eMedinewS4th September 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

I will be filing my Vedic Returns on 5th September

On 31st March I file our non–Vedic financial returns to the income tax department. Vedic returns are filed on our birthday to our consciousness.

The return contains a complete account of negative and positive deeds of the last one year.

The returns filed include misunderstandings, hurt, anger, resentment, guilt, fears, rejections, failures, unforgiven, envy, mis–behaviour, mistakes and all negative feelings vs compassion, love, caring, empathy, happiness etc.

The first step is to calculate my last year’s Vedic earnings. The earning is not my money based finances earned but my soul and ego based earnings.

The earnings can be in the following heads

Soul earnings (soul profile)

  1. Good will
  2. Respect
  3. Happiness
  4. Peace of mind
  5. Health
  6. Blessings
  7. Friendships
  8. Knowledge Ego earnings (ego profile)
    1. Position and status earned
    2. Fixed assets (car, house, money)
    3. Name, fame and awards

Both soul and ego earnings positive and minus should be computed in the form of returns and submitted to the consciousness.

If the result is balance you need to pay thirty percent tax to GOD by passing on thirty percent of net happiness to others.

Law of giving is to pass what you get. Keep everything in circulation.

When I analyze my one year I find that I trained over 65000 people in hands only CPR 10 personally to general public and have seven success stories where the bystanders were able to save lives by attempting successful CPR to victims.

I am happy that I have ended up with positive in my Vedic returns.

If you want me to wish happy birthday, juts pass on the message to people that it is possible to save the life of a victim in the first tem minutes of death by learning and then attempting hands only CPR 10. ….Read More

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 10×10 i.e. 100 per minute."

VIP’s on CPR 10 Mantra Video
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

sprritual blog Ganesha: Oh My God!

We sing His appraisal, we worship His deity, we believe in His powers blindfolded and yet distance Him from us by pining to see what lies deep within us. God, to which the world bows down has in fact been reincarnated into an issue of communal dispute, a reason for violence and an agenda to be banked upon for mere votes. Brahma, Vishnu, Shiva or be it Allah, Wahe Guru or Jesus, all personify the beauty of the unpolluted soul within us which is deep–rooted and blanketed by earthly desires.

While mythological studies knit stories of the Almighty’s existence, the fact remains that human being is bestowed with the untainted potential of recognizing heavenly facets in his own self. Ganesha, the son of Shiva and Parvati is likewise the name given to the harmonious Aacharan or characteristic disposition of man. Remembered and ritually worshipped before starting a new venture, the entity of Ganesha has in store the facets of a complete man. The magnanimous head of the Ganesha, which is that of an elephant, represents wisdom, intelligence and a healthy mind capable of making sound decisions. Not in vain is it said that ‘think before you speak’, which implies Ganesha’s huge head, that is identified with the need for a thoughtful and retrospective attitude. The big ears of this elephant–deity instills among the earthly man the patient channel of lending ears to the echo produced by others’ deeds and speech. It is said that half the dispute is resolved when an ear is lend most patiently. The Ganapati’s extremely small mouth characteristically represents the need for a limited dialogue and the vanity of chattering. Over-expression through words triggers unsought problems many a times which otherwise could be avoided by a tight lip.

Ganesha also represents the guru of stress–affected individuals. Shiva’s most promising son, Ganesha, by virtue of his small eyes, highlights the need of a focused outlook in life. Such an outlook not only redefines and foresees the right goals, but also relieves one from the stress–manifested episodes from the various chapters of life. The long trunk identifies with the power of discrimination. The sensitivity of Ganesha’s long nose has the strength to uproot a tree and the competency of picking up a pin from the ground. Such should be the approach of an individual who should be capable enough to perceive the good and the bad for himself besides the undaunted strength of overcoming all odds. The tusks and the small teeth of Ganesha should however, be recollected with the loss and gains in the life of a man. Man similarly ought to engrave his mental stature in such a manner that the ups and downs may not deter him from his honest endeavor and the balance of inevitable bliss and sorrow is maintained to add spice in the earthly existences. This stable healthy mental stature is only possible if the physical, social, spiritual and environmental requirements of the body are fulfilled. For the needful, individuals need to be bestowed upon a complete mental and physical health.

Further the big tummy of Ganapati Deva preaches the need for retaining information. Acquiring knowledge, utilizing it and retaining it for years to come, becomes the crux of ‘big–belly commandment’.

The Char–Bhuja Dhari Ganesha, further represents strength by virtue of the four hands in which the Lord entraps his attachments, desires and greed. Two of the arms of Ganesha, which hold rope, symbolize control over the attachments. The laddoo or sweet in the other two shows command over the desires and earthly delusion. The mouse sitting near the feet of Ganesha represents greed and gluttony upon which the Almighty rides, propagating a control over the evils.

Ganesha’s physical traits are an assembly of the characteristics most required in an individual of substance. Disposition incarnated with the goodness of such features will result in success in life and will positively procure an ailment–free survival. Specifically for executives, Ganesha’s characteristic principles may be incorporated in a time–table format which will help in the dawn of a conformable work–atmosphere along with congenial relationship between the management and the union of workers. Deciding the first day of the week to hear all grievance and woes of the workers, the second for thinking and planning strategies to work upon and finally setting targets to be achieved may utilize three days of the week very constructively. Further, a day devoted to evaluating losses and gains (Ganesha’s teeth principle) may help additionally in business management. Retaining the information and filing all the pending work can affirmatively call upon the fifth day of the week, which works entirely on the principle of Ganesha’s tummy, which is massive by the virtue of holding tremendous loads of information. Contemplation, discrimination and judging the good and the bad for the entire unit may take another day, leaving the Sunday for self–retrospection through meditation and yoga. One should strive and adopt Ganpati’s principles of life management rather than worshipping him with vanity. Life has much in store besides bothering about unnecessary qualms. Giving into a disciplined attitude may assuredly dawn upon a peaceful life. Heaven is where you are, it’s only a matter of perception which makes life as difficult as hell. ….Read More

cardiology news

King Arthur and the Witch

Young King Arthur was ambushed and imprisoned by the monarch of a neighboring kingdom. The monarch could have killed him but was moved by Arthur’s youth and ideals. So, the monarch offered him his freedom, as long as he could answer a very difficult question. Arthur would have a year to figure out the answer and, if after a year, he still had no answer, he would be put to death. The question… What do women really want?

Such a question would perplex even the most knowledgeable man, and to young Arthur, it seemed an impossible query. But, since it was better than death, he accepted the monarch’s proposition to have an answer by year’s end.

He returned to his kingdom and began to poll everyone: the princess, the priests, the wise men and even the court jester. He spoke with everyone, but no one could give him a satisfactory answer. Many people advised him to consult the old witch, for only she would have the answer. But the price would be high; as the witch was famous throughout the kingdom for the exorbitant prices she charged.

The last day of the year arrived and Arthur had no choice but to talk to the witch. She agreed to answer the question, but he would have to agree to her price first. The old witch wanted to marry Sir Lancelot, the most noble of the Knights of the Round Table and Arthur’s closest friend! Young Arthur was horrified. She was hunchbacked and hideous, had only one tooth, smelled like sewage, made obscene noises, etc. He had never encountered such a repugnant creature in all his life.

He refused to force his friend to marry her and endure such a terrible burden; but Lancelot, learning of the proposal, spoke with Arthur. He said nothing was too big of a sacrifice compared to Arthur’s life and the preservation of the Round Table.

Hence, a wedding was proclaimed and the witch answered Arthur’s question thus: What a woman really wants, she answered…is to be in charge of her own life! Everyone in the kingdom instantly knew that the witch had uttered a great truth and that Arthur’s life would be spared. And so it was, the neighboring monarch granted Arthur his freedom and Lancelot and the witch had a wonderful wedding.

The honeymoon hour approached and Lancelot, steeling himself for a horrific experience, entered the bedroom. But, what a sight awaited him. The most beautiful woman he had ever seen lay before him on the bed. The astounded Lancelot asked what had happened The beauty replied that since he had been so kind to her when she appeared as a witch, she would henceforth, be her horrible deformed self only half the time and the beautiful maiden the other half. Which would he prefer? Beautiful during the day…or night?

Lancelot pondered the predicament. During the day, a beautiful woman to show off to his friends, but at night, in the privacy of his castle, an old witch or, would he prefer having a hideous witch during the day, but by night, a beautiful woman for him to enjoy wondrous intimate moments?

Noble Lancelot said that he would allow HER to make the choice herself. Upon hearing this, she announced that she would be beautiful all the time because he had respected her enough to let her be in charge of her own life.

News Around The Globe

  • Patients with carpal tunnel syndrome reported fewer symptoms several months after receiving steroid injections, but most still opted for surgery within a year to relieve persistent pain as reported in the Sept. 3 issue of the Annals of Internal Medicine. Improvements in carpal tunnel severity scores 10 weeks after initial treatment were greater among patients who received 80 or 40 mg injections of methylprednisolone than in those given placebo injections, with a 0.64–point decrease in the high–dose group and a 0.88–point decrease with the lower dose.
  • In people with diabetes but unimpaired glomerular filtration, protein in the urine is associated with cognitive decline even at a relatively young age, according to Joshua Barzilay, MD, of Kaiser Permanente of Georgia, in Duluth, and colleagues. Albuminuria was linked to declines in information processing speed, but not to worsening verbal memory or executive function. The study findings were reported online in the Clinical Journal of the American Society of Nephrology.
  • Aortic root dilation among Marfan’s syndrome patients can be slowed by treatment with the angiotensin receptor blocker losartan (Cozaar). In patients with a native aortic root, those who received 3 years of treatment with losartan experienced a dilation of about 0.77 mm in the aortic root, compared with 1.35 mm among those on placebo.
  • Colchicine, the anti–inflammatory agent used mostly in the treatment of gout has been found to be effective for treating acute pericarditis and in preventing recurrences. In patients with acute pericarditis, colchicine, when added to conventional anti–inflammatory therapy of aspirin or ibuprofen, significantly reduced the rate of incessant or recurrent pericarditis over an 18–month period.
  • Researchers have reported at the ongoing ESC meeting that despite having a higher risk burden for cardiovascular disease, high income countries appear to have lower incidences of cardiovascular disease and cardiovascular mortality. The incidence of fatal cardiovascular disease in low income countries studied was 7.25 times higher in low income countries than in high income countries.

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Rabies News (Dr. A K Gupta)

Are pregnancy and lactation contraindications for IDRV?

Pregnancy and lactation are not contraindications for IDRV.

cardiology news
  • A device that automatically performs chest compressions was no better than manual cardiopulmonary resuscitation (CPR) in out–of–hospital cardiac arrest patients, according to findings of the randomized LINC trial reported at the European Society of Cardiology meeting. The primary endpoint i.e. survival at 4 hours after CPR initiation was similar in both the mechanical and manual CPR groups (23.6% versus 23.7%).
  • Cardiac resynchronization therapy (CRT) might harm patients with moderate–to–severe heart failure who have a short QRS duration. The rate of all–cause death or a first hospitalization for heart failure was 28.7% with CRT turned on and 25.2% with CRT turned off, a nonsignificant difference. But the rate of all–cause death on its own was significantly higher in the CRT group (11.1% versus 6.4%). The study was reported at the European Society of Cardiology meeting.

Valvular Heart Disease News

Complications of infective endocarditis include cardiac sequelae (e.g., heart failure and perivalvular infection) and end-organ infection or infarction due to embolic events.

(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
  • All children at least 6 months of age should be vaccinated against influenza as soon as trivalent or new quadrivalent vaccine is available, according to an updated statement from the American Academy of Pediatrics (AAP). The statement, published online September 2 and in the October issue of Pediatrics, updates recommendations for routine use of seasonal influenza vaccine and antiviral medications to prevent and treat influenza in children.
  • All children younger than 2 with acute otitis media diagnosed according to current American Academy of Pediatrics guidelines should receive antibiotics. Among children age 6 months to 2 years with unilateral, nonsevere acute otitis media given amoxicillin–clavulanate, treatment failures were seen in 14% compared with failure rates of 40% in those given placebo, for an adjusted relative risk of 0.27). In contrast, children with bilateral, severe otitis media –– those for whom treatment currently is recommended –– had failure rates of 25% with antimicrobial treatment and 59% with placebo, giving an adjusted relative risk of 0.34.
cardiology news

Judicious use of cardiac screening

Unnecessary screening can have a considerable cost beyond that of the test itself, warn members of an ad hoc committee convened by the American College of Physicians.

Screening tests should be performed judiciously, and the committee has assembled a list of common clinical situations in which more testing is unlikely to be helpful and may be harmful, writes Amir Qaseem, MD, PhD, MHA, from the ACP, Philadelphia, Pennsylvania, and colleagues in the January 17, 2012, issue of the Annals of Internal Medicine.

ACP committee has identified 37 clinical scenarios in which screening does not promote patient health, and might even have adverse consequences. Among them cardiac ones are:

  • Performing coronary angiography in patients with chronic stable angina who have well–controlled symptoms on medical therapy, or who lack specific high–risk criteria on exercise testing
  • Routinely repeating echocardiography in asymptomatic patients with mild mitral regurgitation and normal left ventricular size and function
  • Obtaining ECG to screen for cardiac disease in patients at low to average risk for coronary artery disease.
  • Obtaining exercise electrocardiogram for screening low–risk, asymptomatic adults
cardiology news

Mrs. Sheila Dikshit, Chief Minister of Delhi to inaugurate the CMAAO India conference

The CMAAO India conference will be inaugurated by Chief Minister of Delhi Smt. Sheila Dikshit on 12th September at Hotel Shangri La at 1.30pm. Dr. Naresh Trehan, CMD Medanta– The Medicity will be the Guest of Honor. Dr. Vinay Aggarwal, Past President, IMA will take over as CMAAO President.

cardiology news

Total CPR since 1st November 2012 – 62980 trained

CPR Classes 62980

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping
sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

29th August: Veer Arjun

Media advocacy through Web Media

When Constipation May be a Serious Problem 30th August


TB more dangerous than FLU 29th August


A mix of exercise protocol is better

A combination of weight training and aerobic exercise is the best prescription for overweight patients at risk for diabetes and heart disease.

Only aerobic exercise is also as good as it reduces weight and inches off the waistline. Jut weight lifting alone has very little benefit, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

According to a study published in the July 7th issue of American Journal of Cardiology, people in the weight–training group gained about 1.5 pounds and those in the aerobic group lost an average of 3 pounds and half an inch from their waists.

Those who did both weight and aerobic training dropped about 4 pounds and 1 waistline inch. This group also saw a decrease in diastolic lower blood pressure and in a metabolic syndrome score.

Both the aerobic–only group and the combined-exercise group also lowered their levels of bad triglycerides.

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 63000 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

Hon’ble Chief Minister of Karnataka releasing the book "Me Lord I am not guilty" by Dr KK Aggarwal in Mysore.

press release

PPIs may be associated with a higher risk for clostridium difficile associated diarrhea

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 female client with chronic renal failure (CRF) is receiving a hemodialysis treatment. After hemodialysis, Nurse Sarah knows that the client is most likely to experience:

a. Hematuria.
b. Weight loss.
c. Increased urine output.
d. Increased blood pressure.

Yesterday’s Mind Teaser: When a female client with an indwelling urinary (Foley) catheter insists on walking to the hospital lobby to visit with family members, Nurse Rose teaches how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information?

a. The client sets the drainage bag on the floor while sitting down.
b. The client keeps the drainage bag below the bladder at all times.
c. The client clamps the catheter drainage tubing while visiting with the family.
d. The client loops the drainage tubing below its point of entry into the drainage bag.

Answer for yesterday’s Mind Teaser: b. The client keeps the drainage bag below the bladder at all times.

Correct answers received from: Narahari Kandakatla, Dr.(Maj. Gen.) Anil Bairaria, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Madhavan G Menon, daivadheenam, DR AVTAR KRISHAN, Dr Valluri Ramarao, Dr. Sushma Chawla.

Answer for 2nd September Mind Teaser: b. The presence of a boggy mass

Correct answers received from: Dr. Sushma Chawla.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Classical definitions and cool meanings

DICTIONARY: A place where divorce comes before marriage
CONFERENCE ROOM: A place where everybody talks, nobody listens and everybody disagrees later
ECSTASY: A feeling when you feel you are going to feel you have never felt before.
CLASSIC: A book which people praise, but do not read.
SMILE: A curve that can set a lot of things straight.
OFFICE: A place where you can relax after your strenuous home life.
YAWN: The only time some married men ever get to open their mouth.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA.
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

Doing the best at this moment puts you in the best place for the next moment. Oprah Winfrey

medicolegal update

Dr KK Aggarwal: Travel more than doubles risk of blood clots by Dr k k Aggarwal http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Thought cannot explain how thought arises. Only transcendence can take you to the origin of thought http://tinyurl.com/l6x3eo4

medicolegal update

Dear Sir, great explanation about Lord Ganesha. Regards: Dr Shruman

Forthcoming Events

29thSeptember–Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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medicolegal update

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