eMedinewS 25th August 2013, Sunday

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; 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

Exercise can safely help patients with moderate CKD become fitter and lose weight

In a study of 83 patients with moderate CKD, those who participated in a structured exercise and lifestyle program for 12 months became significantly fitter—with an 11% increase in their maximal aerobic capacity compared with a 1% decrease in patients receiving usual care. Patients in the program also achieved a small but significant amount of weight loss and heart function improved. The CJASN findings suggest that exercise can be safe in patients with kidney disease even if they have various other medical problems. (as in IN THE LOOP) ….Read More

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

sprritual blog Do we get a human birth every time we will die?

As per Vedic sciences, Hindu philosophy believes in rebirth unless your Sanchit and Prarabdha Karmas are totally exhausted.

It also believes in liberation in which once your past karma’s debt is over, you do not take a rebirth.

On the other hand, Garuda Purana says that you can take a birth in animal species which means you can be born like a donkey or a dog. Vedic science on the other hand says that once you get a human body, you will either be liberated or get another human body only.

The message of Garuda Purana can be read and interpreted in a different perspective. In mythology humans are linked to animal tendencies. For example, bull is linked to sexual and non–sexual desires, peacock to vanity etc. Probably, people who wrote Garuda Purana meant that if you do not live according to the Shastras, you will end up in getting another human body but with animal tendencies and behavior. ….Read More

cardiology news

The Smell of Rain

A cold March wind danced around the dead of night in Dallas as the Doctor walked into the small hospital room of Diana Blessing. Still groggy from surgery, her husband David held her hand as they braced themselves for the latest news. That afternoon of March 10,1991, complications had forced Diana, only 24 weeks pregnant, to Danae Lu Blessing.

At 12 inches long and weighing only one pound and nine ounces, they already knew she was perilously premature. Still, the doctor’s soft words dropped like bombs. I don’t think she’s going to make it, he said, as kindly as he could. "There’s only a 10 percent chance she will live through the night, and even then, if by some slim chance she does make it, her future could be a very cruel one." Numb with disbelief, David and Diana listened as the doctor described the devastating problems Danae would likely face if she survived. She would never walk, she would never talk, she would probably be blind, and she would certainly be prone to other catastrophic conditions from cerebral palsy to complete mental retardation, and on and on. "No! No!" was all Diana could say. She and David, with their 5–year–old son Dustin, had long dreamed of the day they would have a daughter to become a family of four. Now, within a matter of hours, that dream was slipping away.

Through the dark hours of morning as Danae held onto life by the thinnest thread, Diana slipped in and out of sleep, growing more and more determined that their tiny daughter would live, and live to be a healthy, happy young girl. But David, fully awake and listening to additional dire details of their daughter’s chances of ever leaving the hospital alive, much less healthy, knew he must confront his wife with the inevitable. David walked in and said that we needed to talk about making funeral arrangements. Diana remembers, ‘I felt so bad for him because he was doing everything, trying to include me in what was going on, but I just wouldn’t listen, I couldn’t listen. I said, "No, that is not going to happen, no way! I don’t care what the doctors say; Danae is not going to die! One day she will be just fine, and she will be coming home with us!"

As if willed to live by Diana’s determination, Danae clung to life hour after hour, with the help of every medical machine and marvel her miniature body could endure. But as those first days passed, a new agony set in for David and Diana. Because Danae’s under–developed nervous system was essentially raw, the lightest kiss or caress only intensified her discomfort, so they couldn’t even cradle their tiny baby girl against their chests to offer the strength of their love. All they could do, as Danae struggled alone beneath the ultraviolet light in the tangle of tubes and wires, was to pray that God would stay close to their precious little girl. There was never a moment when Danae suddenly grew stronger.

But as the weeks went by, she did slowly gain an ounce of weight here and an ounce of strength there. At last, when Danae turned two months old, her parents were able to hold her in their arms for the very first time. And two months later–though doctors continued to gently but grimly warn that her chances of surviving, much less living any kind of normal life, were next to zero. Danae went home from the hospital, just as her mother had predicted.

Today, five years later, Danae is a petite but feisty young girl with glittering gray eyes and an unquenchable zest for life. She shows no signs, what so ever, of any mental or physical impairment. Simply, she is everything a little girl can be and more–but that happy ending is far from the end of her story.

One blistering afternoon in the summer of 1996 near her home in Irving, Texas, Danae was sitting in her mother’s lap in the bleachers of a local ballpark where her brother Dustin’s baseball team was practicing. As always, Danae was chattering non–stop with her mother and several other adults sitting nearby when she suddenly fell silent. Hugging her arms across her chest, Danae asked, "Do you smell that?" Smelling the air and detecting the approach of a thunderstorm, Diana replied, "Yes, it smells like rain." Danae closed her eyes and again asked, "Do you smell that?" Once again, her mother replied, "Yes, I think we’re about to get wet, it smells like rain. Still caught in the moment, Danae shook her head, patted her thin shoulders with her small hands and loudly announced, "No, it smells like Him. It smells like God when you lay your head on His chest." Tears blurred Diana’s eyes as Danae then happily hopped down to play with the other children.

Before the rains came, her daughter’s words confirmed what Diana and all the members of the extended Blessing family had known, at least in their hearts, all along. During those long days and nights of her first two months of her life, when her nerves were too sensitive for them to touch her, God was holding Danae on His chest and it is His loving scent that she remembers so well.

This is a real story.: http://academictips.org/blogs/the–smell–of–rain/

...Read More

News Around The Globe

Lecture on "Health in Relation to Science of Mythology, Business and Leadership"

Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President, Heart Care Foundation of India, will be delivering a lecture on "Health in Relation to Science of Mythology, Business and Leadership" on 25th August, 2013, Sunday at 9.45 a.m. at Shanmukhananda Hall, Sion East, near Gandhi Market, Mumbai. The lecture is being organized by Indian Institute of Excellence and Consultancy.

In his talk, Dr. Aggarwal will focus on "Spiritual Principles to increase creativity and building leadership qualities".

Dr. KK Aggarwal is an internationally acclaimed motivational speaker who has done tremendous work in the field of integrating Vedic Sciences with Modern Medicine. He is also the Editor–in–Chief of IJCP Group of Publications and eMedinewS, the first national daily emedical newspaper of India, which reaches over 70000 doctors every day. He is also Vice President Elect of India Medical Association; Member, Ethics Committee, Medical Council of India and Past President, Ethical Committee, Delhi Medical Council.

He has authored a book ‘Alloveda’, which talks about integration of Vedic sciences and modern medicine. He also integrates and teaches Homoeopathy and Ayurveda in Allopathic Language.

In his lecture he will also talk about the concept that ‘Life is reversible in the first ten minutes after death when the heart has stopped’ and how the Rishis and Munis could revive a person even after hours of clinical death.

On behalf of Heart Care Foundation of India, we hereby invite you to his lecture in Mumbai.

Medicine Tit Bits

  1. Blow–dry waterlogged ears: Put a hair dryer on the gentlest setting and hold it a few inches away from your ear. The increased airflow will help to evaporate the water in your ear.
  • Chronic fatigue is a common problem among people with type 1 diabetes, according to a new observational Dutch study published online August 15 in Diabetes Care by Hans Knoop, PhD, a clinical psychologist who heads the Expert Center for Chronic Fatigue at Radboud University Nijmegen Medical Center, the Netherlands, and colleagues.
  • Clinicians can automatically identify one of 193 yeasts and bacteria with a test system approved by the US FDA and quickly get to the bottom of skin and bloodstream infections, pneumonia, meningitis, and other conditions associated with these microorganisms. The new technology, called Vitek MS (bioMerieux), is the first mass spectrometer system for automated identification of yeast and bacteria known to cause serious illnesses in humans. It incorporates a laser that breaks yeast and bacterial into particles that form a tell–tale pattern for each microorganism. Clinicians can test patients with Vitek MS as soon as yeast or bacterial growth becomes visible, which usually happens in the first 18 to 24 hours of the infection. The test for each microorganism lasts about 1 minute, meaning that the entire series of tests will take less than 4 hours. (Source: Medscape)
  • Vedolizumab may be effective in inflammatory bowel disease (IBD), according to findings of randomized, double–blind, placebo–controlled trials published in the August 22 issue of the New England Journal of Medicine.
  • Data from a network meta–analysis of clinical trials published online on August 13 in the Lancet Oncology have provided evidence that there is a significant survival benefit from using BEACOPP (bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone), a more intensive chemotherapy regimen up front in the treatment of advanced Hodgkin's lymphoma, but other experts emphasize the toxicity of this regimen. The BEACOPP regimen was developed in Germany. It is not used much in North America, where the older chemotherapy regimen of ABVD (doxorubicin, bleomycin, vinblastine, and dacarbazine) is preferred.
  • There is insufficient evidence linking glucose–lowering medications with an increased risk for cancer, and clinicians can continue to "confidently" prescribe all such Food and Drug Administration (FDA)–approved agents for the management of hyperglycemia, the American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE) say in a joint consensus statement released yesterday. Recent concern has emerged regarding links between diabetes drugs and cancer. In particular, debate has surrounded both a possible link between incretin drugs and pancreatic cancer and between basal insulin glargine (Lantus, Sanofi) and cancer.
  • Dengue cases have risen alarmingly across the country this year, with data showing an 80% rise in the disease till July 31 as compared to the same period last year as reported in TO, Aug 21, 2013. India has recorded 15,983 dengue cases so far in 2013 as compared to 8,899 cases in the corresponding months last year, latest health ministry data shows. But the good news is, while the cases have risen sharply, fatalities have actually declined – 56 as compared to 76 last year. Kerala reported most dengue cases at 5,801, followed by Karnataka (3,775), Tamil Nadu (3079) and Maharashtra (961) till end-July .

eMedinewS e–gifts to our readers

This is the age of smartphones. To improve usability and readability, eMedinewS has launched a mobile app of the newsletter for its readers. You can now also view eMedinewS on your smart phones or iPads.

The eMedinewS app is now available for free download. .

The various icons for downloading are provided on the top of the newsletter. Choose the icon that is compatible with your device, whether iPhone, Android, Blackberry, iPad, Desktop/Windows phone or GSM
Click on the icon ‘e’ from the mail and download to install the app to the home screen of your mobile phone, iPad or Desktop. After you finish downloading, you will see an icon ‘e’ on the home screen of your device. That’s it.

Now you don’t need to type the address of the website in your web browser or log in to your email account every day to read the newsletter. Just click on the app and begin reading.

Rabies News (Dr. A K Gupta)

A pregnant woman develops rabies. What should be done?

The rabies virus is not known to cross placental barrier, and so if the mother develops rabies, the fetus is safe. Hence, the pregnant woman with rabies should be clinically managed and if induction of pregnancy or cesarean section is possible, the obstetrician should do it with some "personal precautions" and immunoprophylaxis (usually three doses of modern vaccine or if there is any accidental exposure, then full course of post–exposure vaccination either by IM or ID route should be given to the obstetrician.) Later the newborn may be given a full course of rabies PEP vaccination.

cardiology news
  • Patients hospitalized with heart failure have significantly better clinical outcomes if they are followed up with a physician early after hospital discharge, according to a new study Dr Findlay McAlister (University of Alberta, Edmonton) and colleagues in their report, published online August 19, 2013 in CMAJ. Physician continuity, however defined as seeing a doctor already familiar with the patient was associated with significantly better outcomes than seeing an unfamiliar physician. These conclusions are based on an analysis of 24 373 patients in Alberta discharged from the hospital between 1999 and 2009 with a diagnosis of heart failure. (Source: Medscape)
  • Using transradial access for percutaneous coronary intervention (PCI) might lead to fewer blood transfusions, but only in high–volume centers, a study of veterans suggested. Overall, the prevalence of radial access increased by more than 6 percentage points from 2007 to 2010 (2.1% to 8.8%) within the Veterans Affairs Healthcare System, with no difference in procedure success rates between radial and femoral access, according to Antonio Gutierrez, MD, MSc, a cardiology fellow at Brigham and Women's Hospital in Boston, and colleagues. Sites that did a high volume of radial procedures (50 or more cases during the study period), however, had a decreased risk of post-PCI blood transfusions compared with low-volume sites and those performed using femoral access, they wrote in the study published online in Circulation: Cardiovascular Interventions. (Source: The Gupta Guide, Medpage Today)

Valvular Heart Disease News

3D is better than 2D in evaluation of tricuspid valvular disease.

(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
  • Low serum lipids are a risk factor for infantile hypertrophic pyloric stenosis (IHPS), according to a genetics study published in the August 20 issue of JAMA. (Source: Medscape)
  • Two children appear to be recovering from a usually deadly infection caused by the "brain–eating ameba" with the help of an experimental antibiotic supplied by the Centers for Disease Control and Prevention (CDC). The CDC announced today that it is making the antibiotic miltefosine available to treat cases of primary amebic meningoencephalitis (PAM) just a day after news broke that 12–year–old Zachary Reyna of LaBelle, Florida, had beaten his PAM infection after receiving the experimental antibiotic along with other drugs. His clinicians had borrowed a medication strategy that appears to have saved the life of Kali Hardig, a 12–year–old girl in Benton, Arkansas, who contracted PAM in July. The brain infection stems from the free–living ameba (FLA) Naegleria floweri, which thrives in warm freshwater and hot springs. Reyna caught the bug after knee–boarding in a water–filled ditch, and Hardig fell sick after swimming in a spring–fed water park. (Source: Medscape)
cardiology news

Caffeine–Alcohol combination in paralysis

A drug caffeinol containing caffeine and alcohol may help stroke patients recover.

In a small study at Texas Health Science Center in Houston, 60% of stroke patients who were given the drug, had no or minimal disability when they were discharged from the hospital. In contrast, only 26% of stroke survivors given standard therapy with tissue plasminogen activator, or tPA, fared that well.

Caffeinol contains about as much caffeine as 5 to 7 cups of good, strong New Orleans coffee and the equivalent of two shots of alcohol.

The study involved 100 people who had suffered an ischemic stroke. All received intravenous tPA; 10 were also given an infusion of caffeinol. Caffeinol allows cells to tolerate reduced blood flow longer, thereby giving tPA a longer opportunity to do its action.

Will these findings be applicable to heart attack? Only time will tell as heart attack treatment is also done with tPA.

cardiology news

Indicators of sexual abuse in elderly

a. Pain or sternness in the anal, genital area
b. Evidence of venereal disease in the oral, anal, or genital regions
c. Rectal bleeding
d. Bruises or larval on the valva on the abdomen or breast.

cardiology news

CPR Classes: Persons trained (1200)

21st August: CPR 10 at Ramjas School, R K Puram – 1200

Total CPR since 1st November 2012 – 62966 trained

14th August: CPR 10 at Modern School, Noida (2000)

CPR Classes 62966

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Sudden Cardiac Death 24th August


What’s Behind My Low Blood Pressure?

There is nothing like low blood pressure. If it is low keep it low and it is good for the heart said, Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela and National Vice President elect IMA.

Most people worry about high blood pressure and how to bring it under control but low blood pressure can be a medical problem, in the following medical circumstances. Heart Care Foundation of India lists common causes of low blood pressure (medically called hypotension):

  1. A side effect of drugs, such as certain antidepressants, diuretics, painkillers or heart medicines.
  2. Alcohol use.
  3. Heart failure or heart attack.
  4. Dehydration.
  5. A severe allergic reaction (anaphylaxis).
  6. Advanced diabetes.
  7. Going into shock and
  8. Irregular heartbeat (arrhythmia).

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 62966 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

A CPR 10 Training Camp was organized by Heart Care Foundation of India to trained the students of Ramjas School, R K Puram

press release

Indian spices may be a cure for metabolic syndrome

today video of the dayDr KK Aggarwal on Costly Treatment

Dr KK Aggarwal on Sleeping Disorder

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

When developing a postoperative plan of care for an infant scheduled for cleft lip repair, Nurse Elaine should assign highest priority to which intervention?

a. Comforting the child as quickly as possible
b. Maintaining the child in a prone position
c. Restraining the child’s arms at all times, using elbow restraints
d. Avoiding disturbing any crusts that form on the suture line

Yesterday’s Mind Teaser: Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, Nurse Ernie detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit?

a. A sunken fontanel
b. Decreased pulse rate
c. Increased blood pressure
d. Low urine specific gravity

Answer for yesterday’s Mind Teaser: a. A sunken fontanel

Correct answers received from: Dr Ashok Mittal, Dr Abbas Vakil, Dr Sheetal Kher,
Dr Valluri Ramarao, Satyanarayana Akupatni, Dr Bitaan Sen & Dr Jayashree Sen,
Dr KV Sarma, Dr Jainendra Upadhyay, Dr Kanta Jain, Dr VP Thakral, Narahari Kandakatla, Anil Bairaria, Dr Avtar Krishan, Daivadheenam, Dr Arpan Gandhi, Dr Nageswara Rao.

Answer for 23rd August Mind Teaser: d. Assessing present elimination patterns of erythropoietin.

Correct answers received from: Dr Avtar Krishan, Daivadheenam, Dr Arpan Gandhi, Dr Nageswara Rao.

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Gynecologist: A man who works and operates in another man’s field

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: Doctor, this patient has developed acute renal failure (ARF).
Reaction: Oh my God, I forgot that he was on furosemide. I gave him full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

medicolegal update

A crust eaten in peace is better than a banquet partaken in anxiety. Aesop

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. http://tinyurl.com/kqlhghj

medicolegal update

I have followed and appreciated the work of Dr Dhabolkar. We need several crusaders like him to move our society away from the grip of fear, superstition and ignorance. Let us join hands and make a difference! Er Anuj Sinha

Forthcoming Events

29thSeptember–Dil Ka Darbar at NDMC Convention Centre, CP 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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