(incorporating IMA News)

January 21 2016, Thursday


Eight things every elderly patient wants you to know before you treat him - Dr SS Agarwal, Dr K K Aggarwal

1.      All doctors should be educated in the basics of Geriatric Care: With the explosion of the aging population it is impossible to train enough geriatricians. To ensure that elderly patients receive good care there need to be 10 times as many geriatrics savvy internal medicine physicians as certified geriatricians.

2.       Focus on maintaining patients mobility than the disease: Most older adults spend the majority of their days in the hospital in bed, even when they are able to walk independently. This is a major risk factor for functional decline. One should ambulate three times a day with nursing supervision.

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New IVF device will allow 'natural fertilization


ICU luxury bed tax to be scrapped




Dermatology Update - Screening for fungal nail infections is futile

Ophthalmology Update - Leafy greens can reduce glaucoma risk

Pulmonology Update - Suspicious nodules on emphysema patient scans could signal cancer

Orthopedics Update - Bone marrow lesions can predict joint disease

Anesthesia Update - No link between surgical anesthesia and MCI


India records 5,92,100 stillbirths in 2015

Top 10 Cardiovascular Disease Researches in 2015 
No ‘bridging’ required in AFib patients before and after surgery


Should we prescribe SSRI during pregnancy?

eWellness - Tackling tension headaches

eSpiritual - You can reverse heart disease

Inspirational Story-  A dancer's story

What’s Your Take?
If you could turn your clock back and not be a doctor, what would you have chosen as your profession and why?

HUMOR - Interpretation of heaven

Photo -Quiz -

Spot the diagnosis


Legal Quote -Kusum Sharma & Ors. Vs. Batra Hospital &Med. Research; Centre & Ors on 10 February, 2010


Is there a genetic factor to strokes?
1. Yes
2. No
3. Not sure

Bioethical issues in medical practice - Appendicitis in a young boy

Press Release

No antibiotics for common respiratory infections: IMA

New Delhi, January 20, 2016:  The Indian Medical Association recommends that doctors should not prescribe antibiotics for adults who have the common cold, bronchitis, sore throat or sinus infections. These types of infections are the most common reason for visits to the doctor and for outpatient antibiotic prescriptions for adults.

Over 50 percent of antibiotic prescriptions may be unnecessary or inappropriate in the outpatient setting”, said Dr SS Agarwal National President and Dr K K Aggarwal Honorary Secretary General IMA. Inappropriate use of antibiotics for ARTIs is an important factor contributing to the spread of antibiotic-resistant infections, which is a public health threat, they added

The guidelines released by IMA are at par with that of the American College of Physicians and the U.S. Centers for Disease Control and Prevention. According to them:

  • IMA members must communicate to their patients suffering from a common cold that symptoms can last up to two weeks
  • One should intervene only if the symptoms worsen or exceed the expected time of recovery.
  • Antibiotics should also not be prescribed for uncomplicated bronchitis unless pneumonia is suspected. In such situations symptomatic relief using cough suppressants, expectorants, antihistamines, decongestants and beta-agonists are sufficient.
  • Antibiotics should be prescribed for a sore throat only if a strep test confirms streptococcal pharyngitis. For all other cases, one should recommend analgesic therapy such as aspirin, acetaminophen, nonsteroidal anti-inflammatory drugs, and throat lozenges, which can help reduce pain.

Uncomplicated sinus infections typically clear up without antibiotics. Antibiotics should be prescribed only if there are persistent symptoms for more than 10 days, or if a patient develops severe symptoms or a high fever, has nasal discharge or facial pain for at least three days in a row, or "worsening symptoms following a typical viral illness that lasted five days, which was initially improving.