A daylong conference on 20th January

eMedinewS and Heart Care Foundation of India will be organizing a daylong conference on 20^th January, 2013 at Maulana Azad Medical College and will be attended by over 1000 doctors. The conference will revisit the happenings of the year 2012.

Addressing a press conference here Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, Group Editor-in-Chief eMedinewS and President Heart Care Foundation of India, and Dr Ganesh Mani, Dr Ashish Jain, Dr. Vivek Bhatia, Dr. Praveen Bhatia, Dr Jugal Mishra, Dr. N.K.Bhatia, Dr. Neeraj Jain, Dr Kailash Singla and Dr. Praveen Chandra, in a joint statement said that a lot has changed in the last one year. Following were a few of the new advancements:

1. The new mantra for Cardiopulmonary Resuscitation (CPR10) – Over 25000 people in the city of Delhi alone have been trained in CPR10 to revive people out of sudden death. The mantra created by Dr. KK Aggarwal simplifies the course of action to be taken by people – “within 10 minutes of death (earlier the better), at least for the next 10 minutes (longer the better – upto 25 minutes), compress the centre of the chest of the victim effectively and continuously with a speed of 10x10 i.e. 100 per minutes”.

2. For patients whose blood pressure is not getting under control, new treatment is denervation of the nerves connected to the kidney.

3. For suspected rheumatic heart diseases, echo screening and not clinical screening is the answer.

4. Bypass surgery is better than drug quoted stents in patients with diabetes.

5. Pre-exposure prophylaxes with tenofvir and emtricitadine is now an established way of preventing HIV in high risk individuals.

6. New guidelines suggest that all patients of HIV+ should be treated regardless of CD4 T cells count.

7. Bacterial nasal sinusitis needs to be treated by anti-biotic and should be differentiated from viral nasal sinusitis.

8. In patients over the age of 70 years being treated with enema for constipation, one should use warm water enema rather than sodium phosphate enema.

9. In women of 65 years of age and older with a normal or slightly low bone mass at baseline measurement and with no risk factors of accelerated bone loss, follow-up bone densitometry should be done between 10-15 years.

10. Patients with high cholesterol on statin no more require monitoring of liver functions. They should be done only at baseline and not thereafter

11. Patients of depression on citalopriam should not be given a dose more than 40 mg and in 60+, it should not be more than 20mg.

12. Bio-absorbable polymers stent are now available in India.

13. Without surgery aortic valve replacement via catheter has now started in India.

14. Small intestinal transplant has been added to the list of transplant in the country.

15. Recently, a patient from Delhi who was brain dead donated his organs to 37 people.

16. A circular from Ministry of Health and Family Welfare has clarified that under the PNDT Act, medical practitioners with post graduation in gynecology and obstetrics are qualified to do obstetric ultrasound.

17. Suspect bacterial infection if:

a. Persistent symptoms or signs lasting more than 10 days with no improvement.

b. Onset with fever of more than 102 degree and purulent nasal discharge lasting three consecutive days.

c. Onset with worsening symptoms following a viral URI lasting 5-6 days which was initially improving.

Mr Gursharan Singh former Indian Cricketer was the special guest of the day.

The conference will be followed by ‘Doctor of the year’ awards and cultural evening.

A non-stop Interaction between Patients and Cardiologists

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that Heart Care Foundation of India in association with World Fellowship of Religions is organizing the 4th Dil Ka Darbar at Talkatora Stadium on Sunday, 23^rd September, 2012.

The Darbar will provide a unique opportunity for non-stop questions and answers between nurses, doctors, patients and cardiologists. The panel of doctors will include clinical cardiologists, preventive cardiologists, interventional cardiologists, cardiac surgeon, Ayurvedic cardiologists, Homeopathic cardiologists, naturopathy cardiologists and Yoga experts trained in cardiology. These experts will give a joint opinion for medical queries. Free cardiac consultations will be available on the spot. Cardiologists from Apollo Hospital will also be available on Telemedicine. People can avail concessional cardiac investigations and procedural facilities on the spot.

 Ministry of Health and Family Welfare, AYUSH Department will provide experts from Ayurveda, Homeopathy, Naturopathy and Yoga. Apart, eminent Ayush experts from private sector will also be available. Cardiologists and experts from other specialities from various hospitals will be participating as Allopathy experts. A few of them include Dr. Z.S. Meharwal, Dr. Rajesh Malhotra, Dr. N.K. Bhatia, Dr. S.V. Tripathi, Dr. H.K. Chopra, Dr. Manju Gupta, Dr. Anupam, Dr. Praveen Chandra, Dr. Subhash  Manchanda, Dr. Sameer  Srivastava, Dr. Yugal Mishra,  Dr. Praveen Bhatia, Dr. Sujay Shad, Dr. Neelam  Mohan, Dr. Ajit Saxena, Dr. Saurabh Juneja, Dr. B.N. Sinha.

Dr N K Yadav, Director (Health) MCD South Zone, Prof. Manju Gupta, HOD Cardiac Surgery, Safdarjung Hospital and Dr. Deepak Khurana, HOD Cardiac Surgery, Max Heart & Vascular Centre, Patparganj in a joint statement said that a second opinion is also required as to when to intervene in patients with congenital and valvular heart disease. There may be situations when one needs to decide whether to go for angioplasty or bypass surgery. Replacement of aortic valve often requires a team opinion. Whether a patient needs a bare metal stent or a drug eluting stent too can be a matter of debate. The answer is - when in doubt go for a joint opinion and not for multiple opinions.

Ms Shibani Kashyap, noted singer, composer and celebrity said that when in doubt, one should go for second opinion either to the same doctor or for a joint opinion. The Darbar will be a unique opportunity to the people for the same. She further said that such concepts are unique and can provide forum for better patient-doctor understanding.