Editor in Chief Dr KK Aggarwal, Padma Shri Awardee


Dated: 19 th March, 2019

Morning Medtalks with Dr KK

1. The Indian stent market here is on a healthy growth track despite price caps. In 2018 calendar year the overall Indian cardiac stent market grew by 16-18 per cent in terms of volumes. Prices of coronary stents were capped in February 2017 (prices were slashed by nearly 80 per cent). In terms of value, thus, the growth is 4-6 per cent.

2. Kerala boy, 6, dies after being diagnosed with rare disease: Kozhikode: A six-year-old boy, who was being treated for West Nile Virus (WNV) disease in the south Indian state of Kerala, died on Monday, said Kerala Health Minister K.K. Shailaja. Following doubts of WNV, the Centre had dispatched a multi-disciplinary team from the National Centre for Disease Control (NCDC) to assess the spread of WNV in Kerala. West Nile fever is spread by Culex mosquitoes and the infection could be confirmed only if the second samples tests positive. Its time to do the mosquito surgical strikes around the mosquito breeding areas. Will it be done?

3. A California jury on Wednesday awarded $29 million to a woman who said that asbestos in Johnson & Johnson’s talcum-powder-based products caused her cancer. The verdict, in California Superior Court in Oakland, marks the latest defeat for the healthcare conglomerate facing more than 13,000 talc-related lawsuits nationwide.


CALCIUM SUPPLEMENTS LINKED TO DEMENTIA RISK IN WOMEN WITH STROKE

Calcium supplements may be associated with an increased risk of dementia in older women who have had a stroke or other signs of cerebrovascular disease. The research is published in the August 17, 2016, online issue of Neurology.

Because calcium deficiency contributes to osteoporosis, daily calcium intake of 1000 to 1200 mg is recommended.

The study involved 700 dementia-free women between the ages of 70 and 92 who were followed for five years. A total of 98 women were taking calcium supplements at the start of the study and 54 women had already experienced a stroke. During the study, 54 more women had strokes, and 59 women developed dementia. Among the women who had CT scans, 71 percent had lesions on their brains’ white matter, which is a marker for cerebrovascular disease. The study found that the women who were treated with calcium supplements were twice as likely to develop dementia than women who did not take supplements.

But when the researchers further analyzed the data, they found that the increased risk was only among women with cerebrovascular disease. Women with a history of stroke who took supplements had a nearly seven times increased risk of developing dementia than women with a history of stroke who did not take calcium supplements.

Women with white matter lesions who took supplements were three times as likely to develop dementia as women who had white matter lesions and did not take supplements. Women without a history of stroke or women without white matter lesions had no increased risk when taking calcium supplements.


It is a medical shame: How Cuban doctors were used to coerce Venezuela voters

Nicholas Casey wrote in NY Times about Yansnier Arias who was sent to Venezuela by the Cuban government, one of thousands of doctors deployed to shore up ties between the two allies and alleviate Venezuela’s collapsing medical system. But with President Nicolás Maduro’s re-election on the line, not everyone was allowed to be treated.

As per the article a 65-year-old patient with heart failure urgently needed oxygen. But his Cuban and Venezuelan superiors told him to use the oxygen as a political weapon and not for medical emergencies that day. The veto was to motivate and compel patients to vote for the government. Many tactics were used, from simple reminders to vote for the government to denying treatment for opposition supporters with life-threatening ailments.

The Cuban doctors said they were ordered to go door-to-door in impoverished neighborhoods, offering medicine and warning residents that they would be cut off from medical services if they did not vote for Mr. Maduro.

Many said their superiors directed them to issue the same threats during closed-door consultations with patients seeking treatment for chronic diseases.

As doctors taking care of patients, our guiding principles are “beneficence (act in the best interest of the patient)” and “non maleficence (do no harm)”. These are derived from “physician autonomy”, where a doctor is free to choose the line of treatment that is best for his/her patient. Doctors have an ethical obligation to always act in the best interests of the patients for their well-being and prevent harm to the patients.
Physician autonomy is inherent in the medical profession. No doctor can be told when to treat patients or when to withhold treatment.
Using doctors in this manner is a clear violation of the Universal Principles of Bioethics as embodied in the UNESCO Universal Declaration on Bioethics and Human Rights.


Youth declared dead found alive

DECCAN CHRONICLE: A youth declared dead by the doctor at a state-run hospital in Odisha, woke up before post-mortem. The incident was reported from Bhadrak District Headquarters Hospital.

According to reports, the youth Sujit Khatua, 25, of Khatuapatna village under Dhusuri police limits was admitted to the Bhadrak hospital in an unconscious state on Saturday night.

Following medical examination, Dr Karunakar Rout declared him dead and referred for the post-mortem scheduled on Sunday morning.

However, the dead man was found moving his hands, legs and eyes before the post-mortem began. He was immediately shifted for treatment.

Comments

This is happening now too often

Never declare death if the rectal temperature is < 95

CPR can be successful hours later in such patients

These types of cases brings shame to the medical profession


Dated: 19 th March, 2019

Current Temperature Status and Warning for next 24 hours.

Heat Wave and Temperatures Observed Yesterday (Past 24 hours from 0830 hrs IST of 18 th March to 0830 hrs IST of 19 th March, 2019)

Heat Wave:

.Yesterday, No heat wave conditions were observed.

Maximum Temperatures Recorded at 1730 Hours IST of 18 th March, 2019:

• Maximum Temperature more than 40.0°C was recorded at isolated places over Madhya Maharashtra. (Annexure-1).

• Maximum temperature departures as on 18-03-2019: Maximum temperatures were appreciably above normal (3.1°C to 5.0°C) at a few places over Jammu & Kashmir, Himachal Pradesh and Saurashtra & Kutch; at isolated places over Tamilnadu & Puducherry; above normal (1.6°C to 3.0°C) at a few places over Assam & Meghalaya, Konkan & Goa, Madhya Maharashtra and Kerala; at isolated places over Gujarat region, Chhattisgarh and Coastal & South Interior Karnataka. They were markedly below normal ( -5.1°C or less) at a few places over East Madhya Pradesh and Odisha; at isolated places over Vidarbha; appreciably below normal (-3.1°C to -5.0°C) at most places over Jharkhand; at a few places over East Uttar Pradesh, Bihar and Telangana; at isolated places over Haryana, Chandigarh & Delhi, West Uttar Pradesh and Coastal Andhra Pradesh; below normal (-1.6°C to -3.0°C) at many places over Gangetic West Bengal; at a few places over East Rajasthan and Nagaland, Manipur, Mizoram & Tripura; at isolated places over West Rajasthan, North Interior Karnataka and Andaman & Nicobar Islands and near normal over rest parts of the country (Annexure-2).

• Yesterday, the highest maximum temperature of 40.3°C was recorded at Ahmednagar (Madhya Maharashtra) over the country.

Heat Wave Warnings for Next 24 hours(From 0830 hrs IST of 18 th to 0830 hrs IST of 19 th March 2019):-

.NIL


GAPIO Midyear Conference at Antigua, 4-5 May 2019

Inauguration by

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Followed by Dinner

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It is a medical shame: How Cuban doctors were used to coerce Venezuela voters

Nicholas Casey wrote in NY Times about Yansnier Arias who was sent to Venezuela by the Cuban government, one of thousands of doctors deployed to shore up ties between the two allies and alleviate Venezuela's collapsing medical system. But with President Nicolás Maduro's re-election on the line, not everyone was allowed to be treated. As per the article a 65-year-old patient with heart failure urgently needed oxygen. But his Cuban and Venezuelan superiors told him to use the oxygen as a political weapon and not for medical emergencies that day....read more


Manohar Parrikar passed away due to pancreatic cancer: All about pancreatic cancer

Union Minister Shri Ananth Kumar passed away last year due to pancreatic cancer. And, now Manohar Parrikar died of pancreatic cancer on Sunday.

Let us take a quick recap on pancreatic cancers

.Cancer of the exocrine pancreas is a highly lethal malignancy...read more


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