A heartfelt tribute to my friend and colleague

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Dr KK Aggarwal

Recipient of Padma Shri

Yesterday, Dr Rajiv Dhir, my friend and colleague of many years, suddenly decided to hide himself from us forever and hereafter to stay on with us, in our memory and soul.

He was always an active member of IMA and DMA and was working with me for the last several years.

A General Practitioner, Writer, Editor and Leader, he always had a smile and a cheerful word for everybody. It remains upon us to keep his memory alive.

This brings to my mind the question of life after death. Life is nothing but a connection between wave and particle. Death occurs when they disconnect with each other. The particle then merges with the five elements and the wave part stays alive merging with the virtual part of the waves.

As per Bhagawad Gita, whatever you think becomes your habit; whatever your habits, will be your thoughts and whatever your thoughts are at the time of death, will decide the next journey for those who believe in it.

The purpose of our life is to think positive, do positive at every step in life.

Live everyday of your life to the fullest…the most predictable thing about life is its unpredictability.

Dr KK Aggarwal

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

President Heart Care Foundation of India

Immediate Past National President IMA

Join the Mahapanchayat on 25th March to make the Indian medical profession strongest in the world

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Dr KK Aggarwal Immediate Past National President IMA The IMA has been opposing the proposed NMC Bill in its present format on several grounds. Following a country-wide 12-hour strike on 2nd January this year, the proposed NMC Bill was referred to a Parliamentary Standing Committee. The Rajya Sabha Committee considered each clause of the proposed NMC Bill and has given its recommendations on each in Chapter 4 of its report “109th Report on the National Medical Commission Bill, 2017 (Presented to the Rajya Sabha on 20th March, 2018) (Laid on the Table of Lok Sabha on 20th March, 2018)”. The report is in the public domain. To deliberate on the report, the IMA is organizing a Mahapanchayat on 25th March at Indira Gandhi Stadium, New Delhi, 10 am to 2pm. Over 10,000 doctors from all across the country will deliberate on the issue. As per a note from our National President Dr Ravi Wankhedkar, “after the 1st victory due to the Surgical Strike of 2nd Jan, IMA’s massive pressure has achieved the 2nd victory. Some of IMA demands have been accepted in the Parliamentary Standing Committee report. But the committee report is just a recommendation. Government has to accept and implement these recommendations along with remaining demands.” 25th March is an opportunity to show our strength to the whole world. Collectively, we see and influence over two crore patients every month. Collectively, on the 25th we should also show that we can also influence government policies and turn them into community-friendly policies. Most government policies today have penal provisions for doctors likening us to criminals. There are no policies to protect us. The govt. has failed to formulate and implement even a simple demand for a stringent central act for violence against doctors. Doctors are not supposed to be on the roads protesting. True. Therefore, we are continuing our efforts towards our legitimate demands, the Gandhian way. The Mahapanchayat is a corollary of the Dilli Chalo movement on the 6th June last year followed by a dawn-to-dusk fast observed throughout the country on 2nd October, the birth anniversary of Mahatma Gandhi. Each movement must be bigger than the previous. The critical mass of one percent must be achieved for any movement to spontaneously spread across the entire nation. All those who joined physically the Dilli Chalo movement on 6th June last year must repeat their presence, but this time with one more additional friend. You can bring a Non- IMA member or even a non-medical friend to participate. Delhi Medical Association is hosting the Mahapanchayat. Hence, all doctors from Delhi, in particular, should achieve this critical mass. It’s time… we should seize this opportunity. We must persist in our efforts till our goals are achieved. Cancel all your appointments on 25th March. Just join the mass movement.

HCFI and NCD cell of IMA condone Sridevi’s untimely demise

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It is imperative to diagnose heart conditions in women in a timely manner

New Delhi, 25th February 2018: Heart Care Foundation of India (HCFI) and NCD cell of IMA condone the untimely death of Padma Shri Awardee Ms Sridevi and dedicate a special campaign about prevention of sudden cardiac death among women to her. In 1999, she released health messages regarding prevention of heart disease. A 38-year follow-up from the Framingham Heart study evaluated the incidence of sudden cardiac death in women compared with men.

The study revealed that women had a lower sudden cardiac death (SCD) rate than men at all ages. The risk of sudden death among women with coronary heart disease is one-half that of men with coronary heart disease. A higher fraction of sudden deaths in women occur in the absence of prior overt coronary heart disease (63% vs 44% in men).

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “Sridevi was an artiste par excellence and we express our heartfelt condolences on her demise. At this juncture, it becomes imperative to spread awareness on the fact that it is more difficult to establish the diagnosis of heart disease in women. Women generally present about 10 years later than men and with a greater risk-factor burden. Women are less likely than men to have typical angina. Those who present to the emergency room with new onset chest pain are approached and diagnosed less aggressively than men. Many cases of heart attack in women go unrecognized, particularly at younger ages or in patients with diabetes. Treadmill exercise testing has a higher false-positive rate in women (for the diagnosis of obstructive coronary artery disease). The prevalence of significant coronary disease found at the time of angiography is lower in women than men presenting with chest pain. All women with intermediate or higher risk should be evaluated.”

Sudden cardiac arrest (SCA) and SCD refer to the sudden cessation of organized cardiac electrical activity. The event is referred to as SCA (or aborted SCD) if an intervention (e.g., CPR, defibrillation, cardioversion, anti-arrhythmic drug) or spontaneous reversion restores circulation. It is called SCD if the patient dies.

Adding further, Dr Aggarwal, who is also the Vice President of CMAAO, said, “The exact mechanism of collapse in an individual patient is often impossible to establish since, for the vast majority of patients who die suddenly, cardiac electrical activity is not being monitored at the time of their collapse. In case of a sudden cardiac arrest, start CPR 10 and continue till medical help arrives along with external electric shock machine. It may be advisable to opt for virtual autopsy along with blood molecular tests in cases of sudden cardiac death to know chances of similar episode in the family in future. It will be a strong family history of SCDs for Sridevi’s future generations if her SCD is linked to blockages in the heart.”

Screening for heart disease

  • If you can walk more than 500 meters in six minutes you do not have significant blockages or if you can walk 2 km or climb two flight of stairs you do not have significant blockages.
  • Never ignore unexplained weakness, tiredness, first onset chest burning or first onset breathlessness after he age of 40.
  • If any member of your family male had heart disease before 55 or female before 65, it amounts to strong family history

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