eMedinewS28th August 2013, Wednesday

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

The Paradigm shift in the pattern of complaints against doctors

There is a paradigm shift in the complaints against doctors filed by patients or their relations.

Recently, I attended MCI Ethics Committee meeting where I was disturbed to see the pattern of complaints being filed by the patients.

Most of the complaints were filed at three levels – a complaint to State Medical Council which ultimately reaches the Medical Council of India; a complaint under 304A to the Police and a complaint to the State or National Consumer Forum.

When asked how much compensation you are seeking, the answer was 50 lakhs to 1 crore.

Ever since the Supreme Court of India has awarded over Rs. 1 crore compensation in two cases, the compensation sought by the patients has increased to upto 1 crore.

It is unfortunate in our country you can seek relief from multiple agencies at the same time. It is difficult to get prosecuted under 304A as after the Jacob Mathew judgment, the complainant will have to prove beyond doubt that it was a case of recklessness or gross negligence.

By filing a simultaneous case in State Medical Council, the complainant has a fair chance of getting more compensation if the State Medical Council gives a decision against the doctor which includes warning, suspension of licence or finds any deficiency of service in the hospital treatment.

The Consumer Forums have no medical experts but have judicial experts who understand the law. In Medical Council you have medical experts but very few who understand law.

There is a fundamental principle in law that one is supposed to look only into the allegations specified by the complainant and not pursue or do the post mortem of the whole case. When the file goes to a doctor who is called as an expert, not understanding law properly, he starts finding faults in every case and goes beyond the complaints and questions raised by the complainant.

Recently, I interviewed ten doctors against whom the State Medical Council took negative decisions. All of them said that they prayed that in future their case goes to Consumer Forum and not in the medical council courts as if their case goes to Consumer Forum, at the most they will have to pay compensation and if the case goes to medical council and the council may suspend their licence.

To me, suspension of licence is a criminal punishment versus compensation which is a civil punishment.

It is wrong to say that Medical councils do not take actions against medical doctors. In an analysis of 84 complaints against doctors who were judged by Delhi Medical Council in the year 2009, only in 58.3% cases the complaints were dismissed and in the rest 41.7% there was some advisory.

In 11.8% the deficiency of services were noted; actions were taken against 16.6% of doctors and 4.7% cases were referred for further inquiries by the State Directorate of Health Services.

From the above statics it looks that the chances of action against doctors is much higher in the medical councils than in the Consumer Forums.

Doctors are covered for a financial disputes under a contract, for civil negligence under the law of touts, for criminal negligence under IPC 304A and for a professional misconduct under MCI Ethics regulations.

It is difficult for me to understand as to how a doctor can be punished with a warning or suspension of licence in the absence of any gross negligence. I personally feel that doctor’s licence should only be suspended if he is convicted of a criminal negligence while treating a patient. The Medical Council of India Law 7.5 also says that once you are convicted in a criminal case, the same amounts to professional misconduct. DMC Act also clearly defines that as a parameter for suspension of the licence.

If there is a warning or a suspension of licence, the same can be taken adversely by the Criminal Courts or the Consumer Courts which may award punishment or heavy compensation to the patient even without going further into the inquiries.

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 Krishna: The Messenger of Love and Happiness

Krishna teaches us the path of acquiring inner happiness. It can be understood by the four cycles of Krishna described in the Vedic literature: Krishna the Child, Krishna the Husband and Friend, Krishna the Preacher and Krishna the Sanyasi.

The childhood of Krishna describes the methodology and components of a child education. Krishna, pure consciousness, was born as the eight child of Devki representing that during pregnancy one needs to follow the eight limbs of yoga to get a child with no disease.

Initial childhood is full of pure consciousness that spreads love to everyone without any discrimination. The only thing the child during this period does is to steal and spread love and that is what Krishna as Makhan Chor depicts.

With time the child’s mental faculty starts developing and distracting the child’s mind. During this phase of life, the child needs to be taught to control the thoughts and mind by learning viveka (discrimination between good and bad) and doing abhyas or hard work. The episode of Krishna entering into the pond (thoughts) fighting with Kaliya (duality of mind) and controlling it represents the same. This also coincides with the time a child should be sent to the school.

The next phase of childhood is activation of intellect which in Krishna’s life is depicted as the questions in his mind "Radha kyun gori, main kyun kala?" The incident is during Krishna playing Holi with Gopis and Radha. This happens when the child gets an exposure to the worldly atmosphere and starts getting attached to it. This is the time for the child to be taught control of mind and intellect by one point concentration on the object of concentration. This is also the time when the child should be taught the purpose of life, and the aim for which he has to live in future (usually adolescent by this time).

Krishna controls the intellect by winning over Indra (intellect) and raising the Govardhan Parvat (turmoil of the mind) on one finger and saves the public from the rainy storm (wavering thoughts). The one finger here indicates one point concentration on the object of concentration. Once the child is taught how to control the intellect, he or she completes spiritual education and learns about the true self.

Control of mind (Kalia) and intellect (Indra) leads the child to the next phase of life. In Krishna’s life it coincides with Ras Leela where Krishna is seen dancing with Radha and every Gopi. This also reflects the time for the internal ego to get killed and one acquires the qualities of humility. Killing of Kansa depicts the killing of ego. Once the ego is killed and humility is acquired Radha and flute are no more required and Krishna is now a perfect man and is ready to enter the next ashram of life called Grahasthashram. Radha (body) gets merged with consciousness and flute (humility) is a part of the nature. One now acquires a sudarshan chakra or a weapon to take decisions and adopt the good and kill the evil.

Krishna is always depicted as a blue color God with yellow clothes and a flute in his hands. Blue color indicates everything is possible and yellow clothes indicate that one can acquire it provided one has the flute, a hollow wood representing egoless nature.

Whenever Krishna is shown with a flute, the female figure with him is Radha with blue sari and yellow color, along with gopis (thoughts) dancing around them indicating that the thoughts of the mind are in symphony with each other and there is a union of mind, body and soul. Here the soul is represented by Krishna, mind by the flute, thoughts with gopis and body with Radha.

The second phase of Krishna’s life is shown as a perfect achiever and friend, which is evident from the story of Sudama.

The third phase of Krishna’s life represents Krishna as an advisor, which shows his role in Mahabharata and his preaching in Bhagavad Gita. He teaches the message of Karma Yoga, Bhakti Yoga, Gnana Yoga and Raja Yoga for acquiring excellence in life and inner happiness.

The last role of Krishna as a sanyasi is the end of Krishna’s life. The four cycles also coincide with the four ashrams of life.

To achieve inner happiness the message from Krishna’s life is to learn to make efforts to control the mind, to win over the intellect by one point concentration and to acquire qualities of humility and killing internal ego. Only with this can one become a perfect man like Krishna. ….Read More

The Science Behind Birth Of Krishna In A Jail Of Ignorance

Krishna represents Brahman or God consciousnesses or consciousness– the self. The birth of Krishna is synonymous with the process of self–realization.

Normally desires and negative thoughts core our consciousness with ignorance. The journey to self–realization involves removal or shedding of this ignorance which can only be done by the eight spiritual principles as described by the Yoga Sutras of Patanjali.

And these are Yama (self control); Niyama (self–discipline), Asanas (bodily postures); Pranayama (control of breath), Pratyahara (withdrawal), Dharana (one pointed), Dhyana (contemplation) and Samadhi (self–realization).

These eight limbs or eight steps signify the journey of eight days after full moon falling on Rakshabandhan, a day celebrated to control one’s lust. Ignorance is symbolized by a PRISON, which represents darkness; narrow–minded approach (small entry gate) and limitedness to everything (small room). The chain in the prison means the bondages to lust, greed, desires and ego.

Birth of Krishna in the prison means ‘self–realization out of ignorance’. It can only be acquired by adhering to the eight principles of Ashtang Yoga with Tapas (Abhyasa) or hard work. Krishna, born, as the eighth child of Devaki, represents tapas of eight limbs of yoga. The self-realization can only occur after the seven strips are successfully negotiated and the mind is purified in the process.

In the state of Samadhi, there is spontaneous birth of the self. In this state (sama = equal; dhi – intelligence) one controls equality and balances between good and the bad.

The symbolization is that, as Krishna was born, the chains that bound his father fell off; the doors that had been bolted flew open and the prison guards immediately went into sleep. Then Vasudeva, the father took Krishna and went to Gokul, by placing Krishna in a basket and walking across the Yamuna river, where at the same time Yashoda, consort of Nanda, had given birth to a female child.

The ‘chains’ here mean the bondage to the external world and the five senses. A self realized person is free of these bondages. The opening of gates symbolizes control over lust, desire, greed and attachments. Sleeping of the guard symbolizes, that in a self–realized state, one is totally cut off from the world. Everything else perishes and one gets detached.

The thunderstorm, the rain, and the fire, all represent the internal turmoil of uncontrolled desires and hatred. The moment Krishna’s feet touch the turbulent water, everything settles. The spiritual lesson is that by turning inwards and towards one’s pure consciousness any turbulent state of mind can be controlled.

While acquiring all that, one must control the ego and keep the desires inwards and not have egocentric desires. Controlling the ego is depicted as a snake sitting over the basket and guarding Lord Krishna.

The baby girl born at Gokul represents the Mayashakti, which was killed by Kansa (the ego of the body).

Controlling the desires and attachments is easy but controlling the Ego is the most difficult. That is what is represented by the fact that at the time of birth of Krishna, Kansa still remained alive. It took many years for Krishna (self realized state) to kill the ego (Kansa).

Acquiring a state of self-realization should not be the ultimate goal in life. After self-realization, if the ego is not controlled one can misuse one’s spiritual powers. The ultimate aim in life should then be to kill the ego, which is what Krishna ultimately did. ….Read More

Lord Krishna – The Great Teacher and Healer

Lord Krishna was a great teacher and a healer. He gave perfect counseling to Arjuna when he was in the state of acute anxiety, confusion, indecisiveness and depression. His supreme knowledge, skills and understanding of human relationship were responsible for convincing Arjuna that he has to perform his duty, regardless of who his opponents are.

There are basic principles which one must learn from teachings of Bhagavad Gita to get, if one wants, to the right state of mental and physical strength.

1. The 1st principle is listen, listen and listen. In the first chapter of Bhagavad Gita from Krishna only listened to Arjuna. One must learn to listen to others. Out of 18 counseling sessions which Krishna took with Arjuna, one full session was devoted only to listening to Arjuna. Fifty percent of the emotion of a person is out once he has spoken to the Healer about his or her problems.

2. 2nd principle is to remain non–judgmental while listening. This is beautifully described in Chapter 2 shloka 10. While listening, Krishna did not show any signs of anger to Arjuna even at those extremely difficult moments. On the contrary, Krishna kept on smiling and listened patiently. This is another avenue where most of the healthcare workers fail in their relationship with the patients. We (doctors) sometimes become annoyed with the patients because they narrate unrelated details of their health problems. We need to understand and appreciate their predicaments.

3. 3rd principle is that every answer should be validated by reasoning. Throughout 18 counseling sessions between Arjuna and Krishna incorporating 700 question and answers, Arjuna was given proper reasoning, either experiential or based on sound logic. Krishna never forced Arjuna to believe in what He was saying without getting convinced about it.

4. 4th principle is that of reassurance. Krishna re–assures Arjuna on two occasions. Firstly, when he said that “I’ll appear whenever there is adharma" meaning thereby that whenever there is injustice someone will come and set it right. In terms of a Healer the doctor should convincingly say that wherever there is a disease I will be there”. Again in Chapter 18 shloka 65, Krishna says that anyone who takes conscious decision and interprets things with full devotion, there is no reason why he or she should not become happy or healthy. He again assures Arjuna that he is going to be successful.

5. 5th principle is depicted in the last shloka of Gita (18.78) which summarizes the importance of a good doctor–patient (teacher–student) relationship where Sanjay says to Dhriharashtra that when there is a Healer like Krishna and a patient like Arjuna, there is no reason why there will not be a victory. ….Read More

cardiology news

A Story for Passover

A good Passover story should always involve cakes. Austrian baker Manfred Klaschka is the subject of this year’s story. He was in the news because of his most recent catalogue of cake designs; Klaschka is a pastry specialist.

Of course, Austrian pastries are famous the world over. Now, pastry baker Manfred Klaschka’s most recent catalogue of such tasty delights was in the news this week because it included cakes decorated with swastikas as well as one with a baby raising its right arm in a Nazi salute.

Herr Klaschka insists he is not a Nazi. After the news story broke, he even met with a Holocaust awareness group, and apologized for what he had done, and he then baked a cake to say he was sorry a cake with Jewish and Christian symbols. The point of the story — the bit I found interesting is Herr Klaschka’s explanation for what he did.

"I see it was a mistake, anyone who knows me knows what kind of person I am. I am no Nazi", said Klaschka, who had earlier said he was just a pastry maker fulfilling his customers wishes. Fulfilling his customers wishes? There is a market in Austria in 2011 for cakes with babies raising their arms in Nazi salutes, cakes with swastikas on them? There are parties where people serve such cakes? Maybe birthday parties for babies?

Of course there are such people, and there are such parties, and because of that, there is a market there is consumer demand for swastika cakes.

Which is why Herr Klaschka was happy to bake them. And not only in Austria.

You may remember the case of the Campbell family from New Jersey.

When Kurt Waldheim was exposed as a war criminal his popularity rose. The neo–Nazi Freedom Party headed by the late Jorg Haider, won 27% of the vote in the 2000 elections and became part of the coalition government the first time since 1945 that Nazis had sat in a European government.

But this never happened in New Jersey which is why I want to talk about the Campbell family. The Campbell family in New Jersey made the news back in 2008 when they tried to get a birthday cake made for their son — they have a son and two daughters — at the local Shop Rite in Holland Township. The store refused their request.

And the reason was that Mr. Campbell wanted the cake to read "Happy birthday Adolf Hitler". Because, you see, his son’s name was Adolf Hitler Campbell. One of the daughters is named is named Joyce Lynn Aryan Nation Campbell. Well, you get the point.

When I read about the Austrian baker Manfred Klaschka, I thought – here was a marketing opportunity for him. He would have happily baked a cake for the Campbell family. So what does all this have to do with Passover?

This week, when we are forbidden to eat Sachertore or Linzer tort or even the delightfully named Punschkrapfen, we might want to pause and think about something we say every year at the Passover seder: 'In every generation it is the duty of man to consider himself as if he had come forth from Egypt’.

Because in this generation, as in all others, there are those who order custom–made swastika cakes. There are those who name their children after Adolf Hitler. And there are others who fire anti–tank missiles at school busses with Jewish children in them. Because there are those who are building nuclear weapons, having told the world that their intention is to wipe the Jewish state off the face of the earth. Because people like that make Pharaoh look like a nice guy. Because getting out of the house of bondage, out of slavery in Egypt, was not the end of the story for the Jewish people, but was the beginning.

It is a story of a never–ending struggle for freedom, for dignity, for respect, for human rights, that has universal resonance and meaning— for all people, everywhere, always. ...Read More

News Around The Globe

  • A 12–month exercise training and lifestyle intervention in patients with chronic kidney disease (CKD) was linked to better cardiorespiratory fitness (CRF), body composition, and diastolic function, according to findings of a randomized trial published online August 22 in the Clinical Journal of the American Society of Nephrology. (Source: Medscape)
  • Most women whose prenatal and childbirth care are led by a midwife have better outcomes compared with those whose care is led by a physician or shared among disciplines, according to a systematic review of 13 trials involving 16,242 women published August 22 in the Cochrane Database of Systematic Reviews. (Source: Medscape)
  • A weight–management intervention that emphasized prevention of weight gain, rather than weight loss, achieved the goal in a majority of overweight and obese African–American women, who maintained their weight for 18 months. (Source: Medpage Today)
  • Decreased levels of cerebrospinal fluid (CSF) proteins were associated with the presence of early Parkinson’s disease and/or increased motor symptoms. In a study, CSF levels of the 42–amino acid version of beta-amyloid protein (AB42), total tau protein (T–tau), tau phosphorylated at the threonine–181 position (P–tau), and alpha–synuclein were all slightly but significantly lower in the patients versus controls. (Source: Medpage Today)
  • The FDA has approved the alpha–2 adrenergic agonist brimonidine (Mirvaso) to treat facial redness in adult rosacea patients. According to the manufacturer, the new indication makes Mirvaso 0.33% topical gel the first topical treatment specifically indicated for the persistent facial erythema of rosacea. The gel is applied once a day to the forehead, chin, nose, and cheeks, and remains effective for up to 12 hours. The drug is thought to constrict dilated facial blood vessels, which reduces the redness in rosacea.
  1. More than 100 medical graduates across the city, with the support of Indian Medical Association (IMA) and Association of Healthcare Providers(AHPI), protested the policy of one–year mandatory internship before post–graduation by taking out a rally on Mahalaxmi Racecourse Road Monday. The Medical Council of India (MCI), which amended the Post Graduate Medical Education Regulations a month ago after seeking approval from the Centre, states that a candidate has to compulsorily serve a rural health post to become eligible for post–graduate entrance exams in medical colleges. (Indian Express)
  2. Men engaged in shift work, including working at night or on a rotating schedule, had an increased likelihood of having an elevated prostate–specific antigen value. Specifically, there was a statistically significant association between current shift work and an elevated PSA of 4.0 ng/mL or greater. The study is based on data from the National Health and Nutrition Examination Survey. Previous work has shown that shiftwork is a risk factor for prostate cancer. The study led by Erin Flynn-Evans, PhD, of the Brigham and Women’s Hospital in Boston, Massachusetts is published online August 13 in the Journal of the National Cancer Institute.

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Rabies News (Dr. A K Gupta)

How is RIG injected locally? What is the mode of administration of full dose of RIG?

It is important to infiltrate all wounds with rabies immunoglobulin (RIG). Intramuscular (IM) administration of RIG is of very little value. The previous recommendation to give antirabies serum half into wounds and half IM no longer holds true and may lead to treatment failure. As much of the calculated dose of RIG as is anatomically feasible should be infiltrated into and around all the wounds. In the event that some volume of RIGs is left over after all wounds have been infiltrated, the same should be administered by deep IM at a site distant from the vaccine injection site.

If the calculated dose of RIG is insufficient to infiltrate all wounds, sterile saline can be used to dilute it 2 or 3 fold to permit thorough infiltration.

cardiology news
  • Suzanne V. Arnold, MD, MHA, of St. Luke’s Mid America Heart Institute in Kansas City, Mo., and colleagues in report in the Journal of the American College of Cardiology that although nearly all heart attack patients leave the hospital on secondary prevention medications, only about a third get appropriate doses, suggesting this issue should be incorporated into a quality of care measure. Initial dose was key, because about three-quarters of those who didn’t go home on a dose within 75% of the dose proven effective in landmark trials didn't get an increase during follow–up care found. (Source: Medpage Today)

Valvular Heart Disease News

  • Although uncommon in children, it is important to identify and treat infective endocarditis because of its significant morbidity and mortality.

(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
  • Long–term follow–up in children undergoing hemispherectomy for refractory epilepsy showed that most were seizure–free and able to walk independently, but deficits in many areas of daily function were common. According to Ajay Gupta, MD, of the Cleveland Clinic in Ohio, and colleagues, among 115 children with a mean of 6.05 years of follow–up, 70 were seizure–free and 96 were able to walk without assistance. But two–thirds of the children had at least mildly impaired speech, some 85% either required assistance at a mainstream school or were in a special school, and, among those 6 or older, only 18% had age–appropriate reading ability. The study findings are reported in the journal Epilepsia. (Source: Medpage Today)
  • Infants or neonates with HIV, early treatment followed by a drug holiday yielded better results than deferring treatment until it was medically necessary. A study reported in The Lancet found that children in the programmed therapy interruption arms were significantly less likely to die or to have treatment failure than those on deferred therapy. They were also significantly less likely to have HIV disease progression. The CHER (children with HIV early antiretroviral) trial enrolled infants with HIV but without symptoms and randomly assigned them to deferred treatment or to therapy for either 40 or 96 weeks, after which it would be stopped until starting again became medically necessary. (Source: Medpage Today)
cardiology news

Its time for Sattu

Sattu is a powder of pulses and cereals. It is prepared by grinding after roasting.

It is consumed along with fruit slices, sugar or milk.

Some people add green chillies, lemon juice and salt for flavor.

It was originally called Seven Anaaj (seven cereals, millets and pulses), locally pronounced Sat–anjaa, later transformed to Sattu.

The 7 ingredients of Sattu, in the same ratio, are: Cereals (Makai – maize and Jowar – barley); Pulses (Chana or black gram; Arhar – pigeon pea (Cajanus cajan indicus); Matar – green peas; Khesari (pronounced khesaari) Lathyrus sativus; Kurthi – (Kulatha).

Sattu is a cooling high fiber food with low glycemic index and anti diabetic properties.

Sattu was the fast food of old times, cheaper and with enough calories to be termed as a full meal. It also has adequate minerals and vitamins.

‘Sattu’ is a perfect blend of balanced nutrients and the best method of cooking – roasting. Shelf life is increased.

One should not eat sattu without mixing with jaggery, ghee or curd.

One should not eat too much of sattu in the night and after having dinner.

As a ritual Sattu is offered by the husband to his wife at moon rise of "Badi –Teej". The wife neither eats nor drinks, even water for the whole day.

At night, she breaks her fast by accepting a bite from the offered sweet. Next course is of fruits served on a leaf of ‘Aak’ (a holy bush of the desert), followed by a cup of ‘Phaddar’– a mock tail drink of beaten curd and sweetened milk. Lastly, a few drops of lime are added.

cardiology news

Spiral fractures, fractures in wrist, hip or vertebra in an older person may be a symptom of elderly abuse.

cardiology news

CPR Classes: Persons trained (1200)

21st August: CPR 10 at Ramjas School, R K Puram – 1200

Total CPR since 1st November 2012 – 62966 trained

14th August: CPR 10 at Modern School, Noida (2000)

CPR Classes 62966

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Sudden Cardiac Death 24th August


Chaturmas: time to strengthen inner healing

The "Chaturmas" begins on the Ekadashi in the month of Ashadha and ends with the Ekadashi in the month of Kartik and has both spiritual and health implications said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela and National Vice President elect IMA.

Indian farmers depend on monsoon crops. Months of monsoon are synchronized with four holy months of the year. These four months, called chaturmas coincide with many festivals.

Chaturmas start with Guru Poornima, a festival to worship your teacher or an indication that for the next four months one will have a lot of time to learn in view of rains.

Next comes the month of Shravana, in which Mondays are worshipped for Lord Shiva. The Narali Poornima in this month marks the end of heavy rains and the throwing of the coconut in the sea appeases the sea and it calms down. Nag Panchami and Gokul Ashtami are parts of this month.

Bhadrapad, the next month of festivals, is dedicated to the worship of Ganapati, the lord of removal of obstacles in the first half. The second half is the shradhs when religious ceremonies are held in memory of the departed souls. The month of Ashwin starts with the "Navratri", through Dusshera and Diwali. Kojagiri Poornima in this month is the bright poornima. The last two days of Ashwin and the first two days of Kartik are usually the days of the Diwali festival. The Ekadashi in the first half of the month of Kartik marks the end of the Chaturmas.

Fast is the main part of any religious festival. Mondays in the month of Shravan, Gokul Ashtami and Ekadashi are all days of fast.

The days of monsoon are not usually healthy days. For doctors it is a healthy season as they get a large number of patients.

Health implications

  • During monsoons, all the three doshas (movement, metabolism and structure) are vitiated. Light diet and less oily food are advised, as digestive power is weak.
  • As digestive fire is weak in the rainy season, stomach upsets are common.
  • Most ground worms come to the surface and contaminate underground and surface vegetables. Community feasts, marriages, social functions, gatherings are therefore prohibited in this season.
  • River water gets contaminated.
  • Snake come out in the open and snakes bites are common. Nagpanchmi tells us not to kill them unnecessarily as most of them are not poisonous.
  • Green leafy vegetables are avoided in the Shravan month, Curd in Bhadrapad, Milk in Ashwin and Pulses (split variety) and oils in Kartik month. The reason is that in rainy season Vata dosha is aggravated (vegetables aggravate vata) and pitta is accumulating. Pitta-producing foods are therefore avoided (curd and fermented foods). In the month of Kartik, the kapha is accumulating and hence oils are restricted. In allopathy vata represents movement, pitta metabolism and kapha, the structural functions.
  • In general the advice is abstinence from tea, coffee, sugar, rice, wheat etc. and avoiding garlic and onion as they can stimulate unnecessary excitements and cause indigestion.
  • Chaturmas is the time to meditate, read spiritual scriptures and strengthen inner immunity by meditation.

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 62980 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

A CPR 10 Training Camp was organized by Heart Care Foundation of India to train the students of Ramjas School, R K Puram

press release

ACE inhibitors better ARBs in new meta–analysis in hypertensives

today video of the dayDr KK Aggarwal on Costly Treatment

Dr KK Aggarwal on Sleeping Disorder

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

A 2–month–old baby hasn’t received any immunizations. Which immunizations should nurse Jess prepare to administer?

a. Measles, mumps, rubella (MMR); diphtheria, tetanus, pertussis (DTP); and Hepatitis B (HepB)
b. Polio (IPV), DTP, MMR
c. Varicella, Haemophilus influenzae type b (HIB), IPV, and DTP
d. HIB, DTP, HepB; and IPV

Yesterday’s Mind Teaser: Nurse Dave is conducting an examination of a 6-month-old baby. During the examination, the nurse should be able to elicit which reflex?

a. Babinski’s
b. Startle
c. Moro’s
d. Dance

Answer for yesterday’s Mind Teaser: a. Babinski’s

Correct answers received from: Dr P.K Sahu, Dr. V.P. Thakral, Dr.K.V.Sarma, DR ARPAN GANDHI, Dr Chandresh Jardosh, DR. BITAAN SEN & DR.JAYASHREE SEN, Dr Jainendra Upadhyay, Dr. Deepali chatterjee, Daivadheenam, DR AVTAR KRISHAN, Dr.Nageswara Rao Patnala, Dr Pooja khullar, Dr. R.N.Singh, Dr.A.K.GAJJAR.

Answer for 25th August Mind Teaser: a. Hepatomegaly

Correct answers received from: Dr. Deepali Chatterjee, Daivadheenam, DR AVTAR KRISHAN, Dr.Nageswara Rao Patnala, Dr Pooja khullar, Dr. R.N.Singh, Dr.A.K.GAJJAR.

Send your answer to ijcp12@gmail.com

medicolegal update

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medicolegal update

Jar 47

A new doctor had arrived in town. He could cure anything and anybody. Everyone was amazed with what he could do – everyone except for Mr. Thompson, the town skeptic.

Grumpy old Mr. Thompson went to visit this ‘miracle doctor’ to prove that he wasn’t anybody special. When it was time for his appointment he told the doctor, "Hey, doc, I’ve lost my sense of taste. I can't taste nothin’, so what are ya goin’ to do?"

The doctor scratched his head and mumbled to himself a little, then told Mr. Thompson, "What you need is jar number 47."

So the doctor brought the jar out, opened it, and told Mr. Thompson to taste it. He tasted it and immediately spit it out, "This is gross!" he yelled. "Looks like I just restored your sense of taste Mr. Thompson," said the doctor. So Mr. Thompson went home… very mad.

One month later, Mr. Thompson decides to go back to the doctor and try once again to expose him as a fake, by complaining of a new problem. "Doc," he started, "I can’t remember anything!" Thinking he had the doctor stumped now, he waited as the doctor scratched his head, mumbled to himself a little, and told Mr. Thompson, "What you need is jar number 47, it’s……"

But before the doctor could finish his sentence, Mr. Thompson was cured and fled the room!

medicolegal update
medicolegal update

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medicolegal update

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lesson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

medicolegal update

A blind person asked Swami Vivekanand: "Can there be anything worse than losing eyesight?" He replied: "Yes, losing your vision!"

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Why compare yourself with others? No one in the entire world can do a better job of being you than you.

medicolegal update

Dear Sir, Very useful information. Regards: Dr Shruti.

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