eMedinewS 6th July 2013, Saturday

     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.”

VIP's on CPR 10 Mantra Video

Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

From the Desk of Editor in Chief

Delhi Medical Council rejects Ministry of Health proposal for registering Ayush doctors under Delhi Medical Council

In a letter written to Principal Secretary, Government of Delhi dated 19.06.2013, Delhi Medical Council has totally rejected the Ministry of Health, Government of India proposal to amend the Delhi Medical Council Act and allow registration of Ayush doctors in DMC so that they can start limited allopathy practice.

Tamil Nadu Medical Council and Punjab Medical Council have also similarly rejected this proposal and written to the Ministry of Health as well as Medical Council of India. Tamil Nadu Medical Council has even gone to the court in this regard.

Delhi Medical Council says that the provisions of Medical Council of India as well as Delhi Medical Council Act cannot permit doctors from other systems of medicines to register with State Medical Council. The Council also cited two judgments  - one is Punam Verma vs Ashwin Patel and other one is Dr. Mukhtar Chand & Ors vs State of Punjab. In clarifying its position, the Council said that the aforesaid proposal is in violation of the legal provisions clarified or laid down by the Supreme Court of India in Dr. Mukhtar Chand judgment. In Punam Verma case also, the Supreme Court of India said that the person who does not have knowledge of a particular system of medicine and practices in that is quack.

The Council also cited Supreme Court of India judgment  in Martin S D’Souza Vs Ishfar where it was held that professional may be held liable for negligence under ground that he was not possessing the requisite skill. 

.....Read More

sprritual blog Why are doctors called God?

Modern medicine is only couple of hundred years old. Prior to that traditional medicine was being used based on the local needs of the country, the oldest of them being Indian Ayurvedic system of medicine originating from Atharveda. Unani, Chinese, and Tibetan medicine probably are all off shoots of Ayurveda. ...Read More

Dr K K Blogspot

cardiology news
pediatrics news
wellness blog

Most uncontrolled asthmatics think they are controlled

Two-thirds of patients with uncontrolled asthma think their disease is well under control.
...Read More



  • The term ‘intimate partner violence’ describes actual or threatened psychological or physical or sexual harm by a current or former partner or spouse.
  • Read More
press release

Summer its time for Sattu


Health risks from dead bodies are negligible (Dr K K Aggarwal)

The health risks of dead bodies are dangers related to the improper preparation and disposal of cadavers.

As per WHO, in situations where there ...Read More

If you are at risk of heart attack ask your doctor for a statin

Patients with blockages of the artery of the heart or those at risk of heart blockages, who can tolerate anti cholesterol drug statin should be started on a moderate dose of a statin drug independent of the baseline LDL ‘bad’ cholesterol levels, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

This is true even for patients with baseline ‘bad’ cholesterol levels below goal or close to goal. Knowing very well that starting statins in these patients will reduce the bad LDL cholesterol levels well below the recommended goals a moderate statin dose should be started in these patients. ...Read More

News Around The Globe

Handling life after death (By Dr KK Aggarwal) is to be broadcast on 7th July, 4:05 pm, Rajdhani Channel of AIR Delhi (666 kHz, 450 m)

National News

  • There are 1440 minutes in a day; out of these, schedule 30 minutes for physical activity. The rule is 30 minutes of moderate physical activities (brisk walking, dancing, swimming, cycling, etc.) at least 5 days in a week. (Source: CDC)
  • As per the U.S. Food and Drug Administration (FDA) warning, the drug olmesartan can cause an intestinal problem call sprue-like enteropathy, which can lead to severe and chronic diarrhea that result in significant weight loss.
  • As per a report published in New England Journal of Medicine, all patients with TIA should be given a short course of dual anti-platelet therapy.
  • As per report published in magazine Sleep, restricting sleep to four hours a night for five consecutive nights led to significant weight gain.
  • According to new published report in JAMA, aerobic exercise may not improve outcome in diabetes in patients whose blood sugar is all the time high.
  • A new California study has shown that migraine a brain disorder and response to painful stimuli. The study is based on PET scan.
  • Indraprastha Apollo Hospital has claimed that they successfully treated a 90-year-old woman suffering from stroke with clot dissolving therapy. The treatment was done under the supervision of Dr. Vineet Suri.

Vitamin B12 deficiency guideline: 5 points to remember (Dr GM Singh)

  • Routine testing is not recommended.
  • Test patients with unexplained neurological symptoms, macrocytic anemia, macrocytosis, hypersegmented neutrophils or pancytopenia.
  • Consider testing for age >75 years, IBD or gastric/bowel resection, prolonged vegan diet, H2 antagonist or PPI use >12 months, or metformin use >4 months.
  • Check CBC, blood film and serum cobalamin; cobalamin levels correlate poorly with clinical symptoms.
  • Give B12 prophylactically to those with pernicious anemia, strict vegans and those with food-bound B12 malabsorption.

Tip of the Day

If you are trapped in an elevator what to do?

  • Quickly press all the buttons for all the levels, the lift may stop.
  • If there is a handle hold it tight to prevent you from falling or getting hurt when you loose balance.
  • Lean your back and head against the wall forming a straight line is to protect the spine, and lastly
  • Keep the knee slightly bent to prevent any damage to the ligament.


today emedipics

Doctor Day Celebration

On the occasion of Doctors Day, a CME was organized by IMANDB, eMedinewS and Heart Care Foundation of India on 29th June 2013 at IIC, New Delhi

Valvular Heart Disease Update

Spontaneous echo contrast can be visualized in the lumen of the descending aorta of patients with severely reduced cardiac output (e.g., severe mitral regurgitation), in the false lumen of an aortic dissection and in the vicinity of a true aortic aneurysm.

(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)

How should you tell your child about gamete donation?

You should tell your child at a young age. Later disclosure, when the child is a teenager or adult may make it more difficult for your child to integrate this information into his or her identity. Giving information in a calm and loving manner will set the tone for open family communication later. If you don't know how to begin a conversation about disclosure, there are books that provide scripts to give you some idea.

Rabies Update (Dr. A K Gupta)

Are there any variations in signs of rabies between different species of animals?

There are few variations in signs of rabies between different species of animals. Cattle with furious rabies attack man and other animals. A common clinical sign is a characteristic abnormal bellowing. Head butting is a characteristic sign in case of rabies in cattle, sheep and goats.

medicolegal update

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

What is the treatment of poisonous bites and stings?

  • Antivenom should only be given in a hospital or medical center, where resuscitation can be given, because the patient may develop an allergic Read More
ijcp book of medical records
medicolegal update

Can the MCI dispose of a complaint if the complainant withdraws the complaint?

Ans: Order: Complaint against Dr. SSB Metro Heart Instt., Faridabad as alleged by Sh. Sandeep Kumar (F.No. 196/2011).

The Ethics Committee considered the matter and noted that despite notice dated 10.10.2012 sent to Read More

dr good dr bad

Situation: A patient of atrial fibrillation on amiodarone developed hypothyroid state.
Dr. Bad: You need to take thyroid drugs
Dr. Good: TSH will become normal once the offending drug is stopped.
Lesson: Amiodarone can cause reversible hypothyroidism.
Read More

make sure

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

quote of the day

Destiny is not a matter of chance; but a matter of choice. It is not a thing to be waited for; it is a thing to be achieved.

twitter of the day

Dr KK Aggarwal: Vegetarian diet and Soya Products help reduce BP http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: How do we know that it is time to end a relationship and move on?
http://bit.ly/14JxRjo #Health

emedinews humor

If a lion is chasing you

Teacher: If a lion is chasing you, what would you do?
Student: I'd climb a tree.

Teacher: if the lion climbs a tree? Student: I will jump in the Read More

reader response

Respected sir, I am regularly reading all your eMedinewS sent to me. It is really informative. The ‘100 guidelines’ on Doctor’s Day is fantastic. I shared it with my doctor friend who appreciated it a lot. The inspiring stories and medicolegal issues are also very informative. Please do send regularly. Dr GC Dash M.D, Chief Health Director, Railway Hospital, Bhubaneswar, Odisha, India.

An Inspirational Story

A good person

What really constitutes a good person? This is one of the questions I have in my life that I long to find the answer for. Does being an upright citizen equate to being a good man?

Does going to church regularly and paying your colleagues compliments that they are due make you virtuous and moral? Is it enough to do good things for other people to make you an ethical and just human being? ............Read More

eMedi Quiz

Read this…………………

The most common manifestation of cutaneous adverse reaction to food is.......

A. Acute urticaria
B. Pruritus
C. Flare of atopic dermatitis
D. Contact urticaria

Yesterday’s Mind Teaser: Which of the following are the targets of antiphospholipids antibodies?

A. Anionic phospholipids
B. Beta2-glycoproteins
C. Protein c and s
D. All the above

Answer for yesterday’s Mind Teaser: D. All the above

Correct answers received from: Dr. B.B. Gupta, Dr.K.V.Sarma, Dr Jainendra Upadhyay, DR ARPAN GANDHI, Dr Pankaj Agarwal, dr rakesh goel, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr shashi saini

Answer for 4th July Mind Teaser: C. Oxidation-mediated injury of the vascular endothelium

Correct answers received from: Dr kanta jain

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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