eMedinewS 13th August 2013, Tuesday

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.facebook.com/Dr KKAggarwal

I Like You vs I Love You

The word "Like" is used at the level of physical body, mind, intellect or ego and the word "Love" at the level of soul.

Examples are "I like this shirt"; "I like this car"; "I like his personality"; "I like his intelligence" etc.

The word "Love" is expressed for a person (I love you) or for Food (I love this food). In ancient Vedic philosophy human body and food shares the same consciousness.

Therefore, food is often symbolized as ‘I love my food’ e.g. I love mangoes or I love apples, etc.

When you are trying to say yes or no to a matrimonial offer, a question is often asked to you, "Do you like him or do you love him?" Like is at a superficial level and Love is at a deeper level.

In an arranged marriage, Love may take time to develop but in a love marriage, by the time you get married you are in love with each other. One should never marry at the stage of liking in love marriage.

In Vedic philosophy, there are stages of Love and they are Euphoria, Reaction, Adjustment, Liking and Love. When you get married, which is an arranged one, you are in a phase of Euphoria, which is the period of honeymoon. Once the honeymoon is over, you start reacting to each other’s habits then over a period of time you start getting adjusted as there is no other alternative. This phase is followed by the phase of liking and then the last phase of loving and this liking–loving phase may take up to 7 years. Then is the 7-year itch as it is described.

The initial phase of infatuation involves adrenaline and nor adrenaline chemicals and the later phase of love involves endorphins.

When you lose a partner at the stage of liking the mourning period is less but when your loved one departs at the stage of love, the mourning period may be prolonged and even may be forever.

The word "Love" is also sometimes used for materialistic things. Some people say ‘I love my car’ or ‘I love my computer’. This terminology is used for people who from their heart love a materialistic object. But more often the word "Like" is used for materialistic things other than food and human being.

Besides human beings and food, the world "Love" is often used for pet animals and that is expected as they also have consciousness.

To summarize, for anything which has consciousness we use the word "Love" and for anything else we use the word "Like". …Read More

It even happens in US: Doctor Gave Chemo to Patients Without Cancer

Hematologist-oncologist Farid Fata, MD, in suburban Detroit, Michigan, was arrested August 6 and charged with Medicare fraud. In a criminal complaint filed in a federal district court in Detroit, prosecutors said that the 48-year-old Dr. Fata ordered toxic chemotherapy for patients who did not have cancer or whose cancer was in remission.

Rather than keeping their heads down, some employees at Dr. Fata's high-profile practice challenged his actions before he was arrested, according to the government. One employed oncologist, for example, told agents from the FBI and the Department of Health and Human Services that he discovered that Dr. Fata had ordered chemotherapy for a patient whose cancer was in remission.

This oncologist and other employees also reported that Dr. Fata ordered intravenous immunoglobulin (IVIG) for patients whose antibody levels did not warrant the therapy. One nurse practitioner (NP) told federal agents that she pulled the charts for 40 patients scheduled for IVIG therapy and saw that 38 had neither low antibody levels nor a recurrent infection, which is another indication for the treatment. The NP consulted 2 other employees about the issue, and the 3 of them canceled the IVIG therapy for the 38 patients.

Dr. Fata's employees had internally challenged other practices they considered unethical, such as fabricating cancer diagnoses in patient records to justify insurance claims for chemotherapy and positron emission tomography (PET) scans.
Dr. Fata vehemently denies all the allegations.

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
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

sprritual blog Why Lord Krishna is called Makhan Chor

Krishna in our body represents pure consciousness and a child is always born with pure consciousness with no influence of mind, intellect and ego. The duality of mind starts at the age of 5 and the intellect start developing at early adolescence and ego at late adolescence.

In the first few years of childhood, the child has pure consciousness and has no power to discriminate between good and bad. For her / him everything is eternal unconditional love. He is loving and lovable. This phase in the birth of Krishna is called the phase of Makhan Chor. The child eats, sleeps or talks or steals nothing but love.

A loveable person always steals love from other and that is why Lord Krishna is called Makhan Chor. The word Makhan is symbolized with the essence of love. This is one of the reasons, why in our judicial system a child up to the age of 5 is taken as granted that he would never speak a lie.

After Krishna’s birth, a ritual is often performed by Krishna devotees, i.e. the ritual of breaking Dahi-Handi, where all the Krishna devotees gather at one place, climb on each other and then hit on the Dahi-handi and break it.

It also has a spiritual significance. In internal Krishna childhood perception Gopis represents your thoughts, who when gather together in harmony and churn (climbing up on each other) the milky curd (concentrated thoughts) produce butter (makhan), which is nothing but the essence of love.

The message is very clear that we must meditate or churn our mind with positive thoughts focusing on the purpose of life and use the resultant love in our day to day life. ….Read More

cardiology news

Believe What You Feel

On this day, Morrie says that he has an exercise for us to try. We are to stand, facing away from our classmates, and fall backward, relying on another student to catch us. Most of us are uncomfortable with this, and we cannot let go for more than a few inches before stopping ourselves. We laugh in embarrassment.

Finally, one student, a thin, quiet, dark–haired girl whom I notice almost always wears bulky, white fisherman sweaters, crosses her arms over her chest, closes her eyes, leans back, and does not flinch, like one of those Lipton tea commercials where the model splashes into the pool.

For a moment, I am sure she is going to thump on the floor. At the last instant, her assigned partner grabs her head and shoulders and yanks her up harshly.

"Whoa!!" several students yell. Some clap. Morrie finally smiles. "You see", he says to the girl, ‘you closed your eye; that was the difference. Sometimes you cannot believe what you see; you have to believe what you feel. And if you are ever going to have other people trust you, you must feel that you can trust them too – even when you’re in the dark … even when you’re falling". Read More

News Around The Globe

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  1. Self-measurement of blood pressure in the home, whether or not supplemented with counseling, educational materials, or other kinds of support, lowers BP over six months to a year compared with standard clinic-based BP monitoring, suggests a meta-analysis of 52 prospective studies published August 5, 2013 in the Annals of Internal Medicine.

  2. A University of Utah study has shown that the risk of childhood cancer has moderately increased among children and young adolescents with certain types of major birth defects. Children born with non chromosomal birth defects have a two–fold higher risk of cancer before age 15 compared to children born with birth defects (July Plos One).

  3. As per Harvard News Letter, a recent international survey has shown that Alzheimer’s is the second most feared disease after cancer. It is characterized by progressive damage to nerve cells and their reactions. The result is devastating and includes memory loss, having difficulties with verbal communication and even personality changes.

  4. A person with Alzheimer’s disease may live anywhere from 2-20 years after diagnosis. To lower your Alzheimer’s risk: (i) maintain a healthy weight (ii) check your waist line (iii) eat mindfully (reducing intake of junk food and refined carbohydrates (iv) exercise regularly and (v) keep your important health numbers under control such as blood pressure, sugar and cholesterol.

  5. Taking blood pressure at home can help patient keep a higher blood pressure under control as per a meta–analysis from TUFTS Medical Centre in Boston.

  6. A sleepless night makes us more likely to reach for junk food than for whole grains and leafy green vegetables as per a study of UC Berkeley using functional MRI.

Rabies News (Dr. A K Gupta)

Does treatment of provoked bites differ from unprovoked bites?

Provocation is subjective and relative and specific to each dog/cat. However, obvious gross provocation viz., stamping, hitting, chasing, etc. possibly suggest that the animal may not be rabid. However, the wound treatment of animal bites is the same.

What is diagnostic of leukemia?
(Dr. Anupama Jaggia)

The presence of blasts more than 5% in the bone marrow aspirate coupled with confirmation by flow cytometry on blood or bone marrow is diagnostic of acute leukemia. In this day and age, confirmation by flow cytometry is absolutely essential. There are cases where blasts may appear in the blood, such as in severe sepsis or bone marrow infiltration in the absence of acute leukemia. Blasts are the immature spectrum of our blood cells and so they can at times be deceptive, and hence we cannot rely upon them a 100% to diagnose acute leukemia.

cardiology news

Babies with critical congenital heart disease (CCHD) born in hospitals with lower–level nurseries are at risk for going home without a diagnosis, according to a study by April Dawson, MPH, of the CDC’s National Center on Birth Defects and Developmental Disabilities in Atlanta and colleagues. In the study, published online in Pediatrics, the rate of late detection after the birth hospitalization among newborns with various types of CCHD was higher for those born in hospitals with level I and II nurseries than for those born in centers with level III nurseries (37% and 26% versus 17%).(Source: Medpage Today)

Valvular Heart Disease News

Mitral stenosis remains a valvular disease of predominantly young people, and rheumatic fever remains the leading cause of mitral stenosis in all age groups.

(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
  • Functional abdominal pain in childhood was associated with anxiety disorder and depression in teens and young adults, even if the stomach pain went away in a study published in the September issue of Pediatrics. Anxiety disorder was 4.9-times more likely at some point up to a mean age of 20, and 3.36-fold elevated (versus controls) even for those whose medically-unexplained abdominal pain resolved. Any depressive disorder in their early lifetime was 2.62-times more likely compared with controls who had never had functional abdominal pain. (Source: The Gupta Guide, Medpage Today)
  • Weight-bearing exercises may boost bone mineral content (BMC) in pre-pubertal children, increasing its importance for future osteoporosis prevention in this population. In a meta-analysis reported online in the Journal of Bone and Mineral Research, the weighted overall effect size for change in BMC among children and adolescents in exercise programs compared with those not enrolled was small but significant (0.17, P<0.05). (Source: Medpage Today)
cardiology news

Reduce liquids to reduce weight

When it comes to losing weight cutting down on liquid calories is equally important "Weight loss from liquid calories is greater than loss of calorie intake from solid food, as per Dr. Liwei Chen, an assistant professor of epidemiology at the School of Public Health at the LSU Health Science Center in New Orleans, in American Journal of Clinical Nutrition.

Body is able to self–regulate its intake of solid food. If you eat too much solid food at lunch, you’ll tend to eat less at dinner. But the same self–regulation is not evident for what you drink. The body does not adjust to liquid calories, so over time, you gain more weight.

Cutting back on calories from sugary drinks – by only one serving per day –can account for nearly two–and–a–half pounds of lost weight over 18 months.

Beverages are categorized into eight categories as follows:

  1. Sugar–sweetened beverages (including soft drinks, fruit drinks, fruit punch, or high–calorie beverages sweetened with sugar)
  2. Diet drinks such as diet soda and other diet drinks that are artificially sweetened
  3. Milk (including whole milk, 2 percent milk, 1 percent and skim)
  4. 100 percent fruit and vegetable juice
  5. Coffee and tea with sugar
  6. Coffee and tea without sugar
  7. Alcoholic beverages.
  8. Water with no calories.

The best drinks are water, plain soda and tea coffer with no sugar. Read More

cardiology news

Some individuals are strongly affected by certain program elements, whereas other elements have no effect. The effect on individuals is influenced by temperamental and environmental variables.

cardiology news

8th August: DMA Dharna against one year mendatory Rural Posting at Jantar Mantar


CPR 10 Camp – E Book Balwant Rai Mehta School, G K – 2, New Delhi

Total CPR since 1st November 2012 – 59668 trained

CPR Classes: Persons trained (3537)

10th August: CPR 10 at Moolchand (29),10th August: CPR Police Training Camp Part 2 (135),11th August: CPR 10 at Moolchand (70)

Video Chats and uploads

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News JULY

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

The world’s deadliest virus in China today 12th aug


ACE inhibitors can reduce dementia progression

As per a report published in BMJ Open, centrally–acting ACE inhibitors or angiotensin–converting–enzyme inhibitors reduce the rate of cognitive decline in patients with dementia regardless of their blood pressure levels at the time of their hypertension, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India. We must start treatment in time and the results are visible within six months.

Compared to other anti–hypertensive drugs, the improvement in cognitive functions may be about 20–30% higher with ACE inhibitors.

There is a possible role of these agents in dealing with or preventing the onset of dementia in patients with normal blood pressure who are at high risk of dementia.

Amongst drugs, perindopril (not a trade name) appears to outperform others. The drug also has anti–inflammatory action.

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 59668 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 10×10 i.e. 100 per minute."

today emedipics

Conducting Second CPR 10 Training Programme for South Delhi Police Personnel, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India

press release

Should I be registered with MCI

today video of the dayOne more life saved from CPR 10

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

Smart Phones Benefits and Hazards

eMedi Quiz

Read this…………………

When developing a postoperative plan of care for an infant scheduled for cleft lip repair, Nurse Elaine should assign highest priority to which intervention?

a. Comforting the child as quickly as possible
b. Maintaining the child in a prone position
c. Restraining the child’s arms at all times, using elbow restraints
d. Avoiding disturbing any crusts that form on the suture line

Yesterday’s Mind Teaser: Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, Nurse Ernie detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit?

a. A sunken fontane
l b. Decreased pulse rate
c. Increased blood pressure
d. Low urine specific gravity

Answer for yesterday’s Mind Teaser: a. A sunken fontanel

Correct answers received from: DR ABBAS VAKIL., DR P K SAHU, Dr Brijesh Soni, Kuldeep Gupta, Dr. Ashok Mittal. Dr. SUSHMA Chawla, Yamini Alsi, daivadheenam, Dr.Raghavendra Jayesh, Dr.Prosun Goswami, Dr. P. C. Das, Dr Sheetal Kher, Dr. V.P. Thakral, Dr K P Chandra, Dr shashi saini, DR ARPAN GANDHI, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, DR.G. M. SINGH, Dr.K.Raju, Dr. Pawan Mehta, DR AVTAR KRISHAN, Dr Kanta jain, DR SANTHAKUMARI,

Answer for 11th August Mind Teaser: b. A new cast is needed every 1 to 2 weeks

Correct answers received from: DR SANTHAKUMARI, Dr . R.N.Singh. Dr. V.P. Thakral

Send your answer to ijcp12@gmail.com

eMedi Apps

medicolegal update

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medicolegal update

If My Body Were a Car

This is just too funny - scary how true it is!!!

If my body were a car, this is the time I would be thinking about trading it in for a newer model. I've got bumps and dents and scratches in my finish and my paint job is getting a little dull...

But that's not the worst of it.

My headlights are out of focus and it's especially hard to see things up close.

My traction is not as graceful as it once was. I slip and slide and skid and bump into things even in the best of weather.

My whitewalls are stained with varicose veins.

It takes me hours to reach my maximum speed.

My fuel rate burns inefficiently. But here's the worst of it…

Almost every time I sneeze, cough or sputter, either my radiator leaks or my exhaust backfires

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

medicolegal update

If you’re not using your smile, you’re like a man with a million dollars in the bank and no checkbook. Les Giblin

medicolegal update

Dr KK Aggarwal: The world’s deadliest virus in China today http://bit.ly/16wknsh #Health

Dr Deepak Chopra: No physical laws can explain an observing self or conscious minds that conceptualize & have access to mathematical truth

medicolegal update

Dear Sir, Marvelous explanation. Padmini

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