductibles. Deductible is what makes insurance so profitable. 

Copay

Copayment or copay is a payment defined in the insurance policy and paid by the insured person each time a medical service is accessed. It is technically a form of coinsurance, but is defined differently in health insurance where a coinsurance is a percentage payment after the deductible up to a certain limit. It must be paid before any policy benefit is payable by an insurance company. Copayments do not usually contribute towards any policy out-of-pocket maxima whereas coinsurance payments do.

Though the copay is often a small portion of the actual cost of the medical service, it is meant to prevent people from seeking medical care that may not be necessary (e.g.: an infection by the common cold). The underlying philosophy is that with no copay, people will consume much more care than they otherwise would if they were paying for all or some of it.

Co Insurance

In health insurance, coinsurance is sometimes used synonymously with copayment, but is defined differently – a copay is typically fixed while the coinsurance is a percentage that the insurer pays after the insurance policy's deductible is exceeded up to the policy's stop loss.
It is expressed as a pair of percentages with the insurer's portion stated first. The maximum percentage the insured will be responsible for is generally no more than 50%.

Out of pocket maximum

The yearly out-of-pocket maximum is the highest or total amount your health insurance company requires you to pay towards the cost of your health care.
Out-of-pocket expenses are what you pay for health-related services above and beyond your monthly premium. Depending on your health plan, these expenses may include an annual deductable, coinsurance, and copayments for doctor visits and prescription drugs.

The out-of-pocket maximum helps protect you from very high additional costs. In most cases, once you reach your health plan's out-of-pocket maximum, your insurance company will cover 100% of the costs they consider to be medically necessary.

Loading in Health Insurance

Loading, in terms of Mediclaim Insurance means the Insurer (Company) will charge more amount than the regular premium from the policy holder after a claim has been made. 

For example you pay Rs 6,000 annual premium, and now in 4th year you make a claim, then from the 5th year onwards, your premium will increases by a certain amount which can range from 5% to even 300%.  The increase depends on the company terms and the rules.  If the loading is 50%, your premium will increase by 50%. (9000/-  in this case). Loading can apply with every claim you make.

1. ICICI Lombard mediclaim policy states different slabs for different amounts of claim made.

2. Star Health’s Red Carpet policy for Senior citizens: makes an option of Co-pay up to 30% but also has Loading as well.

3. United India (Gold and Platinum only) and Max Bupa has no loading clauses

Loading challenged in consumer courts

1. Amina Sheikh, an octogenarian, was insured for Rs 1.5 lakh for a decade by the National Insurance Co. Ltd. under its Mediclaim Policy. When her policy was due for renewal in 2007, the company increased the premium from Rs 5,305 to Rs 32,787. This was done to make it financially unviable to continue with the policy. Her daughter protested, so the premium was brought down to Rs 23,845, which too was very high. She was forced to pay this premium and renew the policy to avoid a break in insurance. Her daughter wrote to the company demanding an explanation for the arbitrary increase. The divisional manager replied that the policy now stood cancelled as Amina did not seem happy with the firm. He also clarified that the premium doubles immediately when a person crosses 80 years of age and for her, the premium had been loaded by another 100% in anticipation of claims arising due to advanced age.

CWA then filed a consumer complaint. Rendering the judgment on behalf of the bench, the forum president observed: “Managers of public sector undertakings are duty-bound to take decisions based on facts and not in an arbitrary and irresponsible manner based on their emotions.”
The Forum held that the loading of the premium was arbitrary, unjustified, and contradicted the terms of the policy, which is deficiency in service and unfair trade practice. The forum directed the firm to continue the policy by charging Rs 13,112 and to refund the excess premium collected. It also directed the company to continue renewals without loading as long as the insured paid regular premium in time. Also, compensation of Rs 15,000 for mental agony and Rs 2,500 as costs were granted.  Source : TOI

Case Study 2: In Dr Rupali Shirke’s case, the insurance company loaded her premium by 50%, increasing it from Rs 7,727 to Rs 11,824 and decreased the sum insured from Rs 5 lakh to Rs 2.5 lakh. This was done because of two claims lodged by her, which were genuine and settled by the company. This was considered as an “adverse claims ratio” by the firm. When she protested, the insurance firm ignored it.
CWA filed a complaint challenging loading of premium and reduction of the sum insured by United India Insurance Co. Ltd. The Forum held that the firm was bound to renew the policy on the same terms and conditions. It directed the firm to restore the sum insured and charge regular premium without loading. A compensation of Rs 5,000 and costs of Rs 5,000 were also awarded.

Case Study 3: In the case of Hoshang Khan, after a claim was lodged, the insurance firm imposed a loading of 400%, increasing the premium from Rs 10,558 to Rs 55,952. Khan could not afford the high premium, so he sent the premium cheque without the loading, but the insurance company returned it. CWA filed a complaint against United India Insurance Co. Ltd. The Forum held that loading of premium was arbitrary and unjustified. It directed the company to accept the premium without loading. On receipt of the basic premium, the firm was directed renew the policy with retrospective effect from 2006 onwards to maintain the policy’s continuity.

Co-Pay in Mediclaim

Co-pay, as the name signifies is the payment made by two parties, even if that is not in equal proportions. Under this clause, the insured is also required to bear a certain percentage of expenses incurred on illness/disease while hospitalized, either conditionally or under certain conditions.

In India Co-Pay only comes into picture after a certain age. Most of the companies levy this clause once the policyholder enters the Senior citizen category, that is after the age of 60.

Mostly this percentage is mentioned as 20% pay – i.e., policyholder is required to pay 20% of the expenses out of his own pocket. 

For example a person is 65, and falls ill and gets admitted for which a bill comes of 70,000/-. His Mediclaim Policy mentions 20% co-pay, then he will have to pay 14000/- and the rest will be paid by the Mediclaim company.

Some companies may charge this co-pay clause if the policyholder is taking treatment in out of network hospitals. 

Even if a company does not have co-pay and loading clauses today , it can include them at later stage . Every policy mentions that “all terms including premium are subject to change on renewal, based on claims or otherwise.”

1. Bajaj Allianz implemented a new loading clause in August 2010. 

2. ICICI Lombard, has classified claims into Chronic and Non Chronic. Non-chronic claims like an accident or Malaria etc. would have a loading only above a certain threshold claim amount, which is not carried forward in the subsequent year. Whereas chronic ailments will have a loading of 75% and carried forward up to 200%.

(Some of the inputs from Manish Chauhan, Jago Investor)

....Read More

Things you should know about erectile dysfunction

ED is often the result of diseases or conditions that become more common with age or a side effect of the medications used to treat them. Other causes include prostate surgery, stress, relationship problems, and depression. With age tissues also become less elastic and nerve communication slows.

Cardiovascular disease is a common cause. Blocked arteries affect not only the coronary arteries but those throughout the body as well. Up to 30% of men who see their doctors for ED have underlying heart blockages.

Intriguing findings from the Massachusetts Male Aging Study suggest there may be a natural ebb and flow to ED — that is, for some men, trouble with erections may occur, last for a significant amount of time, and then partly or fully disappear without treatment.

For some men, simply losing weight may help. Others may need medications, and there are other options available as well. (Harvard Newsletter)

....Read More

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 10x10 i.e. 100 per minute."


VIP’s on CPR 10 Mantra Video
eMedinewS
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

sprritual blog Spiritual Prescriptions: Satsang

Satsang is a common household word and is often held many residential colonies. Traditionally, Satsang meant the regular meeting of a group of elderly or women of an area with a common intention of attaining inner happiness or peace through Bhajans or devotional songs for a particular God or Gods.  In Satsang, people realize that it is the Self, communing with Self.

The Sanskrit word ‘Satsang’ literally means gathering together for guidance, mutual support or in search of truth. It may involve talking together, eating together, working together, listening together or praying together.

Most scriptures describe Sat and asat. They discriminate that this world is maya (asat) and God is Divine. Furthermore, they state that maya is not yours; Divine is yours. 

Sang means to join, not just coming close, but to join. And how do you join? Only with love, which acts as glue. So Satsang is:  Sat—Divine. Sang—loving association. In non-traditional Satsang, people verbally express themselves to others in an uninhibited way. Here, each participant talks free of judgment of others, and self. In this way, each person is able to see many viewpoints, which may serve to diminish the rigidity of their own.

Satsang is one way of acquiring spiritual well being. Many scientific studies have shown that when mediation or chanting is done in groups it has more benefits than when done individually. Maharishi Mahesh Yogi once said that if 1% of the population meditates or chants together it will have a positive influence on the entire society. 

Satsang also helps in creating a network of people with different unique talents. Satsangi groups are often considered in a very deep-rooted friendship. 

Adi Shankaracharya in his book Bhaja Govindam also talks about satsang in combination with sewa and simran and says that together the three can make one acquire spiritual well- being. Nirankaris and Sikhs also give importance to satsang and in fact every true Sikh is supposed to participate in the Gurudwara on a regular basis.

Chanting of mantra or listening to discourses in a satsang helps to understand spirituality through gyan marga. Group chanting continued on a regular basis is one of the ways of meditation mentioned in the shastras. It shifts consciousness from sympathetic to the parasympathetic mode.

The medical educational programs of doctors of today can be called medical satsangs as whatever is discussed is for the welfare of the society. However terrorism meetings held to discuss implanting a blast couldn’t be called a satsang. 

Satsang also inculcates in us, one of the laws of Ganesha, the law of big ears, which teaches everyone to have the patience to listen to the others. 

In satsang, nobody is small or big, everybody has a right to discuss or give his or her views. Over a period of time, most people who regularly attend satsang, start working from the level of their spirit and not the ego.

....Read More

cardiology news

Hiding their weaknesses and highlighting their strength

There was a King who had only one eye and one leg. He asked all the painters to draw a beautiful portrait of him. But none of them could because how could they paint him beautifully with the defects in 1 eye and 1 leg. Eventually one of them agreed and drew a classic picture of the King. It was a fantastic picture and surprised everyone.
He painted the King AIMING for a HUNT. Targeting with ONE Eye Closed and One Leg Bent ...

Moral: Why can’t we all paint pictures like this for others.
Hiding their weaknesses and highlighting their strength....!!!!

News Around The Globe

  • sprritual blog
    The baby that was literally born twice

    When Chad and Keri McCartney say their baby Macie Hope was born twice, they really mean it. When Keri was on the 23rd week of pregnancy, she and her family went to the obstetrician's office to discover the sex of the baby she was carrying. Then, they discovered a huge tumor growing out from Macie's tailbone. She had to go on surgery right after that. Macie's ‘first birth' happened when surgeons at Texas Children's Hospital took the tiny fetus from Keri's womb to remove the tumor that would have killed her before she was born. On May 3rd, ten weeks after that, Macie was ‘born again' and the McCartneys welcomed their surgically repaired — and perfectly healthy — baby girl into the world.
  • National MCI News: Minutes of the meeting of the Board of Governors dated 7.5.2013
    a)3.3: The MCI Board of Governors approved the MD curriculum in Family Medicine and also  approved the recommendation of Academic Council on TEQ and MSR in Family Medicine.  MoH&FW should be informed of this decision. Further, it was decided to encourage such courses in the medical colleges as currently only one medical college, viz., CMC, Vellore, runs this course.
    Dr. Purshotamn Lal, Member, BOG, suggested that since there are no takers for MD in Family Medicine, the Curriculum should have 2 years in Medicine out of 3 years of total Course and should be allowed to do DM by spending one year extra. Change of nomenclature from MD in Family Medicine to MD in General Medicine & exiting MD in Medicine to MD in Internal Medicine will also help making the two Specialists at par.

    b)3.2: Proposal of the MoH&FW for increasing of seats from 50 – 100 and 100 – 150 in all the Medical Colleges : The Chairperson explained about the background of the proposal. The justification for is that the MSR for recognition of 50/100 seats are higher in terms of Faculty, Infrastructure & Clinical material etc. as compared to LOP requirements for 100/150 seats, respectively, and therefore, one time permission, i.e., for the academic year 2013-14 is proposed to be provided to medical colleges to overcome the acute shortage of doctors in the country and some special interventions might be required, to produce adequate and effective Human Resources for Health providing care at primary, secondary and tertiary levels in both the public and private sectors. After some discussion, the draft Notification proposed to be issued in this regard was also read out for the information of Members of the Board of Governors and certain corrections suggested by them were carried out. The BOG has, in principle, approved the proposal.

    c)3.1: The course of action to be taken on the Show Cause Notices dated 12.10.2011 issued to the following six Medical Colleges in connection with article appeared in “Tehelka” weekly magazine (6th July, 2011 issue) titled “Medical Council of India : Where Munna Gets His MBBS” was taken up for consideration :
    i) Santosh Medical College, Ghaziabad;
    ii) School of Medical Sciences & Research, Greater Noida;
    iii) Saraswathi Institute of Medical Sciences, Hapur;
    iv) SGT Medical College, Gurgaon; Rama Medical College, Hapur;
    v) and Subharati Medical College, Meerut.

    It was noted that the above Colleges submitted their replies to the Show Cause Notice. These were considered by the Board of Governors at its meeting held on 28.11.2011. As per decision of the Board of Governors, these replies were analyzed by a Sub-Committee headed by Dr. P.Prasannaraj, Additional Secretary. The Sub-Committee submitted its Report on 20.3.2012. These were considered, again, by the Board of Governors at its meeting on 16-17th April, 2012 and directed the Vigilance Division to obtain the salary statements signed by the bank authorities, etc., in order to ascertain the factual position with regard to the faculty strength and infrastructural facilities available in these Medical Colleges. As a sequel to this, the Council observed serious irregularities being committed by the above six Medical Colleges in a routine manner - and thus in a way substantiating the allegations contained in the Tehelka” weekly magazine that these Colleges are not actually having adequate faculty and infrastructural facilities as per  requirement laid down by the MCI. 3.1(2) In the background of above factors and after deliberating the matter at length, the Board of Governors, unanimously decided to recommend to the Central Government for initiating the action for withdrawal of LOP/recognition granted to the above College.
  • 30. Violation of MCI’s code of ethics by the Indian Academy of Pediatrics (IAP)-Reg. The Ethics Committee considered the matter with regard to violation of MCI’s Code of Ethics by the Indian Academy of Paediatrics and noted that this item needs detailed study of all records and accordingly, it was decided to be sent to one of the Ethics Committee Members viz. Dr. Rama V. Baru, for its presentation in the next meeting.

  • The US Supreme Court has unanimously threw out attempts to patent human genes, siding with advocates who say the multibillion-dollar biotechnology industry should not have exclusive control over genetic information found inside the human body. But the high court also approved for the first time the patenting of synthetic DNA, handing a victory to researchers and companies looking to come up with ways to fight – and profit – from medical breakthroughs that could reverse life-threatening diseases such as breast or ovarian cancer.

  • According to a study published online July 31 in the journal Neurology, “low levels of red blood cells” may “increase the risk of dementia for older people (14%).

  • A study in mice suggests that metformin may increase lifespan “by a number of weeks – the human equivalent of 3-4 years.” According to Rafael de Cabo, a biogerontologist at the National Institute of Aging. The findings were published in Nature Communications.

  • American Heart Association and the European Society of Cardiology have released a consensus statement offering physicians guidance on discussions with heart attack survivors about “when and how to resume sex.” Being that many patients may be embarrassed to ask about it, cardiologists, “nurses and other health care workers should take the lead and initiate the discussion...according to the statement.” The statement was published online in Circulation: Journal of the American Heart Association and the European Heart Journal.

  • According to a 194-adult study published in July by the Journal of the American Medical Association, an exercise program that facilitates walking may help patients with peripheral artery disease (PAD) walk longer distances without pain. 

  • Among 200 kidney transplant patients between the ages of 18 and 74 years, nondiabetics had significantly higher health-related quality of life scores on various tests  compared with patients with diabetes. The findings are published in Clinical Transplantation.

Rabies News (Dr. A K Gupta)

Can a rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.

cardiology news
  • According to a new consensus statement published online in Catheterization and Cardiovascular Interventions, the biomarker CK-MB should be preferred over cardiac troponin (cTn) to identify coronary angioplasty-related myocardial injury that predicts later events. When clinicians switched to cTn from CK-MB, they didn't have a thorough understanding of the prognostic implications of rising levels of cTn following PCI. Cardiac troponin, for example, can be overly sensitive, resulting in unfounded suspicion that many patients have suffered a clinically relevant myocardial infarction (MI) than the objective evidence would support. (Source: Medpage Today).

  • Analysis of the Platelet Inhibition and Patient Outcomes (PLATO) trial reports that treatment with the oral antiplatelet agent ticagrelor (Brilinta, AstraZeneca) results in a lower risk of stent thrombosis when compared with clopidogrel in the setting of acute coronary syndromes (ACS). The study showed that treatment of ACS patients with ticagrelor significantly reduced the rate of MI/stroke/cardiovascular death compared with clopidogrel. The drug was approved by the US Food and Drug Administration in 2011. (Source: Medscape)

Valvular Heart Disease News

Clinical examination remains the first step in diagnosis of mitral valve prolapse. The non-ejection click is mobile, meaning that the timing varies with maneuvers that alter left ventricular volume. The mitral regurgitant murmur can be late systolic (early in the disease) or holosystolic (severe prolapse or flail).

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news
  • Severe asthma in childhood, or childhood asthma in combination with allergies to furry animals, may signal asthma that will persist into young adulthood. A Swedish study followed seven- and eight-year-olds with asthma through their teens. Among those with the combination of severe asthma and animal allergies as kids, 82% still had asthma at age 19. (Source: Medscape)

  • Stephen Dager, MD, of the University of Washington in Seattle and colleagues reported online in the journal JAMA Psychiatry that children with autism spectrum disorders (ASD) have brain chemical changes between the ages of 3 and 10 that distinguish them from children with other forms of developmental delay. N-acetylaspartate levels rise over time to near-normal levels in ASD children. In contrast, the compound remains at a low concentration in children with non-autism developmental delays. (Source: The Gupta Guide, Medpage Today)
cardiology news

Diet for heart disease prevention with special reference to edible oils

  • Food of plant in origin contains no cholesterol. Only animal food has cholesterol, therefore, all oils which are plant in origin will have zero cholesterol while animal fat like Desi Ghee (cow or buffalo) will have cholesterol.
  • Any fat which is saturated will be solid at room temperature and the one which is unsaturated will be liquid at room temperature. All plant oils, therefore, will be unsaturated and Desi Ghee, Butter will be saturated. When an unsaturated liquid oil is hydrogenated, it becomes hydrogenated oil, solid at room temperature and therefore, will be saturated.
  • Unsaturated oils can be poly-unsaturated or mono-unsaturated. Mono-unsaturated oils are heat stable and the oils can be reused after frying or boiling. Boiled Poly unsaturated oils on the other hand will oxidize on heating and may not be suitable for reuse.
  • Omega 3 fatty acid in unsaturated oils is the key for cardiovascular prevention. The N3:N6 ratio is the one which classify various oils. More N3 means more Omega 3 fatty acid.
  • When choosing unsaturated oils, a blend  of oils is better than single oil and, if one oil has to be used, then it is preferred to be mono-unsaturated.  A single oil is used should be mustered oil, groundnut oil or  olive oil. A recent study has shown Mediterranean diet which involves consumption of pure virgin olive oil in adequate amount can cause regression of heart diseases. Virgin olive oil has also been shown to dissolve gallbladder stones. There are blend of oils available which are a mix of poly and mono-unsaturated oils and if they have more N3:N6 ration, they can be consumed from healthy point of view.
  • Trans fats are the biggest culprit (hydrogenated oils). Saturated fat increases LDL bad cholesterol while transfat increases LDL bad cholesterol and simultaneously reduces good HDL cholesterol. It is better to consume desi ghee than vanaspati ghee.
  • Moderation and variety is the answer. One should not consume more than ½ kg of ghee, oil, butter in a month which means 3 tea spoon full in a day. I recommend a mix of unsaturated oils, saturated oils and butter in a day with a maximum 3 tea spoon full (15 ml).
  • One should not re-fry or deep fry food articles. One should use non-stick pans for reducing the amount of oil in cooking. The smaller pieces of vegetables you cut while cooking the more will be available surface area and more will be oil consumption. One should boil the vegetables and cook them to reduce the amount of oil required for cooking.
  • There are some medicines available which are Lipase inhibitors which are called cheating drugs and they do not allow fat to be observed if you take any excess in parties. As per naturopathy, consuming a glass of water with lemon after half an hour of eating food may help in washing of the fat lined on the intestinal lining.
  • 1% rise in bad cholesterol increases the chances of heart attack by 2% and 1% reduction in good HDL cholesterol reduces the chances of heart attack by 3%.
cardiology news

Paternal age and fertility

Older men can be reassured that any excess risk of disease in their offspring related to paternal age is very small, but not zero. Advanced paternal age is associated with an increase in new autosomal dominant mutations. The best estimate of risk of autosomal dominant disease in progeny is =0.5%.

cardiology news

HCFI Activities

2nd August: Heart Care Foundation of India Organizes a CPR 10 Training camp at Balwant Rai Mehta School, Greater Kailash, Part 2, New Delhi.

EBook

CPR 10 Camp – E Book Sahodaya Sr Sec School, SDA, New Delhi

Total CPR since 1st November 2012 – 57939 trained

TV and Radio Coverage

30th July: Dr KK Aggarwal on India News

Video Chats and uploads

Dr KK Aggarwal on How to Stay Fit

Advocacy through Print Media

30th July: Veer Arjun

Media advocacy through Web Media

Poly Diet and Poly Drugs 1st Aug

NETLOG, FREEPRESS RELEASE, PRLOG, WEBENWSWIRE

When could Constipation be a Serious Problem?

While most instances of constipation may not be serious, some cases of infrequent or difficult bowel movements need evaluation by a doctor said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.
Heart Care Foundation of India offers this list of warning signs:

1.    You're constipated for the first time
2.    Constipation occurs for you very frequently.
3.    You've been treating constipation at home with more fiber, fluids and exercise for at least three weeks, but with no improvement.
4.    You have abdominal pain.
5.    You have bloody stools.
6.    You have unexplained weight loss.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 57939 people since 1st November 2012. 

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 10x10 i.e. 100 per minute.”

today emedipics

Heart Care Foundation of India Organizes a CPR 10 Training camp at Balwant Rai Mehta School, Greater Kailash, Part 2, New Delhi on 2nd August 2013.

press release

Embolization shows success in benign prostatic hyperplasia

today video of the dayDr KK Aggarwal on How to Stay Fit

Dr KK Aggarwal on How to Take Care of yourself during the Monsoons

Smart Phones Benefits and Hazards

eMedi Quiz

Read this…………………

A male client is scheduled for a renal clearance test. Nurse Maureen should explain that this test is done to assess the kidneys’ ability to remove a substance from the plasma in…..:
a.    1 minute.
b.    30 minutes.
c.    1 hour.
d.    24 hours.

Yesterday’s Mind Teaser:Nurse Lea is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?
a.    Rashes on the palms of the hands and soles of the feet
b.    Cauliflower-like warts on the penis
c.    Painful red papules on the shaft of the penis
d.    Foul-smelling discharge from the penis

Answer for yesterday’s Mind Teaser: d. Foul-smelling discharge from the penis

Correct answers received from: Dr.Praveen Jain, DR AVTAR KRISHAN, Dr.K.V.Sarma, daivadheenam, Dr.B.R.Bhatnagar, Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, Dr.K.Raju, Dr Jainendra Upadhyay, Dr B K Agarwal, Dr Valluri Ramarao, DR ABBAS VAKIL

Answer for 3rd August Mind Teaser:a. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually

Correct answers received from: Dr. P. C. Das

Send your answer to ijcp12@gmail.com




eMedi Apps



medicolegal update

Click on the image to enlarge

medicolegal update

A certain little girl, when asked her name, would reply, "I’m Mr. Sugarbrown’s daughter."
Her mother told her this was wrong, she must say, "I’m Jane Sugarbrown."
The Vicar spoke to her in Sunday school and said, "Aren’t you Mr. Sugarbrown’s daughter?"
She replied, "I thought I was, but mother says I’m not."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: An asthmatic with respiratory rate of 37 developed respiratory arrest.
Reaction: Oh my God!! Why was the patient not put on the ventilator in time?
Lesson: Make sure to remember that a respiratory rate of > 35 is a warning signal to start ventilation therapy.

medicolegal update

When you are at a loss of what to do, do nothing. Doing nothing can be very wise. When you pause doing things, you become more aware of Godís presence, and often an unexpected solution to your question will arise.

medicolegal update

Dr KK Aggarwal :Poor hygiene habits may lead to Typhoid fever http://bit.ly/1666DSO #Health

Dr Deepak Chopra: Non physical phenomena assume the form of the physical universe #CosmicConsciousness

medicolegal update

Dear Sir, Thanks for the nice updates. Regards: Dr KM Sharma.

Forthcoming Events

CPR CAMPS

  1. 5th August At Universal Public School, A Block, Preet Vihar

29th September–Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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