Saturday, June 30, 2012

Dr KK Aggarwal to be honored with Vishisht Chikitsa Ratan Award by Delhi Medical Association


In a special Doctor’s day function being organized on 1st July at Maulana Azad Medical College, Delhi Medical Association will be honoring Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India with “Vishisht Chikitsa Ratan
Award”.

The award would be given by Hon’ble Lt Governor of Delhi Mr. Tejendra Khanna.

Dr Aggarwal would be receiving this award for outstanding contribution to the medical profession and the society.  Dr Aggarwal is known for his contribution to the society as an anchor, writer, columnist, public speaker and a campaigner. He is also known for his annual event Perfect Health Mela. 

Emedinews:Insights on Medicolegal Issues:What are Rubber Bullets?



Rubber bullets were introduced in the US to quell anti–war and civil rights demonstrators in the 1960s. They were reintroduced in the late 1980s. Rubber bullets describe about 75 types of "less than lethal devices" that are designed to deliver a stinging blow that incapacitates but do not kill or penetrate flesh as regular metal bullets.
  • The first less–than–lethal bullets appeared in the 1880s when Singapore police shot sawed–off broom handles at rioters. By the 1960s, riot control police in Singapore, Malaysia, and Hong Kong were using wooden bullets. The Wooden bullets still in use today are called "knee–knockers.
  • British colonists replaced the wood, which could shatter and possibly penetrate, with rubber. By the 1980s, they switched to more accurate plastic bullets, solid polyvinyl chloride cylinders about 4 inches long and 1.5 1/2 inches wide.
They are most often used by individual police officers to subdue armed, mentally ill people. The bullets are supposed to be shot at the lower half of the body; but have also accidently killed people. Numerous groups from the European Parliament to Human Rights Watch have called for a ban on plastic bullets.

Emedinews:MakeSure: A patient developed rifampicin toxicity.

Situation: A patient developed rifampicin toxicity.
Reaction: Oh my God! Why was a history of Ayurvedic drugs not taken?
Lesson: Make sure to enquire if a patient is also on Ayurvedic drugs. Trikatu can enhance the action of anti TB drugs.

eMedinews:Inspirational Story:My second year attending college....


An Inspirational Story
(Ms Ritu Sinha)

My second year attending college....
I moved 300 miles away from my home of six years and entered a private Christian college. I was thrilled that I was going to attend my first pick school. My favorite class was English I with Professor Wilcox. He encouraged creativity and open thought which was right up my alley.
Throughout high school I had been pretty much told what to write and what to think. I enjoyed the challenge of his vague writing assignments; it made me have to really think about what I put down on paper.
As the school year progressed I became very ill and missed several of my classes. I apologized over and over to my professors for missing their classes, and I did the assignments out of hospital rooms or between trips to specialists and weekly doctors’ visits. At the end of the term my medical condition had improved some and I was able to start doing some of the extra credit to make up for my daily grades. I worked double time to bring my grades up.
The day of my English final, Professor Wilcox approached me and handed me a single sheet of rose pink paper. He told me to read on my way home to Texas. I decided that I couldn't wait and the second I stepped into my dorm room I opened the paper and read aloud. He had wanted to thank me for encouraging him throughout the school year.
In his letter he described the plight of a young woman, the youngest in her class, struggling with sickness and a full class schedule that somehow managed to pull herself up by her bootstraps and muttle through the year.
The last line of his letter read as follows: "I have watched you thoroughly enjoy yourself in my class, and I have read of your struggle against all odds to stay in school. You truly personify my favorite verse in the book of Psalms. Thank you for showing the world how to be brave and how to rely completely on God." He then went on to quote the following verse: "I have set the Lord always before me; because He is at my right hand; I will NOT be shaken." –Psalm 16:8
I hadn’t realized it at the time but everything we do and say affects other people.
My being sick had helped a professor I barely knew to get through a very trying time in his life. I just want everyone to know that even though things may seem rough, there will always be better days ahead. 

Emedinews:Insights on Medicolegal Issues:WMA declaration of Malta on hunger strikers



Such difficult ethical situations in medical practice and the guidelines to deal with them have been addressed thoroughly in the revised WMA Declaration of Malta on hunger strikers with principles of Duty to act ethically, in 2006. All physicians are bound by medical ethics in their professional contact with vulnerable people, even when not providing therapy. Whatever their role, physicians must try to prevent coercion or maltreatment of detainees and must protest if it occurs. The other important component is respect for autonomy. Physicians should respect individuals’ autonomy. This can involve difficult assessments as hunger strikers’ true wishes may not be as clear as they appear. Any decisions lack moral force if made involuntarily by use of threats, peer pressure or coercion. Hunger strikers should not be forcibly given treatment they refuse. Forced feeding contrary to an informed and voluntary refusal is unjustifiable. Artificial feeding in form of intravenous fluid/nutrition with the hunger striker's explicit or implied consent is ethically acceptable.

Emedinews:Makesure:A 28–year–old male presented with increased frequency and occasional blood in urine. Examination of urine showed sterile pyuria.


Situation: A 28–year–old male presented with increased frequency and occasional blood in urine. Examination of urine showed sterile pyuria.
Reaction: Oh my God! Why didn’t you check for TB?
Lesson: Make Sure to rule out TB in patients with frequency, dysuria, hematuria. Sterile pyuria is the first clue to diagnosis.

Emedinews:Inspiration: A cold day in December

An Inspirational Story
(Dr GM Singh)


An eye witness account from New York City, on a cold day in December, some years ago: A little boy, about 10-years-old, was standing before a shoe store on the roadway, barefooted, peering through the window, and shivering with cold.

A lady approached the young boy and said, 'My, but you're in such deep thought staring in that window!'

'I was asking God to give me a pair of shoes,' was the boy's reply.

The lady took him by the hand, went into the store, and asked the clerk to get half a dozen pairs of socks for the boy. She then asked if he could give her a basin of water and a towel. He quickly brought them to her.

She took the little fellow to the back part of the store and, removing her gloves, knelt down, washed his little feet, and dried them with the towel.

By this time, the clerk had returned with the socks. Placing a pair upon the boy's feet, she purchased him a pair of shoes.

She tied up the remaining pairs of socks and gave them to him. She patted him on the head and said, 'No doubt, you will be more comfortable now.'

As she turned to go, the astonished kid caught her by the hand, and looking up into her face, with tears in his eyes, asked her: 'Are you God's wife?'


Thursday, June 28, 2012

All pathy consensus on obesity


 “More than 30% people of the society including children have potbelly abdominal obesity”, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India while moderating a session on Obesity at India Habitat Centre.

 The session was organized by Heart Care Foundation of India in association with All India Radio and India Habitat Centre. The session was organized to mark the occasion of Doctor’s Day falling on 1st July. Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India moderated  the session on Obesity at India Habitat Centre. The panelists included Dr Shikha Sharma Wellness Expert, Dr S V Tripathy Ayurveda Expert, Dr Mridula Pandey Homeopath, Dr Praveen
Bhatia Obesity Surgeon and Dr Ishwar Basavvadadde Senior Yoga Physician.

This was an interaction organized for the first time that involved people from all pathies under one roof. Following points were raised in the seminar:
1.      Potbelly obesity is linked to eating refined carbohydrates and not animal fats.
2.      General obesity is linked to eating animal fats.
3.      Refined carbohydrate includes white rice, white maida and white sugar.
4.      Brown sugar is better than white sugar.
5.      Refined carbohydrates are called bad carbohydrates and animal fat is called bad fat.
6.      Trans fats or vanaspati are bad for health. They increase bad cholesterol and reduce good cholesterol.
7.      Reduction in weight can reduce snoring, pain of arthritis, blood pressure and control uncontrolled diabetes.
8.      One should not gain weight of more than 5 kg after the age of 20 years.
9.      After the age of 50, the weight should reduce and not increase.

10.     Surgery is the answer when all other means fail.











Monday, June 25, 2012

Do Not Tell Others, It’s A Secret?

Do Not Tell Others, It’s A Secret?

Justice AP Shah to speak on nobility of medical profession


Justice A P Shah Retd. Chief Justice Delhi High Court will deliver a keynote address on “Nobility of Medical Profession” on the occasion of Doctors Day on Sunday, July 1 at India International Center. The function has been jointly organized by eMedinewS and Heart Care Foundation of India

There will also be a special panel discussion on ‘Restoring the Image of Medical Profession’ moderated by Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal and Mr. Vijay Dutt Former Editor HT.

The panelists will include Dr D S Rana Chairman Ganga Ram Hospital, Padma Shri Awardee Dr Ashok Vaid Chairman Oncology Medanta - The Medicity, Sameer Sinha Industrialist, Nripendra Mishra Former Textile and Telecom Secretary, Rajiv Dogra Former Ambassador and Secretary External Affairs, Priya Hingorani Sr Advocate,  Prakash Singh Former DG BSF, Dr. Sanjiv Malik Past National President IMA, Dr A K Aggarwal President Delhi Medical Council, Dr D R Rai Secretary General IMA, Dr Harish Gupta President DMA and Dr Neelam Mohan Director Pediatric Gastroenterology and Hepatology Medanta - The Medicity.

Dr Pawan Gupta, Dr Sudesh Ratan, Dr O P Jain, Dr G M Singh, Dr A K Kansal, Dr N K Gupta and Dr Dinesh Negi, the core members of Dr KK Study Circle will also interact.

Giving details, Dr K K Aggarwal, President Heart Care Foundation of India said that following the episode on Healthcare on Aamir Khan’s Satyamev Jayate, it has become important to talk on the subject on Doctor’s Day by involving people from all segments of the society.

A commercial show presented by a commercial actor, an endorser of harmful health products cannot be allowed to take the medical profession for a ride.

Panel discussion on Rog ek Elaaj Anek


1st July is observed as Doctors Day every year.

To ear mark the occasion, All India Radio along with Heart care Foundation of India and India Habitat Centre are jointly organizing a panel discussion on Rog ek Elaaj Anek on Thursday 28th July at Casurina Hall, India Habitat Center, Lodhi Road, New Delhi at 7 p.m.

The panel discussion will have experts from all pathies. The panel discussion will be moderated by Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal and President Heart Care Foundation of India. The panelists will include Dr Shikha Sharma (Wellness Expert), Dr Ishwar V Basavvadadde (Naturopath), Dr Praveen Bhatia (Obesity Surgeon), Dr S V Tripathi (Ayurveda) and Dr Mridula Pandey (Homeopathy).

The entry to the public is free.

Obesity is the new epidemic of the society and is responsible for increasing numbers of heart attacks, paralysis, diabetes and hypertension. It is a lifestyle disorder and completely preventable.

Unlike the west, obesity in India is more central and presents as pot belly obesity.

Thursday, June 21, 2012

Padma Shri Awardee Dr KK Aggarwal on Preventing Prostate Cancer in Hindi

Padma Shri Awardee Dr KK Aggarwal on Preventing Prostate Cancer in Hindi

Padma Shri Awardee Dr KK Aggarwal on Preventing Prostate Cancer in Hindi

Padma Shri Awardee Dr KK Aggarwal on Preventing Prostate Cancer in English

Padma Shri Awardee Dr KK Aggarwal on Preventing Prostate Cancer in English

Bhoot, Pret and Pishach

Bhoot, Pret and Pishach

Nine Modifiable Risk Factors For Heart Attack

Nine Modifiable Risk Factors For Heart Attack

Life After Death

Life After Death

Friday, June 8, 2012

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor-in-Chief Cardiology eMedinewS



Dr. Jacques Busquet is President of the International Society of Endovascular Specialists (ISES). He is currently coordinator of Vascular and Endovascular Service at the Clinique Chirurgicale Val d’Or - Saint Cloud, Paris, France.

Endovascular surgery has advanced so much that today one can do interventions from head to toe in any vessel. The need for surgery is reducing day by day. Interventions are now becoming less and less aggressive with reduced hospital stay. The techniques are more advanced with better prostheses, guidewires, stent catheters etc. For the younger generation of intervention cardiologists and vascular interventional specialists, who are getting trained in interventional procedures, treatment today has become easier than before; however, it is not for prevention but only for curative procedures.

In the west, the stent graft can be put in any vessel; however, it is important to perfectly size the graft to get the best results.

The use of the imaging cardiology is equally important.

At the International Society of Endovascular Specialists with 1500 members from 60 countries, we are working towards providing a uniform standard of care. The aim of the society is to produce endovascular intervention cardiologists so that the same treatment is provided irrespective of country you are getting treatment in.

It is very unfortunate that most stents are made in the US and hence their cost is high. More and more research should be held in every country to make indigenous stents and the least expensive stents. The dream of our organization is that the standard of care should be disease specific and not country specific. One should be able to provide same standard of care irrespective of the centre or country he or she is being operated.


Saturday, June 2, 2012

Emedinews:Insights on Medicoleagl Issues:Medicine and law have been interrelated from the most basic time as per Gradwohl's Legal Medicine.


Medicine and law have been interrelated from the most basic time as per Gradwohl's Legal Medicine. The role of the doctor and the police is nothing but like solitary person, sage, kazi and priest. They are intermediary between God and man. The purpose of medicine is to maintain the patient in the best health, to overcome his diseases, injury and to lengthen his healthy life. The purpose of law is to maintain peace and order in the society, respect of humans through human rights and to provide equality of opportunity. To achieve these purposes medicine emerges from the laboratory by the scientific process and law emerges from the society by the process of experience. "People follow medicine and Law follows people".

Emedinews:Makesure:A patient was brought to the ICU in cardiogenic shock


Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA.
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2, an ongoing trial suggest that this intervention is much better than thrombolytic therapy in such patients.

Emedinews:Inspiration:Do we really love?



An Inspirational Story
(Ms Ritu Sinha)


A story is told about a soldier who was finally coming home after having fought in Vietnam. He called his parents from San Francisco. "Mom and Dad, I’m coming home, but I’ve a favor to ask. I have a friend I’d like to bring home with me." "Sure," they replied, "we’d love to meet him".

"There’s something you should know," the son continued, "he was hurt pretty badly in the fighting. He stepped on a land mine and lost an arm and a leg. He has nowhere else to go, and I want him to come live with us."

"I’m sorry to hear that, son. Maybe we can help him find somewhere to live." "No, Mom and Dad, I want him to live with us."

"Son," said the father, "you don’t know what you’re asking. Someone with such a handicap would be a terrible burden on us. We have our own lives to live, and we can’t let something like this interfere with our lives. I think you should just come home and forget about this guy. He’ll find a way to live on his own."

At that point, the son hung up the phone. The parents heard nothing more from him. A few days later, however, they received a call from the San Francisco police. Their son had died after falling from a building, they were told. The police believed it was suicide. The grief-stricken parents flew to San Francisco and were taken to the city morgue to identify the body of their son. They recognized him, but to their horror they also discovered something they didn’t know, their son had only one arm and one leg.

The parents in this story are like many of us. We find it easy to love those who are good looking or fun to have around, but we don’t like people who inconvenience us or make us feel uncomfortable. We would rather stay away from people who aren’t as healthy, beautiful, or smart as we are.

Thankfully, there’s someone who won’t treat us that way. Someone who loves us with an unconditional love that welcomes us into the forever family, regardless of how messed up we are.

Tonight, before you tuck yourself in for the night, say a little prayer that God will give you the strength you need to accept people as they are, and to help us all be more understanding of those who are different from us!!!


Forensic medicolegal examination needs application of medical sciences


Forensic medicolegal examination needs application of medical sciences knowledge, experience of medical practice with exercise of common knowledge, and the comparative information received in discussion with the concerned persons of the case as well as the observations of investigating officer. The main motive is to find out or make nearest approximation of the factual truth by way of medical examination for the furthering and administration of justice for legal system of land.

Emedinews:Makesure: Sir, he collapsed after sublingual nifedipine was given.


Situation: Sir, he collapsed after sublingual nifedipine was given.
Reaction: Oh, my God! I forgot to check for LVOT obstruction.
Lesson: Make sure that before giving sublingual nifedipine that the patient does not have LVOT obstruction.

Emedinews:Inspiration:Father's Gift


An Inspirational Story
(Ms Ritu Sinha)

A young man was getting ready to graduate from college. For many months he had admired a beautiful sports car in a dealer's showroom, and knowing his father could well afford it, he told him that was all he wanted. As Graduation Day approached, the young man awaited signs that his father had purchased the car.
Finally, on the morning of his graduation his father called him into his private study. His father told him how proud he was to have such a fine son, and told him how much he loved him. He handed his son a beautiful wrapped gift box.
Curious, but somewhat disappointed the young man opened the box and found a lovely, leather-bound Bible, with the young man's name embossed in gold. Angrily, he raised his voice to his father and said, "With all your money you give me a Bible?" and stormed out of the house, leaving the Bible.
Many years passed and the young man was very successful in business. He had a beautiful home and wonderful family, but realized his father was very old, and thought perhaps he should go to him. He had not seen him since that graduation day.
Before he could make arrangements, he received a telegram telling him his father had passed away, and willed all of his possessions to his son. He needed to come home immediately and take care of things. When he arrived at his father's house, sudden sadness and regret filled his heart. He began to search his father's important papers and saw the still new Bible, just as he had left it years ago. With tears, he opened the Bible and began to turn the pages. His father had carefully underlined a verse, Matt 7:11,
"And if ye, being evil, know how to give good gifts to your children, how much more shall your Heavenly father which is in heaven, give to those who ask Him?"
As he read those words, a car key dropped from the back of the Bible. It had a tag with the dealer's name, the same dealer who had the sports car he had desired. On the tag was the date of his graduation, and the words...PAID IN FULL.
How many times do we miss God's blessings because they are not packaged as we expected?


Friday, June 1, 2012

DMA and Heart Care Foundation of India Demands complete ban on Gutka, Tobacco & Tobacco Products



DMA and Heart Care Foundation of India demanded ban on Gutka, Tobacco and Tobacco Products in Delhi on the occasion of World No Tobacco Day.

On this occasion, Hon’ble Chief Minister Delhi Smt. Shiela Dikshit Ji released a poster to highlight the ill-effects of tobacco and how to Quit Tobacco. The poster designed by Heart Care Foundation of India and DMA will be distributed / pasted to all the nursing homes and medical establishments in Delhi for creating awareness amongst the general masses.

 Dr. Harish Gupta, President, DMA said that there are more than 9 lakhs  deaths, 1.5 lakh cancers patients, 3.7 million lung disease, 8.3  million cases of coronary artery diseases and chronic obstructive  airway diseases are attributable to tobacco every year in India.

Tobacco related cancers account for nearly half of all cancers among men and one-fourth among women. Once addicted, rate of quieting tobacco in India is around 5-10% as compared to USA & UK where it is around 30-40%. DMA is working towards establishing tobacco cessation clinics by providing training to its doctors on de-addiction. DMA is creating awareness amongst the public about hazards of tobacco and has suggested ways on how to quit tobacco.

The DMA and HCFI delegation requested Delhi Govt. to start tobacco cessation clinics in all government hospitals and give support to private doctors for taking up this initiative in public interest. Due to tobacco consumption, not only the consumer who suffers and treads his life to death but along with him life of his close one also comes to a grave end.

Dr. Vijay Kohli, Hony, State Secretary, DMA demanded ban on Gutka, Tobacco and Tobacco products in Delhi. DMA will organize various workshops, seminars and lectures for public as well as for doctors to train them and to create awareness in the public about the harms of tobacco. He further informed that seminar on Quit Tobacco was organized at DMA House Daryaganj, New Delhi on the 30th May 2012 on the above issue. Dr. Sandeep Budhiraja (Director-Internal Medicine, Max Health Care) and Dr. Sameer Malhotra (Health –Mental Health & Behavioral Sciences, Max Health Care) delivered their talks on Smoking Cessation Therapies and Tobacco Cessation & Relapse Prevention respectively.

Padmashri & Dr. B.C. Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India said that Tobacco is easy to start but difficult to Quit. Tobacco causes addiction and this needs
de-addiction as it is an illness. Quitting needs family as well as doctor support. There are very few trained doctors, or de-addiction clinics and limited numbers of de-addiction centers in Govt.
hospitals.