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Dr K K Aggarwal

Dear Colleague,

I came across a piece of fiction and thought of sharing it with you all.

When a film director applied to the Government of India with a Script to produce a movie on the Mahabarat, his script was rejected on the following points.

Subject: Mahabharata

The undersigned is directed to refer the above letter and state that the Government has examined your proposal for financing a film called "Mahabharat". The Very High Level Committee constituted for this purpose has been in consultation with the Human Rights Commission, National Commission for Women and Labour Commission, in addition to
various Ministries and State Governments and have formed definitive opinions about the script. Their observations are as below:

In the Spotlight 
16th MTNL Perfect Health Mela Update 
New Research
Swine Flu Update
For the Clinician
9th World Elders Day celebrated
ECG Formulae
IPC- Indian Penal codes to know
Laugh a while
  1. In the script submitted by you it is shown that there were two sets of cousins, namely, the Kauravas, numbering one hundred, and the Pandavas, numbering five. The Ministry of Health and Family Welfare has pointed out that these numbers are high, well above the norm prescribed for families by them. It is brought to your kind attention that when the Government is spending huge amounts for promoting family planning, this will send wrong signals to the public. Therefore, it is recommended that there may be only three Kauravas and one Pandava.
  2. The Ministry of Parliamentary Affairs has raised an issue whether it is suitable to depict kings and emperors in this democratic age. Therefore, it is suggested that the Kauravas may be depicted as Honourable Members of Parliament (Lok Sabha) and the Pandavas may be depicted as Honourable Member of Parliament (Rajya Sabha). The end of the film shows the victory of the said Pandavas over the said Kauravas. The ending may be suitably modified so that neither of the Honourable Members of Parliament is shown as being inferior to the other.
  3. The Ministry of Science and Technology has observed that the manner of birth of Kauravas is suggestive of human cloning, a technology banned in India. This may be changed to normal birth.
  4. The National Commission for Women has objected that the father of Pandavas, one Sri Pandu, is depicted as bigamous, and also there is only one wife for the Pandavas in common. Therefore suitable changes may be made in the said script so that the said Sri Pandu is not depicted as bigamous. However, with the reduction in number of Pandavas as suggested above, the issue of polyandry can be addressed without further trouble.

  5. The Commission for the Physically Challenged has observed that the portrayal of the visually impaired character 'Dhritharastra' is derogatory. Therefore the said character may not be shown as visually impaired.

  6. The Department of Women and Child Development have highlighted that the public disrobing of one female character called 'Draupadi' is objectionable and derogatory to women in general. Further the Home Ministry anticipates that depiction of such scenes may create law and order problem and at the same time invite strong protests from the different women forums. Such scenes may also invite penal action under SITA (Suppression of Immoral Traffic Act); therefore they may be avoided and deleted from the film.

  7. It is felt that showing the Pandava and the Kauravas as gamblers will be anti-social and counter productive as it might encourage gambling. Therefore, the said Pandava and Kauravas may be shown to have engaged in horse racing. (Hon. Supreme Court has held horse racing not to be gambling)

  8. The Pandavas are shown as working in the King Virat's employment without receiving any salary. According to the Human Rights Commission, this amount to bonded labour and may attract provisions of The Bonded Labour System (Abolition) Act, 1976. This may be corrected at once.

  9. In the ensuing war, one character by name Sri Abhimanyu has been shown as fighting. The National Labour Commission has observed that, war being a hazardous industry, and the said character being 16 years old, this depiction will be construed as a case of child labour. Also there is no record of his being paid any compensation. This may also be deemed to be violatory of the provisions of The Child Labour (Prohibition and Regulation) Act, 1986 and Minimum Wages Act, 1948. Such references in the film may be removed.

  10. The character 'Sri Krishna' has been depicted as wearing a peacock feather. The peacock is our National Bird and wearing dresses made from peacock feather is an offence under the Wild Life Protection Act, 1972. This may not be depicted

  11. Smt Maneka Gandhi has raised very serious objection for using any elephants or horses in war scenes, since there is every scope for mistreatment and injury to the said animals. The provisions of the Prevention of Cruelty to Animals Act, 1890 and Prevention of Cruelty to Animals (Amendment) Act, 1960 would be applicable in the instant case. Suitable changes may be made in the script to address the objections raised.

  12. In pursuance of the Memorandum of Ministry of Finance regarding austerity measures, it is informed that in the battle field sequences, only ten soldiers may be allowed for each side. Also, all the characters may be shown to have obtained a valid licence under the Arms Act, 1959 as well as the Indian Arms Act, 1878.

You are therefore requested to modify the script along the lines indicated above and resubmit it to the undersigned at the earliest for reconsideration.
Sd/- Under Secretary

Dr K K Aggarwal


In the Spotlight

Three share Nobel Prize for Medicine

The 2009 Nobel Prize for Medicine or Physiology was awarded to three US-based scientists for the discovery of how chromosomes are protected by telomeres and the enzyme telomerase when the cells divide. Jack Szostak from Harvard Medical School, Elizabeth Blackburn from the University of California, San Francisco, and Carol Greider from Johns Hopkins University shared the Nobel prize for medicine. They solved a longstanding puzzle involving the ends of chromosomes with deep relevance to cancer and aging. These ends, called telomeres, are usually active only at the beginning of life. They get shorter each time a cell divides. When they get too short, a cell is thrown into senescence, meaning that its allotted span of life is over. Telomeres are also important in cancer, a disease in which control of cell proliferation is lost. Trials are under way to see if cancers can be treated by inhibiting telomerase.

Mela Attraction


16th MTNL Perfect Health Mela Update

Popular MTNL Health Mela Opens

The MTNL Perfect Health Mela formally opened on the 3rd of October. The 10-days annual popular health carnival was inaugurated by Prof. (Dr.) Kiran Walia, Health Minister, Government of Delhi. Inaugurating the mela, she expressed concern about the rising lifestyle disorders amongst middle class and upper lower class people. A grand Crafts Bazaar with more than 30 stalls representing emporia and participants from every state of India with handicraft items is a major attraction. There are free heath checkups at the Mela premises where blood pressure, ECG, echocardiography and eye examinations are done. Free medical counselling and consultation were also provided by doctors to the public who have been coming from all over the city. Around one lakh persons, including a large number of students, have already visited the ongoing mela. 


New Research

Women's weight in 50s predicts health in 70s

In a study of 17,065 women who survived into their 70s who were enrolled in The Nurses? Health Study, a team from Massachusetts assessed the occurrence of chronic disease and mental health at older ages. Compared with women who were lean at age 50 and maintained a healthy weight as they aged (that is, having a BMI of 18.5 to 22.9), those women with a BMI of 30 or more had only about a 20% chance of being healthy and disease-free in their 70s. Therefore the researchers encourage maintenance of a healthy weight from early adulthood.


Feeding 'speeds surgery recovery'

A research carried out by Cardiff University found that, contrary to traditional belief, patients given nutrition directly into intestines through a feeding tube recovered around three days faster than those fasted and only given basic hydration. Esophageal, stomach and pancreatic cancer patients usually fast, or are nil by mouth, for upto 10 days after surgery. Patients also developed fewer major complications. The researchers? next step is to find out if they could adopt the same practice in other types of surgery.

Breast milk acts best if given to the baby the same day

According to a study published in the journal Nutritional Neuroscience, breast milk should be given to the baby the same day it is expressed. Breast milk contains various ingredients, such as nucleotides, which perform a very important role in regulating babies? sleep. Scientists from Spain examined adenosine, guanosine and uridine, three nucleotides in breast milk and their variations over a day. These nucleotides relax or excite the central nervous system, promoting sleep. Their study confirms that the composition of breast milk changes quite markedly throughout the day. The night-time samples (8pm to 8am) had the highest nucleotide levels. Therefore mothers expressing milk at a certain time and then storing it and feeding it to the baby at a different time is not correct, the researchers said.

Umbilical cord blood as patient-specific stem cells

Human umbilical cord blood cells may be far more versatile than previous research has indicated. Scientists at the Salk Institute for Biological Studies, Spain report that they have successfully reprogrammed human umbilical cord blood cells into cells with properties similar to human embryonic stem cells. Worldwide, there are already more than 400,000 cord blood units banked along with immunological information. The results are significant as they identify cord blood as a convenient source for generating cells with a theoretically limitless potential.


Swine Flu Update

India toll 366

With seven more deaths reported on October 7, the country's death toll has increased to 366. Maharashtra has the highest rate among the states in the country with 148 deaths. At least 164 fresh infections were reported taking the total number of cases in the country to 10,894. According to experts, the swine flu pandemic might rise further with the approaching winter.

For the Clinician

Tight control of diabetes, frequent cause of  hidden hypoglycemia 

High blood sugar or hyperglycemia leads to complications but very low blood sugar is also dangerous. Among 2000 people with type 2 diabetes, half had experienced symptoms of hypoglycemic episode (low blood sugar attacks), a survey has found.

Those taking part in the research were not given insulin, it can also cause hypoglycemia. Taking more than required dose of medications, missing or postponing meals, alcohol without food and eating insufficient carbohydrates may cause hypoglycemia or low blood sugar levels. There may be no warning signs in diabetic individuals who frequently have such episodes. They may become unconscious without being aware that something is amiss. The survey examined mild or moderate attacks which are accompanied by warning signs like sweating, confusion, dizziness, hunger, and unsteadiness among others.

MTNL Perfect Health Mela 2009

A new test may predict heart failure in thalassemia patients

UK experts have found which thalassemia patients are going to develop heart failure. Thalassemia is an inherited disorder of hemoglobin protein that gives red blood cells their color. A magnetic resonance scanner called cardiac T2, measures the level of iron in the heart, which builds to life-threatening levels in some patients. These patients undergo two or three transfusions a month. Each time they receive about 250 milligrams of iron in the blood, iron is deposited as tiny specks of rust (ferrihydrite) in the cells of heart. On scanning, the signal breaks up due to the rust. Greater the amount of rust, the darker the scanned picture and the scientists have created a scale to help them know which patients have so much iron they are going to have heart failure.

Predictors of metabolic syndrome in Asian north Indians with newly detected type 2 diabetes

Identification of metabolic syndrome (MS) among patients with type 2 diabetes (T2DM) is of great importance. Those with MS carry a cluster of cardiovascular risk factors. Newly detected type 2 diabetes (<6 months) patients were assessed. The MS was assessed by WHO and International Diabetes Federation (IDF) criteria. Among the 563 newly detected T2DM individuals, the presence of MS ranged from 57 to 68%. In comparison to men, presence of MS was higher in women. Elevated serum triglyceride for men and decreased serum HDL-C in women were the strongest single indicator of the presence of MS in newly detected T2DM.


Drug Update

Drug combo better than individual medications for treating chronic pain

According to Queen's University researchers, a combination of two commonly prescribed drugs offers a much more effective treatment for people with debilitating neuropathic pain than if they take either of the medications individually. This is also the first time that the researchers have found a drug combination that also helps patients sleep better. They also say the methodology could also be applied to the study of other chronic conditions such as cancer-related pain, spinal disk disease, and the pain experienced after chemotherapy and mastectomies.


9th World Elders Day celebrated

Few renowned voluntary organizations came together to celebrate the World Elders Day  at St. Mary's School, Safdarjung Enclave, New Delhi on October 2. The objective of this annual meet was to get together the grand old citizens of Delhi and to attend to their physical, psychological and emotional needs. The event was spread over 3 days and began with a free Health Check up Camp formally inaugurated on 27th Sept by Prof. Kiran Walia, Hon'ble Minister of Health, Government of Delhi. On 30th Sept, Informative & Educative talks on Healthy Mind, Body and Soul, Spirituality for graceful ageing, Staying Young, Prostrate Management, Safety and Security and Rapidly Changing Socio Economic Values of the Society were given by an Eminent Panel. The 3 day event attracted over 2,700 seniors who viewed this as a platform to renew their determination, courage and spirit to take on the old age and brave the challenges.

Dr KK Aggarwal

IPC- Indian Penal codes to know

IPC 326

Voluntarily Causing Grievous Hurt by Dangerous Weapons or Means
Whoever, except in the case provided for by Section 335, voluntarily causes grievous hurt by means of any instrument for shooting, stabbing or cutting, or any instrument which, used as a weapon of offence, is likely to cause death, or by means of fire or any heated substance, or by means of any poison or any corrosive substance, or by means of any explosive substance, or by means of any substance which it is deleterious to the human body to inhale, to swallow, or to receive into the blood, or by means of any animal, shall be punished with imprisonment for life, or with imprisonment of either description for a term which may extend to ten years, and shall also be liable to fine.


Most Emergency room physicians are required to know the definition of a grievous injury.


Formulae in ECG

The T wave

  • Low or inverted T wave in most leads may be associated with coronary heart disease.
  • Low or inverted T waves associated with generalized low voltage of the QRS complex suggest pericardial effusion or myxedema.
  • Tall, peaked T waves in the precordial leads may be due to:
  • Acute subendocardial ischemia or infarction
  • Recovering inferior infarction
  • Hyperkalemia 
  • Bradycardia


Laugh a while

"The doctor said he would have me on my feet in two weeks." "And did he?" "Yes, I had to sell the car to pay the bill. "Are you an organ donor?" "No, but I once gave an old piano to charity."

A toddler surprised his father by announcing one day that he was going to join the Army. "But you can't", said his father. "You're only an infant." "I'm going to join the Infantry."

I can't do anything for your problem." The doctor told Mr. Gupta. "It's hereditary." "I see," said Gupta. "In that case, send the bill to my grandfather.

Life is like that?

  •  Artificial Intelligence usually beats real stupidity.
  • Be nice to your kids. They'll choose your nursing home.
  • Beauty is in the eye of the beer holder.
  • Borrow money from a pessimist, they don't expect it back.
  • Bills travel through the mail at twice the speed of checks. 

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