April 17  2015, Friday
All about tea
Dr KK AggarwalWhen we speak of tea, it is commonly assumed to be black tea with milk and sugar. However, the word ‘Tea’ means any herb. This means even hot Tulsi water is Tulsi tea or hot mint water is Mint tea. Many herbs can be converted into tea such as jasmine tea, lemon tea, lemon grass tea, masala tea, sounf tea etc.

When the decoction of the leaves and the water is reduced to 50% on boiling, it is called Kadha. Black tea without milk and sugar is much healthier than black tea with milk and sugar.

Classical tea without sugar and milk has an astringent taste. But according to Ayurveda, this is good for health as it reduces Kapha imbalance. When sugar and milk is added, both of which have sweet taste, they neutralize the weight reducing and kapha–relieving properties of the black tea. Therefore, milk or sugar should not be added to tea. For the purpose of taste, one can add Gur or jaggery or artificial plant sweetener Stevia.

Black tea is also a mild diuretic and increases urination as it contains caffeine, which is also a stimulant. This is the reason why tea is used to remain awake. In this regard, coffee is stronger than tea. When taken in moderation, black tea is good for the heart and general health. If one has to choose tea then jasmine, lemon and lemongrass teas are better.

In Ayurveda, different teas have been prescribed for different personalities. Therefore, you can get vata–pacifying tea, pitta–pacifying tea and kapha–pacifying tea.
IMA Jamshedpur branch sat on a DHARNA in front of DC office & submitted a memorandum in the name of CM for 1)Medical Protection Act 2) Protest for Allahabad incident 3)Protesting ANM /AYUSH for MTP 4)Misuse of PCPNDT Act.
  • Men who use muscle-building supplements (MBSs) that contain creatine or androstenedione may have up to 65% increased risk of developing testicular cancer, suggests a case-control study published online in the British Journal of Cancer.
  • Noninvasive prenatal testing (NIPT), which relies on cell-free fetal DNA in the mother's blood, is increasingly common. However, two studies published online in the New England Journal of Medicine highlight the risk for false-positives, particularly in low-risk women.
  • Sleep-disordered breathing (SDB) speeds up cognitive decline — in some cases by almost 10 years — and treating this condition may delay this decline, reported a new study published online April 15 in Neurology.
  • Heroin users who do not benefit from conventional addiction treatments should receive heroin-assisted therapy, suggests new research published in The BMJ.
  • A single 5mg infusion of the bisphosphonate zoledronic acid can improve bone mineral density (BMD) over the course of 2 years in frail institutionalized elderly women with osteoporosis, suggests a study published online April 13 in JAMA Internal Medicine.
Dr KK Spiritual Blog
What is the importance of life force?

A physical body becomes useless once the life force is gone. The same body, which was lovable to everyone, becomes a liability after death. Everyone wants to dispose it as early as possible as keeping a dead body at home is considered a bad omen.

During the transfer of dead body from one place to another nobody wants to keep the body in a vehicle other than a hearse van, whose job is only to transport dead bodies. No family will be willing to carry the dead body of a person in a car in which the deceased person has been traveling or driving for years.

May be for any reason, health or rituals, once you touch a dead body you are required to take a bath before you commence your daily routine.

Within a matter of hours in absence of life force, the physical body starts disintegrating and in a matter of days, it shows signs of self–destruction and putrefaction.

This vital force is nothing but the soul, aatma, brahma, spirit or consciousness described in different Vedic texts.

Adi Shankaracharya in his book Bhaja Govindam Shloka 6 says:

yávat–pavano nivasati dehe
távat–pøcchati kuùalam gehe,
gatavati váyau dehápáye
bháryá bibhyati tasmin káye.(6)

"Till the life force remains in the body, people come and enquire about your welfare. But, the moment the life force goes out, even your wife is afraid of coming anywhere near your body".

Life force can be equated to the network of information in computer, radio, television or mobile phone. All these gadgets without data are useless and are thrown away. This silent data, which can be retrieved by operational and application software, represent the life force or soul of these electronic gadgets.

Just as one does not give importance to a computer without data, one should not give importance to the physical body. It is the life force within the body which is respected and cared for and that is what real "I" or "We" is. All glories of the body are only until the life force remains in it.

In Bhagavad–Gita, Lord Krishna in Chapter 2 (2.23) says about this life force or ataman: "Fire cannot burn it, weapon cannot cut it, water cannot wet it, air cannot dry it; it is immortal".

Life force has no dimensions: height, weight, colour or image. It is immortal, omnipotent, omniscient and omnipresent. The weight of a live and a dead body immediately after the death is the same.

It is the same life force, which dwells in everybody and during life is modified by actions, memory and desire cycles. If one gets attached to any of the three, one starts getting detached from the soul or the life force. People who are in touch with their life force all the time attain peace and happiness and die young in old age.

Most Vedic mahavakyas say that it is the same spirit, which dwells in everybody and hence every person in the society should be welcomed and treated with equal importance. Aham Brahmasami, Tat Tvam Asi, Vasudhaiva Kutumbakam, etc. are few such examples.

According to Adi Shankaracharya, one can achieve non–duality only by seeing God in everyone. Athithi–devo bhava is also based on the same principle.
Cardiology eMedinewS
  • A drug already available in Europe has been approved by the US Food and Drug Administration for reducing the risk for hospitalization from worsening heart failure. The agent, ivabradine, is indicated for stable patients with heart failure and a heart rate of >70 per minute on maximally tolerated beta-blockers.
  • In comparison with women who are continuously married, those who have been divorced may be at significantly higher risk of heart attack, suggests a new study published in Circulation: Cardiovascular Quality and Outcomes.
Pediatrics eMedinewS
  • In a large observational study, pregnant women with gestational diabetes that was diagnosed up to week 26 of the pregnancy had a greater risk of having a child with autism spectrum disorder (ASD) than pregnant women without, independent of other confounders, reported a study published in the April 14 issue of the Journal of the American Medical Association.
  • Women receiving prescription opioids while pregnant are at increased risk of their babies having neonatal abstinence syndrome, a drug withdrawal syndrome traditionally linked with illicit drug use during pregnancy, suggests a new study published in Pediatrics.
Make Sure
Situation: A patient developed fainting attack after sublingual nitrate.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patients with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.
Dr Good Dr Bad
Situation: A patient came for counseling for a high risk sexual behavior.
Dr. Bad: Use condoms.
Dr. Good: Use condoms and take a pre–exposure prophylaxis pill for seven days.
Lesson: Pre exposure prophylaxis for seven days is now a reality

(Copyright IJCP)
Wellness Blog
First aid for poisonous bites and stings

People often panic if they have been bitten or stung. You should tell the patient that many snakes, spiders, insects and sea creatures are harmless and that even the bites and stings of dangerous animals often do not cause poisoning.

Keep the patient calm and still. Moving the bitten or stung limb speeds up the spread of venom to the rest of the body. Fear and excitement also make the patient worse. The patient should be told not to use the limb and to keep it still and below the level of the heart. The limb may swell after a while, so take off the patient’s rings, watch, bracelets, anklets and shoes as soon as possible. A splint and a sling may help to keep the limb still.

Avoid doing the following:
  • Do not cut into the wound or cut it out.
  • Do not suck venom out of the wound.
  • Do not use a tourniquet or tight bandage.
  • Do not put chemicals or medicines in the wound or inject them into the wound (for e.g., potassium permanganate crystals).
  • Do not put ice packs on the wound.
  • Do not use proprietary snake bite kits.
  • The patient should lie on one side in the recovery position so that the airway is clear, in case or vomiting or fainting.
  • Do not give the patient anything by mouth – no food, alcohol, medicines or drinks. However, if it is likely to be a long time before the patient gets medical care, give the patient water to drink to stop dehydration.
  • Try to identify the animal, but do not try to catch it or keep it if this will put you, the patient or others at risk. If the animal is dead take it to hospital with the patient, but handle it very carefully, because even dead animals can sometimes inject venom.
  • As soon as possible, take the patient to a hospital, medical dispensary, or clinic where medical care can be given. The patient should not walk but should keep as still as possible. If there is no ambulance or car, carry the patient on a stretcher or trestle, or on the crossbar of a bicycle.
  • Antivenom should only be given in a hospital or medical Centre where resuscitation can be given, because the patient may have an allergic reaction. If available, antivenom should be used if there is evidence of severe poisoning. It should not be used when there are no signs of poisoning.
eMedi Quiz
Do women have more headaches than men?

A. No, they get equal numbers.
B. Yes, but not that many more.
C. Yes, and the headaches are more severe.
D. Yes, but men tend to get more painful kinds that last longer.
E. None of the above.

Yesterday’s Mind Teaser: What percentage of your diet should fat make up?

A. About 10 percent of your daily calories.
B. About 20 percent of your daily calories.
C. About 30 percent of your daily calories.
D. About 40 percent of your daily calories.
E. There is no recommended amount of fat; you should strive to eat as little of it as possible.

Answer for yesterday’s Mind Teaser: C. About 30 percent of your daily calories.

Correct Answers received from: Dr Shangarpawar, Dr G. Madhusudhan. Vasanti Thote, Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Avtar Krishan.

Answer for 14th April Mind Teaser: 4. Dessication of a dead body.

Correct Answers receives: Dr K Raju, Tukaram Pagad, Dr KV Sarma, Dr Shangarpawar, Daivadheenam Jella, Dr Avtar Krishan, Dr G Madhusudhan.
Rabies News (Dr A K Gupta)
What are the various brands of RIG available in India?

The different RIGs available in India are as follows:

HRIG Brands
  • BERIRAB–P: Manufactured by CSL Behring GmbH, Germany and marketed by Bharat Serum & Vaccines Ltd.
  • KAMRAB: Manufactured by Kamada Ltd., Israel and marketed by Synergy.
ERIG Brands
  • Anti-rabies Serum: Manufactured by CRI – Kasauli.
  • EQUIRAB: Manufactured and marketed by Bharat Serum & Vaccines Ltd.
  • ABHAYRIG: Manufactured by VINS Bioproducts and marketed by Human Biologicals Ltd.
  • VINIRIG: Manufactured and marketed by VINS Bioproducts.
IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF
IMA News
The PC PNDT Act was enacted to curb female feticide. Doctors doing ultrasound have been held responsible for the increasing sex ratio. From time to time, strict rules have been formed to check the sonologists. It has really become difficult for the sonologist as well as the gynecologist to work freely. To oppose this Act, a nationwide protest was organized by IMA Headquarters. All the sonologists and radiologists observed complete boycott by doing no ultrasound in Ludhiana. A representation by IMA Ludhiana, Association of Radiologists and Association of Gynecologists was given to the ADC. Dr Ajit Singh Chawla President IMA, Dr Manoj Kumar Sobti, Dr Neelam Sodhi President Association of Gynecologists, Dr Jeet Amol Singh Gill Delta Heart Center, Dr Subhash Singla, Dr Deepak Parashar, Dr Anakhvir and Dr Narjit Kaur along with other doctors participated in the agitation.

Dr Ajit Singh Chawla
President IMA Ldh

Dr PS Jassal
Hony Secy IMA Ldh
Sonal Namaste
Preventive measures for acute diarrhea among children in resource-limited settings include breastfeeding, consumption of safe food and water, adherence to hygienic practices, and vaccination against rotavirus infection.
Facts about Tuberculosis (TB)
What is the economic burden of TB in the country?

TB primarily affects the economically productive age group causing loss of work days with huge economic losses to the affected individuals, their families and country as a whole. In addition there are direct costs incurred by the country for TB control efforts.
Antriksh Indian Medical Golf Towers: IMA joins hands with Antriksh Group
IMA has entered into a MoU with Antriksh Group. The group is developing a residential society exclusively for the member doctors of the IMA called ‘Antriksh Indian Medical Golf Towers’, situated at Sector 150, Noida-Greater Noida Expressway, Noida. This residential society and the colony will comply with all health parameters as defined by the IMA making it an environmentally healthy society.

IMA has been able to negotiate the following key items with Antriksh Group for its members:
  • IMA members who wish to book apartment(s) in this society will get a discount of 20% on the basic sales price.
  • Few additional charges such as Lease Rent, Fire Fighting Charges, Club Membership Charges have been completely waived off for the IMA members.
  • In case any member wants to sell off their unit in the open market at any time during the construction, the first transfer fees, which is typically around 2-5% of the cost of the apartment has been completely waived off for the members.
  • If at the end of 1 year, any member feels that the project is not worth investing, they can apply for cancellation and will get 100% refund, without any deduction.
  • Many financial schemes have been created to enable the IMA members to choose the best suitable payment mode for them. One of them is EMI subvention scheme in which the buyer member will be required to pay only 10% of the total cost of the apartment. For next three years, until possession of apartments is offered, the developer will pay pre-EMIs to the financing bank. And after one year of booking, if the IMA member is not satisfied with the value of the investment, they can apply for cancellation and get their money back.
  • Developers will also help the buyer member with loan arrangement.
  • The society once in frame will co-own the management of the Club House called “IMA House” and the Golf Club.
  • Relatives of IMA members will also be entitled to book flats in this scheme.
It is expected that once 200 member doctors buy apartments in this project, the market cost of the apartments will increase by minimum around Rs 1000 per sq ft in one year and by a minimum Rs 2000 per sq ft in 2 years’ time frame. This will yield to a buyer who books under the subvention scheme, a profit of 200% and 400% over a period of 1 years and 2 years respectively. Buyers can keep that parameter as a benchmark of gauging the return on their investment.

The apartment buying agreement of the IMA member will be directly with the developer and IMA will not be party to it. IMA has only negotiated special terms for the members.

Members who wish to enquire about the project, visit project site or book may contact the special helpdesk created by Antriksh.

Contact details

Phone helpline: 92124 11999
Email helpline: antriksh.ima@gmail.com
Project website: www.antrikshimagolftowers.in
Antriksh Group website: www.antrikshgroup.com
IMA website: www.ima-india.org

Snapshot of key features of the project (as per project Brochure)
  • Lowest density sector in Delhi NCR leading to limited number of units and wide open areas
  • Project in the centre of a 9 Hole signature Golf Course
  • 3BHK and 4 BHK apartments with super area – 2025 sq ft, 2425 sq ft, 2900 sq ft and 3475 sq ft
  • Sector located at the junction of 3 major expressways
  • Certified Green Building Concept
  • Ultramodern club house with Swimming Pool
  • Maximum sports facility including Cricket Academy
  • Sr Sec School, Nursing Home, temple, Local market all within the township boundaries
  • 24x7 electricity and potable water supply
  • 3 tier security system with CCTV monitoring in centralized Hi-tech control room.
Some of the key features of ‘Health Friendly Homes’ concept created by IMA are as follows:
  • Air and Noise Pollution Control
  • Water Softening Plant
  • Mobile Tower Radiation Free Zone
  • Rain Water Harvesting
  • Eco friendly Garbage Disposal
  • Nursing Home/Healthcare Centre
  • First Aid Kits and First Aid Centres
  • 24×7 Ambulance Facility
  • Potable Water Supply
World Medical Association News
16 April 2015: World Medical Association Elects its First Woman Chair of Council

Dr. Ardis Hoven, Immediate Past President of the American Medical Association, was today (Thursday) elected the new Chair of the World Medical Association. She was elected at the WMA’s 200th Council meeting in Oslo, Norway and takes over immediately as the WMA’s first woman Chair.

She defeated the current Chair Dr. Mukesh Haikerwal, who was seeking re-election after serving for the past four years.

Dr. Hoven, who did her internship and residency at the University of North Carolina, Chapel Hill, is an internal medicine and infectious disease specialist in Lexington, Kentucky, and is Professor of Medicine at the University of Kentucky College of Medicine. She was President of the American Medical Association in 2013 and had been a member of the AMA Board of Trustees since 2005, becoming its secretary and then chair. For the past few years she has been the chair of the AMA delegation to the World Medical Association.

Dr. Hoven has been the recipient of many awards, including the University of Kentucky College of Medicine Distinguished Alumnus Award and the Kentucky Medical Association Distinguished Service Award. In 2013 she was named one of Modern Healthcare Magazine’s Top 25 Women in Healthcare and among its 50 Most Influential Physician Executives and Leaders.

Speaking today, Dr. Hoven said: ‘We face complex and far reaching challenges -shrinking resources, complicated and difficult practice environments, shifting government regulations and dangerous working conditions. However our current work speaks to our impact.

‘I value consensus and our diversity and I will work to increase our visibility and strengthen our voice.’

Prof. Dr. Frank Ulrich Montgomery, President of the German Medical Association, was elected unopposed as Vice-Chair, and Dr. Masami Ishii, from the Japan Medical Association, was elected unopposed as Treasurer.
WMA supports growing moves for plain tobacco packaging
The World Medical Association has supported the increasing number of countries planning to introduce plain packaging of tobacco products, including Australia and France. Today it joined the Norwegian Medical Association in supporting proposals to introduce plain packaging in Norway.

The WMA, in Oslo this week for its 200th Council meeting, was responding to a public consultation by the Norwegian Ministry of Health and Care Services suggesting that all tobacco products sold in Norway should have standardised packaging. The goal is to prevent tobacco use among children and young people. The consultation also discusses the possibility of stopping the influence of the tobacco industry on tobacco policy.

Dr. Xavier Deau, President of the WMA, said: ‘The WMA strongly supports this proposal for plain packaging. Four years ago we called on all national governments to follow the example of the Australian Government in introducing plain packaging to break the brand recognition and smoking cycle. We also deplored the legal moves being taken by the tobacco industry to oppose this. Now we have evidence from Australia that plain packaging does lead to a reduction in the take up of cigarettes and tobacco.’

WMA policy declares that cigarettes are a serious threat to the life and health of individuals who use them and a considerable cost to the health care services of every country. It says that those who smoke predominantly start to do so while adolescents and that there is a proven link between brand recognition and likelihood of starting to smoke. And it adds that brand recognition is strongly linked to cigarette packaging and that plain packaging reduces the impact of branding, promotion and marketing of cigarettes.

Dr. Hege Gjessing, President of the Norwegian Medical association, said: ‘I welcome the WMA’s support. Tobacco is a serious threat to people’s health. The Norwegian Medical Association has a long history of supporting restrictions on tobacco. We supported the ban on tobacco advertising in 1973, and then we supported the ban on smoking in aeroplanes and the ban on smoking in restaurants.’
Camp Liberty - Patient released from unlawful detention
With highest gratitude and greetings...

After a 30 day long ceaseless international campaign for justice, ethics, freedom and dignity of our patient; Safar Zakery was finally released yesterday evening. Safar was unlawfully detained by the Iraqi Police after a car accident although he was found innocent by the traffic police. This act was in defiance to all international covenants that protects refugees and Protected Persons under Geneva 4 convention. During this period he was intentionally barred from meeting his long-awaited BPH surgery therapy. This is now our 1st priority for recommencement of his therapy and to avoid urinary retention.

Under a bizarre court proceeding that lasted for 30 days, an extraordinary high amount of 30 million Iraqi dinar bail bond was set for Zakeri’s release! The investigative judge requested another 5 million by raising invalid charges against Safar’s legal status in Iraq. Zakery’s septic tanker was not returned to him, and has been confiscated by the Iraqi Police.

Our medical personnel in Camp Liberty send their highest gratitude for your care and support during this period. We are certain that if we did not receive this much of international care, support and attention, Safar would not have been freed and returned to the camp.

Best wishes

Dr Hassan Jazayeri
Inspirational Story
Heaven and Hells

A holy man was having a conversation with the Lord one day and said, "Lord, I would like to know what Heaven and Hell are like." The Lord led the holy man to two doors. He opened one of the doors and the holy man looked in.

In the middle of the room was a large round table. In the middle of the table was a large pot of stew, which smelled delicious and made the holy man's mouth water.

But the people sitting around the table were thin and sickly. They appeared to be famished. They were holding spoons with very long handles that were strapped to their arms and each found it possible to reach into the pot of stew and take a spoonful, but because the handle was longer than their arms, they could not get the spoons back into their mouths. The holy man shuddered at the sight of their misery and suffering. The Lord said, ‘You have seen Hell.’

They then went to the next room and opened the door. It was exactly the same as the first one. There was the large round table with the large pot of stew which made the holy man’s mouth water. The people were equipped with the same long–handled spoons, but here the people were well nourished and plump, laughing and talking.

The holy man said, "I don’t understand."

"It is simple" said the Lord, "In this place the people have learned to feed one another."
IMA Humor
An addiction

Connie told her 4–year–old grandson, Dean, not to jump on the beds. After several warnings she punished him, explaining that should he fall, he would hurt himself badly.

Several minutes passed and he was back to jumping on the beds.

Connie said, "Dean, you weren’t jumping on the beds again, were you?"

He stood with his little head dropped low and said, "I’m trying, but it’s so hard to quit."
Quote of the Day
When you are at a loss of what to do, do nothing. Doing nothing can be very wise. When you pause doing things, you become more aware of God’s presence, and often an unexpected solution to your question will arise.
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Reader Response
Dear Dr AMP & Dr KKA, Vanakkam It has been a wonderful experience attending the rejuvenated CWC held over two days of important sessions. Highlights were the interactive sessions with the MCI President and the AG of India.. Not to forget the session with the NABH Chairman culminating with the signing of the MOU to help small hospitals get the much needed recognition. Appreciate your efforts to highlight the subtle difference between endorsements and social service obligation partnering with health promotion campaigns to raise funds for us! Brilliant! The fabulous combination of Good presidency of Dr AMP blending with hard work and skill of the tech savvy HSG KKA , resulting in the purposeful CWC... Letting IMA'S LIGHT ALWAYS SHINE! Our thanks to Dr Tandon and the office staff specially Mr Sanjay and Vimal and all the rest. Regards: Rtn.PHF.DR.L.V.K.Moorthy
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Keep your Kidneys Healthy to stay healthy
Healthy and well-functioning kidneys are vital to good health. Many disease conditions such as hypertension, diabetes, kidney stones, infections, can adversely affect function of the kidneys, leading to kidney failure in due course of time. Hence, it is important that we follow a healthy lifestyle to protect our kidneys, said Padma Shri Awardee Dr A Marthanda Pillai National President Indian Medical Association and Padma Shri, Dr B C Roy & DST National Science Communication Awardee, Dr KK Aggarwal, President Heart Care Foundation of India and Honorary Secretary General Indian Medical Association.

Tips to keep kidneys healthy
  1. Keep your blood pressure at the recommended target levels.
  2. Control your blood glucose level.
  3. Keep blood cholesterol level in the target range
  4. Control body weight.
  5. Avoid overuse of over-the-counter painkillers.
  6. If you have a family history of diabetes, heart disease, or chronic kidney disease (CKD), you are at risk of developing kidney disease.
  7. Do not smoke.
  8. Be physically active.
  9. Eat a healthy diet, with more of fruits and vegetables.
  10. Get an annual physical exam.
  11. Take your medications as directed by your doctor.
  12. Get yourself tested for CKD, if you're at risk. Early diagnosis can delay or prevent kidney failure.