August 20   2015, Thursday
Smoking may dull taste buds
Dr KK AggarwalSmoking dampens the ability to taste. In a study published in the journal BMC Ear, Nose and Throat Disorders, doctors used electrical stimulation to test the taste threshold of 62 Greek participants. Applying an electrical current to the tongue generates a unique metallic taste.

Measuring the amount of current required before a person perceives this taste enables researchers to determine taste sensitivity. The 28 smokers in the study scored worse on this test than the 34 non–smokers. The doctors than measured the number and shape of a type of taste bud called fungiform papillae.

They found that the smokers had flatter fungiform papillae, with a reduced blood supply. Nicotine may cause functional and morphological alterations of papillae, at least in young adults.
eIMA News
Prof. (Dr) K.K. Aggarwal
Honorary Secretary General, IMA

Sub: WP(C) No.26420/2015 titled “Paardarshita Public Welfare Foundation (NGO) Vs. South Delhi Municipal Corporation & Ors.”

It is for your kind information and also for your records that the above matter filed on behalf of the petitioner NGO was listed for hearing before the court of Hon’ble Chief Justice G. Rohini with Hon’ble Justice Jayant Nath on 15.07.2015. The above petition had been filed for seeking directions to the South Delhi Municipal Corporation and other corporations and other government authorities to immediately stop the activities carried out in the residential area in Delhi/New Delhi in the shape and style of illegal and unauthorized diagnostic centre, medical facilities, path lab, nursing home and similar kind of other institutions. The petitioner had taken support from and made basis of its case the order and judgment dated 20.03.2015 of Hon’ble Supreme Court of India, New Delhi in Civil Appeal No.8284/2013 titled “Anirudh Kumar Vs. Municipal Corporation of Delhi & Ors”.

We, on instructions from Indian Medical Association through its Honorary Secretary General, Prof (Dr) K.K. Aggarwal, had appeared before the court on the very first date on 15.07.2015 and made our submissions on behalf of the Indian Medical Association against the maintainability of the petition on the ground that the writ petition is filed with bad motives and no relief being granted to the petitioner since the Supreme Court judgment was in respect to the facts and material and evidence regarding specific property and particular parties involved in that case. Further, it was submitted to the court that Supreme Court has not issued any directions in general and the said judgment of Supreme Court dated 20.03.2015 cannot be relied upon to seek orders and directions against the entire pathological labs, nursing homes etc. in the city.

You are kindly informed that the above writ petition has been dismissed by the Hon’ble Court vide order and judgment dated 19.08.2015 on all counts and on the reasons as were submitted before the court on behalf of Indian Medical Association.


Rahul Gupta
Judgment Reserved on: 15.07 2015
Judgment Pronounced on: 19.08.2015

W.P. (C) 6568/2015
Through: Mr.Harkishan Das Nijhawan (in person)

Through: Mr.Gaurang Kanth along with Ms.Biji Rajesh and Mr.Rajeev Yadav, Advs. for EDMC. Mr.Ramap Duggal, Standing Counsel with Ms.Aayushi Gupta, Advs. for GNCTD. Mr.Ajay Arora, Adv. for SDMC. Mr. Rahul Gupta, Advocate with Mr. Shekhar Gupta and Mr. Umang Gupta, Adv. for respondent/Indian Medical Association. Mr.Dhamesh Relan along with Mr.Arush Bhandari, Advs. for R- 5/DDA. Mr.Anil Grover along with Ms.Divya Jain, Advs. for NDMC. Mr. B. Mohapatra, Adv. fir R-4.


  1. The present Public Interest Litigation is filed by the petitioner who is said to be a society registered under the Societies Registration Act. The petitioner prays for a writ of mandamus or directions to the respondents to immediately stop all kinds of hazardous activities in the residential areas of Delhi which are in the shape and style of illegal and unauthorized diagnostic centers, medical facilities, path labs, nursing homes and similar kind of other institutions in view of the recent judgment of the Hon'ble Supreme Court in the case of Anirudh Kumar vs. Municipal Corporation of Delhi and Ors.Civil Appeal No.8284/2013 dated 20.03.2015. Based on this judgment, it is averred that action needs to be taken against all entities which are disobeying and violating the orders of the Supreme Court.
  2. It is the contention of the petitioner that the respondents have failed to take any action against the said illegal and unauthorized nursing homes, path labs, diagnostic centers and such other kinds of institutions functioning in the residential areas of Delhi.
  3. Reference is made to several complaints to various authorities whereby the petitioner claims to have sought and requested for action against the illegal functioning of nursing homes, path labs, diagnostic centers etc. in the residential areas of Delhi.
  4. We have heard learned counsel for the parties and perused the record.
  5. The genesis of the petition is the judgment of the Supreme Court in the case of Anirudh Kumar vs. Municipal Corporation of Delhi and Ors. (supra).We may look at the said judgment. That was a case which was filed by the appellant therein seeking a writ for quashing of the Regularization Certificate issued to the respondents therein who were running a pathological lab from the basement, ground floor, mezzanine floor and first floor of a building in a Haus Khas, New Delhi. The pathological lab was started in the year 1995 from the basement and ground floor of the building. In 2005-06 after the purchase of the first floor of the premises, by the owner of the path lab, the activities of the lab spread to the mezzanine floor and the first floor. Heavy equipments were installed; about 50 people were employed, 25 air conditioners, two Diesel Generator sets, kerosene oil tanks, gas cylinders and electric panels had been installed.
  6. The appellant in that case filed a writ petition in the year 2004 alleging violation of Master Plan of Delhi by the owner of the lab. During the pendency of the writ petition, MCD granted a Regularization Certificate to the lab. Hence, the appellant therein withdrew the writ petition and filed a fresh writ petition where quashing of regularization Certificate was prayed for. The writ petition was dismissed by the Single Judge. The appeal was also dismissed by the Division Bench of this Court. The Supreme Court, however, in the facts and circumstances of the case held that the grant of Regularization Certificate to the respondents/owners of the path lab under the Mixed Use Regulation of MPD 2021 giving retrospective effect, to run a pathological lab in the guise of a nursing home in a residential area falling in the category ‘A’ and ‘B’ is not sustainable in law and liable to be set aside.
  7. Regarding the issue of breach of various environmental laws, the Supreme Court further held that on the facts of the case and the evidence on record that the respondents/owners were running the pathological lab in the concerned building in violation of the said law. Hence, the Supreme Court allowed the appeal and set aside the Regularization Certificate issued to the respondents/owners. The respondents/owners were also directed to close down their establishment.
  8. The judgment gives no directions to all the path labs, nursing homes etc" as is sought to be urged.
  9. It is clear from the reading of the judgment of the Supreme Court that it is based on the facts of the case. The Supreme Court, in the facts of the case including the location of the concerned lab concluded that the Regularization Certificate granted to the concerned lab was illegal
    Relevant portion of the judgment reads as follows:"

    …….From a careful reading of the aforesaid extracted portions of the Master Plan 2021 and upon which reliance has been placed by Mr. H. P Rawal, learned senior counsel on behalf of the appellant and Mr K. K. Venugopal and Ms. Indu Malhotra, learned senior counsel on behalf of the respondents, we have to hold that the grant of Regularisation, Certificate under Mixed Use Regulations of the MPD 2021 giving retrospective effect enabling respondent-owners to run a Pathological Lab in the guise of a Nursing Home in the residential area falling in categories "A" and "B" is not sustainable in law and liable to be set aside. Further, in view of the facts of the case on hand, the relevant provisions of MPD 2021 and the evidence on record, we have to hold that the writ appeal filed by the appellant has been wrongly dismissed by the Division Bench of the High Court without examining the legality and validity of the issuance of the Regularisation Certificate on 11.07.2006 allegedly under the MPD 2021 which was still at the proposal stage at that time and the said Plan came into effect only on 07.02.2007, enabling the respondent-owners to use the premises for commercial activity which in our view is prohibited in the residential plot of the building under the various Clauses of the Master Plan 2021 extracted above".
    . . . . . . Therefore, in view of the relevant provisions of law referred to supra, the facts of the case and the evidence on record, we have to hold that the running of the Pathological Lab by the respondent-owners in the concerned building is in violation of law."

    For the reasons stated supra, the appeal is allowed and the impugned judgments and orders of both the learned single Judge and Division of the High Court are hereby set aside and Regularisation Certificate isquashed and rule is issued. Further, directions are issued to the respondents MCD and DPCC to see that, the unlawful activities of the respondent-owners are stopped as per our directions. The respondent-owners are directed to close down their establishment of running 'Dr. Dang's Diagnostic Centre' within four weeks from the date of receipt of the copy of this Judgment by shifting the same to alternative premises and submitting the compliance report for the perusal of this Court. If the respondent-owners do not comply with the above directions of this Court within four weeks, the MCQ is directed to take necessary prompt steps for sealing or closing down of all the activities undertaken by them in the premises of concerned building and submit the compliance report for the perusal of this Court. All the I.A.s are disposed of accordingly. No costs."
  10. Hence directions were issued to close down the diagnostic centre of the respondent in that case. There are no other directions. Needless to add that the ratio of the said judgment would bind the respondent.
  11. Other than relying on the judgment of the Supreme Court, there is no other material averment in the petition. We see no merits in the writ petition and the same is dismissed.
                                                                                                                                                                         (JA YANT NATH)
                                                                                                                                                                         CHIEF JUSTICE

AUGUST 19, 2015
Heart Care Foundation of India’s (HCFI) trains over 200 school children on the importance of healthy eating, hygiene and sanitation
Acetaminophen falsely elevates continuous glucose monitor (CGM) readings by a large margin, suggested a new report that raises cautions about the phenomenon as the devices are used increasingly by patients. The findings were published online in Diabetes Care.

Regular caffeinated coffee intake may be associated with significantly reduced cancer recurrence and improved survival in patients with stage 3 colon cancer, suggests new research published in the Journal of Clinical Oncology. Researchers noted that consuming four or more cups of coffee a day led to the greatest reduction in colon cancer recurrence risk.

New research suggests that vitamin D supplementation may reduce the risk of falls in homebound elderly. The findings are published in the early online edition of the Journal of the American Geriatrics Society.

Obstetrics and Gynecology
Composition of the vaginal microbiome may help predict preterm delivery, suggests a new prospective study published online August 17 in the Proceedings of the National Academy of Sciences.

New clinical data from B-YOND extension study support the long-term safety and efficacy of Coagulation Factor IX (Recombinant), Fc Fusion Protein in people with severe hemophilia B treated for up to two years. The interim results were presented at the 67th Annual Meeting for the National Hemophilia Foundation (NHF).
Cardiology eMedinewS

The prediabetes marker of impaired fasting glucose (IFG) may also be a predictor of silent MI in adult patients, suggests new research published online in the American Heart Journal.

In a large cohort of Swedish men aged about 60 years old, those who walked or cycled at least 20 minutes a day had a 21% lower risk of having heart failure by the time they were about 73, suggested a new research published in JACC: Heart Failure.
Pediatrics eMedinewS
Obstetrics and Gynecology

A woman's weight at birth, education level and marital status pre-pregnancy can have repercussions for two generations, putting her children and grandchildren at higher risk of low birth weight, suggested a new study published in the Journal of Health and Social Behavior.


Adversity during the first six years of life seems to be associated with higher levels of childhood internalizing symptoms, such as depression and anxiety, as well as altered brain structure in late adolescence between the ages of 18 and 21, reported an article published online in JAMA Pediatrics.
Dr KK Spiritual Blog
All about depression
  • Depression is a major public health problem as a leading predictor of functional disability and mortality.
  • Optimal depression treatment improves outcome for most patients.
  • Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
  • A physician who is not a psychiatrist misses the diagnosis of depression 50% of times.
  • All depressed patients must be specifically asked about suicidal ideations.
  • Suicidal ideation is a medical emergency.
  • Risk factors for suicide are known psychiatric disorders, medical illnesses, prior history of suicidal attempts or family history of attempted suicide.
  • The demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
  • About 1 million people commit suicide every year globally.
  • Around 79% of patients who commit suicide contact their primary care provider in the last one year before their death and only one-third contact their mental health service provider.
  • Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
  • Suicide is the 10th leading cause of death worldwide and accounts for 1.2% of all deaths.
  • The suicide rate in the US is 10.5 per 100,000 people.
  • In the US, suicide is increasing in middle-aged adults.
  • There are 10 to 40 non–fatal suicide attempts for every one completed suicide.
  • The majority of suicides completed in US are accomplished with fire arms (57%); the second leading method of suicide in US is hanging for men and poisoning in women.
  • Patients with prior history of attempted suicide are 5–6 times more likely to make another attempt.
  • Fifty percent of successful victims have made prior attempts.
  • One of every 100 suicide attempt survivors will die by suicide within one year of the first attempt.
  • The risk of suicide increases with increase in age; however, young adults and adolescents attempt suicide more than the older.
  • Females attempt suicide more frequently than males but males are successful three times more often.
  • The highest suicidal rate is amongst those individuals who are unmarried followed by those who are widowed, separated, divorced, married without children and married with children in descending order.
  • Living alone increases the risk of suicide.
  • Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
  • A recent sense of failure may lead to higher risk.
  • Clinicians are at higher risk of suicide.
  • The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
  • Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
  • The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
  • Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
  • Major risk for suicidal attempts is in psychiatric disorder, hopelessness and prior suicidal attempts or threats.
  • High impulsivity or alcohol or other substance abuse increase the risk.
Scientific awareness on personal hygiene and prevention from obesity among school going children, Mount ABU Public School, 19th August 2015
Make Sure
Situation: A patient on amlodipine developed severe gum hypertrophy.
Reaction: Oh my God! Why was amlodipine not stopped?
Lesson: that all patients on amlodipine are watched for gum hypertrophy. Gingival hyperplasia is a known side effect of amlodipine.
Dr Good Dr Bad
Situation: A patient with diabetic kidney disease had high blood pressure (BP).
Dr Bad: It cannot be controlled.
Dr Good: We need to increase the number of antihypertensive medicines.
Lesson: Effective BP control is difficult to achieve in diabetic patients. The number of antihypertensive medications needed for BP control in diabetic patients is largely dependent on estimated glomerular filtration rate. Impaired kidney function could produce resistance to antihypertensive therapy in diabetic patients (J Hypertens. 2010 Nov;28(11):2323-8).

(Copyright IJCP)
Wellness Blog
Eat 20 almonds or 15 cashews or 30 peanuts every day

People who ate a 1–ounce serving of nuts each day showed a 20 percent reduced risk of dying from any cause over three decades, compared to those who didn’t eat the tasty snacks, as shown a study published in the Nov. 21issue of the New England Journal of Medicine by Dr. Charles Fuchs, director of the Gastrointestinal Cancer Center at the Dana–Farber Cancer Institute in Boston.

Prior studies suggest health benefits like a lower risk of heart disease and type 2 diabetes and lower cholesterol, among other health outcomes. Nuts are nutrient–dense foods. They contain unsaturated fatty acids, fiber, vitamins, minerals and antioxidants.

One–ounce serving was equal to about 16 to 24 almonds, 16 to 18 cashews or 30 to 35 peanuts.
eIMA Quiz
Which is true about ulcerative colitis with malignancy?

a) It has a better prognosis
b) It is related to disease activity
c) It is related to duration of ulcerative colitis
d) Malignancy is more in anorectal ulcerative colitis

Yesterday’s Mind Teaser: A client has undergone surgery with penile implant. After 24 hours of surgery, the client’s scrotum was edematous and painful. The nurse should:

a. Assist the client with sitz bath
b. Apply warm soaks in the scrotum
c. Elevate the scrotum using a soft support
d. Prepare for a possible incision and drainage.

Answer for Yesterday’s Mind Teaser: c. Elevate the scrotum using a soft support

Answers received from: Dr Jainendra Upadhyay, Viswanatha Sarma, Dr B R Bhatnagar, Dr Ridu Kumar Sharma, Dr K Raju, Dr Avtar Krishan.

Answer for 18th August Mind Teaser: a. Increase the flow of normal saline

Correct Answers received from: Dr Jainendra Upadhyay, Dr Poonam Chablani, Daivadheenam Jella.
Rabies News (Dr A K Gupta)
If a person is on antimalarials or steroids or taking immunosuppressant drug, what is the schedule?

The vaccine on Day 0 (first injection) must be doubled and given at two sites (deltoids or thigh in young children). In category II exposures, it is recommended to administer even RIGs along with vaccine. Rest of the schedule is same as for any other patient.
IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Successfully trained 113241 people since 1st November 2012 in Hands-only CPR 10
Video of the Day
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 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
  • Compared with non-users, teen e-cigarette users were more than four times as likely to later start using cigarettes or other smokable tobacco products, according to the results of a longitudinal study of California high school students in JAMA.
  • The inflammatory eye disorder autoimmune uveitis occurs when a person’s immune system goes awry, attacking proteins in the eye. What spurs this response is a mystery, but now a study on mice suggests that bacteria in the gut may provide a kind of training ground for immune cells to attack the eye. The study was conducted by researchers at the National Eye Institute (NEI), part of the National Institutes of Health.
  • Through June of this year, the cholesterol-lowering drug rosuvastatin was the most prescribed branded drug in the United States, and the arthritis drug adalimumab was the best-selling branded drug, according to the latest data from research firm IMS Health. Rosuvastatin had about 21 million prescriptions, followed by asthma medication fluticasone propionate/salmeterol, at about 13.6 million prescriptions; the proton pump inhibitor esomeprazole at about 13.2 million prescriptions; the insulin glargine injection Lantus at about 11.2 million; and the attention-deficit drug lisdexamfetamine dimesylate at about 10.6 million.
  • Rounding out the top 10 most prescribed drugs for the period (in order) were the antiepileptic drug pregabalin, the chronic obstructive pulmonary disease medication tiotropium bromide, the diabetes drug sitagliptin, the asthma/chronic obstructive pulmonary disease drug budesonide/formoterol and the antipsychotic medication aripiprazole. (Medscape)
Heart Care Foundation of India organises obesity and hygiene awareness for kids
By EH News Bureau on August 18, 2015

An initiative under its on-going 200 school project on obesity and hygiene awareness being organized in association with NCSTC, DST and the Govt of India

Heart Care Foundation of India (HCFI), trained over 200 students of the Saulabh Public Health School, Mahavir Nagar on the importance of healthy eating, hygiene and sanitation

This project has been initiated by HCFI in association with NCSTC, DST and Govt of India and Indian Medical Association on the basic premise that it is easier to inculcate good habits at a young age. “If school-children are taught the basics of what hygienic living is and what is the kind of food which leads to lifestyle diseases in the future, a majority of India’s growing health problems can be solved”, said Padma Shri Awardee, President of HCFI & Hony Sec General IMA, Dr KK Aggarwal.

He added, “HCFI has been working towards reducing the incidence of lifestyle diseases in our country through mass consumer awareness models since 1986. We believe that prevention is better than cure and this is the message we are taking to each of the 200 schools, which we are going to on a weekly basis as a party of this project. We believe that awareness when raised through the medium of creative arts has a longer lasting impact and this is why we are using tools such as a film on obesity and a puppet show on hygiene to educate children. We thank our partners for helping us make this project a reality.”

All school children are being educated on what food items can lead to childhood obesity, the difference between natural (banana, milk) and un-natural food (food containing high levels of carbohydrates, trans fats, sugar and salt). The children were also trained in the life-saving technique of hands only CPR 10 for revival after sudden cardiac arrest.

In his message to the children, Padma Shri Awardee and renowned wrestler Sushil Kumar said, “I am strong because I maintained a healthy diet and have lived a hygienic life throughout” The 200 school camps will be completed in a span of one year and aim at educating a total of over 40,000 students.
New model of care (Pre-emptive care model)
Kindly sign this petition: For allowing parliament to function

Tiny url to pass on to other members:

To sign, we can login through Facebook or email account on the right hand side.

Dr Marthanda Pillai,                        Dr KK Aggarwal
IMA Digital TV – Webcast Done So far
23rd July 2015 – TB Notification

6th August 2015 - Breastfeeding and Neonatal Skin Care

13th August 2015 - All About Vitamin D - IMA USV Initiative
IMA Digital TV
IMA Digital TV
IMA IPMO Initiative
Kindly go to
and pledge your organs. Unless we do it, the public will not listen to us.

Team IMA
ICON 2015
Inspirational Story
Atmosphere & Attitude

"I’ve lost count of how many times I’ve spoken at Amway meetings around the world. But I never forget the positive charge of energy I get at these gatherings. I just spoke to an arena full of independent business owners for Quixtar, the Web-based business in North America that was formerly Amway. Nothing has changed from the audiences of Amway distributors that I started speaking to more than 40 years ago. They’re excited about building something of their own and positive about their future. It’s impossible to be negative in this crowd. A positive attitude is contagious.

One of the first motivational speeches I gave was called "White Heat." I used the example of the Apostle Paul as someone who had a white hot conviction for his mission. Whether spreading the Gospel to cities throughout the Mediterranean, promoting a new product, starting a business, running for office, or winning a game, all achievements in life begin with a positive attitude – the faith that we can do it.

I’ve never stopped encouraging people to discover the power of a positive attitude. I spoke recently at a sixth–grade graduation ceremony and delivered one of the talks I’ve been giving for decades called "The Three A’s: Atmosphere, Attitude and Action." We can choose to put ourselves in a positive atmosphere that encourages a positive attitude that leads to positive action. I told them they can stay with friends who tell them they can't or choose friends who tell them they can.

I was speaking to another class of sixth–graders about my heart transplant and the topic led to a discussion about fears. One girl said she was afraid of the dark. I told her I was afraid of the dark, too. We all have dark areas in life that we fear – illness, job loss, financial worries, and doubts about our abilities, the state of our economy or the world’s environment.

But if we keep a positive attitude, we discover the light that God has put in our hearts to overcome the darkness. For most of my life I’ve been telling people that they can do it and watching them succeed in ways as positive as their attitudes.
Quote of the Day
In prosperity, our friends know us; in adversity, we know our friends. John Churton Collins
Over 100 doctors attended the IMA Rise & Shine CME on Vitamin D deficiency in Jamshedpur
IMA in Social Media 28694 likes 46794 likes 1781 likes
Twitter @IndianMedAssn 1114 followers
IMA Humor
A walking economy

This guy is walking with his friend, who happens to be a psychologist. He says to this friend, "I’m a walking economy."

The friend asks, ‘How so?"

"My hairline is in recession, my stomach is a victim of inflation, and both of these together are putting me into a deep depression!"
Reader Response
Dear Sir, very informative news. Regards: Dr Shashi
IMA Videos
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Press Release
IMA brings respite to the ongoing controversy against the existence of diagnostic centers and path labs in residential areas

Court dismisses the petition filed by an NGO to SDMC and other govt. authorities to immediately close all medical institutions in existence in residential areas in Delhi

The Honorable court of Chief Justice G. Rohini and Justice Jayant Nath has dismissed the ongoing case titled ‘Paardarshita Public Welfare Foundation (NGO) Vs. South Delhi Municipal Corporation & Ors’ bringing respite to the many medical establishments in the city. The case saw intervention by the legal counsel of the Indian Medical Association, Mr. Rahul Gupta advocate who appeared and made submissions before the court against the petition made by an NGO to SDMC & other corporations. The petition demanded immediate close down of all diagnostic centers, medical facilities, path labs, nursing homes and similar kind of other institutions in residential areas in the city.

The petitioner argued referring to the Supreme Court judgment asking the closure of a path lab in Hauz Khas owing to the noise and air pollution it created. However, the IMA held its stand that the judgment made in Civil Appeal No.8284/2013 titled “Anirudh Kumar Vs. Municipal Corporation of Delhi & Ors” was made in respect to the facts and material evidence regarding the specific property and particular parties involved in that case. The Court maintained that the judgment must and cannot be made applicable to all other existing medical establishments in the city.

Speaking about the issue, Padma Shri Awardee, Dr. A Marthanda Pillai, National President & Padma Shri Awardee, Dr KK Aggarwal, Honorary Secretary General in a joint statement said that, “The Indian Medical Association is against the maintainability of this petition and believes that quoting the previous Supreme Court Judgment against the closure of one path lab cannot be relied upon to seek orders and directions against the entire pathological labs, nursing homes and other medical centers in the city. We are extremely happy with the court's dismissal of the petition and believe that the residential medical establishments are essential given that even a few minutes can help save a serious patients life. We urge all medical establishments in residential areas to respect the health and rights of the people living around them and maintain the highest standards of service”