UnitedHealth’s Fall From Grace Sparks Scrutiny of Medicare Advantage Model

In early April, UnitedHealth Group was being hailed by market analysts as a “tariff safe haven,” largely due to a favorable policy shift. The Trump administration had announced increased payments to Medicare Advantage plans starting in 2026. With UnitedHealth standing as both the country’s largest insurer and the top provider of Medicare Advantage plans, many anticipated that the firm would enjoy significant profits as a result.

However, less than two months later, the company is in a downward spiral. Its rapid decline not only underscores broader issues plaguing the health care sector but also highlights the deep-rooted problems within the Medicare Advantage system itself. Designed with the belief that private insurers could outperform traditional Medicare in both efficiency and cost, Medicare Advantage has instead become a tool for corporate profit. Critics argue that the system leads to higher charges and more frequent care denials than traditional Medicare.

What’s unfolding at UnitedHealth Group now suggests something more serious than just operational missteps. The company may have inflated its earnings through fraudulent billing and mistreatment of patients. Currently, it is facing three separate federal investigations for potential civil and criminal fraud as well as antitrust violations.

A February report in The Wall Street Journal revealed that the Department of Justice is probing whether UnitedHealth forced clinicians to input questionable diagnoses that made Medicare Advantage patients appear sicker than they actually were. This technique, known as “upcoding,” can trigger additional federal reimbursements. UnitedHealth, however, told the Journal that it stands “by the integrity of our Medicare Advantage program.”

Further allegations surfaced in The Guardian, which reported that UnitedHealth had covertly paid nursing homes to delay or prevent transfers of Medicare Advantage patients to hospitals. This tactic saved the insurer money, but in some cases, severely impacted patients. “At least one lived with permanent brain damage following his delayed transfer,” the outlet wrote, citing a confidential log, recordings, and photo documentation.

The Guardian also cited five current and former UnitedHealth employees who alleged that the company “pressed nurse practitioners to persuade Medicare Advantage members to change their ‘code status’ to DNR” — do not resuscitate — a move that made them ineligible for “certain life-saving treatments that might lead to costly hospital stays.” UnitedHealth has denied these allegations.

Adding to its woes, a group of investors filed a lawsuit accusing UnitedHealth of misleading them about its financial health following the death of Brian Thompson, CEO of UnitedHealthcare, the company’s insurance division. UnitedHealth also denied the claims in the lawsuit.

In May, CEO Andrew Witty abruptly resigned, citing “personal reasons,” and the company retracted its earnings forecast for 2025. It attributed this to unexpectedly high costs within its Medicare Advantage segment during the first quarter of the year.

UnitedHealth’s structure is vertically integrated. It not only pays for medical care through UnitedHealthcare but also provides that care via its health services arm, Optum, which owns both physician groups and pharmacies. This integration gives UnitedHealth vast control over which claims get approved, which doctors patients can see, and which medications are prescribed.

Additionally, UnitedHealth reportedly pays its own physician practices and pharmacies much higher rates than it pays independent competitors. A recent Federal Trade Commission (FTC) report highlighted that markups could reach over 7,700%. This leaves independent doctors and pharmacists at a significant disadvantage, forcing many to sell to Optum. This consolidation further cements UnitedHealth’s dominant position in the market and pushes patients into health care deserts as independent services shutter.

Despite ethical concerns, the Medicare Advantage approach has been enormously profitable. Since 2003, UnitedHealth’s annual revenue has grown nearly 15-fold, reaching $372 billion last year. The company also surged 59 places on the Fortune rankings, now sitting in fourth place. Seeing this success, competitors like CVS Health’s Aetna, Elevance Health’s Anthem, and Humana have mimicked its vertically integrated model and Medicare Advantage billing tactics.

Earlier this month, the Department of Justice sued these three rivals. The allegation: they paid brokers hundreds of millions of dollars to steer elderly Americans toward their Medicare Advantage plans while actively avoiding potential enrollees with disabilities. Each of the companies has said it plans to contest the charges.

Many seniors are initially drawn to Medicare Advantage because of its lower out-of-pocket costs and extra benefits like dental and vision coverage. Yet, it’s often only when they need intensive care that the program’s pitfalls — especially the frequency of denied treatments — come to light.

For over 20 years, patients and taxpayers have borne the financial and health-related burdens of the Medicare Advantage system. Only recently have shareholders begun to feel its impact, as UnitedHealth’s dramatic downturn reveals that its size and business model might now be liabilities instead of strengths.

Even though the Trump administration is pushing for higher payments to Medicare Advantage plans next year, the sector is still grappling with the effects of a Biden-era rule aimed at curbing upcoding. At UnitedHealth, things worsened when Medicare Advantage costs unexpectedly ballooned. One reason cited is that patients sought significantly more care in the first quarter of the year — potentially due to a backlog of health needs following the COVID-19 pandemic. Regardless of the cause, UnitedHealth had to shell out more for care both as an insurer covering claims and as a provider handling the delivery of services. As The Wall Street Journal put it, the company was “absorbing the higher cost of delivering that care.”

This brings to light the fundamental flaw of Medicare Advantage. The model prioritizes shareholder gains, often necessitating the denial of care to maintain profits. Moreover, these profits are then funneled into acquiring other entities within the health care system — including the very clinics and pharmacies patients rely on. Employees within these acquisitions may then find themselves compelled to act in ways that serve corporate rather than patient interests.

The situation has alarmed lawmakers across party lines. Democratic Representative Lloyd Doggett of Texas and Republican Representative Greg Murphy of North Carolina have both called for a formal investigation into private Medicare Advantage plans. Representative Pat Ryan of New York wrote to Attorney General Pam Bondi urging her to hold UnitedHealth accountable. In a Senate Judiciary Committee hearing, several senators echoed these concerns and advocated for breaking up large insurance conglomerates like UnitedHealth.

Senator Cory Booker, a Democrat from New Jersey, criticized what he called “a level of corporate violence that is costing American lives, a level of colossal greed at the expense of patient wellbeing.” Republican Senator Josh Hawley of Missouri also weighed in, stating, “Why shouldn’t we be breaking you guys up? This looks like classic monopolist behavior. The patients are getting screwed. … You’re getting rich.”

While all this unfolds, traditional Medicare continues to perform efficiently. It costs Americans about 20% less than private alternatives and outperforms them in most care-related metrics. Ironically, this government-run system, often portrayed as inefficient, has proven to be a more responsible steward of taxpayer dollars than profit-driven executives and shareholders. Yet, traditional Medicare now covers only a minority of Medicare beneficiaries.

It’s time to confront reality. Medicare Advantage, like much of the private insurance system in the U.S., is fundamentally broken. Nothing short of a complete overhaul can restore the health care system to one that prioritizes patients over profits.

AAPI Gains Membership to the International Association of Medical Regulatory Authorities

“We are thrilled to share with you all today as the American Association of Physicians of Indian Origin (AAPI) has accomplished a major milestone in our mission to elevate the role and recognition of Indian medical professionals across the globe,” said, Dr. Satheesh Kathula, President of AAPI.  “The International Association of Medical Regulatory Authorities (IAMRA) has formally accepted AAPI’s application for Partner membership.”

With this acceptance, AAPI joins an influential global network that includes regional, national, and international medical boards of leading medical regulatory bodies, including organizations such as the AAMC, ECFMG, FSMB, and numerous U.S. state medical boards, as well as the national medical boards from India such as Gujarat, Karnataka, Delhi, and the National Board of Examinations in Medical Sciences (NBEMS).

Currently IAMRA has 116 member organizations from 44 countries, united by a shared vision: “Everyone around the world is treated and cared for by safe and competent doctors.”

IAMRA’s mission is to promote effective medical regulation worldwide by fostering best practices, encouraging innovation, enabling collaboration, and supporting knowledge-sharing to ensure public safety and enhance global healthcare quality.

“We extend our sincere thanks to Dr. Lokesh Edara, past Chairman of the AAPI Board of Trustees, for his initiative and leadership in this endeavor.”

According to Dr. Lokesh Edara, who has been leading the efforts for AAPI’s Global Medical Education Initiatives, AAPI has been collaborating with the Government of India on efforts with “the objective of making every MBBS graduate from India to be the best in the world through programs and activities on AAPI platform. We now look forward to working closely with IAMRA and its members to strengthen our shared mission and ensure that the voices of Indian-origin physicians are heard and respected worldwide.”

“This achievement reaffirms AAPI’s commitment to collaborating with international medical regulatory authorities; Bridging professional gaps between Indian and global healthcare systems; Building stronger platforms for Indian-origin physicians; and advocating for policy harmonization and mutual recognition of qualifications. Thank you for your continued support as we take this proud step forward,” said Dr. Kathula.

The AAPI Ad Hoc Committee on Medical Regulation has been established to provide expert insight and guidance on matters related to medical licensing and regulatory standards across the United States. Chaired by Dr. Srini Gangasani, Chairman of the Georgia Medical Board, the committee will serve as a resource for evaluating current regulatory frameworks and proposing recommendations to ensure consistency, transparency, and efficiency in the medical licensing process. This initiative reflects AAPI’s continued commitment to supporting high standards in medical practice and ensuring a fair and effective regulatory environment for healthcare professionals.

Serving 1 in every 7 patients in the US, AAPI members care for millions of patients every day, while several of them have risen to hold high-flying jobs, shaping the policies and programs, and inventions that shape the landscape of healthcare in the US and around the world.

Since its inception in 1982, AAPI has been at the forefront, representing a conglomeration of more than 125,000 practicing physicians in the United States, seeking to be the united voice for the physicians of Indian origin. For more information on AAPI and its programs and initiatives, please visit:  www.aapiusa.org

Meera Gandhi, founder of the Giving Back Foundation, celebrates International Yoga Day on June 21, 2025.TITLED “UPLIFTNY 2025”, Held in Central Park, NY

The Giving Back Foundation is a nonprofit organization promoting mental health, spiritual well-being, and community connection. Founded by Meera Gandhi, the foundation works globally to foster compassion, healing, and positive social change. New York (June 2025): The day will feature an uplifting combination of Yoga, Meditation, Live Music, and Spiritual Discussions, uniting New Yorkers from all backgrounds in a collective celebration of mental peace and well-being. A light lunch will be provided, free of cost, to all registered guests.

In Central Park, New York, join over 5,000 participants for UPLIFTNY25, an inspiring day of yoga, meditation, healing, and joyful music. This free event, presented by The Giving Back Foundation in collaboration with the Mayor’s Office of Sports, Wellness, and Recreation, promises to be a transformative experience dedicated to promoting mental wellness and community connection.

This year’s International Yoga Day, aligned with the Summer Solstice, is a powerful reminder of the need to nurture mental wellness and spiritual balance in an ever-changing world.

On the occasion of International Yoga Day 2025, Meera Gandhi, philanthropist and Founder of the Giving Back Foundation, will host UPLIFTNY25, a transformative, day-long celebration of wellness and community, on Saturday, June 21st, 2025, at Rumsey Playfield in Central Park from 10:30 AM to 5:30 PM.

Featured performers and guides include:

Bhushan Deodhar, Darryl Gaines, Daybreaker, Inga Benson, Madame Gandhi, Miriam Belov, and Tirlok Malik. With a diverse blend of talent and insight, UPLIFTNY25 promises to be an energizing and deeply meaningful experience, offering practical tools for healing and self-awareness.

The event theme is “How to Uplift Ourselves in a Challenging World?”
Participants will explore this question through collective practices and interactive sessions. The event is supported by wellness advocates, cultural voices, and New York-based community partners, building a bridge between ancient wisdom and modern life.

“We are honored to bring this incredible event to the heart of New York City,” says Meera Gandhi, Founder of The Giving Back Foundation. “UPLIFTNY25 is more than just an event, it’s a movement. We’re coming together to uplift each other’s mental health and spiritual well-being, celebrating the power of community and the beauty of connection.”

Event Details are Date: Saturday, June 21, 2025, Time: 10:00 AM – 5:00 PM (Check-in starts at 9:30 AM) Location: Rumsey Playfield, Central Park, NYC
Admission: FREE – Advance registration is required. Lunch: Light, vegetarian lunch served complimentary. Reserve your spot today at: www.upliftny25.info

Patients Raise Alarms Over Ozempic’s Potential Link to Irreversible Vision Loss

Weight loss medications like Ozempic have surged in popularity in recent years, prescribed for managing both diabetes and weight loss. However, a rising number of patients now claim the drug may come with an alarming and potentially permanent side effect—vision loss that cannot be reversed.

One such patient is Edward Fanelli, a former contractor from Freehold, New Jersey. Fanelli was prescribed Ozempic to help manage his diabetes. But within months of starting the medication, he says his vision began to deteriorate rapidly, ultimately ending his ability to work in his chosen field. “Not even six to eight months later, I, out of nowhere, I could not see out of my right eye,” Fanelli recalls. “I couldn’t take a chance do the contracting work, worried about cutting my fingers off.”

Fanelli was later diagnosed with a condition called non-arteritic anterior ischemic optic neuropathy (NAION), which strikes suddenly and has no available cure. He is now the first patient in New Jersey to initiate legal proceedings in state court against the makers of Ozempic, alleging that he was never informed of the potential risk of permanent vision loss associated with the drug. “If they would have told me a chance I could lose my vision, I would not have taken it. Don’t care – weight loss would have done on my own,” he states.

Fanelli is far from alone in raising these concerns. Attorney Jason Goldstein, based in Long Island and affiliated with the firm Parker Waichman LLP, represents more than a dozen clients, including Fanelli, who are filing lawsuits related to semaglutide. Semaglutide is the primary active compound found in Ozempic and other similar medications, and recent medical literature has drawn connections between this compound and the onset of NAION.

Goldstein contends that drug manufacturers failed in their responsibility to adequately warn consumers about the risks. “That’s the crux of this case, people are not warned about this. What did the doctor know? What did the patient know? No one knew,” he explains.

He intends to push not only for financial compensation for the affected patients but also for updated warning labels on drugs that contain semaglutide. Goldstein emphasizes that his aim is to ensure future patients do not unknowingly suffer consequences from drugs that were meant to improve their health.

In response to the growing concerns and lawsuits, Novo Nordisk, the pharmaceutical company behind Ozempic, issued a formal statement addressing the allegations and defending the safety profile of their product. “NAION is a very rare eye disease, and it is not an adverse drug reaction for the marketed formulations of semaglutide (Ozempic®, Rybelsus® and Wegovy®) as per the approved labels,” a spokesperson from Novo Nordisk said.

The company insists that after thoroughly examining both external studies, such as those from the University of Southern Denmark, and its own internal safety reviews, there remains no indication that semaglutide is responsible for causing NAION. “Novo Nordisk is of the opinion that the benefit-risk profile of semaglutide remains unchanged,” the spokesperson said.

Furthermore, Novo Nordisk reported that it has conducted its own analysis across several randomized controlled clinical trials involving GLP-1 receptor agonists—a class of drugs that includes semaglutide. These analyses incorporated evaluations by independent, blinded ophthalmologists who confirmed NAION diagnoses. The company asserts that the findings did not suggest a causal link between the use of GLP-1 receptor agonists and the development of NAION.

Despite the growing number of legal claims, Novo Nordisk has reiterated its commitment to patient safety. “Patient safety is a top priority for Novo Nordisk, and we take all reports about adverse events from use of our medicines very seriously. This also relates to eye conditions, which are well-known comorbidities for people living with diabetes,” the spokesperson said.

The company also emphasized that treatment decisions involving prescription-only drugs should always be made in partnership with a medical professional. “Any decision to start treatment with prescription-only medicines should be made in consultation with a healthcare professional who should do a benefit-risk evaluation for the patient in question, weighing up the benefits of treatment with the potential risks,” the company stated.

The legal complaints surrounding Ozempic and its active ingredient are surfacing at a time when the drug is being prescribed more widely than ever. Initially developed and approved to help manage blood sugar levels in people with type 2 diabetes, semaglutide’s effectiveness in promoting weight loss has made it one of the most sought-after medications on the market. Ozempic, along with other semaglutide-based medications like Wegovy and Rybelsus, has been credited with helping many patients achieve significant weight loss and better overall health.

However, the emerging concerns around irreversible vision damage threaten to cast a shadow over the drug’s widespread success. Attorneys like Goldstein argue that transparency and proper warnings are critical, especially when the potential consequences are as severe as losing one’s sight.

As the legal process unfolds, cases like Fanelli’s are likely to receive increased attention from both the medical and legal communities. His experience underscores the need for rigorous safety communication between pharmaceutical companies, healthcare providers, and patients. Whether or not the courts determine that the drug is directly responsible for NAION, the growing scrutiny may eventually lead to revised labeling and greater awareness of rare but serious risks.

While Novo Nordisk maintains that no definitive causal relationship has been found between semaglutide and NAION, the issue highlights the complex balance of risk and benefit in modern medicine. For patients like Fanelli, the potential benefits were outweighed by a life-altering outcome they say they never saw coming.

Struggling to Focus? Here’s How You Can Rebuild Your Attention Span

If you find it difficult to concentrate, feel like finishing a book is nearly impossible, or notice that you constantly scroll through social media just to keep yourself engaged, you are definitely not alone.

Decades of research have shown that people’s ability to concentrate has diminished over time. One long-term study revealed that the average attention span for focusing on a single screen has dropped to 47 seconds, a steep decline from 2.5 minutes back in 2004. The constant stream of news, global uncertainty, and prolonged screen exposure are all contributing factors, according to experts.

“When my patients talk to me about this stuff there is often a feeling of helplessness or powerlessness,” said Dr. Michael Ziffra, a psychiatrist at Northwestern Medicine. “But you can change these behaviors. You can improve your attention span.”

To begin improving your focus, you can try a simple challenge: set a timer for 2.5 minutes and attempt to read this entire article without looking at another device or switching tabs. It might be tougher than it sounds, but it’s a good way to start the process.

Why Are We Losing Focus So Easily?

The tendency to shift attention quickly is not a defect but a built-in survival mechanism. Our brains are wired to process and prioritize new information, especially if it signals a possible threat or significant change in our surroundings.

While early humans were conditioned to be alert for rustling bushes that might indicate danger from predators, today our brains react similarly to the nonstop barrage of alerts and notifications. The COVID-19 pandemic also played a major role in disrupting people’s perception of time and drastically increased their screen usage, said Stacey Nye, a clinical psychologist at the University of Wisconsin-Milwaukee.

Although technology is not the only factor affecting our attention spans, the constant exposure to rapid-fire stimuli like 30-second videos and notification pings has a cumulative impact on the brain’s natural rhythm.

“Our attention span has really been trained to only focus in those little, small blips and it interrupts our natural focus cycles,” Nye explained.

Take ‘Active Breaks’ to Rebuild Focus

One effective method to retrain your attention is to engage in “active” breaks. These breaks can be as short as 30 minutes and involve anything from taking a walk and observing your surroundings to simply eating lunch in a different room.

To make it more interesting, get creative with your breaks. You could come up with a list of alternative activities or write down ideas and draw them at random from a container. Options include doing a craft project, meditating for a few minutes, preparing a quick snack, or going for a walk outdoors. Including a friend in these activities can add an extra level of engagement.

The key is to make sure the break involves some level of physical or mental activity. Passive scrolling through your phone doesn’t count as a real break. When the brain becomes understimulated, it seeks novelty and tends to lock on to the most accessible source of change — and that’s usually your phone. As Cindy Lustig, a cognitive neuroscientist at the University of Michigan, put it, the smartphone is an “ever-producing change machine” that’s incredibly tempting when your mind is looking for stimulation.

To avoid unnecessary distractions, turn off unimportant notifications and take full advantage of the “do not disturb” feature, especially during nighttime. Lustig even suggests placing your phone in an entirely different room when you’re trying to concentrate.

Avoid Multitasking and Focus on One Thing at a Time

Although multitasking may give the illusion of productivity, experts strongly advise against it if your goal is to strengthen your focus.

“Be a single tasker,” Nye said. “Work on one thing at a time, for a specified period of time and begin to work your way up.”

Lustig supports the use of the “Pomodoro technique,” which involves setting a timer for 25 or 30 minutes to work on a single task, followed by a five-minute break. She encourages herself by thinking, “I can do anything for this amount of time,” reminding herself that whatever is happening outside her focus will still be there when she’s done.

Choose Enjoyable Goals to Build Attention

Having a hobby isn’t just about passing time—it should ideally involve a clear goal and some form of deliberate practice. According to Lustig, this kind of structured engagement, whether it’s learning to play the guitar or getting better at a sport, is much more effective at developing focus than aimless activity.

Importantly, you should pick something you genuinely enjoy.

“You don’t want to start with the heavy nonfiction or like ‘War and Peace,’” Lustig said. “If you need to start with the romance novel, then start with the romance novel. You can work your way up.”

Being self-compassionate is also crucial. Everyone has days when concentration comes more easily and others when it’s more difficult. Your attention needs might also vary depending on the type of task you’re working on.

Experts stress that the most important part of this journey is being intentional. As Ziffra noted, “It is in many ways similar to a muscle in the sense that we can build it up with practice and exercises. Conversely, it can weaken if we’re not exercising it.”

So, if you’re worried that you’ve lost your ability to concentrate or read deeply, don’t panic. The brain is adaptable, and focus can be restored — but it takes mindful effort, the right techniques, and consistent practice.

US Sees Major Drop in Drug Overdose Deaths in 2024, CDC Reports

In a remarkable shift from previous years, the United States experienced a sharp decline in drug overdose deaths in 2024, with figures dropping by 27 percent compared to 2023, according to provisional data released Wednesday by the Centers for Disease Control and Prevention (CDC). This change marks the first significant decrease in a crisis that has long gripped the nation, especially among adults under the age of 45, where overdose has remained the leading cause of death.

The CDC estimates there were 80,391 drug overdose deaths in 2024, representing a 26.9 percent drop from the 110,037 deaths recorded in 2023. This steep decline is especially notable given the recent trend of stagnation, where overdose death rates had hovered at high levels for several years. In its announcement, the CDC emphasized the positive implications of this development, stating, “a strong sign that public health interventions are making a difference and having a meaningful impact.”

Prior to this downward turn, overdose deaths had shown little to no decline, remaining alarmingly consistent. The estimated death toll was 110,037 in 2023, 112,582 in 2022, and 110,697 in 2021. These numbers reflected a broader crisis that intensified during the COVID-19 pandemic. Earlier, the overdose toll had been rising steadily with an estimated 95,072 deaths in 2020, 73,177 in 2019, and 69,747 in 2018.

The new 2024 data reveal that nearly every state in the country reported a reduction in estimated overdose deaths. Only two states broke this pattern with slight increases. South Dakota experienced a small rise of 2.3 percent in overdose deaths, increasing from an estimated 86 in 2023 to 88 in 2024. Nevada also recorded a minor uptick, with a 3.5 percent increase from 1,442 deaths in 2023 to 1,492 in 2024.

In contrast, several states posted particularly large improvements, with estimated overdose deaths dropping by more than a third. States leading this dramatic reduction include Louisiana, Virginia, West Virginia, Michigan, New Hampshire, Ohio, Wisconsin, and Washington, D.C. Each of these saw decreases of 35 percent or greater.

The decrease in drug-related fatalities is not limited to specific substances but spans across multiple drug categories. Overdose deaths related to opioids, which have long been the primary drivers of the crisis, dropped significantly. In 2023, there were an estimated 83,140 opioid-related deaths. That number fell to 54,743 in 2024, indicating major progress in combating opioid misuse.

Among opioids, synthetic opioids like fentanyl have been the most lethal contributors in recent years. The data shows that estimated overdose deaths involving synthetic opioids decreased sharply from 76,282 in 2023 to 48,422 in 2024. This represents a substantial reduction in deaths caused by some of the most dangerous and potent substances currently circulating in the illegal drug market.

Methamphetamine, a powerful psychostimulant, has also played a major role in the overdose crisis, often in combination with opioids. The new CDC data indicates that overdose deaths involving psychostimulants, including methamphetamine, fell from an estimated 37,096 in 2023 to 29,456 in 2024. This downward trend highlights broad progress across drug types, not just a shift in use from one substance to another.

Cocaine-related overdose deaths, which have also contributed significantly to overall fatalities, dropped as well. In 2023, the CDC estimated 30,833 overdose deaths involving cocaine. By 2024, that figure had declined to 22,174. The consistency in reductions across these categories reinforces the idea that this trend is not an anomaly but may reflect meaningful, systemic change.

While the CDC has not attributed the decline to any single factor, public health officials believe that ongoing efforts to expand access to treatment, increase distribution of naloxone (a medication used to reverse overdoses), and raise public awareness about the dangers of fentanyl are playing critical roles. The significant drop may also reflect improved coordination across local, state, and federal agencies as well as community-based interventions.

Despite the promising data, officials caution that the crisis is far from over. Over 80,000 overdose deaths in a single year remains an immense public health burden. Experts emphasize the need to continue aggressive efforts to prevent substance use, treat addiction, and address the underlying social and economic factors that contribute to drug misuse. Continued vigilance is necessary to ensure that the trend does not reverse.

Still, the 2024 data represent a hopeful milestone in a fight that for years has brought devastation to families and communities across the country. As the CDC noted, “a strong sign that public health interventions are making a difference and having a meaningful impact.” The agency’s tone suggests optimism tempered by the knowledge that progress must be sustained and expanded upon in order to build on these gains.

With nearly every state seeing improvements, and significant reductions observed in the most dangerous drug categories, the nation appears to be making real progress against a long-standing epidemic. The key now is to maintain momentum, invest in evidence-based policies, and ensure that those struggling with substance use disorders have access to the help they need.

At a time when the nation has long sought a turning point in its battle against drug overdoses, 2024 may be remembered as a year when the tide began to turn.

AAPI Legislative Day Highlights Healthcare, Insurance, Immigration Issues on Capitol Hill “Action Needed to Improve Patients Access and Outcomes”

(Washington, DC: May 11, 2025) The American Association of Physicians of Indian Origin (AAPI) presented to the United States lawmakers some of the major concerns of the Indian-American community, particularly those affecting the physicians fraternity during the annual Legislative Day on Capitol Hill, Washington, D.C., on May 7-8, 2025.

Dr. Satheesh Kathula, President of AAPI said, “Healthcare continues to be the center of the nation’s focus, especially with changes in policies on Immigration, Medicare/Medicaid, and Medical Education. AAPI’s annual Legislative Day has become a vital part of AAPI’s growing influence and has its united voice heard in the corridors of power.”

“AAPI has been seeking to collectively shape the best health care for the people of US, with the physician at the helm, caring for the medically underserved as we have done for several decades when physicians of Indian origin came to the US in larger numbers,” said Dr. Deepak Kumar, Chair of AAPI Legislative Affairs Committee.

Lobby Day 1Dr. Kathula along with other AAPI leaders presented before the lawmakers, key issues that affect the delivery of healthcare in the issues in the US.  “Fixing Medicare reimbursement cuts, reforming prior authorization processes, addressing scope of practice concerns, fast-tracking green cards for H-1B visa holders, securing equitable Telemedicine payments, and proposing amendments to the Stark Law” were some of the issues AAPI highlighted in their meetings with the lawmakers.

Attended by several Congressmen and Senators from both the major political parties, the event held at the Rayburn House Office Building on Capitol Hill, Washington, DC had dozens of AAPI members from across the nation, who during the interactive sessions with the lawmakers shared their concerns with the current healthcare delivery system and for the need to bring about the much-needed changes.

In a show of support for AAPI, Indian American House members, Reps. Ami Bera, D-California, Raja Krishnamoorthi, D-Illinois, Rep. Suhas Subramanyam, D-Virginia, and Sri Thanedar, D-Michigan were among those who addressed the AAPI delegates and listened to their concerns and promised support.

Some of the other lawmakers who addressed Legislative Day included: Rep. Rich McCormick from GA; Rep. Frank Mrvan from Indiana, and Rep. Dave Taylor from OH. AAPI delegates met with Sen. John Boozman from AR, Sen. Bernie Moreno (OH), and Sen. Jon Ossoff from GA. All of them expressed their appreciation for AAPI for their advocacy and contributions to the US healthcare and promised to take on the issues affecting the healthcare system and work toward creating an efficient system that serves the needs of the patients and physicians.

AAPI addressed critical issues for physicians before lawmakers.  The legislators responded positively, and we areLobby Day 3 encouraged by the momentum. AAPI’s advocacy on these critical topics will remain ongoing,” Dr. Vidya Kora, Co-Chair of AAPI Legislative Affairs Committee.

AAPI’s lobbying efforts on some of the issues affecting the broader Indian American community, particularly in the context of the Indo-Pak tensions, sought the support from the lawmakers to stand with India as it works with the larger world community to root out terrorism from the face of the earth.

“AAPI is once again in the forefront in bringing many burning health care issues facing the community at large and bringing this to the Capitol and to the US Congress,” said Dr. Sudhir Parikh, Co-Chair of AAPI Legislative Affairs Committee. Dr. Parikh expressed appreciation to all “AAPI colleagues who attended this event and ensured that our concerns and needs are heard by our lawmakers and ensure that they act on them.”

“AAPI Legislative Day has been a flagship annual event that rekindles and renews our energy in bringing up the issues that we need to bring to the attention of national policy makers and leaders of the US Congress on Capitol Hill,” said Dr. Amit Chakrabarty, president-elect of AAPI. “AAPI continues to discover her potential to be a player in shaping the healthcare of each patient with a focus on health maintenance rather than disease intervention.”

“It is a tradition for nearly four decades, which has brought many important transformations in National Healthcare policies that have helped Physicians of Indian Origin. Now, it is the need of the day to renew our friendship with new leadership and brief the Congressional leadership on issues that are important to us,” Dr. Hetal Gor, AAPI BOT Chair-Elect, said.

Dr. Meher Medavaram, Vice President of AAPI said pointed out: “The US is currently experiencing a physician shortage, which will be exacerbated by retiring baby boomers, affecting thousands of patients’ access to a physician, and ultimately the health care they need. In advocating for critical reforms in healthcare, AAPI’s role has come to be recognized as vital among members and among lawmakers. ”

AAPI members told the lawmakers how important it was to increase the number of residency positions to address the upcoming physician shortage. This includes providing opportunities for all qualified doctors of Indian origin to secure residency slots and the opportunity to become fully trained to practice medicine.

Dr. Soumya Neravetla, Treasurer-Elect of AAPI said, “Through Legislative Day, we are building a strong foundation for future advocacy and legislative successes at both the federal and state level. The presence of several lawmakers from both parties is a testament to the strength of AAPI’s reputation as strong leaders, with our physicians proudly serving as health care providers in all 50 states.”

The AAPI delegation also met with His Excellency Vinay Kwatra, the Indian Ambassador to the U.S., to brief him on AAPI’s initiatives in India and explore avenues for future collaboration with the Indian government. They took this opportunity to strongly condemn the recent terrorist attacks in Pahalgam, extending our deepest condolences to the families of the victims and reaffirming our full support to the Indian government in its efforts to bring the perpetrators to justice.

The growing influence of doctors of Indian heritage is evident, as increasingly physicians of Indian origin hold critical positions in healthcare, academic, research, and administrative positions across the nation. With their hard work, dedication, compassion, and skills, they have thus carved an enviable niche in the American medical community.

“To be a player in crafting the delivery of health care most efficiently and to strive for equality in health globally, the annual Legislative Day was a perfect way to impact Healthcare policy and programs most effectively. Come and join us on Capitol Hill,” Dr. Kathula said.

Dr. Klathula expressed his heartfelt thanks go to the Legislative Committee, Executive Committee, Board of Trustees, and all AAPI members and leaders who traveled from across the country to participate and contribute to the success of this important event.

“Your dedication and commitment continue to strengthen our voice on Capitol Hill,” Dr. Kathula said. “We had a very fruitful discussion, and we are very hopeful that Congress will act on the issues raised in our white paper,” Dr. Kathula, summarized the daylong event and the impact it has for the future of the growing Indian American community, healthcare providers and the healthcare delivery. For more information on AAPI and its programs and initiatives, please visit:  www.aapiusa.org

Indian-Origin Scientist Develops Probiotic Cocktail That May Prevent Dementia

An Indian-origin researcher based in the United States has developed a potentially groundbreaking probiotic cocktail aimed at preventing dementia, a condition that currently affects over 57 million individuals across the globe. Characterized by declining memory, impaired cognition, and a reduced capacity to carry out daily activities, dementia is a progressive disorder that severely impacts quality of life.

Dr. Hariom Yadav, who serves as a researcher at the University of South Florida, has designed a distinct combination of probiotics that influences the gut microbiome—a dense and intricate community of trillions of microorganisms residing in the human digestive system. This ecosystem is known to play a crucial role in maintaining overall health, but disruptions in its balance—often caused by harmful bacteria or viruses—can lead to widespread inflammation. Such inflammation is increasingly believed to be linked to the development of dementia and Alzheimer’s disease.

In a study published in the scientific journal Scientific Reports, Dr. Yadav presents evidence that this particular probiotic mix could emerge as an innovative treatment strategy aimed at lowering the risk of Alzheimer’s and related neurodegenerative diseases.

As part of the research, laboratory mice were administered the probiotic cocktail through their drinking water over a span of 16 weeks. Following this treatment period, the mice underwent evaluation through the widely accepted “water maze” test, which is used to measure spatial learning and memory capabilities. Notably, the mice that had consumed the probiotic formula consistently managed to find the concealed platform in the maze more rapidly than their untreated counterparts. This improvement suggested a significant enhancement in cognitive performance due to the probiotic intervention.

Beyond these behavioral improvements, the probiotic mixture also showed promising biological effects. It significantly decreased the build-up of toxic proteins in the brain that are commonly associated with the development of Alzheimer’s. These proteins form sticky plaques that disrupt normal brain function. Moreover, the treatment appeared to mitigate inflammation and helped protect the blood-brain barrier, a critical structure that prevents harmful substances and microbes from infiltrating the brain.

“These probiotics were more effective as a consortium than individually,” said Dr. Yadav. “Most people focus on single-strain probiotics, but we found that combining them into a multi-strain mix enhances their ability to shift the microbiome from harmful to beneficial.”

The strength of the cocktail lies in its ability to suppress inflammation-causing bacteria within the gut. This in turn reduces systemic inflammation, a factor that has been increasingly implicated in the deterioration of brain health. Dr. Yadav emphasized that the synergistic effect of the multi-strain combination yielded results that were superior to the effects of any single probiotic strain.

In essence, the probiotic formulation works by altering the composition of the gut microbiota, leading to a healthier and more balanced microbial environment. This shift subsequently diminishes inflammatory responses, which can otherwise spread beyond the digestive tract and influence the brain. Given the growing understanding of the gut-brain connection, this mechanism opens up a promising avenue for preventing or delaying cognitive decline.

Currently, Dr. Yadav and his team are exploring the possibility of bringing this probiotic product to the commercial market. Discussions are underway with potential collaborators and commercial entities to further develop and distribute the formulation. The team is hopeful that these partnerships will enable the next stages of clinical development and ultimately make the treatment available to the public.

If these efforts prove successful, the probiotic mixture could represent a transformative tool in the ongoing battle against dementia. With no definitive cure currently available for Alzheimer’s or many other neurodegenerative disorders, a preventative solution that is simple to administer and rooted in nutritional science could bring new hope to millions of individuals at risk.

Importantly, this research aligns with a growing body of scientific evidence suggesting that the gut microbiome plays a central role in brain health. Studies over recent years have increasingly highlighted the two-way communication pathway between the gut and the brain, often referred to as the “gut-brain axis.” Disruptions in this axis have been linked to a wide range of mental and neurological conditions, including depression, anxiety, and now, dementia.

Dr. Yadav’s findings thus not only present a specific product with promising results but also reinforce the importance of maintaining a healthy gut microbiome as part of broader neurological well-being. The idea that something as accessible as a probiotic could significantly alter disease risk marks a major shift in how scientists and doctors might approach the prevention of cognitive decline in the future.

“Most people focus on single-strain probiotics,” Dr. Yadav reiterated, “but we found that combining them into a multi-strain mix enhances their ability to shift the microbiome from harmful to beneficial.”

This approach to treatment underscores a larger trend within medicine that is increasingly moving toward holistic and preventative strategies, especially for conditions where curative therapies remain elusive. While more research, particularly in human trials, will be necessary to validate these findings, the initial animal studies have sparked significant interest.

As Dr. Yadav and his team continue to refine the formulation and seek broader applications, the probiotic cocktail stands out as a compelling example of how targeting the gut could ultimately protect the brain. For those concerned about the onset of dementia, the development of such a tool provides cautious optimism, offering a glimpse into a future where neurodegenerative diseases may be addressed not just with pharmaceuticals, but with carefully designed nutritional interventions as well.

In summary, the probiotic cocktail developed by Dr. Hariom Yadav at the University of South Florida demonstrates considerable promise in preventing dementia. By leveraging the power of the gut microbiome and reducing systemic inflammation, the formulation improves cognitive function, lowers the build-up of harmful brain proteins, and strengthens the brain’s natural defense mechanisms. As further studies and partnerships take shape, this innovation could one day serve as a practical and powerful solution in the fight against Alzheimer’s and related conditions, potentially changing the lives of millions around the world.

AAPI Legislative Day Planned For May 8th on Capitol Hill

(Washington, DC: April 16, 2025) Healthcare continues to be the center of the nation’s focus, especially with changes in policies on immigration, Medicare/Medicaid, and Medical Education. AAPI’s annual Legislative Day comes to be a vital part of AAPI’s growing influence and having its united voice heard in the corridors of power. “We are excited to announce that our next Legislative Day is on Thursday, May 8th, in Washington, DC,” said Dr. Satheesh Kathula, President of AAPI. “We expect to have the participation from dozens of key Congressmen and Senators. The annual Legislative Day will be a unique opportunity for AAPI to be part of the decision making process on matters related to healthcare.”

The day-long event will begin at 10:00 am and will conclude in the afternoon at 3 pm, giving participants the opportunity to meet with their own Congressman/Senators on their own time.

AAPI represents the interests of over 100,000 physicians and 40,000 medical students and residents of Indian heritage in the United States. Dr. Sunil Kaza, Chair of AAPI BOT said, “The mission AAPI, the largest ethnic organization of physicians, is to provide a forum to facilitate and enable Indian American physicians to excel at inpatient care, teaching and research, and to pursue their aspirations in professional and community affairs.  The Executive Committee is working hard, enabling AAPI’s voice to be heard in the corridors of power, and thus taking AAPI to new heights.”

During the annual Legislative Conference, among others, AAPI will discuss Medicare and Medicaid Reimbursements, Prior Authorization, Immigration Reform, Increased Residency Slots, Addressing Physician Shortage, and Scope of Medical Practice Issues.

AAPI DC Day “AAPI Legislative Day is a flagship annual event that is eagerly awaited to rekindle and renew our energy in bringing up the issues that we need to bring to the attention of national policy makers and leaders of the US Congress on Capitol Hill,” said Dr. Amit Chakrabarty, president-elect of AAPI. “It is a tradition of nearly three decades, which has brought many important transformations in National Healthcare policies that have helped Physicians of Indian Origin. Now, it is the need of the day to renew our friendship with new leadership under President Donald Trump and Vice President J D Vance and brief the Congressional leadership on issues that are important to us.”

“AAPI is once again in the forefront in bringing many burning health care issues facing the community at large and bringing this to the Capitol and to the US Congress,” says Dr. Sudhir Parikh, Co-Chair of AAPI Legislative Affairs Committee. Dr. Parikh urged “AAPI colleagues and everyone interested in or connected with providing health care to attend this event and ensure that our concerns and needs are heard by our lawmakers and ensure that they act on them.”

AAPI has been seeking to collectively shape the best health care for the people of the US, with the physicians at the helm, caring for the medically underserved as it has done for several decades, when physicians of Indian origin came to the US in larger numbers.

US is currently experiencing a physician shortage, which will be exacerbated by retiring baby boomers, affecting thousands of patients’ access to a physician, and ultimately the health care they need, AAPI has strongly supported the much needed Immigration Reform, particularly with the focus on H-1 and J-1 visas are used by many South Asian American physicians, playing an important role in providing critical health care across the country.

“The conference will focus on Immigration Reform and ways for AAPI members to be part of the process in the implementation of the health care reform in this country,” Dr. Meher Medavaram, Vice President of AAPI said. “While medical school enrollment has climbed 2% annually over the past five years through new schools and expansion of existing schools, the number of residency slots funded by Medicare has been capped at about 100,000 since 1997,” he added.

“AAPI continues to discover her potential to be a player in shaping the healthcare of each patient with a focus on health maintenance than disease intervention. To be a player in crafting the delivery of health care most efficiently and to strive for equality in health globally, the annual Legislative Day is a perfect way to impact Healthcare policy and programs most effectively. Come and join us on Capitol Hill on May 8th,” Dr. Kathula said.

For more information on AAPI and its several noble initiatives benefitting AAPI members and the larger society, please visit: www.aapiusa.org

Boston’s Vision-Aid partners with the L.V.Prasad Eye Institute

BOSTON (April 15, 2025) — Vision-Aid, a Lexington, MA-based non-profit dedicated to empowering the visually impaired, announced it has partnered with the L.V.Prasad Eye Institute to launch of the Vision-Aid Cortical Visual Impairment (CVI) Resource Centre in Bhubaneswar, India. This pioneering initiative marks a major step forward in providing life-changing support to children affected by brain-based visual impairments in Odisha.

“This new center is more than just a facility—it’s a beacon of hope for visually impaired children and their families in Eastern India,” said Lalit Sudan, Volunteer President of Vision-Aid. “With this launch, we continue our mission to bring critical vision care and rehabilitation services to those in need. We are excited to expand our reach even further in the near future.”

The center, inaugurated by Boston poet and philanthropist Manorama Choudhury, has been named the Manorama Choudhury Nayan Jyoti Vision-Aid CVI Resource Centre and is housed at the renowned L V Prasad Eye Institute (LVPEI) in Bhubaneswar. This collaboration between Vision-Aid and LVPEI will deliver specialized early intervention programs, rehabilitation, and family support, ensuring that children with CVI receive the care they deserve, particularly in underserved rural areas.

In 2025, Vision-Aid programs are serving over 25,000 visually impaired in 50 locations across India, including 20 leading eye hospitals. Other than this new initiative at LVPEI Bhubaneshwar, another recent addition to the Vision-Aid map two months ago, was a center at  Sadguru Netra Chikitsalaya, a mega eye Hospital in Madhya Pradesh serving over 1 million patients annually. Other partners include the Aravind Eye Hospital and Sankara Nethralaya in Tamil Nadu, Narayana Nethralaya in Karnataka, Dr. Shroffs Charity Eye Hospital in Delhi and UP, CECF in Pune and several others.

A Vision for Change: Bridging the Gap for Children with CVI

The launch of this resource center represents a groundbreaking step toward health equity. By focusing on early diagnosis, tailored therapies, and family education, Vision-Aid and LVPEI aim to transform lives—helping children with CVI lead independent, dignified lives despite their visual challenges.

The heartfelt ceremony began with an address by Dr. Srikant Kumar Sahu, Director of the LVPEI Bhubaneswar campus, who highlighted the eye institute’s comprehensive vision care programs. Dr. Debasmita Majhi and Dr. Beula Christie outlined the center’s innovative rehabilitation strategies, emphasizing the critical role of structured early intervention.

A deeply moving moment came when a parent shared their emotional journey, shedding light on the struggles of raising a child with CVI and the immense relief that this resource center will bring. Their story underscored the life-changing impact of Vision-Aid’s efforts.

Visionaries Behind the Mission

The event featured inspiring remarks from Vision-Aid Founders Revathy Ramakrishna and Ramakrishna Raju, who reaffirmed their long-standing commitment to breaking down barriers for children with visual impairments.

In her address, Mrs. Choudhury spoke passionately about her motivation to support this initiative, stating: “Visual impairment affects not just individuals but entire families. By providing early intervention, assistive devices, and specialized training, Vision-Aid is empowering children to see beyond their limitations and embrace a future filled with possibilities.”

She also extended heartfelt gratitude to Vision-Aid’s leadership, LVPEI’s dedicated team of doctors and specialists, and key supporters like Bhaskar Panigrahi, whose efforts were instrumental in making this vision a reality.

A Celebration of Resilience & Possibility

unnamed (6)The ceremony concluded with a symbolic lamp-lighting, signifying hope and new beginnings for children with CVI. Attendees were deeply moved by a special cultural performance by children with disabilities, demonstrating their incredible resilience and talent.

Among the event’s esteemed guests was Sanyasi Behera, Odisha’s first visually impaired civil service officer, who underscored how this new center will pave the way for an inclusive future for the visually impaired community.

A tour of the state-of-the-art facility followed, offering guests an up-close look at the advanced technologies and therapies that will be utilized to support children with CVI.

Expanding the Reach: What’s Next for Vision-Aid?

As Vision-Aid continues its journey, this latest milestone reinforces its unwavering mission: ensuring that every visually impaired child, regardless of socioeconomic status, has access to the tools they need to thrive.

“This is just the beginning,” Sudan added. “With the support of our dedicated partners and community, we look forward to opening more centers and making an even bigger impact in the lives of children with CVI.”

About Vision-Aid

Vision-Aid is a non-profit organization dedicated to Enabling, Educating, and Empowering the visually impaired. By partnering with leading eye hospitals, vision professionals, technology innovators, governments, and NGOs, Vision-Aid ensures that individuals with low vision or blindness—especially in underprivileged communities in India—can lead productive, independent, and dignified lives.

To learn more about Vision-Aid’s programs, visit www.VisionAid.org and www.VisionAidIndia.org.

America Dominates List of World’s Best Hospitals in 2025 Ranking

American hospitals have earned a prominent place among the world’s top medical institutions, according to the recently published World’s Best Hospitals 2025 ranking by Newsweek in collaboration with Statista, a global data research firm.

This comprehensive list spans more than 2,400 hospitals from 30 different nations. While each country’s ranking is tailored to local data and methodology, Newsweek’s overall Global Top 250 brings together the best hospitals from across all participating countries, creating a definitive list of the world’s top medical centers.

In this elite group, the Mayo Clinic in Minnesota claimed the number one position globally, with the Cleveland Clinic in Ohio following as the second-best. Also featured prominently in the Global Top 10 were the Johns Hopkins Hospital in Maryland and Massachusetts General Hospital in Massachusetts, underscoring the dominance of U.S. healthcare facilities.

Hospitals in this ranking were evaluated using a multi-faceted scoring system that incorporated insights from over 85,000 healthcare professionals through peer surveys. These assessments were combined with patient experience information, institutional performance indicators, and findings from Statista’s Patient-Reported Outcome Measures (PROM) survey. This PROM component evaluates how hospitals use patient feedback to improve their quality of care. Criteria ranged from patient ratings and staff courtesy to accreditation and even the standard of cafeteria food.

Lukas Kwietniewski of Statista emphasized the evolving priorities in modern healthcare when speaking to Newsweek’s Health Care Editor Alexis Kayser in a February interview. “We have a long-term plan that we want to follow the trends that are going on in healthcare, not only nationally, but also internationally,” Kwietniewski said. “There is a shift towards patient-centered care. It has been ongoing now for at least a decade and that is also what leading hospitals are more and more aspiring to deliver – to have that patient centricity.”

The United States stands out in this global evaluation with a staggering 430 hospitals making the rankings—the highest of any country featured. The Top 10 U.S. hospitals, which include several recurring names known for their cutting-edge research and exceptional patient care, are as follows:

Mayo Clinic in Rochester, Minnesota

Cleveland Clinic in Cleveland, Ohio

The Johns Hopkins Hospital in Baltimore, Maryland

Massachusetts General Hospital in Boston, Massachusetts

Ronald Reagan UCLA Medical Center in Los Angeles, California

Stanford Health Care – Stanford Hospital in Stanford, California

The Mount Sinai Hospital in New York, New York

Brigham and Women’s Hospital in Boston, Massachusetts

Cedars-Sinai Medical Center in Los Angeles, California

Northwestern Memorial Hospital in Chicago, Illinois

An accompanying infographic highlights how hospitals are distributed by state, with California leading the nation. The Golden State boasts 41 hospitals on the U.S. list—more than any other state. Texas follows with 29 hospitals, trailed by Pennsylvania at 26, Illinois with 21, and both Ohio and Florida with 20 each.

Unsurprisingly, many of the highest-ranked hospitals in these states are either part of expansive healthcare systems or affiliated with prestigious universities. For example, Ronald Reagan UCLA Medical Center is California’s top-rated institution, while Northwestern Memorial Hospital ranks highest in Illinois. In Pennsylvania, the Hospital of the University of Pennsylvania holds the top spot.

Cleveland Clinic, recognized as the world’s second-best hospital, leads Ohio’s healthcare landscape. Florida’s highest-ranked facility is the Mayo Clinic in Jacksonville, a regional branch of the globally top-ranked institution in Minnesota.

Interestingly, three U.S. states—Nevada, Mississippi, and Vermont—were not assessed and therefore have no hospitals represented in this year’s global ranking.

Each country’s list in the World’s Best Hospitals 2025 ranking was generated based on the best data available within that nation. The elements considered include patient satisfaction, quality of care indicators, and staffing statistics, though the depth and type of available data vary greatly from one country to another. As a result, the methodologies for ranking hospitals differ by country, with the overall goal of making each list as accurate and locally relevant as possible.

In the United States, data was drawn from multiple public sources to ensure a reliable assessment. According to the American Hospital Association, there are currently 6,120 hospitals in the U.S., most of which are categorized as non-federal, short-term general hospitals. These encompass nonprofit organizations, private companies, and institutions managed by state or local governments.

To develop the U.S. ranking, Statista relied heavily on metrics from the Medicare “Hospital Compare” dataset, a tool published by the Centers for Medicare & Medicaid Services (CMS). CMS evaluates hospital performance using a range of indicators including mortality rates, safety of care, readmission rates, patient experience, and the timeliness and effectiveness of treatments.

Patient satisfaction was gauged through responses collected in October 2024 as part of Medicare’s Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Notably, this year marked the first time the CMS data on Health Equity and Patient Reported Outcomes were incorporated into the World’s Best Hospitals ranking, further enriching the evaluation framework.

American hospitals have once again demonstrated their leadership in global healthcare through a combination of cutting-edge research, patient-centered approaches, and rigorous standards. With institutions like the Mayo Clinic and Cleveland Clinic not only topping U.S. lists but also standing tall on the international stage, the 2025 rankings affirm the strength and excellence of the American healthcare system.

India’s Expanding Waistlines: The Dangerous Rise of the Pot Belly

Once seen as a symbol of wealth, indulgence, and the wisdom of age, the pot belly in India has traditionally carried cultural weight. In literature, it quietly implied comfort or an easy life, while in cinema it stood in for the sluggish bureaucrat, overeating uncle, or crooked cop. Cartoons often caricatured it to poke fun at politicians. In rural India, a large stomach once indicated privilege—evidence that “this man eats well.”

However, what was once laughed at or even respected is now causing serious concern. India is facing a growing obesity crisis, and the unassuming pot belly may be a more serious threat than previously believed.

In 2021, India recorded the second-highest number of overweight or obese adults in the world, with 180 million people affected, trailing only China. A new study published in The Lancet predicts that this figure could reach 450 million by 2050, amounting to nearly one-third of the country’s expected population.

This isn’t just a national problem—globally, over half of all adults and one-third of children and adolescents are projected to struggle with excess weight in the years to come.

Central to India’s obesity crisis is abdominal obesity, more commonly referred to as belly fat. Unlike general obesity, abdominal obesity refers specifically to excess fat accumulated around the midsection. According to medical professionals, it’s not merely a matter of appearance. As early as the 1990s, research established a strong connection between belly fat and chronic diseases such as Type 2 diabetes and heart ailments.

Obesity presents itself in several forms. Peripheral obesity involves fat buildup in the hips, thighs, and buttocks, while generalised obesity spreads fat throughout the body. But the belly fat version is drawing particular attention due to its link to serious health issues.

Current data from the National Family Health Survey (NFHS-5), which for the first time measured waist and hip circumference, highlights the scale of the issue. It found that around 40% of women and 12% of men in India suffer from abdominal obesity. According to Indian health standards, this means a waist size over 90 cm (35 inches) for men and 80 cm (31 inches) for women. Alarmingly, nearly half of Indian women between the ages of 30 and 49 show signs of this condition. Urban residents are more affected than their rural counterparts, with waist size and waist-to-hip ratios being key indicators.

So why is belly fat particularly concerning?

One major factor is insulin resistance. This condition occurs when the body no longer responds effectively to insulin, the hormone responsible for regulating blood sugar levels. Abdominal fat interferes with insulin’s functions, making blood sugar control difficult.

Studies have shown that South Asians, including Indians, tend to carry more body fat than white Caucasians at the same Body Mass Index (BMI), a measure of weight relative to height. But it’s not just about how much fat one has—it’s also about where it’s stored. In South Asians, fat typically accumulates around the trunk and beneath the skin, rather than deeper in the abdomen as visceral fat.

While this might suggest lower levels of the more dangerous deep belly fat, research shows that the larger and less efficient fat cells common in South Asians struggle to store fat under the skin. This excess fat then ends up in vital organs like the liver and pancreas, which play crucial roles in metabolism. The result is an increased risk of diseases such as diabetes and cardiovascular problems.

The exact biological reasons for these fat distribution patterns are still unclear. Numerous genetic studies have been conducted, but none have identified a single gene responsible. However, one hypothesis points to historical factors.

India’s long history of famine and chronic food scarcity meant that generations were accustomed to poor nutrition. To survive, the human body adapted to hoard energy. Since the abdomen is the most expandable part of the body, it became the ideal storage site for fat. “It’s a conjectural but plausible evolutionary theory – one that can’t be proven, but makes sense,” says Dr Anoop Misra, who leads Delhi’s Fortis-C-DOC Centre of Excellence for Diabetes, Metabolic Diseases and Endocrinology.

In 2023, physicians from the Indian Obesity Commission updated obesity guidelines specifically for Asian Indians. Recognizing that BMI alone doesn’t provide a complete picture, they introduced a two-stage clinical system that better reflects the relationship between fat distribution and health risks.

The first stage includes individuals with a high BMI but without abdominal obesity, metabolic disorders, or physical limitations. In these cases, interventions like improved diet, increased physical activity, and occasionally medication can help.

Stage two involves abdominal obesity and is often accompanied by health issues such as diabetes, knee pain, or irregular heartbeat. This stage indicates a much higher health risk and requires more aggressive treatment.

This new classification model helps doctors determine how urgently a patient needs intervention. According to experts, once belly fat becomes visible, early action is vital. Recently developed weight-loss drugs like semaglutide and tirzepatide have shown success in targeting belly fat.

“As shocking as it may sound, even people with a normal weight can have dangerous levels of belly fat,” warns Dr Misra.

So why is abdominal obesity on the rise in India? Experts point to a shift in lifestyle. Diets now often include more junk food, ready-to-eat meals, greasy homemade dishes, and high-calorie takeout. Between 2009 and 2019, countries like Cameroon, India, and Vietnam saw the fastest increases in per capita consumption of ultra-processed food and beverages, according to research.

What can be done to reverse the trend?

Indian experts argue that standard global guidelines for physical activity might not be enough for South Asians. While European men may maintain health with 150 minutes of exercise per week, South Asians may require 250–300 minutes to counter slower metabolism and the body’s reduced capacity to store fat effectively.

“Our bodies simply aren’t as good at handling excess fat,” explains Dr Misra.

Ultimately, the pot belly is no longer just the subject of jokes or cultural commentary—it’s a clear indicator of rising health risks. With the number of overweight and obese individuals in India projected to skyrocket in the coming decades, experts warn that the country is heading toward a major public health crisis.

India’s expanding waistlines are more than a superficial concern—they are the frontline of a dangerous epidemic. Unless tackled with seriousness, the pot belly could become a nationwide burden, straining not just individual health but the broader healthcare system as well.

Brisk Walking and Short Bursts of Intensity Can Significantly Boost Your Health

For those new to exercising, improving fitness doesn’t have to mean enduring intense high-intensity interval training (HIIT) classes or running sprints. Even a simple adjustment like walking at a slightly faster pace can lead to notable health benefits.

According to Dr Aguiar, “Accumulating a high volume of walking throughout the day, then focussing on doing at least 30 minutes of faster walking or jogging, would be a way to lower your metrics for each of the progressive risk factors.” This advice highlights that just increasing your walking speed can help manage or even reduce risk factors associated with metabolic syndrome.

Interestingly, even very brief periods of more intense movement appear to be effective. “One of the really interesting findings from our paper was that, if you look at people’s highest one minute of activity across each day, averaged across the monitoring period, that was a very strong signal for whether they had one or more of the metabolic syndrome risk factors present,” Dr Aguiar explains. “Even something as little as one minute of high-intensity activity could be beneficial.”

Applying this in real life could mean continuing your regular walking habits but including a short, brisk segment when you’re running errands or on your lunch break. Increasing your walking cadence — the number of steps taken per minute — has also been connected to better health markers. A slightly faster pace during regular walks might be all it takes to start seeing results.

While goals like weight loss or getting stronger tend to dominate the average person’s fitness resolutions, improving metabolic syndrome risk factors is a goal worth considering. Though it may sound clinical or distant, it directly links to common and relatable outcomes like weight loss, reduced abdominal fat, and improved energy levels.

“Exercise is one part of a behavioural strategy to lose weight, which would reduce visceral adiposity,” Dr Aguiar explains. Visceral adiposity refers to fat stored deep in the abdomen, around essential organs. This type of fat is especially concerning because it doesn’t just sit inert — it interferes with the body’s natural metabolic functions.

“We know that if you store fat mass around your abdominal area, that’s more dangerous than storing fat mass in your lower body or subcutaneously [just under the skin]. Visceral fat around your vital organs wreaks a lot of havoc in terms of the metabolic signalling that goes on there. Essentially, it’s dangerous to store a lot of abdominal fat because it changes the way our vital organs in that area function,” says Dr Aguiar.

Engaging in greater amounts of physical activity at a higher intensity can aid in reducing both body weight and abdominal fat. Exercise alone, even without dietary changes, can be a strong ally in the fight against metabolic syndrome. “Especially for individuals who are overweight and obese, and may have metabolic syndrome, exercise and behavioural strategies can minimise and reverse risk factors when they are in their early stages,” Dr Aguiar adds.

Blood pressure is another crucial metric that benefits from increased physical activity. Systolic and diastolic blood pressure are both impacted positively by movement. “Exercise is already well-known to reduce systolic and diastolic blood pressure; that’s called post-exercise hypotension,” Dr Aguiar says. “Within as little as 15 or 20 minutes post-exercise, you can see a decrease in blood pressure from one bout of walking, for example.”

He adds, “Just going out for a walk at a brisk pace, faster than you would usually, will drop your blood pressure down for up to about 24 hours post-exercise.”

That’s not all — this kind of moderate activity can also help control blood sugar levels for nearly two days. “A quick trot is also capable of dropping your blood glucose levels for up to 48 hours,” Dr Aguiar notes.

Metabolic syndrome involves five key risk factors, and according to Dr Aguiar, “Each of those metabolic syndrome five risk factors, on a small timescale of hours to days, can benefit from going out for a brisk walk, a slow jog, or something like that. By consistently meeting physical activity guidelines, all five risk factors will improve over time too.”

So how can someone increase their activity levels in a sustainable way? Dr Aguiar points to the World Health Organisation’s physical activity recommendations as a helpful reference point. These guidelines suggest that all movement adds up and that adults should aim for at least 150 minutes of moderate-intensity activity, 75 minutes of vigorous-intensity activity, or some mix of both each week.

“Some people might choose to get most of their activity on the weekend, and some people might choose to break their activity up into smaller periods throughout the day,” Dr Aguiar says.

Importantly, the WHO now includes “incidental movement” as part of overall activity, validating even the small actions you do during the day as beneficial. “The new WHO messaging says that all movement counts, so if that means walking a little bit more quickly to your car or the train station, just to elevate your heart rate and your metabolic rate a little bit for brief periods you can accumulate throughout the day, those things count in terms of exercise.”

That means you don’t need to rely solely on structured workouts. Everyday activities — like walking to the bathroom at the office or heading to a café — can be beneficial when done with a little more energy. “And they’re incidental. We all walk, to some degree; from your office to the bathroom, or to a local cafe. If you can focus on walking a little bit faster than you normally do, that’s going to be beneficial for a lot of these risk factors, especially the blood glucose and blood pressure side of things.”

All in all, the message is clear: consistency and intention matter more than complexity. You don’t have to commit to lengthy, exhausting sessions. Just moving more, and moving with a little more intensity, can dramatically impact your health over time. Whether it’s a minute of high-energy walking or a few brisk stretches during your daily routine, these simple changes can lead to measurable health improvements.

Indian Nurses Association of New York Organizes Free Continuing Education Day at Kerala Center, Elmont, NY Paul D Panakal

With the constantly advancing healthcare practices, knowledge, and technologies, nurses are expected and are required to be kept abreast of the latest in the field.  The first continuing education conference organized by Indian Nurses Association of New York (INANY) at Kerala Center in Elmont, New York was aimed at helping nurses and nurse practitioners to integrate the advancements in their professional practice.  The continuing education credits awarded to nurses could also strengthen their ability for reaching for elevated opportunities.   
Dr Narendra Singh MD

The first presentation focused on the heart disease in women.  It is he leading cause of death worldwide.  However, the disease often presents differently in women and men.  Grace Geevarghese, a cardiology nurse practitioner at Northwell Health System, discussed about the various sides of heart disease affecting women.  Every year more women die of heart attack than those with cancer.  Two out of three women have one or more higher risk factors which increase with age.  The size and structure of heart is different for women and men.  A woman’s heart and blood vessels are smaller and muscular walls are thinner than that of men which make them susceptible for higher risks.  Build up of plaque which is the combination of fat, cholesterol calcium, and other substances from the blood obstructs the blood flow in the arteries that lead to coronary artery diseases.  Though the hormone estrogen gives women with some protection, menopause marks a significant hormonal shift due to the decline in estrogen levels.  Consequently, risk for heart disease in postmenopausal women increases.  Ms. Geevarghese detailed the early symptoms, ways to diagnose and methods of treatment.

INANY CE Day photo 1

Human trafficking, a serious global public health crisis issue and violation of human rights, was the topic of the next presentation by Northwell Health, the largest private healthcare system in New York State.  Wilonda Greene, the Senior Program Manager of Human Trafficking Education, Advocacy, Response and Training Program Institute of the Community Wellness and Health talked about the sex and labor trafficking that happen around us and around the world.  People who are vulnerable due to various factors including abuse and neglect, intimate partner violence, substance abuse, LGBTQ+, runaways, homeless and other marginalized, or due to family factors are among those victimized through force, fraud or coercion by culprits for profitability.  She said up to eighty-eight per cent of the victims seek medical care while being trafficked.  However, these individuals are often misdiagnosed and miss the signs due to lack of training and knowledge of the clinicians.  Ms. Greene educated the audience about the wide range of red flags, ways to gather information through appropriate screening, and means of taking action and partake in reducing the criminal exploitation and human life.

INANY CE Day photo 3

Dr. Narendra Singh, a renowned expert in pulmonary medicine, critical care, and sleep disorders, discussed obstructive sleep apnea—a common yet potentially serious condition characterized by repeated interruptions in breathing during sleep. He highlighted that this disorder is a significant public health issue, affecting an estimated 25 to 30 million adults in the United States. However, only a small percentage of individuals receive a formal diagnosis, leaving many at risk for complications such as metabolic disorders, cardiovascular conditions like heart attacks, fatty liver disease, gestational diabetes, memory deficits, and even glaucoma.  In his presentation, Dr. Singh covered key aspects of the condition, including visible symptoms, screening methods, diagnostic tests, and available treatment options to manage and mitigate its impact.

Wilonda Greene on Human Trafficking

In recognition of the contributions INANY as a professional nursing organization of Indian American nurses in New York, the organization was awarded two grants in the past years.  One for $10,000 and another one last year for $16,800 out of the funds allocated for Asian American Pacific Islander communities.  In collaboration with Coalition of Asian Families and Children, INANY has been making strides to mitigate the ill-effects of anti-Asian hate incidents in New York.  Everyone in the community has at some point in American society has had discrimination in many forms including physical and verbal assaults, bias, threats, bullying and so on.  Its Grants and Research Committee has been educating the public, especially the community, to embrace responsibility as a bystander to extend helping hands without compromising self-safety.  Dr. Anna George, Dr. Shyla Roshin and Dr. Solymole Kuruvilla presented an interactive training program focused on five different strategies known as 5-D interventions.  The goal is to empower the participant to use one or more of the strategies if they witness hate-related incidents.

Annie Sabu, the chair of educational and professional development committee moderated the day’s program.  Those attended received four free continuing education credit hours, breakfast, lunch and evening coffee and snacks.  Dr. Anna George and Dr. Shyla Roshin thanked Agape Trinity Insurance for sponsoring the part of the program and acknowledged the grants received.  Assistance from Anto Paul Aininkal, Dr. Anna George, Dr. Shila Roshin, Usha George, Grace Alexander, Roshan Mammen, and Dr. Jaya Thomas made the charitable event a meaningful and successful one.

Dr. Nandita Shah Empowers Audiences to Reverse Chronic Diseases Through Food in Transformative Full-Day Wellness Seminar

Renowned physician and founder of SHARAN India, Dr. Nandita Shah, delivered an inspiring and transformative full-day seminar advocating the life-changing potential of a wholefood plant-based (WFPB) lifestyle. Held in front of an engaged audience, the talk focused on using food as medicine to prevent, manage, and even reverse chronic diseases such as diabetes, hypertension, obesity, and heart conditions.

The morning session started with a refreshing green smoothie, made on a live counter to demonstrate the process of making the nutritious, healing breakfast drink – made with leafy greens, and fresh fruit – free of dairy and additives. Dr. Shah emphasized the healing power of whole foods and discouraged the use of processed alternatives, citing their lack of fiber and added chemicals.

Highlights from the Seminar:

•       Acidity vs. Alkalinity: Dr. Shah explained how an alkaline diet supports the body’s natural detoxification and reduces inflammation caused by acidic foods like meat, coffee, and processed products.

•       Debunking Diabetes Myths: Contrary to popular belief, she clarified that fat—not sugar—is the root cause of diabetes, due to its role in insulin resistance. A WFPB diet, she stressed, can restore insulin sensitivity and reverse diabetes naturally.

•       Real-Life Success Stories: Past attendees of Dr. Shah’s 21-Day Retreat shared remarkable recoveries, including eliminating medications, reversing diabetes and high blood pressure, and achieving sustainable weight loss.

•       Whole Food Plant-Based vs. Vegan: Dr. Shah highlighted the distinction between simply being vegan and embracing a WFPB diet that avoids processed foods, oils, and sugars, focusing instead on natural, nutrient-rich ingredients.

•       Personal Testimony: Rakesh Bhargava, a participant shared that being vegan for 22 years, how he survived two heart attacks and moved the audience with his powerful journey of healing—achieved without medication, purely through a plant-based lifestyle.

Nourishment and Inspiration Go Hand in Hand:

To reinforce the message that plant-based meals can be both healing and delicious, the organizing team prepared extensive, wholesome, and flavorful lunch and dinner options, offering a wide variety of dishes that left participants inspired. The meals showcased the versatility and richness of WFPB cuisine proving that food for health can also delight the palate.

Practical Takeaways:

•       Green smoothies as a practical, energizing breakfast.

•       Healthy swaps for common breakfasts—like oats with dates, tofu scramble, homemade granola, and whole grain breads with nut and seed butters.

•       Strategies for smooth transitions to plant-based eating, one meal at a time.

•       A vibrant Q&A session addressed concerns on intermittent fasting, rice consumption, optimal water choices, and more.

The seminar concluded with a powerful message: chronic illness is not inevitable—it can be reversed by choosing the right foods. Dr. Shah called on attendees to become active participants in their own healing by embracing a lifestyle rooted in compassion, health, and sustainability.

The event was generously sponsored by longtime wellness advocates Suman and Shashi Khanna, whose commitment to holistic health made the gathering possible. It was proudly supported by Plant Powered Metro New York (PPMNY) and World Vegan Vision (WVV), two organizations dedicated to empowering communities through the promotion of whole-food, plant-based lifestyles.

________________________________________

About Sharan & Dr. Nandita Shah:

Dr. Nandita Shah is the founder of SHARAN (Sanctuary for Health and Reconnection to Animals and Nature), a pioneer in promoting disease reversal through plant-based nutrition. A registered medical practitioner and homeopath by training and a health revolutionary by passion, she has empowered thousands globally with her practical, science-backed approach to lifestyle medicine.

Indian-American Researcher Jay Bhattacharya Takes Charge as NIH Director

Indian-American health researcher Jay Bhattacharya officially assumed office as the 18th director of the National Institutes of Health (NIH) on April 1.

His appointment came after being nominated by President Donald Trump on November 26, 2024, and later confirmed by the U.S. Senate on March 25.

As the head of the nation’s premier medical research agency, Bhattacharya will oversee NIH’s scientific programs while ensuring alignment with the administration’s Make America Healthy Again Commission.

“Under Dr. Bhattacharya’s leadership, NIH will restore its commitment to gold-standard science,” stated Health and Human Services Secretary Robert F. Kennedy, Jr. He further expressed enthusiasm about collaborating with Bhattacharya to ensure NIH’s research priorities reflect the administration’s goals. “I’m excited to work with Dr. Bhattacharya to ensure NIH research aligns with our administration’s priorities—especially tackling the chronic disease epidemic and helping to Make America Healthy Again.”

Bhattacharya underscored the importance of tackling chronic illnesses in the U.S. “Chronic diseases such as cancer, heart disease, diabetes, and obesity continue to cause poor health outcomes in every community across the United States,” he noted.

He also emphasized his commitment to advancing medical research. “As NIH director, I will build on the agency’s long and illustrious history of supporting breakthroughs in biology and medicine by fostering gold-standard research and innovation to address the chronic disease crisis,” he added.

A physician, researcher, and health economist, Bhattacharya previously held a tenured professor position at Stanford University. His research has primarily focused on aging and chronic diseases, particularly among vulnerable populations. During the COVID-19 pandemic, he co-authored the Great Barrington Declaration, which called for reopening schools and lifting lockdowns while prioritizing protections for older individuals.

Bhattacharya takes over the role from Matthew J. Memoli, who had been serving as acting NIH director since January 22.

Reversing Diabetes Event Educates and Empowers the Community

Plant Powered Metro New York (PPMNY), in collaboration with World Vegan Vision (WVV), recently hosted a powerful and insightful event on Reversing Diabetes, featuring renowned speaker Dr. Nandita Shah, founder of SHARAN and author of “Discover How to Reverse Type 2 Diabetes Naturally.”

The event brought together over 65 registered participants eager to learn how lifestyle and dietary choices can help prevent and even reverse type 2 diabetes.

Event Highlights:

  • Dr. Nandita Shah provided in-depth insights into the root causes of diabetes, debunked common myths, and emphasized the power of plant-based nutrition in disease prevention.
  • Attendees received clear guidelines on the do’s and don’ts for managing and reversing diabetes naturally.
  • A significant number of Dr Shah’s book, “Reversing Diabetes in 21 Days”, were sold, reflecting a high level of engagement and interest in the subject.

The event was well-received, with attendees expressing deep appreciation for the valuable information shared. Given the overwhelming response, WVV looks forward to organizing more such educational health events in the future.

About World Vegan Vision (WVV)

World Vegan Vision is a nonprofit organization committed to promoting plant-based living for health, sustainability, and compassion. Through events, education, and advocacy, WVV empowers individuals to embrace a healthier and more ethical lifestyle.

About Plant Powered Metro New York (PPMNY)

Plant Powered Metro New York (PPMNY) promotes health through a whole food, plant-based lifestyle. Through workshops and community programs, PPMNY empowers people to prevent and reverse chronic diseases like diabetes and heart disease.

About SHARAN

SHARAN (Sanctuary for Health and Reconnection to Animals and Nature) is an organization dedicated to disease prevention and reversal through a whole-food, plant-based diet. Founded by Dr. Nandita Shah, SHARAN has helped thousands regain their health naturally.

Study Raises Concerns Over Mental Health Impact of Gender-Affirming Surgeries

Higher Rates of Depression and Anxiety Observed

A recent study published in the Journal of Sexual Medicine has raised concerns about the mental health outcomes of individuals undergoing gender-affirming surgeries. The research suggests that those who opt for these procedures may experience higher rates of depression and anxiety compared to those who do not.

Key Findings: Increased Psychological Distress

  • Males: The study found that males who underwent transition-related surgeries had a 25.4% rate of depression, more than double the 11.5% observed in those who did not have surgery. Anxiety rates were 12.8% post-surgery compared to 2.6% in non-surgical individuals.
  • Females: Among females, 22.9% of those who had surgery experienced depression, compared to 14.6% who did not undergo the procedure. Anxiety rates stood at 10.5% in the surgical group, versus 7.1% in the non-surgical group.

Study Does Not Establish Causation

While these statistics highlight a potential link between gender-affirming surgeries and increased mental health struggles, the study does not establish causation. Factors such as pre-existing mental health conditions, societal pressures, and personal expectations may also contribute to these outcomes.

Conflicting Research Presents Different Perspectives

Other studies have suggested positive mental health outcomes for transgender individuals receiving medical interventions. Research focusing on transgender and nonbinary youths found that gender-affirming treatments were associated with lower odds of depression and suicidality over a 12-month period. (Source)

Need for Comprehensive Mental Health Support

The findings highlight the complex and multifaceted relationship between gender-affirming surgeries and mental health. Experts emphasize the need for comprehensive psychological evaluations and long-term support before and after medical interventions. Further research is required to fully understand the impact of these procedures and develop best practices for those undergoing gender transition.

23 March, 2025: An Attempt at Jogging

set in Bandung, Indonesia

“Follow me. Keep up. This isn’t a walking contest. You can’t run anymore?”

“Bisa,” Father says, but he is pushing himself. He is only running because he wants to look good in front of Ipin. His actual calves feel like they are burning off of his legs. He is heaving more than breathing. He remembers how they made fun of him in his childhood days for his inability to cut the rice properly with his father’s sickle, and it gives him the energy to run forward.

“Bisa, bisa begitu,” Ipin says, jogging in place on the red granite of the track. He’s wearing a black cap, along with a black jogging suit. The suit is dark and covers most of Ipin’s sandy-coloured skin, just as the cap covers the thinning parts of his scalp. Ipin has a lanky and tall build, just like Father when he was a teen, but now he has a significant belly and fat on his legs. Ipin has the excuse of being a mechanic by trade who works every day at a garage, but still, if one takes a look at him, one would think he is nearing forty, not seventy.

Father can improve. He was fit growing up, and he can be fit now if he makes the effort. He looks at the blossoming banana flowers in the park and then at the skyline. There are short water jasmines and Fukien trees all across the green of the walkway. People a quarter of Father’s age are jogging rapidly past him. They embody youth in their dress choice, body language, and speed. They have probably run loops around him in the time that Father has completed one. He smells the frangipani blooms around them and thinks of the future. This is Bandung, the Paris of Java, one of the great cities of modern Indonesia. He sees the young gossiping while holding bubble tea in their hands while he takes Mother out shopping on Jalan Brava. He notices the youngsters reading books in foreign languages when he takes the DAMRI. Dago, where they live, is full of nightlife. From the noise that doesn’t stop until three or four o’clock in the morning, he knows that these clubs and pubs are thriving.

He is getting old, but he is part of a vibrant city with a bright future. If they can keep going and trying, why can’t he? He’s not aiming to dance until the sun comes up or learn a new skill. He just has to jog three rounds in the park and keep up with Ipin.

To keep his mind focused on the goal in mind, rather than on the aching of his body, Father decides to engage Ipin in small talk.

“Maria baik?”

“Iya,” Ipin responds. “Pratiwi bagaimana?”

“Baik, baik,” Father says. It doesn’t distract him as much as he’d like. His calves are really burning. He talks to himself as if he were still a doctor talking to a patient. He reminds himself that this sort of pain is normal. People who are out of shape need time to get back into these habits. He will feel some pain, but then he will rest. Tomorrow, most likely the pain will be excruciating and it will take some time to recover, but in some days he will be ready to jog again. He’s unlikely to injure himself in any serious way. He ought to at least be able to run with Ipin for twenty minutes. He can’t be that out of shape.

He tries to think of another small talk question to ask.

“When was the last time you went back home?”

“Towards Garut? Years ago.”

“Years ago? But why?”

“My mother is dead. My father is dead. My brothers are in other cities in Indonesia. Why would I go back?”

“That is true,” Father said.

“Will you go back home now that your mother is gone?”

“Towards Garut?” Father takes the time to think on it, but in reality the answer comes to his head almost immediately. “No.”

And he doesn’t give a reason. This is actually because as he is about to speak, he feels a web of mucus in the back of his throat. He spits it into a bush, next to a bench where two teens are sitting. The two give him an annoyed glare which Father cannot understand, given how much people here spit or throw things all over the place anyway.

“Are you okay?” Ipin asks.

“Iya,” Father says, mostly because he doesn’t want to be teased by Ipin again. He was happy that he completed one round around the track, but halfway through his second, it feels like his legs are going to cramp. And if someone is going to tease him, it is going to be Ipin. Not that he ever had that habit when they were little boys. Quite the opposite. Ipin was one of the few who never made fun of him, partly because they were close back then, two like-minded boys who, despite being from different families, stuck together over a shared dream of leaving the village behind and pursuing a better quality of life in the city. It changed once they both moved to Bandung, but inhabited different worlds inside of it. Father was a hospital doctor and Ipin was a mechanic, and while they met once in a while because their wives ended up becoming best friends, they barely talked otherwise. There was very little trust between them anymore, nor the truth they had earned for each other during their formative years.

But they are still friends because they have known each other for so long, and they still live in the same city. Now that Father is retired, he has time for Ipin, and Ipin is happy to take advantage of it.

“We’re almost about to finish the second lap,” Ipin says. “You promised me at least three.”

“I know,” Father says. He puts on a smile, but the exhale he has to heave interrupts it. He wonders how much longer he can keep up this charade of being fit.

It ends up being not for very long. The moment Father finishes the second lap, his right leg jolts into a spasm. It’s as if the calf muscle has just snapped off the bone of his leg. It is excruciating. Father has to crouch to try to stop the pain, but the pain isn’t stopping, and his face is twitching.

Ipin rushes towards him, shouting all sorts of questions, but Father puts his hand up. He doesn’t want Ipin to know the pain he is in. It will embarrass him. Plus, Father is a doctor. He knows what he is doing. He can treat himself as he would any of his patients. Father crouches fully into a standing version of the fetal position and tries to hold his muscle in place. He hopes that the cramp will subside, but he feels his muscle convulsing in his fingers.

In the meantime, Ipin watches him with a pained look on his face.

“It is okay,” Father says, not wanting to indulge in any of Ipin’s sympathy. “Aku baik. You can keep jogging.”

“Bisa lari?”

“Bisa.”

Ipin leaves, though Father gets the sense that he is doing so to give Father his privacy. He probably should have taken his help, but how could he have helped? It’s a muscle spasm. It has to go by itself. As Ipin retreats farther and farther, lost behind the thick green vines of the nearby trees, Father lets his facade disappear and allows his thoughts to intrude. Why did he agree to go on a jog with Ipin? Whenever they had met previously, they would just go for a walk and catch up. Father knew Ipin took his fitness seriously, while Father next to never did. He always just had too much work in the hospital to care about the state of his body. And he liked all those fried snacks they served at the canteen. He had had no issue letting himself go. It didn’t confront him while he was working because he had his duties, but in his retired life, because he was mostly on his couch or eating heavy meals with his wife, he was gaining even more weight. He was seeing his own stomach bulge outwards as he sat on the toilet or when he lay down on the bed. His double chin was growing to the extent that it was visible in any picture he took with his wife. His elbows and wrists were starting to look bulbous, in a way that he would be cautious about if he were to see it in any one of his patients.

Knowing all this, why did he decide to go on a jog, of all things, with his friend? He wasn’t even thinking about his fitness when he said yes. He just wanted to enjoy some time together with an old friend. Now, he is humiliating himself in front of someone he has known for most of his life.

He doesn’t like it one bit.

The cramp isn’t the end of the world, he reminds himself. A cramp happens whenever someone isn’t used to a new strenuous style of exercise. And jogging isn’t something Father does. That is why it is hard. If he did this once a week with Ipin, he would improve. It is a matter of endurance, which can be trained.

Ipin finishes his lap and approaches Father. He asks, “Is it better now?”

Father tries to stand straight and smile despite his leg feeling sore. It doesn’t fully straighten, and he limps as he comes to Ipin’s side. “Yeah, I’m better now.”

Ipin can tell Father is lying. He says, “If you took care of your health better, this wouldn’t happen.” Father doesn’t like this comment, but Ipin continues with with no care for the glare on Father’s face. “You are so fat now. Fat, really. When you were a teenager, you were so skinny. What happened?”

“Because I had work to do,” Father says, wanting to remind Ipin that he was at the hospital sometimes twenty hours in a day, with barely any time to sleep, let alone eat.

“And I didn’t have work to do?” Ipin asks. That is true, Father thinks. Ipin was also working hard, trying to lift his family out of poverty and towards the middle class. Admittedly, his work allowed him to remain in shape, but Father doesn’t want to point that out. He genuinely appreciates Ipin and his struggles, particularly knowing that he raised several children on a much smaller salary than Father’s, putting them into school and now helping them to raise and feed his grandchildren.

Ipin takes out his phone and shares a number with Father.

“This is a guy from my apartment building. He is a physical trainer. He can help you get stronger.”

Ipin makes a weight lifting gesture with his biceps.

“Terima kasih,” Father says, but mostly as a formality. Though he is still pretending to smile, he is annoyed with his friend. Father can barely walk straight, and his friend is already pushing a trainer onto him? It seems rude and out of place.

Ipin must see that Father is annoyed, because he asks Father, “Can I do another round?”

“Pasti,” Father says. He finds himself a seat on the bench those teens were using. He watches Ipin make his circles. Out of curiosity, he looks up the name that Ipin has given him. He is shocked to see that this bodybuilder has hundreds of thousands of followers on social media. The videos he puts up of himself are short, but both entertaining and informative.

Father’s belly expands as he sits. It is so big that it’s almost halfway to his knees. He has been sitting for a few minutes, but he still finds himself gasping for breath. It wouldn’t hurt to get in shape, Father reasons. He is retired, and he is a little tired of spending most of his free time with his wife. This would give him something else to do, something productive and useful and good for his health.

Father doesn’t wait for Ipin to finish his exercise. He calls the number he has been given, and enjoys talking to this young man, who is charismatic, kind, and professional in his tone. The young trainer says he is busy for the rest of the month but claims that he will give Father a free consultation. Father likes the idea of anything free and agrees. He ends the phone call, a smile on his face. He can almost smell the frangipani around them now that his breathing has eased. He closes his eyes and imagines himself skinny and muscular, just like this young bodybuilder.

How Much Sleep Do You Really Need? Experts Weigh In

If you’re reading this, there’s a good chance you managed to get some sleep last night. However, the real question is whether you feel rested. Experts emphasize that evaluating how rested you feel is just as important as the number of hours you spend sleeping.

People typically spend about a third of their lives asleep, but the recommended duration varies. While eight hours is often cited as the ideal amount, individual needs differ, and sleep requirements change over time. Babies and young children generally need more sleep, while those over 65 can often function with slightly less than the recommended seven to nine hours.

Experts in sleep science and medicine offer insights into how much rest people truly need and whether factors such as gender play a role in sleep duration and quality.

One key point emphasized by researchers is that sleep quality matters more than sheer quantity. Despite its crucial role in overall health, sleep remains a somewhat mysterious biological function. “The reasons aren’t entirely clear, but it’s an essential thing that we all do,” explained Dr. Rafael Pelayo, a sleep specialist at Stanford University. “Something remarkable happens when you sleep. It’s the most natural form of self-care that we have.”

According to Molly Atwood, a behavioral sleep medicine clinician at Johns Hopkins, most people sleep between seven and nine hours per night, a range associated with the lowest risk of health problems. However, health risks increase for those who sleep less than six hours or more than nine hours regularly. Atwood noted that individual variations exist, so some people may function well with slightly less or more sleep than the average recommendation.

Rather than focusing solely on the number of hours slept, Pelayo emphasized the importance of waking up feeling refreshed. “What you really want to do is wake up feeling refreshed—that’s what it’s about,” he said. He likened poor-quality sleep to leaving a favorite restaurant still feeling hungry. “If somebody tells me that they sleep many hours but they wake up tired, something is wrong,” he added.

Sleep requirements fluctuate over the course of a lifetime. Newborns require the most sleep, typically between 14 to 17 hours daily. “Definitely when we’re babies and children, because we are growing so rapidly, we do need a lot more sleep,” Atwood explained.

The National Sleep Foundation provides general recommendations based on age. For adults aged 26 to 64, the ideal sleep duration is between seven and nine hours. Those aged 65 and older may need slightly less, whereas young adults aged 16 to 25 may benefit from slightly more sleep.

Sleep occurs in cycles, with each cycle lasting approximately 90 minutes. These cycles consist of different sleep stages, each serving a distinct purpose. Atwood pointed out that in the early part of the night, people experience more slow-wave sleep, or deep sleep, which plays a critical role in physical restoration and healing. This phase is particularly significant because it is when growth hormones are released.

In contrast, during the latter portion of the night, people spend more time in rapid eye movement (REM) sleep, commonly referred to as dream sleep. This stage is essential for cognitive functions such as learning and memory consolidation, the process through which short-term memories are converted into long-term memories.

Children experience significantly more deep sleep than adults. Atwood stated that around 50% of their sleep falls into this category. However, as individuals reach adolescence, the proportion of deep sleep decreases since the body no longer requires as much repair and restoration.

Interestingly, differences in sleep patterns between genders begin to emerge around puberty.

Although research does not confirm that women require more sleep than men, Atwood noted that women tend to sleep slightly more than men on average. This discrepancy begins early in life. Pelayo observed that teenage girls, despite having the same sleep needs as their male counterparts, often sleep less and report more frequent instances of insomnia.

Motherhood significantly affects women’s sleep patterns, particularly when caring for newborns. First-time mothers often experience frequent nighttime awakenings to tend to their infants, resulting in less sleep overall. Allison Harvey, a clinical psychologist and professor at UC Berkeley who specializes in sleep research, noted that this disrupted sleep can have lasting effects.

Hormonal fluctuations also contribute to variations in women’s sleep quality and quantity. Pregnancy and menopause, in particular, can significantly impact sleep. “With menopause in particular, women can develop deterioration in their sleep with an increased number and duration of nighttime awakenings,” explained Dr. Mithri Junna, a Mayo Clinic neurologist specializing in sleep disorders.

Atwood added that hormonal shifts throughout the menstrual cycle can also influence sleep duration. “Women may also need more sleep right before their menstrual cycle,” she said. She emphasized the importance of paying attention to the body’s natural signals. “There are definitely times that your body’s telling you that you need more sleep,” Atwood said. “It’s important to listen.”

Lack of sufficient sleep can manifest in several ways, including irritability, mood swings, and difficulty concentrating. While these may seem like minor inconveniences, chronic sleep deprivation can lead to more severe health consequences.

“If you’re not getting enough sleep or you have untreated insomnia or sleep apnea, your risk of depression increases,” Atwood warned. Additionally, insufficient sleep raises the likelihood of cardiovascular issues such as high blood pressure, heart attacks, and strokes. Sleep deprivation also weakens the immune system and has been linked to an increased risk of developing Alzheimer’s disease.

People who consistently wake up feeling fatigued despite sleeping the recommended number of hours may want to consult a doctor. A primary care physician can assess whether underlying medical conditions might be contributing to poor sleep quality. If sleep problems persist, consulting a sleep specialist could be beneficial in identifying and addressing the root causes of sleep disturbances.

Ultimately, ensuring both sufficient sleep quantity and high-quality sleep is crucial for overall health and well-being. Experts agree that listening to the body’s natural cues, maintaining a consistent sleep schedule, and addressing any persistent sleep problems can lead to significant improvements in physical and mental health.

Study Links Bowel Movement Frequency to Long-Term Health

A new study published in Cell Reports Medicine highlights the significant impact of bowel movement frequency on overall health and physiology. Researchers found that the optimal frequency for long-term well-being is once or twice a day, with deviations linked to potential health risks.

Health Risks of Irregular Bowel Movements

Previous studies have suggested links between constipation and a higher risk of infections, while frequent diarrhea has been associated with an increased likelihood of neurodegenerative diseases. However, these studies primarily focused on sick patients, making it unclear whether irregular bowel movements were the cause or a result of these conditions.

Senior study author Sean Gibbons from the Institute for Systems Biology hopes the research will encourage clinicians to take bowel movement frequency more seriously, as it is often dismissed as a mere “nuisance.”

Study Findings: The “Goldilocks Zone”

The researchers collected clinical, lifestyle, and biological data—including gut microbiome composition, blood chemistry, and genetics—from over 1,400 healthy adult volunteers without signs of active disease.

Participants were categorized into four groups based on self-reported bowel movement frequency:

Category Frequency
Constipation 1–2 times per week
Low-Normal 3–6 times per week
High-Normal 1–3 times per day
Diarrhea More than 3 times per day

The study identifiedone to two bowel movements per day as the “Goldilocks Zone” for optimal health, as it was associated with a healthier gut microbiome and fewer negative health indicators.

The Impact of Constipation and Diarrhea

  1. Constipation:
    1. When stools remain too long in the gut, gut microbes ferment proteins instead of fiber, leading to the production of toxins like p-cresol sulfate and indoxyl sulfate.
    2. These toxins can accumulate in the bloodstream, potentially harming the kidneys.
    3. Even in otherwise healthy individuals, constipation led to a rise in these toxins.
  2. Diarrhea:
    1. Researchers found signs of inflammation and liver damage among participants with frequent diarrhea.
    2. Excessive diarrhea leads to a loss of bile acid, which is normally recycled to help absorb dietary fats.
    3. This may contribute to nutrient malabsorption and liver stress.

Diet and Lifestyle Factors

The study found that diet and lifestyle played a key role in maintaining regular bowel movements. Individuals in the Goldilocks Zone typically:

  • Ate more fruits and vegetables (the strongest predictor of healthy bowel movements).
  • Drank plenty of water.
  • Engaged in regular physical activity.
  • Followed a more plant-based diet.

Demographic Trends

  • Younger people, women, and those with a lower BMI were more likely to have less frequent bowel movements.
  • Hormonal and neurological differences between men and women may contribute to this variation, as men tend to consume more food, leading to more frequent bowel movements.

Next Steps in Research

The researchers aim to conduct a large-scale clinical trial to examine whether managing bowel movement frequency over an extended period can contribute to disease prevention.

Key Takeaway:Maintainingone to two bowel movements per day, supported by a fiber-rich diet, hydration, and physical activity, may play a crucial role in long-term health.

Great Speakers Lined UpAt AAPI’s 43rd Convention in Cincinnati, OH

“It is with great pleasure,we announce that the 43rd Annual Convention and Scientific Assembly by the American Association of Physicians of Indian Origin (AAPI), planned to be held from July 24th-27th, 2025 in Cincinnati, OH will have a great line up of Speakers from Public Service, Healthcare, Science, and, Sports,” Dr. Satheesh Kathula, President of AAPI announced here.

Confirmed  Speakers at the Convention include: Dr. Mario Capecchi, a Nobel laureate; Dr. Bobby Mukkamala, president-elect of the American Medical Association;and Dr. D Nageshwar Reddy, a Padma Vibhushanawardee.

Other invited guests include, Vice President of the United States, JD Vance; Governor of Ohio, Mike DeWine; Governor of Kentucky, Andy Beshear; Jagat Prakash Nadda, India’s Minister of Health and Chemicals/Fertilizers; Vivek Ramaswamy, Republican candidate for Governor in Ohio; and Schin Tendulkar, Bharat Rathna awardee and  a Legendary Cricketer.

Dr. Mario Capecchi, a Nobel laureate, who was awarded the Nobel Prize in Medicine/Physiology in 2007 for his contributions to the development of “mouse knockout technology” will deliver keynote address during the 43rd annual AAPI Convention.

Mario Capecchi, PhD, is a professor in the Department of Human Genetics and adjunct professor in the Department of Oncological Sciences at the University of Utah. He is an active participant in the Sarcoma Services Program at Huntsman Cancer Institute, and member of the Nuclear Control of Cell Growth and Differentiation Program.

Dr. Capecchi studies cancer models (experimental versions of cancer) recreated in mice. He has a particular interest in the study of sarcomas and focuses on unraveling the function of Hox, associated with cancer.

Dr. Bobby Mukkamala, an otolaryngologist from Flint, Michigan, currently serving as the president-elect of the American Medical Association (AMA) and is expected to assume the presidency of AMA in June 2025 will be another keynote speaker at the Convention.

Dr. Mukkamala has been active in the AMA since he was a resident physician at Loyola University Medical Center in Chicago. He is chair of the AMA Substance Use and Pain Care Task Force, serving as a strong voice in advocating for evidence-based policies to end the nation’s overdose epidemic.

Dr Bobby Mukkamala

The son of two immigrant physicians, Dr. Mukkamala was inspired to go into medicine and return to his hometown of Flint to serve the community that welcomed his family decades before. Dr. Mukkamala is a past recipient of the AMA Foundation’s “Excellence in Medicine” Leadership Award.

Dr. Nageshwar Reddy, a world-renowned Medical Gastroenterology specialist at AIG Hospitals, an expert in digestive health, endoscopy, and advanced GI treatments, will deliver his insightful address during the Convention. Dr. Reddy is the Chairman and founder of the Asian Institute of Gastroenterology (AIG) at Gachibowli, Telangana, which is the largest gastroenterology hospital in the world. Expert in digestive health, endoscopy, and advanced GI treatments, Dr. Reddy is the first Indian doctor to receive all the three Padma Awards. He received the Padma Shri in 2002, Padma Bhushan in 2016 and Padma Vibhushan in  2025.

“We have convened a dedicated group of people to meet the needs of the 2025 convention and are very excited about this year,” Dr. Sunil Kaza, Chair, AAPI’s BOT.  “We invite you to the AAPI 43rd Annual Convention and take advantage of the Early Bird Special that is going on at the moment. Please reach out to any one of the Convention Team from OHIO with questions or comments.”

Dr. Satheesh Kathula, while describing how AAPI’s mission has evolved in the past 43 years, said, “Today, AAPI is strong representing over 120,000 Indian American physicians, 130 local Chapters, who make up of 10% of total physicians in the US and nearly 50% of International Medical Graduates, rooted in every corner of the nation, who serve every 7th patient in the US. We are proud of our achievements and our contributions to the healthcare industry and the millions of people we serve.”

Physicians and healthcare professionals from across the country will convene and participate in the scholarly exchange of medical advances, to develop health policy agendas, and to encourage legislative priorities in the coming year.

In addition to colorful entertainment, exquisite authentic Indian cuisine, esteemed yoga gurus and experts, who will share their wisdom and lead the Wellness Sessions, world renowned speakers and leaders in the industry will offer enlightening sessions to the delegates.

The annual convention offers extensive academic presentations, recognition of achievements and achievers, and professional networking at the alumni and evening social events, in addition to offering an exciting venue to interact with leading physicians, healthcareindustry leaders, academicians, and scientists of Indian origin. Physicians and healthcare professionals from across the country will participate in the scholarly exchange of medical advances, to develop health policy agendas, and to encourage legislative priorities in the coming year.

“The annual convention offers extensive academic presentations, recognition of achievements and achievers, and professional networking at the alumni and evening social events. We invite you to be an active participant in this transformative journey and be part of the Convention,” said Dr. Kathula. For more details on AAPI and the convention, pleasevisit:www.aapiconvention.org  and www.aapiusa.org

Connecticut’s First BATMAN Procedure Marks Major Milestone in Cardiac Care

In a groundbreaking medical achievement, Dr. Amit Vora and Dr. Prashanth Vallabhajosyula at Yale New Haven Hospital have successfully conducted Connecticut’s first BATMAN procedure (Balloon-Assisted Translocation of the Mitral Anterior Leaflet). This marks a significant advancement in the treatment of complex mitral valve disease.

Dr. Vora, MD, MPH, who serves as Assistant Professor of Medicine (Cardiovascular Medicine), and Dr. Vallabhajosyula, MD, MS, an Associate Professor of Surgery and Surgical Director of the Aortic Institute, led the procedure alongside Samuel Reinhardt, MD, and John Forrest, MD, the director of the Structural Heart Program.

The BATMAN procedure represents an innovative transcatheter technique that modifies or repositions the anterior mitral leaflet with the aid of balloon assistance. This adjustment enhances leaflet coaptation, effectively reducing mitral regurgitation. Unlike existing treatments such as MitraClip or transcatheter mitral valve replacement (TMVR), BATMAN is specifically designed to overcome anatomical challenges that have traditionally restricted treatment options.

Dr. Eric Velazquez, MD, chief of cardiovascular medicine at Yale and physician-in-chief of the Heart and Vascular Center, emphasized the significance of this achievement, stating, “The Yale team’s successful execution of this advanced treatment underscores our commitment to pioneering cardiac care as an academic health system.”

The procedure is intended for patients experiencing severe mitral regurgitation (MR), particularly those who face anatomical complexities or comorbidities that make conventional surgical procedures or standard transcatheter treatments unsuitable.

Dr. Nita Ahuja, MD, MBA, FACS, who chairs the Department of Surgery at Yale School of Medicine and serves as chief of Surgery at Yale New Haven Hospital, commended the teamwork that made the achievement possible. “This milestone highlights the collaborative efforts of our multidisciplinary team and our focus on delivering innovative solutions to improve patient outcomes,” she remarked.

Australian Man Lives 100 Days With Artificial Titanium Heart Before Transplant

An Australian man survived for 100 days with an artificial titanium heart while waiting for a donor transplant, marking the longest period anyone has lived with this technology.

The patient, a man in his 40s who chose to remain anonymous, underwent surgery at St. Vincent’s Hospital Sydney last November to receive the implant. In February, he became the first person in the world to be discharged from the hospital with the device, which kept him alive until a suitable donor heart became available earlier this month.

According to a statement released on Wednesday by St Vincent’s Hospital, Monash University, and BiVACOR, the US-Australian company that developed the device, the man was “recovering well” after the transplant.

The fact that the artificial heart sustained him for such a long period is being hailed as a breakthrough, demonstrating the device’s potential as a long-term solution for heart failure patients. However, the technology remains in the trial phase and has not yet been approved for widespread clinical use.

Australian bioengineer Daniel Timms, the founder of BiVACOR, invented the device following his father’s death from heart disease. He described the development as “exhilarating to see decades of work come to fruition.”

“The entire BiVACOR team is deeply grateful to the patient and his family for placing their trust in our Total Artificial Heart,” Timms said in the statement. “Their bravery will pave the way for countless more patients to receive this lifesaving technology.”

How the Artificial Heart Works

The BiVACOR Total Artificial Heart (TAH) operates using a single moving component—a levitated rotor that is suspended by magnets. Made of titanium, the device lacks valves or mechanical bearings, which are often prone to wear and tear.

This artificial heart functions by pumping blood to both the body and the lungs, effectively replacing both ventricles of a failing heart.

Heart disease remains the leading cause of death worldwide, claiming approximately 18 million lives annually, according to the World Health Organization. The long-term goal for the BiVACOR heart is to provide a lifeline for patients stuck on waiting lists for donor hearts.

In 2024 alone, around 3,500 people in the U.S. received heart transplants, while approximately 4,400 new patients joined the transplant waiting list, according to the U.S. Health Department.

Professor Chris Hayward of the Victor Chang Cardiac Research Institute stated that the BiVACOR artificial heart represents a major advancement in heart transplantation.

“Within the next decade we will see the artificial heart becoming the alternative for patients who are unable to wait for a donor heart or when a donor heart is simply not available,” said Hayward, who is overseeing the Australian patient’s recovery and played a role in preparing the device for clinical trials.

Early Clinical Trials and Future Prospects

The BiVACOR heart has already been tested in the U.S. under the Food and Drug Administration’s Early Feasibility Study. In this trial, five patients successfully received the implant while awaiting donor transplants.

The first recipient of the device was a 58-year-old man with end-stage heart failure, who underwent surgery at Texas Medical Center last July. The artificial heart sustained him for eight days before he received a donor transplant.

Four more patients were subsequently implanted with the device as part of the study, which aimed to assess its safety and effectiveness in keeping patients alive while waiting for donor hearts. The trial is expected to expand to include 15 patients.

The recent Australian case is part of a broader effort led by Monash University’s Artificial Heart Frontiers Program. This initiative, which has been allocated 50 million Australian dollars ($31 million), is focused on developing and commercializing three innovative heart failure treatment devices.

AAPI Organizes National Retreat For Physicians In The West Coast

The American Association of Physicians of Indian Origin (AAPI) North California Chapter organized aNational Retreat for Physicians in the West Coast from March 8-9, 2025. The highly successful event was attended by over 130 Physicians from the West Coast. The Retreat also saw the participation of AAPI national leaders from across the country. The weekend event at the Wine & Roses Hotel, Lodi, CA was organized with the objective of engagingthe West Coast members of AAPI,in addition to raising funds for the national AAPI.

The Retreat offered an exceptional mix of continuing medical education (CME), networking opportunities, delicious food, a winery tour, a grand gala, and vibrant entertainment.

Dr. Sreekar Reddy, Consul General of San Francisco, was an honored guest at the event.

Geetesh Iyer, an Indianraga creative director, singer-songwriter, and a Grammy Award nominee, based out of the San Francisco Bay Area,provided entertainment with his excellent rendition of Bollywood songs.

Participants at the Retreat celebrated Women’s Day with the Pink/Red Theme, honoring the achievements and accomplishments of women.

A standout feature of the retreat was the “Hearts of AAPI,” where numerous Doctors participated in creating heart-themed artwork on canvas, a concept initiated by Dr. Jignesh Patel, an Interventional Cardiologist.

The presence of national leadership added special importance to the event. Prominent among those who had attended the event were: Dr, Satheesh Kathula, President; Dr. Sunil Kaza, BOT Chair; Dr. Raj Bhayani, Secretary; Dr. Hetal Gor, BOT Member; and, Regional Directors Dr. Ram Singh and Dr Srini Gokarakonda; Past President, Dr Sudhakar Jonnalagadda; and, Past BOT Chair, Dr Seema Arora.

Dr. Kathula expressed his “gratitude and appreciation to each of them and their dedicated team for ensuring the event went very smoothly. Special thanks to the Indian Association of San Joaquin County for their participation.”

The CME sessions were led by eminent leaders in Medicine, offering insights into modern technology and health in 2015. Dr. Aparijita Singh, Director of GA Cancer Prevention Program and Professor at UCSF, provided an insightful session on Future of Colorectal Cancer Prevention Through Vaccines in Lynch Syndrome, “We are Beginning to Understand Sleep” was the topic discussed by Dr. Deepak, Shrivastava, Professor of Pulmonology at the critical care and sleep at University of California, Davis,

Dr Nitish Badhwar, Director of Electro Physiology Fellowship and Professor at Stanford University, provided an insightful talk on the Role of Smart Devices in Clinical Cardiology.

Dr Anil Khosla, a Radiologist at Stockton, gave a presentation on AI in Medicine — Friend or Foe: A Radiologist’s Perspective. Dr. Anjali Gulati, an Invasive Cardiologist from San Jose, offered a presentation on Optimizing CAD Risk with a Special Focus on Women’s Health and South Asians.

“Suicide Prevention, Understanding the Science and Learning How To Help” was the topic discussed by Dr. Bhavin Parikh from the Psychiatry Department at Kaiser Permanente in Sacramento. Genetic Mutations and Family History in Breast And Ovarian Cancers: What’s Next? was the topic addressed by Dr. Sangeeta Aggarwal, Hematology and Oncology at San Jose.“Breast Cancer 2025: Novel Approaches” was an insightful talk by Dr. Jincy Clement, Hematology and Oncology at Turlock.

The event was meticulously planned and organized by Dr. Sujeeth Punnam, Convenor; Dr Anjali Gulati, Co-Convenor; AAPI Northen California Chapter Team led by Dr Shashwathi Kale, President; Dr Amara Balakrishnan, BOT Chair; Dr Pankaj Vij, CME Chair; Dr Meenakshi Jain, Member Planning Committee; and Dr. Deepa Rathi.

Recalling how the entire event came about, Dr. Sujeeth Punnam, convenor of the event,said,  “What started as an experiment with expected attendance of 40 Doctors in a quiet and beautiful boutique hotel Wine & Roses in even quieter town of Lodi, CA, grew to about 130 Doctors. We were able to share pure joy and world-class educational lectures with the audience glued to the seats and yearning for more, even though the surroundings and the weather being beautiful.”

Since its inception in 1982, AAPI has been at the forefront, representing a conglomeration of more than 125,000 practicing physicians in the United States, seeking to be the united voice for the physicians of Indian origin. For more details about AAPI, please visit: www.aapiusa.org

Sam Maddula On A Mission To Create A Transformative Impact On Healthcare And Society

“I was born in a rural village in India, poor and legally blind, faced with a future clouded with uncertainty and with no opportunity to exist, ” Sam Maddula, Founder & CEO of Bank’s Apothecary Specialty Pharmacy, a distinguished leader, visionary entrepreneur, and dedicated philanthropist, says. His life turned from darkness to light as his parents stumbled upon an Eye Camp that the Eye Foundation of America (EFA) had set up in 1987 in rural Andhra Pradesh.

“It is this organization (EFA) that rescued me from a life of darkness. The Eye Foundation of America helped me get a visa to the United States. The esteemed Dr. VK Raju himself, performed dual corneal transplant surgery on me two weeks after my second birthday in the United States. He did it, working with the Eye Foundation for free. He cured me just like that, with the magic of his hands. I could see my life went from literal darkness to pure sunlight,” Maddula says with a sense of immense gratitude and appreciation.

Sam shared his life story with the audience during a Fund Raiser organized by The Eye Foundation of America in New Delhi on January 31, 2025. Sam, is now on a mission to rekindle the lives of those who are less fortunate, giving hope to those who are denied their basic human rights.

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His story is one of purpose. impact, and a relentless commitment to building a brighter future for all. He was born in a rural Indian village with severe visual impairment. Today, Sam Maddula is on a mission to create a transformative impact on healthcare and society

Sam endured significant challenges, economic hardship, social stigma and limited opportunities, yet these adversities, only fueled his determination. Armed with an unyielding work ethic, he earned his doctorate in pharmaceutical studies from the Rutgers University, Ernest Mario School of Pharmacy in 2009 setting the stage for a transformative career in healthcare. He set out to make a difference in the pharmaceuticals industry. He founded a specialty pharmacy in Philadelphia in 2010 focusing on mental and substance disorders. “As the founder of Bank’s Apothecary Specialty Pharmacy, I scaled operations from a startup, with zero revenue to $350 million in annual revenue, securing its position as the largest independently held behavioral health specialty pharmacy with a presence across 16 states and 60 employees at its peak.

Recalling his childhood while in India, after he and his family were forced to leave the United  States, Sam says, “We left the US half a decade ago. I went to school in a shack without a roof on my head in 35 degrees Celsius weather, sweat pouring down my face. This became my new life at eight years of age. A year later, we were allowed back to the United States,” with Sam starting a new phase in his life.

“I had no idea what was going on in my life, but I knew that if I could go from blindness to life, I could do anything I wanted to,” says Sam. “I worked my way back up in school and did the best that I could. I applied to pharmacy school because that’s all I knew, and I figured I’d give it a try, because I could not give up. I struggled a lot in pharmacy school. All of the students seemed smarter than me. I had to sit in front of class because I couldn’t see from the back, but I could not give up.”

After Sam graduated, he got an opportunity to work in a rundown pharmacy in the middle of a high crime neighborhood in Philadelphia. With determination and commitment, “I slowly built the pharmacy work with the patient, grew the business and worked in the same type of community that struggled with all the same issues that I was born into poverty, lack of medical access, lack of good education, lack of resources and direction.

In 2010, his specialty pharmacy specialized in medication for the mentally ill and folks with substance use disorder. Sam says, “I wanted to help people at the bottom of the ladder, the folks that society neglects. You can make money and do good for society. By 2015 my company went from serving the metro area to the entire northeastern United States. By 2020 my company became the largest specialty pharmacy specializing in these diseases in the entire United States. In 2022 we had an annual revenue about a third of a billion dollars.”  In 2023, Sam sold the company, because, he believes that I can make money and give back to society. It’s not about what I have. It’s about what others do not have.”

A dynamic healthcare executive, entrepreneur, and consultant with over 15 years of experience driving transformative growth and innovation in the healthcare and specialty pharmacy sectors, Sam brings an unparalleled blend of expertise across business, medicine, and philanthropy. Sam’s diverse ventures today aim to improve lives; from advancing healthcare innovation to championing for-profit and non-profit initiatives that drive societal change.

A sought-after speaker, Sam inspires audiences nationwide with his insights on healthcare, philanthropy, and leadership. Sam, with two decades of knowledge as a pharmacist, clinician, CEO and founder, is now looking to make a significant impact in the finance and pharma worlds by helping other founders and companies in the medical space, along with partnerships.

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A passionate advocate for giving back, Sam has made significant contributions to organizations like the Eye Foundation of America and he continues to mentor aspiring pharmacists, fostering the next generation of leaders. He serves on the boards of numerous non-profits and civic organizations, leveraging his resources to advocate for a more equitable world

In 2023, he founded Workshop Strategy with the objective of delivering high-level strategic guidance to healthcare organizations, focusing on growth acceleration, operational optimization, and patient-centered innovation. He provides insightful advice to private equity firms, Fortune 500 companies, and healthcare ventures, including Morgan Stanley, on maximizing investment value, identifying growth opportunities, and enhancing portfolio performance. He conduct in-depth evaluations of M&A deal flow, identifying high-value opportunities that align with clients’ long-term growth strategies, and guides healthcare ventures through complex regulatory landscapes, ensuring sustainable revenue growth and operational excellence.

In 2017, he was married and in 2022 and 2024 the couple were blessed with 2 beautiful daughters. With the goal of giving back to society, Sam founded the Maddula Foundation, contributing millions of dollars to healthcare and education initiatives, with a focus on supporting underserved communities. “In addition to my professional achievements, I am deeply committed to philanthropy and mentorship, founding the Maddula Foundation to support underserved communities and advocating for mental health awareness and healthcare equity. I collaborate with academic institutions and healthcare organizations to shape the future of industry.”

He currently is an Executive Advisory Council Board Member, University of Washington School of Pharmacy; Member, Board of Directors, Liguori Academy; and, Member, Board of Directors, Eye Foundation of America.

His future vision is to aspire to serve on the board of a leading healthcare organization or assume a strategic leadership role to drive transformative change in the industry and continue driving advancements in the pharmacy and healthcare sectors through thought leadership, strategic consulting, and mentorship of future leadersCurrently, Sam says, “I aim to make a significant impact in the finance and private equity sectors by contributing to the operations of a new venture within the medical space. Driven by resilience and a passion for innovation, I continue to build on a legacy of leadership, advocacy, and community impact.”

Sam says, “If I can receive the gift of sight and become successful, anyone can. I had one thing, the fortune to be saved by the Eye Foundation of America. Let’s spread that fortune so another million babies can be saved then crawl, then walk and then talk and then stand and then tell us their story, because we decided to make a difference tonight, let’s save the world from childhood blindness.

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Sam believes that “It is our duty to do more as we give as we get more. I am a living example of what we can be, of what can be achieved when we collectively decide to make a difference in the world. I am not a statistic. I am a human being that is here because people like you 40 years ago decided to make a difference. The next person we say from blindness might be an astronomer, a farmer, a doctor, or just an ordinary person telling you his life story, because someone decided to make a difference. You do not need to move mountains to do good. You just need to care a little bit. You don’t need to do a lot, do a little and maybe a little bit more. And before you know it, you saved a child from blindness.”

Sam urges everyone: “Do not give up that conviction to do good, not just after the speech or this event. Hold it throughout your life. Push through the people who say no, push through your everyday stress of life. Push through the feeling of thinking about yourself and remember that there’s a baby out there waiting to be saved. Think about all the blind babies that are suffering right now all over India as we speak, waiting for us to make a difference.”

“Let’s make a collective difference. Let’s create the world that we are proud to live in. Do not give up when everyone says, Who cares? Say, I care. Do not use your power and money as a trophy. Use it as a sword that you can swing to spread light throughout the world.”

Trump’s NIH Nominee Jay Bhattacharya Pledges to Address Chronic Disease Crisis and Reform Scientific Integrity

Dr. Jay Bhattacharya, President Donald Trump’s nominee for Director of the National Institutes of Health (NIH), emphasized his commitment to tackling the chronic disease crisis in the United States. If confirmed, he pledged to leverage cutting-edge science and innovation to address the nation’s pressing health concerns.

During his confirmation hearing before the Senate Health, Education, Labor, and Pensions Committee on March 5, Bhattacharya underscored the need for NIH funding to focus on studying population aging, chronic diseases, and obesity.

“The NIH can and must solve the crisis of scientific data reliability, under my leadership if confirmed it will do so,” he stated. “Third, if confirmed, I will establish a culture of respect for free speech in science and scientific descent at the NIH. Over the last few years, top NIH officials oversaw a culture of cover-up and a lack of tolerance for ideas that differed from theirs. I’ll foster a culture where NIH leadership will actively encourage different perspectives and create an environment where scientists who disagree with me can express disagreement respectfully.”

Bhattacharya also outlined his broader agenda for NIH reforms. “Fourth on my agenda is that the NIH must recommit to its mission to fund the most Innovative biomedical research agenda possible to improve American Health. I plan to ensure that the NIH invests in cutting-edge research in every field to make big advances rather than just small incremental progress over the years,” he explained.

He further emphasized the importance of transparency and regulation in high-risk research. “Fifth, the NIH must embrace and vigorously regulate risky research that has the possibility of causing a pandemic. It should embrace transparency in all its operations. While the vast majority of biomedical research poses no risk of harm to research subjects or the public, the NIH must ensure that it never supports work that might cause harm. If confirmed, I will work with Congress and the administration to guarantee that happens,” he asserted.

Bhattacharya acknowledged existing challenges within public scientific institutions and vowed to align NIH operations with Trump’s agenda. “While I believe there are real problems to be addressed, if confirmed, I’ll carry out President Trump’s agenda of making the public science institutions of this country worthy of trust and serve to make America healthy again,” he said.

He referenced a November 2024 Pew Research Center study highlighting a decline in public confidence in scientists, with only 26% expressing a high degree of trust in scientists to act in the public’s best interest, while 23% expressed little to no confidence. “Post-pandemic American biomedical sciences are at a crossroads,” he remarked.

He elaborated on his professional background and connection to the NIH. “The NIH has played a pivotal role in my career. I served for a decade as a standing member of NIH grant committees and helped train many trainees for scientific careers with NIH support. I want NIH funding to study population aging chronic disease and obesity. I’ve made the study of scientific institutions, including the NIH itself, a focus of my own scientific work. The NIH is the crown jewel of American Biomedical Sciences with a long and illustrious history of supporting breakthroughs in biology and medicine,” he noted.

Bhattacharya laid out five key priorities for his tenure if confirmed as NIH director. “First, NIH should focus on research that solves the American chronic disease crisis. American Health is going backwards. Life expectancy flatlined between 2012 and 2019 and plummeted during the pandemic and still has not bounced back to pre-pandemic levels,” he said.

He stressed the urgency of addressing chronic diseases, noting that “the chronic disease crisis is severe, with hundreds of millions of Americans, children and adults suffering from obesity, heart disease, cancer, and more.” He reiterated his commitment to Trump and Secretary Kennedy’s agenda of prioritizing chronic health issues with rigorous science and innovation.

He also raised concerns about the reliability of biomedical research. “NIH-supported science should be replicable, reproducible, and generalizable. Unfortunately, much of our modern biomedical science fails this basic test,” he said. He pointed to a research integrity scandal related to Alzheimer’s disease, which put the credibility of hundreds of research papers into question.

“If the data generated by scientists is not reliable, the products of such science cannot help anyone. It is no stretch to think that the slow progress on Alzheimer’s disease is linked to this problem,” Bhattacharya added.

Despite decades of research debunking claims of a connection between vaccines and autism, Bhattacharya did not rule out funding additional studies on the subject. “I don’t generally believe there’s a link between vaccines and autism,” he said during his confirmation hearing. However, he acknowledged public skepticism regarding vaccines and the ongoing lack of clarity surrounding the increasing autism rates.

“I would support a broad scientific agenda, based on data, to get an answer to that,” he stated.

The discussion over NIH resources was a focal point of Bhattacharya’s hearing. NIH currently operates with a budget of nearly $50 billion, making it the world’s largest funder of biomedical research. However, a policy change by the Trump administration in February suspended NIH reviews of new grant applications, effectively halting funding for new research. Additionally, a policy was introduced to reduce indirect funding to universities, a move that has raised concerns among experts who fear it could hinder the development of life-saving treatments.

“I am deeply concerned about the funding and the research that has been stopped,” said Sen. Patty Murray, D-Wash. She pressed Bhattacharya for assurances, stating, “I want strong assurances that you would get that moving again.”

Similarly, Sen. Maggie Hassan, D-N.H., asked, “If confirmed, will you commit to reversing funding freezes at NIH?”

Bhattacharya avoided a direct answer, citing his pending confirmation. However, he promised to evaluate the situation. “I’m going to assess it Day 1. I’m going to understand the resources the whole NIH needs and make sure that the scientists working at NIH have resources to do the lifesaving work that they do and that the scientists that are supported by the NIH also have that,” he assured.

Another contentious issue was the potential for job cuts at NIH. Bhattacharya was questioned about billionaire Elon Musk’s Department of Government Efficiency initiative, which aims to reduce federal spending across agencies. When asked about possible staff reductions at NIH, Bhattacharya dismissed the idea.

“I don’t have any intention to cut anyone at the NIH,” he asserted.

As his confirmation process moves forward, Bhattacharya’s leadership approach at NIH will be closely scrutinized, particularly regarding his handling of research funding, chronic disease priorities, and scientific integrity reforms.

Global Obesity Rates Surge, Study Warns of Severe Health and Economic Consequences

A comprehensive global analysis, which includes data from India, has revealed that the prevalence of overweight and obesity among both adults aged 25 and older and children and adolescents aged 5 to 24 has more than doubled over the past three decades. According to a study published in The Lancet, by 2021, an estimated 2.11 billion adults and 493 million young people worldwide were classified as overweight or obese.

The study highlights significant variations in weight gain across different regions, with more than half of the world’s adults with overweight or obesity residing in just eight countries. These include China, which recorded 402 million affected individuals, followed by India with 180 million, the United States with 172 million, Brazil with 88 million, Russia with 71 million, Mexico with 58 million, Indonesia with 52 million, and Egypt with 41 million.

Projections from the Global Burden of Disease Study BMI Collaborators, also published in The Lancet, indicate that without urgent policy changes and preventive measures, the global burden of obesity will continue to escalate. By 2050, approximately 60 percent of adults, equating to 3.8 billion people, and nearly a third (31 percent) of children and adolescents, or about 746 million, are expected to be either overweight or obese.

The report also warns of the disproportionate impact on certain regions. By 2050, one in three young individuals classified as obese—approximately 130 million—are projected to be from North Africa, the Middle East, Latin America, or the Caribbean. These increases are expected to lead to severe health, economic, and societal repercussions.

The study further estimates that nearly a quarter of the world’s adults with obesity in 2050 will be 65 years or older. This shift is likely to place an even greater burden on already strained healthcare systems, particularly in low-resource nations where medical services may struggle to cope with rising cases of obesity-related illnesses.

Lead author Professor Emmanuela Gakidou from the Institute for Health Metrics and Evaluation (IHME) at the University of Washington in the U.S. described the global obesity epidemic as both a profound tragedy and a major societal failure. “The unprecedented global epidemic of overweight and obesity is a profound tragedy and a monumental societal failure,” Gakidou stated.

She further emphasized the importance of using country-specific estimates to guide interventions, ensuring that both prevention and treatment strategies are targeted effectively. “Governments and the public health community can use our country-specific estimates on the stage, timing, and speed of current and forecasted transitions in weight to identify priority populations experiencing the greatest burdens of obesity who require immediate intervention and treatment, and those that remain predominantly overweight and should be primarily targeted with prevention strategies,” she added.

Indian Prime Minister Narendra Modi also recently addressed the growing obesity crisis during the 119th episode of his radio program Mann Ki Baat. Highlighting the health risks associated with excessive weight gain, he urged the nation to take preventive measures against obesity-related diseases such as hypertension, diabetes, and cancer.

“To become a fit and healthy nation, we will certainly have to deal with the problem of obesity. According to a study, one in every eight people today is troubled by the problem of obesity,” PM Modi emphasized.

The study’s findings stress the urgent need for immediate intervention to counteract the rising obesity epidemic. Without substantial reforms in public health policies and more effective action plans, obesity and overweight cases are expected to skyrocket.

By 2050, if current trends persist, more than half of the world’s adult population—3.8 billion individuals—will be classified as overweight or obese. In addition, one-third of children and adolescents, amounting to 746 million, are projected to be in the same category. These figures present an unprecedented threat to public health, increasing the likelihood of premature diseases and deaths on local, national, and global scales.

The study further predicts an alarming 121 percent rise in obesity among children and adolescents worldwide. By 2050, the total number of young individuals with obesity is expected to reach 360 million, which is an increase of 186 million from 2021.

The anticipated surge in obesity rates between 2022 and 2030 underscores the need for immediate intervention. Without timely action, the global obesity crisis will continue to intensify, straining healthcare systems, increasing economic costs, and posing serious risks to public health worldwide.

Suja Thomas is appointed to Board of Trustees and Vice Chair of Board of Governors of CGFNS International

Suja Thomas has been elected to the Board of Trustees of CGFNS International, Inc. CGFNS International, the Philadelphia-based non-profit organization that has been serving global nurses and allied healthcare workers with credentials evaluation and career mobility since 1977.  Nurses and several other healthcare professionals from India and other countries who want to work in the United States need to first get their academic and professional education verified and validated by CGFNS for their eligibility to take licensing examinations.  US Department of Homeland Security has given authorization to CGFNS to conduct Visa Screen for Nurses and allied healthcare professionals before they apply for employment- based immigration.   Suja, who had been a member of the board of governors of CGFNS Alliance for Ethical International Recruitment Practices, a division of CGFNS International in the last two years has also taken the role as the vice chair of the board.  The appointment to the Board of Trustees is for four years and two years for the vice chair.

Suja Thomas is the Clinical Lead and Nursing Administrator at Samuel Stratton VA Medical Center in Albany, New York and is the 2024 recipient of Kerala Center Award for Nursing.  She was the president of National Association of Indian Nurses of America (NAINA) for the last term and is currently serving NAINA as the chair of the advisory board.  Suja is also an international faculty member at Manipal Academy of Higher Education in India where she inspires and mentors the next generation of nurses.  A Board-Certified Adult Gerontology Primary Care Nurse Practitioner and a Certified Wound, Ostomy, and Continence Nurse, Suja is someone who excelled in leadership and management, known for combining compassionate approach and clinical expertise and is a strong advocate of delivering high standard nursing care to patients.   Her visionary leadership and transformative strategies have earned her numerous accolades, including the Transformational Leadership Award, the Robert Scholar Award for Clinical Excellence, and the Quantum Leadership Award.  She was also honored with the Diversity Award by Albany Stratton VA Medical Center.  While serving as the Clinical Lead and Nursing Administrator and CGFNS leadership, Suja is also pursuing her PhD to enhance her expertise and leadership abilities.

“Nurses from more than hundred countries applied for Visa Screen certification in 2024.”  Suja emphasized: “the trend confirms that the US. Healthcare systems continue to depend on nurse immigrants.  While nurses are challenged with high level of stress, staff shortages, high patient ratios, risk of infections and injury, aging of baby-booming generation, accelerating rate of registered nurse retirements, and ongoing talk and uncertainty of health care reform, we cannot downplay the importance of elevating standard of nursing care delivery.  CGFNS ensures that the nurses joining the US nursing force, keep up with the demands, face the challenges and quality of care.”

CGFNS also partners with National Nursing Assessment Services of Canada and Nursing Council of New Zealand to verify credentials for nurses who want to work in those countries.  Suja noted that CGFNS International is in the process of rebranding as TruMerit.

UnitedHealth Group Faces Civil Fraud Investigation Over Medicare Billing Practices

UnitedHealth Group (UNH) is facing scrutiny over its Medicare billing practices, with the U.S. Department of Justice (DOJ) launching a civil fraud investigation into the company’s methods for recording diagnoses that result in additional payments for its Medicare Advantage plans, according to a report by The Wall Street Journal on Friday.

Following the news, UnitedHealth’s stock dropped nearly 9% during Friday morning trading. Both the DOJ and UnitedHealth have not immediately responded to requests for comment regarding the investigation.

In Medicare Advantage plans, private insurers receive fixed payments from the U.S. government to manage the healthcare of enrollees. However, these payments increase if patients are diagnosed with specific conditions. The Wall Street Journal reported last year that Medicare had paid UnitedHealth billions of dollars based on diagnoses that were questionable. In December, the publication analyzed Medicare records and discovered that patients treated by doctors employed by UnitedHealth exhibited a significant increase in high-value diagnoses after transitioning to the company’s Medicare Advantage plans.

Several physicians informed the Journal that they had been instructed to document diagnoses that would generate higher revenue. They further claimed that the company utilized software that suggested medical conditions and incentivized doctors with bonuses to consider these diagnoses.

Justice Department attorneys have been actively investigating these claims, interviewing medical providers named in the Journal’s reports, with the most recent interviews taking place on January 31.

This investigation is separate from another ongoing DOJ antitrust probe into UnitedHealth. Additionally, last year, the Justice Department blocked the company’s planned $3.3 billion acquisition of Amedisys, a home healthcare provider.

UnitedHealth Group operates as the parent company of UnitedHealthcare, the largest health insurer in the U.S., as well as Optum, its pharmacy benefit management division, which oversees a vast network of medical practices.

The investigation follows a particularly difficult period for the company. One of its subsidiaries, Change Healthcare, recently suffered a significant cyberattack. Additionally, UnitedHealth’s insurance division faced intense public criticism over its practices of denying insurance claims, particularly in the wake of the murder of UnitedHealthcare CEO Brian Thompson.

Study Reveals Cardiovascular Disease Rates Rising Faster in Most Asian American Subgroups

A recent study conducted in Northern California indicates that while cardiovascular disease (CVD) rates vary among Asian American subgroups, most of them are experiencing a faster increase compared to white adults. The research, which was presented at the American Heart Association’s Scientific Sessions in Chicago, found that only Japanese Americans and individuals of Native Hawaiian or Pacific Islander descent did not show a higher rate of increase. However, since the full results have yet to be published in a peer-reviewed journal, the findings remain preliminary.

Dr. Kaylin Thuy Nguyen, the study’s lead author and a clinical fellow in the division of cardiovascular medicine at Stanford University, emphasized the importance of analyzing data for specific Asian American groups rather than treating them as a single entity. “Asian Americans are a diverse group,” Nguyen stated. “There’s a lot of heterogeneity – different cultures, socioeconomic backgrounds, nutritional patterns. There are stark differences we mask when we aggregate data and look at the groups as a whole. If we assume the same risk for everyone, we might miss the opportunity to treat risk factors.”

Asian Americans and Pacific Islanders represent the fastest-growing racial or ethnic population in the United States. According to the 2020 census, approximately 24 million people identified as Asian alone or in combination with another racial or ethnic group. Among them, individuals of Chinese, Asian Indian, Filipino, Vietnamese, Korean, and Japanese descent accounted for 85%.

Historically, health data on individuals from these various Asian ancestries have been studied collectively, often obscuring significant variations in cardiovascular disease risk factors and prevalence. Recent research, however, has started to highlight these differences. This new study focused on analyzing cardiovascular disease rates among Asian American subgroups within a Northern California healthcare system and compared these rates with their white counterparts. The study also examined how the rates evolved between 2007 and 2018.

The researchers evaluated medical records of middle-aged Asian American men and women who self-identified as Asian Indian, Chinese, Filipino, Japanese, Korean, Native Hawaiian, or other Pacific Islander, as well as individuals of mixed-race backgrounds. The findings indicated that all Asian subgroups, with the exception of Japanese Americans and Native Hawaiians or Pacific Islanders, exhibited a faster increase in cardiovascular disease rates compared to white adults. Similarly, hypertension, or high blood pressure, rose more rapidly for nearly all subgroups—except Japanese Americans—when compared to white adults.

Among all the subgroups analyzed, Filipino Americans had the highest cardiovascular disease rates. Throughout the study period, their rates were nearly twice as high as those of their white peers. In 2007, 32.2% of Filipino Americans had cardiovascular disease, which increased to 45.1% in 2018. In contrast, white adults experienced a rise from 16.5% to 21.9% over the same period.

The study also found that coronary artery disease rates increased more rapidly among the Filipino, Asian Indian, and Chinese subgroups than among white adults. Meanwhile, the rate of heart attacks rose more slowly among Chinese and Korean individuals compared to their white counterparts.

The study did not explore the reasons behind these subgroup differences in cardiovascular risks and disease prevalence. However, Dr. Nguyen suggested that one potential explanation for the lower cardiovascular risk among Japanese Americans could be their traditional diet. She noted that their diet closely resembles the heart-healthy Mediterranean diet, emphasizing fish and vegetables while minimizing red meat consumption. Previous research has already linked the Japanese-style diet to reduced cardiovascular risk.

Lan Doan, an assistant professor in the department of population health at NYU Grossman School of Medicine in New York City, emphasized the necessity of collecting additional data in future studies. She pointed out that factors such as the length of time individuals have lived in the U.S., their regular access to healthcare, their insurance status, and their dietary and lifestyle adaptations should be considered in assessing cardiovascular risks. Geographic variations in these risks should also be examined.

“If we don’t start tracking and disaggregating data, we’re not going to be able to understand what differences in health there might be, and we can’t target treatments or preventive measures,” Doan stated.

She further emphasized the importance of deepening the understanding of Asian American, Native Hawaiian, and Pacific Islander populations. “We need to keep deepening our understanding of who these Asian American and Native Hawaiian and Pacific Islander populations are, and thinking about all the multilevel factors that influence the risk and progression of cardiovascular disease and risk factors across their lives,” she said.

Erosion of Physician Autonomy Linked to Burnout and Workforce Challenges

Over the past several decades, physicians have witnessed a gradual decline in their control over their work environments, a shift driven by multiple factors. Regardless of the causes, the consequences are clear: autonomy and flexibility have become increasingly scarce for medical professionals. A study published in the Annals of Internal Medicine highlights a direct connection between this loss of control and heightened levels of physician burnout, as well as an increased likelihood of doctors reducing their hours or leaving their jobs altogether.

“With these shifts, physicians often feel treated as a unit of productivity to be manipulated and afforded little control over their work environment,” stated the study, which was co-authored by Christine Sinsky, MD, vice president of professional satisfaction at the American Medical Association (AMA).

The study, based on a survey conducted in 2022 and 2023 with over 2,100 physicians, identified a link between burnout and inadequate control over patient load, team composition, workload, clinical schedule, and other responsibilities. Physicians who reported lacking sufficient control in these areas were significantly more likely to express intentions to cut back their working hours.

Among the surveyed physicians, 61.4% believed they had adequate control over their patient loads, while 60.6% felt they had sufficient authority over the composition of their clinical teams. Similarly, 61.3% said they had enough control over their workloads. However, only 49% reported having control over hiring staff, and 74.6% said they had enough say over their clinical schedules. When it came to accountability, 58.3% stated they had sufficient autonomy in the matters for which they were held responsible.

While the study did not establish a direct cause-and-effect relationship, the findings strongly suggested a correlation between these factors.

The authors of the study emphasized that for most physicians, job satisfaction is not solely about financial compensation. Physicians seek more than just monetary incentives to remain engaged and fulfilled in their profession. Although demanding and stressful, the job can be deeply rewarding when the right conditions are met.

“Intrinsic motivators, such as autonomy, mastery and purpose, have been shown to be more powerful for physicians than extrinsic motivators, such as salary, and are associated with higher professional satisfaction and lower burnout,” the study noted.

As a leader in physician well-being, the AMA is actively working to combat burnout by reducing administrative burdens and offering practical solutions aimed at helping physicians rediscover their passion for medicine.

Lack of Autonomy: A Major Contributor to Burnout

Although physician burnout has decreased from its record high in 2021, when the COVID-19 public health crisis pushed the healthcare workforce to its limits, it remains a significant problem in the United States. From physicians choosing to leave their jobs or cut their hours to the impact on patient care and satisfaction, burnout affects nearly every aspect of the healthcare system.

The study’s authors argued that health systems and physician practices could mitigate burnout—and its detrimental consequences—by granting doctors more control over their jobs and daily workflows, particularly in areas where they are ultimately held accountable.

“Providing control over these aspects of practice may seem at odds with organizational initiatives to standardize practice operations, including scheduling and workflows,” the study stated. “It is imperative, however, that organizations find the right balance between standardization and customization/flexibility.”

The Financial Toll of Burnout and High Turnover

The reduction of physician autonomy is driven by various factors, including the shift from physician-owned practices to employer-based models, the adoption of an industrial approach that prioritizes standardization over customization, and cultural changes that treat physicians more as commodities rather than professionals with individual expertise and decision-making abilities.

The study pointed out that physician burnout and the resulting workforce turnover impose significant financial burdens on healthcare organizations. The cost of replacing a departing physician can range from $500,000 to over $1 million in lost revenue, depending on factors such as specialty, location, and institutional investment in hiring and training. The AMA offers a calculator to help healthcare organizations assess the financial impact of physician attrition.

While some hospital executives may assume that increasing physician control over their work would be too expensive, the study’s authors suggested that failing to address the issue is actually far costlier.

Providing physicians with greater influence and decision-making power “may decrease the likelihood of physicians experiencing burnout, reducing clinical work hours or leaving to pursue more control elsewhere, thus preserving access for patients, ensuring continuity of care and reducing recruitment/replacement costs,” the study explained. “These findings may be critical to organizational and societal efforts to maintain an adequate physician workforce.”

However, improving physician autonomy alone is not enough to curb burnout. The study emphasized that additional measures must be implemented to address this widespread issue effectively.

“Ensuring adequate control over the clinical work environment should be considered one component of a holistic strategy to reduce burnout and retain physicians,” the authors wrote. “Reductions in burnout and turnover, in turn, have the potential to ensure adequate access to care and foster continuity and quality.”

The AMA provides open-access toolkits through its STEPS Forward® initiative, offering physicians and healthcare organizations innovative strategies to combat burnout, enhance efficiency, and create an environment that fosters job satisfaction and professional fulfillment.

By addressing the root causes of physician burnout—particularly the erosion of autonomy—healthcare organizations can not only improve job satisfaction but also enhance patient care, reduce costs, and secure a more stable medical workforce for the future.

How Affordable Hearing Aids Changed My Life: My Journey to Clearer Sound

For years, I struggled with hearing loss. It started gradually—asking people to repeat themselves, turning up the volume on the TV, missing parts of conversations. At first, I dismissed it as background noise or people mumbling. But over time, it became clear that I was the problem.

Conversations became exhausting. Social gatherings, once enjoyable, turned into stressful experiences where I nodded along, pretending to understand. I avoided phone calls, dreading the embarrassment of asking someone to repeat themselves multiple times. Even at home, my wife grew frustrated when I constantly asked, “What?”

I knew I needed help but hesitated to get hearing aids. The thought of bulky, expensive devices was unappealing. I had seen traditional hearing aids before—large, noticeable, and costing thousands of dollars. It felt like an admission of aging, something I wasn’t ready for.

Then, I discovered Audien Hearing. One evening, while researching affordable hearing solutions, I stumbled upon their website. Their promise caught my attention: small, nearly invisible hearing aids at a fraction of the cost of traditional ones. I was skeptical. Could an affordable option work as well as expensive devices?

Still, I decided to try them. At their price point, it was a low-risk investment compared to traditional hearing aids. When my Audien hearing aids arrived, I was impressed by their sleek design. They were tiny, lightweight, and fit comfortably in my ears. Unlike the bulky models I feared, these were discreet.

The first time I put them in, the world changed. Sounds I hadn’t heard in years came rushing back—birds chirping outside, the rustling of leaves, the hum of the refrigerator. Most importantly, conversations became clear again. No more guessing what people were saying, no more pretending to understand.

I remember my wife’s reaction. “You’re not asking me to repeat myself!” she exclaimed. It was a relief for both of us. I felt connected again, part of conversations rather than a spectator struggling to keep up.

The technology in Audien hearing aids amazed me. Despite their affordability, they delivered crystal-clear sound quality. Conversations in noisy environments were easier to follow. Phone calls, which I once dreaded, became effortless. Watching TV no longer required blasting the volume.

What I appreciated most was the comfort. I could wear them for hours without discomfort. Unlike traditional hearing aids that require custom fittings, these were ready to use out of the box. They came with multiple earbud sizes, ensuring a snug fit.

Battery life was another pleasant surprise. They lasted all day on a single charge, and the included charging case made recharging simple. No need to constantly buy and replace tiny, expensive batteries.

The affordability of Audien hearing aids made a significant difference. Traditional hearing aids can cost thousands, often requiring multiple appointments and fittings. Audien eliminated that hassle. They provided high-quality sound at a fraction of the cost, making hearing assistance accessible to more people.

I started recommending them to friends and family. Many were hesitant, just as I had been. But after trying them, they experienced the same life-changing improvements. One friend, who had avoided hearing aids due to cost, called me after trying Audien’s. “I can’t believe I waited this long,” he admitted.

For anyone struggling with hearing loss but hesitating due to cost or stigma, Audien Hearing is a game-changer. Their devices are discreet, effective, and affordable, proving that regaining clear hearing doesn’t have to be expensive or complicated.

Looking back, I regret waiting so long. I missed out on countless conversations, moments, and experiences simply because I hesitated to get help. Thanks to Audien Hearing, I’ve reclaimed those moments. I no longer feel isolated or frustrated. Life sounds vibrant again.

If you’re struggling with hearing loss, don’t wait. You don’t have to settle for expensive, bulky options. Audien offers a solution that’s accessible and effective. Take the step—I promise you won’t regret it.

Trump Administration Cuts FDA Workforce, Raising Concerns Over Public Health Oversight

The Trump administration’s initiative to reduce the size of the federal workforce has now impacted the Food and Drug Administration (FDA), with recently hired employees responsible for reviewing food ingredients, medical devices, and other products being dismissed.

Probationary employees across the FDA received termination notices on Saturday evening, according to three FDA staffers who spoke to The Associated Press on the condition of anonymity because they were not authorized to discuss the matter publicly.

The exact number of eliminated positions remained unclear as of Sunday. However, the terminations appeared to primarily affect staff in the agency’s centers for food, medical devices, and tobacco products, including those responsible for overseeing electronic cigarettes. It was uncertain whether employees involved in drug reviews were exempt from the layoffs.

On Friday, some officials anticipated that the U.S. Department of Health and Human Services (HHS) would terminate 5,200 probationary employees across its agencies, based on an audio recording from a National Institutes of Health (NIH) department meeting. HHS supervises various agencies, including the NIH, FDA, and the Centers for Disease Control and Prevention (CDC).

According to sources who spoke anonymously with the AP on Friday, nearly 1,300 probationary employees at the CDC were expected to be laid off. However, as of early Sunday afternoon, approximately 700 employees had received termination notices, according to three people familiar with the matter. They noted that none of the CDC layoffs affected young doctors and researchers working in the Epidemic Intelligence Service, which tracks diseases.

The FDA, headquartered in the Maryland suburbs outside Washington, employs nearly 20,000 people. The agency has long been a target of newly sworn-in Health Secretary Robert Kennedy Jr., who previously accused the FDA of waging a “war on public health” by failing to approve unproven treatments, including psychedelics, stem cells, and chelation therapy.

Kennedy has also advocated for banning thousands of chemicals and artificial colorings from U.S. foods. However, the FDA layoffs include staff responsible for reviewing the safety of new food additives and ingredients, according to an FDA staffer familiar with the situation.

A spokesperson for HHS did not immediately respond to a request for comment on Sunday afternoon.

Nearly half of the FDA’s $6.9 billion budget is funded by fees paid by the companies it regulates, such as pharmaceutical and medical device manufacturers. These fees allow the agency to employ additional scientists to expedite product reviews. Consequently, eliminating these positions will not contribute to reducing government spending.

A former FDA official warned that cutting recent hires could be counterproductive, as it would remove younger staff members with more up-to-date technical expertise. The FDA workforce is largely composed of older employees who have spent one or two decades at the agency. Additionally, a 2022 report from the Government Accountability Office highlighted the FDA’s historical difficulties in recruiting and retaining talent, largely due to better pay in the private sector.

“You want to bring in new blood,” said Peter Pitts, a former FDA associate commissioner under President George W. Bush. “You want people with new ideas, greater enthusiasm, and the latest thinking in terms of technology.”

Mitch Zeller, former FDA director for tobacco, criticized the terminations, saying they were designed to “demoralize and undermine the spirit of the federal workforce.”

“The combined effect of what they’re trying to do is going to destroy the ability to recruit and retain talent,” Zeller said.

The FDA’s inspection team has been under increasing pressure in recent years, especially following a wave of departures during the COVID-19 pandemic. Many of the agency’s current inspectors are recent hires, but it was unclear whether they were affected by the layoffs.

FDA inspectors oversee thousands of food, drug, tobacco, and medical device facilities worldwide. However, the AP reported last year that the agency was dealing with a backlog of around 2,000 uninspected drug manufacturing facilities that had not been visited since before the pandemic.

The agency’s inspection team has also faced criticism for failing to act quickly on recent safety concerns related to infant formula, baby food, and eyedrops.

February 2025: American Heart Month

National India Hub Community Health & CP Training Center, Schaumburg, Illinois, USA, An initiative By Dr. Vemuri S Murthy, “Global Champion of Resuscitation” 

President Lyndon B. Johnson issued the first proclamation in 1964, declaring February every year as the “American Heart Month.” The first Friday of the American Heart Month is also“National Wear Red Day,” an initiative by the American Heart Association to raise awareness of
heart disease among women.

During this month, organizations such as the American Heart Association, the Centers for Disease Control and Prevention(CDC), the National Heart, Lung, and Blood Institute (NHLBI), and The Heart Truth strive to raise public awareness of heart disease, the Number One Global
Killer.

February 2025 American Heart Month 3
Leadership of the National India Hub CPR Training Center with Hon’ble Consul General, Chicago Indian Consulate Mr. Somnath Ghosh

 

 

 

 

As a part of prevention, it’s essential to encourage the communities to have regular heart health screenings involving blood pressure and cholesterol. In addition, a balanced diet, regular exercise, and smoking cessation are mandatory for a “Healthy Heart.”

Heart disease is a major Global Public Health problem. People of Indian Origin are at a four-times greater risk of heart disease than their Western counterparts and have a greater chance of having a heart attack before 50 years of age.

According to the American Heart Association, “Cardiac arrest affects >600000 people in the United States annually, with a worldwide annual incidence of 30 to 97 individuals per 100000 population”. South Asian communities (including Indians in India and the Indian diaspora) are especially vulnerable to premature heart disease and sudden cardiac deaths.

The overall survival to hospital discharge in adults resuscitated during out-of-hospital cardiac arrests is around 9% only. The survival may be tripled with immediate on-the-spot  “Bystander Hands-only Cardiopulmonary Resuscitation (CPR) using an Automated External Defibrillator
(AED)”.

February 2025 American Heart Month 1
A CPR Training Class by a volunteer trainer, Mrs. Saloni Shah at the Training Center on February 16,2025

Bystander Hands-only CPR (HOCPR) is a lifesaver technique in the majority of victims of “Sudden Cardiac Arrest” performed before the arrival of the Emergency Medical Services (EMS) team.

Dr. Vemuri S Murthy, an Indo-US resuscitation expert, faculty member in the Department of Emergency Medicine at the University of Illinois College of Medicine, Chicago, has contributed to pioneering Indian Cardiac Arrest research by partnering with Indian peers.

Chicago Medical Society, Chicago, Illinois initiated a community Hands-only CPR project, Project SMILE (Saving More Illinois Lives through Education), in 2012, offering training to thousands of community members with a dedicated team of volunteers.

In June 2024, the National India Hub, Schaumburg, Illinois, launched a Community CPR Training Center with state-of-the-art CPR-training equipment for communities and students. The one-hour hands-on training involves a brief educational presentation with the distribution of multi-lingual CPR educational brochures, a video, and hands-on training on manikins with AED.

Hundreds of community members and students are being trained at the Center since the inauguration. The Center is planning to initiate a “Train the Trainer” program for High Schools soon.

The registration link to Hands-only CPR training with AED @ National India
Hub,Schaumburg, Illinois:
https://www.indiahub.org/event-details/cpr-training-2025-02-16-11-00-1
Phone: 1 (888) 886-6335

February 2025 American Heart Month 1
Leadership of the National India Hub CPR Training Center with Hon’ble Consul General, Chicago Indian Consulate Mr. Somnath Ghosh

New Cancer Drug Trial Achieves Unprecedented Complete Remission in Patients

A groundbreaking development at Manhattan’s Memorial Sloan Kettering Cancer Center has stunned the medical world. A new drug trial has delivered results that experts are calling a medical marvel—complete remission of cancer in every participant. This small but unprecedented study has sparked global optimism and intense curiosity as dostarlimab, the drug being tested, demonstrates the potential to revolutionize cancer treatment. The implications of this breakthrough raise important questions about the future of oncology and what it means for patients battling this devastating disease.

The trial conducted at Memorial Sloan Kettering Cancer Center has drawn significant attention due to its extraordinary success. It focused on dostarlimab, a novel checkpoint inhibitor, and was limited to a select group of rectal cancer patients. Every single participant in the trial experienced complete remission, an extremely rare outcome in oncology.

Though the study was small, with only 12 participants, it was meticulously designed. The patients selected had locally advanced rectal cancer and were chosen based on specific criteria that indicated they might respond to the treatment. Each participant received dostarlimab every three weeks over a six-month period. The trial aimed to determine the drug’s effectiveness in exposing cancer cells to the immune system, allowing the body to recognize and destroy them.

To evaluate the drug’s efficacy, researchers used a combination of physical examinations, endoscopies, positron emission tomography (PET) scans, and magnetic resonance imaging (MRI). The results, which revealed complete disappearance of tumors in all patients, shocked and thrilled the medical team and the broader oncology community.

Before joining the trial, many of the patients had endured extensive and exhausting treatments such as chemotherapy and radiation. These interventions not only failed to eliminate their cancer but also led to severe side effects, leaving patients physically and emotionally drained. Dr. Andrea Cercek, an oncologist at Memorial Sloan Kettering and co-author of the study, noted, “The patients had almost given up hopes after failing to recover after going through grueling chemotherapy and radiation sessions.” Some were even facing the possibility of life-altering surgeries that could have resulted in permanent changes to their bodily functions.

However, the introduction of dostarlimab marked a turning point. Patients were astonished to learn that their tumors had vanished, and no further invasive treatments were needed. Dr. Cercek described the emotional moment, saying there were “a lot of happy tears.” The impact of this revelation was immense, not just in terms of physical relief but also in the profound shift it brought to the patients’ mental and emotional well-being.

Participants in the study were closely monitored for signs of recurrence through regular follow-ups involving advanced imaging. Remarkably, there was no evidence of cancer returning up to 25 months after the trial concluded. This sustained remission provided a significant sense of relief and fostered a cautiously optimistic outlook. One patient, reflecting on their experience, expressed immense gratitude: “Not expecting their cancerous tumors to subside, they agreed to be part of the dostarlimab trial. But to their pleasant surprise, they were taken off the painful chemotherapy and radiation sessions and also told that there would be no need to go under the knife.”

Dostarlimab represents a major advancement in oncology, particularly within immunotherapy. As a checkpoint inhibitor, it targets the immune system’s ability to recognize and destroy cancer cells, a process often blocked by the cancer cells themselves. Normally, cancer cells evade detection by manipulating certain proteins that act as checkpoints in the immune system. These checkpoints prevent the immune system from mistakenly attacking the body’s own cells. However, dostarlimab blocks these checkpoint proteins, removing the protective shield that cancer cells use to evade immune attack. This allows T-cells, the body’s natural defense mechanism, to recognize and destroy cancerous cells.

Checkpoint inhibitors like dostarlimab belong to a broader class of drugs that have revolutionized cancer treatment in recent years. These drugs are particularly effective against cancers with a high mutation burden, making them more recognizable to the immune system once the checkpoints are inhibited. Dostarlimab specifically targets the PD-1/PD-L1 pathway, which plays a crucial role in enabling tumors to evade immune responses.

In this trial, dostarlimab was administered every three weeks for six months. The results were extraordinary, and unlike conventional cancer treatments such as chemotherapy, which often come with severe side effects, this drug showed a remarkable safety profile. “Such drugs, known as ‘checkpoint inhibitors,’ usually have some kind of adverse reaction in 20% of patients who undergo the treatments. Nearly 60% of patients have severe complications, including muscle weakness. But no negative reaction was seen in the patients involved in the dostarlimab study,” stated the report.

This combination of effectiveness and minimal side effects suggests that dostarlimab could be a game-changer, not just for rectal cancer but for other cancers that share similar biological markers. Traditionally, cancer treatments have relied on surgery, chemotherapy, and radiation therapy. While these methods are effective, they often result in significant physical and emotional burdens for patients. The success of dostarlimab suggests a potential shift toward less invasive treatment options, reducing the need for aggressive therapies such as surgery and chemotherapy, particularly in cancers that are responsive to immunotherapy.

The trial also highlights the growing importance of personalized medicine in cancer treatment. By targeting specific genetic markers, drugs like dostarlimab can be tailored to individual patients, increasing efficacy while minimizing unwanted side effects. As genetic testing and biomarker research continue to advance, personalized immunotherapies could become more widespread.

The remarkable results of this study are expected to drive further research into checkpoint inhibitors and other immunotherapy treatments. Given the unprecedented success seen in this trial, additional studies will likely explore dostarlimab’s application to a wider range of cancers and at different stages. If these findings hold true in larger trials, the drug could significantly broaden treatment options for patients who currently lack effective therapies.

Beyond the scientific community, the implications of this breakthrough extend to healthcare policy and economics. If treatments like dostarlimab can provide long-term remission with fewer resources and less patient trauma, they could help reduce the financial and logistical burdens associated with traditional cancer therapies. However, the high cost of such drugs remains a significant barrier. At its current trial phase, dostarlimab costs approximately $11,000 per dose, posing a substantial challenge for widespread use, particularly in lower-income countries and even among middle-class patients in developed nations.

For dostarlimab to become widely accessible, insurance companies and healthcare systems will need to reassess their policies regarding coverage for innovative cancer treatments. Adjustments in public health funding and insurance structures may be necessary to ensure that patients who need these therapies can afford them. Additionally, pharmaceutical companies must collaborate with governments and global health organizations to scale up manufacturing and distribution, ensuring that dostarlimab reaches patients worldwide.

The ethical implications of access to life-saving drugs like dostarlimab cannot be ignored. Healthcare equity remains a crucial issue, as life-changing treatments should not be limited to those who can afford them. Addressing these concerns will require careful planning and collaboration among medical professionals, policymakers, and industry leaders.

The success of the dostarlimab trial represents more than just a medical breakthrough; it signals a potential transformation in cancer care. The results demonstrate that modern science is advancing toward treatments that are not only more effective but also less invasive and more humane. However, ensuring that these therapies are accessible to all patients will require collective efforts from governments, pharmaceutical companies, and the healthcare sector.

Moving forward, continued research and larger clinical trials will be essential to validate and expand upon these findings. Additionally, healthcare systems must adapt to incorporate these new treatments while ensuring that all patients, regardless of economic or geographic barriers, have access to them.

Dostarlimab offers a beacon of hope—not just for those currently battling cancer, but for future generations. With persistent dedication and collaboration across various fields, the possibility of turning cancer into a manageable condition rather than a terminal diagnosis is within reach.

Gautam Adani Announces ₹60 Billion Investment in Healthcare Projects in Mumbai and Ahmedabad

Indian billionaire Gautam Adani announced on Monday that his family will invest more than ₹60 billion ($686.18 million) to establish two affordable healthcare campuses in Mumbai and Ahmedabad. These projects will be developed in collaboration with the U.S.-based Mayo Clinic.

Each of these campuses will include hospitals, medical colleges, transitional care facilities, and research centers. The Adani Group stated that the not-for-profit Mayo Clinic Global Consulting will provide the necessary technical expertise for these ventures.

Adani highlighted that these healthcare campuses are the first initiatives stemming from a ₹600 billion commitment made two years ago to support healthcare, education, and skills development.

Alongside these projects, the Adani Group is also engaged in transforming Asia’s largest slum, Dharavi, into a modern urban hub. However, the $619 million redevelopment agreement has met resistance from some residents who have raised concerns about the project’s feasibility.

Meanwhile, in November, U.S. authorities accused Adani and several senior executives of participating in a scheme involving $265 million in bribes to secure power supply contracts in India. The Adani Group has dismissed these allegations as “baseless.”

AAPI Mourns the Passing Away of Dr. Sampat Shivang

“We are deeply saddened and shocked by the sudden passing away of Dr. Sampat Shivangi, a physician, an influential Indian American community leader, and a veteran leader of the American Association of Physicians of Indian Origin (AAPI),” said Dr. Satheesh Kathula, President of AAPI.

Describing Dr. Shivangi as “A trailblazer of the Indian Diaspora,” Dr. Kathula, who has known Dr. Shivangi for decades and has worked closely in several AAPI-led initiatives, said, “Dr. Shivangi has left an indelible mark on the Indian American community. Over the decades, he dedicated his time and efforts to serving AAPI and numerous other Indian American organizations. His leadership, vision, and tireless commitment to advocating for the community set him apart as a pillar of strength and guidance.”

“AAPI is proud of Dr. Shivangi’s numerous accomplishments, leadership, and contributions to the greater cause of the Indian Diaspora, Indo-US relationship, and particularly for his dedication to enhancing the mission of AAPI,” said Dr. Sunil Kaza, Chair of AAPI Borad of Trustees.

Among many other initiates that Dr. Shivangi led at AAPI during his decades long association, the most outstanding has been his leadership in organizing the annual Legislative day under several Presidents of AAPI. He was instrumental in personally contacting and inviting several lawmakers, including prominent US Senators and Congressman to the Legislative day.

Dr. Amit Chakrabarty, President-Elect of AAPI said, “The Indian American community has lost a great leader, philanthropist, and friend whose contributions will continue to resonate for generations. Through his philanthropic efforts, Dr. Shivangi touched countless lives, always striving to make a positive impact both in the healthcare sector and within the broader community.IMG 20250211 WA0030

Dr. Shivangi has been actively involved in several philanthropic activities, serving with Blind Foundation of MS, Diabetic, Cancer and Heart Associations of America. Dr. Shivangi has a number of philanthropic works in India including Primary & middle schools, Cultural Center, and IMA Centers that he opened and helped to obtain the first ever US Congressional grant to AAPI to study Diabetes Mellitus amongst Indian Americans.

It was only about a month ago that the President of India, Droupadi Muramu inaugurated the newly built Dr. Sampat Kumar S. Shivangi Cancer Hospital in Belagavi, Karnataka. Spanning 1,75,000 square feet with a capacity of 300 beds, the hospital was built with cutting-edge technology with funds donated and raised by Dr. Sampat Shivangi, a distinguished Indian American community leader with a profound impact on healthcare, education, and cultural preservation across India and the United States.

“A dream comes true! It fills my heart with immense pride and gratitude for the new state-of-the-art Dr. Sampat Kumar S Shivangi Cancer Hospital in my beloved home state, Belagavi, has finally become a reality,” Dr. Sampat Shivangi, who donated his family fortunes to build this much needed, cancer hospital in a rural region in the state of Karnataka, said here.

“Having lived in India for three decades, in not so privileged and progressive parts of the world, it always touched my heart and Atma why so and why not we all have equal playing field on earth,’ Dr. Shivangi said, when asked about what led him to his decision to donate his money, time, efforts and skills.

“During my years in hospitals as a student, resident and staff, I was devastated. I had a great desire to do something that helps people, including for the need to establish a cancer hospital in my native town, where people have to travel hundreds of miles away for such a treatment and possibly could not afford the travel, stay, or medical expenses.”Simple Photo Collage Pasta Recipes YouTube Thumbnail

Describing the goals of the Cancer Hospital and the Charitable Foundation, Dr. Shivangi, a soft-spoken physician says, “The Charitable Foundation was set up several years ago to establish, promote, and provide the needy and the downtrodden fellow human beings with opportunities to access quality education, promote mental health awareness, ensure healthcare equity, support tribal communities in their holistic development, empower women to break barriers, and leverage sports as a catalyst for positive change.”

In addition to establishing the Dr. Sampat Kumar S. Shivangi Cancer Hospital in Karnataka, through the Dr. Sampat Shivangi Foundation, Dr. Shivangi has established multiple charitable institutions in India, including primary and middle schools, community halls, and healthcare facilities, greatly enhancing educational and healthcare access for underserved communities.Shivangi

In the U.S., Dr. Shivangi has contributed to establishing a Hindu Temple in Jackson, Mississippi, providing a cultural and spiritual hub for the Hindu community and beyond. Recognized for his exemplary service, a street in Mississippi bears his name, a testament to his contributions to healthcare and community welfare.

Over the years, in the pursuit of its vision, the Dr. Sampat Shivangi Foundation has come to be known for its belief and tireless efforts that every individual deserves an opportunity to thrive, and is a beacon of hope, fostering resilience and building a more inclusive and harmonious world for all.

At the heart of societal transformation, the Dr. Sampat Shivangi Foundation stands as a testament to unwavering commitment and compassion. The foundation is built upon the pillars of education, healthcare, mental well-being, tribal support, women’s empowerment, and sports development. With a profound understanding of the multifaceted needs of underprivileged communities, we have designed a range of initiatives that address these vital aspects of human well-being.

As the first Indian American to serve on the Board of the Mississippi State Department of Mental Health, Dr. Shivangi has made significant strides in mental health advocacy. His leadership extends to national positions, serving on the National Board of Directors for the Substance Abuse and Mental Health Services Administration (SAMHSA), appointed by Presidents Donald Trump and Joe Biden.

A dedicated advocate for Indo-U.S. relations, Dr. Shivangi has contributed to key initiatives, including the Indo-U.S. Civil Nuclear Agreement, collaborating with President George W. Bush to strengthen ties between the two nations. His commitment to India is further reflected in his coordination efforts with the White House to lift sanctions against India during President Bill Clinton’s administration.

A recipient of numerous awards, including the Pravasi Bharatiya Samman Award, The US Congressional Recognition Award, the Ellis Medal of Honor Award, Lifetime Achievement Award by the Indo-American Press Club, Dr. Shivangi’s legacy reflects a lifelong dedication to improving lives through healthcare, philanthropy, and international diplomacy.

Dr. Shivangi said, he always thought about why, the Indian Americans especially, the Physician fraternity, consisting of more than 100,000 physicians in the United States are not willing to undertake philanthropy in their homeland or in USA. “My hope and prayers is that, many more will follow me just as my dream has come true today. I urge my fellow Indo-American physicians to join this movement and help change the world for the better. My humble request is that let us be the change, and bring this movement to make our world different tomorrow.  I hope my prayers will be answered one day and all humanity lives in a better world.”

Dr. Shivangi is married to Dr. Udaya S. Shivangi, MD, and the couple are blessed with two daughters: Priya S. Shivangi, MS (NYU); and Pooja S. Shivangi, who is an Attorney at Law. “His legacy will remain an inspiration for all who knew him, and his absence will be deeply felt. Our thoughts and prayers are with his family and loved ones during this profoundly difficult time,” Dr. Kathula said.

Scientists and Researchers Scramble to Preserve Public Health Data Amid Website Shutdowns

Scientists, researchers, and private health organizations rushed to save federal public health data and guidelines last week after learning that the Trump administration intended to take down federal agency websites.

Many individuals have transferred this data to personal websites or Substack accounts, while others are still determining how to manage the information they have gathered.

These archivists, many of whom remain anonymous, now face the daunting challenge of coordinating their efforts to assess how much information has been preserved and to reestablish a centralized network of websites for public access.

“The deletion of information or just the threat of it should make us uneasy,” stated Candace St. John, who is collaborating with AltCDC, a collective of public health workers committed to data preservation. “It’s something that is really going to undermine a lot of communities across the nation.”

St. John, who describes herself as a “liaison” connecting health workers and tracking saved data, emphasized that federal public health data is particularly crucial in rural areas that lack their own health departments, unlike urban centers.

“We rely on these data sets to make important decisions up and down,” she said.

Following President Trump’s executive orders targeting “gender ideology” and diversity, equity, and inclusion efforts, federal health agencies began removing related content from their websites.

The scale of the impact has been significant. Since last Friday, more than 80,000 pages from over a dozen U.S. government websites have been taken down, according to an analysis by The New York Times. Among the removed materials are Centers for Disease Control and Prevention (CDC) resources on HIV and sexually transmitted infections (STIs) prevention and tracking, as well as guidelines for birth control and gender-affirming care. The National Institutes of Health (NIH) Office of Research on Women’s Health website has also been taken down.

Although some of these resources have been reinstated, such as the CDC’s Atlas Tool used for tracking HIV and STIs, they appear to lack the depth they previously had.

Confusion and concern over the deletions intensified when media reports suggested that even more government websites might be shut down as part of an effort to erase mentions of diversity. However, the Office of Personnel Management dismissed these claims as “false rumors.”

On Thursday night, virologist Angie Rasmussen received a call from a reporter inquiring whether she had heard that the Trump administration planned to delete the CDC website. Unaware of this, she immediately informed colleagues and took action.

“I immediately went to the data I would need and started downloading,” she said.

Using archive.org, she saved as much of the CDC’s website as possible. She then connected with Michigan-based data analyst Charles Gaba, who successfully downloaded the agency’s entire website. Gaba has since shared some of this information on a website he has maintained for years.

Others took similar steps. Reproductive health writer and activist Jessica Valenti created a website on her Substack containing CDC data on sexual health, contraception, and LGBTQ youth, which she managed to download before the webpage was removed. Her site also provides instructions for others to submit any deleted documents they have.

Some organizations have also joined the effort. The American College of Obstetricians and Gynecologists, for instance, has reposted CDC guidelines on its own website.

Despite these efforts, a vast amount of information appears to have disappeared overnight, and it remains uncertain how much has been lost.

Justin Gill, an urgent care nurse practitioner, relies on CDC guidelines when evaluating treatment options for patients. Last week, while discussing syphilis treatment with a colleague, he attempted to access the CDC’s STI treatment guidelines, only to find that the page had been removed.

“I was trying to look up guidelines because [I had] questions about first-line and second-line treatments … and that resource was completely gone,” he said.

Gill highlighted the significant consequences of federal public health data disappearing, noting that healthcare professionals nationwide, particularly those in remote areas, depend on CDC information for informed decision-making.

“The CDC was the gold standard for accurate, up-to-date health information, and it’s almost like, with great efficiency, it was turned into the laughing stock of health care resources,” he said.

While alternative sources exist for health guidelines, Gill pointed out that they frequently reference CDC data.

What made the CDC’s resources invaluable, he explained, was not only their accuracy but also their centralized nature, making them a convenient and reliable source for medical professionals.

Now, Gill warned, if doctors or nurses are unable to locate the necessary information on the CDC or NIH websites, they will be forced to search elsewhere, reducing the time they can dedicate to patient care.

Health professionals interviewed by The Hill expressed additional concerns about maintaining the accuracy of the information they are working to preserve. Public health data and corresponding guidelines require continuous updates to remain relevant.

Thus, while preserving existing data is vital, it does not entirely safeguard the public against emerging health threats, such as viral outbreaks.

In addition to removing information from websites, the Trump administration also directed federal health agencies to temporarily halt communications. As a result, the CDC ceased publishing its Morbidity and Mortality Weekly Report, a key source of new health-related data. Although the CDC resumed releasing the report earlier this week, other critical datasets, such as FluView, remain inaccessible.

Rasmussen underscored the importance of the CDC’s flu surveillance data, particularly in monitoring new disease developments. This information is especially crucial given the recent bird flu cases in the country, she noted.

“That puts all of us at risk because then you have a virus infection that is spreading uncontrollably in the population, and you’re not doing anything about it, and you’re not tracking it,” she said.

Trump’s China Tariffs Impact U.S. Drug Supply Amid Growing Concerns

President Donald Trump’s tariffs on Chinese imports have now been fully implemented, affecting all products from the country, including essential pharmaceutical drugs that millions of Americans depend on.

China plays a crucial role in supplying the U.S. with prescription and over-the-counter medications. A large share of these imports consists of generic drugs, which make up 91 percent of all prescriptions filled in the country.

“The Chinese market is a key supplier for key starting materials and [Active Pharmaceutical Ingredient (API)] to the generic supply chain,” said John Murphy, president and CEO of the Association for Accessible Medicines (AAM).

However, he pointed out that China’s role in the final stages of drug manufacturing has diminished. “I will say they’re sort of less important any longer for the actual finished fill and final manufacturing,” Murphy explained. “But really, it’s the rare minerals, the key starting materials which are obviously critical to the supply chain.”

Many industry stakeholders had hoped that pharmaceuticals would be exempt from the tariffs. Some argued that the U.S., as a signatory of the World Trade Organization’s (WTO) 1994 Agreement on Trade in Pharmaceutical Products, was bound by its commitment to eliminate tariffs on many drug-related products. However, China has announced plans to challenge the 10 percent tariffs, claiming they violate WTO rules.

Despite these concerns, a White House official told The Hill that no exceptions would be made, and the administration would not honor the WTO agreement.

U.S. Heavily Dependent on China for Pharmaceuticals

The reliance on China for maintaining a stable pharmaceutical supply chain has been a longstanding issue, drawing attention from lawmakers across party lines.

In 2018, the U.S.-China Economic and Security Review Commission reported that the U.S. was “heavily dependent” on China for both drugs and API. A 2023 analysis by the Atlantic Council confirmed that the value of Chinese-imported APIs had continued to rise in recent years.

Monica de Bolle, a senior fellow at the Peterson Institute for International Economics, noted that this dependence is not unique to the U.S. “The European Union is similarly reliant,” she said.

China’s dominance in pharmaceutical manufacturing grew as it prioritized expanding its drug production capabilities, while U.S. pharmaceutical firms focused on other aspects of the industry.

“What happened is that we developed this huge biotech sector where we have a lot of stuff going on,” de Bolle explained. “The manufacturing market just turned to producing these more sophisticated drugs; the stuff that’s used in treatments, the stuff that’s going through clinical trials.”

As a result, the U.S. transitioned away from producing many of these essential ingredients domestically. “That’s why we went from, you know, producing a lot of these things to not producing many of these things and buying them from elsewhere. And elsewhere eventually became China,” she added.

Tariffs Could Lead to Drug Shortages and Market Exits

The generic drug industry operates on extremely thin profit margins, making any supply chain disruption likely to cause shortages or delays.

“That additional 10 percent tariff is going to have a fairly significant impact on the cost of goods for the generic and by a similar supply chain,” said Murphy. “We don’t hold massive stockpiles of generic drugs in the United States. It’s a fairly just-in-time inventory.”

Murphy warned that some pharmaceutical manufacturers might find it unprofitable to continue producing generic drugs under these conditions, potentially leading to shortages.

Across various industries, analysts have predicted that companies will pass on increased costs from tariffs to consumers. However, in the pharmaceutical sector, some manufacturers may exit the market entirely instead of raising prices. This is partly due to a provision in the Inflation Reduction Act (IRA) that complicates cost adjustments.

The IRA mandates that drugmakers pay Medicaid a rebate if their drug prices rise faster than inflation, a penalty that could deter price hikes.

Tom Kraus, vice president of government relations at the American Society of Health-System Pharmacists, pointed out that this could have severe consequences.

“You’ve got to sort of factor in paying that penalty, which is going to make you less profitable or you’re going to have to drop out of the market,” said Kraus.

He also noted that group purchasing organizations, which help hospitals and pharmacies buy medications at lower costs, may determine that drugs sourced from China are too expensive. In such cases, they might turn to alternative suppliers or abandon those products altogether.

India as a Potential Alternative

India is another major player in API manufacturing. A 2023 study by the United States Pharmacopeia (USP) found that India accounted for 50 percent of API drug master files (DMF), the documents submitted to the Food and Drug Administration outlining API manufacturing processes.

Although India holds a slightly larger share of DMFs, China has significantly expanded its presence in the market. Between 2021 and 2023, China increased its share of DMFs by 63 percent, a trend USP highlighted as an indicator of where API production is heading.

Despite India’s growing pharmaceutical industry, transitioning supply chains from China to India is not a quick or straightforward process.

“There’s plenty of this capacity in India, there’s plenty of this capacity in the European Union and even Canada,” Murphy said. “I think that the problem is there is an excesscapacity. You still are in a situation where it’s going to take some time to scale up additional surge capacity in any one of these places in order to meet the global demand.”

Beyond capacity concerns, Indian manufacturers do not offer the same breadth of pharmaceutical production as China.

“India does not make the range of stuff that China makes,” de Bolle noted. “You can rely on India for some of the over-the-counter medications, you can rely on India for active ingredients that go into vaccines, you can rely on India for antibiotics to a degree.”

However, for many other essential drugs, India’s capabilities fall short.

“When you get into … the rest of it, then it becomes way more complicated,” she added. “And China is pretty much the only market out there.”

As the U.S. pushes forward with its tariffs, pharmaceutical companies and policymakers are now grappling with the reality that shifting away from Chinese drug imports may not be as simple as hoped.

Trump’s Tax Cut Plan Could Cost Up to $11.2 Trillion, Watchdog Warns

A new analysis by a budget watchdog group has projected that former President Donald Trump’s proposed tax cuts could result in a loss of between $5 trillion and $11.2 trillion in federal revenue over the next decade.

The Committee for a Responsible Federal Budget, an organization that advocates for reducing deficits, identified the primary source of this revenue loss as the extension of the 2017 tax cuts for individuals and small businesses. These cuts are set to expire at the end of 2025. The group warned that Trump’s overall tax strategy could “explode” the national debt and lead to “a serious debt spiral” unless offset by spending reductions or tax hikes elsewhere.

The analysis highlighted that the precise cost of Trump’s tax proposals depends on details of the provisions, some of which have yet to be finalized.

During a closed-door meeting with House Republican leaders on Thursday, Trump outlined his tax priorities, which included eliminating taxes on tips, overtime pay, and Social Security benefits. He also proposed new tax breaks for products manufactured within the United States. Additionally, he suggested lifting the cap on the state and local tax (SALT) deduction, which his 2017 tax law had set at $10,000 per household.

While Trump has proposed certain tax increases—such as eliminating the carried interest deduction and ending tax benefits for sports team owners—these changes would only have a minor impact on reducing the deficit, the committee estimated.

If the proposed tax cuts are implemented without corresponding tax increases or spending cuts, the national debt could rise significantly, reaching between 132% and 149% of gross domestic product (GDP) by 2035. This is a sharp increase from the current level of nearly 100% of GDP and an estimated 118% within a decade if tax laws remain unchanged, according to the committee’s projections. Even without Trump’s proposed tax cuts, the national debt is expected to climb due to the increasing costs of Social Security and Medicare benefits for the retiring Baby Boomer generation, as well as interest payments on existing debt.

House Republicans are working on a budget plan to advance Trump’s agenda, but disagreements persist over the extent of spending cuts needed to offset revenue losses and which programs should be targeted.

Meanwhile, Senate Republicans are preparing to move forward next week with a $300 billion spending plan focused on strengthening border security and defense. However, they plan to delay addressing tax policy and other contentious issues that have divided the party until later in the year.

Health Experts Warn of Devastating Consequences as USAID Faces Funding Freeze

Global health experts have voiced strong concerns over the dismantling of the United States Agency for International Development (USAID), which provides tens of billions of dollars in overseas aid annually.

The Trump administration has announced drastic workforce reductions and an immediate suspension of nearly all USAID programs. A 90-day freeze on aid funding has been imposed as the government conducts a “review” to align projects with President Donald Trump’s policy priorities.

Trump has long criticized foreign aid spending, arguing that it must conform to his “America First” agenda. His administration has specifically targeted USAID, describing its spending as excessive and highlighting certain programs as examples of alleged waste of taxpayer money.

However, health experts have warned that these cuts could lead to the spread of diseases and significant delays in vaccine and treatment development.

In addition to directly managing numerous health programs, USAID funds other organizations to carry out health initiatives. The funding freeze has created uncertainty among these groups. While some humanitarian programs have received waivers, the announcement has already disrupted services.

Dr. Tom Wingfield, an expert in tuberculosis (TB) and social medicine at the Liverpool School of Tropical Medicine, emphasized the severity of the situation in an interview with the BBC.

“People don’t appreciate the extent and reach of USAID. It goes towards under-nutrition, hygiene, toilets, access to clean water, which all have a massive impact on TB and diarrhoeal diseases,” he explained.

He also stressed that infectious diseases do not recognize borders, a concern that is exacerbated by climate change and large-scale migration.

“TB kills 1.3 million people per year and makes a further 10 million people ill. But four out of 10 people never receive any care and can therefore transmit the disease,” he said.

According to Dr. Wingfield, any disruption to research projects or clinical care increases the risk of disease transmission.

“Whether it’s a research project or a clinic affected, then we run risk of further transmission. People will die directly because of cuts in US funding,” he warned.

The funding freeze threatens not just TB treatment programs but also those assisting people with HIV. Many HIV care and prevention services are run by non-governmental organizations (NGOs), which rely on USAID funding to provide life-saving anti-retroviral medications. These drugs can suppress HIV to undetectable levels, reducing the risk of transmission.

Dr. Wingfield cautioned that treatment interruptions could be disastrous.

“People with controlled HIV, if they miss meds, the virus in their blood increases and there’s a risk of onwards transmission. There is a risk of undoing all the progress to date,” he said.

Catastrophic Impact on Health Services

Frontline AIDS, a UK and South Africa-based organization working with 60 partners in 100 countries, has reported widespread distress caused by the aid freeze. More than 20 of its partners have already been affected.

According to the organization, confusion over the freeze and subsequent waivers has led to serious operational challenges. Many partners have had to suspend HIV treatment, prevention, and care services for vulnerable populations. Staff layoffs have also been reported.

“The majority remain in limbo and this is having a catastrophic impact on communities and organisations,” said John Plastow, Executive Director of Frontline AIDS.

One of its partner organizations in Uganda is expected to run out of HIV testing kits, TB medications, and condoms within a month. These supplies are largely funded through USAID’s President’s Emergency Plan for AIDS Relief (PEPFAR).

In South Africa, many HIV services have been halted. Some of these clinics provide aftercare and emergency contraception for women and girls who have been raped.

Beyond immediate service disruptions, the aid freeze has also shaken trust in US-backed programs.

Professor Peter Taylor, director of international development studies at Sussex University, warned that the abrupt cuts could have lasting consequences.

“Stopping things suddenly undermines people’s trust. People are bewildered and angry,” he said.

He argued that the damage extends beyond health services, affecting America’s standing in global development efforts.

“The undermining of basic trust is the real cost and that is being magnified in many situations around the world. This is so damaging to the US global reputation,” he added.

Research and Vaccine Development in Jeopardy

Experts are also worried about the future of international drug trials funded by USAID. Professor Thomas Jaki, who leads the MRC Biostatistics Unit at the University of Cambridge, fears that many ongoing and upcoming clinical trials may now be at risk.

“Unfortunately, there are quite a number of trials that are immediately affected by the USAID freeze—both in terms of running trials but also trials that are in set-up and are planned to start soon,” he said.

He expressed concern that the freeze would hinder medical advancements.

“I am convinced the US funding freeze will detrimentally impact treatment development, to an extent where exciting new treatments are delayed by years or even discarded,” he said.

The impact will be particularly severe in fields such as malaria and HIV, where USAID plays a major role in funding research.

Global Health at Risk

Professor Rosa Freedman, an expert in international law and global development at the University of Reading, pointed out that USAID provides up to 40% of the world’s development aid. This funding supports not only health initiatives but also education and economic development.

However, she warned that health programs would bear the brunt of a prolonged or permanent funding freeze.

“This will be partly due to the prevention of further vaccines being distributed or funded by USAID,” she said.

According to Prof. Freedman, diseases that were once under control could re-emerge if vaccine programs are disrupted.

“This could mean that preventable diseases, which we thought had been contained or even eradicated, could reappear or worsen, such as cholera and malaria,” she explained.

She also raised concerns about the wider global impact of the funding freeze.

“Given the globalized and interdependent nature of our planet, the concern will be that these diseases could spread quickly and far,” she said.

As the Trump administration moves forward with its aid review, the future of USAID remains uncertain. Experts warn that the consequences of these cuts could be felt for years, potentially reversing decades of progress in global health.

Bird Flu and Food Safety: Experts Weigh In on Risks from Milk and Eggs

As bird flu continues to spread across the United States, concerns have arisen regarding the possibility of contracting the virus from consuming milk or eggs. The outbreak, caused by the H5N1 strain of avian influenza, has led to the culling of over 150 million poultry birds in an effort to contain its spread. This has contributed to rising egg prices and supply shortages. Additionally, reports have emerged of bird flu virus fragments being found in milk products, raising further questions about food safety.

Despite these concerns, health experts emphasize that the risk to the general publicremains low. They also stress that it is highly unlikely for milk or eggs sold in stores to be contaminated with the virus. Nevertheless, they advise consumers to take basic precautions to mitigate any potential risks.

“The risk to the public to contract bird flu from items that they get in the grocery store is exceptionally low,” Dr. Nicole Martin, an assistant research professor in dairy foods microbiology at Cornell University, told ABC News. “We know that pasteurization has been shown to be very effective at eliminating the virus from milk. … And then on the poultry and egg side, [there is] very low risk that eggs make it to the marketplace with the avian flu.”

Low Risk from Commercial Eggs in Grocery Stores

To ensure food safety, government regulations require egg processors to wash and sanitize eggs that are graded by the U.S. Department of Agriculture (USDA). Additionally, pasteurized eggs, which undergo a heating process to eliminate pathogens, are available in many grocery stores if their pasteurization method has been approved by the U.S. Food and Drug Administration (FDA).

Even if bird flu were to contaminate an egg, experts say that cooking it properly would eliminate the virus. “The normal cooking process would kill that virus,” Dr. David Cennimo, an associate professor of medicine at Rutgers New Jersey Medical School, explained to ABC News. “So, the only theoretical risk is if you’re eating raw or undercooked eggs, and again, the flocks are being monitored for bird flu.”

When bird flu is detected in poultry or bird species, authorities take swift action to prevent further spread by depopulating, or culling, the entire flock. This means that potentially infected eggs are removed from the food supply before they ever reach consumers.

Dr. Cameron Wolfe, a professor of infectious diseases at Duke University, confirmed that eggs from culled flocks are discarded. However, he noted that it is uncertain how far back authorities should go in determining which eggs were affected before the culling took place. “If you find today that your flock is affected, and this week we’re going to cull that flock and we’ll take the eggs out, I don’t know how far you can go back to understand which eggs might have been affected,” he said. “But we do take them out of circulation.”

Pasteurized Milk Is Safe, but Raw Milk Poses a Risk

Milk products are also considered safe due to the process of pasteurization, which involves heating liquids to a high temperature for a short period to kill harmful viruses and bacteria. This includes not only milk but also dairy products such as yogurt and cheese.

In April 2024, reports surfaced indicating that bird flu virus fragments were detected in samples of pasteurized milk. However, experts clarified that these fragments were merely inactive remnants of the virus and posed no risk to consumers.

While pasteurized milk is deemed safe, raw milk remains a potential health hazard. The FDA has long warned against the consumption of unpasteurized milk and dairy products, categorizing it as a “high-risk choice.”

Dr. Martin explained that the presence of avian influenza in dairy cattle makes raw milk especially dangerous. “With the avian influenza virus that’s currently circulating in dairy cattle in the United States, the raw milk itself has a very high concentration of this virus,” she said. “And so what we know is that there have been many demonstrated cases of animals becoming ill and dying from drinking this contaminated milk.”

While there is no clear evidence that humans have become ill from consuming contaminated raw milk, Martin cautioned that there are no effective strategies to remove the virus from raw dairy products outside of pasteurization.

Does Freezing Eggs or Milk Kill Bird Flu?

Some may wonder whether freezing could help eliminate the virus, but experts confirm that this is not an effective solution. Many pathogens, including H5N1, can survive in low or freezing temperatures.

Dr. Cennimo explained that freezing does not inactivate the influenza virus and compared it to international travel precautions. “If you’ve gotten good travel advice, they’ll tell you, ‘Don’t drink anything with ice in it,’ because the ice cubes are things that are infected because they were made by local water,” he said.”So that just shows you right there, a literal ice cube can harbor bacteria. So freezing meat or eggs or whatever is not going to help. As far as we know, freezing does not inactivate influenza.”

Conclusion

While the spread of bird flu in the U.S. has raised concerns, experts emphasize that the risk of contracting the virus from commercially available milk and eggs remains extremely low. Government regulations, pasteurization, and the culling of infected flocks serve as effective safeguards in protecting the public.

However, experts continue to advise caution when consuming raw or undercooked eggs, as well as raw milk. Proper cooking and pasteurization remain the best defenses against any potential exposure to the virus.

FDA Approves First New Non-Opioid Pain Medication in Decades

Dr. Sanjay Gupta emphasized on Tuesday that the approval of a novel non-opioid pain medication represents a significant development.

“This is a pretty big deal,” Gupta stated. “As you just mentioned, it’s been since 1998 that there’s been a new pain medication approved. I mean, the FDA typically approves dozens of medications for all sorts of things, but not pain, so patients really haven’t had many options.”

Gupta’s remarks came during his appearance on CNN’s The Lead with Jake Tapper, following the U.S. Food and Drug Administration’s (FDA) approval of Journavx, also known as suzetrigine, last week. The oral tablet has been designated as a first-in-class non-opioid analgesic specifically for the treatment of acute pain in adults.

In an earlier statement, Jacqueline Corrigan-Curay, acting director of the FDA’s Center for Drug Evaluation and Research, described the approval as a notable advancement in the field of acute pain management.

“Today’s approval is an important public health milestone in acute pain management,” she said.

Corrigan-Curay further explained the significance of this new therapeutic class, stating, “A new non-opioid analgesic therapeutic class for acute pain offers an opportunity to mitigate certain risks associated with using an opioid for pain and provides patients with another treatment option.”

The introduction of this medication is particularly noteworthy given the dominance of opioid-based treatments for pain relief. Every year, tens of millions of Americans are prescribed opioids such as oxycodone and fentanyl to manage pain.

Gupta highlighted the distinction between opioids and the newly approved medication. “I think what is unique about this, if you think about opioids that you just mentioned, they tend to work primarily on the brain,” he said. “The brain processes all pain, so … that’s why they’re sedating, they can cause problems with addiction.”

He elaborated on how suzetrigine, marketed under the name Journavx, functions differently. “These pain medications, suzetrigine, Journavx as it’s called, works sort of more at the location of the pain, sort of trying to block the signals coming from the source of pain, going to the brain. As a result, you shouldn’t get euphoria,” Gupta added.

The approval of Journavx marks a breakthrough in pain management, offering a non-opioid alternative that may reduce the risks associated with opioid use while providing effective relief.

Hope For Tomorrow Fundraiser: A World Without Childhood Blindness Campaign Launched The Eye Foundation of America Raises Over USD 1 MILLION During Fundraiser To End Childhood Blindness In India

“I was born in a rural village in India, poor and legally blind, with no opportunity to exist,” Sam Maddula, Pharm.D., a distinguished leader, visionary entrepreneur, and dedicated philanthropist, said. Sam went on to add, how his life turned from darkness to light as his parents stumbled upon an Eye Camp that the Eye Foundation of America had set up in 1987 in rural Andhra Pradesh. “It is this organization that rescued me from a life of darkness. The Eye Foundation of America helped me get a visa to the United States. The esteemed Dr. VK Raju himself, performed dual corneal transplant surgery on me two weeks after my second birthday in the United States. He did it, working with the Eye Foundation for free. He cured me just like that, with the magic of his hands. I could see my life went from literal darkness to pure sunlight.”

Eye Foundation 1Sam shared his life story with the audience during a Fund Raiser organized by The Eye Foundation of America, Grant Thornton, the Gautami Institute, The Rotary Club District – 3011 (Delhi) in collaboration with the Young Rotarians, with the theme, “Hope for Tomorrow” at the prestigious India Habitat Centre, New Delhi on Friday, January 31, 2025.

This life-changing miracle is one of the millions of Eye Surgeries that The Eye Foundation of America, led by the legendary Dr. Vadrevu K. Raju, a world-renowned ophthalmologist, philanthropist, and the founder of the Eye Foundation of America (EFA) and the Eye Foundation of UK, Chairman of Goutami Eye Institute has done in the past half a century, transforming the lives of millions of children, who are born every year with vision impairment.

The Fund Raiser, a pan-India Roll-out Program helped raise over $500,000, which was matched by the Eye Foundation of America, totaling over a $ 1 Million US Dollars. In addition, Sam Maddula offered to match two times, the funds that were raised on January 31st, adding the total amount raised at the fundraiser even more. 

Dr. Raju promised that the funds raised will be utilized towards establishing 100 ROP screening centers across India,Eye Foundation 2 training 500 healthcare professionals in Retinopathy of Prematurity (ROP) screening and treatment, and Treating 10,000 ROP-affected babies annually across India.

Offering an overview of childhood blindness and its impact on children, Dr. Raju told an enthusiastic audience, who had come from across India and the United States to support the noble cause, that childhood blindness has far-reaching consequences. Three-fourths of the children with visual impairment never attend school.  Blindness reduces employability by 50%. Blindness increases poverty and social isolation. According to the South Indian Journal of Ophthalmology, of the 3.5 million premature babies born in India, nearly one in six (600,000) babies are born less than 32 weeks gestational age. Estimating that 40% of them receive neonatal care and 80% of them survive, over 200,000 children are at risk for developing Retinopathy of Prematurity (ROP), Dr. Raju pointed out

Dr. Raju has dedicated his entire life to helping make “the world where every child can see, learn, and thrive without the shadows of blindness.” Describing it as “God’s work” that he and the Eye Foundation are doing, Dr. Raju urged “everyone to join in the mission to eradicate childhood blindness, a tragedy, we can prevent it. Every child deserves to see the world with clarity and purpose. Let’s join hands to eradicate childhood blindness and unlock a brighter future for generations to come. Today, we make a new beginning in our concerted efforts to prevent and eradicate childhood blindness with the resources and the modern technology that are available today,” Dr. Raju said.

Eye Foundation 3Lord Rami Ranger, a well-known philanthropist, and successful businessman from the United Kingdom, while echoing the mission of EFA said, “Childhood blindness is a solvable problem, but it requires our collective action.” According to Lord Ranger, a Board Member of the Eye Foundation of America and Eye Foundation of UK, who has been honored by Her Majesty the Queen on Eight occasions for his Business leadership in and for community services, “Together, we can ensure that every child has access to quality eye care and a chance to reach their full potential.”

Dr. Leela Raju, an Organizing Chair of the event, delivered the welcome address. The chief guest at the event was Dr Radhika Tandon, Chairperson of Retinopathy of Prematurity Center, who delivered the keynote address. Richa Jain Kallra, a TV News Anchor & Host eloquently emceed the event.

In her welcome address, Dr. Leela Raju stressed the importance of ensuring that more people know about the causes and the means to reduce childhood blindness and eradicate it. Dr. Leela Raju stated that the discussions today focused on “not just glaucoma, but cornea and pediatric ophthalmology. And of course, regarding retinopathy and prematurity, which is our real push in both Delhi and around India to reduce the burden of childhood blindness.”

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Dr. Radhika Tandon, a global thought leader, who continues to inspire innovation and excellence in ophthalmology, shaping the future of visual care with her dedication and brilliance, in her keynote address, said, “A very, very big word of appreciation to the Eye Foundation of America, as well as the Gautami Eye Institute, for taking this initiative, of getting people together on this platform, and also for envisioning a world, where two countries across great continents and opposite sides of the globe can work together, to make a difference.”

“Close your eyes for a moment. Now imagine never being able to open them to the vibrant colors of life, a loved one’s smile, or the pages of a favorite story,” said Sandeep Saxena, the chief organizer, who coordinated the efforts leading up to the fundraiser in India. “For millions of premature babies, this is their reality. Retinopathy of Prematurity (ROP) is a silent thief of sight, making it one of the leading causes of childhood blindness. In India alone, 3.5 million premature babies are at risk. But we refuse to accept this. And we know you won’t either. Your kindness can save a child’s sight, their future, and their dreams.”

A day-long workshop on Empowering Vision Global Advances In Eye Care was organized, offering insights into the many aspects of vision impairment and ways to treat them. Dr. Thomas Johnson, a Specialist in Neuroscience at the Johns Hopkins Wilmer Eye Institute, Dr. Charles Cole, a dedicated educator, who is leading surgical training at the American Academy of Ophthalmology, Dr Karan Bhatia, Vice President of the Young Ophthalmologist Society of India (YOSI) were among those who addressed the audience.

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Dr. Mukesh Batra, DG Mahesh Trikha, and PRIP Rtn Shekar Mehta delivered Special addresses during the fundraiser, offering ongoing collaboration and support to the Eye Foundation and its efforts to eradicate childhood blindness. Members of Grant Thornton, while describing their work in analyzing and finding effective ways to measure the outcome of the work being done by the Eye Foundation, offered to collaborate in the noble mission of the Foundation.

The grand finale was a live performance by the Surkriti Orchestra, National Association of the Blind, and a Fashion Show for a Purpose by the talented Shravan Kummar, Designer & Philanthropist, Weaving  Magic Through Fabric, Blending Artistry & Purpose.

Earlier, A Mobile Bus was launched with the objective of reaching rural areas across India, offering screening and treatment to eradicate Childhood Blindness. A Memorandum of Understanding was signed between the Eye Foundation, Grant Thornton, and the Rotary Club of Gurugram, Haryana to continue this noble mission and support the initiatives of the Eye Foundation in its efforts to eradicate childhood blindness.

Urging everyone to be part of this noble mission, Dr. Raju said, “Together, Let Us Illuminate Young Lives and Create A World Without Childhood Blindness. Your Support Can: Change Lives, Restore Vision, And Empower Futures. Now, Let’s All Join the Movement; Be Part of Something Extraordinary.”

The organizers promise, “We’re embarking on a bold mission: to create a World Without Childhood Blindness. Starting with Rotary International District 3011, this initiative will expand nationwide, transforming countless young lives. Your help can make this dream come true! Join us at the “Hope for Tomorrow Fundraiser”

Every Rupee/Dollar you support will be matched 100% by the EFA Board.

Our goal?
🌟 Deliver life-saving Retinopathy of Prematurity screenings and treatments to premature infants.
🌟 Fund equipment needed for children’s screenings in ROP prevention and care.
🌟 Train and empower local healthcare heroes to sustain these efforts for years to come.

For more information, please visit: www.eyefoundationofamerica.org/ or, contact: info@eyefoundationofamerica.org

AAPI – MSRF Organizes MSRF & PreMed Medical Scholars Summit

“The American Association of Physicians of Indian Origin, AAPI – MSRF organized a highly successful annual MSRF & Premed Medical Scholars Summit at the Rutgers University, New Brunswick, NJ from January 25-26, 2025,” Dr. Satheesh Kathula, President of AAPI, announced here today.

2025 Medical Scholars Summit 1Organized by a team of young Medical Students and Residents of Indian origin, the Medical Scholars Summit was planned and organized by an MSRF Executive Board, led by Priya Uppal, President of MSRF; Priyanka Kolli, President-Elect; Sohi Mistry, Vice President; Priyal Shah, Treasurer; and Drishti Patel, Secretary of MSRF.

The MSRF & PreMed Medical Scholars Summit was led by an Executive Board comprising of  Manan Pancholy, President; Rohan Chopra, Vice President; Prerak Shah, Secretary; Arjun Gangasani, Treasurer.

The AAPI – MSRF is a national organization representing medical, dental, and podiatry students and resident physicians of Indian origin in North America, founded with the objective of providing a channel of networking, support, and open communication among its members.

According to Dr. Priya A. Uppal, AAPI MSRF President 2024-2025, “We had over 100 attendees at the two-day2025 Medical Scholars Summit 2 event, with highlights that included our residency and fellowship panel – where attendees had the opportunity to ask questions directly of these program directors from a variety of surgical and non-surgical specialties, our medical school admissions Q&A from the Dean of Warren Alpert Medical School of Brown University, and an MCAT advice lecture from a 520+ scorer.”

This year, the event had High School attendees encouraging young scholars to start their pre-medical journeys early. The research symposium, consisting of oral and poster presentations and arts and humanities, was excellent. There was cutting-edge research and parent AAPI judges who provided informative and insightful feedback to propel our students’ research forward.

2025 Medical Scholars Summit 3“The 2-day-long Summit was packed with academic sessions that were interactive, with participants having an opportunity to actively engage in discussions and enhance their knowledge on a wide range of topics relevant to Medical Students and Residents, who seek guidance on ways to pursue their careers most effectively,” said Dr. Sunil Kaza, Chair of APPI BOT.

Scientific Research Symposium Oral Presentations, Mentorship and Networking Lunch; Residency Program Directors’ Panel, Medical School Admissions Panel, Fellowship Program Directors’ Panel; MCAT Success: Tips and Tricks were some of the exciting topics that were appreciated by the participants at the Summit.

On January 25, the Summit began with a session on Leadership in Medicine by Mihir Gupta, MD, while the session on Public Health Practice in Medicine was presented by Jaya Satagopan, PhD. Novel Technologies in Orthopedic Surgery was presented by Selene Parekh, MD, MBA. Functional Medicine was jointly presented by Subbarao Bollepalli, MD, & Chanakya Bavishi, DO.

Niraj Kothari, MD presented his insightful session on Pioneering Advanced Practices in Medicine, while Deepen2025 Medical Scholars Summit 4 Modi offered insights on Financial Wellness. Samir Pancholy, MD led a session on Service Project Pursuing Graduate Medical Education.  Global Medicine and India: Lessons, Opportunities, and Challenges for the Next Generation of Physicians was presented by Dr. Kumar Belani, MD.

As the President-Elect of AAPI, the largest ethnic medical organization in the United States, Dr. Amit Chakrabarty said, “I strongly believe that acquiring new knowledge is crucial for professionals, especially for the physicians in a changing healthcare environment. This Medical Scholars Summit provided insights on pursuing a career and how best to utilize the resources and, help out next generation of Physicians of Indian origin achieve their goals.”

The Honorable Judges Panel at the Medical Summit consisted of: Dr. Satheesh Kathula, Hematology-Oncology; Dr. Sunil Kaza, Interventional Cardiology; Dr. Raj Bhayani, Otolaryngology; Dr. Arunabh Talwar; Pulmonary & Critical Care Medicine; Dr. Sumul Raval, Neuro-oncology; Dr. Zeeshan Mansuri, Child and Adolescent Psychiatry; and, Dr. Kinjal Solanki, Infectious Disease.

Dr. Meher Medavaran, Vice President of AAPI said, “Since its inception in 1982, AAPI has been at the forefront, representing a conglomeration of practicing of Indian origin physicians in the United States, seeking to be the united voice for the physicians of Indian origin. We serve every 7th patient in the US. We are proud of our achievements and our contributions to the healthcare industry and the millions of people we serve.”

2025 Medical Scholars Summit 5Dr. Raj Bhayani, Secretary of AAPI pointed out that, “In addition to several programs in the United States and in India, AAPI has been in the forefront, advocating for the interests of the medical fraternity and organizing regular CME programs, health & wellness events, and financial workshops for its members and outreach, public health education, and advocacy activities for the community both locally and internationally.”

According to Dr. Shirish Patel, Treasurer of AAPI, “AAPI is strong representing over 120,000 Indian American physicians, 130 local Chapters, who make up of 10% of total physicians in the US and nearly 50% of International Medical Graduates, rooted in every corner of the nation. AAPI’s mission has evolved in the past 45 years, adapting to the changing needs of our times.”

Dr. Uppal, while summarizing the annual event for young physicians, said, “Our summit is genuinely one of a kind, bringing together South Asian high schoolers, undergraduates, medical students, residents, fellows, and attendings. It offered a unique networking opportunities where our trainees get to connect with and learn from colleagues across different specialties and stages of their careers. We would like to extend a huge thank you to parent AAPI for their encouragement and support. We look forward to welcoming you at our next summit.”

Dr. Kathula, who has been an educator and mentor for medical students, said “My priority has been to engage the second-generation physicians and foster mentorship to ensure AAPI’s continued relevance and vitality.” Towards this end, AAPI is in the process of appointing a committee of accomplished academicians to help mentor young physicians from India and the United States, who are aspiring to get into residencies. Dr. Kathula said, “We will continue the noble mission and strengthen our efforts to make AAPI reach greater heights.” For more details about AAPI, please visit: www.appiusa.org

Climbing Stairs: A Time-Efficient Alternative to 10,000 Daily Steps for Better Health

Physical activity is a crucial pillar for maintaining good health and achieving weight loss goals. While many people rely on walking 10,000 steps daily to stay active and fit, this target can be time-consuming and physically demanding for some. In such cases, stair climbing emerges as a simple yet highly effective exercise for weight loss and overall fitness improvement.

A recent study involving 450,000 adults highlights stair climbing as a practical alternative to walking. The study, published in the medical journal Atherosclerosis, suggests that climbing just five flights of stairs a day—approximately 50 steps—can reduce the risk of cardiovascular issues by 20%. This research underlines the numerous health benefits associated with regularly ascending stairs.

Dr. Lu Qi, the corresponding author of the study, emphasized, “Short bursts of high-intensity stair climbing are a time-efficient way to improve cardiorespiratory fitness and lipid profile, especially among those unable to achieve the current physical activity recommendations. These results demonstrate the possible benefits of taking stairs every day.” Dr. Qi holds the position of HCA Regents Distinguished Chair and serves as a professor at Tulane University School of Public Health and Tropical Medicine.

Why Consider Stair Climbing?

Stair climbing is an accessible form of exercise that requires no special equipment—just a set of stairs. This simplicity makes it suitable for nearly everyone. Incorporating stair climbing into daily routines can significantly boost activity levels and promote a healthier lifestyle. For individuals who do not engage in regular training, climbing stairs provides an excellent workout. It is more intense and physically demanding than walking, offering substantial benefits for those with a sedentary lifestyle by improving cardiovascular health and overall fitness.

Key Benefits of Stair Climbing

This exercise targets multiple muscle groups, including the calves, thighs, and glutes. As a cardiovascular activity, stair climbing increases heart rate, promoting calorie burn and enhancing endurance. The workout engages muscles through two types of contractions: concentric contractions, where muscles contract and shorten while ascending, and eccentric contractions, which involve controlled muscle lengthening while descending. These differing muscle activities place unique physiological demands on the body.

Beyond cardiovascular benefits, stair climbing also strengthens the leg and core muscles, contributing to increased muscle mass. This, in turn, boosts resting metabolism, aiding in more efficient calorie burning even when the body is at rest.

How Many Stairs Should You Climb Daily?

Experts recommend aiming to climb between three and six flights of stairs each day, with each flight typically consisting of 10 to 15 steps. Previous studies have indicated that climbing more than five flights of stairs daily—equivalent to around 50 steps—can lower the risk of heart attacks, strokes, and even blood clots. This simple activity can, therefore, have a profound impact on cardiovascular health.

Tips for Incorporating Stair Climbing into Your Routine

What if you don’t have stairs at home? There are plenty of ways to integrate stair climbing into your daily life. For example, if you work in a multi-story office building, choose the stairs instead of the elevator. Public staircases in places like hotels, shopping malls, airports, medical facilities, and hospitals are also readily available and can be used to add more steps to your day.

To maximize the cardiovascular benefits of stair climbing, fitness experts suggest increasing your pace. Faster stair climbing can significantly improve cardiorespiratory fitness. Additionally, if you have access to a gym, using a stair climber machine can replicate the benefits of actual stairs. For those who prefer home workouts, a sturdy fitness step can be used for step-up exercises, offering a similar effect.

Why Stair Climbing Is an Effective Workout

Stair climbing is not just a simple activity—it’s an efficient full-body workout. It combines strength training and cardio in one, which makes it particularly effective for those with busy schedules. The act of climbing engages the lower body muscles while simultaneously elevating the heart rate, creating a powerful calorie-burning effect. This dual-action helps improve both muscular strength and cardiovascular endurance.

Moreover, because stair climbing is a weight-bearing exercise, it contributes to bone health by increasing bone density, reducing the risk of osteoporosis over time. It also improves balance and coordination, which can be especially beneficial as people age.

The Science Behind Stair Climbing’s Health Benefits

The study published in Atherosclerosis sheds light on the biological mechanisms behind stair climbing’s positive impact on health. Regular stair climbing improves lipid profiles by lowering LDL (bad cholesterol) and increasing HDL (good cholesterol), which contributes to better heart health. The activity also enhances insulin sensitivity, reducing the risk of type 2 diabetes.

Dr. Lu Qi noted, “These results demonstrate the possible benefits of taking stairs every day.” His findings highlight that even short, intense bursts of activity can offer substantial health advantages, countering the common belief that long-duration exercise sessions are the only way to stay fit.

Stair Climbing vs. Traditional Walking

While walking 10,000 steps a day has been the gold standard for maintaining physical activity, it may not be feasible for everyone due to time constraints or physical limitations. In contrast, stair climbing offers a more time-efficient alternative. The higher intensity of stair climbing means that you can achieve similar—or even greater—health benefits in a shorter period.

For instance, climbing stairs burns more calories per minute compared to walking on a flat surface. This efficiency makes it an attractive option for those looking to manage their weight or improve fitness without dedicating long hours to exercise.

Practical Ways to Add Stair Climbing to Your Day

  1. At Work: Skip the elevator and take the stairs whenever possible.
  2. At Home: If you live in a multi-story house, make a habit of using the stairs frequently.
  3. In Public Spaces: Use stairs in shopping malls, airports, or parking garages.
  4. Workout Routine: Incorporate stair sprints or step-up exercises during your regular workout.
  5. Stair Machines: If you go to the gym, add a stair climber machine to your routine.

Staying Safe While Climbing Stairs

Although stair climbing is beneficial, it’s important to prioritize safety. Make sure to wear supportive footwear to prevent slips. Start slowly if you’re new to the exercise and gradually increase intensity as your fitness improves. Always use handrails if needed, especially when descending, as the eccentric contractions during this phase can put extra strain on the muscles.

The Bottom Line

Stair climbing is a convenient, cost-free, and highly effective exercise that can fit easily into daily routines. Its benefits extend beyond weight loss, offering improvements in heart health, muscle strength, metabolism, and overall endurance. As Dr. Lu Qi’s research suggests, even small changes—like climbing a few flights of stairs each day—can lead to significant health improvements over time.

FDA Approves First New Painkiller in Over 20 Years, Offering Alternative to Opioids

The U.S. Food and Drug Administration (FDA) granted approval on Thursday for suzetrigine, marking the first novel pain relief medication to enter the market in more than two decades.

Suzetrigine, a prescription pill available in 50-milligram doses, is taken every 12 hours following an initial higher dose. It will be marketed under the brand name Journavx.

“A new non-opioid analgesic therapeutic class for acute pain offers an opportunity to mitigate certain risks associated with using an opioid for pain and provides patients with another treatment option,” stated Dr. Jacqueline Corrigan-Curay, acting director of the FDA’s Center for Drug Evaluation and Research, in a news release. She further emphasized, “This action and the agency’s designations to expedite the drug’s development and review underscore FDA’s commitment to approving safe and effective alternatives to opioids for pain management.”

Pain medications, known as analgesics, are among the most frequently prescribed drugs in hospitals, according to government surveys. Every year, approximately 80 million Americans receive prescriptions for pain treatment, with nearly half of those prescriptions being opioids, which carry risks of addiction and dependency. This data comes from a study conducted by Vertex Pharmaceuticals, the company behind suzetrigine.

Suzetrigine is the first new pain relief medication approved in the U.S. since Celebrex, a Cox-2 inhibitor classified as a nonsteroidal anti-inflammatory drug, which gained FDA approval in 1998.

Dr. Sergio Bergese, an anesthesiologist at Stony Brook University’s Renaissance School of Medicine, explained that pain perception involves multiple areas of the body. When tissue damage occurs, nerve cells send electrical signals to the brain, which interprets them as pain.

While opioids function by dulling pain perception in the brain, suzetrigine operates differently by preventing pain-signaling nerves from transmitting signals in the first place. “This drug, what it is doing is interrupting that path, so even though the tissue injury exists, the brain doesn’t know,” Bergese explained.

Significantly, suzetrigine does not induce the euphoria or high associated with opioids, making it unlikely to lead to dependence or addiction.

The drug’s origins trace back to a unique genetic discovery in Pakistan, where researchers found a family capable of walking over hot coals without experiencing pain. Scientists discovered that members of this family lacked a specific gene responsible for transmitting pain signals in the skin.

“They knew that they were on something hot; they knew they could feel the coals. So it’s not impacting the nerves that do heat and touch and stuff like that. It is just these pain-conducting nerves,” explained Stuart Arbuckle, chief operating officer of Vertex Pharmaceuticals. “They were, in every other way, normal.”

Despite the discovery, it took scientists 25 years to harness this biological mechanism and translate it into a pharmaceutical solution.

Dr. Stephen Waxman, who directs the Center for Neuroscience and Regeneration Research at the Yale School of Medicine, explained the science behind pain signaling. “Neurons talk to each other by producing series of nerve impulses, like a Morse code,” he said. “And nerve impulses are produced by tiny molecular batteries within the membranes of neurons. The molecular batteries are called sodium channels.”

Suzetrigine functions by blocking a specific sodium channel responsible for transmitting pain signals.

The journey to developing a targeted sodium-channel blocker was fraught with challenges, as previous attempts had failed to isolate a single channel that could be safely inhibited. However, with suzetrigine’s approval, Waxman believes this breakthrough will pave the way for even more effective pain medications. “It is an important step forward, because it provides proof of concept that a [sodium-channel blocker] can reduce pain in humans,” he said. “That opens up the door to a second generation of even more effective [medications].”

Suzetrigine is administered in two dosages. Clinical trials involved an initial 100-milligram dose, followed by 50-milligram doses taken every 12 hours.

Physicians caution that the medication may not be effective for every individual or type of pain.

In two studies involving nearly 600 participants, suzetrigine demonstrated effectiveness in managing post-surgical pain following abdominal and foot operations. Its pain relief capabilities were comparable to Vicodin, a combination of acetaminophen and the opioid hydrocodone. However, researchers did not directly compare suzetrigine to Vicodin, making it difficult to determine which drug was superior.

Participants in the studies initially reported pain levels averaging around seven on a scale of zero to ten. With suzetrigine, this rating dropped by approximately 3.5 points.

“It’s not like eliminating all pain,” Arbuckle acknowledged. “It’s reducing pain by about 50%.”

A separate study examined the drug’s effects on individuals experiencing back pain due to sciatica. In this case, suzetrigine reduced pain levels by about two points, which was the same improvement reported by those given a placebo. These results suggest that suzetrigine may not be particularly effective for chronic pain conditions.

Vertex Pharmaceuticals disputes this conclusion, arguing that the drug has shown promise in treating various types of chronic pain. The company is currently conducting further trials on patients with diabetic neuropathy—a condition where prolonged high blood sugar damages nerves, causing pain, numbness, tingling, and muscle weakness.

The sciatica study had a smaller sample size compared to the other trials, with about 100 participants receiving either suzetrigine or a placebo. Due to the limited sample, researchers acknowledge that there may not have been enough participants to detect a significant difference between the drug and the placebo. Additionally, placebo effects tend to be pronounced in pain studies, complicating the interpretation of results.

“In our opinion, the drug did what we expected to do in terms of the amount of pain relief,” Arbuckle said. “But unfortunately, as often happens in studies in pain, there is quite a large placebo response.”

Medical professionals specializing in pain management have welcomed the approval of suzetrigine, recognizing its potential as an alternative to opioids.

“The more options we have, the better we’re able to treat each and every patient,” said Dr. Kimberley Mauer, an anesthesiologist at Oregon Health and Science University.

However, Mauer pointed out that the drug’s accessibility may be influenced by its cost. Vertex Pharmaceuticals has set the wholesale price at $15.50 per 50-milligram pill, but the company has assured that financial assistance programs will be available for eligible patients.

The ultimate impact of cost on accessibility remains uncertain, as insurance companies will play a role in determining coverage options.

“It might limit some patients getting it. So we just have to kind of see, and it’s hard to tell until it kind of gets out on the market,” Mauer said.

Empowering Vision: Global Advances In Eye Care

Dr. V K Raju calls for our immediate and sustainable action, giving hope for tomorrow, a world without childhood blindness 
“Childhood blindness is a tragedy, but we can prevent it. Today, we make a new beginning in our concerted efforts to prevent and eradicate childhood blindness with the resources and the modern technology that are available today,” said Dr. Vadrevu K. Raju, a world-renowned ophthalmologist, philanthropist, and the founder of the Eye Foundation of America (EFA) said here during a Scientific Convention and Fund Raiser being organized at the India Habitat Centre in New Delhi on January 31, 2025.
Empowering Vision Global Advances In Eye Care

Over 1.4 million children are found to be blind, and millions more suffer from visual impairments that can be treated and prevented if done in a timely manner. This is not merely a medical issue. It’s a humanitarian crisis that demands our immediate and sustained action, and that is why we are all here today, in our efforts to giving hope for tomorrow, a world without childhood blindness,” DR. Raju added.

Dr. Leela Raju, an Organizing Chair of the event, delivered the welcome address. The chief guest at the event was Dr Radhika Tandon, Chairperson of RP Cender, who delivered the keynote address. Richa Jain Kallra, a TV News Anchor & Host eloquently emceed the event.Empowering Vision Global Advances In Eye Care Speakers

In her welcome address, Dr. Leela Raju stressed the importance of ensuring that more people know about the causes and the means to reduce childhood blindness and eradicate it. Dr. Leela Raju stated that the discussions today would focus on “not just glaucoma, but cornea and pediatric ophthalmology. And of course, regarding retinopathy and prematurity, which is our real push in both Delhi and around India to reduce the burden of childhood blindness.”

Dr. Radhika Tandon, a global thought leader, who continues to inspire innovation and excellence in ophthalmology, shaping the future of visual care with her dedication and brilliance, in her keynote address, said, “A very, very big word of appreciation for the eye Foundation of America, as well as the Gautami Eye Institute, for taking this initiative, of getting people together on this platform, and also for envisioning a world, where two countries across great continents and opposite sides of the globe can work together, to make a difference.”

She drew parallels between the  clinical practices in the American clinical space, and in India, “where we have cutting edge technology and excellent surgical skills and a huge volume of patients, the combination of the thought processes and the energy that we have together can make a huge difference.”

Dr. Tandon, while referring to the noble mission and the new initiatives by the Eye Foundation, starting today, said, “We hope, soon we will be able to have a very wonderful celebration with some very tangible goals, along with the broader goals. In the end, we want to see how much did we achieve. So, keep some small baby step goals as well. So you can say yes, we achieved this.”

Dr. Thomas Johnson, a Specialist in Neuroscience  at the Johns Hopkins Wilmer Eye Institute, said, “It’s “It’s my first time to India, and it’s been a while that I’ve been wanting to come here and engage more with the ophthalmology community of India. I think in many ways, what you have done here in your country is a real beacon for advancing eye care that is applicable all over the world. I know the work that you have done with vision camps and screening for preventable blindness and finding innovative ways to deliver care to people that don’t always have the resources to seek out themselves, is really inspiring and something that every country about the world should take note of and try to.”

Dr. Charles Cole, a dedicated educator, who is leading surgical training at the American Academy of Ophthalmology, who flew in to Delhi especially for today’s event, said, “Well, first and foremost, I wanted to thank the planning committee for this wonderful invitation to come and speak. It’s a great honor to be able to speak to such esteemed colleagues. And my first trip to India. So I’m very excited. I’m hoping this will be just the beginning. And I’m looking forward to sharing my thoughts on microdata platforms.”

Dr Karan Bhatia, Vice President of Young Ophthalmologist Society of India (YOSI) delivered an address, introducing YOSI to the audience. The team, Young Ophthalmologist Society of India (YOSI) consists of Doctors Diva Kant Misra, President; Sonal Kalia, IPP; Digvijay Singh, past President: Karan Bhatia, Vice President; Dr Nilesh Kumar, Secretary; Aditya Sethi, Treasurer; and, Prasanna Ramesh, Joint Secretary.

Empowering Vision Global Advances In Eye Care Felicitations

A day long workshop on Empowering Vision Global Advances In Eye Care was organized jointly by the Young Ophthalmologist Society of India, Gautami Eye Institute, Eye Foundation of America, and The Rotary RI 3011, and was attended by Faculty from prestigious Eye Hospitals and Educational Institutes from around the nation. The event was inaugurated by the esteemed guests by lighting of the traditional lamp.

The scientific session in the morning focused on glaucoma care, navigating challenges and embracing innovations, which was chaired by Dr. Charles Cole and Dr. Thomas B Johnson, who have come from the United States to be part of this event. And the panelists were Dr. J S Bhalla, Dr. Vineet Sehgal, Dr. Devi Tuli, and Dr. Shika Gupta. The highly informative session was moderated by Dr. Mainak Bhattacharya. The topics discussed were on key challenges in Glaucoma Management in Indian scenario by Dr Kirti Singh, while Dr. Thomas Johnson spoke about Advances in Glaucoma Diagnostics, and Dr. Charles Cole addressed the audience on Minimally Invasive Glaucoma Therapies.

The session on ROP Insights: A Multi-Dimensional Approach to Screening, Treatment and Prevention was chaired by Dr. V. K. Raju and Dr Parijal Chandra, Panelists were Dr. Sanjay Mishra, Dr Priyank Garg, Dr. Aparna Gupta, and Dr Rekha Adlakha. The session was moderated by Dr. Vaibhav Sethi. Dr Harshal Sahare led an insightful session on ROP Screening and Diagnostics. Treatment Options for ROP was the topic discussed by Dr. Priyank Garg; and, ROP Prevention Strategies was the topic discussed by Dr Ritu Singh.

An insightful session on Corneal Health in India was chaired by Dr. Radhika Tandon, Dr. Namrata Sharma and Dr V K Raju. And the panelists were Dr. Uma Sridhar, Dr Alka Gupta, and Dr. Anu Malik. The session was moderated by Dr. Karan Bhatia. Dr Prafulla Maharana presented his talk on Vernal Keratoconjunctivitis: An Overview in the Indian Context. Dr Gunjan, Budhiraja spoke about Corneal Injuries and Infections in Children – Key Challenges in Treatment and Prevention.  Dr. Rajesh Sinha spoke about The State of Corneal Transplantation in India, and the key Challenges.

The post lunch session was on YOSI Sightliness – Recent Innovations, Future Directions and Interesting Cases in Ophthalmology. Dr Lalit Verma, Dr Thomas Johnson and Dr Charles Cole were the chairpersons for the session. Dr. Leela Raju, Dr Sarita Agarwal and Dr. Sahil Agarwal were the panelists, and the sessions were moderated by Dr. Karan Bhatia and Dr Aditya Sethi.

Dr Prasanth Gireesh presented An Overview of Virtual Reality, AI, 3D Printing and Mobile Solutions for. A New Era of Screening and Diagnostics. Dr. Aditi Gosh spoke about Stem Cell Therapy In Eye Care. Dr. Navjot Kaur presented a case study on Epithelial Ingrowth Post SMILE. Another case study was presented on MMC Toxicity, Post Bleb Kneading With Remarkable Recovery was presented by Dr Mehak Gupta.

A case study on Minimally Invasive Needle Drainage For Serous Choroidal Effusion In Retinal Detachment was presented by Dr Aman Khanna. The final case study on Onlooking Closely was presented by Dr Tanya Jain.

The final session on Comprehensive Perspectives In Pediatrics Ophthalmology was chaired by Dr Rohit Saxena, Dr Suma Ganesh, and the panelists were Dr. Sumit Monga, Dr. Adiya Sethi, Dr.. Nupur Goel, and Dr. Arshi Singh were panelists, while Dr/ Digvijay Singh moderated the session.

Dr. V K Raju says, “Together, Let Us Illuminate Young Lives and Create A World Without Childhood Blindness. Your Support Can: Change Lives, Restore Vision, And Empower Futures. Now, Let’s All Join the Movement; Be Part of Something Extraordinary.” For more information, please contact: info@eyefoundationofamerica.org

Indo-US Collaborated Workshop on Emergency Medical Care With Advanced Simulation And Artificial Intelligence Technology Held At Guntur Medical College, Andhra Pradesh

The first Indo-US Collaborated Andhra Pradesh State Workshop on Emergency Medical Care (EMC) with Advanced Simulation and Artificial Intelligence Technology was organized at Guntur Medical College, Guntur in the state of Andhra Pradesh in India on January 27, 2025. Over 700 medical students, residents, faculty, and nurses attended the Program at the GMCANA Auditorium.

The 4-hour hands-on workshop with CME credit was organized by the Department of Emergency Medicine, Guntur Medical College, under the aegis of Dr. NTR University of Medical Sciences, Guntur Medical College & Government General Hospital, Guntur Medical College Alumni of North America (GMCANA) and  Indian Medical Association, Guntur Branch.

2 (2)The program was designed and directed by Dr.Vemuri S Murthy, a renowned Indo-US Resuscitation Medicine expert from the Department of Emergency Medicine, University of Illinois College of Medicine, Chicago, Illinois, and an alumnus of Guntur Medical College.

Dr.Radhika Rani Chandra, Professor and Head of the Department of Emergency Medicine at Guntur Medical College, was the workshop’s Coordinator and Indian Faculty Chair.

During the inauguration address, Dr. N.V. Sundara Chary, Principal and Additional Director of Medical Education at Guntur Medical College, Dr. S.S.V. Ramana, Medical Superintendent and Additional Director of Medical Education at Government General Hospital, Guntur, and Dr.Y.Subba Rayudu, President of the Indian Medical Association, Guntur, spoke about the importance of mandated resuscitation training in Medical Colleges and the promotion of community CPR Programs.

They welcomed the advanced Emergency Medical Care workshops with state-of-the-art simulation technology at Guntur Medical College and commended Dr.Vemuri Murthy’s decades of ongoing contributions to India in the field of Resuscitation Medicine. During her welcome address, Dr. Radhika Rani Chandra spoke about the advances made in Global Emergency Medical Care and the importance of conducting  resuscitation workshops in all Medical Colleges.

Dr.Vemuri Murthy gave a presentation involving global advances in Emergency Medical Care and stressed the need3 (2) for international collaborations in the healthcare sector to enhance outcomes  of  Heart Emergencies and Sudden Cardiac Arrests which are more prevalent among Indians and the Indian Diaspora.

The hands-on workshop, using advanced simulation technology  was led by Dr. Vemuri Murthy and Dr.Radhika Rani Chandra, with the active participation of the faculty and residents.  It was followed by AI-based Emergency Medical Care Case Management, with immersive technology, the newest technology to promote ” Excellence in Emergency Medical Care”.

Dr.Vemuri Murthy thanked the Program Committee and all the attendees for participating in the  workshop conducted with Indo-US academic institutional participation. He commended  the Ministry of Health & Family Welfare, Government of India, for initiating India-specific mandated EMC training in all Medical Colleges with “National Emergency Life-Support” (NELS) programs with dedicated Simulation Centers.

Dr.Radhika Rani Chandra thanked Dr.Vemuri Murthy, the members of  the Organizing Committee, leadership of GMCANA,Drs.K. Rama Koteswara Rao,T.Ravikumar,V.Bala Bhaskara Rao and Laerdal Medical India for their help and support.

AAPI, Heartfulness Meditation, American Heart Association Organize  Seminar on Lifestyle Modifications in Chronic Disease Treatment & CPR Training

The American Association of Physicians of Indian Origin (AAPI), the largest ethnic medical organization in the country, representing the interests of over 120,000 physicians of Indian origin, has been focusing on ways to help AAPI members, who have been in the forefront helping millions of patients around the nation, to take care of self and find satisfaction and happiness in the challenging situations they are in, while serving hundreds of patients everyday of their dedicated and noble profession, Dr. Satheesh Kathula, President of AAPI said.

IMG 3249In this context, The American Association of Physicians of Indian Origin (AAPI), in collaboration with Heartfulness Meditation and the American Heart Association, embarked on a mission to educate and train its members and provide opportunities to promote self-care, improve physician wellness, and reduce burnout, with focus on lifestyle modifications in the treatment of chronic diseases, including cancer, at Kanha Shanti Vanam in Hyderabad, Telangana, India on January 19, 2025.

“Our physician members work very hard everyday, providing the best healthcare to their patients across the United States. The Heartfulness Meditation has allowed AAPI to serve these hard working members, who have dedicated their lives to the cause of healing.  It is a perfect time to heal the healers with a special focus on wellness as we rejuvenate and relax,” said Dr. Satheesh Kathula, who, along with several AAPI members visited and experienced Heartfulness Meditation at the Kanha Shantivanam on the outskirts of Hyderabad, during the Indo-US Scientific  Convention  organized by AAPI in January this year.

The event began with a meditation session led by Daaji, followed by Dr. Murthy Gokula’s presentation on “8 Habits for Highly Effective Health and Happiness.” Dr. Satheesh Kathula then led a session on “Cancer and Lifestyle Modification.” Approximately 400 attendees, including several AAPI leaders, participated in the seminar.

During the event, four AEDs were donated to the Heartfulness Medical Center, with funds raised by a group of AAPI members. Additionally, a Memorandum of Understanding (MOU) was signed between AAPI and Heartfulness, launching the “HAAPI” project (Heartfulness and AAPI), aimed at fostering mutual benefits in education, research, and clinical work.

Practicing yoga and meditation has been shown to decrease stress, fatigue, and alleviate chronic pains, as well as improving physical fitness.

CPR training was also provided to over 300 individuals, in collaboration with the American Heart Association and the All India Institute of Medical Sciences (AIIMS), Mangalagiri, AP, India.

The event was conceived and organized by Dr. Satheesh Kathula, the Heartfulness Meditation Center, Daaji and his associates, Drs. Vemuri Murthy, Ranga Reddy, AIIMS-Mangalagiri, Dr. Murthy Gokula, and Dr. Dwarakanatha Reddy, President of the Indian Medical Association, Telangana.

AAPI – MSRF To Organize MSRF & PreMed Medical Scholars Summit

“The American Association of Physicians of Indian Origin, AAPI – MSRF has planned to organize our annual MSRF & PreMed Medical Scholars Summit at the Rutgers University, New Brunswick, NJ from January 25-26, 2025,” Dr. Satheesh Kathula, President of AAPI, announced here today.

Organized by a team of young Medical Students and Residents of Indian origin, the Medical Scholars Summit has been planned and is being organized by an MSRF Executive Board, led by Priya Uppal, President of MSRF; Priyanka Kolli, President-Elect; Sohi Mistry, Vice President; Priyal Shah, Treasurer; and Drishti Patel, Secretary of MSRF.

AAPI – MSRF Executive BoardThe MSRF & PreMed Medical Scholars Summit is led by an Executive Board comprising of  Manan Pancholy, President; Rohan Chopra, Vice President; Prerak Shah, Secretary; Arjun Gangasani, Treasurer.

The AAPI – MSRF is a national organization representing medical, dental, and podiatry students and resident physicians of Indian origin in North America, founded with the objective of providing a channel of networking, support, and open communication among its members.

“The 2-day-long Summit will be packed with academic sessions that are interactive, with participants having an opportunity to actively engage in discussions and enhancing their knowledge on a wide range of topics relevant to Medical Students and Residents, who seek guidance on ways to pursue their careers in the most effective way,” said Dr. Sunil Kaza, Chair of APPI BOT.

Scientific Research Symposium Oral Presentations, Mentorship and Networking Lunch; Residency Program Directors’ Panel, Medical School Admissions Panel, Fellowship Program Directors’ Panel; MCAT Success: Tips and Tricks are some of the exciting topics that awai the participants at the Summit.

On January 25, the Summit will begin with a session on Leadership in Medicine by Mihir Gupta, MD, while the session on Public Health Practice in Medicine will be presented by Jaya Satagopan, PhD. Novel Technologies in Orthopedic Surgery will be presented by Selene Parekh, MD, MBA. Functional Medicine will be jointly presented by Subbarao Bollepalli, MD, & Chanakya Bavishi, DO.

AAPI – PreMed Executive BoardNiraj Kothari, MD will present his insightful session on Pioneering Advanced Practices in Medicine, while Deepen Modi will offer insights on Financial Wellness. Samir Pancholy, MD will lead a session on Service Project Pursuing Graduate Medical Education.  Global Medicine and India: Lessons, Opportunities, and Challenges for the Next Generation of Physicians will be presented by Dr. Kumar Belani, MD.

The Honorable Judges Panel at the Medical Summit consists of: Dr. Satheesh Kathula, Hematology-Oncology; Dr. Sunil Kaza, Interventional Cardiology; Dr. Raj Bhayani, Otolaryngology; Dr. Arunabh Talwar; Pulmonary & Critical Care Medicine; Dr. Sumul Raval, Neuro-oncology; Dr. Zeeshan Mansuri, Child and Adolescent Psychiatry; and, Dr. Kinjal Solanki, Infectious Disease.

As the President-Elect of AAPI, the largest ethnic medical organization in the United States, Dr. Amit Chakrabarty said, “I strongly believe that acquiring new knowledge is crucial for professionals, especially for the physicians in a changing healthcare environment. This Medical Scholars Summit will provide insights on pursuing career and how best to utilize the resources and, helping out next generation of Physicians of Indian origin achieve their goals.”

Dr. Meher Medavaran, Vice President of AAPI said, “Since its inception in 1982, AAPI has been at the forefront, representing a conglomeration of practicing of Indian origin physicians in the United States, seeking to be the united voice for the physicians of Indian origin. We serve every 7th patient in the US. We are proud of our achievements and our contributions to the healthcare industry and the millions of people we serve.”

AAPI JudgesDr. Raj Bhayani, Secretary of AAPI pointed out that, “In addition to several programs in the United States and in India, AAPI has been in the forefront, advocating for the interests of the medical fraternity and organizing regular CME programs, health & wellness events, and financial workshops for its members and outreach, public health education, and advocacy activities for the community both locally and internationally.”

According to Dr. Shirish Patel, Treasurer of AAPI, “AAPI is strong representing over 120,000 Indian American physicians, 130 local Chapters, who make up of 10% of total physicians in the US and nearly 50% of International Medical Graduates, rooted in every corner of the nation. AAPI’s mission has evolved in the past 45 years, adapting to the changing needs of our times.”

Dr. Kathula, who has been an educator and mentor for medical students, said “My priority has been to engage the second-generation physicians and fostering mentorship to ensure AAPI’s continued relevance and vitality.” Towards this end, AAPI is in the process of appointing a committee of accomplished academicians to help mentor the young physicians from India and the United states, who are aspiring to get into residencies. Dr. Kathula said, “We will continue the noble mission and strengthen our efforts to make AAPI reach greater heights.” For more details about AAPI, please visit: www.appiusa.org

AAPI’s First Ever Indo-US Scientific Convention on Cardiac Resuscitation Held In Hyderabad

The American Association of Physicians of Indian Origin (AAPI) organized its first-ever Indo-US Scientific Convention on January 18, 2025, at the Asian Institute of Gastroenterology (AIG) in Hyderabad, Telangana, India. The event focused on critical topics such as sudden cardiac death, advancements in cardiopulmonary resuscitation (CPR), and the growing Indo-US collaboration in CPR techniques.

Attended by nearly 350 Physician delegates from the United States and India, the Indo-US Scientific Convention, with participation from leading medical professionals, thought leaders, heads of several health industry sectors, and policy-makers, the convention assumes importance, especially in the context of reports of how cardiovascular diseases impact the lives of people of Indian origin.

According to Satheesh Kathula, MD, FACP, DipABLM, President, AAPI, “Heart disease is the number one Global Public Health problem. South Asians are at a four-times greater risk of heart disease than their Western counterparts and have a greater chance of having a heart attack before 50 years of age. Heart attacks strike South Asian Men and Women at younger ages, and as a result, both morbidity and mortality are higher among them compared to any other ethnic group. They tend to develop heart disease ten years earlier than other groups. ”

AAPI's First Indo US Scientific Convention on Cardiac Resuscitation Collage 2Pointing to studies, Dr. Kathula said that almost one in three in this group may die from heart disease before 65 years of age. In India, heart disease remains the number one cause of death. Common risk factors are smoking and a diet high in sugar, salt, refined grains, and fat. A large number of South Asians appear to have “insulin resistance”, a condition in which the body does not utilize insulin efficiently, resulting in Diabetes, which leads to a significant number of heart-related problems. Lack of adequate exercise, stress, and genetic predisposition are also contributing factors.

“The essence of AAPI is education,” said Dr. Kathula. “That translates into numerous Medical Education initiatives programs by world academicians from the United States, offering unique opportunities for local medical staff and healthcare professionals to advance leanings and provide the best possible care for the people of India. We at AAPI, in keeping with our efforts and initiatives to educate, create awareness, and provide support on disease prevention, are happy to be part of the Cardiovascular Awareness Program. It was truly an enriching experience to be present in person and meeting with the young women and be part of this life-saving mission.”

AAPI is hopeful that the scientific convention will serve as a critical means to creating awareness and educating healthcare professionals, First Responders, and community leaders in helping save lives from the deadly cardiovascular disease, especially among the people of Indian origin. Efforts to raise awareness of heart disease and promote “Healthy Heart” lifestyles are essential.

The speakers at the convention were world-renowned experts, and the sessions were both highly relevant and engaging. Following the lectures, interactive workshops on adult and pediatric cardiac resuscitation took place, allowing for hands-on learning.

AAPI's First Indo US Scientific Convention on Cardiac Resuscitation Collage 3The Honorable Consul General of the U.S. in Hyderabad, Jennifer Larson, was the chief guest and spoke highly of the contributions of Indian physicians in the U.S. and their vital role in the American healthcare system. Dr. Nageshwar Reddy, chief of AIG, addressed the audience, praising AAPI’s efforts.

Collaborating partners for the event included the American Heart Association, Asian Institute of Gastroenterology, Indian Medical Association, and Pedi Star. We extend our heartfelt thanks to them for their involvement in making the event a grand success.

The event would not have been possible without the active collaboration and participation of  Dr. Vemuri Murthy, Dr. Dwarakanatha Reddy, Dr. Ranga Reddy, Dr. Naveen Nanda, Dr. Pooja Patel, Dr. D.P. Suresh, Dr. Nageshwar Reddy, Dr. Srinivas Ramaka, and several others for their significant contributions to the success of the convention.

“In our quest to fulfill the mission of AAPI, we are proud to share best practices and experiences from leading experts in the world and develop actionable plans and projects that enable access to affordable and quality healthcare for all people. To help accomplish this mission, we are excited to be here in Hyderabad and be part of the Indo-US Scientific Convention,” For more information and ways to support AAPI’s noble initiatives, please visit www.aapiusa.org/

Study Reveals Higher Dementia Risk Than Previously Estimated

The likelihood of developing dementia during one’s lifetime may be significantly greater than earlier estimates, according to a study published in Nature Medicine. Past research suggested that 14% of men and 23% of women would develop dementia. The new findings place this lifetime risk at approximately 42% for both genders.

Dr. Ted Huey, director of the memory and aging program at Butler Hospital in Rhode Island, remarked, “I think this is going to be a very important study, and I think it is going to change the way we look at dementia.”

Increasing Cases with Longer Lifespans

The study, led by Dr. Josef Coresh, director of the Optimal Aging Institute at NYU Grossman School of Medicine, highlights that the rising number of dementia cases correlates with increased life expectancy. “Just the fact that the population is going to get older will mean the number of dementia cases will double overall,” Coresh explained. Among Black Americans, who face a higher risk, cases are expected to triple by 2060.

Currently, about 10% of Americans aged 65 and older have dementia, with nearly 7 million people in the U.S. affected by Alzheimer’s, the most common type.

The research tracked over 15,000 U.S. participants for more than two decades, with around a quarter of them being Black and more than half women, both groups known for elevated dementia risks.

Lifetime Dementia Risk

On average, a 55-year-old has a 42% risk of developing dementia during their lifetime. However, this risk is age-dependent. From ages 55 to 75, the likelihood is 4%. By 85, the risk rises to 20%, and it reaches 42% by age 95.

For Black Americans, the risk increases more sharply:

  • 7% by age 75,
  • 28% by age 85,
  • 42% by age 95.

Similarly, women face higher risks, with estimates of:

  • 3% by age 75,
  • 21% by age 85,
  • 48% by age 95.

“We need to think about the causes for this risk and how to prevent it,” Coresh emphasized.

Factors Behind Increased Risk

Several factors contribute to the heightened dementia risk, especially among Black Americans and women. Elevated rates of diabetes and hypertension among Black Americans, often linked to unequal healthcare access and systemic racism, are key contributors. Stress from structural inequities further exacerbates the problem.

For women, longer life expectancy partially explains their higher risk, but other factors, such as genetic predispositions, also play a role. A genetic variant called APOE-4, associated with Alzheimer’s, may increase women’s susceptibility to the disease more than men’s. Researchers are also exploring whether pregnancy could influence dementia risk, though findings remain inconclusive.

Why Are the Numbers Higher Now?

The 42% lifetime risk identified in this study is notably higher than earlier estimates, which ranged from 14% to 23%. This discrepancy can be attributed to differences in study design and population diversity.

Older studies, such as the Framingham Heart Study and the Rotterdam Study from the late 1990s, were geographically limited and included less diverse participants. This lack of diversity is a recurring issue in dementia research, according to experts.

Dr. Monica Parker, a neurology associate professor at Emory University’s Goizueta Alzheimer’s Disease Research Center, highlighted the challenges of inclusivity. “Most of our academic health centers aren’t set up to see non-English-speaking people,” she noted, adding that this segment of the population is often excluded from research.

Another reason for the higher risk found in the new study is improved participant follow-up. Dr. Huey acknowledged, “The researchers in this study did a very good job of following people.”

Additionally, most dementia research focuses on Alzheimer’s disease, leaving out other forms of dementia caused by cardiovascular or neurological conditions. “Saying dementia is like saying cancer. You have a lot of subtypes,” explained Michelle Mielke, a professor at Wake Forest University School of Medicine.

The Role of Comorbidities

The aging population brings an increase in age-related diseases like stroke, which heightens the risk of vascular dementia. “Sometimes we are a victim of our own success. People are living longer with a lot more comorbidities,” Mielke noted. These comorbidities, such as high blood pressure, diabetes, and stroke, significantly elevate dementia risk.

Another contributing factor is improved screening. Since 2011, Medicare has reimbursed providers for annual wellness visits, which include cognitive decline screenings. Dr. Peter Whitehouse of Case Western Reserve University observed, “If more people are coming into a physician’s office, they may be screening more, and more cases will show up.”

Dementia Is Not Inevitable

Despite the stark numbers, experts caution against assuming that dementia is an unavoidable part of aging. “Less than half of people who make it to age 95 will have dementia,” said Dr. Andrea Bozoki, division chief of cognitive and behavioral neurology at the University of North Carolina School of Medicine.

While some risk factors, like genetics and air pollution exposure, are uncontrollable, there are ways to mitigate risk. Controlling hypertension and diabetes can help, as can maintaining good sleep hygiene and addressing conditions like sleep apnea.

A healthy diet also plays a significant role. “As a rule of thumb, what’s good for the heart is also good for the brain,” Coresh remarked. “We know that the vascular risk factor modifications that help your heart also help your brain.”

Hope for Prevention

The study’s findings highlight the importance of prevention and early intervention. Researchers and healthcare providers stress the need to address underlying conditions, particularly in vulnerable populations. Increasing access to care and targeting modifiable risk factors can help reduce the growing burden of dementia.

As Bozoki pointed out, “Dementia is not an inevitable part of aging, no matter how old you are.”

Biden Administration Removes Unpaid Medical Debt from Credit Reports, Opening Doors for Millions of Americans

In a significant move to alleviate financial burdens for millions of Americans, the Biden administration has announced a final rule that will remove unpaid medical bills from credit reports. This change, unveiled on Tuesday, aims to prevent medical debt from hindering individuals’ access to mortgages, car loans, and small business loans.

According to the Consumer Financial Protection Bureau (CFPB), the new rule will result in the removal of approximately $49 billion in medical debt from the credit reports of over 15 million Americans. This adjustment means that lenders will no longer be able to factor in unpaid medical bills when assessing loan applications.

The change is expected to have a noticeable impact on credit scores, with an average increase of 20 points for affected individuals. As a result, an estimated 22,000 additional mortgages could be approved each year. Vice President Kamala Harris, in a statement issued alongside the rule’s announcement, expressed her belief that the new measure would be “lifechanging” for millions of families across the country.

“No one should be denied economic opportunity because they got sick or experienced a medical emergency,” Harris remarked, underscoring the importance of the new rule for individuals whose creditworthiness had been unfairly impacted by medical expenses.

Additionally, Harris highlighted that states and local governments, utilizing the federal pandemic-era relief package from 2021, have already forgiven more than $1 billion in medical debt for over 700,000 Americans. This initiative has helped ease the financial struggles of many who have been burdened by medical costs during the COVID-19 pandemic.

The Biden administration’s plan to remove medical debt from credit reports was first announced in the fall of 2023, marking a significant step in addressing the financial strain caused by rising healthcare costs. The CFPB explained that medical debt is not a reliable indicator of a person’s ability to repay a loan, making it an unjust factor to include in credit evaluations.

In line with these developments, major credit reporting agencies—Experian, Equifax, and TransUnion—announced last year that they would no longer include medical collections debt under $500 on consumer credit reports. This move was an early sign of a growing recognition that medical debt does not necessarily reflect an individual’s financial reliability.

The new rule from the Biden administration builds on these earlier efforts by targeting the larger issue of outstanding medical debt on credit reports. The decision reflects a broader effort to improve economic access for individuals who are struggling with health-related financial hardships.

This shift in policy comes at a crucial time when healthcare costs continue to be a leading cause of financial strain for Americans. Medical bills have long been a barrier to financial well-being, often causing credit scores to drop significantly even when the debt stems from unavoidable circumstances such as emergencies or illness.

By removing medical debt from credit reports, the administration is aiming to level the playing field for individuals who may have faced unexpected medical emergencies but are otherwise financially responsible. The change is expected to make a significant difference in the lives of those who have been previously locked out of credit opportunities due to medical debt.

Experts have long pointed out the disconnect between medical debt and a person’s ability to repay loans. As the CFPB noted, medical debt is not necessarily an accurate measure of an individual’s overall financial health. Medical emergencies, which are often unpredictable and expensive, should not define a person’s creditworthiness. The new rule is expected to help rectify this by removing a substantial portion of medical debt from credit reports, allowing millions of Americans to rebuild their financial standing.

As part of the ongoing efforts to support those impacted by medical debt, Vice President Harris also emphasized the role of state and local governments in addressing the issue. The pandemic-era aid package provided the financial means for states to step in and relieve substantial amounts of medical debt. “More than $1 billion in medical debt has been wiped out for over 700,000 Americans,” Harris announced, highlighting the substantial efforts that have already been made to provide relief.

The rule’s implementation is expected to take effect in the coming months, with many hopeful that it will lead to a marked improvement in the financial outlook for millions of Americans. By addressing the root cause of credit score disparities, the Biden administration aims to promote greater economic fairness and help those who have been burdened by healthcare-related debt regain access to essential financial services.

The CFPB’s decision is a clear indication of the growing recognition that the U.S. healthcare system’s impact on personal finances is a serious issue. As medical bills continue to rise, individuals are often faced with the difficult choice of paying for care or risking their financial future. The new rule seeks to ease this burden and ensure that medical debt does not unduly harm people’s ability to secure loans or other forms of financial assistance.

Moreover, the rule aligns with broader efforts to improve consumer protection and ensure that credit reporting systems reflect a more accurate and equitable picture of an individual’s financial situation. The Biden administration’s move to remove medical debt from credit reports is expected to lead to a broader overhaul of how consumer credit is evaluated in the future.

In conclusion, the final rule announced by the Biden administration represents a significant step forward in the fight to address the financial toll of medical debt. By removing $49 billion in medical debt from the credit reports of millions of Americans, the new policy promises to make a meaningful difference in the lives of individuals and families who have been unfairly penalized due to health emergencies. Vice President Kamala Harris’s statement that the rule will be “lifechanging” for many underscores the transformative potential of this policy change. As more Americans gain access to fairer credit opportunities, this rule could open doors for those who have long been locked out of financial resources due to circumstances beyond their control.

Surgeon General Warns of Alcohol-Cancer Link, Calls for Stronger Policies

The U.S. Surgeon General issued a significant advisory on Friday, highlighting the link between alcohol consumption and an increased risk of cancer, while urging policy reforms to curb the prevalence of alcohol-related cancers.

Dr. Vivek Murthy, the U.S. Surgeon General, stated that the connection between alcohol and cancer is “well-established,” identifying at least seven types of cancers, including breast, colorectal, esophagus, and liver cancers. “Alcohol is a well-established, preventable cause of cancer responsible for about 100,000 cases of cancer and 20,000 cancer deaths annually in the United States — greater than the 13,500 alcohol-associated traffic crash fatalities per year in the U.S. — yet the majority of Americans are unaware of this risk,” Murthy noted in a press release.

The advisory revealed that even modest alcohol consumption could increase the likelihood of developing certain cancers. For cancers like breast, mouth, and throat, risks begin to rise with as little as one drink per day or fewer, according to the Surgeon General’s office.

To tackle the issue, Dr. Murthy proposed several policy interventions. These include making alcohol warning labels more prominent, incorporating clear information about the heightened cancer risk. He also suggested revising recommended alcohol consumption limits based on up-to-date scientific findings and expanding public education efforts to enhance awareness of alcohol’s connection to cancer.

The proposed measures align with strategies previously used to address tobacco-related harms. Tobacco packaging and advertisements, for instance, are mandated to display explicit warnings about associated health risks, a model that could inform alcohol-related initiatives.

Murthy urged individuals to weigh the cancer risks of alcohol consumption when making decisions about drinking. “Alcohol consumption is the third leading preventable cause of cancer in the U.S., behind only tobacco and obesity,” he emphasized.

The advisory also noted a significant gap in public awareness. Between 2019 and 2020, 72% of U.S. adults reported drinking at least one alcoholic beverage per week, yet fewer than half understood the link between alcohol consumption and cancer risk.

On a global scale, alcohol-related cancers accounted for 741,300 cases in 2020, according to the Surgeon General. Alarmingly, alcohol-related cancer deaths typically reduce victims’ lives by an average of 15 years.

Shares of major alcohol producers, including Molson-Coors and Anheuser-Busch, briefly fell over 1% after the release of the advisory.

Notably, younger Americans are already reducing their alcohol intake and turning to non-alcoholic alternatives. According to a Gallup survey from August, nearly two-thirds of adults aged 18 to 34 believe alcohol negatively impacts health. In contrast, fewer than 40% of those aged 35 to 54, and 55 and older, share this view.

The advisory serves as a wake-up call for both policymakers and the public to reconsider the role of alcohol in everyday life and its implications for long-term health.

AAPI Launches National Drive to Boost Indian Bone Marrow Donor Pool

The American Association of Physicians of Indian Origin (AAPI), a non-profit representing over 35,000 Indian American doctors, has initiated a campaign to register bone marrow and stem cell donors across the United States. The initiative is in collaboration with the National Marrow Donor Program (NMDP) to expand the pool of Indian donors, aiming to address the dire need for matches among patients of Indian and South Asian descent.

“Patients with leukemia and lymphoma rely on bone marrow or blood stem cell transplants for survival,” said Dr. Satheesh Kathula, AAPI president for the 2024–2025 term and an oncologist based in Dayton, Ohio. “Finding suitable donors is especially challenging for those of Indian or South Asian ethnicity. This campaign, which has seen participation from dozens of local AAPI chapters, members, and volunteers nationwide, seeks to increase the limited donor pool and raise awareness, particularly among younger individuals and adults,” he told The Times of India.

Dr. Kathula, who was recently honored with the US Presidential Lifetime Achievement Award for 2023–2024, emphasized the critical role Indian American physicians play in the healthcare landscape. “In the US, approximately 25% of doctors are immigrants, and the majority of them are Indian Americans. These physicians occupy vital roles not only in healthcare but also in research, academia, and administration, often serving underserved communities,” he noted.

AAPI’s Legacy and Mission

Founded over 40 years ago, AAPI was established to combat the discrimination foreign-trained doctors faced in obtaining medical licenses in certain US states. Since its inception, it has evolved into a significant professional organization, providing a platform for social, educational, political, and advocacy activities for Indian American physicians.

AAPI’s efforts include supporting younger generations of Indian American doctors through its Young Physicians Section and its Medical Students, Residents, and Fellows Section. These groups focus on Indian American medical and dental students, residents, and physicians-in-training.

“We actively encourage the younger generation through initiatives that foster communication, collaboration, education, and legislative advocacy,” Dr. Kathula said. “To address the growing shortage of physicians, we are working to boost recruitment and inspire more young professionals to join our organization. Additionally, we provide opportunities for students, including those from India, to present research papers and have been advocating for reforms to streamline the residency pathway for international medical graduates,” he explained.

Advancing Education and Advocacy

Beyond its focus on fostering the careers of young physicians, AAPI is committed to advancing medical education and supporting ongoing learning through continuing medical education programs. The organization also plays a significant role in healthcare advocacy and community service.

“AAPI is a critical link between US lawmakers and our members. We advocate for policies that simplify green card processes for doctors on H1 visas,” Dr. Kathula highlighted. The organization’s efforts aim to empower Indian American physicians to influence healthcare policy and play a key role in advocacy.

Contributions to Global Health

Dr. Kathula has been instrumental in several AAPI initiatives, including conceptualizing and organizing the AAPI Global Healthcare Summit held in New Delhi last October. The summit addressed topics such as cancer and heart attack prevention strategies, the impact of lifestyle changes, and the integration of technology into healthcare. “These issues are of urgent importance in India,” Dr. Kathula said. He also emphasized AAPI’s broader mission: “AAPI harnesses the power of the Indian diaspora to bring innovative, efficient, and cost-effective healthcare solutions to India.”

During the COVID-19 pandemic, AAPI, under Dr. Kathula’s leadership, raised $5.2 million to support healthcare services in India. This significant contribution underscores the organization’s commitment to leveraging its resources and expertise to benefit communities both in the US and abroad.

AAPI’s Influence and Achievements

As the largest ethnic group of doctors in the US, AAPI’s impact extends far beyond medicine. “Indian American physicians contribute significantly to various fields, including politics and influential roles on state medical boards and in policymaking,” Dr. Kathula said.

With its wide-ranging initiatives, from expanding donor registries to addressing global health challenges, AAPI continues to uphold its mission of advocacy, education, and service. Through its work, the organization exemplifies the vital role of Indian American doctors in improving healthcare outcomes and fostering connections between the US and India.

Indian Nurses Association of New York Readies to Install Its New Leadership

Indian Nurses Association of New York (INANY), an organization of registered nurses of Indian origin living New York, has recently elected its leadership for 2025-26.  The new steering team will be installed at Kerala Center, Elmont, New York on December 28th.  The event will also mark INANY’s 2024 Holiday celebrations.  INANY is a chapter of National Association of Indian Nurses in America (NAINA).

Over the last four years, with the current working committee under the two-term president, Dr. Anna George, INANY transformed itself to uplift the nursing community and lead them for the overall health of the society at large regionally.  Beyond its professional goal of bringing Indian nurses under one umbrella and to elevate the standard of nursing care through higher nursing education and by providing continuing education in all disciplines of healthcare, the organization also immersed itself in the communities to address their needs.  Dr. Anna George is an Associate Professor of Nursing at Adelphi University and a Nurse Practitioner at Northwell Health.

INANY’s  social initiatives included healthfairs in underserved areas in Long Island and Westchester county, food, clothes and shoes drive, back-to-school supply donations, serving in soup kitchens, organizing blood drives while collaborating with Grand Canyon University for reduced tuition for nursing education and providing scholarships to students in New York and in India.  Another major highlight was its involvement with Asian American Pacific Islanders (AAPI) and Coalition of Asian American and Families (CACF) to mitigate the anti-Asian hate incidents that surged after the onset of COVID-19 pandemic.  INANY initiated an educational and training program known as “Bystander Intervention” also called “5D Interventions” to educate and train the public to avoid victimization or help victims as bystanders.  Dr. George gives credit for her success to each of the selfless nurse leaders that were in the governing board.  She will continue her leadership as the chair of the Advisory Board.

Dr. Shyla Roshin holder of a Doctor of Nursing Practice degree, the incoming president has been the vice president of INANY in the last term.  She also successfully led the editorial team of NAINA’s conference souvenirs and newsletters.  As a healthcare leader, she is currently the Chief Nursing Officer of South Beach Psychiatric Center, a hospital of New York State Office of Mental Health.

Dr. Esther Devadoss, a graduate of Vellore Christian Medical College and Doctor of Nursing Practice from Phoenix Aspan University has been elected as the vice president.  She is currently an Educator at New York City Health and Hospitals Corporation/Jacobi Medical Center.  She was a vice principal of Bangalore CSI School of Nursing.

The new secretary Dr. Shabnampreet Kaur is a relatively new ordinary member of INANY and was quickly elevated to leadership through her humanitarian services to communities through INANY.  She was the chair of Membership Committee in the outgoing leadership and has been involved in the community activities of the Sikh community in New York metropolitan area.

Grace Alexander, a veteran from Indian Military Nursing, will assume the role of joint secretary.  She immigrated to the United States with her own efforts and continued her higher nursing education to get Master of Science in Nursing in Education.  She currently works at Jamaica Hospital Medical Center in the Operating Room as an Assistant Head Nurse.

Anto Paul who was in the outgoing committee as the chair of Education and Professional Development will be the new Treasurer.  He is currently advancing his nursing research for PhD and works as a Population Health Nurse for Catholic Health Services of Long Island.  He is a strong advocate for nurses to take higher roles in healthcare.

Jaya Thomas, an adjunct faculty at Adelphi University and a Nurse Practitioner at Pilgrim Psychiatric Center under New York State Office of Mental Health will be the joint treasurer.  She was a nurse administrator at Creedmore Psychiatric Center in Queens, New York.  She has served INANY as an area coordinator, member of the education committee and treasure in the past.

Priscilla Samuel, System Vice President of Mount Sinai Health System and Dr. Alicia Georges, retired professor and chairperson of Department of Nursing at Lehman College will be the keynote speakers. Representative of New York Governor Kathy Hochul will also be present. INANY will also use the opportunity to display its efforts to mitigate the anti-Asian hate incidents through in partnership with Coalition of Asian American Families and Children.

Dr. Anna George welcomes all nurses and well-wishers to this event.  Admission is free.

Six Simple Steps for Living Longer, According to a Doctor Who Reversed His Age by 20 Years

Finding time for health amidst busy schedules can be challenging, but Dr. Michael Roizen, 78, believes that focusing on a few basics can significantly enhance longevity. Dr. Roizen, chief wellness officer at Cleveland Clinic, claims his “biological age” is 57.6—reflecting the health of his organs and risk of chronic disease—despite his chronological age. While there isn’t a universal standard for measuring biological age, Roizen emphasizes the importance of small, manageable lifestyle changes for extending one’s health span.

“There are small things and easy things to do that make a big difference,” Roizen said, advocating for simplicity over radical lifestyle overhauls. Here are six key practices he recommends to live longer and healthier lives.

  1. Walk More

Roizen prioritizes walking and aims for 10,000 steps daily as part of his workout routine. He suggests that everyone try to increase their daily steps. As an example, he parks far from his workplace and walks the remaining distance to add movement to his commute.

While the 10,000-step goal originated from marketing campaigns, even fewer steps can yield substantial health benefits. A 2023 University of Cambridge study found that brisk walking for just 75 minutes a week reduced the risk of death from all causes, as well as the likelihood of developing cardiovascular diseases and cancer.

  1. Eat Avocado, Salmon, and Olive Oil

Roizen highlights the health benefits of three specific foods: avocado, salmon, and olive oil. These are part of his broader list of foods for longevity but can still provide measurable benefits on their own. Numerous studies associate these items with a reduced risk of cardiovascular disease.

These foods are rich in healthy fats, which play a vital role in heart health and reducing inflammation, making them key components of a diet aimed at promoting long-term wellness.

  1. Cultivate Strong Relationships

Building and maintaining strong social connections is essential for health and longevity, Roizen noted, describing it as a “fun” way to enhance overall well-being. He added, “It’s always better to do things with other people.”

Research backs this claim. Rose Anne Kenny, an aging expert from Trinity College Dublin, stated that robust social relationships are just as crucial for a long life as maintaining a balanced diet and regular exercise. Studies indicate that people with active social lives experience better mental health and lower risks of chronic illnesses.

  1. Play Speed-of-Processing Games

Brain-training games can help improve mental agility, according to Roizen, who recommends games like “Double Decision” and “Freeze Frame.” Such games fall under the category of speed-of-processing activities and may slow cognitive decline.

Roizen referenced a 2017 study published in Alzheimer’s & Dementia that showed significant benefits for older adults engaging in these activities. Participants who played 10 sessions of such games over six weeks and continued periodic sessions over the next three years saw a 29% reduced risk of dementia over a decade. Roizen suggests replicating these results by playing speed-of-processing games for two hours weekly over five weeks.

  1. Take a Multivitamin

The effectiveness of multivitamins in enhancing longevity remains a subject of debate. While Roizen cited studies suggesting that multivitamin use could lower risks of cancer, cardiovascular diseases, and dementia, other research offers mixed conclusions.

For example, a 2023 JAMA Network Open study involving over 390,000 participants found no direct correlation between multivitamin use and longevity. Similarly, the US Preventive Services Task Force has not endorsed multivitamins for the general public due to insufficient evidence of their efficacy.

Despite this uncertainty, Roizen continues to take multivitamins, explaining that they help maintain stable vitamin levels in his body. He believes this consistency might contribute to long-term health benefits.

  1. Get Your Flu Shot

Annual flu vaccinations are recommended for everyone aged six months and older, according to the Centers for Disease Control and Prevention. However, Roizen sees additional benefits in flu shots, particularly for healthy aging.

A 2022 review in Ageing Research Reviews suggested that vaccinating older adults against the flu might also reduce the risk of dementia. This could be due to the vaccine’s potential role in lowering inflammation in the brain. Roizen aligns with this perspective, emphasizing the importance of flu shots as part of his longevity strategy.

 

Incorporating these simple steps into daily life may not require dramatic lifestyle changes but can still offer profound health benefits. From physical activity to social engagement and cognitive stimulation, Roizen’s approach underscores the value of small, consistent efforts in promoting long-term health and vitality. As he aptly puts it, “Small things and easy things can make a big difference.”

Dr. Satheesh Kathula Receives Inspirational Award From Raising Awareness of Youth with Autism Foundation

Dr. Satheesh Kathula, President of the American Association of Physicians of Indian Origin (AAPI) was honored with the Inspirational Award given by Raising Awareness of Youth with Autism (RAYWA) Foundation during a glittering Inspirational Award Gala on December 14th, 2024, at New York’s iconic Pierre Hotel by Taj Hotel. Dr. Kathula was chosen for the award along with several community leaders, for his contributions to the country, particularly in the field of healthcare, and his dedication to his patients and the broader community.

Dr. Kathula, a board-certified hematologist and oncologist from Dayton, Ohio, practicing Medicine for over two decades, in his response after receiving the award, said, “I am truly humbled to receive this Inspirational Award alongside several other remarkable individuals. This really inspires not only me, but the people, who are actually serving the community and society at large. Inspiration is the spark that ignites our potential and drives us to do more, to be more. It comes from many sources—nature, people, art, even from small things- but its power is immense.”

The organizers of the event said, “The RAYWA Foundation is proud to celebrate individuals who have made extraordinary contributions across diverse fields, driving impact, innovation, and inclusion. This year’s honorees exemplify the spirit of resilience, leadership, and compassion.”

The multi-faceted event recognized inspiring South Asian individuals from diverse categories. The black-tie networking extravaganza brought together the nation’s business, community, health, and art world from diverse industries. The gala featured inspiring speakers, live entertainment, and a silent auction.

The highlight of the program was the launch of Roshni Inspirational coffee table book. The Gala and Ceremony provided an exclusive opportunity to mingle with Roshni honorees in a celebratory setting. Roshni Recognition Gala attendees received gift bags containing samples of this year’s award-winning products. All Finalists and Winners received a unique trophy, featuring the company name, the name of one’s new innovative product/service, and the level of win. Special recognition was provided to the Honorees featured in the Roshni Media next Coffee Table Book.

Raising Awareness of Youth with Autism (RAYWA) Foundation has been doing incredible work to support individuals with autism. Kudos to Mani Kamboj and Dr. Rashmi Sharma for their tireless efforts to raise awareness about autism. For 25 years, they have hosted the Inspirational Award Gala, honoring those who inspire others in their respective fields.

Dr. Kathula has dedicated his career to treating patients and actively supporting various nonprofit organizations. Dr. Kathula has served AAPI in various capacities. He was the Regional Director, a member of the Board of Trustees. He was elected overwhelmingly by AAPI members as the national Treasurer, Secretary, and Vice President of AAPI, and has served as the President-Elect of AAPI during the year 2023-34, prior to assuming charge as the President of AAPI in July this year.

He strongly believes acquiring new knowledge is crucial for professionals, especially physicians with a changing healthcare environment. Recently, Dr. Kathula acquired a certificate from Stanford University in Artificial Intelligence in Healthcare. He graduated in May 2024 from Harvard University completing a “Global Healthcare Leaders Program.”

Dr. Kathula was the President and founding member of the Association of Indian Physicians from Ohio, President of the Miami Valley Association of Physicians of Indian Origin as well as the President of the ATMGUSA (Association of Telugu Medical Graduates in USA). In addition, he has worked with the Ohio State Medical Association on various issues. He has been actively involved in community service locally, nationally, and internationally for the last two decades. He was awarded ‘Man of the Year – 2018’ by the Leukemia and Lymphoma Society.

Among many others, Dr. Kathula has initiated a bone marrow drive, as the donor pool among South Asians is very limited, Dr. Kathula said. “So, we are trying to recruit potential donors in the stem cell or bone marrow transplant donations. Because people are getting affected by lymphomas and leukemias, and they need transplants. Since they do not get the matched donors in this country, we are trying to increase that pool.”

Under his leadership, AAPI has launched a program called “Million Miles of Gratitude,” to honor veterans by promoting physical activity. Participants can log their walking or running miles, with each mile serving as a tribute to the veterans. The goal is to collectively reach a million miles in the coming year.

Not satisfied with his personal and professional achievements, Dr. Kathula has been active in the Indian community. With the objective of enabling Physicians of Indian Origin to give back to their motherland, India, he organized the Global Healthcare Summit is New Delhi, India in October this year.

Dr Kathula’s love for his motherland has manifested in him setting up humanitarian and medical projects in India. The most important of them is establishing a state-of-the-art pharmacy college in Warangal in Telangana, where he grew up. Named Pathfinder Institute of Pharmacy and Educational Research (PIPER), the non-profit with Dr Kathula as the Chairman provides quality education and has already graduated over 1,000 students who are now working in different parts of India and abroad. He conducted several medical camps close to his native place and donated a defibrillator, water purification plant, and library to his native place.

Dr. Kathula, who graduated from Siddhartha Medical College, Vijayawada, Andhra Pradesh, India in 1992 is a clinical professor of medicine at Wright State University-Boonshoft School of Medicine, Dayton, Ohio. Dr. Kathula is a Diplomate of the American Board of Lifestyle Medicine. He has authored several papers and articles in medical journals and is in the process of writing a book, describing his journey as an immigrant physician. “For the past 22 years, I’ve been proudly serving as a Hematologist and Oncologist in the Dayton community, considering it my home.”

Health Insurance in America: Stories of Struggles, Stress, and Survival

Last Wednesday, Brian Thompson, the CEO of UnitedHealthcare, was tragically killed in midtown Manhattan in what authorities described as a “pre-meditated, preplanned, targeted attack.” Just days earlier, Anthem Blue Cross Blue Shield announced a policy limiting anesthesia coverage for surgeries exceeding a specified time limit in some states. However, backlash led to the swift reversal of this policy before its planned implementation in February.

These incidents have reignited public frustration with the American health insurance system, which operates through a mix of private insurance covering about 200 million Americans and government programs like Medicaid and Medicare. Most Americans access health insurance through their employers, directly purchase plans, or rely on government programs, but coverage remains costly. Even with insurance, expenses such as premiums, deductibles, and co-pays can be financially burdensome. Additionally, receiving care from out-of-network providers—often an unintentional consequence, such as in emergencies—can lead to astronomical bills.

One of the most pressing issues is insurers’ rejection of claims. Data from state and federal regulators show that one in seven claims is denied, and few people challenge these decisions. A study found that only 0.1% of denied claims under the Affordable Care Act are formally appealed, leaving many to pay out of pocket for care or forego treatment altogether. Medical debt remains the leading cause of bankruptcy in the United States, compounding the emotional toll of navigating a convoluted insurance system.

Thompson’s death and the Anthem policy controversy have sparked widespread criticism of the insurance industry, bringing personal stories of hardship to light. These narratives expose the frustration, heartbreak, and financial ruin many face while dealing with denied claims, delayed care, and insurmountable medical bills.

A Mother’s Desperate Fight

Jessica Alfano, a TikTok content creator known as @monetizationmom, shared her harrowing experience with UnitedHealthcare while her one-year-old daughter was hospitalized with a brain tumor. When her child required emergency surgery at a hospital outside their home state, UnitedHealthcare allegedly refused to approve an ambulance transfer to New York City. Adding to the distress, Alfano was informed that if she drove her daughter herself, insurance wouldn’t cover care at the new hospital. “I vividly remember being on the phone with UnitedHealthcare for days and days—nine months pregnant about to give birth alone—while my other baby was sitting in a hospital room,” she recalled.

The Cost of Misfortune

Allie, a TikTok user posting as @theseaowl44, described her experience of being in “excruciating pain” during pregnancy. Initially misdiagnosed with a urinary tract infection, she later discovered she had appendicitis and required emergency surgery at a larger hospital in St. Louis. Tragically, her son died the day after being born.

As if this wasn’t devastating enough, Allie suffered a pulmonary embolism and required emergency surgery to remove her placenta, nearly losing her life. She later learned that the hospital she was taken to by ambulance was out of network, leaving her with a bill larger than the cost of her home. “We opted to have to file bankruptcy, but not before I exhausted every appeal with Cigna,” she said. After pouring her heart into letters and phone calls, her final appeal was rejected. “Cigna’s appeal physician told me, point blank, it was my fault that when I was dying from a ruptured appendix in the ER, I didn’t check and make sure that the hospital I was being sent to by ambulance was in my insurance network.”

Heartbreaking Tales Across Social Media

Similar stories flood social media platforms, exposing systemic flaws in the insurance industry. One TikTok user, @ChickWithSticks, shared how insurance denied her new leg braces as a paraplegic and only approved a wheelchair. “They wanted to take my ability to WALK away,” she commented.

Another TikToker, Meagan Pitts, revealed that while her insurance covered her child’s NICU stay, it denied coverage for the neonatologists contracted by the NICU. “I’m sorry, what?” she questioned.

One mother recounted her son’s congenital heart defect and the denial of critical intervention by UnitedHealthcare after her husband switched jobs. “They DENIED my son’s cath lab intervention!” she wrote.

Hospital Discharge Nightmare

A Reddit user, @Sweet_Nature_7015, shared the trauma of a car accident involving her and her husband. While her husband was in a coma, their insurance, UnitedHealthcare, covered only two days in the hospital and attempted to discharge him prematurely. “The stress of being told—your health insurance isn’t covering this anymore, we have to discharge your husband—while he’s in a freaking coma and on a ventilator… I can’t even put into words how much stress UHC caused on top of my husband (and my) health issues in the most stressful time of my life.”

To secure continued care, she had to sign away her husband’s job-related benefits, including life insurance, so he could qualify for Medicaid. Years later, when the couple received a court settlement from the driver responsible for the accident, “UHC rolled up to the court and took the entire settlement money as their payment for those two days in the hospital they had paid for.”

“I’m One of the Lucky Ones”

Redditor @sebastorio recounted paying $1,400 out of pocket after UnitedHealthcare denied coverage for emergency care related to an eye injury that could have resulted in blindness. “I’m one of the lucky ones,” they wrote, expressing empathy for those facing even greater struggles for life-saving care.

Denied Coverage During Childbirth

Another Reddit user, @colonelcatsup, detailed their ordeal when their insurance switched to UnitedHealthcare at midnight as they were in premature labor. Their baby required weeks in the NICU, resulting in an $80,000 bill that UnitedHealthcare refused to cover. “In addition to dealing with a premature baby, I had a constant stream of hostile collection calls and mail from the hospital for 18 months. My credit took a hit,” they wrote.

An attorney hired by their employer eventually secured payment from UnitedHealthcare, but the stress lingered. “I will never forgive them for the added stress hanging over me for the first year and a half of my child’s life.”

Debt or Death

Author Bess Kalb shared her story on Substack, recounting a frightening moment when she was bleeding during pregnancy and the EMT hesitated, asking about her insurance before deciding whether to take her to the nearest hospital. The hospital bill ultimately exceeded $10,000.

“The private insurance industry forces millions of Americans to choose between debt or death,” Kalb wrote. “Often, ghoulishly, the outcome is both. If I were worried about an ambulance out of coverage, I would have waited at home… perhaps would not be here to write this, and neither would my son.”

A Broken System

These stories, coupled with public outrage, reflect a common sentiment: the U.S. health insurance system often fails the very people it is meant to protect. Whether through denied claims, overwhelming medical debt, or bureaucratic hurdles, Americans are frequently forced to endure emotional, financial, and physical suffering. The pervasive issue of balancing life-saving care against unaffordable costs highlights the urgent need for systemic reform.

https://www.yahoo.com/lifestyle/the-spotlight-is-on-health-insurance-companies-patients-are-telling-their-stories-of-denied-claims-bankruptcy-and-delayed-care-014648524.html

 

 

AI in Health Insurance Sparks Fight Between Patients and Providers

Health insurers are increasingly leveraging artificial intelligence (AI) to assess and deny claims, but patients are now employing similar technology to challenge these denials. UnitedHealthcare, a major player in the industry, is facing scrutiny for its alleged use of an AI system with a high error rate, estimated at 90%, to deny claims. The company, which reportedly rejects about one-third of claims submitted—twice the industry average—is being sued over these practices. This controversy follows the death of UnitedHealthcare’s CEO Brian Thompson last week.

In response to these challenges, individuals are taking matters into their own hands. A software engineer from the San Francisco Bay Area has created a free AI-powered tool to help patients draft appeals. This innovative solution generates pre-written appeals based on user-provided information. Meanwhile, startups like Claimable are stepping in to support patients using AI to combat insurance denials. Warris Bokhari, the cofounder and CEO of Claimable, explained, “This has come into sharp focus because of national events… but the problem has existed for a very long time beneath the surface.”

Nasdaq Reaches New Heights Amid AI Boom

The Nasdaq Composite soared to an all-time high on Wednesday, surpassing 20,000 for the first time in its 53-year history. This record-breaking surge is attributed to the growing influence of AI, with key contributors including Broadcom, Alphabet, Crowdstrike, Tesla, Nvidia, and Amazon.

Adding to the financial milestones, the price of Bitcoin climbed above $100,000 on Wednesday, continuing its post-election rally. After a brief two-day dip, Bitcoin gained nearly 6%, reaching $101,300 by late afternoon.

Inflation Steady as Fed Prepares Rate Cuts

In its final report for the year, the U.S. reported a 2.7% year-over-year increase in consumer prices for November, aligning with analysts’ expectations. The Federal Reserve is expected to implement a 25-basis-point rate cut next week. However, recent comments from Fed officials suggest a preference for more gradual adjustments moving forward.

Major Developments in the Crypto World

Circle and Binance, two prominent players in the cryptocurrency sector, have announced a new partnership. This collaboration strengthens ties between Binance and USD Coin, a stablecoin with $41 billion in managed assets. This move is seen as an effort to boost Binance’s reputation, particularly after its founder Changpeng Zhao resigned as CEO and admitted to anti-money laundering violations last year.

Musk Hits Unprecedented Wealth Milestone

Elon Musk’s net worth briefly surpassed $400 billion, making him the richest individual Forbes has ever tracked. This milestone came after a $58 billion increase in his wealth on Wednesday, following SpaceX’s buyback of insiders’ shares in a deal that valued the company at $350 billion.

Meanwhile, the business world mourns the loss of billionaire David Bonderman, the founder of private equity firm TPG. Bonderman, who was instrumental in numerous leveraged buyouts and owned the Seattle Kraken NHL team, passed away at 82. Forbes estimated his net worth at $7.4 billion at the time of his death.

Google’s AI-Driven Smart Glasses

Google has introduced a prototype for smart eyeglasses powered by its new Gemini AI model. The glasses are designed to provide users with real-time environmental information. Unlike the company’s earlier Google Glass, which faced privacy-related backlash, this new initiative aims to capitalize on a more receptive market for wearable tech.

Political and Legal Developments

Linda McMahon, a former WWE executive and President-elect Donald Trump’s nominee for Secretary of Education, made headlines for her financial support of Trump’s rallies. She donated $1 million to the America First Action Fund, which later paid $500,000 to host an event at Madison Square Garden.

In related news, FBI Director Christopher Wray announced plans to resign in January. Wray, who was appointed by Trump during his first term, has faced criticism from Trump over the FBI’s involvement in various investigations concerning him. Trump has already nominated Kash Patel to replace Wray.

Sports Updates and Controversies

Forbes’ latest ranking of the World’s 50 Most Valuable Sports Teams places the Dallas Cowboys at the top for the ninth consecutive year, with an estimated worth of $10.1 billion. NBA teams also made significant strides, with an average valuation of $4.4 billion—an almost 600% increase over the past decade.

Saudi Arabia has been confirmed as the host of the 2034 FIFA World Cup, sparking criticism over its human rights record and allegations of “sports washing.” Critics have also questioned the ease with which FIFA approved the bid, though the organization asserts that the event could encourage positive change.

The UnitedHealthcare Fallout and Executive Safety

The tragic death of UnitedHealthcare’s CEO Brian Thompson has ignited discussions around the safety of corporate executives. Only about 25% of public companies currently provide personal security for their leaders. Factors such as high costs and unclear tax benefits have deterred broader adoption of executive protection measures.

Concerns Over a Potential TikTok Ban

Legislation aimed at banning TikTok includes provisions that would allow creators to retrieve their data before the platform is restricted. Users can download their data through an in-app feature or file a request using a legal form if additional information is needed.

European Tech Investment on the Rise

European AI startups, including Mistral, Helsing, and Wayve, raised over $2.2 billion in the past year, signaling growing interest in the region’s tech sector. Forbes’ Midas List Europe highlights the continent’s top tech investors, with Pawel Chudzinski of Point Nine Capital taking the lead. Chudzinski’s early investments in Revolut, Mambu, and Chainalysis contributed to his top ranking.

Despite challenges such as the ongoing crisis in Ukraine and tensions with the U.S., European investors continue to back high-value startups. “It’s unbelievable,” Chudzinski told Forbes, reflecting on the rapid development of Europe’s tech ecosystem.

NFL Expands International Reach

The NFL is set to host its first-ever regular season game in Berlin next year as part of its strategy to grow its international audience. Germany, home to 20 million NFL fans, is becoming a key market for the league. Commissioner Roger Goodell hinted at plans to hold up to eight international games next season.

Navigating Career Conversations

Asking for a raise can be challenging, but preparation is key. Employees are encouraged to evaluate their contributions, such as driving revenue growth or reducing costs, and research industry standards for their roles before initiating discussions with their employers.

Physician Burnout, A Misnomer For Physician Moral Injury

Physician burnout is probably a misnomer and should be referred to as physician moral injury,  which is a pervasive issue affecting healthcare professionals worldwide. AMA physician burnout refers to the phenomenon of doctors experiencing symptoms such as emotional exhaustion, depersonalization, and reduced sense of personal accomplishment.

By Sunil Kaza MD FACCSurveys have shown MD  burnout of 38% in 2020 which increased to 61% in 2021 caused many physicians to leave practice or cut back on hours. The Covid pandemic certainly contributed to the peak of this phenomenon. some of the fundamental sources of burnout for physicians existed before the pandemic, and they persist after.

However, it slowly went down to 48% in 2023. This is still a staggering number, as it represents close to half the physicians.

One is the amount of stress that physicians report because of their job, and the other is feeling valued. And what we find is about half of physicians feel stressed because of their job, but it’s not what some people might think. It’s not because of the hard work of taking care of sick patients. It is hard work, but that’s what physicians signed up for. That’s what we went through all the training for. That’s actually what gives us meaning and purpose.

But the stress comes from spending our time doing the wrong work. From things that get in the way of taking the very best care we can of patients. So one of the top reasons that physicians report stress is that there’s not enough support staff. So physicians end up, then, doing work that other team members could do if there were more support staff, and that means we can’t offer the same level of care to our patients or the same care to as many patients as we would if there was adequate staffing. So that’s one of the big sources of stress.

And, the other is that there are just too many administrative tasks to be done, like prior authorization, and additional administrative tasks that contribute to stress.

As per the latest AMA survey currently, only about half of our physicians said they feel valued, although that’s higher than it had been in the previous years.

Causes of Physician Burnout:

  1. Excessive Workload: Long hours, heavy patient loads, and administrative tasks.
  2. Lack of Autonomy: Decreased control over practice, decisions, and workload. Increased demands from hospital administrators.
  3. Electronic Health Records (EHRs): Time-consuming data entry, decreased patient interaction.
  4. Regulatory Burden: Compliance with regulations, insurance, and billing requirements.
  5. Lack of Support: Inadequate staffing and resources.
  6. Patient Expectations: Unreasonable demands, lack of empathy, and increasing complexity of disease.
  7. Financial Pressures: Decreasing reimbursement, increasing malpractice costs.
  8. Lack of Work-Life Balance: Blurred boundaries between personal and professional life.
  9. On-call burden.

Potential Solutions:

  1. Wellness Programs: Mindfulness, self-care, and mental health resources. Yoga, meditation
  2. Efficient Workflows: Streamline clinical processes, reduce administrative tasks.
  3. EHR Optimization: Improve user experience, reduce data entry burden. Reduce redundancies
  4. Flexible Scheduling: Part-time, telemedicine, or flexible hours options.
  5. Team-Based Care: Collaborative practice models, shared responsibilities.
  6. Leadership Support: Regular check-ins, open communication, and resources. Reducing financial pressure by hospital administrators.
  7. Burnout Prevention Training: Education on recognizing, managing, and preventing burnout.
  8. Policy Changes: Advocate for regulatory, legislative, and organizational changes.
  9. Peer Support Groups: Confidential forums for sharing experiences and advice.
  10. Recognition and Rewards: Acknowledge and reward physicians’ hard work and dedication.

Implementing these solutions requires a multifaceted approach, involving individual physicians, healthcare organizations, and policymakers. By addressing the root causes of burnout, we can promote a healthier, more sustainable medical profession.

References:

  1. https://letdoctorsbedoctors.wordpress.com/2024/12/14/the-decline-of-the-doctor-from-healers-to-providers/
  2. https://pmc.ncbi.nlm.nih.gov/articles/PMC10773242/

(Sunil Kaza, MD, FACC is a Cardiologist from Nashville, TN and IS currently serving as the Chair, AAPI BOT 2024-25)

Massachusetts to Open New Pathway for Internationally-Trained Doctors to Practice

Physicians trained outside the United States will soon have a new opportunity to practice medicine in Massachusetts, thanks to a program designed to grant medical licenses under specific conditions. State officials are introducing this initiative to address critical shortages in medical care, particularly in primary care. The move is seen as a step toward bridging the gap between healthcare demand and available physicians.

The program allows internationally-trained doctors to practice without undergoing a traditional residency or training program. Instead, these physicians would work under a limited or restricted license, supervised within community health centers or hospitals. They would also receive mentorship for a minimum of three years. This arrangement specifically targets areas where access to primary care doctors is scarce and patients face long wait times for appointments.

According to the Massachusetts Immigrant and Refugee Advocacy Coalition, there are potentially hundreds of physicians living in the state with international medical training who could provide care for tens of thousands of patients.

“It’s a win, win,” said Saira Asjad, a former primary care doctor in Pakistan now residing in Massachusetts. “This will bridge that gap between the health care need and the physicians who are not able to practice.”

State Senator Jason Lewis, a Democrat from Middlesex and an advocate for integrating internationally-trained doctors into the Massachusetts healthcare workforce, expressed optimism about the program’s potential. “There’s a lot of evidence that these physicians who speak other languages, who understand other cultures, provide excellent care to populations that share the same background and culture,” Lewis said.

The program was incorporated into an economic development bill signed into law by Governor Maura Healey in late November. The Massachusetts Board of Registration in Medicine will oversee the creation of operating rules for the initiative, which is expected to take about a year before the first applicants begin their work.

Michael Curry, president of the Massachusetts League of Community Health Centers, envisions this program serving as a model for other healthcare professions, such as nursing. He anticipates significant interest from medical professionals worldwide. “We’ll be a place that people come from all over the country and even all over the globe to come here to practice,” Curry said.

Massachusetts joins a small group of states exploring ways to leverage the expertise of internationally-trained doctors to improve access to primary care. However, efforts in other states have faced challenges. For instance, Tennessee regulators hesitated to approve similar applications due to difficulties in verifying applicants’ credentials.

To address these concerns, Massachusetts plans to implement regulations requiring internationally-trained physicians to pass exams and obtain the same credentials required of U.S.-trained doctors.

This program represents a significant step in tackling the growing healthcare needs of underserved populations while providing a pathway for skilled international professionals to contribute meaningfully to the state’s healthcare system.

AAPI Initiatives Stem Cell/Bone Marrow Donation Drive

“I am grateful to the dozens of local AAPI Chapter leaders, members and volunteers across the nation who have initiated and organized Bone Marrow and Stem Cell Registration across the nation, joining hands with the national AAPI in our efforts in creating awareness and enrolling more youth and adults to be part of this noble initiative,” said Dr. Satheesh Kathula, an Oncologist based in Dayton, OH and the President of American Association of Physicians of Indian Origin (AAPI,) the largest ethnic organization in the United States.

The Stem Cell/Bone Marrow initiative has been a major focus under the leadership of Dr. Kathula-led AAPI’s Executive Committee. AAPI has partnered with National Marrow Donor Program (NMDP) to increase the Indian donor pool. One can join the NMDP Registry if you’re between the ages of 18-40, a resident of the United States, and don’ t have major medical illnesses.

Giving the background and the urgent needto this new initiative,Dr. Sashi Kuppala, Chairman of the AAPI Stem Cell Drive, said, “Thousands of patients with blood cancers like leukemia or lymphoma need blood stem cell transplant to survive. Matching the stem cell or bone marrow donors to patients is based on Human leukocyte antigen (HLA) typing. HLA are Proteins or markers found on most cells in our body and they are inherited from our biological parents and are largely depend on ethnicity.”

Feature and Cover AAPI Initiatives Stem Cell/Bone Marrow Donation Drive 1Stressing the importance of registering for the Bone Marro donation, Dr. Suni Kaza, Chair of AAPI BOT said, “You could be a patient’s only match-their only hope for a cure. When you register, you’re committing to donating to any patient in the world. But because a decision not to donate can be life-threatening to the patient, please think seriously about your commitment before joining the registry. And, be aware that there are absolutely no complications to the donor from this donation procedure.”

According to Dr. Amit Chakrabarty, President-Elect of AAPI, “In general, 70% of parents needing a stem cell transplant don’t have a fully matched donor in their family and approximately 12,000 patients per year depend on transplant from an unrelated donor to survive. These numbers are even dire for cancer patients of Indian ethnicity as the donor pool of Indian ethnicity is very limited.”

Regarding the process to be part of this noble effort, Dr. Meher Medavaram, Vice President of AAPI said, “Registration is easy. You just need to log in with the QR code provided and register with your details at the NMDP website. They will send you a cheek swab kit which you need to return to them. They will perform the HLA typing of your DNA and store the information in their data base.”

Dr. Raj Bhayani, Secretary of AAPI said, “If you’re a match to a patient, who needs stem cells, you’ll be asked to provide blood samples for further testing. Blood work is typically done locally. Travel will likely be required for donation. It costs you nothing to donate. NMDP pays for all donation-related expenses. The donation process takes an average of 20-30 hours spread over 4-6 weeks.”

“It is very difficult to find a matched stem cell donor for South Asians should they need a bone marrow or stem cell transplant and this drive will help increase the number of potential donors.” Dr. Shirish Patel, Treasurer of AAPI said, “Bone Marrow donation helps save lives.”

Dr. Sashi Kuppalasaid, he and the AAPI leadership will be happy to educate about the donation process and answer any questions.“We strongly believe that it’s a very a noble and much nededinitiative by AAPI to help save lives. While we thank those who are leading the efforts in your own state/towns, I urge others to take the lead in your towns and help  AAPI in our efforts to save lives. Thank you and truly appreciate your support in helping the patients who are in need of Bone Marrow.”

The growing influence of physicians of Indian heritage is evident, as increasingly physicians of Indian origin hold critical positions in healthcare, academic, research, and administrative positions across the nation. We the physicians of Indian origin are proud of our great achievements and contributions to our motherland, India, our adopted land, the US, and in a very significant way to the transformation of Indo-US relations.

Serving 1 in every 7 patients in the US, AAPI members care for millions of patients every day, while several of them have risen to hold high-flying jobs, shaping the policies and programs, and inventions that shape the landscape of healthcare in the US and around the world.

Since its inception in 1982, AAPI has been at the forefront, representing a conglomeration of more than 125,000 practicing physicians in the United States, seeking to be the united voice for physicians of Indian origin.

For more details about organizinga Bone Marrow Donation Drive in your city/town/region, please contact: Sashikuppala@yahoo.com. For more details on AAPI, please visit: www.aapiusa,org

A World Without Childhood Blindness: Hope for Tomorrow – A Fundraiser for The Eye Foundation of America Planned in New Delhi, India

“Every child deserves to see the world with clarity and purpose. Let’s join hands to eradicate childhood blindness and unlock a brighter future for generations to come,” says Dr. Vadrevu K. Raju, a world-renowned ophthalmologist, philanthropist, and the founder of the Eye Foundation of America (EFA). 

In response to this noble call, Grant Thornton, The Rotary Club District – 3011 (Delhi) in collaboration with the Young Rotarians, who are truly committed, and the Gautami Institute have joined hands with the Eye Foundation of America to organize a major Fundraiser with the theme, “Hope for Tomorrow” at the prestigious India Habitat Centre, New Delhi on Friday, January 31, 2025.

A World Without Childhood BlindnessAmong the many initiatives Dr. Raju has undertaken, the upcoming Fundraiser in New Delhi is a pan-India Roll Out Program with the objective of raising $500,000, which will be matched by the Eye Foundation of America. The funds raised will be utilized towards establishing 100 ROP screening centers across India; Training 500 healthcare professionals in ROP screening and treatment; and, Treating 10,000 ROP-affected babies annually across India.

Lord Rami Ranger, a well-known philanthropist, and successful businessman from the United Kingdom, who will be the Chief Guest at the Fundraiser, while echoing the mission of EFA says, “Childhood blindness is a solvable problem, but it requires our collective action.” According to Lord Ranger, a Board Member of the Eye Foundation of America and Eye Foundation of UK, who has been honoured by Her Majesty the Queen on Eight occasions for his Business leadership in and for community services, “Together, we can ensure that every child has access to quality eye care and a chance to reach their full potential.”

Dr. Raju, a physician with a noble vision, who has dedicated his entire life to helping make “the world where every child can see, learn, and thrive without the shadows of blindness,” while referring to scientific studies says, Retinopathy of Prematurity (ROP) affects 200,000 premature babies in India annually, leading to irreversible blindness.”

According to the South Indian Journal of Ophthalmology, of the 3.5 million premature babies born in India, nearly one in six (600,000) babies are born less than 32 weeks gestational age. Estimating that 40% of them receive neonatal care and 80% of them survive, over 200,000 chilkdren are at risk for developing Retinopathy of Prematurity. 

Dr. Raju, who has lived in England and the USA longer than in India, has visited India more than 140 times since 1977. Each visit is a working vacation to combat avoidable blindness among Indians, especially children.  He founded “Eye Foundation of America” in 1979, which is active in India and 31 other developing countries across the globe.

An Adjunct Professor at John Hopkins University, Dr. Raju believes that Retinopathy can cause blindness; however, early detection and treatment can prevent blindness in up to 90% of cases. The EFA is now a global organization, whose noble initiatives have resulted in screening and treating a total of over 3.5+ million people in addition to one million school children, and the mission continues to impact many more every day around the world. EFA has performed hundreds of thousands of surgeries, and trained hundreds of eye care professionals to join in the global fight against preventable blindness.

Born in Rajahmundry, Andhra Pradesh, India, Dr. V.K. Raju is a Clinical Professor of Ophthalmology at West Virginia University, Fellow of the Royal College of Surgeons, Fellow of the American College of Surgeons, Director of the International Ocular Surface Society, Director of the Ocular Surface Research and Education Foundation, Chairman of Goutami Eye Institute in Rajahmundry and is the President and Founder of the Eye Foundation of America, a non-profit organization dedicated to realizing a world without childhood blindness. Dr. Raju earned his medical degree from Andhra University and completed an ophthalmology residency and fellowship at the Royal Eye Group of Hospitals in London.

A World Without Childhood Blindness 1For the past four decades, Dr. Raju and the EFA have been actively and tirelessly on a crusade to eliminate avoidable blindness in areas plagued by poverty and poor access to medical care. The EFA’s mission is to eliminate avoidable blindness under the guiding principles of service, teaching, and research.

This is accomplished through eye camps and brick-and-mortar hospitals in developing countries, training of medical personnel to serve the needy, and educating the population at large on preventative eye care and healthy lifestyle choices. With adequate education, patients are empowered to take charge of their lives and their own health and prevent further deleterious consequences of their poor lifestyle choices, while sharing this knowledge with their friends and families.

The public is educated on eye care and injury prevention, and local teachers are taught how to screen for early eye problems in children. Patients, their families, and the greater community benefit from preventative medical care, free procedures, and access to education.

When education and preventative measures are insufficient, medical and surgical interventions are performed. With the aim of permanently providing world-class state-of-the art services to populations with poor access to health care, the EFA helped to build 2 hospitals in rural India: the Srikiran Eye Institute and the Goutami Eye Institute.

With all of Dr. Raju’s momentous achievements, he has also ensured that his life’s work and vision are self-sustaining. The Goutami Institute, which has been honoured as the Best Eye Hospital in the state of Andhra Pradesh by the state Government continues to add new buildings, more staff and equipment, and mobile clinics to meet the growing demand for treatment for children and adults.

A World Without Childhood Blindness 2The Goutami Institute has a wing dedicated exclusively for children, and the EFA has future plans to build a service and research eye hospital in India where no child will be denied treatment and children from around the world can come to receive services. Dr. Raju and the EFA are also committed to finding new cures for age-old eye disease in children.

“I feel so incredibly thankful for my personal and professional gifts, and I make great efforts to share those gifts with those in need of my services,” says Dr. Raju. “I am ever grateful to India for giving me stellar medical education for almost free. The work of EFA and the Goutami Eye institute wouldn’t be possible without the support of our Board Members, who go beyond to enhance and help realize our mission to make the world free of blindness.”

Dr. Raju has generously and freely given his own time, money, and medical expertise to help the less fortunate for the past several decades. Dr. Raju’s over 40 years of noble work have helped and is continuing to restore vision to millions in India and abroad. Never too tired to give his best for preventing, caring for, and sustaining the vision of the visually impaired, Dr. Raju says, “Our work is only just beginning.”

Dr. Raju says childhood blindness has far-reaching consequences. 75% of blind children never attend school.  Blindness reduces employability by 50%. Blindness increases poverty and social isolation. Urging everyone to be part of this noble mission, Dr. Raju says, “Together, Let Us Illuminate Young Lives and Create A World Without Childhood Blindness. Your Support Can: Change Lives, Restore Vision, And Empower Futures. Now, Let’s All Join the Movement; Be Part of Something Extraordinary.” For more information, please contact: info@eyefoundationofamerica.org

INANY Celebrates Nurses Practitioner Week

The Indian Nurses Association of New York (INANY) celebrated this year’s Nurse Practitioner Week with a series of educational programs.  Held at the Kerala Center in Elmont, NY, the event featured presentations by Nurse Practitioners on crucial topics such as social health, serious health conditions, treatment options, and strategies for leading a healthy life.

The event welcomed Kimberly Velez, the Secretary of the New York Chapter of the American Nurses Association (ANA), as the chief guest.  Anto Paul, INANY’s Chair of the Education and Professional Development Committee, opened the session by welcoming the audience.  President Dr. Anna George emphasized the invaluable contributions of Nurse Practitioners to the healthcare field and highlighted INANY’s endeavors over the years to support underserved communities, nursing students and social health initiatives.

In light of the surge in anti-Asian hate crimes since the onset of the COVID-19 pandemic, the Coalition of Asian American Children and Families (CACF) has partnered with INANY to address this social health crisis.  The grant INANY received is being utilized to provide education and training for potential victims and bystanders.  During the event, Dr. Anna George, Dr. Soleymol Kuruvilla, and Dr. Ani Jacob presented a training program known as “5D Bystander Intervention” for nurses to help combat these issues.

INANY Celebrates Nurses Practitioner WeekHeart attacks remain a leading cause of death in the United States, with someone experiencing one every forty seconds.  Shiny Xavier and Laicy Mecheril, two experienced Nurse Practitioners, conducted an interactive session titled “Myocardial Infarction:  Timely Intervention”.   They brought up the latest knowledge and evidence-based interventions in treating heart attacks.  Bessy Thankavelu, another expert in the field, presented “A Perspective on Women and Heart Disease” and discussed how heart attack symptoms can differ for women, often leading to misdiagnosis and delayed treatment.

Dr. Shabnam Multani discussed the benefits of Tai Chi in preventing falls among older adults, explaining how slow controlled movements by Tai Chi can enhance balance, stability, and overall body awareness.  This can effectively reduce the risk of fall.  Additionally, Bejit Joseph, a physical therapist, provided practical tips for improving body posture at home and work to alleviate back, neck, and shoulder pain.

All attendees received continuing education credits approved by APRN World.  Nurse Practitioner Week, celebrated in November, is a time to acknowledge the essential role of Nurse Practitioners in healthcare.  With a growing shortage of physicians, especially in rural areas, Nurse Practitioners are stepping in to fill the gap.  Currently, there are 385,000 Nurses Practitioners in the U.S., many practicing in hospitals and healthcare settings, managing less complex cases.  While some studies suggest patients prefer medical doctors with more education, those who have experienced care from both Nurse Practitioners and doctors often report no significant difference in care quality.   In fact, many appreciate that Nurse Practitioners can dedicate more time to patient education on prevention and healthy living.

Kimberly Velez, the chief guest, expressed gratitude for the extensive services provided by Indian Nurses in healthcare and the community.  She thanked INANY for supporting higher nursing education and for the invaluable contributions to society. Sini Bobby, Chair of the APRN committee of INANY gave the vote of thanks.

Health Insurance CEO’s Killing Sparks Outrage and Exposes Frustration with U.S. Healthcare System

The “brazen and targeted” killing of Brian Thompson, CEO of UnitedHealthcare, outside a New York hotel, has shocked the nation. Thompson’s death has not only drawn attention to the tragic incident itself but has also ignited a wave of public anger toward the trillion-dollar health insurance industry. The murder has amplified ongoing frustrations with a system that many Americans believe is broken.

The phrase “prior authorisation,” central to insurance operations, has become a flashpoint of contention. This process allows insurers to evaluate and approve medical treatments before agreeing to cover them. Critics argue that such measures often lead to delays or outright denials of necessary care.

This sentiment was palpable during a July protest outside UnitedHealthcare’s Minnesota headquarters. Over 100 people from various states, including Maine, Texas, and West Virginia, gathered to decry the company’s policies and denial of claims. The demonstration, organised by the People’s Action Institute, resulted in the arrest of eleven protesters for blocking a road. According to Unai Montes-Irueste, the group’s media strategy director, many of those present had personal experiences with claim denials. “They are denied care, then they have to go through an appeals process that’s incredibly difficult to win,” Montes-Irueste explained.

This underlying frustration burst into the spotlight following Thompson’s murder. As the CEO of UnitedHealthcare, the insurance division of UnitedHealth Group, Thompson led the largest insurer in the U.S. While police are still searching for the suspect and the motive remains unclear, shell casings found at the crime scene bore words like “deny,” “defend,” and “depose”—terms critics associate with tactics insurers allegedly use to avoid payouts.

Online reactions to Thompson’s death revealed the deep-seated anger many feel toward the health insurance industry. A scan of Thompson’s LinkedIn profile showed comments from individuals frustrated with denied claims. One woman with stage 4 metastatic lung cancer wrote, “We’ve just left [UnitedHealthcare] because of all the denials for my meds. Every month there is a different reason for the denial.”

Thompson’s wife, Paulette Thompson, shared that he had received threats before the incident. “There had been some threats,” she told NBC. “Basically, I don’t know, a lack of [medical] coverage? I don’t know details. I just know that he said there were some people that had been threatening him.”

Philip Klein, a security expert who previously worked with Thompson, expressed shock over the lack of security during the executive’s New York trip. “There’s a lot of anger in the United States of America right now,” he remarked. Klein noted that corporate leaders often face threats stemming from public frustration over high costs and limited access. “Companies need to wake up and realise that their executives could be hunted down anywhere,” he added.

Following the shooting, politicians and industry officials expressed condolences. Michael Tuffin, president of the insurance industry organisation Ahip, called Thompson’s death a tragedy. “He was a devoted father, a good friend to many, and a refreshingly candid colleague and leader,” Tuffin said. UnitedHealth Group acknowledged the support it had received from “patients, consumers, health care professionals, associations, government officials, and other caring people.”

However, online commentary painted a contrasting picture. Many criticized insurance companies for claim denials and excessive costs. Some used dark humor, such as quipping “thoughts and prior authorisations,” a play on the common phrase “thoughts and prayers.” Others went as far as celebrating Thompson’s death, reflecting the depth of animosity toward the system. The outrage spanned the political spectrum, uniting left-wing activists, right-wing critics of corporate influence, and ordinary individuals sharing personal stories of denied care.

Montes-Irueste, while condemning the violence, acknowledged the widespread bitterness. “We have a balkanised and broken healthcare system,” he said, adding that the frustration stems from diverse experiences with a system that many feel is failing them.

Criticism of the insurance industry is not new. A recent Commonwealth Fund study revealed that 45% of insured working-age adults were billed for services they believed should have been covered. Additionally, 17% reported that their insurers denied coverage for doctor-recommended care. Less than half of those who suspected billing errors chose to contest them, highlighting the complexity and opacity of the system.

Sara Collins, a senior scholar at The Commonwealth Fund, described the U.S. healthcare system as both expensive and convoluted. “Just navigating and understanding how you get covered can be challenging for people,” she explained. While things might appear manageable when people are healthy, problems often arise when they require substantial medical care. Collins added, “We find high rates of people saying that their healthcare costs are unaffordable, across all insurance types, even Medicaid and Medicare. We truly have a medical debt crisis.”

The high costs of healthcare in the U.S. exacerbate these issues. Christine Eibner, a senior economist at the RAND Corporation, noted that average insurance premiums for a family hover around $25,000 annually, with out-of-pocket expenses often adding thousands more. “On top of that, people face out-of-pocket costs, which could easily be in the thousands of dollars,” she said.

UnitedHealthcare and other major insurers have faced lawsuits and investigations over their practices. Last year, UnitedHealthcare settled a case involving a chronically ill college student who amassed $800,000 in medical debt after his prescribed medications were denied. ProPublica, which covered the case, highlighted how the student struggled under the weight of the bills. The company is also contesting a class-action lawsuit accusing it of using artificial intelligence to prematurely terminate treatments.

Despite these controversies, many Americans still hold favorable views of their insurers. A survey by KFF found that while two-thirds blamed insurance companies for high healthcare costs, 81% rated their coverage as “excellent” or “good.”

Yet, the anger remains palpable, reflecting a broader dissatisfaction with a system that leaves many feeling vulnerable and neglected. As Tuffin defended the industry, calling his colleagues “mission-driven professionals working to make coverage and care as affordable as possible,” the divide between public perception and industry claims became starkly evident.

For now, the murder of Brian Thompson serves as a grim reminder of the tensions that exist within the U.S. healthcare system. Whether it leads to meaningful reforms or further entrenches the divide between insurers and the public remains to be seen.

Khanna Addresses Health Care Debate and Federal Spending Amid UnitedHealthcare CEO’s Death

Following the tragic death of UnitedHealthcare CEO Brian Thompson, Rep. Ro Khanna, D-Calif., expressed his condolences while acknowledging the intense debate that his killing sparked regarding inequalities in the U.S. health care system. While Khanna made it clear that violence could not be justified, he remarked that the widespread reaction to Thompson’s death came as no surprise.

“There is no justification for violence,” Khanna said during an interview on ABC’s “This Week” with anchor Martha Raddatz. “But the outpouring afterwards has not surprised me.” His comments followed the killing of Thompson, which led to a significant manhunt for the suspected perpetrator and a national conversation about the high costs associated with health care in the United States. The incident also ignited online discussions about the role of the insurance industry in these rising costs.

Khanna aligned himself with independent Senator Bernie Sanders’ view on the issue, which critiques the massive spending on healthcare administration. Sanders argued that the U.S. wastes billions of dollars annually on administrative expenses in health care, money that enriches insurance CEOs and wealthy stockholders while millions of Americans remain underinsured or lack coverage altogether. “We waste hundreds of billions a year on health care administrative expenses that make insurance CEOs and wealthy stockholders incredibly rich while 85 million Americans go uninsured or underinsured. Health care is a human right. We need Medicare for All,” Sanders wrote. Khanna echoed these sentiments, saying, “After years, Sanders is winning this debate.”

While Khanna expressed agreement with Sanders’ stance on health care, he also discussed the broader issues surrounding federal spending, notably in defense. He mentioned his support for President-elect Donald Trump’s initiative to establish a “Department of Government Efficiency” aimed at reducing wasteful federal spending. The president-elect appointed Elon Musk and Vivek Ramawamy to lead the new department, and they recently visited Capitol Hill to discuss their plans. Khanna shared his views on the need to focus on cutting unnecessary expenses, particularly in health care and defense.

“They should look at the extraordinary waste,” Khanna told Raddatz, stressing the importance of examining both Medicare and private health costs. He also suggested that addressing inefficiencies in defense spending could garner significant bipartisan support. “I think when it comes to defense, getting better defense for value and cutting costs, there can be huge bipartisan cooperation,” he stated.

Despite his support for efforts to cut wasteful spending, Khanna emphasized that certain critical programs should remain untouched. He firmly stated that cuts to Social Security, the Consumer Financial Protection Bureau (CFPB), and Medicare should not be part of any cost-cutting initiatives. His comments reflect the ongoing debate in Congress about the need to address the U.S. debt, which has surpassed $36 trillion.

Khanna also revealed that he has been in communication with Musk regarding his plans to reduce federal spending. He praised Musk’s role in advancing space exploration with the Obama administration, noting that his efforts in the private sector had made a significant impact.

In addition to his thoughts on health care and federal spending, Khanna was asked to weigh in on the ongoing discussions regarding the potential ban of TikTok in the U.S. Following a recent Federal Appeals Court ruling, which rejected TikTok’s bid to overturn a law requiring the app to find a new owner or face a ban, the future of the platform in the U.S. remains uncertain. Khanna had previously expressed his opposition to a bill that would force TikTok to divest from its Chinese parent company or face a ban. He believed that such a move would likely face constitutional challenges.

“I don’t think it’s going to pass First Amendment scrutiny because I think there are less restrictive alternatives,” Khanna said in an earlier interview on “This Week.” He reiterated his stance on Sunday, expressing confidence that TikTok would not face a ban. “Let’s see where it goes with the Supreme Court,” he said, noting how many politicians themselves use the platform.

Khanna’s comments reflect his broader views on balancing security concerns with the protection of individual rights, a theme that resonates across many of his policy positions. His responses on both the health care system and the federal spending debate demonstrate his ongoing commitment to reform and efficiency in government.

As the manhunt for Thompson’s killer continues, Khanna’s remarks on health care offer a glimpse into the ongoing national conversation about the role of private insurers, government programs, and corporate spending in shaping the future of U.S. health care. Meanwhile, his thoughts on TikTok underscore his approach to navigating the intersection of technology, national security, and free speech.

Khanna’s perspectives reflect both his alignment with progressive views on health care and his pragmatic approach to addressing broader issues facing the country. The debate sparked by the killing of Thompson may continue to influence both political discourse and policy decisions in the months ahead, particularly as lawmakers confront the challenges posed by rising health care costs, federal debt, and global technology issues.

Targeted Killing of Health Executive Sparks Discussion on America’s Troubled Insurance System

Brian Thompson, the CEO of UnitedHealthcare, was tragically shot and killed in midtown Manhattan on Wednesday in what police describe as a “pre-meditated, preplanned, targeted attack.” Days earlier, Anthem Blue Cross Blue Shield faced backlash after announcing a policy to limit anesthesia coverage for surgeries exceeding a set duration in certain states—a decision quickly reversed following public outrage. These incidents have reignited debates about the deep-seated issues within the U.S. health insurance system.

In the United States, health coverage primarily depends on private insurers and government-run programs, collectively covering around 200 million Americans. Individuals typically receive insurance through employers, government initiatives like Medicaid or Medicare, or by purchasing private plans, often at steep costs. Despite having insurance, medical expenses can remain burdensome, with premiums, co-pays, and deductibles adding up. Additionally, unexpected medical scenarios, such as being taken to an out-of-network hospital by ambulance, can lead to astronomical bills.

Compounding these issues is the fact that insurers reject about one in seven treatment claims, according to data from state and federal regulators. Many patients accept these denials without contest, as a study reveals that only 0.1% of denied claims under the Affordable Care Act are formally appealed. This law was designed to enhance the affordability of insurance and prevent discrimination against pre-existing conditions, yet the reality leaves many paying out of pocket or forgoing necessary care altogether.

The emotional and financial toll of navigating this complex system is immense. For many, medical debt is the leading cause of bankruptcy in the U.S. The murder of Thompson and the outcry over Anthem’s proposed policy have spurred widespread criticism, particularly among individuals recounting personal struggles with the insurance system.

Jessica Alfano, a content creator known as @monetizationmom on TikTok, shared her harrowing experience battling UnitedHealthcare while her one-year-old child was hospitalized with a brain tumor. Her daughter required emergency surgery at a specialized hospital in New York City, but UnitedHealthcare allegedly refused to authorize the ambulance transfer. Alfano, nine months pregnant at the time, was told that if she transported her daughter without ambulance authorization, coverage at the destination hospital would be denied. “I vividly remember being on the phone with UnitedHealthcare for days and days—nine months pregnant about to give birth alone—while my other baby was sitting in a hospital room,” she recounted.

Allie, another TikToker who posts as @theseaowl44, shared her devastating ordeal. While pregnant, she visited the hospital in severe pain and was initially misdiagnosed with a urinary tract infection. When her condition worsened, she was diagnosed with appendicitis and rushed to a larger hospital for emergency surgery. Although her son survived the operation, he tragically passed away the next day after delivery. Soon after, Allie herself suffered a pulmonary embolism and required emergency procedures to save her life.

To her shock, she later discovered the hospital was out of her insurance network. “We ended up with a bill from the hospital that was more than what we paid for the home that we live in,” Allie said. After exhausting every appeal with her insurer, Cigna, she was forced to declare bankruptcy. Reflecting on her third and final appeal, she shared, “Cigna’s appeal physician told me, point blank, it was my fault that when I was dying from a ruptured appendix in the ER, I didn’t check and make sure that the hospital I was being sent to by ambulance was in my insurance network.”

Such stories are distressingly common. One TikTok commenter, @ChickWithSticks, recounted that despite being a paraplegic who relies on leg braces and crutches, their insurer attempted to deny new leg braces and only approved a wheelchair. “They wanted to take my ability to WALK away,” they wrote. Another user, Meagan Pitts, shared how her insurance covered her newborn’s NICU stay but denied the neonatologist’s services. “I’m sorry, what?” she asked incredulously.

A Redditor, @Sweet_Nature_7015, described their battle with UnitedHealthcare after a severe car accident left their husband in a coma. The insurer initially covered only two days of hospitalization and pressured the family to discharge the patient prematurely. “The stress of being told—your health insurance isn’t covering this anymore, we have to discharge your husband—while he’s in a freaking coma and on a ventilator, etc., ridiculous,” they wrote. Years later, after winning a court settlement against the driver responsible for the accident, UnitedHealthcare seized the entire settlement as reimbursement for the limited coverage it had provided.

In another account, Redditor @sebastorio visited the emergency room for a serious eye injury, only to have UnitedHealthcare deny the claim. “I paid $1,400 out of pocket,” they said, adding, “I’m one of the lucky ones. Can’t imagine how people would feel if that happened for critical or life-saving care.”

The frustration extends to maternity care as well. Redditor @colonelcatsup faced a bureaucratic nightmare when premature labor coincided with an insurance transition from one company to UnitedHealthcare. The insurer refused to cover the over $80,000 NICU bill, claiming it was not their responsibility. The resulting barrage of collection calls and mail added enormous stress during an already difficult time. “My credit took a hit,” they shared, adding that only the intervention of their employer’s attorney compelled UnitedHealthcare to pay. “I will never forgive them for the added stress hanging over me for the first year and a half of my child’s life.”

Author Bess Kalb detailed her own ordeal in a Substack post, recalling an incident during her pregnancy when she was bleeding heavily. An EMT hesitated to transport her to the nearest hospital until confirming her insurance coverage. Kalb and her husband chose to proceed despite the uncertainty, resulting in a bill exceeding $10,000. She condemned the insurance industry for forcing people into impossible choices. “The private insurance industry forces millions of Americans to choose between debt or death,” Kalb wrote. “Often, ghoulishly, the outcome is both.”

These stories underscore the human cost of the dysfunctional U.S. insurance system. Whether it’s battling denied claims, facing insurmountable debt, or enduring the emotional toll of bureaucratic hurdles during medical emergencies, millions of Americans are left vulnerable. The killing of Thompson and the uproar over Anthem’s brief policy change have shone a spotlight on a broken system, but the personal accounts of those affected reveal the depth of the crisis. For many, the question remains: when will substantive change come?

Dr. Vivek Murthy, Aamir Khan, and Ira Khan Share Insights on Mental Health and Therapy

Dr. Vivek Murthy, Surgeon General of the United States, joined Bollywood star Aamir Khan and his daughter, entrepreneur Ira Khan, for a discussion on mental health in a recent Netflix India Mental Health Podcast. The podcast aimed to encourage open dialogue about mental well-being and promote the normalization of seeking help. By sharing personal stories and discussing mental health challenges, the trio worked to destigmatize mental illness, particularly in the Indian context.

Dr. Murthy reflected on how perceptions of mental health have evolved over the years. Speaking on his own experiences, Aamir Khan noted, “When I was growing up, very little was understood about it. There was a lot of shame attached to it, like as you pointed out. If there was someone who had a, you know, mental health problem in the family, it was usually hidden. As opposed to, you know, seeking help and trying to help. It was spoken quite loosely.” He acknowledged that while awareness has grown, fostering meaningful communication in India remains a challenge due to its linguistic diversity.

Ira Khan, known for her openness about her battle with depression, shared how she recognized her mental health struggles. “…living was an effort… When I stopped eating because it was too much effort to eat, then I was like, okay, maybe you should tell somebody,” she revealed. Highlighting the importance of seeking help, Ira encouraged trying different approaches and seeking therapy when needed.

For Aamir Khan, understanding Ira’s mental health journey was initially overwhelming. Reflecting on his role as a father, he admitted, “…I didn’t know how to deal with it. I didn’t know how to help.” He shared that his intense focus on his career often came at the cost of addressing his children’s needs. Recognizing this, he sought therapy for himself and participated in joint sessions with Ira, which he described as transformative for their relationship.

The conversation expanded to address issues like loneliness and the influence of social media on young people. Ira described loneliness as a significant problem and pointed out how social media exacerbates it. “Loneliness is huge,” she said, adding, “I think social media is a big problem with that because what you talked about was also being themselves without being judged, which is a big part of what makes you feel connected or not. Being lonely or feeling connected is a subjective experience…”

She elaborated on how the curated nature of social media prevents individuals from being vulnerable or authentic. “But because of social media, you’re trying to be cool, portray yourself in a certain way. You’re not putting your true self out there. So, no one is seeing your true self. Then you’re not connecting with anybody.” Ira emphasized the need for honesty and vulnerability to foster deeper connections and combat loneliness.

Dr. Murthy provided sobering statistics to highlight the gravity of loneliness. “More than 50 percent of young people in the US struggle with loneliness and about a third of adults,” he stated. He explained that social disconnection not only increases the risk of mental health issues like depression, anxiety, and suicide but also contributes to physical ailments such as heart disease, dementia, and premature death. “When people are socially disconnected from each other, that increases their risk of depression and anxiety and suicide. But it also increases their risk of heart disease and dementia and premature death. So, the bottom line is a lot of people are experiencing this,” he said.

The podcast also explored daily habits that contribute to mental wellness. Aamir and Ira underscored the importance of basic practices like adequate sleep, physical activity, and thoughtful decision-making. Ira advised, “Find your balance,” and encouraged listeners to monitor their habits and tune into their bodies to determine what works best for both mental and physical health.

In offering guidance to parents and young people, Aamir Khan emphasized early intervention. He urged parents to act swiftly and seek professional help without hesitation when they notice their child is struggling. “The child’s well-being should always come first,” he stressed, adding that turning to experts or trusted individuals is a vital step.

Ira echoed this sentiment, urging parents to set aside feelings of fear, guilt, or shame that may hinder their ability to provide effective support. To young people, Aamir suggested that they communicate openly with their parents about their challenges while being understanding if their parents struggle to respond adequately.

Dr. Murthy concluded the discussion by calling the podcast a “beautiful experience.” The candid and heartfelt exchange among the participants highlighted the importance of addressing mental health issues openly and the transformative power of seeking help and fostering meaningful connections.

Dr. Satheesh Kathula During Meeting With Parliamentarians From India At Indian Consulate In New York Stresses The Importance Of Preventive Healthcare

“The need for preventing cancer and heart attacks through lifestyle modifications and technology is more than ever,” Dr. Satheesh Kathula, President of the American Association of Physicians of Indian Origin (AAPI) told the Members of the Indian Parliament during a meeting organized by the Consulate in New York.“In a world where chronic diseases like cancer and cardiovascular illnesses continue to pose significant health threats, where corrective mission has never been more urgent,” said Dr. Kathula.

Dr. Kathula was addressing a visiting Indian Parliamentary delegation consisting of Shri Birendra Prasad Baishya, Shri Vijayasai Reddy V, Shri Akshay Yadav, Smt. Sandhya Ray, Shri Tejasvi Surya , and Ms. Bansuri Swaraj were accorded a warm reception by the Consul General Binaya S. Pradhan and the Indian American community representatives at the Indian Consulate on November 20, 2024.

Dr. Satheesh Kathula During Meeting With Parliamentarians From India At Indian Consulate In New York Stresses The Importance Of Preventive HealthcareDr. Kathula was invited by the Hon. Consulate General of India in New York, Mr Binay Pradhan to participate and address the important meeting with distinguished Members of Parliament from India, as well as prominent leaders of the Indian-American community. This meeting offered a unique opportunity for meaningful exchanges on a wide range of topics that are critical to both India and the Indian diaspora in the United States.

In his address, while highlighting that cancer and cardiovascular illnesses are among the leading health challenges facing both Indians and Indian-Americans, Dr. Kathulacalled upon the Government of India to initiate effortswith greater emphasis on early detection, lifestyle interventions, and public health awareness campaigns to reduce the burden of these diseases. “Given the genetic predispositions and lifestyle factors prevalent within the Indian community, want to stressthe need for culturally sensitive healthcare solutions to better serve this population,” he said.

During the discussions, Dr. Kathula highlighted the invaluable contributions of Doctors of Indian descent in the United States. “As a group, Indian-American physicians play a critical role in shaping the healthcare landscape in the U.S., from providing high-quality care to advancing medical research and education. Their impact extends beyond patient care, as many Indian AmericanDoctors are engaged in leadership roles, working to improve the healthcare system, contributing to policymaking, and participating in humanitarian efforts both in the U.S. and in India.”

Highlighting the critical role being played by AAPI, Dr. Kathula said, “Over the past four decades since its inception in 1982, AAPI has been instrumental in fostering collaboration between the U.S. and India, especially in the realm of healthcare. AAPI has been actively involved in a wide range of initiatives, from providing medical aid and educational support for healthcare professionals., especially during covid pandemic,” he added.

Hon’ble Members of the Indian Parliament had an engaging interaction with distinguished members of the Indian-American community. They lauded the incredible achievements and invaluable contributions of the Indian Diaspora to the diverse fabric of the USA, celebrating their commitment to Indian heritage and their significant role in fostering a strong India-USA partnership.

Earlier, Consul General Binaya Srikanta Pradhan welcomed the members of the delegation and the leaders of the Indian American community. He spoke about the Bharat ko Janiye campaign launched by the government of India to provide the youth of the Indian Diaspora with an opportunity to visit India and know the country of their origin. He invited the community to be part of and attend the Pravasi Bharatiya Divas celebrations from January 8 to 10, 2025 in Bhubaneshwar, Odisha.

Dr. Satheesh Kathula During Meeting With Parliamentarians From India At Indian Consulate In New York Stresses The Importance Of Preventive HealthcareDiaspora members who were part of the meeting included Edison Mayor Sam Joshi , Dr. Samin K. Sharma, Dr. Thomas Abraham, Mr. Gaurav Verma, Prof. Indrajit Saluja, Dr. Avinash Gupta, Mr. Rakesh Kaul, Dr. Hari Shukla, and Mr. Jatinder Singh Bakshi, who shared their perspectives on different aspects of the Indian-American relationship and expressed a strong desire to give back to the motherland.

Members of the Indian community applauded India for its remarkable progress across sectors, especially in areas such as technology, innovation, and economic development. The growing ties between the two nations, particularly in trade, diplomacy, and education, were also acknowledged as a major achievement, with a focus on how both nations can continue to build on these relationships for mutual benefit.

Among other things, the meeting discussed initiatives aimed at improving healthcare, education, and socio-economic mobility for Indian-Americans, while also exploring ways to foster stronger cultural and community connections between the two countries.

Overall, the meeting was an invaluable platform for deepening our ties with India. The positive momentum generated by these conversations gives us hope for even greatercollaboration in the future, particularly in the areas of healthcare, education, and cultural exchange. The discussions were highly productive and centered around the continued growth and global influence of India, as well as the strengthening of the Indo-US relationship.

Serving 1 in every 7 patients in the US, AAPI members care for millions of patients every day, while several of them have risen to hold high-flying jobs, shaping the policies and programs, and inventions that shape the landscape of healthcare in the US and around the world.

Since its inception in 1982, AAPI has been at the forefront, representing a conglomeration of more than 125,000 practicing physicians in the United States, seeking to be the united voice for the physicians of Indian origin. For more details about AAPI, please visit: www.aapiusa,org

British Lawmakers Approve Assisted Dying Bill in Landmark Vote

In a significant move, British lawmakers granted preliminary approval to a bill that would allow terminally ill adults in England and Wales to seek assistance in ending their lives. The vote, which took place on Friday, followed an emotionally charged debate in Parliament that featured deeply personal stories of suffering and loss. The assisted dying bill passed with a 330-275 majority, signaling initial support but leaving further scrutiny and a final vote pending.

The debate lasted several hours and was marked by a level of decorum rarely seen in the House of Commons. Members of Parliament (MPs) discussed the ethical, religious, and legal ramifications of the proposed legislation with speeches delivered respectfully and without the usual interruptions. “Let’s be clear, we’re not talking about a choice between life or death, we are talking about giving dying people a choice about how to die,” said Kim Leadbeater, the Labour MP who sponsored the bill, as she introduced it to a packed chamber.

Supporters of the bill argued that it would offer dignity and autonomy to terminally ill individuals while alleviating unnecessary suffering. Proponents emphasized that the legislation includes robust safeguards to prevent misuse, ensuring that vulnerable individuals are protected. The proposed law would apply only to adults over 18 with less than six months to live. Those requesting assistance would need to be mentally capable of making the decision and able to self-administer the prescribed medication. Additionally, two independent doctors and a High Court judge would need to approve each case.

Critics, however, expressed strong reservations about the bill. Concerns were raised about the potential for coercion, particularly among the elderly and disabled, who might feel pressured to end their lives to ease the financial or emotional burden on their families. Danny Kruger, one of the leading voices against the bill, warned that no amount of safeguards could fully protect vulnerable individuals. “We should not create a state suicide service,” he said.

Kruger also expressed disappointment at the bill’s preliminary approval but remained optimistic that it could still be blocked in the final vote. “I still think we can stop it,” he said, noting that some MPs who voted in favor may change their stance after further examination of the bill’s details.

The bill’s progression has sparked widespread public interest, with hundreds of people gathering outside Parliament as the debate unfolded. Demonstrators on both sides of the issue displayed their views through slogans and banners. Opponents held signs reading, “Kill the bill, not the ill,” and criticized the potential strain on the National Health Service (NHS). On the other side, supporters, many wearing pink hats, carried messages such as “You can’t cure death. Please make it fear-free” and “Giving me choice over my death.”

The emotional intensity of the debate was underscored by personal accounts shared by MPs and activists. Proponents highlighted stories of terminally ill individuals who endured immense suffering in their final months or resorted to secret suicides due to the current legal prohibition on assisted dying. Esther Rantzen, a well-known campaigner and broadcaster who is terminally ill with lung cancer, hailed the outcome as a step toward equality and compassion. “It’s wonderful. This gives people an equal choice,” she said. Rantzen previously stated that she had considered traveling to Switzerland, where assisted dying is legal for non-residents, to end her life.

Despite its passage in the Commons, the bill faces significant hurdles before becoming law. The government is expected to provide assessments in the coming months on how assisted dying would be funded and how it might affect the NHS, hospice care, and the judicial system. Prime Minister Keir Starmer has expressed support for the change but refrained from making a public statement before the vote. Divisions within political parties were evident, with members from all sides voting both for and against the measure. Health Secretary Wes Streeting and Justice Minister Shabana Mahmood were among those who opposed the bill, despite being part of the ruling Labour Party.

The legislation applies only to England and Wales, leaving Scotland and Northern Ireland unaffected. International comparisons were also highlighted during the debate, with MPs noting that other countries, including Australia, Belgium, Canada, and parts of the United States, have enacted similar laws. The regulations in these jurisdictions vary widely, with some permitting euthanasia, where a healthcare professional administers a lethal injection at the patient’s request.

For Joshua Cook, a 33-year-old living with Huntington’s disease, the bill represents progress toward a more compassionate society. “It’s a relief, it’s history,” Cook said after the vote. “Finally, we are getting towards having a society that shows love and compassion above the need to just keep people alive.”

The journey of this legislation is far from over. While Friday’s vote is a historic moment for advocates of assisted dying, it is only the first step in what promises to be a lengthy and contentious process. Both sides are prepared for further battles as the bill continues through Parliament.

Healthcare Providers Earn a Fraction of Total U.S. Healthcare Spending

Data from the Bureau of Labor Statistics highlights the significant yet relatively small portion of U.S. healthcare spending allocated to provider salaries. In total, healthcare providers collectively earn $966.99 billion, a substantial figure but still a fraction of the overall expenditures in the sector.

Physicians, numbering around one million in the United States, account for $262.33 billion of this total. This means their earnings represent just 7.3% of the $3.6 trillion spent on healthcare in 2019. While their role is critical to the system, their compensation is only a small portion of the immense financial resources channeled into healthcare annually.

Trump Names Dr. Jay Bhattacharya as Candidate for NIH Director, Sparking Debate

President-elect Donald Trump has announced Dr. Jay Bhattacharya, a Stanford University health researcher, as his choice for the next director of the National Institutes of Health (NIH). Dr. Bhattacharya, a physician and health economist, will require Senate confirmation to assume the role. The NIH, which employs over 18,000 people and allocates nearly $48 billion annually in scientific research funding, could see significant changes under his leadership.

“Together, Jay and RFK Jr. will restore the NIH to the Gold Standard of Medical Research as they examine the underlying causes of, and solutions to, America’s biggest Health challenges, including our Crisis of Chronic Illness and Disease. Together, they will work hard to Make American Healthy Again!” Trump stated while announcing the nomination.

If confirmed, Bhattacharya will lead the world’s largest public funder of biomedical research at a time when the NIH may face restructuring as part of broader government reforms. Historically supported by both political parties, the NIH faced proposed budget cuts under Trump’s first administration. During the COVID-19 pandemic, the agency drew sharp criticism from some Republicans, a sentiment that persists toward its former leaders, Dr. Anthony Fauci and Dr. Francis Collins.

Bhattacharya gained attention during the pandemic for co-authoring “The Great Barrington Declaration,” a controversial open letter released in October 2020. The document criticized lockdowns and mask mandates, advocating for herd immunity by allowing low-risk populations to become infected while protecting the vulnerable. Public health experts widely condemned it, with Collins describing it as “dangerous” and “fringe.” Dr. Gregory Poland, president of the Atria Academy of Science & Medicine, expressed concern about Bhattacharya’s appointment, stating, “They were wrong. So it is concerning.”

Virologist Angela Rasmussen of the University of Saskatchewan offered a harsher critique, stating, “I don’t think that Jay Bhattacharya belongs anywhere near the NIH, much less in the director’s office. That would be absolutely disastrous for the health and well-being of the American public and actually the world.”

However, Bhattacharya’s supporters argue his leadership could bring necessary reforms to the NIH. Kevin Bardosh, head of Collateral Global, praised him as a “visionary leader” who could challenge the NIH’s perceived “culture of groupthink.” Similarly, Martin Kulldorf, one of Bhattacharya’s co-authors of the declaration, commended him as an evidence-based scientist capable of restoring the NIH’s integrity.

Dr. Ashish Jha, who served as President Biden’s COVID-19 Response Coordinator, offered a more balanced perspective. “There were times during the pandemic where he took a set of views that were contrary to most people in the public health world, including my own views. But he’s fundamentally a very smart, well-qualified person,” Jha noted. He added that while Bhattacharya holds controversial views, his overall body of work places him within the scientific mainstream.

Bhattacharya’s potential tenure coincides with other controversial appointments, including Robert F. Kennedy Jr., a known critic of vaccines and mainstream medicine, as the likely head of the Department of Health and Human Services. Kennedy has suggested replacing hundreds of NIH employees. Jha highlighted the challenge Bhattacharya may face working under Kennedy, noting, “He’ll have to deal with a boss who holds deeply unscientific views. That will be a challenge for Jay Bhattacharya but I suspect that will be a challenge for anybody who becomes the head of NIH.”

Proposals to restructure the NIH are already being discussed by Republican lawmakers and conservative think tanks. One idea involves consolidating the NIH’s 27 institutes and centers into 15, while another suggests implementing term limits for NIH leaders. Critics argue these changes could undermine the agency’s mission. Kulldorf, however, believes reforms are essential, stating, “In the United States, we abandoned evidence-based medicine during the pandemic. Therefore, there’s now enormous distrust… NIH has an important role to restore the integrity in medical research and public health research.”

Other proposed reforms include giving states block grants to allocate research funding, bypassing the NIH’s peer-review system. While some view this as a way to decentralize decision-making, others fear it could reduce the NIH’s budget and compromise the quality of research. Rasmussen voiced concerns, saying, “What I worry about is that if somebody like Jay Bhattacharya comes in to ‘shake up’ the NIH, they’re going to dismantle the NIH and prevent it from actually doing its job rather than just carry out constructive reforms.”

The Trump administration’s potential approach to certain types of research could further complicate matters. Fields like “gain-of-function” research, which examines how pathogens become more dangerous, may face stricter oversight. Some experts, like Daniel Correa of the Federation of American Scientists, support tighter lab security and oversight, stating, “Tightening lab security and revisiting and strengthening oversight over risky research… would be welcome.”

However, concerns exist that other areas of research, such as studies involving fetal tissue, could face renewed restrictions. Dr. Lawrence Goldstein of the University of California, San Diego, warned against such bans, explaining, “If Americans want to see rapid research on repairing organ damage and brain damage and all the other diseases we’re trying to fight, fetal tissue is a really important part of that toolbox.”

Bhattacharya’s nomination comes at a time of heightened political scrutiny of the NIH. The agency’s role in the pandemic response, including controversial guidance on masks and vaccines, made it a lightning rod for criticism. Fauci, in particular, became both a celebrated figure and a target for attacks, especially regarding his stance on the virus’s origins.

As Bhattacharya awaits Senate confirmation, debates over the NIH’s future continue. His critics worry about the agency’s direction under his leadership, while his supporters see an opportunity for meaningful change. Whether his appointment will bring constructive reforms or contentious disruptions remains to be seen.

Study Reveals Why Hair Turns Gray and Offers Hope for Reversing It

A recent study has uncovered a potential reason behind graying hair: stem cells that get stuck in place and lose their ability to produce pigment. Published in the journal Nature by researchers from New York University’s Grossman School of Medicine, the study sheds light on how melanocyte stem cells (McSCs) contribute to hair color and why their dysfunction leads to gray hair.

The research primarily focused on McSCs, which play a pivotal role in producing pigment. Under normal circumstances, these stem cells move between different compartments within hair follicles. These compartments provide environments that allow McSCs to mature, acquire the proteins necessary to regenerate into pigment cells, and maintain hair color. What makes McSCs unique is their ability to shift between states of maturity as they travel between these compartments.

However, the study revealed that some McSCs get stuck in the hair follicle bulge compartment, preventing them from returning to the germ compartment. In the germ compartment, WNT proteins drive the regeneration of pigment cells. When McSCs remain immobile in the bulge, they lose their capacity to produce pigment, resulting in gray hair.

“It is the loss of chameleon-like function in melanocyte stem cells that may be responsible for graying and loss of hair color,” said Mayumi Ito, the study’s senior investigator and a professor in the Ronald O. Perelman Department of Dermatology and Department of Cell Biology at NYU Langone Health. “These findings suggest that melanocyte stem cell motility and reversible differentiation are key to keeping hair healthy and colored.”

The implications of the research suggest that if McSCs can continue moving freely or can be encouraged to move when stuck, it may be possible to maintain natural hair color indefinitely.

“Our study adds to our basic understanding of how melanocyte stem cells work to color hair,” explained Qi Sun, a postdoctoral fellow at NYU Langone Health and one of the study’s authors. “The newfound mechanisms raise the possibility that the same fixed positioning of melanocyte stem cells may exist in humans. If so, it presents a potential pathway for reversing or preventing the graying of human hair by helping jammed cells to move again between developing hair follicle compartments.”

The study also highlighted the difference between McSCs and the cells responsible for hair growth. According to Sun, even when pigment production ceases, hair growth can continue, albeit without color. As hair follicles age and undergo cycles of regrowth, an increasing number of McSCs become lodged in the follicle bulge, unable to regenerate pigment cells. Eventually, these stuck McSCs can account for approximately half of all the McSCs in a follicle bulge.

The research found that mobile McSCs retained their pigment-producing ability. However, over time, the requirements for McSC functionality become more challenging to meet, contributing to the appearance of gray hair as individuals age.

While stress is commonly linked to gray hair, separate research from Harvard indicates that stress accelerates hair follicle aging by increasing the regrowth cycle. This faster cycling ultimately speeds up the breakdown of McSC functionality, leading to earlier graying.

“For unknown reasons, the melanocyte stem cell system fails earlier than other adult stem cell populations, which leads to hair graying in most humans and mice,” the NYU study stated.

The next phase of the research aims to determine how to restore mobility to McSCs once they become stuck. If successful, this could pave the way for treatments that reverse or prevent gray hair by ensuring McSCs remain functional and capable of producing pigment.

As Ito remarked, “These findings suggest a promising avenue for interventions that could one day prevent or even reverse the graying process, bringing hope to those seeking to maintain their natural hair color throughout life.”

The Pursuit of Longevity: Insights from Valter Longo and the Italian Lifestyle

Long before Bryan Johnson gained recognition for his relentless quest to reverse aging through biohacking—rigorous testing, strict diets, and an array of supplements—Valter Longo was deeply immersed in the study of longevity. A professor of gerontology and director of the USC Longevity Institute, Longo has long pursued the dream of living a robust life spanning 120 to 130 years. His mission reflects a rising interest in not just increasing life span—the total number of years lived—but enhancing health span, which refers to living free of disease and in good health.

The allure of longevity has often been associated with the Mediterranean lifestyle, celebrated for its emphasis on healthy eating, physical activity, and strong community ties. Italy, and particularly Sardinia, is a shining example. Sardinia is one of the original “Blue Zones,” a term coined to describe regions where people live significantly longer and healthier lives. This phenomenon was explored in Dan Buettner’s Netflix series, Living to 100, which examined the lifestyle habits of Sardinia’s residents.

However, Longo, who hails from Italy, reveals a concerning shift in his home country. “Almost nobody in Italy eats the Mediterranean diet anymore,” he observes. According to a profile of Longo in The New York Times, Italian youth are grappling with rising obesity rates due to the growing dominance of what Longo labels the “poisonous five P’s—pizza, pasta, protein, potatoes, and pane (bread).” He warns that if this dietary pattern continues, Italians might maintain long life spans but suffer from diminished health during those years.

To counteract this trend, Longo advocates a return to the traditional Mediterranean diet, which is rich in plant-based foods, nuts, and healthy fats. As the author of The Longevity Diet, Longo not only promotes this dietary approach but also offers practical guidance through recipes on his website. These include dishes such as sweet and sour sardines, stuffed artichokes, cabbage patties, and onions in walnut sauce—each designed with longevity in mind.

In addition to traditional dietary practices, Longo has introduced an innovative concept in the field of longevity: the fasting-mimicking diet, or “faux fasting.” This approach involves reducing food intake to simulate the effects of fasting without requiring complete abstinence from food. According to his website, this diet is characterized by low carbohydrates and protein while being high in fatty acids. “The Fasting Mimicking Diet patented recipe allows your body to remain in a fasting-like mode, which triggers a set of protectionist measures that the body has developed during natural selection,” his site explains. This state, he claims, enables the body to rejuvenate cells, enhance performance, and adapt to challenging conditions.

While research on intermittent fasting and related approaches has uncovered both benefits and limitations, the method’s enduring popularity highlights the extent to which individuals are willing to experiment to extend their lives. Longo’s fasting-mimicking diet is one of many strategies being explored in this field, yet it offers a compelling blend of traditional wisdom and modern science.

The story of Valter Longo serves as a reminder of the delicate balance between cultural heritage and modern dietary trends. While regions like Sardinia provide a blueprint for healthy living, Longo’s work underscores the importance of adapting these lessons to contemporary challenges. His dedication to longevity continues to inspire a global audience eager to not just live longer, but live better.

AAPI’s Highly Successful 100 Days Under the Presidency of Dr. Satheesh Kathula

It’s been 100 days since Dr. Satheesh Kathula assumed charge as the President of AAPI in late July 2024. Dr. Kathula, who has risen from being an ordinary member over two decades ago to being the President today, has served AAPI in various capacities. He was the Regional Director, and a member of the Board of Trustees. He was elected overwhelmingly by AAPI members as the national Treasurer, Secretary, and Vice President of AAPI, and served as the President-Elect of AAPI during the year 2023-24. 

Dr. Kathula’s presidency began with organizing Leadership Seminars for AAPI leaders at the Indian Consulate in New York and leading the India Independence Day Parades. “I proudly represented AAPI at the Independence Day celebrations in both Chicago and New York. These events were not only a celebration of our heritage but also an opportunity to showcase the vital role AAPI plays in the community,” says Dr. Kathula.

Recognizing the importance of Media and the role it plays in conveying AAPI’s core messages and showcasing the many initiatives to AAPI members spread across the US and to the larger public, Dr. Kathula was instrumental in organizing the largest press conference in AAPI’s history at the Consul General’s office in NYC. “This event served to outline our strategic goals and initiatives, garnering significant media attention and public interest. In addition, this platform allowed us to raise awareness and advocate for necessary reforms, emphasizing the importance of protecting our healthcare professionals,” said Dr. Kathula.

Kathula 04In addition, he participated in an interview on BBC and with the Press Trust of India, where he addressed critical issues surrounding physician safety in India and the contributions of Indian American physicians.

His efforts to engage the Diplomatic officials of India in the US led him to his productive meetings with the Hon. Consul General of New York, Binay Pradhan and Deputy Consul General Dr. Varun Jeph. “These meetings fostered a stronger relationship between AAPI and Indian diplomatic channels, paving the way for future collaborations.

A critical priority of Dr. Kathula has been to build bridges with AAPI’s local chapters. In his efforts to reach out to the local Chapters, he attended several alumni meetings for Guntur, Rangaraya, and Siddhartha medical colleges, as well as Osmania, Gandhi, Kakatiya, Telangana medical colleges, and BJMC. Additionally, he participated at the Indian Physicians of Florida chapter annual gala. The annual Fall Governing Body meeting in Huntsville, AL was highly successful where key decisions were made for the betterment of the organization. “These interactions have strengthened our network and fostered a sense of community,” Dr. Kathula said.

He was a guest of honor for Kakatiya Research Initiative for Transformative Innovations (KRITI), organized by NRI alumni of Kakatiya Medical College in Warangal. He participated as the guest of honor for Indian Medical Association of Telangana State. He had an opportunity to meet president elect of National IMA, Dr. Dilip Bhanushali and assured support and discussed about common goals and challenges and opportunities to collaborate.

The historic Global healthcare Summit in New Delhi, with very minimum days to prepare and organize turned out to be highly successful. “This year we gather under the important and timely theme of preventing cancer and heart attacks through lifestyle modifications and technology in a world where chronic diseases like cancer and cardiovascular illnesses continue to pose significant health threats, where corrective mission has never been more urgent,” said Dr. Kathula. GHS events received extensive coverage in media outlets across India and by leading publications in the US. This event was instrumental in highlighting AAPI’s commitment to public health and community engagement.

In order to materialize the themes and plans of AAPI, it’s vital to have local Government participation and collaboration. Towards this end., Dr. Kathula along with AAPI delegation represented met with Hon. Indian Minister of Health Mr. J.P. Nadda and Minister of Coal, Mr. Kishan Reddy, with their discussions focusing on collaborative initiatives that could benefit both the healthcare sector and the community at large in India.

In addition, Dr. Kathula engaged with the Hon. Chief Minister of Telangana, Mr. Revanth Reddy, and key advisors, including Mr. Vem Narendar Reddy and Chief SecretaryMr. Jayesh Ranjan. During these meetings, “We discussed AAPI’s initiatives aimed at preventing cancer and heart disease, emphasizing our commitment to public health.”

Education is a primary role of AAPI, Dr. Kathula led several continuing medical education webinars designed to provide valuable resources and knowledge to AAPI members. These sessions have been well-received and have facilitated ongoing professional development.

In collaboration with the American Heart Association, under his leadership, AAPI initiated CPR training programs to equip AAPI members and the community with essential lifesaving skills. This partnership underscores AAPI’s commitment to health education and awareness.

Dr. Kathula received Dr. Daniel Blumenthal Award on behalf of AAPI in Washington, DC. This recognition reflects our hard work and dedication to excellence in our field. The American College of Preventive Medicine (ACPM) presented the fourth annual Dr. Daniel S. Blumenthal Award to AAPI in recognition of its efforts to promote health equity.

Kathula 02In collaboration with AAPI leadership., Dr. Kathula has been credited with successfully “conducting a fair election for the Vice President of AAPI, ensuring transparency and integrity in our electoral processes. This is crucial for maintaining trust within our organization,: said Dr. Kathula.

Financial Oversight and transparency have been a focus of Dr. Kathula’s Presidency. “I appointed committees to audit pending accounts, ensuring financial accountability and transparency. This step is vital for building a strong financial foundation for our future initiatives.” A fundraising event for AAPI will be held in Dayton, OH on November 17th in association with MVAPI.

Dr. Kathula has been credired to have been working diligently to resolve several ongoing lawsuits, focusing on protecting AAPI’s interests while striving for equitable solutions. This effort is essential for the stability and reputation of our organization.

A new initiative under Dr. Kathula is the launching of the “Million Miles to Honor Veterans” initiative, aimed at promoting awareness and support for our veterans. This campaign encourages participation in physical activities while honoring the sacrifices of those who have served.

Another major focus under his Presidency is the his efforts to initiate a bone marrow and stem cell donation project to facilitate and encourage donations within our community. This program is vital for increasing awareness and addressing the critical need for donors, potentially saving lives.

Moving forward, Dr. Kathula says, he remains “committed to making a lasting impact and believe in the immense potential of AAPI. Together, we can strengthen our organization and continue to serve our communities effectively. Let’s keep working collaboratively for our shared vision, as AAPI is truly greater than any individual. Thank you for your continued support and dedication.”

Serving 1 in every 7 patients in the US, AAPI members care for millions of patients every day, while several of them have risen to hold high-flying jobs, shaping the policies and programs, and inventions that shape the landscape of healthcare in the US and around the world.

Since its inception in 1982, AAPI has been at the forefront, representing a conglomeration of more than 125,000 practicing physicians in the United States, seeking to be the united voice for the physicians of Indian origin. For more details about AAPI, please visit: www.aapiusa,org

Dr. Navin C Nanda Honored as the “Father of Echocardiography” at the American Association of Cardiologists of Indian Origin’s Annual Gala

Internationally renowned Cardiologist Dr.Navin C Nanda was honored with the Prestigious Honor of “Father of Echocardiography” during the annual Gala organized by American Association of Cardiologists of Indian Origin (AACIO) and the International Society of Cardiovascular Ultrasound ( ISCU)at the Gaylord Fine Indian Cuisine Restaurant in Chicago, IL on November 17, 2024,

AACIO is a reputable US Medical Organization representing thousands of Cardiologists of Indian Origin in the United States. The organization’s Gala coincides annually with the American Heart Association’s Annual Scientific Sessions. The well-organized 2024 meeting of the AACIO was attended by over a hundred Cardiologists and other Physician specialists from various parts of the USA and India.

Dr. Rakesh K Sharma, President of the AACIO welcomed the attendees and highlighted the organization’s numerous initiatives. The Founder president of AACIO, Dr. Navin C Nanda, introduced the distinguished attendees from the United States and India.

The guest speaker from India, Prof. Raman Puri (Lipid Association of India) spoke about increasing the Cardiovascular risk of Asian Indians by adopting Western LDL-C targets for the Indian diaspora. This was followed by a brief follow-up address by Dr. Vinod Jain from India. AACIO leadership presented three Young Investigator Awards in Cardiology, in addition to recognizing the dignitaries.

The highlight of the event was the presentation of the Highest Honor for 2024 conferred to an iconic Physician of International fame for the significant global contributions in any field, to Dr. Navin C Nanda, being recognized as the  “Father of Echocardiography.”

Dr. Navin C. Nanda, MD, DSc (Med) (Honoris Causa), DSc (Hon), FACC, FAHA, FISCU(D), is a Senior Scientist and Distinguished Professor of Medicine and Cardiovascular Disease at the University of Alabama at Birmingham, Birmingham, Alabama. He pioneered the development of echocardiography. Dr. Nanda was the “First” to discover the pulmonary valve by echocardiography, diagnose a bicuspid aortic valve, invent treadmill exercise echocardiography, introduce color Doppler in the USA, invent the techniques of transpharyngeal and transgastric ultrasound, and use echocardiography in cardiac pacing and electrophysiology.

These techniques have revolutionized the way cardiology is being practiced around the world today. For the first time ever, Dr. Nanda’s group clinically introduced real-time three-dimensional echocardiography, which is now extensively used for cardiac interventional procedures.

The Award ceremony was facilitated by Dr.Vemuri S Murthy, a well-known  Indo-US Resuscitation Expert and Liaison of AACIO-AHA, and Chairman of the Chicago Medical Society Board of Trustees, Dr. Radhika Chimata, current President of the Indian American Medical Association, Illinois, and distinguished Cardiologists such as  Dr.Gopal Lalmalani, the three-time Mayor of the Village of Oak Brook, Illinois, Dr.Samir Shah, a past President of the IAMA, IL and Dr.Hanumanth Reddy, a past President of the AACIO, among others.

The delicious dinner with Indian cuisine was followed by entertainment and Bollywood songs by Dr. Radhika Chimata and her group.

Simple Everyday Activities Could Sharpen Your Brain and Restore Cognitive Function

Time spares no one, as cognitive decline is a natural part of aging. However, new research offers hope by suggesting that a simple daily habit can rejuvenate brainpower, potentially making your mind function as if it were several years younger. This intriguing finding comes from a study published in the Annals of Behavioral Medicine by researchers at the Penn State College of Medicine.

Their study focuses on the benefits of “everyday movement”—ordinary physical activities that do not necessarily involve intense workouts. Actions like walking a dog, performing household chores, or light physical engagement seem to contribute to better cognitive function. According to the researchers, this everyday movement leads to an “improvement in cognitive processing speed equivalent to being four years younger.”

“You don’t have to go to the gym to experience all the potential benefits of physical activity,” said Jonathan Hakun, the study’s lead author and an assistant professor of neurology and psychology at Penn State College of Medicine. “All movement is important. Everyday movement counts as a source of accumulated physical activity that could be credited toward a healthy lifestyle and may have some direct impact on cognitive health.”

The Study’s Focus

This research stands out because, while previous studies have demonstrated that exercise benefits long-term brain health, this one emphasizes immediate cognitive benefits. Regular exercise has been linked to reducing mortality risk by as much as 27%, but the Penn State study sheds light on short-term effects.

Imagine walking your dog in the morning and experiencing faster cognitive processing later that day. As Hakun explained, “The idea here is that we can momentarily counteract [cognitive decline] through movement. It’s compelling. There’s the potential for a brief walk or a little extra movement to give you a boost.”

To test this idea, the researchers observed 204 middle-aged individuals, aged 40 to 65, all residing in the Bronx, New York. Over nine days, participants reported their physical activity six times daily and completed two brain games. These games measured working memory and cognitive processing speed. The findings were clear: after reporting any physical activity, participants exhibited noticeable improvements in cognitive processing speed.

Practical Takeaways

The implications of this study are especially relevant for those balancing busy schedules. Even simple adjustments to your daily routine, such as incorporating more physical movement, can yield cognitive benefits. Business leaders, for example, might consider walk-and-talk meetings or walking to a colleague’s desk instead of relying on video calls.

Hakun’s findings are not a replacement for traditional, vigorous exercise. Instead, they highlight how adding pleasant and straightforward activities to daily life can make a difference. As he put it, “We get slower as we age, both physically and cognitively.” However, even modest physical activity offers the potential for a noticeable boost in mental sharpness.

This study encourages us to appreciate the cumulative impact of small efforts, proving that even ordinary actions like walking the dog or tidying the house can contribute to a sharper mind.

AAPI Members Elect New Leadership For 2024-25 And Beyond

“Congratulations and best wishes to the new team of AAPI leadership, who have been elected to lead AAPI in the coming years,” Dr. Satheesh Kathula, President of AAPI announced here today. “We thank the election officers led by Dr. V. Ranga, and all the members of AAPI for participating in the democratic election process and exercising their role as the electoral college members.”

While thanking the tens of thousands of Indian American physicians, who are active members of the American Association of Physicians of Indian Origin (AAPI), and the large number of voters who participated in the election process, Dr. Kathula said, “We have successfully concluded our Special Election for the year 2024-25 for AAPI leadership position and I am happy to declare that Dr. Meher Medavaram has been elected as the Vice President of AAPI for the year 2024.25. We want to thank AAPI members who participated in the AAPI’s electronic voting process and have elected a new, diverse, balanced, and experienced team to lead AAPI, the largest ethnic medical organization in the United States in the coming year and beyond.”

Dr. KathulaAlong with Dr. Kathula, Dr. Amit Chakrabarty serves as the President-Elect of AAPI, Dr. Meher Medavaram, Vice President, Dr. Raj Bhayani, Secretary, and Shirish Patel, Treasurer of AAPI for the year 2024-25. Dr. Sunil Kaza is the Chair of AAPI Board of Trustees. Representing the young physicians of Indian origin, Dr. Shefali Kothary serves as the YPS President and Dr. Oriya Uppal is the MSRF President for the year 2024-25.

Dr. Kathula did not have to contest the election this year, as he has been serving as the President-Elect during the past year. Dr. Amit Chakrabarty, who has been serving as the Vice President in the past year also did not have to face elections, as he automatically becomes the President-Elect of AAPI for the coming year. “I’m very honored and consider myself fortunate to be bestowed with the responsibility of leading the four-decades-old strong organization with the cooperation and collaboration of an excellent team of dedicated, hardworking, and loyal officers and executive committee members who are with me to take AAPI to newer heights,” Kathula added.

In his message, Dr Sunil Kaza, an eminent cardiologist who has served in many leadership roles in AAPI and outside AAPI said, “I am honored and humbled to be elected as the Chair of Board of Trustees (BOT). As a dedicated member of this organization, I am passionate about our mission and committed towards executing in collective outcome. I will lead with the ethos of maintaining Transparency, Integrity, Honesty and commitment to the organization.

As the Chair, “I promise to: Enhance our organization’s impact and reputation by Working in tandem and Synchrony with EC; Maintain fiduciary responsibility; Openly listen to your perspectives; Foster a culture of collaboration, inclusivity and governance; and, Work with various Alumni groups for any conflict resolution. Let us collectively strive for excellence, collaboration to achieve higher objectives and shape brighter future for our esteemed organization,” Dr. Kaza said.

A Patron Member of AAPI for 25 years, Dr. Amit Chakrabarty has been an active AAPI Governing Body Member for over a decade. He has served AAPI in several capacities.  He has served with distinction as an AAPI Regional Director from 2004 to 2006. There is hardly any Committee of AAPI that he was not part of in the past two decades. He was the Chair of AAPI Ethics and Grievances Committee in 2011-2012, and had served as the Chair of AAPI Journal Resource Committee in 2012-2013. He has served as a Member of AAPI IT committee, Journal Committee, Website Committee, Bylaws Committee, Alumni Committee, Ethics and Grievances Committee, and AAPI Charitable Foundation.

While congratulating the newly elected leaders to the Executive Committee, Dr. Chakrabarty, the President-Elect in 2024-25 said here in a statement: “I want to congratulate all the winners of the election. I want to especially thank all the candidates for their passion and dedication to serving AAPI and regardless of the outcome, we need you as a valuable team member of our beloved AAPI.”

Dr. Medavaram is a Board Certified in Family Medicine and is a Fellow of Academy of American Physicians. A graduate of Osmania Medical College, she is serving as the Assistant Director at St. Elizabeth Hospital, Family Medicine Residency Program. Dr. Medavaram is the Medical Director of Mount Sinai Hospital, FAQH Center, and a Staff Physician Advocate at Good Samaritan  Hospital as well as a Clinical Preceptor at UIC College of Medicine, Department of Family Medicine CMU School of Medicine and is the President of Naperbrook Medical Center.

In her role as the President-Elect of AAPI, Dr. Medavaram wants to “unify and revitalize the AAPI, ensuring and advocating for physician rights and interests.” While recognizing the mission of AAPI, she wants to work towards making AAPI a purely professional organization, while forming a bridge between AAPI Senior Leadership and Young Physicians.” Committed to AAPI and dedicated to its continued progress, Dr. Medavaram wants to work towards “strengthening AAPI financially by securing a robust endowment fund and supporting and upholding AAPI’s vision of promoting professional solidarity in the pursuit of excellence in patient care, teaching and research.”

At AAPI, Dr. Medavaram has served in many capacities. She was the Chair of Women’s Forum GHS AAPI- 2022 and had served as the Convention Chair of the 38th AAPI Convention of Chicago 2019-2020. Being an active member of AAPI for several years, Dr. Medavaram has served as the Regional Director AAPI, Region 5 (IL, WI, IN) 2020-2022 and was elected President of the Indian Medical Association of Chicago 2020-2021. She served as a Board of Trustee member of OGKTMA from 2018 and was the National ATA from 2016 onwards.

Dr. Raj Bhayani, who was elected uncontested as Secretary of AAPI said, “It is with great joy and gratitude that I stand before you today as the newly elected Secretary of AAPI for the year 2024-2025. I am deeply honored to serve this esteemed organization in such a significant role. I am committed to building upon past achievements and leading AAPI with integrity, transparency, and innovation. I will focus on promoting diversity and inclusion in healthcare, advocating for the needs of our members, and fostering collaboration. Let us continue to work hand in hand to make a positive impact on healthcare and uphold the values of AAPI.”

Dr. Shirish Patel, the Treasurer of AAPI said, “I am thrilled and deeply humbled to have been elected as AAPI Treasurer for 2023-24. It is an honor to have your trust and confidence in me to help manage the finances of this fantastic organization. I promise to uphold the highest standards of transparency, accountability, and integrity in managing our finances. I will work to ensure that our resources are used effectively to further our mission of promoting excellence in patient care, research, and education. I am excited about the opportunities that lie ahead for our organization.”

Dr. Lokesh Edara, the outgoing BOT Chair thanked the Election Committee for their meticulous planning and organizing the elections with integrity and fairness. He said, “I congratulate the winners and the new leadership who are entrusted with the responsibility of leading AAPI in the year 2024-25 and beyond. I wish them the very best and my wholehearted support.”

The growing influence of physicians of Indian heritage is evident, as increasingly physicians of Indian origin hold critical positions in healthcare, academic, research, and administrative positions across the nation. We the physicians of Indian origin are proud of our great achievements and contributions to our motherland, India, our adopted land, the US, and in a very significant way to the transformation of Indo-US relations.

Serving 1 in every 7 patients in the US, AAPI members care for millions of patients every day, while several of them have risen to hold high-flying jobs, shaping the policies and programs, and inventions that shape the landscape of healthcare in the US and around the world.

Since its inception in 1982, AAPI has been at the forefront, representing a conglomeration of more than 125,000 practicing physicians in the United States, seeking to be the united voice for the physicians of Indian origin. For more details about AAPI, please visit: www.aapiusa,org

Nature’s Healing Touch: Exploring the Clinical Potential of Forest Bathing

The practice of forest bathing, rooted in mindfulness and meditation, involves immersing oneself in nature, often by walking through woodlands. Numerous studies highlight the health benefits of this experience, which can calm the mind and rejuvenate the body. This raises an intriguing question: could nature immersion become a formal therapeutic tool, prescribed by medical professionals to treat various health conditions?

Kathy Willis, a biodiversity professor at the University of Oxford, delves into this idea in her book Good Nature. Drawing on extensive evidence, she discusses not only the health benefits of nature but also presents quantitative data suggesting that doctors could incorporate nature into their treatment plans. Through her exploration of the sensory interactions between humans and the natural world, Willis uncovers the calming effects of touching wood, the enduring benefits of walking in pine forests, and the reasons why urban noise is particularly grating.

In a recent interview with Live Science, Willis shared her motivation for studying the health impacts of nature, the physiological responses triggered by natural landscapes, and how incorporating plants into our homes can enhance well-being.

The Spark Behind the Research

Reflecting on her journey, Willis said her interest was sparked during a large intergovernmental project on ecosystem services. “I kept coming across this paper that really piqued my interest,” she recalled. It revealed that gallbladder surgery patients who could view trees from their hospital windows required fewer pain medications and recovered faster than those whose windows faced brick walls.

“The fascinating part was that it wasn’t about air quality or pollution,” she explained. “There was a direct relationship between what patients saw and their recovery rates. Something within their sense of sight was accelerating healing.” This observation led Willis to question the mechanisms behind such phenomena, marking the beginning of her research journey.

More Than Just a Feeling

The physical and mental effects of nature extend beyond simple enjoyment. Willis explored how various senses—sight, smell, hearing, and touch—interact with nature to produce tangible physiological changes. “It’s an automatic response,” she said. For instance, nature can lower adrenaline levels, improve heart rate variability, and even stabilize hormonal imbalances.

To persuade medical professionals of nature’s potential, Willis emphasized the need for measurable evidence. “You can’t just say you feel generally better,” she said. “You need quantitative data showing exactly what’s happening in the body.”

Green Spaces and Human Physiology

One striking revelation is how the color green impacts the body. “When you look at green, particularly green and white leaves, three pathways are activated,” Willis explained. The autonomic nervous system is affected, lowering heart rate and blood pressure. The endocrine system responds with changes such as reduced stress-indicating salivary amylase levels. Lastly, psychological markers reveal decreased anxiety and increased calmness.

This phenomenon may be evolutionary. Willis pointed to studies showing that people prefer mid-complexity fractal patterns, such as open landscapes dotted with trees, over angular urban horizons. “When shown images of different landscapes, people consistently choose open savanna-like vistas,” she said. Interestingly, even children from tropical rainforest regions who had never left their environment favored savanna landscapes in such studies.

Smells That Heal

The chapter on smell surprised Willis the most. She discovered that inhaling plant-derived volatile organic compounds (VOCs) has significant physiological effects. “When you breathe in a plant scent, those molecules cross your lung membranes and enter your bloodstream,” she explained.

Walking in a pine forest, for instance, increases blood levels of pinene, a compound that interacts with biochemical pathways similarly to certain prescription drugs. “There’s compelling evidence that breathing in VOCs from trees like cedar reduces adrenaline and elevates natural killer cells, which help fight cancers and viruses,” Willis noted.

A groundbreaking study published in Oncotarget highlighted this effect. People living near Cupressaceae forests were found to be healthier, with lower instances of autoimmune diseases. Additionally, participants who walked in such forests for five hours experienced elevated natural killer cells, an effect that persisted for seven days.

Artificial Plants: No Substitute for the Real Thing

Studies comparing artificial and real plants reveal that the benefits of nature cannot be replicated synthetically. Japanese schoolchildren exposed to real pansies for 10 minutes experienced lowered blood pressure and feelings of calm. However, polyester-based artificial plants provided no such benefits. “It’s not just about sight,” Willis clarified. “The subconscious impact of smell plays a huge role.”

Gut Health and Biodiversity

The influence of nature extends to the gut microbiome. Biodiverse environments can positively alter the gut and skin microbiomes, leading to reduced inflammatory markers in the blood. Willis cited a Finnish study involving nursery children who played in three types of playgrounds: concrete, artificial matting, and Boreal forest soil.

“After 28 days, children exposed to forest soil had a completely new gut microbiome and significantly reduced inflammatory markers,” she said. Similar benefits were observed in adults working in offices with green walls, showing that biodiversity in one’s environment directly affects bodily systems.

Bringing Nature Indoors

For those unable to venture outdoors, Willis offered practical advice on incorporating nature into daily life. Victorian-era homes, often filled with plants, serve as an inspiration. “Having live plants in your sitting room or study can make a difference,” she said. Even something as simple as placing a vase of roses on a desk has measurable effects.

“Studies show that even non-scented roses—white or yellow—can lower blood pressure,” she added. “Why not have a vase of roses on your desk? It’s a small step we can all take without waiting for a prescription.”

Nature as Medicine

Willis’s research underscores the profound impact of natural environments on human health. From lowering stress hormones to boosting immune cells, the evidence suggests that nature’s healing powers are rooted in complex physiological processes. By acknowledging and harnessing these benefits, we could transform healthcare, integrating nature-based therapies into traditional medical practices.

Her findings remind us of the importance of reconnecting with the natural world. Whether through a walk in the forest, a vase of flowers, or a well-placed houseplant, the path to well-being might be closer than we think. As Willis puts it, “Wherever we are, we should all really be heading towards the bushy edges.”

Trump Nominates RFK Jr. to Lead HHS, Sparking Controversy

President-elect Donald Trump has announced his selection of Robert F. Kennedy Jr., an outspoken critic of vaccines and a prominent environmental lawyer, to lead the Department of Health and Human Services (HHS). The decision has elicited polarized reactions, with supporters praising Kennedy’s reformist stance and critics warning of potential harm to public health.

HHS oversees federal health programs like Medicare, Medicaid, and the Affordable Care Act, and manages responses to public health crises such as COVID-19 and bird flu. With a budget nearing $2 trillion, the department also approves drugs, including vaccines, and supervises 13 distinct agencies. Kennedy has long contended that these agencies are in urgent need of transformation.

“I am thrilled to announce Robert F. Kennedy Jr. as the United States Secretary of Health and Human Services,” Trump wrote on social media Thursday. He accused the “industrial food complex and drug companies” of spreading misinformation and pledged that Kennedy would restore integrity to HHS. Trump added that Kennedy would emphasize “Gold Standard Scientific Research” and work to “Make America Great and Healthy Again!”

Kennedy’s nomination, first reported by Politico, must gain Senate approval—a potentially arduous process despite the Republican majority. Trump has hinted at circumventing confirmation hurdles through recess appointments if necessary. His choice of Kennedy signals confidence in the Senate’s Republican support.

Kennedy, a vocal skeptic of pharmaceutical companies and federal health agencies, is set to oversee the same entities he has heavily criticized. His agenda, branded as “Make America Healthy Again,” focuses on transparency and combating chronic diseases. Senator Bill Cassidy (R-La.), who will chair the Senate Health, Education, Labor, and Pensions (HELP) Committee, expressed cautious optimism about Kennedy’s policies. “RFK Jr. has championed issues like healthy foods and the need for greater transparency in our public health infrastructure,” Cassidy said. “I look forward to learning more about his other policy positions and how they will support a conservative, pro-American agenda.”

However, the nomination has alarmed Democrats and public health leaders. They argue Kennedy’s leadership could undermine critical agencies, increase vaccine hesitancy, and redirect resources to his personal priorities. Senate Finance Committee Chairman Ron Wyden (D-Ore.) criticized Kennedy’s views, describing them as “outlandish.” Wyden stated, “Mr. Kennedy’s outlandish views on basic scientific facts are disturbing and should worry all parents who expect schools and other public spaces to be safe for their children.”

Senator Patty Murray (D-Wash.), who chairs the Senate Appropriations Committee, echoed Wyden’s concerns. “Confirming RFK Jr. would be nothing short of a disaster for the health of millions of families,” she said, urging her Republican colleagues to oppose the nomination. Murray described Kennedy as a “fringe conspiracy theorist” and warned his appointment could jeopardize progress in public health, reproductive rights, and scientific research.

Kennedy is no stranger to controversy. He founded one of the nation’s most prominent anti-vaccine groups and has perpetuated the debunked claim linking childhood vaccines to autism. While he recently stated he does not intend to revoke any approved vaccines, he argues that federal health agencies have failed to adequately research their safety.

The nomination serves as a reward for Kennedy’s political loyalty. After initially running as a Democrat in the presidential race, he transitioned to an independent campaign before ultimately endorsing Trump. His endorsement and subsequent campaigning for Trump highlighted his criticisms of federal health regulators, whom he labeled “sock puppets” controlled by corporate interests. Kennedy has vowed to overhaul agencies like the FDA, accusing them of systemic corruption.

In October, Kennedy took to X (formerly Twitter) to assert that the FDA’s “war on public health is about to end.” He added, “If you work for the FDA and are part of this corrupt system, I have two messages for you: 1. Preserve your records, and 2. Pack your bags.”

Kennedy’s controversial positions extend beyond vaccines. He has proposed removing fluoride from the nation’s water supply, a practice widely credited with improving dental health. Public health officials view such proposals as regressive and potentially harmful.

Trump has expressed strong support for Kennedy’s reformist ambitions. In a post-election speech at Mar-a-Lago, Trump said, “He’s going to help make America healthy again. … He wants to do some things, and we’re going to let him get to it.” Trump’s transition team co-chair Howard Lutnick suggested Kennedy might revoke liability protections for vaccine manufacturers and reduce the number of recommended vaccines. Lutnick hinted that vaccine safety data could reveal significant risks if Kennedy gained access to it.

Despite these endorsements, Kennedy’s appointment remains divisive. Critics, including public health leaders and Democratic lawmakers, warn of far-reaching consequences for health policy and scientific credibility. Wyden emphasized the stakes during Kennedy’s forthcoming confirmation hearing: “It’s going to be very clear what Americans stand to lose under Trump and Republicans in Congress.”

Medicare Payment Reform Act Seeks to Stabilize Physician Practices

After years of repeated cuts to physician payments under Medicare, the system has reached a critical point, with a 2.8% reduction set to take effect on January 1. Many believe this highlights the system’s deep flaws. Thankfully, Congress appears to be addressing this challenge, recognizing the potential threat these cuts pose to the viability of physician practices and patient care.

On Tuesday, a bipartisan group of lawmakers introduced the Medicare Patient Access and Practice Stabilization Act of 2024, which aims to support struggling physician practices and improve patient access. Leading the effort are California Representatives Jimmy Panetta (D-CA-19), Ami Bera, M.D. (D-CA-6), and Raul Ruiz, M.D. (D-CA-25), joined by their Republican colleagues Greg Murphy, M.D. (R-NC), Mariannette Miller-Meeks, M.D. (R-IA), Larry Bucshon, M.D. (R-IN), Kim Schrier, M.D. (D-WA), and John Joyce (R-PA).

The California Medical Association (CMA) has expressed strong support for the bill, which seeks to halt the scheduled 2.8% Medicare payment cut in 2025. Additionally, it proposes a partial inflation update equivalent to 50% of the Medicare Economic Index (MEI) for one year in 2025 to offset rising practice costs. If passed, this would lead to a total 4.73% increase in Medicare physician payments for the year.

Urgent Need for Legislative Action

Time is running out for Congress to act on this critical issue. With the legislative calendar winding down and a “lame-duck” session anticipated after the upcoming elections, passing HR 10073 must become a priority. Advocacy groups like CMA are urging physicians and patients to contact their representatives and push for immediate support of the bill.

“This is our last chance to ensure HR 10073 becomes part of the final year-end legislative package,” emphasized CMA representatives. They are calling on individuals to urge lawmakers to cosponsor the bill and help mitigate the impact of Medicare cuts.

Grassroots physician advocacy has already demonstrated its power. Recently, 233 bipartisan members of Congress signed a letter to House leadership, urging an end to Medicare payment cuts and requesting an inflation update before the year’s close. CMA is now asking for renewed efforts to ensure those same lawmakers back HR 10073 as cosponsors.

“Physician action makes a difference,” CMA emphasized, encouraging all healthcare professionals to rally behind the bill.

Building Toward Long-Term Reform

Although HR 10073 addresses Medicare physician payments for just 2025, it represents a critical first step in the broader effort to reform the system. The legislation provides temporary relief while opening the door for discussions about more comprehensive payment reforms in future sessions of Congress.

“This is an essential first step toward achieving our ultimate goal: long-term physician Medicare payment reform,” CMA leaders stated.

Lawmakers and medical associations are united in their assessment that the current system is unsustainable. “Everyone agrees the Medicare physician payment system is broken, and it’s time for Congress to do something about it,” advocates declared.

Take Action Now

To ensure the success of HR 10073, CMA and other advocacy groups are calling on physicians and patients to act swiftly. Contacting representatives, encouraging them to cosponsor the legislation, and raising public awareness are vital steps in securing its passage.

If successful, the Medicare Patient Access and Practice Stabilization Act will provide temporary stability for physician practices, ensuring better access to care for patients while paving the way for long-overdue reforms to the Medicare payment system.

Evaluating Moringa’s Nutritional Power: Does It Really Offer Nine Times the Protein of Yogurt?

One of the first intriguing facts one encounters online about moringa is its alleged protein content—said to be nine times that of yogurt. This claim has likely piqued the curiosity of many, raising questions about its accuracy. Moringa is often touted as a superfood, packed with an impressive range of essential nutrients, including vitamins, minerals, and antioxidants. But how much of this hype is backed by scientific evidence?

Moringa, also known as the drumstick plant, is indeed rich in nutrients. It contains an array of vitamins such as A, C, E, K, and a selection of B vitamins, along with minerals like calcium, iron, potassium, and magnesium. “Furthermore, drumstick also have a high concentration of antioxidants, including flavonoids, polyphenols, and beta-carotene that help in neutralising free radicals in the body, reducing oxidative stress and inflammation. This may help in protecting against chronic diseases like heart disease, cancer, and diabetes,” explained Dr. Sangeeta Tiwari, a clinical nutritionist at Artemis Lite, NFC. These antioxidants are vital for combating the harmful effects of free radicals, which can contribute to various chronic diseases.

Apart from its antioxidant properties, moringa is also recognized for its fiber content, which aids in promoting regular bowel movements and supports a healthy gut microbiome. “Furthermore, the high vitamin C content in drumstick leaves helps in boosting immunity and protects against infections,” Dr. Tiwari added. Moringa’s nutrient profile makes it a valuable addition to a balanced diet, particularly for its immune-enhancing properties.

In comparison, yogurt—especially popular varieties like Greek yogurt—is well-regarded as a protein source crucial for muscle health and overall stamina. “Curd contains probiotics that support a healthy gut microbiome, aiding in digestion and nutrient absorption,” noted Dr. Rituja Ugalmugle, a specialist in internal medicine at Wockhardt Hospitals, Mumbai Central. Yogurt’s probiotic properties make it an effective choice for digestive health, as it encourages a balance of good bacteria in the gut.

This raises the question of whether moringa actually contains nine times more protein than yogurt, as is widely claimed. Fauziya Ansari, a dietitian at Apollo Spectra in Mumbai, offers insight into this claim. “The claim that drumsticks contain nine times more protein than yogurt is debatable. Drumsticks are indeed nutrient-dense and a great plant-based protein source, especially for vegetarians and vegans. Yoghurt, particularly Greek yoghurt, is also rich in protein. But there is no one study to suggest that one is 9 times better than the other,” Ansari pointed out, highlighting the importance of a balanced diet. She emphasized that while both moringa and yogurt have their nutritional merits, the actual protein difference may not be as drastic as popularly believed.

For those aiming to increase their protein intake, incorporating a diverse range of nutrient-dense foods can be more effective than focusing on one particular item. “Options such as legumes, quinoa, nuts, seeds, paneer, lentils, whole grains, and oats are excellent sources of protein. Each offers unique health benefits along with a significant protein contribution. If you’re looking to make substantial dietary changes, it’s best to consult a dietitian who can guide you on how to increase your protein intake in a healthy and balanced way,” said Ansari.

While moringa is undeniably nutritious and offers a variety of health benefits, the claim that it has nine times more protein than yogurt may be overstated.

Obesity Paradox and Lean Diabetes

Prof. Bellamkonda K. Kishore, M.D., Ph.D., MBA
Academician, Innovator & Entrepreneur

Most of you know that overweight and obesity as measured by body mass index (BMI) over 25 or 30 kg/m2, respectively, are a risk factor for diseases, such as diabetes mellitus, high blood pressure, cardiovascular diseases, chronic kidney disease, and arthritis, among others. In fact, epidemiologically, obesity is linked to the development of several non-communicable diseases (NCDs). Thus, obesity is considered as the Mother of All Disease(Fig 1).

Obviously, by maintaining the BMI under 25 kg/m2 (23 kg/m2 in Asians as per WHO) one can avoid developing non-communicable diseases (NCDs) to a large extent. NCDs account for 74% ofall deaths worldwide or 41 million deaths each year. It is projected that by the year 2030, deaths due to NCDs will reach 52 million. Cardivasccular diseases, cancers, chronic respiratory diseases and diabetes contribute for over 80% of premature deaths.

Within the context of India, in 2018, 63% of all deaths (about 5 million deaths) were attributed to NCDs. Apart from healthcare costs, disability and loss of life, NCDs also affect the productivity of the people and thus negatively impact the economic growth of the nation. For instance, in 2017 India lost 226.8 million disability-adjusted life years (DALYs). One DALY represents the loss of the equivalent of one year of full health. It is computed by the sum of years of life lost due to premature mortality (Years of Life Lost or YLLs) and the years lived with a disability (Years Lost due to Disability or YLDs) due to prevalent cases of disease or health condition in a population. Thus, NCDs not only affect individual lives of the people, but also negatively impact the economic growth of a country.

Obesity Paradox and Lean Diabetes
Fig 1: Obesity is Mother of All Diseases.
Source: Wikimedia Commons – Work of the Centers for Disease Controls and Prevention (CDC), a division of the United States Federal Government (Public Domain)

Contrary to the wider belief, obesity is not a problem of the developed world. Now obesity is the problem of rapidly developing economies, such as BRICS countries as well as the developing countries. These countries are more populous than the developed world. About 2/3rds of the 600 to 800 million obese subjects in the world live in emerging economies or developing countries, where they face disproportionately more heath burden due to the lack of mature or advanced healthcare systems. Thus, obesity disproportionately cripples the people in developing countries vs. developed world. Hence, even a 10 to 20% reduction in the number of obese subjects in the world has a profound and direct impact on the overall health status of the world, in addition to saving trillions of dollars in healthcare costs.

Thus,it sounds reasonable from the epidemiological point of view to decrease the new cases of NCDs. However, in recent years a paradoxical phenomenon was reported by several researchers, which was namedObesity Paradox. While obesity has the potential for the development of NCDs, once a subject develops NCDs, being obese as measured by BMI appears to be beneficial as it protects against mortality due to the NCDs. Obesity paradox refers to the clinical observation that when acute cardiovascular decompensation occurs, obese patients may have a survival benefit. It was first observed by Dr. Kalantar-Zadeh in patients suffering with advanced chronic kidney disease (Fig 2). Subsequently, obesity paradox has been reported in patients with heart failure, myocardial infarction, acute coronary syndrome, chronic obstructive pulmonary disease (COPD), rheumatoid arthritis, and in older residents in nursing homes. It should be noted that obesity paradox does not contradict the epidemiological data that obesity predisposes people to the development of NCDs. However, once obese people develop NCDs, somehow they are protected against death as compared to the non-obese people with NCDs.

Obesity Paradox and Lean Diabetes
Fig 2: Reverse association of BMI and survival in patients with advanced chronic kidney disease (CKD) as compared to the general population. Reproduced from Kalantar-Zadeh et al, Kidney International Reports 2017, under Creative Commons CC-BY-NC-ND

The scientific community is split on obesity paradox, while some support it, others brush it aside calling it BMI paradox. However, several studies showed obesity is a complex disorder and there are metabolically healthy obesity (MHO) and metabolically unhealthy obesity (MUHO). Furthermore, it has been shown that it is the cardiorespiratory fitness (CRF) or lack of it that determines mortality, but not just obesity itself. That means being fit is more important than shedding weight.These intriguing findings are shedding new light on the complex subject of obesity.

While obesity paradox is a complex subject to understand with our current knowledge, another interesting phenomenon is emerging. It is called Lean Diabetes or diabetes mellitus in lean or non-obese subjects (BMI < 25 kg.m2). It was originally observed in men of Asian or African ancestry with a history of nutritional insults in the childhood. But now it is prevalent in these communities, including Asian Americans or African Americans. Asians, especially, Indians have relatively less lean body mass vs. fat giving a spurious appearance of normal BMI, as compared to Caucasians. Lean diabetes is the rapidly rising form of diabetes in the United States as compared to diabetes in obese subjects (17.8% vs. 2.1% increase in prevalence between 2015 and 2020, respectively). This is mostly due to increased prevalence of lean diabetes among women and colored people. What is alarming is, clinically and pathophysiologically, lean diabetes is more severe in nature and is often intractable to treatment by conventional methods. Lean diabetes also carries much severe complications and mortality as compared to type 2 diabetes mellitus. Lean diabetes appears to be a hybrid of type 1 and type 2 diabetes mellitus (T1DM & T2DM). It seems cardiometabolic risk leading to conditions like lean diabetes, is programmed during the fetal or early neonatal development of the subject, and it is influenced by maternal and/or infant nutrition, or both. Obviously, more in depth studies are needed to address this potential possibility. Such findings will hold the key for prevention of the development of lean diabetes.

One logical question that arises, is there a link between obesity paradox and lean diabetes? While more in-depth studies are needed to address that question, the Invited Review article by this author titled Reverse Epidemiology of Obesity Paradox: Fact of Fiction? Published recently in the Physiological Reports, a joint publication of the Physiological Society of United Kingdom and the American Physiological Society, sheds new light on this subject. It appears that this is the first review article that dealt with both Obesity Paradox and Lean Diabetes on one platform offering potential links between these two. Here is the graphical abstract of that review article with details to access the invited review in the open access journal, Physiological Review.

Obesity Paradox and Lean Diabetes

Graphic Abstract:Obesity paradox is a clinical observation that when acute cardiovascular decompensation occurs, patients with obesity may have survival benefits. Development of insulin resistance, decrease in insulin secretion, and body fat distribution in obesity varies considerably based on ethnicity and dietary habits of people. Maternal factors may program fetal cardiovascular risk, which often leads to development lean diabetes, which has higher prevalence of complications and mortality than in obese diabetics. Cardio-respiratory fitness (CRF) has emerged as an independent risk factor for death, irrespective of the obesity status of the subject. CRF may also influence mortality in obesity paradox.

The article by BK. Kishore can be accessed athttps://physoc.onlinelibrary.wiley.com/doi/10.14814/phy2.70107

About the Author: Prof. Bellamkonda K. Kishore is an academician and innovator, who recently turned to entrepreneurship. He did innovative research on kidney diseases, obesity and metabolic syndrome and related systems. Currently he is an Adjunct Professor of Internal Medicine at the University of Utah Health in Salt Lake City, Utah while being the Co-Founder, CEO & CSO of ePurines, Inc., a therapeutic drug development startup launched by him and his academic colleagues in the University of Utah Research Park in Salt Lake City, Utah. Website:www.bkkishore.online

AAPI Advocates for Screening and Cessation of Smoking to Prevent Lung Cancer

“November is Lung Cancer Awareness Month, a critical time to highlight the impact of lung cancer, which is diagnosed in 2.5 million people globally each year and remains the leading cause of cancer-related deaths, accounting for 1.8 million fatalities annually,” said Dr. Satheesh Kathula,a Hematologist and Oncologist by profession and the current President of the American Association of Physicians of Indian Origin (AAPI). “The good news is that lung cancer is one of the most preventable cancers,” DR. Kathula added.

Smoking is well known to be the main cause of lung cancer, which is the number one cause of cancer related death worldwide. Dr. Kathula said, “Smoking is by far the largest risk factor accounting for more than 80% of lung cancers, but other risks include exposure to pollution, radon, asbestos, and infections like TB, HIV, or autoimmune disorders.”

“Quitting smoking is the most important preventive measure,” Dr. Kathula said and added, “Avoid exposure to pollution, radon, and asbestos.”satheesh kathula ghs

Stressing the importance of Screening, Dr. kathula said, “Those with a history of 20 pack-years of smoking should have an annual low-dose CT scan of the chest, unless they’ve quit smoking for more than 15 years.”

Lung cancer screening is a critical tool in detecting the disease early, which is when it is most treatable. If lung cancer is caught before it spreads to other parts of the body, the chance of surviving five years or more increases to 64%. Individuals aged 50 to 80, who currently smoke or have quit within the last 15 years may be eligible for screening. People can see if they are eligible for lung cancer screening by taking a two-minute quiz at SavedByTheScan.org.

Dr. Kathula lamented that despite the high risk, only 5% of eligible individuals get screened for lung cancer, compared to 90% of women who get mammograms for breast cancer. “It is essential to encourage smokers to get screened, as early detection significantly improves survival rates,” her added.

Biomarker testing has transformed how lung cancer is treated. By identifying the DNA and protein makeup of tumors, physicians can match patients with targeted therapies that can slow or even shrink tumors. Testing for the PD-L1 protein, in particular, helps determine whether immunotherapy may be an effective treatment option.

Founded in 1982, the American Association of Physicians of Indian Origin represents a conglomeration of more than 80,000 practicing physicians in the United States.AAPI is a forum to facilitate and enable Indian American Physicians to excel in patient care, teaching and research and to pursue their aspirations in professional and community affairs.For information on AAPI and its noble initiatives, please visit: www.appiusa.org

Five Minutes of Daily Exercise May Lower Blood Pressure, Study Finds

New research led by experts from the University of Sydney and University College London has found that even a brief amount of physical activity—just five minutes per day—could significantly reduce blood pressure. Published on Thursday, the study indicates that adding daily activities like walking uphill or climbing stairs may play an impactful role in blood pressure management.

The study, conducted by the Prospective Physical Activity, Sitting, and Sleep (ProPASS) Consortium, examined how short bursts of movement can improve cardiovascular health. It suggests that swapping sedentary habits for only 20 to 27 minutes of exercise each day has a clinically relevant effect on blood pressure. According to Emmanuel Stamatakis, director of the ProPASS Consortium and joint senior author from the University of Sydney, “High blood pressure is one of the biggest health issues globally, but unlike some major causes of cardiovascular mortality, there may be relatively accessible ways to tackle the problem in addition to medication.”

Through an analysis of 14,761 volunteer data, the researchers found that minor daily changes, such as reducing time spent sitting, may yield substantial health benefits. The team projected that replacing prolonged inactivity with about 20 minutes of exercise each day could decrease the risk of cardiovascular disease by up to 28 percent.

The World Health Organization (WHO) has reported that 1.28 billion people worldwide aged 30 to 79 suffer from hypertension, defined as consistently high blood pressure, and nearly 46 percent of those affected are unaware of their condition.

From Pollution to Prevention: Combating Lung Cancer in India By Soumya Reddy Neravetla, MD, FACS, Cardiovascular/Thoracic Surgery

Lung cancer is a silent epidemic in Southeast Asia, claiming 166,260 lives annually and making it the leading cause of cancer mortality in the region, like most of the world. In India alone, there are 72,510 new cases and 66,279 deaths each year, highlighting a growing public health crisis. Unlike in the United States, where lung cancer rates are gradually declining, India has seen a troubling increase in incidence—from 6.62 per 100,000 in 1990 to 7.7 per 100,000 in 2019. This stark contrast underscores the urgent need for targeted interventions to combat this disease.

Lung cancer presents approximately a decade earlier in India as compared to Western countries, with a mean age at diagnosis of 54–70 years. This earlier onset could be attributed to the overall younger population (median age 28.2) and unique risk factors like air pollution.  Several studies have reported between 40 and 50% cases in India are non-smokers.In addition to air pollution, occupational exposure to chromium, cadmium, arsenic, and coal products increase risk. Biomass fuel usage is a common risk in rural areas.

Dr Soumya Reddy Neravetla

Tobacco, however, remains the primary culprit.  India is the second largest consumer and third largest producer of tobacco in the world. Among adults, 42% of men and 14.2% women currently either smoke or use smokeless tobacco; khaini and bidi are the most used smokeless and smoked products, respectively. The mean age of starting daily tobacco use is just 18.7 years, and three out of ten adults working indoors have been exposed to second handsmoke.

Additionally, hookah use, prevalent in the Kashmir region,has also been associated with increased rates of lung cancer.While tobacco use has decreased significantly from 47% in 2000 to 29% in 2018, it remains the highest globally.  India has been consistently moving forward with tobacco cessation efforts, included the recent launch of a nationwide “Tobacco Quit Line”.

There is limited data about lung cancer screening in India and Southeast Asia. While data shows that low-dose computed tomography can effectively identify potentially malignant lung nodules, the high false-positive rate—due to a significant incidence of granulomatous diseases like TB and histoplasmosis—complicates implementation in India. Further studies are essential to better understand how to effectively utilize screening in this context.

Unfortunately, this high rate of granulomatous disease also leads to significant delays in diagnosis with many cancer patients being initially treated for TB.  Thus, most cases are diagnosedin advanced stages.  In addition, even among early stage patients, a significant proportion do not undergo curative resection or treatment, further exacerbating mortality rates.

Addressing lung cancer in India requires a multifaceted approach, particularly in developing effective screening strategies. While it may take time and resources to develop implement these initiatives, the importance of prevention cannot be overstated.

Given that tobacco use remains the most cause of lung cancer, ongoing efforts to reduce consumption are crucial. In addition, efforts to decrease pollution and workplace exposure should be increased. By prioritizing risk factor reduction while developing early detection methods, India can significantly impact lung cancer mortality rates and ultimately save lives.

World Vegan Vision Hosts Inspiring Event on Heart Health and Veganism with Dr. Bimal Chhajer

New York, NY – World Vegan Vision recently held a successful event on October 19, 2024, at the Asa’mai Temple, spotlighting the vital connection between heart health and a plant-based lifestyle. The keynote speaker, renowned cardiologist Dr. Bimal Chhajer, captivated attendees with his insights on reversing heart disease through veganism.

The event drew an enthusiastic crowd eager to learn about the life-saving benefits of a vegan diet and how it can positively impact heart health. Dr. Chhajer shared key takeaways, including essential practices to manage and even reverse heart disease naturally. His approach emphasized cholesterol management, the elimination of oils in cooking, regular exercise, and stress reduction through yoga and meditation. The following are few critical insights from Dr. Chhajer’s presentation:

Cholesterol Management: Avoid all animal products to reduce cholesterol.

Zero-Oil Cooking: Exclude all oils to promote heart health.

Exercise: A daily 35-minute walk on an empty stomach significantly improves heart function.

Stress Management: Incorporate yoga and meditation to manage stress, a leading contributor to heart disease.

Blood Pressure Control: Maintain blood pressure at 120/80 mmHg by reducing salt intake.

Blood Sugar Monitoring: Keep fasting blood sugar under 100 mg/dL and HbA1c below 6.5%.

Triglyceride Reduction: Cut triglycerides to under 100 mg/dL (normal is <150 mg/dl) with plant-based foods and regular exercise.

Heart-Healthy Diet: Focus on high-fiber, antioxidant-rich foods, eliminating high-fat dairy and nuts.

Weight Management: Achieve a BMI below 24 through a whole-food, plant-based diet.

LDL Cholesterol Control: Keep LDL levels under 70 mg/dL for heart disease reversal. (normal is <100 mg/dl)

HDL Cholesterol: Boost HDL levels with regular exercise, targeting over 40 mg/dL. (normal is >40 mg/dl)

Natural Bypass Therapy: Explore EECP non-invasive cardiac therapy covered by Medicare.

Detox Therapy: Combined with a Zero-oil vegan diet, detox therapy like fasting aids in clearing blockages.

Angina Awareness: Learn to identify angina symptoms such as chest pain and discomfort.

Reversal of Heart Disease: A vegan diet paired with lifestyle changes can reverse severe heart disease.

We would like to clarify that the information we are sharing is not intended to serve as medical advice. Rather, our goal is to provide you with valuable insights and guidance on how to maintain and improve your heart health.

World Vegan Vision is dedicated to promoting the benefits of a vegan lifestyle for both personal health and environmental sustainability. We are grateful to all who attended and look forward to hosting more events aimed at educating and inspiring the community towards heart-healthy, compassionate living.

About Dr. Bimal Chhajer:

Dr. Chhajer is a respected figure in the field of Non-Invasive Cardiology, dedicated to combating heart disease through comprehensive, scientifically-backed lifestyle changes.

About World Vegan Vision:

World Vegan Vision is a 501(c)(3) nonprofit organization. The mission of World Vegan Vision is to increase public awareness about the 3 main aspects of Veganism – Health, Animal Rights & Environmental Conservation. The organization aims to organize activities to raise awareness about these issues.

Lung Cancer Awareness Month

November is Lung Cancer Awareness Month, a critical time to highlight the impact of lung cancer, which is diagnosed in 2.5 million people globally each year and remains the leading cause of cancer-related deaths, accounting for 1.8 million fatalities annually. The good news is that lung cancer is one of the most preventable cancers.
Smoking is by far the largest risk factor accounting for more than 80% of lung cancers, but other risks include exposure to pollution, radon, asbestos, and infections like TB, HIV, or autoimmune disorders.
Prevention:
Quitting smoking is the most improtant important preventive measure.
Avoid exposure to pollution, radon, and asbestos
Screening:
Those with a history of 20 pack-years of smoking should have an annual low-dose CT scan of the chest, unless they’ve quit smoking for more than 15 years.
Despite the high risk, only 5% of eligible individuals get screened for lung cancer, compared to 90% of women who get mammograms for breast cancer. It is essential to encourage smokers to get screened, as early detection significantly improves survival rates.
Satheesh Kathula, MD, FACP, DipABLM
Hematologist and Oncologist

A Call to Action: Prevent Hypertension — Engage in Salt Reduction

Hypertension is the leading preventable risk factor for cardiovascular disease (CVD) and all-cause mortality worldwide.  In 2019, 1.72 million deaths and 40.54 million DALYs were caused by CVD due to high dietary sodium globally, representing a 41.08% and 33.06% increase since 1990.  In 2023, this estimate further increased to 1.89 million deaths associated with excess sodium consumption. Both India and the United States of America top the list of most burdened countries.

Prevent Hypertension Engage in Salt Reduction Credit JACC JounrnalsThis data is alarming considering the cause has been well known for decades and can be relatively easily addressed.  These studies do not call for complex medication regimens or treatments.  The totality of the evidence strongly supports a population-wide reduction in salt intake (AHA). Salt reduction causes a dose-dependent reduction in blood pressure: the lower the salt intake, the lower the blood pressure (AHA).

Yet, medical organizations and governments are barely engaged in salt reduction to prevent hypertension. It is reflected in WHO’s cry for help: “massive efforts needed to reduce salt intake and protect lives”. Only nine countries (Brazil, Chile, Czech Republic, Lithuania, Malaysia, Mexico, Saudi Arabia, Spain and Uruguay) have a comprehensive package ofDr Soumya Reddy Neravetla recommended policies to reduce sodium intake.  WHO again says: “Reducing sodium intake is one of the most cost-effective measures to improve health and reduce the burden of

non-communicable diseases: for every US $1 invested in scaling up sodium reduction interventions, there will be a return of at least US$12.”

In India, of the estimated 220 million people with hypertension, only 12% have their blood pressure under control. Hypertension kills more adults than any other cause and is readily preventable and treatable. The India Hypertension Control Initiative (IHCI) is principally

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engaged in improving better diagnosis and treatment of hypertension.

But what about prevention? It’s time to look at high blood pressure as a preventable disease. India only received a score of 2 (out of 4) from WHO due to its lack of mandatory sodium declaration policy.  WHO estimates that 7 million lives could be saved worldwide by 2030 if countries can adopt appropriate sodium reduction, however few countries are on track.  To achieve this goal WHO recommends mandatory legislation that includes maximum sodium content limit, marketing restrictions, labelling and fiscal policies.

Global health care agencies must prioritize salt reduction as the critical strategy for the prevention of cardiovascular disease globally.  Adding salt to food confers no known nutritional benefit, while increasing the risk of hypertension and many other deadly or disabling diseases.  It’s time to tackle the root cause.

During Meeting With Sri J.P Nadda, Minister of Health & Family Welfare, AAPI Delegation Advocates For EMT, Medical Exam Reforms, Prevention of Cardiac Issues and Cancer, and Lifestyle Changes

As part of the 18th annual Global Healthcare Summit 2024, leaders of the American Association of Physicians of Indian Origin (AAPI) in  their efforts to advocate for AAPI’s mission to help India create programs that are efficient, cost effective and affordable, and helping save lives through prevention and education, met with Honorable Health Minister of India, Shri Jagat Prakash Nadda in his office in New Delhi on October 19th 2024.

AAPI delegation was led by Sateesh Kathula, MD, President of AAPI, Sunil Kaza, MD, Chairmen Board of Trustees, AAPI, Lokesh Edara, MD, Chairmen of AAPI Global Medical Education, Amit Chakrabarty, MD, President-Elect of AAPI, and, Vasu Singh, MD, Regional Director, AAPI,

In his presentation before the Minister and his staff, Dr. Kathula pointed out that one in 28 Indian women may encounter breast cancer during their lifetime, compared to one in eight (8) women in the US.Every year in India, 127,000 women are diagnosed with cervical cancer, and 80,000 of them do not survive. Breast lumps, skin or nipple changes, unusual pain, and swelling are symptoms of breast cancer. Monthly self-breast exams, annual examinations by a doctor, and mammography as advised by a doctor can save lives.Women aged 30 years and above should get a Pap smear or VIA test every three years, or an HPV DNA test every five years. These simple tests help in the early detection of cervical cancer and can save lives.

Dr. Kathula urged the Government of India to create “an awareness program endorsed by the Ministry of Health and Family for an 11-second to 20 second video message to be shown before movies, similar to the anti-tobacco messages currently displayed, focusing on breast cancer and cervical cancer awareness.” He said, Breast and cervical cancer can be treated successfully when caught early.

Dr. Edara highlighted the challenges to implementation of the NEXT examination.  “NMC has a majority theory examinations, limiting Multiple Choices questions to 20% only. This limits the ability of medicalstudents to complete effectively in global level tests due to lack of practice in taking Multiple Choices questions. The United States and most other countries have NEXT type 100% Multiple Choices questions from the first year onwards most of internals and all final examinations.

AAPI meeting Nadda

Dr. Edara suggested that NMC increases multiple choice questions from 20 % this year to 40%, next year 60%, following year 80%, finally to 100% multiple choice questions. He suggested that the Pass rate of NEXT should be same as average MBBS final examination approximately to 85 % to 90%.

The AAPI delegation stressed the need to introduce Emergency Medical Technician (EMT) Program across India, which will help in saving thousands of lives every day in India.

AAPI also recommended that the EMT programs are offered at medical schools that have Emergency Medicine Departments

Another recommendation by AAPI was to make Emergency Medicine Program mandated at all medical schools, which will help save lives, especially in rural India, where majority of India’s 1.4 people live.

Dr. Kaza stressed the importance of creating awareness on the need for lifestyle modifications that will help save lives by preventing diseases. “There is every need to reassess the current strategy in addressing cardiac issues and how best we can prevent cardiac diseases, especially by healthy diet, physical activities, cessation of smoking and alcohol, good sleep, and stress management.  This can help reduce cardiac issues by 80%.”

Dr. Chakrabarty said, “After having listened to the recommendations and suggestions based on scientific studies, presented by AAPI, Honorable Health Minister of India, Shri Jagat Prakash Nadda expressed his openness to AAPI’s concerns and suggestions. He agreed to some of the suggestions, while he asked his staff to take note of AAPI’s suggestions and take appropriate actions as needed.

Dr. Nadda acknowledged that the world is staring at two most critical health challenges, cancer and cardiac diseases. Dr. Nadda said. “With aging population, changes in lifestyle and increasing urbanization, the incidence of cancer and cardiovascular diseases, particularly heart attacks, are on the rise. I’m happy to share that through the national program for prevention and control of cancer, diabetes, cardiovascular diseases and stroke program, we are providing a framework for individuals across the country who access health education screenings and support services aimed at prevention and early detection. It is well known that lifestyle modification is the key pillar in the prevention of ailments like cancer and cardiac diseases. Foundation of prevention of these diseases lies in adopting healthier lifestyles, like regular exercise, a balanced diet, and shunning tobacco and alcohol, Dr. Nadda told the AAPI delegation.”

“We all know that AAPI has been playing a key role in the exchange of experience and knowledge in the field of medicine between India and the US today,” Dr. Nadda said. “Together, we can harness the power of innovation and lifestyle modification to safety, frequently, reduce the burden of cancer and heart diseases, not only in India but across the globe. I thank AAPI for organizing the Global Healthcare Summit in India. Wishing the summit a grand success.”

The meeting with the Minister and other officials were part of the recently concluded Global Healthcare Summit 20245 organized in New Delhi from October 19-20th, 2024.

For more information about AAPI, please visit: www.aapiusa.org

CMEs At AAPI’s GHS 2024t in New Delhi Offer Insights On Prevention Strategies, Role of Lifestyle Changes, and the Integration of Technology into Healthcare

“GHS 2024 has the highest caliber of internationally acclaimed faculty and will develop a very robust agenda in collaboration with leading experts from India and the United States,” Dr. Satheesh Kathula, President of The American Association of Physicians of Indian Origin (AAPI) said in his introductory remarks at the inauguration of the Continuing Medical Education (CME) at the 18th edition of the Global Healthcare Summit (GHS) held in New Delhi on October 20tjh, 2024.

“The six hours of clinical CME sessions with academicians from India and the US will offer unique opportunities for local medical staff and healthcare professionals to advance leanings and provide the best possible care for the people of India focusing on preventive medicine, lifestyle changes and the integration of modern technology into Medicine,” he added.

The scientific program and workshops of GHS were developed by leading experts with contributions by the Scientific Advisory Board and the International Scientific Committee. The workshops were led by world famous physicians on topics relevant to the needs of the time.

The sessions on Cancer Prevention Strategies: 2025 And Beyond was moderated by Dr. Manmeet Ahluwalia, who in his opening remarks stated that Cancer is one of the leading causes of death in India, while stressing the importance of preventive measures that will help save lives.

Dr. Satheesh Kathula, MD, FACP, DipABLM Hematologist/Oncologist, Dayton, OH, USA, AAPI President eloquently presented on the Role of Lifestyle Changes in Cancer Prevention. He highlighted said, “You cannot change your genes, but you can change your lifestyle to prevent diseases.” “Stop 3; Start 3.”

An Overview of Cancer Epidemiology in India was presented by Dr. Hari Sagiraju, Assistant Professor Preventive Oncology, National Cancer Institute-AIIMS, who advocated for an India-centric approach. Technological Innovations in Cancer Detection was presented by Manmeet Ahluwalia, MD, MBA Medical Oncologist, Miami Cancer Institute, Miami, Fl, USA. Dr. Nitesh Rohatgi Senior Director, Oncology, Fortis Healthcare shared with the delegates on the Rising Incidence, Lagging Screening: Addressing the Colorectal Cancer Burden in India.

Gurguram Developing Community-Based Cancer Prevention Programs was presented by Dr. Raghunadha Rao Digumarti MNJ institute of Oncology. The importance of Cancer screening & awareness: What everyone needs to know was the topic addressed by Dr. Harit Chaturvedi Chairman of the Max Institute of Cancer Care.

The session on Artificial Intelligence (AI) focusing on Navigating Clinical AI – Power: Velocity: Impact was presented by Dr. Nitesh Rohatgi Senior Director, Oncology, Fortis Healthcare.

A Roundtable Discussion on Integrating Technology in Public Health Programs Collaborative Efforts in Cancer Prevention Public-Private Partnerships in Cancer Prevention was enlightening to the audience on ways to incorporate modern technology into medical practice.

The session on Thinking Beyond Heart Attacks: Reducing Cardiometabolic Risk was moderated by Dr. Amit Govil. Dr. J C Mohan, Chairman, Institute of Heart and Vascular Disorders, Jaipur took the audience to a wider worldview of the Prevalence of Heart Disease and Cardiometabolic Risk Factors in India.

Effective Risk Factors Management and Lifestyle Modifications was an insightful session by Dr. Sunil Kaza Cardiologist, Nashville, Tn, USA. “Do South Asians need their own Lipid Guidelines?” was the topic addressed by Dr. Raman Puri Cardiologist, Apollo Hospital, Delhi. Managing Subclinical Atherosclerosis — Prevent, Detect, and Pre-empt Heart Attacks in Young Southeast Asians; Role of CTA and Calcium Scoring were the topics inasightfuly addressed by Dr. Brahma Sharma Cardiologist, affiliated to Univ of Pittsburgh Medical Center, USA.

Innovations in Reducing Cardiometabolic Risk; Thinking Outside the Box was yet another valuable topic addressed by an eminent group of panelists. Technological innovation CGMs, Devices, Apps, Websites and More was addressed by Dr. Brij Makkar Director, Diabetes and Obesity Center, Delhi.

Care Delivery Innovations: Time to Rethink and Transform Our Paradigms was addressed by Dr. Anuj Bhargava MD, MBA, CDCES, FACP, FACE CEO, My Diabetes Home CEO, Iowa Diabetes. The session on Managing Diabetes, Pre-Diabetes and Metabolic Syndrome was presented by Kris Vijayaraghavan, MD, MD Cardiologist, Lipidologist and Endocrinologist Arizona, USA.

PSA – Quandaries and Conundrum was another important topic addressed by Dr. Amit Chakrabarty, MD, MS, FRCS Chairman, Urologic Clinics of North Florida, and the President Elect of AAPI.

The Summary Panel – Bringing it all together; Taking care of the whole patient and reducing global cardiometabolic risk through a combined effort was moderated by Dr. Vinayak Agrawal, Fortis Heart Institute.

In his closing remarks, Dr. Kathula said, “Local problems should find local solutions. What is popular and found effective in a White population cannot be often duplicated in India.” In addition, while complementing Dr. Lokesh Edara’s efforts in championing the cause of Global Medical Education, Dr. Kathula suggested that “we need to identify and support such champions in their mission to accomplish a lofty goal that helps realize the mission of AAPI.”

For more information about AAPI, please visit: www.aapiusa.org

Dr. Jay Bhattacharya Receives Prestigious Zimmer Medal for Intellectual Freedom Amidst COVID-19 Policy Controversies

Dr. Jay Bhattacharya, a professor of medicine at Stanford University, was awarded the American Academy of Sciences and Letters’ Robert J. Zimmer Medal for Intellectual Freedom on Wednesday. The award, considered one of the academy’s highest honors, recognizes individuals who demonstrate exceptional courage in defending intellectual freedom, especially when faced with political pressures to alter their work. Bhattacharya’s outspoken stance on COVID-19 policies led to this recognition, which he received at the academy’s annual ceremony held at the Library of Congress in Washington, D.C. There, he also joined Princeton University Professor Stephen Macedo for a discussion on his journey and challenges faced during the pandemic.

During the interview, Macedo asked Bhattacharya about the initial moment when he opposed the government’s COVID-19 measures. Reflecting on that time, Bhattacharya shared, “I wasn’t prepared for it… I had never published an op-ed. I had never been on TV. I was a quiet scholar, and I had this idea regarding the pandemic that the disease was more widespread than people realized.” He explained that after writing an op-ed, he encountered a strong backlash, including death threats, and noted that Stanford University investigated him over unsubstantiated allegations. “The university, which I loved, … investigated me for false allegations … that they knew were false,” he said, adding, “I got sent a very clear signal that I needed to stay quiet.”

Despite the intense scrutiny and personal distress, Bhattacharya felt compelled to continue voicing his concerns. “I lost sleep, I couldn’t eat,” he recalled, “But I decided that I didn’t care about my career anymore and I needed to say what I saw.” Bhattacharya believed that the existing policies disproportionately impacted the less fortunate, saying, “These policies that we were following were going to harm a lot of poor people … and there were better policies possible.” In 2020, he co-authored the Great Barrington Declaration, an open letter aimed at public health authorities and government officials, challenging the effectiveness of lockdowns and other restrictive pandemic measures. Describing his motivations, he called the declaration “the least original thing” he had written, and Macedo observed that the ideas in the letter echoed earlier pandemic strategies.

Bhattacharya also made comparisons with past health crises, including the 1968 Hong Kong flu, humorously pointing out that the United States held the Woodstock festival rather than enforcing restrictive measures. He argued that normal social activities should not be completely halted, saying, “The idea that disrupting normal social life is in itself bad for health, I thought was a commonplace in public health.”

Macedo then asked Bhattacharya why governments worldwide resorted to lockdowns and strict measures akin to those implemented in China. Bhattacharya attributed this approach to a complex set of factors, primarily fear. “I think it’s complicated, but … the central thing is fear. I think public health authorities were scared of this new disease, and they decided that scaring people was also a good policy.” He also noted that modern technology played a significant role in allowing widespread dissemination of pandemic protocols and real-time tracking, a concept unthinkable in previous eras.

Macedo brought up the fact that while Bhattacharya was seen as “a dissenter from mainstream policy,” many others agreed with his perspective but hesitated to speak up. Bhattacharya explained that fear was a major factor holding people back. “I think people were very, very scared, both about their own physical safety, but also, they’re scared for their own careers,” he said, noting that he shared those concerns initially.

During the interview, Bhattacharya touched on a lawsuit he is involved in, which alleges that the Biden administration encouraged social media companies to suppress views contrary to official COVID-19 policies. “In 2022, when Elon Musk bought Twitter, it turns out that I had been placed on a blacklist the day I joined Twitter because I put the Great Barrington Declaration on there,” he stated. He emphasized that this action was not random, “There was a systematic campaign by the federal bureaucracy, including the CDC, the surgeon general’s office,” he said, claiming that federal agencies exerted pressure on social media platforms to silence opposition voices. “The American First Amendment didn’t hold during the pandemic. We did not have free speech,” Bhattacharya asserted. He expressed optimism that his side would ultimately prevail in court, noting, “The government going to Twitter or to Facebook and saying ‘Silence Jay or silence people like Jay who are saying these kinds of things,’ where I’m not told I’m being silenced, I don’t get to tell the government to go take a hike … that’s a violation of the First Amendment.”

The conversation shifted to what Macedo described as an increasing tendency toward “paternalism in public health,” where officials assume that the public lacks a full understanding of the science and should thus be guided rather than informed openly. Bhattacharya countered this view by pointing to the role of scientific consensus in ethical public health advice. “If I go around and say smoking is good for you … I’ve done something deeply harmful to the public … but the ethical basis for that is that there really is an honest scientific consensus that smoking is terrible for you.” However, he argued that the pandemic lacked such a consensus, adding, “What we needed was everyone speaking up and saying what they saw, so there was no ethical basis for the normal public health angle to say, ‘Look, you just need to fall in line and say what everybody else says.’”

The discussion wrapped up with Macedo asking Bhattacharya if a recent conference on COVID-19 policy at Stanford, which Bhattacharya organized, hinted at a shift in Stanford’s stance on open debate. Bhattacharya expressed optimism, sharing that the university’s president had chosen to avoid taking a stance on the matter. “What he said was, ‘We have an obligation to be the kind of place where these kinds of conversations happen,’” Bhattacharya recounted. He concluded, “What we do as universities is provide the platform where people of good faith can come together and talk to each other. That’s what we’ve forgotten about, and that leads to great things.”

The Zimmer Medal has been awarded only once before, with Sir Salman Rushdie as the inaugural recipient in 2023. Rushdie, known for his critical commentary on the Quran in his book The Satanic Verses, was celebrated for his resilience and “refusal to be silenced.”

In addition to the Zimmer Medal, the American Academy of Sciences and Letters also recognized ten professors with Barry Prizes for Distinguished Intellectual Achievement, acknowledging contributions across various academic fields. Recipients included Akhil Reed Amar and Nicholas Christakis from Yale, Henry Louis Gates, Karin Öberg, and Jeannie Suk Gersen from Harvard, among others. Each Barry Prize laureate was awarded a $50,000 cash prize as part of their recognition.

Moreover, over fifty new members joined the academy this year. Salvatore Torquato, a Princeton professor among the new inductees, commended the academy’s dedication to defending academic freedom, which he described as “sorely needed.” The academy’s mission, according to its website, is to champion “intellectual rigor” and support the “truth-seeking, knowledge-advancing” role of academic institutions. Howard University’s Gospel Choir added to the ceremony’s atmosphere with a live performance.

World Vegan Vision Hosts Inspiring Event on Heart Health and Veganism with Dr. Bimal Chhajer

New York, NY – World Vegan Vision recently held a successful event on October 19, 2024, at the Asa’mai Temple, spotlighting the vital connection between heart health and a plant-based lifestyle. The keynote speaker, renowned cardiologist Dr. Bimal Chhajer, captivated attendees with his insights on reversing heart disease through veganism.

The event drew an enthusiastic crowd eager to learn about the life-saving benefits of a vegan diet and how it can positively impact heart health. Dr. Chhajer shared key takeaways, including essential practices to manage and even reverse heart disease naturally. His approach emphasized cholesterol management, the elimination of oils in cooking, regular exercise, and stress reduction through yoga and meditation. The following are few critical insights from Dr. Chhajer’s presentation:

Cholesterol Management: Avoid all animal products to reduce cholesterol.

Zero-Oil Cooking: Exclude all oils to promote heart health.

Exercise: A daily 35-minute walk on an empty stomach significantly improves heart function.

Stress Management: Incorporate yoga and meditation to manage stress, a leading contributor to heart disease.

Blood Pressure Control: Maintain blood pressure at 120/80 mmHg by reducing salt intake.

Blood Sugar Monitoring: Keep fasting blood sugar under 100 mg/dL and HbA1c below 6.5%.

Triglyceride Reduction: Cut triglycerides to under 100 mg/dL (normal is <150 mg/dl) with plant-based foods and regular exercise.

Heart-Healthy Diet: Focus on high-fiber, antioxidant-rich foods, eliminating high-fat dairy and nuts.

Weight Management: Achieve a BMI below 24 through a whole-food, plant-based diet.

LDL Cholesterol Control: Keep LDL levels under 70 mg/dL for heart disease reversal. (normal is <100 mg/dl)

HDL Cholesterol: Boost HDL levels with regular exercise, targeting over 40 mg/dL. (normal is >40 mg/dl)

Natural Bypass Therapy: Explore EECP non-invasive cardiac therapy covered by Medicare.

Detox Therapy: Combined with a Zero-oil vegan diet, detox therapy like fasting aids in clearing blockages.

Angina Awareness: Learn to identify angina symptoms such as chest pain and discomfort.

Reversal of Heart Disease: A vegan diet paired with lifestyle changes can reverse severe heart disease.

We would like to clarify that the information we are sharing is not intended to serve as medical advice. Rather, our goal is to provide you with valuable insights and guidance on how to maintain and improve your heart health.

World Vegan Vision is dedicated to promoting the benefits of a vegan lifestyle for both personal health and environmental sustainability. We are grateful to all who attended and look forward to hosting more events aimed at educating and inspiring the community towards heart-healthy, compassionate living.

About Dr. Bimal Chhajer:

Dr. Chhajer is a respected figure in the field of Non-Invasive Cardiology, dedicated to combating heart disease through comprehensive, scientifically-backed lifestyle changes.

About World Vegan Vision:

World Vegan Vision is a 501(c)(3) nonprofit organization. The mission of World Vegan Vision is to increase public awareness about the 3 main aspects of Veganism – Health, Animal Rights & Environmental Conservation. The organization aims to organize activities to raise awareness about these issues.

AAPI’s 18th Global Healthcare Summit Focusses on Prevention Strategies for Cancer and Heart Attacks, Role of Lifestyle Changes, and the Integration of Technology into Healthcare

(New Delhi, India:  October 21st, 2024) The growing influence of physicians of Indian heritage is evident, as they are increasingly recognized and they hold critical positions in healthcare, academic, research, and administration across the United States. Their hard work, dedication, compassion, and skills have carved out an enviable niche in the American medical community.

In India, with a rise in population, there is an urgent need to create awareness and establish effective systems on the need for ways to prevent diseases and help India’s 1.4 Billion people live healthier life.

Satheesh at GHS 2024It’s in this context, the AAPI Global Healthcare Summit (GHS 2024) from October 19-20, 2024 in New Delhi, India, organized by the Association of American Physicians of Indian Origin (AAPI) in collaboration with and participation from some of the world’s most well-known physicians, and industry leaders becomes very critical and significant.

Dozens of Physician leaders of Indian origin came together in response to this call to contribute to the wellbeing of their fellow countrymen in India by participating at the 18th edition of the Global Healthcare Summit 2024 at the Le Meridien Hotel at the heart of New Delhi, India.

“It is with great pride and excitement that I welcome you all to the 18th AAPI Global Healthcare Summit in New Delhi,” Dr. Satheesh Kathula, President of The American Association of Physicians of Indian Origin (AAPI), in his inaugural address. “This year we gather under the important and timely theme of preventing cancer and heart attacks through lifestyle modifications and technology in a world where chronic diseases like cancer and cardiovascular illnesses continue to pose significant health threats, where corrective mission has never been more urgent.”

“We have chosen New Delhi for the Global Healthcare Summit 2024, because, this is where all the actions are taking place, including policy discussions and legislation to address the needs of the nation,” said Dr. Kathula.

GHS main 2“AAPI has been engaged in harnessing the power of Indian Diaspora to bring the most innovative, efficient, cost-effective healthcare and preventable solutions to India, Dr. Kathula said.  “This international health care summit is a progressive transformation from the first Indo-US Healthcare Summit launched by AAPI USA in 2007. GHS 2024 will focus on Prevention Strategies for Cancer and Heart Attacks, Role of Lifestyle Changes, and Integration of Technology in Healthcare,” said Dr. Satheesh Kathula, President of AAPI.

Honorable Health Minister of India, Shri Jagat Prakash Nadda delivered via video an address on national prevention strategies. Dr. Nadda acknowledged that the world is staring at two most critical health challenges, cancer and cardiac diseases. Dr. Nadda said. “With aging population, changes in lifestyle and increasing urbanization, the incidence of cancer and cardiovascular diseases, particularly heart attacks, are on the rise.”

Dr. Nadda said, “I’m happy to share that through the national program for prevention and control of cancer, diabetes, cardiovascular diseases and stroke program, we are providing a framework for individuals across the country who access health education screenings and support services aimed at prevention and early detection. It is well known that the lifestyle modification is the key pillar in the prevention of ailments like cancer and cardiac diseases. Foundation of prevention of these diseases lies in adopting healthier lifestyles, like regular exercise, a balanced diet, and shunning tobacco and alcohol, Dr. Nadda told the AAPI delegates.

GHS Rashtrapati Bhavan“We all know that AAPI has been playing a key role in the exchange of experience and knowledge in the field of medicine between India and the US today,” Dr. Nadda said. “Together, we can harness the power of innovation and lifestyle modification to safety, frequently, reduce the burden of cancer and heart diseases, not only in India but across the globe. I thank AAPI for organizing the Global Healthcare Summit in India, wishing the summit a grand success.”

The CME sessions by eminent physicians from India and abroad offered a unique perspectives on Prevention Strategies for Cancer and Heart Attacks, Role of Lifestyle Changes, and the Integration of Technology into Healthcare Describing the message and theme for the Summit,

“This this year marks a significant milestone in the history of AAPI, as we proudly introduce the Fellowship of AAPI (FAAPI), said Dr. Kathula. “This prestigious recognition on is not only doctors, but also healthcare administrators who have made substantial contributions in their respective fields. In India, for the inaugural year, we are delighted to announce that three eminent physicians and administrators have been selected as eligible recipients. Dr. Rakesh Sharma, Dr. Bhasnji Kundaria, and Dr. Raman Kumar were honored by AAPI with this prestigious award.

GHS honoreesThis international healthcare summit is a progressive transformation from the first Indo-US Healthcare Summit launched by AAPI in 2007. “Providing a forum for innovative opportunities for learning, networking and giving back to our motherland that have now enabled us to plan ahead and prepare for an outstanding event that will be over 300 very prominent and talented physicians and surgeons from abroad, in addition to the hundreds of physicians from India, who are very passionate about serving their homeland, mother India,” Dr. Sunil Kaza, Chair of AAPI BOT said.

According to Dr. Anjali Gulati, Convener of GHS 2024, “AAPI rapidly expands its vision for India – in educational research, clinical programs, global outreach and a tie-up with the Indian Government on healthcare programs. GHS 2024 offered a unique forum for physicians of Indian origin  to come together, share their knowledge and expertise in their respective medical fields with their fellow physicians from around the world, and to learn from one another.”

For the first time ever, AAPI delegates had an opportunity to visit to the Rashtrapati Bhavan, the Presidential Palace of India in New Delhi. During this unique guided tour of the historic premises of India’s President.

GHS 2024 awardees 1Also, the AAPI delegates had an opportunity to visit and pray at the world famous Swaminarayan Akshardham at New Delhi with an informative and inspiring journey through an ancient culture’s glorious art, values and contributions for the progress, happiness and harmony of all humans.

Fashion Show and live entertainment by Preeti Bhalla took the AAPI delegates to the nostalgic memories of the 1960s and 70s. The cuisine added special flavor to the Summit.

A spontaneous session on Medical Education Abroad and how to navigate the system and explore opportunities to study and work in the United States by AAPI leadership was much appreciated by the hundreds of Medical students and Fellows who had come to be part of the GHS 2024.

Poster and Research Contest by over 70 Medical students and Fellows from across the nation added value to the event with the new generation of Indian Medical students showcasing their talents, skills and commitment to medical education.

Dr. Amit Chakrabarty, President-Elect of AAPI says, “AAPI has a mandate to help disseminate our medical knowledge, our expertise and technological advances to the rest of the world, and to India in particular. Headquartered in Chicago, AAPI has come to be recognized as a strong voice in the healthcare legislation and policy arena.”

“With the changing trends and statistics in healthcare, both in India and US, we are refocusing our mission and vision of GHS 2024, AAPI would like to make a positive meaningful impact on the healthcare in India,” Dr. Kathula said.

AAPI Collage Oct 20 2“In our quest to fulfill the mission of AAPI, we are proud to share best practice and experiences from leading experts in the world and develop actionable plans for launching demonstration projects that enable access to affordable and quality healthcare for all people. Thank you for your participation and for being part of this movement for healthier world, let’s continue to work together, leveraging both the power of Prevention and the promise of technology to Save Lives,” Dr. Kathula added.

Dr. Kathula expressed his appreciation for the collaboration and support  by Dr. Sunil Karza, Chair AAPI BOT, Dr. Lokesh Edara, past BOT Chair of AAPI, Dr. Anjali Gulati, GHS Convener, Dr. Manmeet Ahluwalia, Dr. Brahma SDharma, Dr. Amit Govil and Dr. Hetal Gor. He called out Dr. Shubham Anand, the Organizing Secretary of GHS 2024 and his dedicated team from India for their generous support and taking this opportunity to make GHS a memorable event for all. Dr. Soumya Neravetla eloquently emceed the Summit.

Amit Chakrabarty, President-Elect of AAPI said, the current President of India, Smt. Draupadi Murmu suggested to have AAPI’s collaboration in having a TB Free Tribal India, and this initiative will be led by Dr. Manoj Jain. The Diabetes related efforts are being led by Dr. Smitha Joshi. The Ayurveda Consortium is being led by Dr. Amit Shah, Dr. Artin Prasad, and Dr. Dilip Sarkar. Dr. Chakrabarty invited AAPI members to participate at the 19th edition of AAPI’s Global Healthcare Summit with focus on Tuberculosis, Ayurveda, and Diabetes, which will be held in Bhubaneshwar, Orissa from January 9-11, 2026.

For more information on Global Health Summit 2024, please visit https://aapisummit.org

How Deep-Fried, Baked, and Grilled Foods Are Fueling India’s Diabetes Epidemic

The rapid increase in diabetes cases in India is being directly linked to the widespread consumption of deep-fried, baked, and grilled foods, which have become household staples across the country in recent years. These ultra-processed foods, easily found in every corner of India, are identified as a major cause behind the growing prevalence of diabetes, according to medical experts.

India now has an alarming 101 million people living with diabetes. A report by the Indian Council of Medical Research (ICMR) and the National Institute of Nutrition (NIN) reveals that more than 10 percent of the population between the ages of 5 and 19 are pre-diabetic, signaling the beginning stages of the condition.

A new study, published in the *International Journal of Food Sciences and Nutrition*, shows a direct correlation between the consumption of deep-fried, baked, and grilled foods and the onset of diabetes. These foods are rich in harmful compounds known as advanced glycation end products (AGEs), which are linked to inflammation and several chronic diseases, including diabetes.

“When we fry or grill foods, it results in oxidative stress, which promotes inflammation,” explained Dr. V Mohan, a leading diabetologist from the Madras Diabetes Research Foundation (MDRF) in Chennai. “Chronic inflammation is associated with not only diabetes but also hypertension, heart disease, and some types of cancer. Ultra-processed foods, especially those high in trans fats, are particularly damaging to our health,” Mohan added in an interview with IANS.

In addition to poor dietary habits, other factors like stress, lack of sleep, and air pollution are also exacerbating the diabetes crisis in India, according to health experts.

While foods high in dietary AGEs are shown to increase the risk of type 2 diabetes and inflammation, certain foods are classified as low in AGEs and can offer some protection against these conditions. Fruits, vegetables, legumes, oats, dairy products, eggs, fish, and tree nuts like almonds, walnuts, and cashews are considered low-AGE foods, making them beneficial for those looking to reduce their risk of diabetes.

“Our study showed that foods rich in dietary AGEs were closely linked to the development of type 2 diabetes and chronic inflammation,” Mohan said. “On the other hand, foods low in dietary AGEs seemed to offer a protective effect against diabetes.”

AGEs are formed through a process called glycation, where sugar molecules bond with proteins or fats in a non-enzymatic reaction. This process creates compounds that can lead to harmful inflammatory reactions in the body, contributing to the development of chronic diseases like diabetes.

In particular, deep-fried foods, especially popular street food in India, are often prepared with reheated oil. According to Dr. Mohan, this reheating process significantly increases the amount of trans fats in the food. “Reheated oil is loaded with trans fats, which are known to significantly increase the risk of heart disease and certain types of cancer,” Mohan explained.

However, the dangers aren’t limited to deep-fried foods. Even grilled or baked foods, which are often perceived as healthier alternatives, may pose serious health risks. Dr. Mithal, another prominent health expert, explained that grilling foods at high temperatures produces toxic compounds that can have harmful effects on the body.

“Many people believe that grilled food is healthier because it’s not fried, but that’s not always the case,” Mithal said. “Grilling exposes the food to extremely high temperatures, which leads to the formation of toxic aromatic carbons, some of which can be carcinogenic.”

Baked foods, often viewed as a healthier option, also come with potential risks. While baking eliminates the frying process, most baked goods are high in carbohydrates, which can also contribute to the diabetes epidemic. The study conducted by the MDRF found that excessive carbohydrate consumption, especially in the form of white rice or refined wheat (commonly known as maida), is a significant driver of diabetes in India.

“Excessive intake of carbohydrates, particularly from white rice or refined wheat, is a direct cause of the diabetes epidemic in India,” the MDRF study stated.

These findings suggest that common dietary habits in India, especially the reliance on fried, baked, and grilled foods, are contributing significantly to the rising number of diabetes cases in the country. The situation is further worsened by the availability and affordability of these ultra-processed foods, making them a staple in the diets of many Indian families.

As India continues to grapple with this growing diabetes crisis, experts emphasize the importance of dietary changes, including reducing the consumption of fried and ultra-processed foods and opting for healthier alternatives. Foods rich in fiber, low in trans fats, and free from harmful AGEs should be prioritized in daily meals to help combat the prevalence of diabetes.

During Meeting with India’s Ministry of Health and NITI Aayog Officials, AAPI Leadership Emphasizes Importance of Family Practice Specialized Medical Education

India, home to one of the oldest medicinal systems in the world has made remarkable progress in streamlining and working towards enhancing medical education in recent years. As the world is evolving to meet the ever-changing needs, medical education in India is moving forward with the objective of enabling every medical graduate and postgraduate to be the best in the world.

AAPI Meeys NITI 4Several changes are being made for graduate and post graduate medical education in Indian medical education system to be at par and for easy mobilization around the world, with the goal of making India the medical education hub for the world.

In this context, the American Association of Physicians of Indian Origin (AAPI), which has been leading efforts to help streamline medical education in India to meet the global standards, had a meeting on October 18th, 2024 with the officials of the Indian Government during the ongoing Global Healthcare Summit in New Delhi, with the objective of advocating for and emphasizing the importance of Family Practice Specialized Medical Education in India.

AAPI delegation was led by Dr. Sateesh Kathula, President, AAPI,  Dr. Lokesh Edara, Past Chairman of AAPI BOT and Global Medical Education, and Dr. Vasu Singh, AAPI Regional Director.

AAPI leaders met with the leadership council at National Institute for India Transformation (NITI) Aayog Bhavan,AAPI Meets NITI 3 led by Dr. Vinod Paul, Medical Director, NITI. Key attendees included Dr. Abhijath Sheth, President of National Board of Medical Exams (NBME), Chair of National Medical Council; Ms. V. Hekali Zhimomi, Additional Secretary, Ministry of Health and Family Welfare; Dr. B. Srinivas, Secretary, NMC; Dr. Subodh Kumar, Executive Director, NBEMS; Shri Rajib Kumar Sen, NITI Aayog Program Director.

Dr. Kathula shared with the Indian officials about the model of family medicine in the US and emphasized the need to expand family medicine departments and post graduate seats in India. He also shared the benefits of having family medicine in rural areas and small cities and making  2-3 year residency program mandatory after 5 1/2 years of medical education similar to the United States, which can improve quality of care significantly.

AAPI Meets NITI 2Dr. Kathula suggested that “Family medicine should not be a gatekeeper for referrals to specialists but rather they should be taking care most of the medical conditions including Pediatric and Obstetrics and Gynecology patients. In addition, he recommended creating incentives such as offering sub specialties like geriatrics, palliative care similar to the US, in order to attract more doctors towards family medicine. He said, “There should be clear distinction between general medicine and family medicine and change the name of general medicine to internal medicine to avoid confusion.”

In his presentation to the Indian officials, Dr. Lokesh Edara highlighted as to how in the Unted States and United Kingdom, there is an allocation of 25% of Post Graduate Medical Seats given to Family Practice. He advocated that Indian allocate a minimum of 25,000 per year to Family Practice PG Medical students, which will be a significant step towards enhancing healthcare in India. Describing the initiative as “a historic milestone and a testament to the commitment of AAPI towards Global Medical Education,” Dr. Lokesh Edara said, “This strategic move is crucial for strengthening primary healthcare and addressing the needs of diverse populations across the country.”

“AAPI is indeed a powerful platform for advocacy in healthcare. We encourage all the AAPI members to activelyAAPI Meets NITI 1 participate in these efforts. By collaborating and leveraging our collective voices, we can effectively advocate for policies and initiatives that enhance healthcare access, improve education, and support the well-being of communities both in India and the U.S. Your involvement can make a significant impact,” Dr. Edara added.

The high-ranking officials of the Government of India and NITI expressed support for such initiatives, and shared their openness to incorporate these suggestions, which are aimed at aligning with the vision for 2047, ensuring that every family in India receives the care from a trained Post Graduate in Family Medicine.

Dr. Vinod Paul reiterated that most of the MBBS Doctors are choosing specialization and there is a concern that not many Primary Care Doctors will be left to take care of the rural population. According to him, there are very few postgraduate seats in Family Medicine compared to the US, UK, Australia and other developed nations.

AAPI Global Medical Education has led this effort taking the delegation to the Indian National Board of Examinations in medical science NBEMS (nbe.edu.in) which conducts examination for the 1.8 million students and UG entrance examination across India and conduct the PG NNET entrance examination for 200,000 students annually.

Dr. Vasu Singh urged Indian Government and NITI to increase family medicine PG seats and nationalized formative assessment tests in theory part for all postgraduates and for post-graduate exit theory examination suggested computerized online test, nationwide E-Learning systems for higher transfer of Knowledge in medical education.

Dr. Kathula expressed hope that “The excellence gained through long term vision, insight and hard work and exchange of ideas and challenges will benefit the medical education system in India and help tens of thousands of medical graduates coming from India to have recognition in the US.”

AAPI Meets NITIAAPI is an umbrella organization which has nearly 160 local chapters, specialty societies and alumni organizations. For over 41 years, Indian physicians have made significant contributions to health care in this country, not only practicing in inner cities, rural areas and peripheral communities but also at the top medical schools and other academic centers. Almost 10%-12% of medical students entering US schools are of Indian origin. Headquartered in Oak Brook, Illinois, AAPI represents the interests of over nearly 200,000 physicians, medical students and residents of Indian heritage in the United States.

For more information on AAPI and its many initiatives, please visit: www.aapiusa.org

A Call to Action: Prevent Hypertension — Engage in Salt Reduction

Hypertension is the leading preventable risk factor for cardiovascular disease (CVD) and all-cause mortality worldwide.  In 2019, 1.72 million deaths and 40.54 million DALYs were caused by CVD due to high dietary sodium globally, representing a 41.08% and 33.06% increase since 1990.  In 2023, this estimate further increased to 1.89 million deaths associated with excess sodium consumption. Both India and the United States of America top the list of most burdened countries.

This data is alarming considering the cause has been well known for decades and can be relatively easily addressed.  These studies do not call for complex medication regimens or treatments.  The totality of the evidence strongly supports a population-wide reduction in salt intake (AHA). Salt reduction causes a dose-dependent reduction in blood pressure: the lower the salt intake, the lower the blood pressure (AHA).

Yet, medical organizations and governments are barely engaged in salt reduction to prevent hypertension. It is reflected in WHO’s cry for help: “massive efforts needed to reduce salt intake and protect lives”. Only nine countries (Brazil, Chile, Czech Republic, Lithuania, Malaysia, Mexico, Saudi Arabia, Spain and Uruguay) have a comprehensive package of recommended policies to reduce sodium intake.  WHO again says: “Reducing sodium intake is one of the most cost-effective measures to improve health and reduce the burden of non-communicable diseases: for every US $1 invested in scaling up sodium reduction interventions, there will be a return of at least US$12.”

In India, of the estimated 220 million people with hypertension, only 12% have their blood pressure under control. Hypertension kills more adults than any other cause and is readily preventable and treatable. The India Hypertension Control Initiative (IHCI) is principally engaged in improving better diagnosis and treatment of hypertension.

But what about prevention? It’s time to look at high blood pressure as a preventable disease. India only received a score of 2 (out of 4) from WHO due to its lack of mandatory sodium declaration policy.  WHO estimates that 7 million lives could be saved worldwide by 2030 if countries can adopt appropriate sodium reduction, however few countries are on track.  To achieve this goal WHO recommends mandatory legislation that includes maximum sodium content limit, marketing restrictions, labelling and fiscal policies.

Global health care agencies must prioritize salt reduction as the critical strategy for the prevention of cardiovascular disease globally.  Adding salt to food confers no known nutritional benefit, while increasing the risk of hypertension and many other deadly or disabling diseases.  It’s time to tackle the root cause.

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