eMedinewS 26th June 2013, Wednesday

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

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at
www.facebook.com/Dr KKAggarwal

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.”

Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

From the Desk of Editor in Chief

Disaster Management at Uttarakhand

The present Uttarakhand flood has again shown the failure of national disaster plan in the country. Tens of thousands of people have disappeared from the area. At the moment, people are only counting loss of tourists, the local inhabitants; nobody knows how many of them have died.

In the last two weeks, I have been approached by several members of NGOs and agencies to donate fund, food and clothes. This happens every time there is a catastrophe. This again indicates Government system failure.

At such a scale, individuals or unorganized sectors cannot help. Disaster management is always a hierarchy-based crisis management with a leader at the apex. For any catastrophe such as this, the leader invariably should be the government, who should direct everybody in the country to pool resources and ensure that they reach the needy people.

Yesterday, a couple of media people asked me why we were not sending a team of medical doctors to Uttarakhand. My answer was very simple. Most of us have already offered and are still offering their services to the government, it is the duty of the government to take help from private sector and assign them work in areas where it is needed the most. Otherwise what will happen is that 90% of the benefits would be given to the people who need it the least because they are at the periphery of the disaster....Read More

sprritual blogValues, Morals and Ethics

1. Values are our fundamental beliefs.

a. They are the principles we use to define that which is right, good and just.
b. Values provide guidance to determine the right versus the wrong, the good versus the bad.
c. They are our standards. ...Read More

Dr K K Blogspot

cardiology news
pediatrics news
wellness blog

CT not required in appendicitis

When a patient has all the signs of acute appendicitis, waiting to get a CT scan to confirm the diagnosis is not required. Compared with a straight-to-surgery approach, the CT strategy is linked to delayed surgery and increased risk of a burst appendix. .... Read More


Situation: A child was walking sexy in the class
Dr. Bad: This is an abnormal behavior.
Dr. Good: This may be normal behavior.
Lesson: In addition to sexual play, many preschool-aged children mimic behaviors of older Read More

press release

Thin line between ethical and unethical acts


Why do doctors not live long? (Dr K K Aggarwal)

When I was the President of Delhi Medical Association in 2005, we wanted to make a list of doctors who were 80 years ...Read More

Reduce liquids to reduce weight

When it comes to losing weight cutting down on liquid calories is equally important said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA. "Weight loss from liquid calories is greater than loss of calorie intakefrom 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. ...Read More

News Around The Globe

Ocular Oncologist Conferred with Prof MA Matin Memorial Oration by the Bangladesh Academy of Ophthalmology

Ocular Oncologist Dr Santosh G Honavar, has been awarded the prestigious Prof MA Matin Memorial International Oration by the Bangladesh Academy of Ophthalmology (BAO). The award will be conferred on Dr Honavar on Saturday, June 29 in Dhaka at a special symposium, where he will deliver an oration on the topic “Retinoblastoma – They Live and See”. ....Read More

SC dismisses plea against Ranbaxy over substandard drugs

Supreme Court has dismissed a PIL against Ranbaxy over substandard drugs.
A bench of justices AK Patnaik and Ranjan Gogoi, however, allowed the petitioner advocate ML Sharma to file a fresh petition if he finds some evidence against the company in support of his allegation that the company is engaged in manufacturing and selling substandard drugs.
The bench said that it cannot decide the plea against the company on the basis of a judgement passed by a US court against Ranbaxy. ........Read More

Uterine Bleeding: ACOG updates guidelines

The American College of Obstetricians and Gynecologists has issued updated guidelines for treating abnormal uterine bleeding caused by ovulatory dysfunction. The new guidelines were Published in the July issue Obstetrics & Gynecology. (Source: Medscape).... Read More

CPAP reverses white matter changes in sleep apnea

The use of continuous positive airway pressure (CPAP) correlates with improvement in white matter deficits seen in patients with obstructive sleep apnea (OSA), suggesting that the damage seen in these patients is reversible. (Source: Medscape) .... Read More

Malignant melanoma risk 4-fold higher in Parkinson's

A new study suggests that patients with Parkinson's disease (PD) have about a 4-fold increased risk for development of malignant melanoma, underscoring the importance of dermatologic screening in PD, the researchers say. (Source: Medscape) Read More


today emedipics

Dr KK Aggarwal conducting a CPR 10 training camp at Police Traning Center Najafgarh

Valvular Heart Disease Update

Spontaneous echo contrast is located most commonly in the left atrium as a result of mitral stenosis or nonvalvular atrial fibrillation.

(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)

Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the side effects of gonadotrophins?

Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature deliveries. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks. The most serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with daily adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS.

Rabies Update (Dr. A K Gupta)

A pet dog died of sudden unexplained death. What should be done?

If facilities are available post-mortem of the dog for confirmation of rabies is required. If not possible, (or if the post mortem proves rabies) all those who came in contact with the saliva of the animal (directly or through its fomites) should be given PEP.

medicolegal update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Medicolegal cases & injury, assault and hurt in Indian law

The words injury, assault and hurt are invariably used by doctor in hospital practice and are used as synonymous. But all three have a different meaning as per law. Read More

ijcp book of medical records
medicolegal update

Can an action be taken against a frivolous complaint?

A: Section 10 (f) of the Delhi Medical Council Act has the provisions by which the council can take action against frivolous complaints.

DMC 10 (f): ““to revive complaints from public Including patients and their relatives against misconduct or negligence by a medical practitioner, Read More

dr good dr bad

Situation: How much weight one can gain with thyroid deficiency?
Dr. Bad: 10 to 50 kg
Dr. Good: Less than 5 kg.
Lesson: If the weight gain is more than 5 kg one should look for alternate causes. Read More

make sure

Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

quote of the day

Never fear shadows.... that always means there is a light shining somewhere. ~ Jonathan Santos

twitter of the day

Dr KK Aggarwal: Eating fast food can cause liver damage http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: Before birth we were a desire .After death we are a memory. Desire & memory are the soul's journey through cosmic time

emedinews humor

A boss asked one of his employees, "Do you believe in life after death?"
"Yes, sir," replied the new employee.
"I thought you would," said the boss. "Yesterday after you left to go to your grandmother's funeral, she stepped in to see you!" Read More

reader response

Dear Sir, emedinews is growing every year. It is becoming more and more interesting and informative. Regards: Dr Chetan

An Inspirational Story

Power of thought: Hitting unseen target

The yogi Raman was a true master of the art of archery. One morning, he invited his favorite disciple to watch a display of his skill. The disciple had seen this more than a hundred times before, but he nevertheless obeyed his teacher. They went into the wood beside the monastery and when they reached a magnificent oak tree, Raman took a flower which he had tucked in his collar and placed it on one of the branches.

He then opened his bag and took out three objects: his splendid bow made of precious wood, an arrow and a white handkerchief embroidered with lilacs.

The yogi positioned himself one hundred paces from the spot where he had placed the flower. Facing his target, he asked his disciple to blindfold him with the embroidered handkerchief. The disciple did as his teacher requested.

............Read More

eMedi Quiz

Read this…………………



Yesterday’s Mind Teaser: The most common cutneous manifestation with aps...

A. livedoid vasculitis
B. warfarin
C. aspirin
D. hydroxychloroquine

Answer for yesterday’s Mind Teaser: B. warfarin

Correct answers received from: Dr Prakash Khalap, Dr Jainendra Upadhyay, dr.bitaan sen & dr.jayashree sen, Dr.K.V.Sarma, Dr.Raghavendra Jayesh, Dr. B.B. Gupta, Dr. P. C. Das, rajeev ardey, DrGajveer, Dr Pankaj Agarwal, Raju Kuppusamy, Dr. Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr. P. C. Das, Dr.K.V.Sarma.

Answer for 24th June Mind Teaser: Think before you act

Correct answers received from: Raju Kuppusamy, Dr. Thakor Hitendrsinh G, Dr Chandresh Jardosh, Dr. P. C. Das, Dr.K.V.Sarma.

Send your answer to ijcp12@gmail.com

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Forthcoming Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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