eMedinewS19th September 2013, Thursday

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; Chairman Ethical Committee Delhi Medical Council, 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

It is fruit juice which increases the risk of diabetes and not the fruits

A research published in British Medical Journal has shown that eating blueberries, apples and grapes may be linked to a reduced risk and type 2 diabetes.  However, increased consumption of fruit juice was linked to a higher risk. 
It is a typical Ayurvedic teaching that one should eat fruits and not take fruit juice unless one is sick when digestion is weak. It is a myth that eating grapes can cause diabetes. 

The well-known saying that eating an apple a day keeps the doctor away is true from this study especially green apples, which are known to be more health-friendly then the red apples. 

The answer is simple… anything which is natural cannot be harmful. Fruits are natural but juices are not.

Younger women with acute coronary syndromes may not have classic chest pain

Younger women with an acute coronary syndrome are slightly less likely than men to present with the classic symptom of chest pain, according to a study published in JAMA Internal Medicine.  As a result, they often fail to receive a correct diagnosis in the emergency department.

Nadia Khan and colleagues prospectively analyzed data from more than 1,000 ACS patients 55 years of age or younger– 30% of whom were women– participating in the GENESIS PRAXY study.  

In these younger patients women were less likely to have chest pain than men (19% of women versus 13.7% for men, p = 0.03). 

Women were also more likely than men to have a non-ST-segment elevation myocardial infarction (37.5% vs 30.7%; p = 0.03). 

Upon multivariate analysis, women and patients with tachycardia were less likely to have chest pain. The absence of chest pain did not herald any change in the type or severity of the ACS.

Diagnosis of any disease with a lower prevalence but higher mortality, such as coronary artery disease in younger women, is more challenging.

Public health messages should “target both men and women regarding ACS symptom presentation with or without chest pain so as to encourage earlier and more widespread access to appropriate and lifesaving care.

Common Cancer Surgery Practices That Should Stop

American Academy of Orthopaedic Surgeons made the following 5 evidence-based recommendations:

  • Avoid performing routine post-operative deep vein thrombosis ultrasonography screening in patients who undergo elective hip or knee arthroplasty.
  • Don't use needle lavage to treat patients with symptomatic osteoarthritis of the knee for long-term relief.
  • Don't use glucosamine and chondroitin to treat patients with symptomatic osteoarthritis of the knee.
  • Don't use lateral wedge insoles to treat patients with symptomatic medial compartment osteoarthritis of the knee.
  • Don't use post-operative splinting of the wrist after carpal tunnel release for long-term relief.

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 blogLow Self Esteem

Low self esteem is opposite of ego. Supportive psychotherapy is often used to treat depression by improving self esteem.

Low self-esteem always occurs when we compare our skill or knowledge with that of somebody else. We often forget that we only need 50% as passing marks. One who passes with 50% is a good student. But the same person when compares himself or herself with a student who has got 90%, feels that his education was inferior as he is not as competent as others.

One should remember that one is required to possess average degree of knowledge and skill and not the maximum degree of skill and knowledge. In the society, one needs to possess only average degree of skill and knowledge.

For example, if a person has passed MBBS with 50% marks, he or she is allowed to practice medicine with full powers and respect. There may be chances when a person who is in the 90 percentile may be able to take some better decisions but the same does not make him a superior doctor.

The fundamental principle in self-esteem is to make a person proud of his personal knowledge and skills and also to bring out his or her uniqueness.

Passion and profession are two different things. We should judge an individual from is passion and not profession.

cardiology news

A Bowl of Noodles from a Stranger

That night, Sue quarreled with her mother, and then stormed out of the house. She remembered that she did not have any money in her pocket; she did not even have enough coins to make a phone call home.

At the same time, she went through a noodle shop, picking up sweet fragrance, she suddenly felt very hungry. She wished for a bowl of noodles, but she had no money! She faltered before the counter. The seller saw her standing and asked, Hey little girl, you want to eat a bowl? But … but I do not carry money … she shyly replied. Okay, I’ll treat you, the seller said, come in. I will cook you a bowl. A few minutes later the owner brought her a steaming bowl of noodles. She ate some pieces and then she cried. What is it? He asked. Nothing. I am just touched by your kindness! Sue said as she wiped her tears. Even a stranger on the street gives me a bowl of noodles, and my mother, after a quarrel, chased me out of the house. She is cruel!! The seller sighed:

Girl, why did you think so? Think again. I only gave you a bowl of noodles and you felt that way. Your mother had raised you since you were little, why were you not grateful and disobeyed your mom? Sue was really surprised after hearing that.

 “Why did I not think of that? A bowl of noodles from a stranger made me feel indebted, and my mother has raised me since I was little and I have never felt so, even a little.” On the way home, Sue thought in her head what she would say to her mother when she arrives home: “Mom, I’m sorry. I know it is my fault, please forgive me.”
Once up the steps, Sue saw her mother worried and tired of looking for her everywhere. Upon seeing Sue, her mother gently said: “Sue, come inside honey. You are probably very hungry? I cooked rice and prepared the meal already, come eat while it is still hot …”

Not able to c control any longer, Sue cried in her mom’s hands. In life, we sometimes easy to appreciate the small actions of some people around us, but for the relatives, especially parents, we see their sacrifices as a matter of natural … Parental love and concern are the most precious gifts we have been given since birth.
Parents do not expect us to pay back for nurturing us …… but have we ever appreciated or treasure the unconditional sacrifice of our parents?

News Around The Globe

5th Dil Ka Darbar

Date: Sunday, 29th September 2013, Venue: Constitution club of India, Rafi Marg, Time: 8 AM to 6 PM

Programme: A non stop question answer–session between all top cardiologists of the NCR region and the public.

The focus of the discussions will be prevention of heart diseases in women and young men. Special discussion will be held on Sex and Heart Diseases. Practical training will also be given to people on Hands–only Cardiopulmonary Resuscitation. Another focus of the discussion will be the launch of the Project Dhadkan (Palpitations) and Project Murmur (Congenital and valvular heart diseases in children).

Entry free…

  • Blood levels of isocitrate dehydrogenase 1 (IDH1) identified non-small cell lung cancer (NSCLC), particularly adenocarcinomas, with a good level of accuracy. Overall the marker had 89% to 95% specificity and 49% to 50% sensitivity for those cancers. In adenocarcinoma, the marker had about 76% sensitivity and 77% or better specificity in distinguishing cases from healthy controls, the researchers reported in the Sept. 15 issue of Clinical Cancer Research. 
  • Dementia with Lewy bodies (DLB) occurred infrequently in patients with Parkinsonism, but the rate increased steeply with age, according to data from a 15-year period. DLB occurred in 64 of 542 patients with newly diagnosed parkinsonism from 1991 to 2005, and 46 patients developed Parkinson's disease dementia (PDD), resulting in an overall dementia rate of 5.9 per 100,000 person-years. DLB was associated with an earlier onset and more hallucinations and cognitive fluctuations as compared with PDD, and men predominated across the age spectrum, as reported online in JAMA Neurology.
  • Results of a randomized, controlled, phase 4 postmarketing surveillance study have allayed concerns about the neuropsychiatric effects of varenicline (Chantix, Pfizer Inc), the smoking-cessation drug. It can help patients with stably treated current or past depression quit smoking without worsening their depression. Varenicline did not worsen overall measures of depression, anxiety, or suicidal thinking or behavior. The study was published online September 17 in Annals of Internal Medicine.
  • Women with breast cancer, especially younger women, are choosing to have their healthy breast removed because of mistaken beliefs about the effectiveness of mastectomy and unfounded fears about the risks for contralateral disease, as per a cross-sectional survey. Women with early bilateral breast cancer who chose to undergo contralateral prophylactic mastectomy (CPM), the overwhelming majority cited improving their chances of survival (94%) and reducing the risk that cancer will develop in the other breast (98%) as their primary reasons for deciding to have the additional surgery. The results are published in the September 17 issue of the Annals of Internal Medicine
  • Chronic inflammation is linked with a reduced likelihood of disease-free aging, according to a study published online September 16 in the Canadian Medical Association Journal. The study shows an association between elevated interleukin 6 (IL-6) levels and subsequent disease in a large group of healthy, middle-aged individuals. Type 2 diabetes, cognitive impairment, brain atrophy, and cardiovascular disease are among the conditions associated with chronic inflammation. IL-6 is a powerful marker of systemic inflammation because it controls deployment of other cytokines and inflammatory molecules and directly affects the brain and muscles.
  • The first Indian Cancer Congress will be held in the national capital from November 21 to 24, reports PTI. Oncologists from across the country will be participating in the congress with an aim to promote cancer research in India.

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Rabies News (Dr. A K Gupta)

Can RIG be given locally to a healed wound?

Yes. If anti-rabies vaccination has not been started, then RIG can be given locally without disturbing the scab

cardiology news
  • Smoker's paradox' seen in cardiac arrest data
    Among patients treated with therapeutic hypothermia after a cardiac arrest, smokers had better outcomes than nonsmokers, a single-center study showed. Half of smokers survived to hospital discharge with a good neurological outcome compared with only 28% of nonsmokers, according to Jeremy Pollock, MD, of Vanderbilt University in Nashville, Tenn., and colleagues. Pollock and colleagues retrospectively examined data from 181 consecutive adult patients who were treated with mild therapeutic hypothermia after a cardiac arrest at Vanderbilt University Medical Center. The events occurred from May 2007 to January 2012. Patients were defined as smokers if their medical record included a note to that effect. All other patients were considered nonsmokers

Valvular Heart Disease News

The left side vegetation of more than 10 mm is an indication for surgery.

(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
  • Pediatric stem-cell recipients had significantly better survival and a reduced risk of disease progression when matched with donors who had a specific natural killer (NK)-cell protein, KIR2DL1, as reported by Wing Leung, MD, PhD, of St. Jude Children's Research Hospital in Memphis, Tenn., and colleagues online in the Journal of Clinical Oncology. Survival improved by 60% and disease progression decreased by 62% in 313 patients who received allogeneic hematopoietic stem cells containing killer-cell immunoglobulin-like receptor 2DL1 (KIR2DL1). Patients benefited regardless of the indication for transplantation, treatment history, and completeness of HLA match.
cardiology news

Add PCI to drugs in stable CAD: for symptomatic relief with no reduction in MI rates

Adding PCI to optimal medical therapy (OMT) in patients with stable coronary artery disease may give patients a slight edge by alleviating more angina, but it does not protecting any better against death or MI. The latest meta-analysis to grapple with the issue following the 2007 release of the seminal COURAGE trial is published in Circulation: Cardiovascular Interventions.

cardiology news

Total CPR since 1st November 2012 – 63400 trained

CPR Classes 63400

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


Most uncontrolled asthmatics think they are controlled

Two-thirds of patients with uncontrolled asthma think their disease is under control, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & MTNL Perfect Health Mela.

Asthmatics on proper medicines can not only lead a normal life but also reduce their future complications.  Drugs include those medicines that keep the disease at bay as well as those that are used when a flare-up occurs. Uncontrolled asthmatics will invariably end up with right heart complications due to persistent lack of oxygenation in the blood.

Most asthmatics fail to perceive their level of disease control and with an uncontrolled state they often feel that their asthma is under control.

Dr. Eric van Ganse, of University of Lyon, France, in a study published in the Annals of Allergy, Asthma, and Immunology, examined 1,048 subjects with inadequate asthma control. When asked how they would rate their asthma control over the past 14 days, nearly 69 percent considered themselves to be completely or well controlled. Failure to perceive inadequate asthma control was more likely to be found in patients between the ages of 41 and 50 years. In severe asthma, low blood oxygen levels might impair a person's ability to assess their own breathing difficulty.

Another reason is that the notion of asthma control seems poorly understood by asthmatic patients. Also, mild to moderate asthma limits the activities of a person and they over a period of time take that as their normal limits.

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 63400 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

Live At Dilli Aajtak

press release

Women is safe everywhere

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

A 45-year-old male patient reports pain in his foot that moves up along his calf. The patient states, "My right foot feels like it is on fire." The patient further describes that he has no previous history of injuries or falls, and that his pain started yesterday. Which components of pain assessment has the patient reported?

  • Aggravating and alleviating factors
  • Exacerbation, and associated signs and symptoms
  • Intensity, temporal characteristics, and functional impact
  • Location, quality, and onset

Yesterday’s Mind Teaser: When assessing a patient for possible side effects related to acetaminophen, the pain management nurse asks the patient about the use of:

  • Alcohol
  • Marijuana
  • Opioids
  • Tobacco

Answer for yesterday’s Mind Teaser: a) Alcohol

Correct answers received from: Dr Ayyavoo Erode, Dr.K.V.Sarma, Dr A.J. Dabawala, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr.K.Raju, Dr Avtar, Dr Kanta Jain, Narahari Kandakatla, Dr Avtar Krishan

Answer for 17th September Mind Teaser: (B) Home Remedies Used To Treat Pain.

Correct answers received from: Dr Prabha Luhadia, Dr.A.K.Gajjar, Dr Prakash Khalap, Narahari Kandakatla, Dr Chandresh Jardosh, Dr Abbas Vakil, Dr Avtar Krishan

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

A group of expectant fathers sat nervously in the hall. A nurse beckoned to one of them and said, "Congratulations, you have a son!" Another man dropped his magazine, jumped up and said, "Hey, what's the idea? I got here two hours before he did!"

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient after sublingual nitrate developed fainting attack.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.

medicolegal update

Money is not the most important thing in the world. Love is. Fortunately, I love money. Jackie Mason

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. #CosmicConsciousness

medicolegal update

Sir, One keep on hearing about less number of post graduate doctors and specialty hospitals but than why big corporate hospital in big cities has marketing departments, if supply is less than demand? Please also inform about seats in specialties providing primary care like family medicine, Pediatrics and internal medicine.In my view what we need apart from more super-specialists is well structured health care delivery system. The govt. health care delivery system has to be improved qualitatively to provide services to masses.Regards:Dr. Kamlesh Kanodia

Forthcoming Events

29thSeptember–Dil Ka Darbar at Constitution Club of India,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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