Morning MEDtalks with Dr KK Aggarwal

September 18, 2018

The diagonal earlobe crease may be a marker of heart disease

New Delhi, September 18, 2018 :

‘Napalm girl’ undergoes laser treatment. More than four decades after she suffered 3rd and 4th degree burns during a napalm attack carried out by South Vietnamese airplanes during the Vietnam War, the Vietnamese woman, aged 9 years then (1972),  experienced significant improvement in her pain and burn scars after she underwent laser treatment. She suffered daily pain, which she rated 10 out of 10, due to scars which covered 40% of her body. After a series of laser treatments, she reported softening of the scars, increased range of motion, nerve regeneration and reduction in pain 3 out of 10. This case was published online Sept. 5, 2018 in JAMA Dermatology.

ICMR will launch Malaria Elimination Research Alliance India (MERA INDIA) on November 15 to eliminate malaria from India by the year 2030. While major stakeholders of the alliance will be union and state health ministries and National Programmes, medical colleges, National Institute of Malaria Research (NIMR), World Health Organisation (WHO), Medicines for Malaria Venture (MMV) and several Multi National Companies (MNCs) will also be made partners… (The Pioneer, Sept. 15, 2018).

The diagonal earlobe crease may be a marker of heart disease. As reported in ET Healthworld, Sept. 16, 2018, Dr Himmatrao Bawaskar evaluated 888 patients; of these, 508 had diagonal earlobe crease. Of these 486 (95%) had ischemic heart disease, 264 (52%) had diabetes and 508 had high BP.

Can a patient dictate as what all a doctor should write instead of following the protocol? (Dr KK Aggarwal & Advocate Ira Gupta) No, the patient cannot dictate any doctor as to what write and doctors have to follow their protocol. As per the provisions of Clause 7.7 of the Indian Medical Council Professional Conduct, Etiquette and Ethics Regulations, 2002, the name of the doctor will be deleted from the register of Medical Council, if he is found to have signed or given under his name any certificate, report, etc. which is untrue or misleading. The provisions of Clause 7.7 are reproduced hereunder:

“7.7 Signing Professional Certificates, Reports and other Documents: Registered medical practitioners are in certain cases bound by law to give, or may from time to time be called upon or requested to give certificates, notification, reports and other documents of similar character signed by them in their professional capacity for subsequent use in the courts or for administrative purposes etc. Such documents, among others, include the ones given at Appendix –4. Any registered practitioner who is shown to have signed or given under his name and authority any such certificate, notification, report or document of a similar character which is untrue, misleading or improper, is liable to have his name deleted from the Register.”

Thus, in view of the above clause 7.7, if the doctor writes what is dictated by the patient without following the proper protocol, procedure and the same is untrue, misleading or improper then the Medical Council of India or the respective state medical council will delete his name from the Register of the respective Medical Council in which the doctor is registered. Accordingly, the doctor shall be debarred from practicing medicine.

On Friday, WHO said that there were 137 confirmed and probable cases of Ebola and 92 deaths in the latest outbreak in the eastern Democratic Republic of the Congo in Africa.

Poor progress has been made in reducing child stunting, according to the UN report “The State of Food Security and Nutrition in the World 2018”. Nearly 151 million children aged under five are too short for their age due to malnutrition in 2017, compared to 165 million in 2012. Globally, Africa and Asia accounted for 39 percent and 55 percent of all stunted children, respectively. Prevalence of child wasting remains extremely high in Asia where almost one in 10 children under five has low weight for their height, compared to just one in 100 in Latin America and the Caribbean.

13% or 43 million Americans live in county with a primary care physician shortage, defined as less than one primary care physician per 2,000 people, according to a report from UnitedHealth Group. Americans in rural areas are nearly five times as likely to live in a county with a primary care physician shortage compared to urban and suburban Americans; 38% vs 8%. Only 33% of active US physicians practice primary care (288,000 out of 869,000). The estimated primary care physician shortage could increase from 18,000 in 2018 to 49,000 by 2030 … (Becker’s Hospital Review, Sept. 11, 2018)

Scientists have found that kidney stones partially dissolve and regrow. The findings showed that kidney stones are built up in calcium-rich layers that resemble other mineralisations in nature, such as those forming coral reefs.  This contradicts the widely held notion that kidney stones are homogenous rocks that never dissolve (Bruce Fouke, geology and microbiology professor at the University of Illinois).

People who feel younger than their actual age also may have brains that age more slowly, suggests a small study published online June 7, 2018, by Frontiers in Aging Neuroscience.

Dr KK Aggarwal
Padma Shri Awardee
Vice President CMAAO
President HCFI

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