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Dr K K Aggarwal

Donating blood reduces chances of heart attack

By Dr K K Aggarwal
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One should donate blood at least once in a year. Donating blood regularly has been shown in many reports to reduce chances of future heart attacks. Blood donation is also one of the best charities that one can do as it can save multiple lives through various components taken out of a single blood transfusion. All those who are going for elective surgery should donate their blood well in advance and the same should be used at the time of surgery. In the current medical tourism scenario many patients who are Jehovah s Witnesses refuse blood transfusion on religious grounds. They do not accept transfusion of whole blood or any of the four major components blood cells platelets plasma and white cells . They are prepared to die rather than receive the blood. They also do not accept transfusion of stored blood including their own due to the belief that blood should not be taken out of the body and stored for any length of time. In such cases every effort should be made to reduce blood loss conserve blood and give drugs that can enhance hemoglobin formation. A new concept called Bloodless Medicine has now become a reality where treatment surgery and even emergency surgery can be done without using any blood.

Malaria

By Dr K K Aggarwal
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• Malaria is transmitted by the bite of a female anopheles mosquito.

• The mosquito bite occurs mainly between dusk and dawn.

• Malaria can also be transmitted through blood transfusion, or via sharing of contaminated needles.

• Bed nets are good against malaria as the major malarial vectors bite during the night.

• The behavior of the mosquitoes may differ. Some may prefer to rest indoors and feed indoors in the night. Some may prefer to rest and feed outdoors earlier in the day.

• Preventive therapy of malaria can be instituted during pregnancy in high risk areas.

• The malarial mosquito feeds every third day compared to the dengue mosquito, which feeds three times in a day.

• Unlike the malarial mosquito, the dengue mosquito bites during the day.

• Malarial fever presents with chills, especially during afternoon.

• Spraying of the indoor residential walls and ceiling is effective against mosquitos.

• DDT is widely used as indoor residential spraying.

• DDT should not be applied more than once or twice in a year on the walls.

• Mosquito contact with DDT surface would generally save from lethal exposure outside the house.

• Public must know that spray may require rearrangement of the furniture. Walls may become streaked with chemical treatment and residual odor from DDT.

• The other alternative is malathion spray.

Malaria

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Malaria

  • Malaria is transmitted by the bite of a female Anopheles mosquito.
  • The malaria mosquito bites mainly between dusk and dawn. While, the dengue mosquito bites during the day.
  • Malaria can also transmit by blood transfusion by sharing of contaminated needles.
  • Bed nets are good against malaria since major malarial vectors bite during the night.
  • Mosquito’s behavior may differ. Some may prefer to rest indoors and feed indoors in the night. Some may prefer to rest and feed outdoors earlier in the day.
  • Preventive therapy of malaria can be instituted in pregnancy in high risk areas.
  • The malarial mosquito feeds every third day compared to dengue mosquito, which feeds three times a day.
  • Malarial fever presents with chills, especially during afternoon.
  • Spraying of the indoor residential walls and ceiling is effective against mosquitoes.
  • DDT is widely used as indoor residential spraying.
  • DDT should not be applied more than once or twice early in the walls.
  • Mosquito contact with DDT surface would generally save from lethal exposure outside the house.
  • Public must know that spray may require furniture rearrangement. Walls may become streaked with chemical treatment and residual odor from DDT.
  • The other alternative is malathion spray.

Inaugurating a daylong conference, eMedinewS Revisiting 2012, organized by eMedinewS, Heart Care Foundation of India and World Fellowship of Religions, Dr. A.K. Agarwal, President, Delhi Medical Council, said that all doctors should document their medical records, carefully, punctually and timely. He said that doctors are for patient’s safety and medical records are for doctors’ safety. He said as far as possible, doctors and medical establishments should go for electronic records so that chances of mistakes are lower.

The conference was attended by over 1000 doctors from NCR. Briefing about the conference, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & Vice President Elect IMA, said that eminent faculty participated in the conference and listed the happenings in the year 2012.

The faculty included: Dr Brig A K Dhar, Dr. AS Bath, Dr Ambrish Mithal,Dr Anil Goel, Dr Ashish Jain, Dr Deepak Khurana, Dr Ganesh Mani, Dr IM Chugh, Dr. JPS Sawhney, Dr Kaberi Banerjee, Dr Kailash Singla, Dr Manju Gupta, Dr NK Bhatia, Dr Neeraj Jain,  Dr Praveen Chandra, Dr PC Joshi, Dr Praveen Bhatia, Dr Rajnish Malhotra,Dr SK Parashar, Dr Sanjay Chaudhary, Dr Sukhendy Roy, (Maj.Gen) Dr. SK Mittal, Dr Vivek Bhatia and Dr Yugal Mishra.

Following were the highlights:

1. It is now possible to give a blood transfusion to a person without getting in any blood transfusion reaction.

2. Nobody should suffer from pain and it is possible to get rid of painkillers in 2-3 months’ time.

3. It is now possible to do an aortic valve replacement without surgery using a catheter.

4. It is now possible to save 40 lives from a brain dead donor.

5. Intestinal transplant is now possible in the country.

6. If you have one ova and one sperm, fertility is now possible.

7. Midline incision in the chest is no more required for bypass surgery and for valvular surgery.

8. It is now possible to combine the bypass surgery with stent angioplasty in one sitting and give better results to the patients.

9. It is now possible to do cataract surgery practically without stitches and with near normal vision without spectacles.

10. It is now possible to do surgery in very high obesity using a robot both in adult and in children successfully.

11. With capsule endoscopy it is now possible to examine small intestine of a patient.

Doctor of the year awards were also distributed and the recipients included:

Dr. Ramesh Kumar Bapna, Dr. Harish Gupta, Dr. Narender Saini, Dr. (Maj. Gen.) AS Bath, Dr. JPS Sawhney, Dr. SM Chugh, Dr. Naveen Tuli, Dr KS Bhagotia, Dr Sukrit Sharma, Dr SK Mittal and Dr AK Bansal