Morning Medtalks with Dr KK Aggarwal
Dr KK Aggarwal, 09 March 2018
- Suspect Brain Cancer: 1st seizure sudden trouble speaking or understanding, stare off into space, lose control of an arm or a leg, pass out, stiffen and jerking movements of limb, lose muscle control throughout the body, headache, double vision, memory problems.
- BrainTumors: Grade I or II tumors are low-grade #gliomas. The term malignant or high-grade glioma means Grade III (anaplastic astrocytoma, anaplastic oligodendroglioma, anaplastic oligoastrocytoma, anaplastic ependymoma) or Grade IV (Glioblastoma)
- While wishing a women happy birthday remember, they are always 18 years old (rest is all experience). For example a woman at age 48 should be termed as 18 year old with 30 years of experience.
- FDA has approved the first direct-to-consumer test for the BRCA genes, which increase the risk of breast and ovarian cancer. The test for the BRCA1 and BRCA2 genes, from 23andMe, uses a saliva sample. But it assesses only three of the more than 1,000 known BRCA1/2 mutations, raising concerns that women who are told they do not have any of those variants will be lulled into believing that, as a result, they do not have an elevated risk for breast and ovarian cancer.
- If you love your woman do not allow even passive smoking. Smoking is linked with 50% coronary events in women. In a Danish Study, smoking lowered the median age at first heart attack from 79 to 60 years in women vs 71 to 64 years in men. Even 1 cigarette is harmful.
- Women aged 20 years or older without established cardiovascular disease should undergo periodic cardiovascular risk assessment every three to five years.
- Mild to moderate renal dysfunction is associated with an increase in heart attack risk in women.
- National Drug Authority: P/500 having a virus "Machupo" is false. The Machupo virus spread via spray transmission of dust particles from the faeces and urine of infected rodents. The said viruses like many others cannot survive the paracetamol tablets manufacturing process.
- Government is exploring 1st medical device park at a land made available by IDPL in Hyderabad or HAL in Pune. Let us all support the government in this venture. It will help reducing the cost of devices in India.
- The South Delhi MCD has decided to reduce the cost of dengue and chikungunya diagnostic tests currently at 66/- to Rs 299 for dengue & Rs 399 for chikungunya test. Will the center do it pan India.
- 13 cities worldwide are projected to see “alarming” rises in temperature that could exceed 2C over the next decade or so. Belgian city of Leuven, Geneva in Switzerland (2.5C), Shenzhen in China (2.3C) and Tsukuba in Japan (2.3C).
- Chronic kidney disease affects more women than men, but most people with this condition don’t know they have it. This World Kidney Day, the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health, joins organizations around the world in urging women to take action to prevent kidney disease — for themselves and their loved ones.
- A male Australian Nurse did his own ECG and self-administered clot dissolving therapy for ST-segment elevation heart attack. This is a success story of grit and teleconsultation (New England Journal of Medicine).
- Monoclonal antibodies have shown promise in the fight against cancer and autoimmune diseases. They also may play a critical role in future battles against emerging infectious disease outbreaks [NEJM]
- Use of appropriate dose of medical #cannabis and following key treatment regimen guidelines can lead to "remarkable" improvements in pain and a reduced need for opioids in both adults and children [Mark S Wallace, MD, prof of clinical anesthesiology Univ of California, San Diego]
- Estimates suggest that of the 10 million deaths annually in India, about two million are due to diseases of circulatory system, and women form 40% of those who die due to cardiovascular issues, said Dr K K Aggarwal, president, Heart Care Foundation of India. On the occasion of International Women’s Day, he said, “No woman should die of heart disease just because she cannot afford treatment, or it is ignored.”
- A device can be attached to the back of a #smartphone & paired with an app has been found in a small study to take real-time BP readings with accuracy similar to that of a finger cuff and a standard arm cuff [Science Translational Medicine]
- A new long term data of 10 population-based cohorts from Chicago challenges obesity paradox that overweight heart patients live longer. Actually obese people live shorter & overweight people developed heart disease earlier.
- No one is immune from $ temptation. A myeloma patient was switched from Zoledronic acid to a new, easier option: denosumab. A recent @ASCO guideline said both were options. ZA is ~$70; Denosumab is ~$2000. The oncologist gets 6% of drug. [Medscape] Newer does not mean better
- The safety of people treated by practitioners of homoeopathy, unani and ayurveda will be compromised once a central bill allowing them to prescribe allopathic medicines becomes a law, the Indian Medical Association has said.
- Medical services in Vadakara and Nadapuram areas are likely to be hit on Thursday as the local chapters of the Indian Medical Association (IMA) have announced a strike in protest against the alleged attack on the residential premises of a retired district medical officer in January.
IMA Yatra Updates