CGHS may not be able to deny claim for medical reimbursement now

Health Care, Heart Care Foundation of India Comments Off

Government employees who are Central Government Health Scheme (CGHS) beneficiaries are required to seek treatment in empanelled hospitals. CGHS guidelines say that “if the Central govt servant or a member of his family covered under CGHS falls ill at a place not covered under CGHS, the treatment shall be admissible under CS(MA) Rules. The reimbursement in such cases shall be restricted to the amount which would have been incurred had the treatment been taken in a Govt / State government hospital in that city” (http://www.pcdablr.gov.in/paymedicalguidelines.htm)

However, the CGHS now may not be able to deny claim for medical reimbursement to retired government employees, who have a CGHS card valid for whole life, for medical treatment taken by them in private hospitals or even a hospital which is not on the list of government empanelled hospitals following a ruling of the Supreme Court of India.

A Bench of Justice RK Aggarwal and Justice Ashok Bhushan in the matter titled as “Shiva Kant Jha versus Union of India, Writ Petition (Civil) No. 694/2015, vide judgment dated 13.04.2018” has allowed the petition filed by the petitioner against the alleged unfair treatment meted out to several retired government servants in their old age and their state of affairs pertaining to reimbursement of medical claims under the CGHS.

Accordingly, the Hon’ble Apex Court has allowed the medical reimbursement claim of the pensioners of Government of India for the treatment undertaken by him in a private or non-empanelled hospital stating that “The right to medical claim cannot be denied merely because the name of the hospital is not included in the Government Order. The real test must be the factum of treatment. Before any medical claim is honoured, the authorities are bound to ensure as to whether the claimant had actually taken treatment and the factum of treatment is supported by records duly certified by Doctors/Hospitals concerned. Once, it is established, the claim cannot be denied on technical grounds.”

In the same order, the Apex Court also directed the Ministry to form a grievance redressal committee for the retired pensioners “to ensure timely and hassle free disposal of the claims within a period of seven days”.

Dr KK Aggarwal

Padma Shri AwardeeVice President CMAAOGroup Editor-in-Chief IJCP Publications

President Heart Care Foundation of India

Immediate Past National President IMA

ADHD is manageable and not indicative of a child’s lack of intelligence

Health Care, Heart Care Foundation of India, Medicine Comments Off

It is important to reinforce positive behavior in children with this condition and offer some understanding

New Delhi, 22nd April 2018: About 6% to 7% of children around the world are diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). It is one of the most common pediatric neurodevelopmental disorders associated with inattentiveness, hyperactivity, and impulsivity. Most teachers and parents do not recognize the signs of this condition, which can translate into a highly humiliating scenario for children.

ADHD is a disorder that makes it difficult to pay attention and control impulsive behaviours. The child may also be restless and almost constantly active. Although the symptoms begin in childhood, they can last way into adulthood as well.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI),said, “The brain of a person with ADHD is generally 5% smaller than someone without ADHD, particularly regions involved in attention, impulse control, and stimulus integration. The other factors that play a role include imbalanced levels of the neurotransmitters norepinephrine and dopamine. Children with ADHD are extremely active and may also exhibit certain other behavioral problems. Provided this is addressed at the early stage, it can pose problems later in life. While there is no cure for ADHD, treatments revolve around reducing symptoms and improving functioning in such children. Some treatment options include medication, psychotherapy, education or training, or a combination of these.”

It must be noted that sugar doesn’t cause ADHD and neither does watching too much TV. It is also not a result of a poor home life, poor schools, or food allergies.

Adding further, Dr Aggarwal, who is also the Vice President of CMAAO, said, “It is possible to manage this condition in children through education, support, and letting them express their creativity. Although it is a challenge to stay organized with such children, some amount of prioritizing and managing time can go a long way. ADHD is not indicative of a child’s intelligence or capability. It is imperative that parents find out the strengths of such children and focus on them – this can result into positive outcomes.”

Some tips from HCFI.

  • Set clear boundaries about what kind of behavior is expected out of the child.
  • Reinforce positive behavior and praise or reward them if they adhere to it.
  • If the child seems to lose self-control, it is a good idea to intervene and distract them from the present situation.
  • Invite friends over so that the child can mingle.
  • Make sure the child gets quality sleep. It is better to avoid any strenuous activities near to bedtime.

Majority of people with hemophilia in India remain undiagnosed

Health Care, Heart Care Foundation of India, Medicine, Social Health Community Comments Off

Lack of awareness about the condition is a big impediment

New Delhi, 21st April 2018: According to Hemophilia Federation India, there are about 19,858 people with Hemophilia in India. Of these, about 80% have Hemophilia A, 12% have Hemophilia B, and about 3% suffer from von Willebrand disease (VWD).Most people with this condition are undiagnosed in the country and lack access to care. There is a need to raise awareness about Hemophilia among people.

Hemophilia is an inherited disorder of blood clotting. There are substances called clotting factors in the blood, which mix with blood cells to make clots causing the bleeding to stop. People with hemophilia are deficient in these clotting factors.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI),said, “Females are carriers of hemophilia. It is not a life-threatening disorder unless the bleeding extends into a vital organ. However, it can be severely debilitating and there is no known cure for this disorder. About a third of new cases are caused due to a new mutation of the gene in the mother or the child. In cases where the mother is a carrier and the father does not have the disorder, there is a 50% chance of the male child having hemophilia and 50% chance of the female child being a carrier.One should see a doctor in case the following symptoms show up: a severe headache, repeated vomiting, neck pain, blurred or doubled vision, extreme sleepiness, and continuous bleeding from an injury.”

Hemophilia is of three types: A, B, and C and the difference between the three lies in the deficiency of a specific factor.

Adding further, Dr Aggarwal, who is also the Group Editor of IJCP, said, “The primary treatment for hemophilia is called factor replacement therapy. In this, the deficient factor is replaced by concentrates of clotting factor VIII (for hemophilia A) or clotting factor IX (for hemophilia B). These can be collected and purified from blood plasma or produced artificially in a laboratory (recombinant). They are given to the patient as an injection through a vein (intravenous) directly into the blood.”

Some tips from HCFI


Hemophilia can be managed by following certain lifestyle tips.

  • Adequate physical activity can help maintain body weight and improve muscle and bone strength. However, avoid physical activity that can cause injury and resultant bleeding.
  • Avoid blood-thinning medication such as warfarin and heparin. It is also better to avoid over-the-counter medicines like aspirin and ibuprofen.
  • Clean your teeth and gums thoroughly. Get tips from your dentist on how to do this without making the gums bleed.
  • Get tested regularly for blood infections and get your doctor’s advice on hepatitis A and B vaccinations.

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