Ordinance cleared to set up committee to run Medical Council of India until Parliament passes NMC

Morning MEDtalks with Dr KK Aggarwal

September 27, 2018 :

Ordinance cleared to set up committee to run MCI until Parliament passes NMC

Just like it was 5 years back, a Board of Governors has taken over the MCI. Dr VK Paul has taken charge of MCI today evening.

The present MCI gets dissolved with immediate effect.

Proposed NMC is in Parliament and has nothing to do with present ordinance.

The ordinance is as below:

The Gazette of India

New Delhi, Wednesday, September 26, 2018/Asvin 4, 1940 (Saka)

MINISTRY OF LAW AND JUSTICE
(Legislative Department)

New Delhi, the 26th September. 2018/4svina 4, 1940 (Saka)

THE INDIAN MEDICAL COUNCIL (AMENDMENT)

ORDINANCE, 2018

No. 8 of 2018

Promulgated by the President in the Sixty-ninth Year of the Republic of India.

An Ordinance further to amend the Indian Medical Council Act. 1956.

WHEREAS Parliament is not in session and the President is satisfied that circumstances exist which render it necessary for him to take immediate action;

NOW, THEREFORE, in exercise of the powers conferred by clause (1) of article 123 of the Constitution, the President is pleased to promulgate the following Ordinance:-

1. (1) This Ordinance may be called the Indian Medical Council (Amendment) Ordinance, 2018.

(2) It shall come into force at once.

2. In section 3A of the Indian Medical Council Act, 1956,- —

(a) in sub-section (I), for the words, brackets and figures “Indian Medical Council (Amendment) Act. 2010″, the words, brackets and figures “Indian Medical Council (Amendment) Ordinance, 2018” shall be substituted;

(b) in sub-section (2), for the words “three years”, the words “one year” shall be substituted;

(c) in sub-section (4), for the words “and medical education”, the words “and medical education or proven administrative capacity and experience” shall be substituted;

(d) after sub-section (7), the following sub-section shall be inserted, namely: — ”

(7A) The Board of Governors shall be assisted by a Secretary General who shall be appointed by the Central Government on deputation or contract basis and he shall be the head of the secretariat in the Council.”.

RAM NATH KOVIND,

President.

DR. G. NARAYANA RAJU.

Secretary to the Govt. of India

(To be published in the Gazette of India, Extraordinary, Part – II, Section 3, Subsection (ii)]

MINISTRY OF HEALTH AND FAMILY WELFARE

(Department of Health and Family Welfare)

NOTIFICATION

New Delhi, the 26th September, 2018-09-26

S.O. – Whereas the President promulgated the Indian Medical Council (Amendment) Ordinance, 2018 (Ordinance 8 of 2018) on 26th September, 2018, which came into force on the said date;

And whereas, on and from the date of commencement of Indian Medical Council (Amendment) Ordinance, 2018 (Ordinance 8 of 2018), the Medical Council of India shall stand superseded and teh President, Vice President adn other Members of the Council shall vacate their office and shall have no claim for any compensation, whatsoever;

And whereas upon the supersession of the Council and until a new Council is reconstituted, a Board of Governors is required to be constituted by the Central Government to exercise the powers and perform the functions of the Council under the said Act;

Now, therefore, in exercise of the powers conferred by sub-section (4) of section 3A of the Indian Medical Council (Amendment) Ordinance, 2018, the Central Government hereby constitutes the Board of Governors consisting of the following persons as its Chairperson and Members, namely: –

1. Dr. VK Paul, Member, NITI Aayog                                     – Chairman
2. Dr Randeep Guleria, Director, AIIMS, New Delhi               – Member
3. Dr Jagat Ram, Director, PGIMER, Chandigarh                  – Member
4. Dr BN Gangadhar, Director NIMHANS, Bangalore             – Member
5. Dr Nikhil Tandon, Professsor, Department of                     – Member
   Endocrinology & Metabolism, AIIMS, New Delhi
6. Dr S Venkatesh, Director General of Health Services           – Member ex-officio Ministry of Health & Family Welfare
7. Prof Balram Bhargava, Secretary, Department of Health      – Member ex-officio

Research & Director General Indian Council of Medical

Research, New Delhi

Further, in exercise of the powers conferred under section 7A of the Indian Medical Council (Amendment) Ordinance, 2018, the Central Government hereby appoint the Secretary General to assist the Board of Governors to the following person, namely:-

Dr Sanjay Shrivastava, Ex-Deputy Director General, Directorate General of Health Services, Ministry of Health & Family Welfare, New Delhi

Did I interfere with the last words of the patient?

We often intubate or sedate terminally ill patients often forever? Recently a poignant perspective was published in JAMA Internal Medicine (June 2018): “Saving a death when we cannot save a life in the intensive care unit.” In this piece, a critical care doctor relates the story of a woman in the ICU who was electively intubated for a procedure and then died, without ever having had the opportunity for her loved ones to say goodbye.

One can have a different approach to intubation, which can be likened to the talk a parent has with a child who is going off to war. Of course, these parents hope their children will come back safely, but they are given the chance to say what they want to say — knowing the conversation might be their last. One should build a similar pause into our protocols before intubation, lest we unwittingly deprive our patients of the opportunity for a final exchange with their loved ones.

Diagnosing type 2 diabetes: Current guidelines recommend fasting glucose, A1c or 2-hour glucose for the diagnosis of diabetes. There is no preferred test; however, the guidelines explicitly state that a second blood sample at a second point in time is recommended to confirm the diagnosis of type 2 diabetes. To make a diagnosis of diabetes, there needs to be an elevated fasting glucose, elevated A1c or elevated 2-hour glucose at two separate time points in two separate blood samples.

In a prospective cohort study of over 13,000 people, definition of diabetes was made using an elevated A1c and an elevated fasting glucose in a single blood sample. If only one test was elevated and the diagnosis was not confirmed in that single blood sample, the individual could be followed up with a second visit, consistent with current guidelines. So next time you want to rule out diabetes ask for both fasting sugar and A1c together.

Higher BP in older adults increases risk of brain lesions. Researchers from the Rush Alzheimer’s Disease Center at Rush University Medical Center in Chicago examined the association of hypertension and brain health in older people and found that for a person with one standard deviation above the average systolic BP, there was a 46% increased risk of having one or more brain lesions, specifically infarcts. The effect of an increase by one standard deviation on the risk of having one or more brain infarcts was the equivalent of nine years of brain aging. Those with one standard deviation above the average systolic blood pressure also had a 46% greater chance of having large lesions and a 36% greater risk of very small lesions (Neurology, July 11, 2018).

Underreporting and under-diagnosis of TB cases remains a major challenge. Of the 10 million people who fell ill with TB in 2017, only 6.4 million were officially recorded by national reporting systems, leaving 3.6 million people undiagnosed, or detected but not reported. Ten countries accounted for 80% of this gap, with India, Indonesia and Nigeria topping the list. Less than half of the estimated one million children with TB were reported in 2017, making it a much higher gap in detection than that in adults… (WHO’s Global TB Report 2018).

Cases of newborn syphilis in the US more than doubled since 2013, reaching the highest rate reported since 1997. Reported cases of congenital syphilis rose from 362 in 2013 to 918 in 2017, the agency said in the full Sexually Transmitted Disease Surveillance Report released Tuesday.

Here are two links for videos to watch.

• Vedic Health – A Dialogue with Ashwini Kumar Choubey https://www.youtube.com/watch?v=wdorsM5IZTQ
• TEDx Video: Doctor-patient relationship https://www.youtube.com/watch?v=i9ml1vKK2DQ

Dr KK Aggarwal
Padma Shri Awardee
President Elect CMAAO
President Heart Care Foundation of India