Medinews e-Newsletter - July 2009 - A service from the IJCP Group of Publications


 In This Issue...

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care Foundation of India
Group Editor-in-Chief, IJCP Group
Member, Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)
Hony. Finance Secretary, IMA (07-08)
Chairman, IMA AMS (06-07)
President, Delhi Medical Association (05-06)

Come First of July and a barrage of SMSs pour into mobiles of medical professionals. We would look at it in two ways:
1. "Happy-Doctors" Day
2. Happy "Doctors-Day"
Well it may be worthwhile looking at the significance and importance of both.
"Happy-Doctors" Day connotes a day of and for doctors who are happy. Well its only happy and healthy doctors who can make a happy and healthy society. So the question worth examining in this context is: How happy are doctors? On the other hand, Happy "Doctors Day" is a connotation of patients and society in general, wishing their doctors on a day meant to shower good wishes on someone you care for. The pertinent question here is , "How many patients really care for (or respect) their doctors today?

HOW HAPPY ARE DOCTORS? It's a question we all need to answer on our own. The perception within the profession is, not many. But why?

HOW MANY PATIENTS REALLY CARE FOR (OR RESPECT) DOCTORS? Again the frank answer is not many. But why

The answer to both the questions is the same. On one hand, the medical profession is increasingly being viewed as money- minded, not too professional and unethical by the society at large. On the other hand, the profession feels it is increasingly being faced by a highly litigious consumer activist society unrealistic of their problems and hardships. We don't need to get into a blame game.
On this Doctors Day let all of us take initiative to positively and proactively contribute for a happy, healthy society for all. After all we can make a difference, let's start it today.


Dr KK Aggarwal   Dr Sanjiv Malik
Dr. Malik
Dr Sanjiv Malik
Dr BC Roy National Awardee
Consultant in Healthcare
Chairman,Malik Healthcare Pvt.Ltd.
Chairman, Soalni Healthcare Pvt.Ltd.
Chairman,Mediworld Publications Pvt.Ltd
Chairman, Mediworld, Clinical
Research Operations (MCRO)
Chairman, Mediworld Healthcare
Consulting Services (MHCS)
Chairman, National Health Foundation
President, SAARC Medical Association
Past National President, IMA
World's First: Stem cells from own organ used to treat damaged heart
Doctors at the Cedars-Sinai Heart Institute for the first time repaired a heart damaged by a heart attack by growing specialized stem cells using tissue obtained from a patient's own organ. The procedure was completed on the first patient on June 26, as part of a Phase I investigative study approved by the U.S. Food and Drug Administration and supported by the Specialized Centers for Cell-based Therapies at the National Heart, Lung, and Blood Institute and the Donald W. Reynolds Foundation. Kenneth Milles, a 39-year-old controller for a small construction company in the San Fernando Valley is the first patient. A catheter inserted through a vein in the patient's neck, a small piece of heart tissue is removed, about half the size of a raisin. The tissue is then taken to a specialized lab, where heart stem cells are cultured using methods invented by Marban's team.


Banking ovaries may extend baby-making span

Two new techniques to preserve and transplant ovaries might give women a better chance to fight their biological clocks and have children when they are older, doctors from London announced. In the past, scientists have performed ovarian transplants in women with cancer, since chemotherapy often causes infertility. Doctors typically take out patients' ovaries before the toxic treatment begins and then reimplant them later. Due to the cost and uncertainties involved, only a few of them were successful.


Woman carries dead child in womb for 19 days

A tribal woman by the name of Pramila (25) was admitted to district hospital, Betul (MP) in serious condition. She had been carrying a seven-month-old dead child in her womb for 19 days until it was flushed out after she had undergone operation.The doctors earlier diagnosed it as tumor and did not operate her. The hospital authorities, however, had kept mum about the incident. District Collector Arun Bhatt ordered a probe for negligence on prima facie and said those responsible for the negligence would not be spared.


Research establishes link between asthma and calcium levels

Scientists in London have discovered a link between development of chronic asthma and calcium levels in the airway smooth muscle. Remodeling has been largely implicated in the chronicity of asthma. Increased amount of smooth muscle cells forms a key part of this process. According to the authors of the study, abnormal calcium levels in these muscle cells make the lung very sensitive which alters the airways over time, making breathing difficult for these patients. The authors are optimistic that their finding may lead to new treatments.
Source: Mahn K, Hirst SJ, Ying S, et al. Proc Natl Acad Sci U S A 2009 Jun 19.

IBS may indirectly indicate a higher risk of DM

The occurrence of prediabetes i.e. impaired fasting glucose and/or impaired glucose tolerance was compared in 92 patients with irritable bowel syndrome (IBS). Patients with type 2 diabetes mellitus were excluded from the study. After overnight fasting, total cholesterol, HDL cholesterol, and LDL cholesterol levels were raised in patients with IBS than controls. IBS patients also had a greater frequency of prediabetes. The study concluded that IBS may indirectly indicate a higher risk of DM, given the higher incidence of prediabetes in IBS.

Source: Gulcan E, Taser F, Toker A, et al. Am J Med Sci 2009 Jun 25. 

Soy foods may cut down the risk of developing COPD

A study published in the journal Respiratory Research has concluded that increasing consumption of soy foods such as tofu, soy milk and bean sprouts decreased risk of COPD and breathlessness. The research team from Curtin's Health Innovation Research Institute (CHIRI) and representatives from four Japanese hospitals found that people who consumed more than 75 grams of soy products daily had the most health benefits. In addition, long-term soy consumption at least 50 grams of soy products daily also reduced the risk of developing COPD and improved lung function. However, this does not mean that smokers should continue with the habit.

Source: Hirayama F, Lee AH, Binns CW, et al. Respir Res 2009;10(1):56. 

CT Scans may Cause Malfunction of Implanted or External Medical Devices, FDA Warns

The FDA has informed physicians of the possibility that x-rays used during computed tomography (CT) examinations may cause some implanted and external electronic medical devices to malfunction. Most patients with electronic medical devices undergo CT scans without any adverse consequences. However, the agency has received several reports of adverse events in which CT scans may have interfered with electronic medical devices, including pacemakers, defibrillators, neurostimulators and implanted or externally worn drug infusion pumps. To date, no deaths have been reported from CT scanning of patients with implanted or externally worn electronic medical devices. The FDA is continuing to investigate the issue, and is working with device manufacturers to raise awareness in the healthcare community. More information on reported adverse events and recommendations for avoiding adverse reactions can be found at (Based on a press release from the FDA)

Source: General Surgery News, September 2008.

Screening Tools for Alcohol Use

A simple screening tool for problems of alcohol use is the CAGE questionnaire, which has been modified for screening for drug use and is known as the CAGE-AID questionnaire (AID = Adapted to Include Drugs)
C - Have you ever tried to cut down on your alcohol or drug use?
A - Do you get annoyed when people comment about your drinking or drug use?
G - Do you feel guilty about things you have done while drinking or using drugs?
E - Do you need an eye-opener to get started in the morning?
The more affirmative responses, the more likely that the person answering is chemically dependent, and further investigation by the clinician is warranted. The CAGE-AID is especially useful in settings where there is a high likelihood of drug or alcohol use, such as emergency departments, sexually transmitted disease clinics, and student health centers.


  • World?s First: Stem cells from own organ used to treat damaged heart
  • Banking ovaries may extend baby-making span
  • Woman carries dead child in womb for 19 days
  • Research establishes link between asthma and calcium levels
  • IBS may indirectly indicate a higher risk of DM
  • Soy foods may cut down the risk of developing COPD
  • CT Scans may Cause Malfunction of Implanted or External Medical Devices, FDA Warns
  • Screening Tools for Alcohol Use


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