eMedinewS 9th february 2011,Wednesday drkka hcfi

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Subject: eMedinewS 9th february 2011,Wednesday

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Date: Wednesday, February 9, 2011, 12:55 AM

Head Office: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-mail:

emedinews@..., Website: www.ijcpgroup.com

FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA

eMedinewS is now available online on www.emedinews.in or www.emedinews.org

  From the Desk of Editor-in-Chief

Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist

and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi

Medical Council; Chairman (Delhi Chapter) International Medical Sciences

Academy; 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); Editor in Chief IJCP Group of Publications & Hony. Visiting

Professor (Clinical Research) DIPSAR

 

  Editorial …

9th February, 2011, Wednesday                                

eMedinewS Present Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Professional misconduct, Malpractice and Medical Negligence

Though in English language there may not be any difference in Professional

misconduct, Malpractice and Medical Negligence but in Medical Jurisprudence,

Professional misconduct is entirely different from Medical Negligence while

Malpractice is used for medical negligence.

Professional misconduct is defined as something done by a medical practitioner

during the practice of his profession, which would be reasonable regarded as

disgraceful or dishonourable by his professional brethren of good repute and

competence. Such practices are defined and notified by Medial council of

India.The examples are: Association with unqualified and/or unregistered

persons; association with manufacturing firms; advertising for practice;

improper conduct or relation with female patient or female attendant of the

patient; procuring or assisting to procure an illegal abortion; attending

patients under the influence of alcohol or drugs; attending a patient who is

under the care of another practitioner; issuing false certificates in respect of

birth, cause of death, illness, injury etc; receiving or giving commission or

other benefits from or to a professional colleague, a manufacture trader,

chemist etc; selling scheduled poisons to the public

under cover of his own qualification except to his p tients where required;

running an open shop for sale of medicine or dispensing prescriptions of other

doctors or for the sale of medical or surgical appliances; refusing to give

professional services on religious grounds; talking despairingly about other

colleagues or doing anything that means unfair competition. State medical

councils penalize RMPs for such disgraceful practices when someone complaints.

While Medical Negligence is lack of reasonable degree of care & skill or willful

negligence on the part of a medical practitioner while treating a patient

resulting in bodily injury, ill–health or death (damage) such as: failure to

remove swabs/instruments during surgery; failure to give ATS in case of injury

causing tetanus; breaking the needle during injections; mismatched blood

transfusion; amputation of wrong finger; operation on wrong limb or removal of

wrong organ; loss of use of hand by prolonged splinting; prescribing an overdose

or poisonous medicine producing ill–effect. For these problems a doctor is to

be sued in civil/criminal courts and consumer forum. A patient cannot sue the

doctor if no damage has occurred, however the doctor might be negligent.

The above is also clear from the following

1. DMC act (32): Complaint against medical practitioner.—(1) " The Council may

inquire into complaint against medical practitioner either suo motu or on the

basis of any complaint made to the Council in respect of misconduct or

negligence of any medical practitioner for the purposes of the Act through the

Disciplinary Committee……… "

The act clearly differentiates misconduct and negligence.

DMC Act [21 (2)] talks about who can be punished " If a registered practitioner

has been, after due inquiry held by the Council or by the Executive Committee in

the prescribed manner, found guilty of any misconduct by the Council or the

Executive Committee, the Council may— issue a letter of warning to such

practitioner; or direct the name of such practitioner (i) to be removed from the

register for such period as may be specified in the aforesaid direction; or (ii)

to be removed from the register permanently.

Explanation,—For the purpose of this section a registered practitioner shall

be deemed to be guilty of misconduct if— he is convicted by a criminal court

for an offence which involves moral turpitude and which is cognizable within the

meaning of the Code of Criminal Procedure, 1974 (2 of 1974), or in the opinion

of the Council his conduct is infamous in relation to the medical profession

particularly, under any Code of Ethics prescribed by the Council or by the

Medical Council of India constituted under the Indian Medical Council Act, 1956

(102 of 1956) in this behalf.

MCI act (7) defines misconduct " The following acts of commission or omission on

the part of a physician shall constitute professional misconduct rendering

him/her liable for disciplinary action "

The only loop hole is MCI Act 7.1 " Violation of the Regulations: If he/she

commits any violation of these Regulations. " Which can cover ignoring his or her

patients?

DMC Act (10 f) defines one of the powers, duties and functions of the Council as

" to receive complaints from public (including patients and their relatives)

against misconduct or negligence by a medical practitioner, to proceed for

inquest, take a decision on the merits of the case and to initiate disciplinary

action or award compensation and similarly to take action against frivolous

complaints.

The act again differentiates misconduct and negligence and defines the

punishment disciplinary action for misconduct and “award compensation " for

negligence.

References

Personal communication: Dr. A.K. Srivastava, Professor & Head, Department of

Forensic Medicine, Subharti Medical College, Meerut , 9456662818,

aksformed@...

DMC Act

MCI ActDr KK Aggarwal

Editor in Chief

drkkaggarwal

Krishan Kumar Aggarwal

 

  eMedinewS Audio PostCard

2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal

CT scans for lung cancer screening

 

  Quote of the Day

(By Dr GM Singh)

Nothing diminishes anxiety faster than action. Walter

 

    Photo Feature

2nd eMedinewS Revisiting 2010

Dignitaries and eminent doctors on the stage in the 2nd eMedinewS Revisiting

2010 held at Maulana Azad Medical College on 9th January 2011

 

 

    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non

invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@...

Only matriculate eligible for driving licence from 2015!

If the recommendations of the Sunder Committee — constituted to review the

Motor Vehicles Act, 1988 and suggest changes in it — are accepted, then from

2015 only a matriculate would be eligible for a driving licence. The Committee

has recommended raising the educational standard from the present VIII to X

standard pass. It has also recommended a unique number to an authorised

person’s driving licence which would remain the same even if the driving

licence is changed. The Committee, chaired by S Sunder, distinguished Fellow

(TERI) and former Secretary, Ministry of Transport, submitted its report to

Transport Minister CP Joshi on Wednesday. The Expert Committee was constituted

in September 2009. The committee stated that presently the law requires an

applicant for a licence to drive a transport vehicle to have passed the eighth

standard and also to have held a valid driving licence for driving a light motor

vehicle for one year. " The Committee

recommends that with effect from 2015, the minimum educational qualification

should be tenth standard pass. The applicant should be required to hold a

learner’s licence for a period of four months and obtain a competency

certificate from a school or establishment recognised or accredited by the State

Governments in accordance with rules prescribed by the Centre, " it said.

Regarding foreign nationals, the Act, in its present form, provides for the

grant of driving licences to those who hold valid driving licences issued by

their authorities, without subjecting them to a driving test. The 411–page

Committee report has recommended that while foreign nationals may be permitted

for the first year to drive on the basis of their existing driving licences.

(Source: The Pioneer, February 03, 2011)

(By Rajat Bhatnagar)

India to get new medical colleges

Chandigarh: Giving a boost to medical education in the country, the health

ministry will open new colleges and create more seats in government–run

institutes. " An ambitious scheme costing Rs.1,350 crore will be implemented soon

to strengthen the fabric of medical education. An additional 4,000 seats in

medical colleges run by the central government have been created to produce more

doctors every year, " said Health Minister Ghulam Nabi Azad here on Friday.

" Besides, 269 new nursing colleges will be opened to consolidate the

para–medical infrastructure. The government is doing all–out efforts to

eradicate communicable diseases in the country, " he added. Azad was here to

attend the 31st convocation of the Postgraduate Institute of Medical Education

and Research (PGIMER). Expressing concern over the World Health Organization

(WHO) report that said India would become a real hub of cancer by 2020, Azad

said, " We have launched a cancer–combat pilot project in hundred districts.

Under this, each district will be given funds for early detection of cancer. And

Rs.100,000 will be given per patient for chemotherapy treatment. " IANS

 

    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution,

LLC http://www.isfdistribution.com)

February is Heart Health Month. Today’s tip

Reduce the risk of high cholesterol, high blood pressure, and type 2 diabetes by

losing weight. Excess weight affects the lining of arteries, making them more

prone to collect plaque from cholesterol. Losing weight, especially belly fat,

which is linked to hardening of the arteries helps raise HDL " good " cholesterol

and reduce LDL " bad " cholesterol.

(Dr GM Singh)

How valuable is an MRI or CT scan in the assessment of dementia?

A CT scan is important in ruling out specific causes such as brain tumor or

normal pressure hydrocephalus, which do occur in every few thousand people

presenting with cognitive impairment. An MRI scan is much more useful, as it

will give a much more definitive picture of infarcts, white matter disease and

medial temporal lobe atrophy, as well as excluding other causes.

(Dr and Brahm Vasudev)

Type 1 diabetes linked to viruses

Australian researchers looked at a number of studies, and concluded there is a

strong association between enteroviruses and the development of type 1 diabetes.

In fact, children with diabetes were 10 times more likely to have had an

enterovirus infection than children without the disease. (Dr. Craig, an

associate professor at Children’s Hospital at Westmead’s Institute of

Endocrinology and Diabetes in Sydney.)

Just how bad is cocaine use during pregnancy?

Dr. Kellie , co–author of a study in the American Journal of Obstetrics

and Gynecology: Women who used cocaine while pregnant had about a one in three

chance of having an underweight baby, while women who did not had about a one in

10 chance. An underweight baby is defined as weighing less than 2,500 grams, or

about five and a half pounds.

 

    IMT Update

IMT increases per year by 0.08 mm (Atherosclerosis 1990)

 

    Infertility Update

Dr. Kaberi Banerjee, Infertility and IVF Specialist Max Hospital; Director

Precious Baby Foundation

What causes infertility in women?

The most common female infertility factor is an ovulation disorder. Other causes

of female infertility include blocked fallopian tubes, which can occur when a

woman has had pelvic inflammatory disease or endometriosis. Congenital anomalies

(birth defects) involving the structure of the uterus and uterine fibroids are

associated with repeated miscarriages. Aging is also an important factor in

female infertility. The ability for ovaries to produce eggs declines with age,

especially after age 35.

For queries contact: banerjee.kaberi@...

 

    Pediatric Update

Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver

Transplantation, Medanta – The Medicity

What are the Categories of asthma?

A child's symptoms can be categorized into one of four main categories of

asthma, each with different characteristics and requiring different treatment

approaches.

Mild intermittent asthma: Brief episodes of wheezing, coughing, or shortness of

breath that occur no more than twice a week is called mild intermittent asthma.

Children rarely have symptoms between episodes (maybe just one or two

flare–ups per month involving mild symptoms at night). Mild asthma should

never be ignored because, even between flares, airways are inflamed.

Mild persistent asthma: Episodes of wheezing, coughing, or shortness of breath

that occur more than twice a week but less than once a day is called mild

persistent asthma. Symptoms usually occur at least twice a month at night and

may affect normal physical activity.

Moderate persistent asthma: Symptoms occurring every day and requiring

medication every day is called moderate persistent asthma. Nighttime symptoms

occur more than once a week. Episodes of wheezing, coughing, or shortness of

breath occur more than twice a week and may last for several days. These

symptoms affect normal physical activity.

Severe persistent asthma: Children with severe persistent asthma have symptoms

continuously. Episodes of wheezing, coughing, or shortness of breath are

frequent and may require emergency treatment and even hospitalization. Many

children with severe persistent asthma have frequent symptoms at night and can

handle only limited physical activity

For queries contact: drneelam@...

 

    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

What is exhumation for reburial?

During World War II, many innocent civilians were shot summarily or killed

otherwise and then buried in mass graves without coffins and even without proper

last rites. After the war was over, many such bodies were exhumed and reburied

with proper rites.

mant mentions this fact in his classical paper on adipocere, because a

number of these bodies were found to be converted into adipocere.

Exhumation for reburial means posthumous pardon ( (20 November

1924 – 9 March 1950, a Welshman was hanged in the United Kingdom in 1950 for

the murder of his infant daughter at 10 Rillington Place, London. An official

inquiry conducted 16 years after ’s hanging determined that his daughter

had in fact been killed by his co–tenant, serial killer Christie, and

was subsequently recommended and granted a posthumous pardon. His body was

thereupon exhumed and reburied outside Pentonville Prison).

 

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Vitamin E

Vitamin E is a fat–soluble vitamin. Its deficiency is usually characterized by

neurological problems associated with nerve degeneration in hands and feet. It

can be due to:

Problems related with inability to absorb fat: Crohn’s Disease and Cystic

Fibrosis

Metabolic inherited problems Ataxia and vitamin E deficiency

Blood levels of vitamin E may also be decreased with zinc deficiency.

 

    Interesting Websites to Visit

Dr Jitendra Ingole, MD Internal Medicine, Asst Professor (Medicine)

For echocardiography (Beginners) check out the following website

http://www.echobyweb.com

 

    Medi Finance Update

Individual Mediclaim policy

Anesthesia, blood, oxygen, operation theatre charges, surgical appliances,

medicines and drugs, diagnostic materials and X–ray, dialysis, chemotherapy,

radiotherapy, cost of pacemaker, artificial limbs and cost of organs and similar

expenses.

 

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name

Indication

DCI Approval Date

Methylcobalamin 750mcg + Pregabalin 75/150mg + Vitamin B6 1.5mg + Folic acid

0.75mg + Benfothiamine 7.5mg capsules

For the treatment of painful diabetic neuropathy in adults only

05/03/2010

 

    IMSA Update

International Medical Science Academy (IMSA) Update

Phosphodiesterase type 5 inhibitor use and hearing impairment

In a large population–based sample, sildenafil use was associated with hearing

loss; no association was found for tadalafil or vardenafil.

 

    IJCP Special

Dr Good Dr Bad

Situation: A patient with mediclaim of Rs. 2 lakhs has used a cumulative bonus

of Rs. 40000 after 8 years. How much can he claim take next year.

Dr. Bad: Same as 2.4 lakhs.

Dr. Good: It will be 10% less.

Lesson: In case of claim under the policy in respect of insured person who has

earned the cumulative bonus, the increased percentage will be reduced by 10% of

claim of sum insured on the next renewal. However, basic sum insured will be

maintained and will not be reduced.

Make Sure

Situation: A 28–year–old pregnant woman was advised erythromycin estolate

for her upper respiratory tract infection. A week later she developed jaundice.

Reaction: Oh my God! You should have prescribed erythromycin stearate instead of

estolate.

Lesson: Make sure to remember that the incidence of hepatitis with cholestatic

jaundice in high with erythromycin estolate in pregnancy.

 

Our Contributors

  Dr Veena Aggarwal

  Dr Arpan Gandhi

  Dr Aru Handa

  Dr Ashish Verma

  Dr A K Gupta

  Dr Brahm Vasudev

  Dr GM Singh

  Dr Jitendra Ingole

  Dr. Kaberi Banerjee

  Dr Vasudev

  Dr MC Gupta

  Dr. Neelam Mohan

  Dr. Naveen Dang

  Dr Prabha Sanghi

  Dr Prachi Garg

  Rajat Bhatnagar

  Dr Sudhir Gupta

 

    Lighter Side of Reading

An Inspirational Story

(Contributed by Dr Prachi Garg)

The Hospital Window

Two men, both seriously ill, occupied the same hospital room with a hospital

window. One man was allowed to sit up in his bed for an hour a day to drain the

fluids from his lungs. His bed was next to the room’s only window. The other

man had to spend all his time flat on his back.

The men talked for hours on end. They spoke of their wives and families, their

homes, their jobs, their involvement in the military service, where they had

been on vacation. And every afternoon when the man in the bed next to the window

could sit up, he would pass the time by describing to his roommate all the

things he could see outside the hospital window. The man in the other bed would

live for those one–hour periods where his world would be broadened and

enlivened by all the activity and color of the outside world.

The window overlooked a park with a lovely lake, the man had said. Ducks and

swans played on the water while children sailed their model boats. Lovers walked

arm in arm amid flowers of every color of the rainbow. Grand old trees graced

the landscape, and a fine view of the city skyline could be seen in the

distance. As the man by the window described all this in exquisite detail, the

man on the other side of the room would close his eyes and imagine the

picturesque scene. One warm afternoon the man by the window described a parade

passing by. Although the other man could not hear the band, he could see it in

his mind's eye as the gentleman by the window portrayed it with descriptive

words.

Unexpectedly, an alien thought entered his head: Why should he have all the

pleasure of seeing everything while I never get to see anything? It didn't seem

fair. As the thought fermented, the man felt ashamed at first. But as the days

passed and he missed seeing more sights, his envy eroded into resentment and

soon turned him sour. He began to brood and found himself unable to sleep. He

should be by that hospital window – and that thought now controlled his life.

Late one night, as he lay staring at the ceiling, the man by the hospital window

began to cough. He was choking on the fluid in his lungs. The other man watched

in the dimly lit room as the struggling man by the hospital window groped for

the button to call for help. Listening from across the room, he never moved,

never pushed his own button which would have brought the nurse running. In less

than five minutes, the coughing and choking stopped, along with the sound of

breathing.

Now, there was only silence–deathly silence. The following morning the day

nurse arrived to bring water for their baths. When she found the lifeless body

of the man by the hospital window, she was saddened and called the hospital

attendant to take it away–no works, no fuss. As soon as it seemed appropriate,

the man asked if he could be moved next to the hospital window. The nurse was

happy to make the switch and after making sure he was comfortable, she left him

alone.

Slowly, painfully, he propped himself up on one elbow to take his first look.

Finally, he would have the joy of seeing it all himself. He strained to slowly

turn to look out the hospital window beside the bed………

It faced a blank wall.

………………………………

Mind Teaser

Read this…………………

Pot O O O O O O O O

Yesterday’s Mind Teaser: Why is half of 5 equal to 4?

Answer for Yesterday’s Mind Teaser: Take " FE " out of " FIVE " and you get " IV " ,

four in roman numerals!

Correct answers received from: Dr K.P.Rajalakshmi, Dr Sudipto Samaddar, Dr

Rakesh Bhasin, Dr H.L. Kapoor, Dr Rashmi Chhibber, Dr Vijay Kansal

Answer for 7th February Mind Teaser: back seat driver

Correct answers received from: Dr Prabha Sanghi, Dr K.P.Rajalakshmi, Dr Satyoban

Ghosh, Dr Maneesh Gupta

Send your answer to ijcp12@...

………………………………

Laugh a While

(Dr. Veena Aggarwal)

Dr. Kishore Shah is a renowned Gynecologist practicing in Pune. He is a prolific

writer. Humor is his forte.The following article is in his own words about MI he

had suffered some time back. It is simbly mindblowing.

I suffered a heart attack about 5 days ago. Here is my account of what happened:

As I was rushed to the Cardiac ICU, I just had this sinking feeling in my heart.

Just like the one before you enter the Viva Voce hall and see the most khadoos

examiner in place, only worse. The resident there was quite courteous, " Sir, How

are you feeling? " I looked at him groggily and whispered, " Just like Rakhi

Sawant! " He looked at me perplexed. I continued and said, " I feel an unnatural

weight on my chest. " The resident didn't know whether to send me off to the

Psychiatry ward or not. I said, " Aare Baba, ECG nikal, nahi toh main nikal

jaoonga! "

The funniest part of my heart attack, or " cardiac event " as the doctor there

insisted on calling it, was that there was no pain. That would comeafterwards

when they presented me the bill. But for now I was painless. " Do you smoke? "

persisted the resident. " I have never tried burning myself, but probably would. "

My wife nudged me and intervened, " He does not smoke or drink. Just keeps

cracking these pointless PJs. "

The resident promptly scribbled something on the pad. He probably wrote that the

patient was delirious. After peering with screwed eyes at my ECG he said, " Q

wave changes. " I said, " I give up. You tell me. " " What? " " I don’t know Kyon

wave changes. You tell me. " The resident stopped telling me anything else. He

turned to my wife and said, " It seems to be a minor infarct. "

I don’t know what it is with doctors. How can you call any heart infarct

minor? If there is an infarct, it is a major thing, at least for the patient.

There was also some depressing talk about ST depressions. Here felt as if an ST

bus was driving over my chest, who bothered whether that ST was depressed or

happy?

I was immediately admitted to the ICCU and posted for an Angiography the next

day. One piece of advice to all Cardiac care units: If you do not want your

heart patients to have any further attacks, do not appoint such lovely young

nurses. Most of the nurses in the entire world are from Kerala. If all the

nurses return home, all the hospitals in the world will come to a stop. And

there will be no standing space in Kerala. There were big notices posted outside

the door of the ICCU. " No Visitors " and no " No Mobiles " . Okay, so there would be

no breaking news dispatches from me. Soon a pretty, young Malyali nurse came and

told me " Gaana Gaaneka nai. " This came as a shock to me. Not that I wanted to

break out into a song and dance routine. I could understand that visitors might

disturb the patient, or even the mobiles. But songs? How could anyone be so

unmusical? I said Okay but was a bit miffed. After many pricks and monitors on

my body, half an hour later

another pretty young hing came and told me " Gaana Gaaneka nai! "

I was a bit angry. I said, " Yeah! Yeah! Someone told me before also. " But this

really intrigued me. Why were they so strict about songs? If they had said that

I could not dance due to my heart condition, I could have accepted that. But

never in my long medical education had I been warned that singing was bad for

cardiac health. I wondered if this was a new advance.

The mystery was cleared when the next Malyali sister, who appeared to be their

head nurse, came and explained to me, " Doctor Shah, Aap ka blood samble subay

saat ko hai. Toh abi Gaana Gaaneka nai. Phir Kaali pet samble lene ke baad Gaana

Gaaneka. " I immediately added an interpreter to my mental suggestion box. It

must be really tough to interpret Gaana as Khaana. After a relatively painless

night, mainly because relatives were not allowed, and also due to the various

drips and things, I woke up to the prick of a blood ‘Samble'. Then I was

allowed to ‘Gaana Gaaneko'.

All the tests gave worse and worse news. There was an inferior wall infarct

which the Cardiologist insisted on calling minor. (I hoped he would remember

this while billing me.) My Trop T was raised. In short, this is a help call from

the heart. I was posted for angiography and an SOS plasty the next day after

stabilization.

On the morning of the procedure, I got the shock of my life, when a grim looking

man entered my room and sent my wife out. He then locked the room and took out a

large and sharp glistening razor. Omigosh! This was not how they performed

operations, at least not during the last century. Or was this a scene from an

assassin movie? The man then turned to me and smiled and said that he had come

to shave me for the procedure. I sighed with relief. One always wants to look

nice and presentable for important occasions even if they be the gallows. I

smiled back at him and jutted out my chin at him for easy access. But he ignored

my chin and pulled down my pajamas. I shrieked, " Hey, Its my heart that is

amiss. "

" Yes Sir. We need to shave your groin! " Groan Groan!

Five minutes later, I was all spic and span and presentable for my planned

procedure. Calling it a procedure, reduces the fear factor from it. If you call

it an operation, which it is, you might suffer a further attack. If you call it

a butchery, which it sometimes can be, then you need not go to the procedure. I

proceeded with a sinking heart, if it could sink any more, to the operation

room, which they call a cath lab. It's all about euphemism.

When I entered the 'Cath lab', I found it extremely cold. Was the AC at full

blast or was I frightened or was my heart not pumping enough blood? Probably all

three. There was soft music playing hindi songs in the background. The nurse

told me to remove all my clothes and lie down on a narrow table. I have already

mentioned the weather conditions, so it did not help that here I was completely

nude like a fresh plucked chicken, lying on a table, with half my respective

buttocks spilling out of the respective sides of the table. The AC vent was

directed towards the exact centre of my body. Now I regretted not taking all

those ads on the Internet about increasing the length of various body parts

seriously. If I had, today I would have been a proud man. But sadly, as of now,

I think the OT staff there will remember me whenever they eat dried dates. The

Hindi song playing was " Haste Gaate yahan se gujar, Duniya ki TU parwa na kar. "

That was very kind of my

namesake Kishoreda to remind me ho to face this ordeal. But I was very

frightened. His next verse also told me, " Maut ani hai ayegi ek din, Jaan jaani

hai jaayegi ek din, Aisi baton se kya ghabarana, Yaha kal kya ho kisne jaana? " I

almost burst out yodeling along with him. OOdle di OOd le di Ooo oo.

The anesthetist approached me and saw me smiling. He was confused. Was this guy

so frightened that he was smiling? How could I tell him that I was marveling at

Kishoreda's accurate advice to me, a smaller Kishore Kumar.

Then came the good part. Many layers of warm clothes were laid on me. I was

shivering, but no longer like the Antarctica. It was more like Shimla now. The

Cardiologist told me that I would now feel a little pain in my groin. Most

appropriately, the song playing now was " Dil hai kaha aur Dard kaha " . I smiled

and said, " Yes Boss. Go ahead. " I won't go into the gruesome details, but what

was visible to me and the entire team there was that my right Coronary artery

was nearly completely blocked. The doctor said, " Yes, a stent will be required.

Dr. Shah, should we insert an Endeavor drug eluting stent? " I felt ashamed to

admit to him that I didn't know a thing about stents. Being a Gynaecologist, I

only knew about stunts. So I asked him, " What is the difference between this one

and the other one? " I didn't know the name of the other one, so I cloaked it in

the anonymity of 'the other one'. He said, " There are many differences, but the

main one is in the

price. "

" Then I think you should ask my wife, because she is the one with the purse as

well as the purse strings. " After a brief consultation, my wife decided that her

husband was after all worth a bit more than this costly stent. But the effect

was magical. In front of my eyes, I could see a withered autumn tree of heart

vasculature suddenly burst out in full spring glory of new tributaries.

Thus I came out of the 'lab' a new and reborn man. It seemed as if I had thrown

off my school shirt and worn a new comfy and roomy one. It was as if I had

exchanged Adnan Sami's new shirt for his older ones. No more tightness around

the chest. The song playing in the lab when I came out was appropriately " Aaj

Main jawaan ho gayi hoon. Gul se gulistan ho gayi hoon. "

When I returned home from the hospital after paying the bill, I realized that

the old proverb was probably coined by a cardiologist. Which proverb? It's the

one that says: Jaan bachi, Lakho paye.

Thus my heart tried to spring me a surprise. So I surprised it with a spring

into my heart. Now I walk with a spring in my step and one in my heart too!

………………………………

Knowledge is amusing

TIPS come from 'To Insure Prompt Service'. In olden days to get Prompt service

from servants in an inn, travelers used to drop coins in a Box on which was

written 'To Insure Prompt Service'. This gave rise to the custom of Tips.

 

    Readers Responses

Dear Sir, Thanks a lot for providing depth knowledge about Vasant Panchami.

Regards: Dr Anupam

 

    Public Forum

(Press Release for use by the newspapers)

Rise in blood pressure during mental stress is a strong predictor of plaque

progression.

Rise in blood pressure during mental stress is a strong predictor of plaque

progression said, Senior Consultant Moolchand Medcity and President Heart Care

Foundation of India Dr. KK Aggarwal, Padmashri & Dr. B.C. Roy National Awardee.

Therefore, in every patient with carotid plaques mental stress test should be

done and if positive, these patients should be put on plaque stabilizing drugs.

If the plaque is stabilized, one can reduce the chances of heart attack and

paralysis.

Presence of plaque in the neck artery in asymptomatic person is highly

indicative of a future heart attack or paralysis. Plaque can be measured by

using high resolution ultrasound in any echocardiography laboratory. Plaque

progress along the neck artery 2.4 times more than its thickness.

 

    Forthcoming Events

Delhi Medical Council

Inaugural CME on Managing Common Emergencies

Venue: MAMC Auditorium

Date: February 20, 2011

Time: 1.00 PM – 4.00 PM

Topics

Speakers

Chairpersons

RTA–Emerging Epidemic

 

Dr. M.C Misra

Dr. B.K Dhaon/Dr. Praveen Bhatia

Acute Febrile Illness - A Clinical Approach

Dr. N.P Singh

Dr. O.P Kalra/Dr. S.P Bayotra

Haematuria–Red Alarm

Dr. Anil Goyal

Dr.P.N Dogra/Dr. Rajeev Sood

Managing PPH–Saving Lives

Dr. Reva Tripathi

Dr. Sharda Jain

Panel Discussion of Update of Lt. Side chest pain

Dr. Purshottam Lal

Dr. Naresh Gupta

Dr. P.S Gupta

All DMC Registered Members are requested to attend

Please Note:

Prior Registration Is Mandatory (No Registration Charges)

DMC Accreditation – 2 Hours

Live Webcast

Interactive Quiz

For Registration E–mail to delhimedicalcouncil@... or

drgoyalhospital@...

Or SMS to Secretary Dr. Girish Tyagi –9868116491 & Organizing Chairman Dr.

Anil Goyal–9811101454

-----------------------------------------

eMedinewS Events: Register at emedinews@...

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management

of heart disease

13th February 2011, Sunday, Moolchand Medcity

Fetal Echocardiography–How to get it right: Dr Vandana Chaddha

Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana

Chaddha

Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri

Srivastava

Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis

Regression: Dr KK Aggarwal

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send us a copy of your forwards.

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http://answers.yahoo.com/dir/?link=list & sid=396545367