Dr.Srinivasa Raju

Query- If following a RTA, patient has sustained a fracture but patient and relatives are not interested in informing police and are ready to give it in written,then, -is it still mandatory for the doctor to inform police -is that written statement by the patient party valid in the court if patient goes on to file a case against the third party after few days. Answer- if patient is conscious and does not want MLC in RTA case , you can treat as non-MLC case but get his statement recorded in your records to avoid future litigations. If patient in unconscious, even if relatives ask you to treat as non-MLC , do not listen to them and make case as MLC. Ask relatives to contact police who may drop proceedings if facts of the case warrant so. Medical Officer has no choice but to make it MLC. Written statement that he does not want MLC is valid in law only when he says so in court of law. He may deny it also. But doctor is safe if it is signed by patient himself.

   1.T o remove the IMA from the ambit of service tax rules,  IMA may  write a letter to the Ministry of Finance thereby requesting the Ministry to issue a circular for clarifying that the entities which are registered under Section 12AA of the Income Tax Act, 1961 and which are charitable are exempted from service tax on all modes of income. Plz note, that  IMA is registered under Section 12AA of Income Tax Act and is carrying charitable activities. As per Notification No. 25/2012 issued by Service Tax Department, service tax is not applicable on entities which are registered under Section 12AA of Income Tax Act.  2.  IMA ,may  file an impleadment application before the next date of hearing i.e.  07.04.2016 , regarding  NEET exam,  in the case of  "Medical Council of India versus Christian Medical College Vellore & Ors." which is pending before the Hon'ble Supreme Court of India  .

PM Modi Ji is very particular to  increase  the availability of doctors and para-medical staff especially in the poor performing states such as Bihar, Uttar Pradesh, Jharkhand, Chhattisgarh and Odisha  .  so,  The BJP government has begun work on a major overhaul of the Medical Council of India as it looks to create more medical colleges and produce more doctors to cater to growing healthcare needs. And the government has set up a three-member high-powered  panel to prepare a blueprint to revamp the current set up. This panel  pointed out that,  as the MCI is one of the major stumbling blocks towards a faster expansion, so, it has to be either revamped or replaced at the earliest possible time! Last month the parliamentary standing committee on health and family welfare  had called for a complete overhaul of the MCI as it has repeatedly failed in its mandate as a regulator of medical education and profession. it also recommended  that the  new legislation be brought in Parliamen

1. Federal health advisers overwhelmingly backed the safety and effectiveness of an experimental medical implant that dissolves into the body after doing its job. 2.  To control the high prices of medical devices such as stents and implants, Department of Pharmaceuticals has proposed to Health Ministry to bring them under the Drug Price Control Order. 3,  Berlin-based cardio and endovascular technology maker Biotronik has introduced in India its latest smartphone-sized home monitoring technology for patients with implanted cardiac devices such as pacemakers, implantable defibrillators (ICDs) and heart failure devices. 4.  Cost of cochlear implant operations may go down to Rs 1 lakh Cochlear implant can be a magic cure for children who are deaf and, as a consequence, speechless. This operation can only be done on children of up to six years. 5.  A new ultra-sensitive test designed to detect diseases including HIV and cancer may prove 10,000 times more effective than current dia

Regarding RNTCP project, Unless IMA could double the notifications of T.B. in allotted five states(    Maharashtra, Kerala, Rajasthan, Himachal Pradesh, Bihar   )  in the coming three months,the DGHS may not favor further MOU with IMA.    IMA has also been asked to submit a revised reduced budget proposal for 5 states  to CTD . Launch of the WHO Regional Strategic Plan 2016-2020. Ending TB in South-East Asia. Release of TB Publications and Tb India 2016 Annual Report. Bedaquiline – New Anti TB Drug for resistant TB launched. 500 CBNAAT Machines incorporated in RNTCP Programme:  CB-NAAT (Cartridge Based Nucleic Acid Amplification Test) machine for testing Multi Drug Resistant (MDR) tuberculosis. Earlier, samples of suspected cases were sent to HIGHER CENTERS  due to which the report used to take at least a month's time but now cases can be detected in two hours. Third line Anti Retroviral Therapy.

The committee thinks- 1. There is  shortage of doctors and health providers(Nurses,paramedics,lab&xray  technicians ) in the country. 2.  'persisting public health challenges of anemia, malnutrition, pneumonia, diarrohoea, communicable diseases besides the 'challenges of new lifestyle diseases'  . 3. As per MCI,    as on 30.09.2014 is 9.32 lakh modern doctors while there are 6.86 lac  Ayush practitioners.

Important Decisions:- 1.       To conduct a Pan India  NABH assessor programme for 40 IMA members in association with NABH in Delhi. 2.       IMA HBI  to actively work to become a member in advisory board of Government of India /IRDA  on insurance policy matters. 3.       Formation of IMA HBI insurance cell was ratified. 4.       Nomination of coordinators  to look after CGHS , CII and insurance sector were ratified. 5.       To conduct a  national level insurance sumit for stake holders at New Delhi . 6.       Ratified the airfare paid to IMA HBI officials and others on official purposes from inception of IMA HBI and to continue  provision of actual expenditure for travel and transport including airfare for officials or Chairman’s invitees hitherto aswell. 7.       Chairman IMA HBI to nominate goodwill ambassadors to different states for formation of HBI state chapters.

·           As per the proposed / draft “Clinical Establishments (Registration and Regulation) Rules, 2010,  “Copies of all records and statistics shall be kept with the clinical establishment concerned for at least 3 or 5 years or in accordance with any other relevant Act in force at the time”. ·           As per Regulation 1.3.1 of the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002, “Every physician shall maintain the medical records pertaining to his / her indoor patients for a period of 3 years from the date of commencement of the treatment in a standard proforma laid down by the Medical Council of India and attached as Appendix 3”. ·            As per Rule 6F (3) of the Income Tax Rules, 1962, doctors in private practice are required to  preserve the daily case register as per Form 3C for a period of six years from the end of the relevant assessment year. That would ordinarily mean for seven years from the close of the accountin

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taking forced free services from doctors / hospitals;  --Stopping multiple SMC registration; --Forcing DMC to allow legal defence to doctors  --Fighting quackery; --Fighting assault on doctors; --Fighting against every day gross violation of the SC judgment in Jacob Mathew case (that FIR cannot be filed without a medical expert report of gross negligence.) --Fighting the government policy of allowing vaids and hakims to practice allopathy. --Demanding very forcefully and relentlessly a rise in the budgetary allocation for health.

For a total of 2533 PG Medical seats (1,873 under the convener quota and 660 at the disposal of managements) in combined AP&Telengana states,about 13000 candidates competed in this exam.

the challenge: to control dengue virus. target: to explore the indigenous herbal bio- molecule  in plants with pan-DENV (dengue virus) inhibitory activity. plan executed by :  Department of Biotechnology (DBT), the International Centre for Genetic Engineering and Biotechnology and Ranbaxy Research Laboratory. type of technique: systematic bioassay-guided screening approach  "Result :  the alcoholic extract of Cissampelos pariera Linn (Cipa extract) was a potent inhibitor of all four DENVs in cell-based assays, assessed in terms of viral NS1 antigen secretion using ELISA, as well as viral replication, based on plaque assays. Virus yield reduction assays showed that Cipa extract could decrease viral titers by an order of magnitude. The extract conferred statistically significant protection against DENV infection. Experts are now gearing up for the next step, which is to hold clinical trials and toxicity studies before seeking permission from the ministry of Ayush and the